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HomeMy WebLinkAboutOpening of Quotes - Fencing Gates at East & West Rear of Building - Custom Fencing CompanyCITY OF SOUTH BEND INDIANA 11A111 OR 51� 'LEASE OF MATERIALS SELLER'S QUOTE FSALE . . . . . . . . . . AND NOWCOLLUSIONAND NON DEBARMENT AFFIDAVIT AND NON-DISCRIMINATION COMMITMENT FOR SELLERS South Bend Police Department 701_#�­S' ample St. — Fencing Gates East & West Rear of #-,UOTE NAME 6uildino.— FOR QUOTES DUE, _,��embq#r Diate: Firm: Address: aty/state/Ziv. Imp 111111111 w slat, omen CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, ON R EGARDING INVESTMENT WITH IRAN, EMPLOYMENT CERTIFICATIMITMENT AND ELIGIBILITY VERIFICATION, NON-DISCRIMINATION COM i CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS; OR FOUNDRY PRODUCTS d-fix lease type or print) _2JJL'*U'uJ'rA_m�4 2P STATE CIF —PLI SS: c r\ COUNTY The undersigned Contractor, being duly sworn, upon hi that: 1 . Contractor has not, nor has any o) company, corporation or partnership res collusion or agreement with any person letting nor to prevent any person from bidding, and that this bid is made with agreement, understanding or combinati bidding. Contractor further says that no ll account of such sale; and oath, affirins under the penalties of perjury e: o wr agent of tb i fit7ZV �,tnted -by him, entered into ally combination, L _aD�Lone at such 0ing nor to induce anyonc Lo rcfrain from reference to any other bid and without any with any other person in reference to such. I ooration has ha A�ve AIJ&Ls s,. irms or crpi N 0'1 1. 7'��Ingu11.1tim-01011 2. Contractor certifies by submission I f this proposal that neither contractor nor any '0 of its principals are presently debarred, i suspended, proposed for debarment, declare-#! ineligible, or voluntarily excluded from participation in this transaction by any federal de artment or agency; and p 3. Contractor has not, nor has any investment activities in Iran. to, nor an affiliate of, Contractor, engaged in Version 8 — 02/25/14 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 § 5-22-1615- , as amended from tithe -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. 4. Contractor does not knowingly _n w k unauthorized alien. Contractor agrees bility status of all ofContractor's Program as defined w participation Program unauthorized)y or contract with an enrollI that the Contractor subsequently learns is an he/she/it shall • hiredwly employeesthrough mtractor's, documentation of enrollment and -luded and attached as part of this biid/quote; and require5i Contractor shall w w r w at the whknowinglyw contract public an unauthorized alien, nor retain anyemployee contractperson subcontractor unauthorized alien,r , and is r. r. Contractor The �y certificationthis throughout the term of the contract understands that the City may terminate for o" cure a breach of this provision no later than thirty (30) days after being notified by the tractor fails to contract by w Bend throughboards, w contractmmissions shall not discriminate against any employee or applicant for employment in the performance of a City •`conditions,privileges or any matter directly or indirectlyof color,w w identity,orientation disabilityor w r` w ability to perform the w � In awarding contracts for the purchase of •labor,supplies,r, materials, or any combinationof w but fi to, public contracts awarded under public bidding laws or other contracts in which public bids not required by law, the City, its agencies,boards,or owMay consider the Contractor'so Version 8 — 02/25/14 ' � J I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this day of 20 L6 Co r�act�orIBWd�er(Filr�m)� PLIM Subscribed and sworn to before me this day of Se e-� - 20 -4( 1 My Commission Expires -7 Notary blic County or Residence )3 � - /- � C -, FWMMM�� EMISSIONS! III W, ROM, R! "t, m=ps�1111 A 'local Indiana business" refers to any of the following: affected county. (1) A business whose principal place of business is located in an (2) A business that pays a majority of its payroll (in dollar volume) to residents of affected counties. (3) A business that employs residents of affected counties as a maj ofity of its emp/oyee& (4) A business that makes significant capital investments in the affected counties as defined in rules adopted' by the political subdivision.. (5) A business that has a substantial positive economic impact on the affected counties as defined by criteria in rules adopted by the political subdivision. An "affected county" refers to St. Joseph County, Indiana, or the following counties located adjacent to St. Joseph County: Elkhart County, Marshall County, Starke County and LaPorte County There are the following price preferences for supplies purchased from a local Indiana business: 0 5%, for a purchase expected by the purchasing agency to be less than $50,000 . 3% for a purchase expected by the purchasing agency to beat least $50,000 but less than $100,000. agency tobe�atleas.t$100,000- Date: - for a�ur�ce expected b the purchasing —WI% f 470 claims a local Indiana business Pursuant to I.C. 36-1-12-22, preference for Project (Project # —) located within:, the City of South Bend, St. Joseph County, Indiana The location of the principal place of business is (Add -SS) St. Joseph County, Indiana The following county located adjacent to St. Joseph County, Indiana: The majority of the business's payroll for the 12 months prior to the date of this Bid Is to residents of St. Joseph County, Indiana or the adjacent county noted above. 0 The majority of the business's employees for the 12 months prior to the date of this Bid are residents of St. Joseph County, indian@, or the adjacent county noted above. If the business is deemed to be the apparent lowest, responsible, responsive bidder, then it shafi provide supporting; documentation for the 12 month period prior to the date of the Bid of (i) the total payroll amount paidi to alle'mPloYees of the business, and (ii) the total payroll amount paid to employees who are residents of St, Joseph County and the adjacent county noted abovei. WHEN SUPPLYING SUPPORTING PAYROLL RECORDS, ISOCIAL SECURITY NUMBERS;, BD Lz� Dated, this day of 1 20_- rzmznma��� Version 8 — 02/25/14 I South Bend Police Department, 701 W. Sample st.- t-en:cing UaT-e5 QUOTE NAME East Wes Rear of Buildin-*i FOR QUOTES DUE September 8, 2020, 9:30 am locall time Pursuant to notices givein, the undersigned offers Quote(s) to the Clity.of South -Bend in accordance with the following attachm:ent(si) which specify the class or item number or description, quantity, unit, unit © 'q n QUOTE/PROPOSAL PEA(71' CITY OF SOUTH BEND South Bend police Department, 701 w. sample St — Fencing Gates QUOTE NAME East & West Rear of Buildina FOR QUOTES DUE Item No. Est. It Qty- Total Rear westside of building, provide & install (1) bi- double $9,013,00 parting cantilever gate with carrier posts & nylon rollers Repair existing 8'tall black link fence adjacent to $ 00 2 1 chain gate Rear east side of building, provide & install (1) bi- cantilever double 00 $ F11 3 1 parting gate with carrier posts and nylon rollers. -I- Provide & install additional fencing as needed to 4 1 connect gate to existing fencing on rear east side of building. Quoter (Firm): Address: Reum V City/State/Zip: M1 M N Telephone Number: I'l vn q2 Fax Number: AJIA I -<' By------------ (-Signature) 90A rusted Name) AIA + (Title) garden -VGathers, Member M.-.4112CEEREM 8-1). 1 hereby certify that I and all subcontractors employed by me lor this project will use steei products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notil � the City in my bid that my proposal does not include the use of steel products or -foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification 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 affirm under the penalties of perjury that the facts and inormation contained in the foregoing bid for public works are true and correct. Dated this day 01"S _(� . 20SO al— SLLAature of C&tractor/Bidder or Its Agent Subscribed and sworn to before me this A day of T 2010 My Commission Expires N otalryRub I i c County of Residence BERMEN COUNTY Version 2/14/2020 Page - 6 Pubfic Works Quote PAM D10 RIM I I D10 N 14 DLVJ I DUAWN OLIJU DKV 0 219J HO I Date 8/24,/­29.20 Name Mark Doll Department SBPD BPW Date 09/08/2020 Phone Extension 7677 . . . ....................... . ..... ... ..... ,qy!red,,,Pnorto�Submittal�,to/Board,,,,,,,,,,,,,,,,,,, . -JN Diversity Compliance El Officer Name Michael Patton and Inclusion Officer Dept. Attorney Purchasing Attorney Name Attorney Name E-1 Check the. At�t'��t�riate Item I've � Clara McDaniels Geovanny Martinez Submissions L] Professional Services Agreement Ll Contract LJ Proposal E] Open Market Contract E] Amendment/Addendum [J Special Purchase, QPA E] Bid Opening F ._] Bid Award E] Req. to Advertise ❑ Title Sheet rRI, Ou'rite. Onnnino F-1 niinfe, A_xwnrd _F1 Proposal Opening Chg. Order, No. Other: Company or Vendor Name New Vendor MBEAWBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description C/O & PCA No. Traffic Control PCA Resolution Ease./Encroach LJ Yes LJ If Yes, Approved by Purchasing [:1 No El MBE Completed E-Verify Form Attached ❑ Yes [J WBE El No Fenci�ates'a�teast and _west rear of building Repairs and Maintenance 10 1 -08-080-080-436001 South Bend Police Department is requesting quote openings for purchase of gates for the rear of the building on the east and west sides. For Change Orders Only --- -- ------ ------------- - - El increase Amount of F] Decrease ($ Previous Amount Current Percent of Change: New Amount Total Percent of Change: Time Extension Amount: New (.' ompletioil Date: Increase Decrease Increase Decrease