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HomeMy WebLinkAboutOpening of Quotes - 1201 Western Ave. Sidewalk Vault Repair Proj No. 120-019 - Premium Concrete Services, Inc.CITY OF SOUTH BEND, INDIANA CONTRACTOR'S QUOTE FOR PUBLIC WORK PROJECT NAME: 1201 Western Ave. Sidewalk Vault Repair PROJECT NO. 120-019 QUOTES DUE Seplember 8, 2020 (Must be completed for all quotes. Please type or print) Data: All�"'� Lz 0 Firm. Address: City/State/Zip: �(, It/1 1', '14;, 5A Telephone Number: (51q) V-e,'0�(,, s Agent of Bidder (if Applicable): Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: 1201 Western Ave. Sidewalk Vault Repair the City of South Bend, Indiana, in accordance with plans and specifications prepared by: L and dated (_5 for the sum of (enter the Total Quote as shown on the Proposal) 'jw"'T'i;ry -'LgL?cd� (s 36, (Enter Sum of Total Quote plus Alternates shown on Proposal) (Numerical) If alternative quotes apply, the undersigned submits a proposal for each in accordance with the notice. Any addendurns attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the City of South Bend. If the quote is to be awarded on a unit basis, the iternization of the units shall be shown on a separate attachment. By (Signature) (Printed Name of Person Signing) The above quote is accepted this Subject to the following conditions: Gary A. Gilot, President Elizabeth A. Maraclik, Member Joseph R. Molnar, Member Version 2/14/2020 ACCEPTANCE day of 20 Therese J. Dorau, Member Jordan V. Gathers, Member Attest: Linda M. Martin, Clerk Page - 7 Public Works Quote When the prospective Contractor is enable to certify to trey of the statements below, it shall attach an explanation to this Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON-DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF aN I ) ) SS: 1AA RX COUNTY ) The undersigned Contractor, being duly sworn upon his/]per/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, 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 of value on account of such sale; and 2. 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. Contractor has no#, 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 amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-5, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; 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 forty-five (45) days or more, 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 and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor'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 do not 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-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the 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 perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, 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 an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a 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 origin or ancestry. Breach of this provision may be regarded as material breach of contract. Version 2/14/2020 Page - 9 Public Works Quote 1, the undersigned bidder or agent as contractor on a pliblic, works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16- 8-1). 1 hereby certify that I and all Subcontractors employed by me for this project will use steel products 01' foundry products Made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include [lie use of steel products or foundry products Made 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' United States made steel Or foundry 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, I Understand that violations hereunder May result in forfeiture of contractual payments. I hereby affil-111 Under the penalties Of PCIjUl'y that the facts and information contained in the foregoing bid to[- public works are true and correct. C -1 f"T , 20,')0 Dated day of — �Z .,tA, L Contractor/Bidder (Firm) sigAt"L11'e of Contractor/Bidder or Its Agent Printed 'Name and"Fitle -ibcd and sworn to bef�ore me this day of Subsci 20 My Commission Expires ()D. I I'), I "),C) I Notary Public COL111ty of Residence de JANEE M TOWNER NOTARY PUBLIC SEAL ELKH AFIT COUNTY, STATIC OF INDIANA MY COMMISSION EXPIRES FEBRUARY '12,2026 COMMISSION NO, 710399 Version 2114/2020 Page - 10 Public Works Quote wall"'N PROJECT; NAME 1201 Western Ave. Sidewall( Vault Repair PIOJECT NO 120-019 QUOTES DUE --Augttst-2&,-m1(� September 8, 2020 Item No. Description Quantity Unit Unit Price Total Amount Mobilization 1 LS $ "o f, 2 mo"r 1 LS $ 3 Demolition, saw cutting concrete, 33 Ton a.s steel and concrete disposal. 4 Temporary bracing. 13 EA 2 5 CMU infills at common basement 244 SF $ - wall, including reinforcing 6 Patching of existing wall, sealing 400 sl- $ cracks, waterproofing. 7 DrOl / Punch holes in vaunt floor 40 EA $ 8 Filter fabric, gravel fill, compact 169 CY ....... . .. ... ..... . $ 9 Repair back of curb & gutter, new 73 SY $ concrete sidewalk. 10 Water Service Relocation 1 EA $ 11 Demobilization 1 EA $ 'total Amount of Quote I $ . . ...... .......... 1 k, Firm: 11111 "X""fat. 0, PA c-, iz -,,, r , ) I . . . ....... Address, City/State/Zip- Telephone Nurnber: Fax Number: By (Signature) At",1 (Printed Name of Person Sig,nin Version 2/14/2020 Page - 11 Public Works Quote ,4,1i . H .. t r, d> 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/IWBE 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: V,'Cloq' ? MWBE Coal: y1al Bid Amount: Pageof Name & Address of MVVBE Printary Contact Person (Naeffelephorre) rn Scope of Work to he Performed (Attach scope/schedule if you nadditional space� Doflar Amount of MVVBE C, Component cent Percentage of Total 117 Submitted by: I Pr nt Name Si ature Date Versicn 2/1412020 Page - 12 PUblic Works Q1,10fe crry OF SOUTH BEND ff 1 [0, 0 T11 TY71, 0 0 WO M E F#RM ff,717 A*-2.0 This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MWBE participation. Project Number: 120-019 Date: Project Name: 1201 Western Ave. Sidewalk Vault Repair Bidder: I zt)zcz Contact Person: PIA '/6,.-_A K k" Telephone: 1, vCf Address: City: State: Zip: Ernaij: r-c To determine whether a 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 LISTS): 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 Department of Administration list of Minority and Women Owned Businesses (both certified and non - certified) found at: http://vvww,in.- ov/idoa/. 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. I affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise Inclusion Program Plan and the Indiana Department of Administration's certified list of Indiana Minority and Women Business Enterprises, found on their website (http://www,in.gov/idoa). l 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 items 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 afl 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 and/or trade association publications concerning Subcontract opportunities and allowed MWBEs reasonable time to respond to such advertisements. I affirm that I performed any and all necessary steps to provide written notices in a manner reasonably calculated to inform MWBEs of subcontracting opportunities and allowed sufficient time for MWBEs to participate effectively. I affirm that I followed up on initial solicjtatlons with interested MWBEs. t 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. I 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. Version 2114/2020 Page - '13 Public Works, Quote CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MWBE-2.0 i affirrn that I have made good faith efforts to assist interested MWBEs in obtaining necessary equipment, SLIPPHes, materials, or related assistances or services, where appropriate I affirm that I did not reject any MVVBEs as unqualified without sound business reasons iF based on a thorough investigation of their capabilities. CONTRACT RECORDS: The bidder has maintained the following records for each MWBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractors and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MVVBE was unqualified to perform the job. *Proper demonstration of Good Faith Efforts requires your initials next to all of the above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 2/14/2020 Page - 14 Public Works Quote CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MWBE,-2.1 MWBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public orks 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 OF Project Number: MWBE Participation Goal Project Name: 1201 Western Ave. Sidewalk Vault Repair Bidder: By: e"­ 7, ('Signature) (Title) (Date) MWBE Firm Owner or Contact at MWBE Firm Telephone: Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: bd4A`11'X(,,_A49,9 "13 RESULTS OF CONTACT WITH THE MWBE FIRM: /15 00 ... ......... 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