HomeMy WebLinkAboutOpening of Quotes - 1201 Western Ave. Sidewalk Vault Repair Proj No. 120-019 - John Boettcher Sewer & ExcavatingCITY��U�� ��� ������ ������ �����U���
_. ___~.. ~~~~.-_, ...~_.~~.~..
PROJECT NAME: 1201 Western Ave. Sidewalk Vault Repair
PROJECT NO. 120-019
QUOTES DUE _ftg" aplember-a,-20ZO-
(MuStbecompleted for all quotes. Please type Qrprint)
Date: September 8, 2020Fimn: John Boettcher Sewer & Excavating Contractor
Address: 3305 N Home Street
City/State/Zip: Mishawaka, IN 46545 Telephone Number:
Agent o/Bidder (if App|uube):
Pursuant to notices given, the undersigned uffe,o to furnish labor and/or material necessary to complete the
public works project of:
1201 Western Ave. Sidewalk Vault Repair
the City ofSouth Bend. |nd|ono, in accordance with plans and specifications prepared by:
_AftM�nt of Public Works
and dated September 8 2020 for the sum of (enter the Total Quote as shown on the Proposal)
Ninety One Thousand Five Hundred Ninety Four & 04/100 $ 91,594.04
(Enter Sum of Total Quote plus Alternates shown on Proposal) (Numerical)
If alternative quotes apply, the undersigned submits m proposal for each in accordance with the notice, Any
addendurns attached will be specifically referenced at the applicable page.
|fadditional units ofmaterial included inthe contract are needed, the cost cfunits must bethe same aathat shown
in the original contract |faccepted by the City ofSouth Bend. |fthe quote is to be awarded on a unit hasia, the
itemization ofthe units shall bashown onoseparate attachment.
111
The above quote isaccepted this day of
Subject tothe following conditions:
BOARD OF PUBLIC WORKS
G—a—ry A. Gilot, President
Elizabeth A. radik, Member
Joseph R.Molnar, Member
(Printed Name of Person Signing)
Therese J. Dorau, Member
Jordan V.Gathers, Member
Attest: Linda W1. Martin, Clerk
WE
Version 2/14/2020 Page - 7 Public Works Quote
ff"hen the prospective Contractor is unable to cerdffir any t4'lhe statements belo;v, ;I shall attack an arlVanation to
CONTRACTOR'S NON-COL1,11SION AND NON -DEBARMENT AFFIDAVIT,
(""ERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMEN'r EIAGIBILITY
VERIFICATION, N ON-D ISCRI MI NATION COMMITMENT AND CERTIFICATION OF USE
OF" UNITED STATES STEEL, PRODUCTS OR FOLJNDRY PRODUCTS
(Must he completed for all quotes and bids, Please type or print)
STATE
St. Joseph COUNTY SS:
The undersigyned Contractor, bCiDg duly sworn upon his/her/its oath, affirm s under the penalties of peijury that:
1. Contractor has not, nor has any other member, representative, or agent of the firrn,
company, corporation or partnership represented by hinn, entered into any combination, collusion
or agreement with any person relative to the price to be bid by anyone at such letting not- to prevent
any person frorn bidding nor to induce anyone to refrain from bidding, and that this bid is made
without reference to any other bid and without any agreernent, understanding or combination with
any other person in reference to such bidding. Contractor further says that no person or persons,
firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift,
commission or thing ot'value on account of such sale; and
1 Contractor certifies by submission of this proposal that neither contractor nor any of" its
principals are presently debarred, Suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from participation in this transaction by any Federal, department or agency;
and
3, ("ontractor has not, nor has any successor to, nor an affiliate of; Contractor, engaged in investment
activities in Iran.
a. For purposes of this, Certification, "Iran" means the government of Iran and any agency or
instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16,5-5, as arnended from
time; -tea -time.
b. As provided by Ind, Code § 5-22-16.5-S, as amended froni urrie-to-time, a Contractor is
engaged in investinent activities in tran ifeither:
i. Contractor, its successor or its affiliate, provides goods or services of twenty million
dolkirs d S20,000,000) or more in value in the energy sector oflran, or
ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty
million dollars ($20,000,000) or more in credit to another person for lbrty-five (45)
days or inore, if that person will (i) use the credit to provides goods and. services in
the energy sector in Iran; and (ii) at the time the financial institution extends credit, is
a person identified on list published by the Indiana Department of Administration.
Version 2/14/2020 Page - 8 Public Works Quote
4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain
any employee or contract with a person that the Contractor subsequently learns is an unauthorized
alien. Contractor agrees that he/she/it shall enroll in anti verify the work eligibility status of all of
Contractor's newly hired employees through the E-Verify Program as defined by LC. 22-5-1.7-3 :�.
ontractor's documentation of enrollment and participation in the E-Verify Program is included
and attached as, part of this bid/quote; and
5. Contractor shall require his/her/its subcontractors performing work under this public
contract to certify that the subcontractors (to riot knowingly employ or contract with an
unauthorized alien, nor retain any employee or contract with a person that the subcontractor
subsequently learns is an, unauthorized alien, and that the Subcontractor has enrolled in and is
participating in the E-Vcrify Program. The Contractor agrees to maintain this certification
throughout the term of the contract witli the City of South Bend, and understands that the City
may terminate tile contract for default if the Contractor fails to cure a breach of this provision no
later than thirty (30) days after being notified by the City.
6. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by
the City of South Bend through its agencies, boards, or commissions shall not discriminate against
any employee or applicant for employment in the performance of a City contract with respect to
hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly
related to employment because of race, sex, religion, color, national origin, ancestry, age, gender
expression, gender, identity, sexual orientation or disability that does not affect that person's ability
to perl"orm the work.
in awarding contracts for tile purchase of work, labor, services, supplies, equipment, materials, or
any combination of the foregoing including, but uOtlimited to, public works contracts awarded
tinder public bidding laws or other contracts in which public bids are not required by law, the City,
its a9cricies, boards, or commissions may consider the Contractor's good faith efforts to obtain
participation by those Contractors certified by the State of Indiana as a. Minority Business
("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest,
responsible, responsive bidder.
,In no event shall persons or entities seeking the award of a City contract be required to award a
subcontract to ark MBE/WBE; however, it may not unlawfully diw,.rimi,nate against said
WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board
stia,11 prohibit that person or entity from being awarded a City contract for a -period of one (1) year
s
I'rom the (late of'such determination, and such determination may also be grounds for terminating
the contact for which tile discriminatory practice or noncompliance pertains.
7. The undersigned contractor agrees that the -following nondiscrimination commitment shall
be made as part of any contract which it may henceforth enter into with the City of South, Bend,
Indiana or any of its agencies, boards or commissions.
Contractor agrees not to discriminate against or intimidate any employee or applicant for
employment in the performance of this contract with privileges of employment, or any matter
directly or indirectly related to employment, because of race, religion, color, sex, gender
expression, gender identity, sexual. orientation, handicap, national 01-igiD or ancestry. Breach of
this provision may be regarded as material breach ofcontract.
Version 2/14/2020 Page - 9 Public Works QLJOte
1, the undersigned bidder or agent as contractor on a public works project, understand my statutory
Obligations to they use of steel products or fOLIndry products made in the United States (I.0-16-
8-1 ). I hereby certify that I and all subcontractors employed by me for this project will use steel
products or foundry products made in the United States oil this project if awarded. I understand f
have an affirmative duty to notify the City in my bid that my proposal does not include the use of
steel products orfoundry products rnade in the United States. I understand it is my sole obligation
and responsibility to provide ajustification to the City, subject to review and approval, why the
cost of thiited States made steel or faundry products is unreasonable, Prior to award and upon
submission of bid which does not use steel products or foundry products made in the United States,
the City, through its director of public works, shall make a determination if the price of United
States made steel or foundry is unreasonable. 1, understand that violations hereunder may result in
forfeiturc of contraclUa] payments,
I hereby affirt-ri undcrthe penalties of pqjury thatthe facts and inforniationcontained in the foregoingbid IorpUblic
works are true and correct.
Dated this 8th day of Sept2o. 2.0
ala:.= 0 0 •
MMUFMOM
Sian) uVreTf (."lontractor/Bid&r or
Me JMTWTA;T*Tz=E=%rMrs-M
Name and ` ,itle
Subscribed and sworn to befive me this 8th day of September 2()20
My Coirunission Expires_ May_.9,..2024
�N�otary "Publicicia A. Leonard
County of Residence St. 19_5@ph
T A
Version 2/14/2020 Page - 10 Public Works Quote
CITY OF SOUTH BEND
PROJECT NAME 12O1Western Ave. Sidewalk Vault Repair
PROJECT NO. 120-019
QUOTES DUE September 1,2O2O
Item No.
Description
Quantity
Unit
Unit Price
Total Amount
3
Demolition, saw cutting concrete, steel and concrete
'Foil
disposal
33
$324.04
$10,693,32
CMU infills at common basement wall, including
5
reinforcing
244
SF
$42.75
$10,431.00
6
Patching of existing wall, sealing cracks, waterproofing
400
SF
$16.25
$6,500.00
9
Repair back of curb & gutter, new concrete sidewalk
73
SY
$148.77
$10,860.21
TOTAL AMOUNT OF QUOTE
$91,594.041
Bidder (Firm): John Boettcher Sewer & Excavating Contractor, LTD
Address: 3305 N. Home Street
City/State/Zip: Mishawaka, IN 46545 Telephone Number: (574) 259-1418
-2
(Printed Name of Person Submitting)
Public Works Quote
paQe-Il
-,,A K
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM
FORM MWBE-1,0
MWBE PARTICIPATION
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects Involving MBE/MBE
participation. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the
qualifications of a Minority or Women's owned business.
Project Number: 120-019 — Project Name: 1201 Western Ave. Sidewalk Vault Repair
Bidder: John Boettcher Sewer & Excavating COM61191(gid Amount: 91,594.04 MWBE Goal: 0%
Page 1 of 1
Name & Address of MWBE
Primary Contact Person
(Nance/Telephone)
.... .. . . ..
Scope of Work to be Performed
(Attach scope/schedulo, if you need additional space)
Dollar Amount of MWBE
Co trip o r e n I
ge
of ToPercentatal
- — — —
-----------------
Submitted by: John W. Boettcher
Print Name
September 8, 2020
bate
Version 2/1412020 Page - 12 Public Works Quote
Project Nuaiber: 120-019
Project Narne: 1201 Western Ave. Sidewalk Vault Rep '
a I
Bidder John Boettcher Sewer & Excavatinq Contractor
Contact Person: John Boettcher Telephone: 574-259-1418
Address: 3305 N Home Street
City: state: Zip: 46�545.___
Email; J.g�h—tiW@A,ohnBoettcher.comcastbiz.net
To determine whether as bidder has demonstrated good faith efforts to reach the MWBE utilization goals set forth in
the City Of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions,
REQUIRE ALL of the following Good Faith Efforts as listed in the table below:
EVIDENCE OF GOOD FAITH EFFORTS
MWBE LIST($). The bidder reviewed 1) the City of South Bend's Minority and Women Business
Enterprise Inclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the Indiana
x Department of Administration list of Minority and Women Owned Businesses (both certified and non -
certified found at: htt ./Iw .in. avlidcxat.
GOOD FAITH EFFORTS TO OBTAIN MWBE PARTICIPATION
The bidder shall initial each item below, as evidence of its good faith efforts to obtain MWBE
participation In the awarded contract.
reviewed the City of South Bend's Minority and Women Business Enterprise
InCIUSiOfl Program Plan and the Indiana Department of Administration's certified list of
Indiana Minority and Women Business Enterprises, found on their wobsito
-in.. ov/id
i affirm that I have made good faith efforts to select portions of the contract work to be
performed by MWBEs, Including, where appropriate, breaking out contract work iterns into
economically feasible units to facilitate MWBE participation.
I affirm that I have made good faith efforts to solicit through all reasonable and available
means the interest of all MWBEs in the scopes of work of the contract,
. . ..........
I affirm that I attended all pre -bid meetings scheduled by the City of South Bend to inform
MWBEs of contracting and subcontracting opportunities,
I affirm that I advertised in general circulation arid/or trade association publications
concerning subcontract opportunities and allowed MWBEs reasonable time to respond to
sbch advertisements.
-
I affirm that I performed any and all necessary steps to provide written notices in a manner
reawbonably ca
lculated ated to inform MWBEs of subcontracting opportunities and allowed
......... . ............. ............
sufficient time for MWBEs to participate effectively.
I affirm that Ifollowed UP on initial solicitations with interested MWBEs.
I affirm that I negotiated with interested MWBEs in good faith, including providing such
MWBEs with adequate information about the plans, specifications and other requirements
of the subcontract.
,J-affirm that I have made good faith efforts to assist interested MWBEs in obtaining
bonding, lines of credit, or insurance as required by the City or the bidder, where
appropriate. J
Version 2/14/2020 Page - 13 Public Works Quote
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MWBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
) affirm that I have made good faith efforts to assist interested MWBEs in obtaining
necessary equipment, supplies, materials, or related assistances or services, where
appropriate,
I affirm that I did not reject any MWBEs as unqualified without sound business reasons
ka �-()n a thorough investigation of their capabilities,
CONTRACT RECORDS: The bidder has rr4ntained the following records for each MWBE that has bid
on the subcontracting opportunity:
1 . Narne, address, and telephone nUmber;
2, A des(-,.riptian of information provided by the bidder or subcontractor; and
3, A statement of whether an agreement was reached, and if not, why not, including any reasons for
concluding that the MWBE was unqualified to perform the job.
South Bend reserves the right to request additional information.
Version 2/1412020 Page - 34 Public Works Quote
CITY D O
OF SOUTH BEND
MINORITY ANWMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MWBE-2.1
N.
This completed form should be supplied with Bids that pertain to city of - South —Bernd Public Works Projects
requiring Good Faith Efforts to contact MWBEs. It is the bidder's sole responsibility to verify whether any listed
minority or woman business meets the MWBE qualifications. Attach additional pages If necessary.
PAGE 1 OF 2
Project Number: 120.019
MWBE Participation Goal
Project Name: 1201 Western Ave. Sidewalk Vault Repair
Bidder: John Boettcher Sewer & Excavating Contrac o
By: ------ ___ . ..... ------- ---
(Signature) (Title) (Date)
MWBE Firm State Barricading, PO Box 3751, South Bend, IN 46619
Owner or Contact at MWBE Firm Bill
Telephone: 574-287-2078 Fax: 574-287-1744 Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Traffic Control
RESULTS OF CONTACT WITH THE MWBE FIRM: No response for reauest to bid
Owner or Contact at MWBE Firm Veda Godette
Telephone: 574-234-1268 Fax: Email: rfightirish@aol.com
TYPE OF WORK SOLICITED FOR THIS PROJECT: Fill sand trugKng___--
RESULTS OF CONTACT WITH THE MWBE FIRM: No responseforrequest to bid
Version 2/14/2020 Page - 15 Public Works Quote
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAI
FORM MWBE-2.1
MWBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring Good Faith Efforts to contact MWBEs. It is the bidder's sole responsibility to verify whether any listed
minority or woman business meets the MWBE qualifications. Attach additional pages, if necessary.
PAGE 2 OF. 2
Project Number: 12 0-..01 MWBE Participation Goal
Project Name: 1201-Western Ave. Sidewalk Vault lie air
Bidder: John Boettcher Sewer & Excavating Contrac
tor
By: President 09/08/2020
(Signature) (Title) (Date)
MWBE Firm Wilburn Construction
Owner or Contact at MWBE Firm
Telephone: 574-315-8288 Fax: 866-929-2137 Ernail: michellewilburn(a)_wccbuilds.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Concrete
RESULTS OF CONTACT WITH THE MWBE FIRM: ProiectAqy.!q.,-not fit into their qw-rrenUche-du1e-
would not be able to bid
MWBE Firm
Owner or Contact at MWBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MWBE FIRM:
Version 2/14/2020 Page - 15 Public Works Quote
Liberty Mutual Surety
Liberty Attention: LMS Claims
mutucilRO. Box 34526
.
Seattle, WA 98124
SURETY Phone: 206A 73-6210
Fax: 866-548-6837
Elllail: HOSCL(w?)libcf-tyniutual,corr)
www.t..ibc:rtyML]tl,la[StjretyClainis.(;orii
KNOW AIM_, MEN BY THESE PRESENTS, That we, Boettcher, John Sewer & Excavating Contractor, Ltd.
of 3305 N. Home St., Mishawaka*, IN 46545
(hereinafter called the Principal) as Principal, and The Ohio Casualty Insurance Company
principal office in the City of Boston
I with its
, Massachusetts (hereinafter called the
Surety), as Surety, are held and firmly bound unto City of South Bend, Division of Engineering
of Board of Public Works., 227 W. Jefferson Blvd. Suite 1300 N, South Bend, IN 46601
(hereinafter called the Obligee) in the penal sum of Five Percent of Bid Amount
Dollars 5% of Bid Amount lawful money of
the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors,
administrators, successors and assigns.
THE CONDITION OF THIS OBLIGATION IS SUCH, that whereas, the Principal has submitted the
accompanying bid dated August 31, 2020 for 1201 Western Ave Sidewalk Vault Repair
NOW, THEREFORE, if the Obligee shall make any award according to the terms of said bid and the Principal shall
enter into a contract with said Obligee in accordance with the terms of said bid and give bond for the faithful performance
thereof within the time specified; or if no time is specified within thirty days after the date of said award; or if the Principal
shall, in the case of failure so to do, indemnify the Obligee against any loss the Obligee may suffer directly arising by reason
of such failure, not exceeding the penalty of this bond, then this obligation shall be null and void; otherwise to remain in full
force and virtue.
Signed, sealed and dated: August 31, 2020
11 INS&
VLPO
0 1919 0
4u 0
0 M
BID-0005388
LMS-20865e 11/17
0
Boettcher, John Sewer & Excavating Contractor, Ltd.
Principal
ualty Insurance Company
Gregory S. Miller
k/ALLU I m7.y-m-jmL I
This Power of Attorney limits the acts of those named herein, and they have no authority to
bind the Company except in the manner and to the extent herein stated,
Liberty The Ohio Casualty Insurance Company
-Mutual.
10�___
SURETY POWER OF ATTORNEY
Principal: Boetteher, John Sewer & Excavating Contractor, Ltd
Agency Name: RICHARD S. MIlA,ER & SONS, INC. Bond Number: Blf)-0005388
Obligee: City of South Bend, I)ivision of Engineering
Bid Bond Amount: (511/o of Bid Amount ) Five Percent of Bid Amount
KNOW ALL PERSONS BY THESE PRESENTS: that The Ohio Casualty Insurance Company, a corporation duly organized under the laws of the State of New Hampshire (herein
collectively called the "Company"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint Gregory S. Miller in the city and state ofBREMEN, IN, each
individually if there be more than one named, its true and lawful attorney -in -fact to make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed,
any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly
signed by the president and attested by the secretary of the Company in their own proper persons.
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Company and the corporate seal of the Company has been affixed thereto
this 26th day of September, 2016.
1'( INS& 'The Ohio Casualty Insurance Company
%po
ti
ly V, By:
David M. Carey, Assistant Secretary
STATE OF PENNSYLVANIA
COUNTY OF MONTGOMERY ss
oa
On this 26th day of September, 2016, before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of The Ohio Casualty Insurance
M Company and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as duly
authorized officer.
to
6 a)
rZ —
M
a)
0)
M
o.f=
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written.
COMMONWEALTH OF PENNSYLVANIA
... . ......... ............ . ........... ...
Notarial Seal
I falls, Notary Public
,1s1111Mre,1ri`cn,Taw,p,, Montgornery County By:
rr My Conlrn'ssion Expires March 28,2021
......... . . ..... Teresa Pastella
Member, Pennsylvania Association of Notaries
This Power of Attorney is made and executed pursuant to and by authority of the following By-law and Authorizations of The Ohio Casualty Insurance Company, which is now in full force
and effect reading as follows:
ARTICLE IV — OFFICERS: Section 12. Power of Attorney.
Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the
President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety
any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective powers of attorney, shall
have full power to bind the Corporation by their signature and executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any
power or authority granted to any representative or attorney -in -fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by
the officer or officers granting such power or authority.
Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attomeys-in-
fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety
obligations,
Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature or electronic signatures of any
assistant secretary of the Company or facsimile or mechanically reproduced or electronic seal of the Company, wherever appearing upon a certified copy of any power of attorney or
bond issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed,
1, Renee C. Llewellyn, the undersigned, Assistant Secretary, of The Ohio Casualty Insurance Company do hereby certify that this power of attorney executed by said Company is in full
force and effect and has not been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Company this 31 st day of August 2020
,,I'( INS&
Po
919 ry By:
Renee- C.Llewellyn, Assistant Secretary
'YAM
0
0"
CL C-)
00
_C?
(C)
co —
o co
to
W
u_ a
eBonding_POA
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 8/17/20
Department
Name Kyle Silveus Engineering
BPW Date 9/8/20 Phone Extension 9083
Review and Approval Required Prior to Submittal to Board
Diversity Compliance
❑
Officer Name
and Inclusion Officer
BPW Attorney
®
Attorney Name Clara McDaniels
Dept. Attorney
❑
Attorney Name
Purchasing
❑
Check the Appropriate
Item Type — Re uired or All Submissions
❑ Professional Services Agreement
❑ Contract
❑ Proposal
❑ Open Market Contract
® Amendment/Addendum
❑ Special Purchase, QPA
❑ Bid Opening
❑ Bid Award
❑ Req. to Advertise ❑ Title Sheet
® Quote Opening
® Quote Award
❑ Reject Bids/Quotes
❑ Proposal Opening
❑ C/O & PCA No.
❑ PCA
❑ Chg. Order, No.
❑ Traffic Control
❑ Resolution
❑ Other:
❑ Ease./Encroach
Required Information
Company or Vendor Name
TBD
❑ Yes ❑ If Yes, Approved by Purchasing
New Vendor
❑ No
MB❑ Yes
MBE/WBE Contractor
E Completed E-Verify Form Attached ❑
❑ No
Project Name
1201 Western Ave. Sidewalk Vault Repair
Project Number
120-019
Funding Source
Other Contractual
Account No.
620-06-604-606-439001
Amount
TBD
Terms of Contract
Purpose/Description
An unused under -sidewalk utility vault located at 1201 Western Avenue was
found to be in need of repair. The City of South Bend desires to partially
demolish and fill in this vault. The vault adjoins the basement wall of the
privately owned structure at 1201 Western Avenue.
For Change Orders Only
Amount of ❑
Increase $
❑
Decrease ($ )
Previous Amount
$
Increase %
Current Percent of Change:
Decrease ( %)
New Amount
$
Increase %
Total Percent of Change:
Decrease ( %)
Time Extension Amount:
New Combletion Date:
\`alnlnuurrriiii
w QED o w5 �` NN
w p0 aw0 wN x �¢ -FwLLFo v i
= as wow O� Y> aQw>� O
�¢ a� °w w:0in°2. `W : W Z•'• J'
a oa o,o< (9~ ww mz z~��o�
U
~ �o Loaw °o om a �wa�aMo Q p: Z=
w
z� zoW W ao �o °w� wawzoz°_O =
waz UOIw.a YQ u~iw Qok oza�w0
-z w �O-Faw
z� N ° zzm ........
a o w Yew �?w>xo Wo ow �. xmz wwYC=7X�x '� �'V
w I
�o J �� 7 ooza� N= mo Sow .�
rnLL x� o_z ui��a� w� Jz z�x ��._x morn
z Y � o a a¢ o w w a¢ w o x y y w ° f~ o¢ O F O
w" rn� �o mYawa zLL jo wz� �wwzozc~ia N
ova o �� oi� ww�oa o� �N >oaa Foo>W�nzw N CU
aww >oF o�Q N�aaU w� no SwF o2ow�zow W
��❑ w ww a�� wcaimi� z� wa ww °z wwwin>mw� U
00
00
co
('Fiiinii niiinry F Y
V 0 U
Q
L p o
z Z N z
O z
N
� Y
W
0
z
0 0
\Q �
In
W _j W
> >Q Z
LLI
Z > >
a w Q
J 0 Z
z w � —
w a � U) w
o J
� W
wLo Q
o
z o
z
z �
O
a m
w
� w
= o N [if~n��
li C~7 F W M C~7 z z ' H W coo
z w JJv
w F� aF `�wZ-U Q Q In
~K O�� U Z�mN �OooZ U ),�
N gp (9>� o°oo M-No JOc'�
w
iN zinz u~i O�zw zQa� w U
a oQLL zWw�c=i ��zw
�W oaa �_ aooa wmomz Q�nQH
z rn� oz ono
o Ooa � wa�a�
OZ U = U OOpF Oo woy
00 FwQy ao �OFo wozwz Z z
z
00 xwwo O o-. FFoww /�\
o o, O z Oo o a Q C=7 w Z Z a o .0
aF �(" x a =mo OOa�O
wy U
CL
zw Oxaa o z mrnaw ww¢wz
ww =zww o w J m wm.lw W
w Z K m Z a Q U Z K
,ii f���rxNrrn,nrurrn�nrr O y p D a a N O > C7 x w y w w°
z o a
z o w z~ LL z o z C7
w p O� zO a x w w O a U
F m0 JUo � GS z a o �zUw~ U/=/ z ¢
F(D ¢ W owzJz �wwo
o�N �aww w w owo, �wow
oww 5 r
z z�_ oo.� m �ow- wwz a'w
O Om0 Oozo O z� y o
aia ao°W Y m �o��a Qoaoo
�Fw �z_> ¢ O°moo C7 Frn a
w wow w�ono z w o�o,oM °jU�w�
w°� wWaw LL^ walww
o 000 o5l < join x o�Nw� IIIIIIIIIIIII
O�¢mz OZUao II�III
° °�~ OwLLO ° �NOa IIIIIIIIIIIII� III�III�IIIIJI,I,I
U own o�oo a c7aoF� Zo
Of CO
H
Q J - H Q� ' �� O •LL 6- ••u��
J W m Q Z 0 z ;W o O 2'•
o W W W H Z J 3j W N � W Un =1'~
�CN W J Co (r7 Q J Z Z > 0 Cl) 0 D 0 CO (� •• F Q' _c
Of LL Of 0z m �� WU Z WQ UOW W ZLU z
0 Q Q H W W LLJ
Lu W= X m m Y 0 %�''.
J co I
ON Q��� �O OLU -i LLJ LLJ Lu
w' QO >(,7 �C��OLU O w =W ,b�N Z...,P�pF
�� 0ZU�0 CDC zU U , �Q �wOz(D O�iN F0
O Ow Of LL 0FL <CO C)f
O LU — >O 0� ry LLJ 00w�o -w
0—JQU� w
W mp LLJ LL W— OU UoH LoU QLZLJ QJLU W �Of
Q > w of LLJ U) � Q z� 0
w cJn< LULLJ �cwn C)X �O wQ ��0mz= m �p �w
�Q ZJ_J� W of Q Z FZ rnLU Of�Unp LL W J zm
0 Qz 0LLJ� F LL Q� �0 �0 �w UQQOf m J z 0w
~ wQ ~WLLrn Z JJ H ZWmLL— LLJ :Z,W
~ O U O O � O— o Q O of O m 0= of O F 0
cn �Q�� LU LU ofo cn W>w> �0 0= J �� wLLi
W 0� *k0- W D J OW �0 Q> 00N W~ U W 0 W LPL
w? LU LU z J=� �w �z� �� �o wCo u)z >—
= Q— J H U H N Z F = J W O ~
Un— W LU UJ W of 00
~w �= pwZZ �m C) Y0 of > p Fz
_ > C�
OQ z� zQwO mQ CDX� U(jU) w� —1D—i C� Uz 0c,7
Oz 0� N��Lu � UQ 00a BUD �Q z0�Q� p F CO Q�
CO LU
zLL LU <w v0 LU co �O VLLH opw UQ NC)f v 0W LL
LU
LU z �_ O� E LL,=wiz �0 ~
w� LU zU �U~nQOU o0 �� LU Z�Oz �w �OFDOUco OOz OUO
O
U
LLJ
00
NI N
C1 '
W J n
I
w`
z N
0 W x
LU
Zwm
CO 0
Q Z J J >
m W Q J < W x,
Of m Co Q J
U z D 0 J Y
U)
O 0 > I 11 0 1 LL
UnJ
iO XZW > Q
0 0 W m Z p I co J
Cl) I OfLLZ
Q00 Uj� x OI Ofv �Zw
coXYY W O I .N 0 =� QLLQ
LLJO>
H J J W Co I W U O
�JQQ >_ �O ZLLJ W CO
UQ�� ON x m- �J �UJ0
,,,.„ _
W W �� Ur U, OZ Z—
C)f
QUn00 WO zw w=Q 00Qf
co Z— �~ I Qof � WWI wzw
x U
�Q Uw co
Co z Of w
(Y0 OQ0 =)OJ
p 0 U � LUw
Of Q Z N Q Z CO
W z UnJ W ZmQ
LUO X OfU O Y
�p w00 UQc7
We
ka
u
Z
Q
LL 0
zZ
z
D m
Q
0
V)
W
Q z
LLI
LLJ Q
0 Z
It
U) W
U)
W
0
N
IIIIIIIIIIIII� IlIlI11�111U1Ll
SECTION 2 - STREETS AND PATHS
i
Ex. Bldg.
N
A
W/2
c
�
zt
a`
0
0
�
A
�
A
i
Curb as Specified
o
c
B
1/2" Preformed Expansion Joint
Against Building Foundation Face
CONCRETE SIDEWALK - COMMERCIAL
W/2 W/2
Curb as Specified
B
1.5%
Grade Break if Req'd.
LEGEND:
AO Expansion Joint - Full Depth
SECTION B-B
O Contraction Joint
NOTES:
W Width
1. Class "A" concrete to be used in all walks and approaches.
2. Utility poles, hydrants, etc. must be wrapped with 1/2" expansion material prior to
concrete pour.
3. "Curing Concrete"- As per IlaNlDO"T 5taindaird Slpea:lihlia:abidroina:: Section 501
(Paragraph 501.20). Use a curing compound immediately (White membrane only
��
� STI
accepted cure).
%�
4. Concrete forms shall be at least as high as the thickness of the item shown.
= 0
Lumber of nominal dimension shall not be used if less than the design thickness.
_ • = P E g C 9 5 •
5 Properp p T St�ai ndaihd Sl neciifica�Jioi n Section 604 (Paragraph
o patio
- o
rpered fll[IND��
Gor all walks and approaches.
= STATE OF
� �
6. Blankets shall be utilized on concrete when temperature is expected to fall below
500F.
7. A Pedestrian Access Route (4'-0" min. width, 1.5% max. cross slope) shall be
provided within all commercial sidewalks.
/
O,k ' -- 6/26/18
REF STD SPEC SEC 2 2 Kara . Boyle , Ph.D.; P.E. Date
APPROVED/REVISED BY THE BOARD OF PUBLIC WORKS
iTH°�
EFFECTIVE DATE: June 26, 2018 �0 i11 '
CITY OF SOUTH BEND
��
Item Revision Approved Date��
STANDARDS FOR DESIGN
AND CONSTRUCTION
STANDARD
DETAILS - COMMERCIAL SIDEWALK 2-29
SECTION 5 - WATER WORKS
1" Type "K" Copper Service
(Perpendicular to Main)
4So
(See N
ote Z)
Ball Type Corporation Stop
(1" CC Threads X 1" Copper
Compression or Approved Equal)
For 1" & 2" Services,
a Twin Strap Nylon or
Epoxy Coated Saddle
is Required
Water Main
NOTES:
1. Service shut-off box shall be placed in the public right-of-way in grass
between curb and sidewalk.
2. For a 2" service the corporation stop shall be located at 900 (level).
REF STD SPEC SEC ":5- ,1.. and ":5- 15(
APPROVED/REVISED BY THE BOARD OF PUBLIC WORKS
EFFECTIVE DATE: June 26, 2018
Item Revision I Approved Date
Brick
TYPICAL WATER SERVICE CONNECTION
Cast Iron Access Cap (4" - 2 Hole)
Finish Ground
Service Shut -Off Box (See Note 1)
(Tyler 95E or Approved Equal)
Shut -Off Box Rod
1" Type "K" Service
Pipe to Establishment
1" Compression Curb Stop
(Ball Valve)
���\ \IIIIIIII/I//
�P M B0
"S'TERF, Fs
ISO.
OEIO000510 �
STATE OF
/ONQL
'I1(AK_k'6/26/18
ra 14. Bovle , Ph.D., P.E. Date
CITY OF SOUTH BEND
STANDARDS FOR DESIGN
AND CONSTRUCTION
STANDARD
5-3