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Home My WebLink AboutOpening of Bids - Sheridan St. and Sample St. Signal Improvements Proj No. 116-127A - Rieth-Riley Construction Co., Inc.CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Sheridan Street and Sample Street Signal Improvements Project No. For Bids Due 116-127A November 24th, 2020 From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. Proper bid security included. The bidder has the option of providing either a Certified Check X or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely X executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and X Certification of use of United States Steel Products or Foundry Products. Proof of MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted X Form [MWBE-2.1]. X Acknowledge Receipt of #1 Addendum(s) included with the bid. X All required additional information is included with the bid. X Proposal statements and other affidavits all signed by the proper party with name either printed or typed underneath signature. X This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. Bidder: Rieth-Riley Construction Co., Inc. By Authorized Represe Signature: 14_1(•., a,6� u—� Print Name & Title: Ruben Alvarado, Sales Manager Version 4/2/2019 Contractor's Bid for Public Works - 1 Date: 11/24/2020 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Project No. For Bids Due Sheridan Street and Sample Street Signal Improvements 116-127A November 24th 2020 PART (Must be completed for all bids. Please type or print) Date: November 24, 2020 Bidder (f=irm): Rieth-Riley Construction Co., Inc. Address: 25200 State Road 23 City/State/Zip: South Bend, In. 46614 Telephone Number: ( 574 ) 288-8321 Agent of Bidder (if Applicable): Ruben Alvarado Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: Sheridan Street and Sample Street Signal Improvements Project No. 116-127A the City of South Bend, Indiana, in accordance with plans and specifications prepared by: DLZ Indiana, LLC. and dated 11/06/20 for the sum of (enter the Total Bid as shown on the Proposal) Four hundred twenty five thousand, four hundred forty-eight dollars and ninety two cents. ($ . 425,448.92 ) (Enter sum of Total Base Bid shown on Proposal) (Numerical) The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums 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 bid is to be awarded on a unit basis, the itemization of the units shall be show separate ent. By (Si nature) Ruben Alvarado, Sales Manager (Printed Name of Person Signing) ACCEPTANCE The above bid is accepted this Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member Joseph R. Molnar, Member day of Jordan V. Gathers, Member Therese J. Dorau, Member Attest: Linda M. Martin, Clerk Version 4/2/2019 Contractor's Bid for Public Works - 2 O see attached 96 form PART UU ' (For projects of$1O0.0O0ormore —|O80-1-12-4) These statements to be submitted under oath by each bidder with and as part ofhis/her/its bid. Attach additional pages for each section 8aneeded. SECTION XEXPERIENCE QUESTIONNAIRE 1. Attach information regarding projects your organization, has completed for the period of one (1) year prior to the date of the current bid. 2. Attach alisting ofpublic works projects oumanUy|nproc8oGofconmtruotionbyyour organization. 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. n/a 4. Attach references from private firms for which you have performed work. SECTION |lPLAN AND EQUIPMENT QUESTIONNAIRE 1. Attach anexplanation ofyour plan, Orlayout for performing proposed work, (Examples could include onarrative ofwhen you could begin work, complete the project, number of vvorkerm, eto and any other information which you believe vv0u|d enable the City ofSouth Bend to consider your bid.) According to specifications 2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. 3. If you intend to sublet any portion of the work, attach the name and address of each muboontnaotor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable tocurrently provide mlisting, please understand aUoting must beprovided prior tocontract approval. Until the completion ofthe proposed project, you are under acontinuing obligation toimmediately notify the City cf South Bend |nthe event that you subsequently determine that you will use a subcontractor onthe proposed project. 4. Attach olisting ofequipment you have available touse for the proposed project. 5. Have you entered into contracts or received offmny for all materials which substantiate the prices used in preparing your proposal? If not, attach an explanation for the rationale used which would corroborate the prices listed. SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submUfted without said financial mteternerd as required by statute mheU thereby be rendered invalid. The financial statement provided hereunder to the City of South Bend awarding the contract must be specific enough in detail so that said City of South Bend can make a proper determination of the bidder's capability for completing the project if awarded. Version 4/2/2019 Contractor's Bid for Public Works -3 When the prospective Contractor is unable to certify to any 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 Indiana ) St. Joseph COUNTY SS: } The undersigned Contractor, being duly sworn upon his/her/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 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 amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, 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 4/2/2019 Contractor's Bid for Public Works - 4 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 `OVBE/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. I, the undersigned bidder or agent as contractor on a public 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 or 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 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 Version 4/2/2019 Contractor's Bid for Public Works - 5 may result in forfeiture of contractual payments. 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 24th day of Nov. 2020 Subscribed and sworn to before me this 24th My Commission Expires 4/18/23 County of Residence Rieth-Riley Construction Co., Inc. Contra /Bidder (Firm) Z�4 G Cid Signature of Contractor/Bidder or Its Agent Ruben Alvarado, Sales Manager Printed Name and Title rndm/x /004. LaPorte Version 4/2/2019 Contractor's Bid for Public Works - 6 DAWN E. ARMSTRONG �� •^°" ;Notary Public. State of Indiana'. LaPorte County i '• SEAI Commission # 665596 My Commission Expires April 18, 2023 Version 4/2/2019 Contractor's Bid for Public Works - 6 BID/PROPOSAL CITY OF SOUTH BEND Project Name: Sheridan Street and Sample Street Signal Improvements Project Number: 116-127A For Bids Due: November 24, 2020 Contractor Name: Rieth Riley Construction Co., Inc. BASE BID Item No. Description Quantity Unit Unit Price Total Amount 1 CONSTRUCTION ENGINEERING 1 LS $3,900.00 $3,900.00 2 MOBILIZATION AND DEMOBILIZATION 1 LS $28,847.19 $28,847.19 3 ICLEARING RIGHT OF WAY 1 LS $4,938.62 $4,938.62 4 EXPOSE AT&T CABLE 80 LFT $82.45 $6,596.00 6 CURB, CONCRETE, REMOVE 229 LFT $12.09 $2,768.61 7 SIDEWALK CONCRETE, REMOVE 202 SYS $23.57 $4,761.14 8 INLET, REMOVE 3 EACH $325.00 $975.00 9 SIGNAL POLE FOUNDATION, REMOVE 4 EACH $250.00 $1,000.00 10 BORROW 50 CYS $1.00 $50.00 11 EXCAVATION, COMMON 225 CYS $30.90 $6,952.50 12 TEMPORARY INLET PROTECTION {BAG PROTECTION) 4 EACH $346.17 $1,384.68 13 ISUBGRADE TREATMENT, TYPE II 105 SYS $50.16 $5,266.80 14 ITEM WAS REMOVED $0.00 15 COMPACTED AGGREGATE NO 53 107 CYS $82.47 $8,824.29 16 MILLING, ASPHALT, 1.5 IN. 546 SYS $7.85 $4,286.10 17 HMA, SURFACE, TYPE B 78 TON $139.61 $10,889.58 18 HMA FOR WIDENING, TYPE B 64 TON $137.67 $8,810.88 19 HMA FOR PATCHING, TYPE B 5 TON $386.61 $1,933.05 20 RETROFITTED TIE BARS 120 EACH $28.43 $3,411.60 21 PCCP FOR PATCHING, 10 IN. 209 SYS $172.91 $36,138.19 22 CURB RAMP, CONCRETE 56 SYS $291.61 $16,330.16 23 DETECTABLE WARNING SURFACES 12 SYS $141.06 $1,692.72 24 SIDEWALK, CONCRETE, 4 IN 203 SYS $56.24 $11,416.72 25 CURB, CONCRETE 408 LFT $29.35 $11,974.80 26 CURB, INTEGRAL, CONCRETE 102 LFT $30.11 $3,071.22 27 PCCP FOR APPROACHES, 9 IN. 105 SYS $118.52 $12,444.60 28 SODDING, NURSERY 280 SYS $8.40 $2,352.00 29 TOPSOIL 43 CYS $46.30 $1,990.90 30 FIRE HYDRANT RELOCATE 1 EACH $3,500.00 $3,500.00 31 WATER MAIN, DUCTILE IRON, 6 IN 25 LFT $53.00 $1,325.00 32 WATER MAIN METER PIT 1 EACH $360.00 $360.00 33 PIPE, INDOT TYPE 2, 10 IN. 24 LFT $55.00 $1,320.00 34 STANDARD INLET, WITH CASTING 4 EACH $3,300.00 $13,200.00 35 MAINTAINING TRAFFIC 1 LS $13,060.54 $13,060.54 36 TEMPORARY PAVEMENT MARKING, REMOVABLE, 4 IN. 4,267 LFT $1.59 $6,784.53 37 SIGN, SHEET, SHEETING TYPE IV, WITH LEGEND, 0.100 IN. 4 EACH $150.00 $600.00 38 ITRAFFIC SIGNAL EQUIPMENT, REMOVE 1 EACH $1,500.00 $1,500.00 39 MISCELLANEOUS EQUIPMENT FOR TRAFFIC SIGNALS 1 LS $100.00 $100.00 40 CONDUIT, SCHEDULE 80, PVC, 2 IN. 200 LFT $4.50 $900.00 41 CONDUIT, SCHEDULE 80, PVC, 3 IN. 250 LFT $11.50 $2,875.00 42 EMERGENCY VEHICLE PREEMPTION 1 EACH $10,500.00 $10,500.00 43 VIDEO VEHICLE DETECTOR SYSTEM 1 EACH $38,500.00 $38,500.00 44 PEDESTRIAN COUNTDOWN LED WALK - DON'T WALK SIGNALS 8 EACH $750.00 $6,000.00 45 PEDESTRIAN PUSH BUTTON, APS 8 EACH $950.00 $7,600.00 46 TESCO CABINET 1 EACH $7,250.00 $7,250.00 47 TRAFFIC SIGNAL CONTROLLER AND CABINET 1 EACH $25,000.00 $25,000.00 48 SIGNAL CABLE, CONTROL, COPPER, 3c/8 GA 350 LFT $2.70 $945.00 49 SIGNAL CABLE, CONTROL, COPPER, 3c/14 GA 1451 LFT $1.90 $2,756.90 50 SIGNAL CABLE, CONTROL, COPPER, 5c/14 GA 1563 LFT $2.00 $3,126.00 51 SIGNAL CABLE, CONTROL, COPPER, 7c/14 GA 418 LFT $2.20 $919.60 52 TRAFFIC SIGNAL HEAD, 3 SECTION, 12 IN. WITH BACKPLATE 8 EACH $780.00 $6,240.00 53 SIGNAL POLE, STEEL STRAIN, 36 FT, WITH 25' MAST ARM 4 EACH $10,000.00 $40,000.00 54 SIGNAL POLE FOUNDATION, 36 IN X 144 IN 4 EACH $2,000.00 $8,000.00 55 PEDESTRIAN SIGNAL POLE 4 EACH $950.00 $3,800.00 56 PEDESTRIAN POLE FOUNDATION 4 EACH $500.00 $2,000.00 57 LUMINAIRE, STREET 2 EACH $1,200.00 $2,400.00 58 ITEM WAS REMOVED $0.00 59 CABLE, POLE CIRCUIT, THWN, NO. 10 COPPER, STRANDED, 1/C 140 LFT $0.30 $42.00 60 GPS CABLE 70 LFT $12.00 $840.00 61 MULTIPLE COMPRESSION FITTING, NOW WATERPROOFED 4 EACH $14.00 $56.00 62 CONNECTOR KIT, UNFUSED 4 EACH $16.00 $64.00 63 CONNECTOR KIT, FUSED 4 EACH $16.50 $66.00 64 MULTIPLE COMPRESSION FITTING, WATERPROOFED 4 EACH $12.00 $48.00 65 INSULATION LINK, WATERPROOFED 12 EACH $12.00 $144.00 66 INSULATION LINK, NOW WATERPROOFED 4 EACH $10.00 $40.00 67 HANDHOLE 3 EACH $1,200.00 $3,600.00 68 HANDHOLE, LIGHTING 1 EACH $600.00 $600.00 69 ILINE, MULTI-COMPONENT, SOLID, WHITE, 4 IN. 200 LFT $3.00 $600.00 70 LINE, MULTI-COMPONENT, BROKEN, WHITE, 4 IN. 50 LFT $3.00 $150.00 71 LINE, MULTI-COMPONENT, SOLID, YELLOW, 4 IN 497 LFT $3.00 $1,491.00 72 LINE, THERMOPLASTIC, SOLID, YELLOW, 4 IN. 12 LFT $10.00 $120.00 73 TRANSVERSE MARKING, MULTI- COMPONENT, CROSSWALK LINE, WHITE, 6 IN. 12 LFT $20.00 $240.00 74 TRANSVERSE MARKING, MULTI- COMPONENT, STOP LINE, 24 IN. 71 LFT $20.00 $1,420.00 75 GROOVING PAVEMENT MARKINGS 786 LFT $3.00 $2,358.00 Bidder (Firm): Address: City/Stat By �j L is BASE BID TOTAL: $425,448.92 �j Signature) Allo en Al v,,,r ,meg C (Printed Name of Person Signing) Telephone Number: (6-7 15-0 516 CITY OF SOUTH BEND Primary Contact Person (Name/Telephone) MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY ry DEVELOPMENT PROGRAM -' FORM MWBE-1.0 � MBE/WBE 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: Bidder: 116-127A Project Name R;ejI 6.. In Sheridan Street and Sample Street Signal Improvements Total Bid Amount: , �MBE/WBE Goal: 101 Page_/of 1 Name & Address of MBE/WBE Primary Contact Person (Name/Telephone) Scope of Work to be Performed (Attach scope/schedule if you need additional space) Dollar Amount of MBE/WBE Component Percentage of Total Bid/Proposal Submitted by:v� Print Name Signature Version 4/2/2019 Contractor's Bid for Public Works - 10 Date CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM Rf; FORM MWBE-2.0� EVIDENCE OF GOOD FAITH EFFORTS 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 MBE/WBE 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 as defined by the Indiana Department of Administration ("IDOA"). Project Number: 116-127A Date: Project Name: Sheridan Street and Sample Street Signal Improvements Bidder: f �'�, ie �� Cans ur Tl tea-) (2-6., Inc, Contact Person: Pfl" G)r# 00n Telephone: Address: (, City: o144� 8.E4,j State: IAJ Zip: + Email: Y�L To determine whether a bidder has demonstrated good faith effor s to reach the MBE/WBE 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*: r1 VPUU aUrnvnsiration or %jooa rann trron 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 4/2/2019 Contractor's Bid for Public Works - 11 EVIDENCE OF GOOD FAITH EFFORTS ,,,'MBE/WBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women Owned Business as found on their website (http://www.in.gov/idoa). ACTION (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South Bend requires that all perspective bidders complete no less than 2 of the following: 1. Attend all pre-bid meetings scheduled by the City to inform MBE/WBEs of contracting and subcontracting opportunities. 2. Advertise in general circulation and/or trade association publications concerning subcontracting opportunities, and allow MBE/WBEs reasonable time to respond. 3. Perform any and all necessary steps to provide written notice in a manner reasonably calculated to inform MBE/WBEs of subcontracting opportunities and allowed sufficient time for them to participate effectively. Utilize pre-existing services of available community organizations, small and/or disadvantaged business assistance offices and other organizations that provided assistance in the recruitment and placement of MBE/WBE firms. **Bidder must circle or otherwise notate which of the two (2) required actions were performed. GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBE/WBEs, including providing such MBE/WBE's with adequate information about the plans, specifications and other requirements of the subcontract and did not reject MBE/WBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. .SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by MBE/WBEs in order to increase the likelihood of meeting the MBE/WBE (including breaking down goals contracts into smaller units to facilitate MBEMBE participation) CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has w bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description 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 MBE/WBE was unqualified to perform the job. r1 VPUU aUrnvnsiration or %jooa rann trron 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 4/2/2019 Contractor's Bid for Public Works - 11 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY �,rtif DEVELOPMENT PROGRAMS'"` ° FORM MWBE-2.1„ MBE/WBE CONTACTED::,.yis"asF> This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring contacted MBE/WBE to obtain Good Faith Efforts. 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: 116-127A Project Name: Bidder: By: �( (Signature) PAGE i OF MBE/WBE Participation Goal /J/A Sheridan Street and Sample Street Signal Improvements MBE/WBE Firm —40 0 fe Cha ✓✓1 e 14 Owner or Contact at MBE/WBE Firm (Title) (Date) vao Telephone:( -57q). 97—:2 1$Fax: (S7y)�87-/'c/4/Email:) /c��e'r�t�F P aoj>Oorn TYPE OF WORK SOLICITED FOR THIS PROJECT: M �� Trc,t 1� C RESULTS OF CONTACT WITH THE MBE/WBE FIRM: 6(p— will rlj V ►t� �� `i'Ir�C. i t Ioi C� MBE/WBE Firm Owner or Contact at MBE/WBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE/WBE FIRM: Version 4/2/2019 Contractor's Bid for Public Works - 12 BID BOND KNOW ALL MEN BY THESE PRESENTS, No. 1252 TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA Hartford, Connecticut 06183 That we, RIETH-RILEY CONSTRUCTION CO. INC. as Principal, hereinafter called the Principal, and TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, of Hartford, Connecticut, a corporation duly organized under the laws of the State of Connecticut, as Surety, hereinafter called the Surety, are held and firmly bound unto City of South Bend, Indiana as Obligee, hereinafter called the Obligee, in the sum of Five Percent (5%) of total hid Dollars ($ 5% of bid ), for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for Sheridan Street and Sample Street Signal Improvements Project No. 116-127A NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this 24th day of Witness Da .E. Armstro g Witness Nicole M. West November 2020 RiETH-RILEY CONSTRUCTION CO., INC. ��^'"��r T (Principal) (Seal) (Name & Title) Ruben Alvarado, Sales Manager TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA 1. �..._ `.__. .� i ,..... .,[�cl..� •�.0 `, Sandra M. Nowak, Attorney -in -Fact Travelers Casualty and Surety Company of America Aft. Travelers Casualty and Surety Company TRAVELERS J St. Paul Fire and Marine Insurance Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint Sandra M. Nowak of Chicago Illinois their true and lawful Attorney -in -Fact to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 3rd day of February, 2017. �JP,TY ANp yG UP D ov HACONS. HARTFORD, aMOMCONK SIX State of Connecticut City of Hartford ss. By: Robert L. Raney, Se for Vice President On this the 3rd day of February, 2017, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. In Witness Whereof, I hereunto set my hand and official seal. o T� •••• �g�g,.. My Commission expires the 30th day of June, 2021 Tqq * �L�p�w Marie C. Tetreault, Notary Public Ct'� This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, which resolutions are now in full force and effect, reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys -in -Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Attorneys -in -Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which remains in full force and effect. Dated this Q� day of U9' ",( !%y§�Tp ,PyTY ANp H � a HARTFORD, � a Kevin E. Hughes, Assistant Secretary To verify the authenticity of this Power ofAttorney, please call us at 1-800-421-3880. Please refer to the above-named Attorney -in -Fact and the details of the bond to which the power is attached. 1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 Date: To: From Subject PHONE 574/235-9251 FAx 574/ 235-9171 TDD 574/ 235-5567 CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS November 19, 2020 All Planholders Linda M. Martin, Clerk, Board of Public Works Addendum Number: 1 Project Name: Sheridan Street and Sample Street Signal Improvements Project No.: 116-127A ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: //,, _�)d '� 0a c) This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: v �ft v Authorized Signature:f T Date: Version 4/2/2015 CITY OF SOUTH BEND; INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name Sheridan Street and Sample Street Signal Improvements Project No. 196-127A For Bids Due November 24th. 2020 Contractor Name: Rieth-Riley Construction Co., Inc. The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works projects by institution of comprehensive submission requirements in compliance with State law. Quality workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet certain minimum requirements to be responsive and responsible bidders. ' THIS FORM MUST BE SUBMITTED WITH YOUR BID. INSTRUCTIONS: If you are a pre -qualified bidder, complete Section I only. If you are not a pre -qualified bidder, complete Section 11 only. Section II acts as an application for pre -qualification. Submission of Section 11 will allow the bidder to be considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre- qualified bidders will then be exempt from a .portion of the submission requirements outlined in Section 6- 63 of The Responsible Bidding Ordinance No. 10594-18 (hereinafter, "Responsible Bidding Ordinance") for a period of twelve (12) months. Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre- qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified Bidders") by December 31 st for the upcoming calendar year, or within twelve (12) months of obtaining pre- qualified standing. If the status of any item changes within the twelve (12) months, it is the responsibility of the contractor to notify the City. Failure by any pre -qualified contractor to submit its complete application for continuation of "pre -qualified" standing within the time prescribed above shall result in automatic removal of the designation, effective January 1 of the following year, or immediately following the twelve (12) months of pre -qualified standing. However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works projects, though the contractor must submit all required documents under 6-63 until "pre -qualified" status is re-established. Please Note: The City reserves the right to request supplemental information from the bidder, additional verification of any information provided by the bidder, and may also conduct random inquiries of the bidder's current and previous customers regardless of pre -qualified standing. It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the date of the public bid opening. Version 5/16/2019 General Conditions - 6 POST BID SUBMISSIONS: Post -bid submissions must be submitted in accordance with Section 6-64 of the Responsible Bidding Ordinance. The post -bid submission requirements are as follows: 1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses the name, address, licensing status, and type of work for any subcontractor from whom the bidder has accepted a bid and/or intends to hire on any part of the public work project, including individuals performing work as independent contractors. 2. Each subcontractor, whose portion of the project is estimated to be at least one -hundred fifty thousand dollars ($150,000.00), shall be required to adhere to the requirements of Section I of the Responsible Bidder Ordinance as though it were bidding directly to the City, except that the subcontractor shall submit the required information (including the name, address, and type of work) to the successful bidder prior to the commencement of work. 3. Failure of a subcontractor to submit the required information shall not disqualify the successful bidder from performing work on the project and shall not constitute a contractual default and/or breach by the successful bidder. However, the City may withhold all payment otherwise due for work performed by a subcontractor, until the subcontractor submits the required information and the City approves such information. 4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the name, address, licensing status, and type of work of the substitute subcontractor. 5. The successful bidder and all subcontractors on a public works project are required to submit certified payroll utilizing the federal form known as WH -347 or a similar form on a bi-weekly basis, submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall identify the job title and craft for each employee. Certified payrolls shall be submitted electronically. Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in the automatic disqualification of the bid. The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into account all information in the submission requirements, 'determine whether a bidder is responsive and responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to utilize all information provided in the contractor's submission and any information obtained by the City through its own independent verification of the. information provided by the contractor. Version 5/16/2019 General Conditions - 7 PRE -QUALIFIED BIDDER CHECKLIST (a) Acknowle ements: (i) Vr By checking this box, I hereby acknowledge that I am a pre -qualified bidder with the City of South Bend and that I have met the pre -qualification requirements within the last twelve (12) months. A copy of my Pre -Qualification verification letter AV is attached. By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided by me, and may also conduct random inquiries of my current and prior customers. (b) Attachme (i) Indiana Secretary of State's on-line records (ie. Business verification) dated within. sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). Nf Statement on staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work. It outlines how I intend to meet the staffing needs of the work. List of projects of similar size and scope of work performed in all areas, including Ar the State of Indiana, within the last three (3) years. (iv) For every project, submit evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with, the•United States Department of Labor's Office of Apprenticeship, or its successor organization. Version 5/16/2019 General Conditions - 8 PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowledgements:. (i) By checking this box, I hereby acknowledge that I am not a pre -qualified bidder with the City of South Bend. (ii) By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided, and may also conduct random inquiries of my current and prior customers. The City reserved the right to utilize all information provided in this submission and all information obtained in inquiries or requests to determine if a bidder is responsive and responsible. Additionally, I acknowledge that all information provided to the City shall be regarded as public records. (iii) By checking this box, I hereby acknowledge that copies of all Applicable apprenticeship certificates or standards for training programs applicable to the work performed on the project may be requested at any time and shall be furnished upon request. (iv) By checking this box, I hereby acknowledge and ensure that I and all sub- contractors, from whom I have accepted a bid and/or intend to hire to perform work on the public work project, are properly licensed. Furthermore, I acknowledge my understanding that it is my responsibility to ensure that all sub -contractors have the necessary licenses to undertake the work called for in this bid. If a sub- contractor loses their license at any point, it is the responsibility of that sub- contractor to notify the City. (b) Attachments: (i) Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). List identifying all former business names. Any determinations by a court or governmental agency any violations of federal state, or local laws including, but not limited to, violations of contracting or antitrust laws, tax or licensing laws, environmental laws, Occupational Safety and Health Act (OSHA), or federal Davis -Bacon and related Acts, within the preceding five (5) years. Statement about staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work am bidding on OR outlines how I intend to meet the staffing needs of the work. Statement that individuals who will perform work on the public work project on my behalf will be properly classified as an employee or as an independent contractor under all applicable state and federal laws and local ordinances. For every project, submit evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. Copy of a written plan for employee drug testing that covers all of my employees who will perform work on the public work project and meets or exceeds the requirements set forth in IC 4-13-18-5 or IC 4-13-18-6. Evidence that I am utilizing a surety company which is on the Bureau of Fiscal Service "Department of Treasury's Listing of Approved Sureties" as required in the bid specifications or contract. Version 5/16/2019 General Conditions - 9 (ix) — Written statement of any federal, state or local tax liens or tax delinquencies owed to any federal, state or local taxing body in the preceding three years. (i) _ List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within three (3) years prior to the date on which the bid is due. Date: November 24, 2020 (Sign Here) Ruben Alvarado (Print Name Here) Rieth-Riley Construction Co., Inc. (Name of Company) 25200 State Road 23 (Address of Company) South Bend (City) inaiana (State) 574-288-8321 (Telephone Number) Version 5/16/2019 General Conditions - 10 + REAO.5. w L-• 1865 CITY OF SOUTH BEND JAWS M UELLER, MAYOR DE,PARTMIENT. ERIC HORVATH,� DIRECTOR November 23, 2020 Ms. Dawn Armstrong Rieth-Riley Construction Co., Inc. daniistrong@rieth-filey.com RE: Pre -Qualification Verification Dear Ms. Armstrong: This letter serves as verification of Pre -Qualification status of your company for bidding with the City of South Bend. This Pre -Qualification status is effective for twelve (12) months from the date of this letter. Thereafter you are required to re -submit a complete application for continuation of pre -qualification status prior to December 31 for the upcoming calendar year. A copy of this Verification Letter must be included with every bid exceeding $150,000 submitted to the City of South Bend Board of Public Works, along with your Pre -Qualified Bidder Checklist and attachments. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, �V:c Liz Horvath, Pen -nit Manager BUSINESS INFORMATION CONNIE LAWSON INDIANA SECRETARY OF STATE 11/18/2020 02:05 PM nil Business Name: RIETH-RILEY CONSTRUCTION CO., Business ID: 192874AO67 INC. Entity Type: Domestic For -Profit Corporation Business Status: Active Creation Date: 08/08/1952 Inactive Date: Principal Office Address: P.O. Box 477, POST OFFICE BOX 477, Expiration Date: Perpetual Goshen, IN, 46527 - 0477, USA Jurisdiction of Formation: Indiana Business Entity Report Due 08/31/2022 Date: Years Due: a Title Name Address Vice President BRIAN A. INNIGER 3626 ELKHAR ROAD, P. 0. BOX 477, GOSHEN, IN, 46527 - 0477, USA Director RONALD G. POPE 1124 BARON DRIVE, MYRTLE BEACH, SC, 29577, USA Vice President Eugene E. Yarkie 3626 Elkhart Road, Goshen, IN, 46527 - 0477, USA Vice President Paul J. Tate 1751 W. Minnesota Street, Indianapolis, IN, 46221, USA Director Robert L. McCormick 3205 Wakefield Drive, Goshen, IN, 46528, USA Director WILLIAM P. JOHNSON 6310 TRUSDALE AVENUE, SYRACUSE, IN, 46567, USA Director Jack K. Matthys 57457 Pine Road, South Bend, IN, 46619, USA Director William J. Schmuhl, Jr. 1421 Honan Drive, South Bend, IN, 46614, USA President A. KEITH ROSE 3626 ELKHART ROAD, P. O. BOX 477, GOSHEN, IN, 46527 - 0477, USA Secretary ROBERT L. KONOPINSKI 3626 ELKHART ROAD, P. 0. BOX 477, GOSHEN, IN, 46527 - 0477, USA CFO Michael Weber P.O. Box 477, Goshen, IN, 46527 - 0477, USA a Type: Individual Name: ROBERT L. KONOPINSKI Address: 3626 ELKHART RD., GOSHEN, IN, 46526, USA OnNs Twin TwN 70% Walify • 100% Employee Owned = Over 100 Years RE: City of South Bend, IN Contractor's Bid for Public Work: Pre -qualification Checklist Prequalification Checklist b) Attachment V, Rieth-Riley Construction Co., Inc. is a 100% union contractor, and recruits through union hall apprenticeship programs which are registered through the United States Department of Labor Office of Apprenticeship. All employees who are hired will be classified as an employee or as a subcontractor will be classified as a independent contractor. Respectfully, Ruben Alvarado, Sales Manager . 26200 S.R. 23 South Bend. UV 48814 Phnna• (S7,d) 7RR-Rq.01 w(n/IA/Ylal�{1-rilat�nnm INDIANA vW L -v I v oHRVH11V11VV HVI"CCCIVICIV I J CRAFT LOCAL START EXPIRE BARGAININ GSIGNATORY? RIETH-RILEY TYPE OF AGREEMENT & GEOGRAPHICAL DATE DATE BY COVERAGE Zone 1 B, 2A, 26, 2C, 3A, 3B, 3C, 4A, 4B, 4C, & 4D 04/01/19 03/31/24 ICA YES 'Statewide, except for Northwest Indiana Carpenters Zone 1A 06/01/15 05/31/18 NWICA YES Lake, Porter, LaPorte, Starke, Pulaski, ;Newton &Jasper Counties Local #692, Area #165 06/01/15 05/31/18 NWICA NO Building Local #692, Area #406 06/01/15 05/31/18 NWICA NO Building N 0 0 Local #692, Area #438 06/01/15 05/31/18 NWICA NO Building Locals #692 06/01/18 05/31/23 Rieth YES Lake, Porter, LaPorte, Starke, Newton, +, Areas 165, 406 & 438 Riley Jasper, & North 1/2 of Pulaski Counties E m U Local #692, Area #101S 06/01/18 05/31/23 Rieth YES St. Joseph, Marshall, Fulton S 1/2 of Pulaski Riley 4 Counties Local 41 & 81 03/07/12 05/31/17 NWICA NO Building Laborers State of Indiana District Council 04/01/17 03/31/22 ICA YES Statewide Heavy & Highway Rieth Asphalt Plants & Supporting Equipment in 04/01718 03/31/23 Riley YES jurisdiction of Local 103 (Indianapolis & Lafayette) Heavy & Highway. Adams, Allen, Benton, Blackford, Carroll, Cass, Clinton, Dekalb, Local Union 103 ' Delaware, Fayette, Grant, Hamilton, 04/01/18 03/31/23 ICA YES Hancock, Henry, Howard, Huntington, Jay, Johnson, Madison, Marion, Miami, w Randolph, Rush, Shelby, Steuben, .., ._ ._..: Tippecanoe, Ti ton Union Wabash Wayne, 05/01/18 04/30/23 Rieth YES Shops: Covers the Indianapolis & Lafayette Rile y Shops p 05/01/17 04/30/22 Rieth YES 4 Co. Shops: Lake, LaPorte, Porter & St. Riley Joseph N 06/01/14 05/31/17 NWICA NO 4 Co. Building: Lake, LaPorte, Porter & St. ` Q Joseph C Rieth T _. 10 Co. Shops: Elkhart, Fulton, Jasper, . 04/01/17 03/31/22 Riley YES Kosciusko, LaGrange, Marshall, Newton, 04/01/17 03/31/22 Rieth Rilev YES Asphalt Plant: Elkhart only = W Local Union 150 10 Co. Heavy & Highway: Elkhart, Fulton, 04/01/17 03/31/22 ICA YES Jasper, Kosciusko, LaGrange, Marshall, c Newton, Noble, Pulaski & Starke L 06/01/14 05/31/17 Michiana Builders NO Building. Rieth-Riley is not signed to this G) Associatio agreement. Q Q 01/01/20 12/31/22 Rieth Rile YES Hunt Lake Materials 05/01/17 04/30/22 Four Co ? YES 4 Co. Heavy & Highway: Lake, LaPorte, Highway Porter & St. Joseph Heavy & Highway. Bartholomew, Brown, Clark, Crawford, Dearborn, Decatur, Dubois, Floyd, Franklin, Gibson, Harrison, Jackson, Local Union 181 04/01/18 03/31/23 ICA YES Jefferson, Jennings, Lawrence, Martin, Ohio, Orange, Perry, Pike, Posey, Ripley, Scott, Spencer, Switzerland, Vanderburgh, Warrick, Washin ton. Heavy & Highway. Boone, Clay, Daviess, P Fountain, Greene, Hendricks, Knox, Monroe, Local Union 841 04/01/18 03/31/23 ICA YES Montgomery, Morgan, Owen, Parke, K Putnam, Sullivan, Vermillion, Vigo and Warren. Also includes asphalt plant. Joint Council No. 69 04/01/17 03/31/22 ICA YES Statewide Heavy &Highway, except for Lake & Porter Counties Teamsters Local 135 04/01/17 03/31/22 Rieth Rile YES Lafayette Addendum for Stockpiling RIETH-RILEY CONSTRUCTION CO., INC. SAMPLE WORK -IN -PROGRESS Proiect Name RR Job # HIDE Owner Construction Manager Title Phone Email SCOPE OF WORK Contract Amount % Comgl Pro! Compl Date SURETY ITR Push 11 Road/Bridge 2019 3681010 ITR Concession Company, LLC Brian Cherry Infrastructure Manager. 574-651-2464 bcherry@indianatollroad.org Asphalt Overlay $61,182,341 74% May 2020 TRAVELER'S CASUALTY Construction AND SURETY R -39093-A 3208260 INDOT Ed Wilson Project Supervisor 765-617-4357 slindway@indot.in.gov Asphalt Pavement $40,732,641 98% June 2020 TRAVELER'S CASUALTY 1-69 Design Build AND SURETY IndyGo Red Line 3200735 Indianapolis Public Transportation Corp. Sri Venugopalan, P.E. Director of Engineering 317-614-9305 pspragg@indygo.net Combined Job $38,820,778 98% July 2020 TRAVELER'S CASUALTY & Construction Without Asphalt AND SURETY 16 -ENG -05 3200713 City of Carmel Tim Connaroe Construction Manager 317-401-0263 tconarroe@structurepoint.com Earthwork, $31,090,668 78% September 2020 TRAVELER'S CASUALTY 96th Street and Keystone Asphalt, Concrete AND SURETY Const. Inspection Section R -39504-A 3208296 INDOT Cory Mahan, P.E. Manager 317-780-7262 cmahan@chacompanies.com Asphalt Pavement $29,814,167 1% October 2021 TRAVELER'S CASUALTY 146th Street Over SR 37 N AND SURETY R -40511-B 3208295 INDOT Elsidig Ibrahim Project Engineer (317)260-3992 eibrahim@indot.in.gov Bridges $28,086,000 0% October 2020 TRAVELER'S CASUALTY 1-70 South Split to 465W AND SURETY R-33950 3648090 INDOT Dave Banch Area Engineer 219-809-8609 dbarich@indot.in.gov Asphalt Pavement $27,330,178 98% June 2020 TRAVELER'S CASUALTY 1-94 & 1-65 Bundle AND SURETY R -39500-A 3208283 INDOT Greg Peterson Project Supervisor (765)570-8003 gpeterson@indot.in.gov Asphalt Pavement $22,600,681 13% June 2021 TRAVELER'S CASUALTY 126th Street & SR 37 AND SURETY R -34439-A 3648097 INDOT Martin Navarro Construction 219-214-2934 mnavarro@indot.in.gov Asphalt Pavement $21,440,373 98% June 2020 TRAVELER'S CASUALTY US 30/ SR 53 Bundle Project Manager AND SURETY R -41769-A 3208280 INDOT Sean Hendrickson Project Engineer 765-745-1731 shendrickson@indot.in.gov Asphalt Pavement $21,202,853 98% May 2020 TRAVELER'S CASUALTY 1-465 Northwest AND SURETY State Street Overhead 3200609 Plenary Roads State Street, LLC Simon Stachnik Project Manager 303-905-1340 simon.stachnik@plenarygroup.com Earthwork, $47,201,460 95% March 2021 TRAVELER'S CASUALTY Asphalt, Concrete AND SURETY 11111-115754 7118236 MDOT Chris Jacobs Project Engineer 269-849-1496 jacobsc@michigan.gov Asphalt, Bituminous $17,144,685 59% June 2020 TRAVELER'S CASUALTY 1-96 Paving AND SURETY RIETH-RILEY CONSTRUCTION CO., INC. SAMPLE WORK COMPLETED CONSTRUCTION °6 OF WORK COMPLETION CONTRACT PROJECT NAME OWNER MANAGER TITLE PHONE TYPE OF WORK PERFORMED BY RR DATE AMOUNT SURETY R-28973 1-65 INDOT Gannon Carnes Project Engineer 765-307-8434 Asphalt Pavement 70°x6 6/30/2018 $23,068,538 TRAVELER'S CASUALTY RS -39572 INDOT Erik Seef Construction Manageer 765-361-5218 Concrete Pavement 83% 5/1/2019 AND SURETY $10,334,676 TRAVELER'S CASUALTY US 52 South BudgetR-41 AND SURETY D -A INDOT Ling Gan Project Engieeer 765-745-1717 Concrete Pavement 79% 12/12/2018 $9,158,700 TRAVELER'S CASUALTY 1-465 I-465 AND SURETY Oscoda Wurtsmith Airport Oscoda Wurtsmith Airport Authority Jared Kowalewsky, PE Project Manager 517-712-7433 Mill & Resurface 75% 2019 $6,098,556 TRAVELER'S CASUALTY AND SURETY 39014-200633 MDOT Chris Jacobs Project Manager 269-849-1496 Asphalt/Bituminous 84% 7/17/2019 $5,847,382 TRAVELER'S CASUALTY US -131 from Milham Rd to M-43 Paving AND SURETY R -37443-A INDOT Don Yost Inspection Supervisor/ 317-443-7241 Asphalt Pavement 85% 10/29/2019 $4,711,574 TRAVELER'S CASUALTY 276th Steet Recons ROAW Consultants Elkhart County Highway Elkhart County Highway Dept Rick Easton Technician - Engineering Section 574-534-9394 Asphalt Pavement 93% 11/1/2019 AND SURETY $4,259,982 TRAVELER'S CASUALTY 2019 Paving Program RS -41963-A LaPorte Patch INDOT Christien Reynolds Area Engineer 219-325-7524 Asphalt Pavement 26% 10/1/2019 AND SURETY $3,738,878 TRAVELER'S CASUALTY Duke Energy Plainfield Terracon Anthony Zink Program Director 937-763-7078 Asphalt Pavement 83% 6/28/2019 AND SURETY $3,531,558 TRAVELER'S CASUALTY AND SURETY RS -39978 INDOT Paul Balaba Construction Manager 765-376-9130 Asphalt Pavement 86% 7/1/2019 $3,355,045 TRAVELER'S CASUALTY SR 28 Clinton Budget AND SURETY -N- by mber 1:$, OY ... 04001ri ; Con►srRurrinm ...,0%.. lity: 0%:.:Fp7p/oyee "Owned Geer .10.0;M oars (i t n or. 'TUC.'10n,,P-;o-. .-h ft e .t C ". I.*. — anion ti hi Riptl -Ril, P. 100%7 pt 'herefore, pren ices 'P3 ufningprb ns. ru Vprove e through .P.P. IS, , aii.(,,,,:, r programs a. d: lb gistered....m th the:U-.S--D..OL.--, ou he gh. W* questions '87511-61--1",83 lease fee free.1 '11. orboncerns. ..".5 74') 20232., 1NC 1. LEXCONSTRUC ION -'-C Pprek Clarro.11. IbmanMesou. rces, INDIA _ .A.. -A 80 ER... S' TRAINING 7'R UST F�11VD P O Box 758 Bedford, Indiana 47421 November '18-:2 To ' Whom It 1VIay Concern: Sean Coakley, Dcrecto� Aolrn ,P. !,;.B ........... ,... Cl::artnan: Ke11yAbel;! Michael Ferrara Stan„Meyer Nrck Timmerman:: Wiseman. FAX (812) 279 5545 This letter 1s to confirm that "Rieth Riley Construction” 1s a signatory contractor �n good staridmg with ahe Yndlana Laborers' Twining Trust Fund Further, our organization's program Is approved..by the U S Veterans, Adnun�stration to participate in the GI educational benefits program A copy of our :approval letters are attached along with the collective bargaining agreement tatirig the ratios of Journey workers to: Apprentices, which is oneApprentice for every f ve (5) Journey workers :and thereafter may; not':emp oy more that (l) Apprentice for every (3) Journe workers;. y S`C;tic w)iv: nclaanalaborerstraning og Of 46. office o€' Xap �LetrtitE�Ti P �Ertiffrate of'RegisYr�ctiortaf pprttttaxeq�ji� PLASTERER8 &-c'EMENTMASO'' MERRILLV DIANA. FOV'THE TRADE CLA-5�St.-PICATION8.;-'-.C.'EMEMTtMASO N .') PLA8T-ERER �eyzsfererfds p�rz�:r��e _`.�%o�zcr,�`ppre��ces�sp-e�` f.�fe�zz in -CZG"`CO-rOfar2 Ce'- WY12� lZe S2-. &n o es -la y fie C..e: MAY2-2,1995 warp Revised: -oVbmber.l. 20 '.'S N IN01:0950002 ------ M INTM NATIO L VNION.OP-0 NA 11AINGINRIBIRS OtAl_ UNION NO,lbO, 1508, 150A;150C1150RA, Is . OM I j AFFqWAT.90 WITH ANCF8U.1LDJNG -rRADES V9f!AATM9NT . .... ... ... Am. ES M, -SWEENEY OR �Sdb*kN T* -430S I N'Es' A 6'6? ' T ',W.bom it vgm Coheei 0. . 1708.1492-9800 - FAX (7913) 492-71E6 520000"'Ur'jzoA0 0 'd th QolftM i ftdividAN biti-Aessbk ;wl Co =m4nmes—an private dhd,..Vi1W6 0T., alil e. *�e flio- .4d.ded' v�lqe of imAracton w ...... j4p�g WA. 8pppott WO.&f f h"' m United Stafes Dqpaftm df-Ubor(08-DO�)) 69pment.thfoug their ent qpp-r .4prcni!es prQmw �. tj qhip4p..�ftpprbved is. p pr:ensureth" •e- youn �g people: of Indiana have- the op .develop thg p fi;ihdu' iy, �!�M6 --h- 6 ided. by '-:4h-69, e 6mik .66-r raining px v programa t.'jb - -addresses :0ip oy g concerts :of -a quality Anted craft work -force that meefs-1h6li needs, whether 1.4eprojects7*.pare -p A I i V JA nature. To:f1*u'nd, :please -be -adv.ised:that ,R-e-,ith.Rfl.e.y ConsIm6fion, Co, Inc:. -:-is- signatoryto a. -b�i�dnt, th.1be. dihationa . nion Qp Nbtivd.,�af&ihifig agr t8A)Vi 15Q.1 :s iQ.BA:--re I - s -"- e'-...-dbqypf'pqrt` de 41 tqoat:15-0'sUMW �Aow opploy�r - . ..... .. -.&S M rowinent Pio' g"r-'a-M. a ki 'Ppy.Q'n tQes �P. -Si CeT6jy-'. V :rdner -- B m usl ess Representative, r.nNCTR11r_T1nA1 100% Quality • 100% Employee Owned CERTIFICATE OF AUTHORITY Over 100 Years KNOW ALL MEN BY THESE PRESENTS, that the undersigned President of Rieth-Riley Construction Co., Inc., a corporation duly organized and existing under the laws of the State of Indiana, hereby represents and confirms that Ruben Alvarado, Sales Manager, has full power and authority to make, execute, seal, if required by law, and deliver for and on its behalf, and as its act and deed any and all bids, proposals or contracts, said bids, proposals or contracts not to exceed $2,000,000.00 which bids, proposals or contracts call for work, services, or materials to be furnished by Rieth-Riley Construction Co., Inc., whether such bids, proposals or contracts are being submitted to an individual or entity, public or private, and to bind Rieth-Riley Construction Co., Inc. thereby as fully and to the same extent as if such bids, proposals or contracts were signed by an Executive Officer of Rieth-Riley Construction Co., Inc., and sealed, if required by law, and attested by one of such officers, and hereby ratifies and confirms all that the above named designee may do in pursuance hereof. The authority granted to the above named designee is pursuant to Section 6.03 of the Restated By -Laws of Rieth-Riley Construction Co., Inc., as amended, which Restated By -Laws were effective February 9, 2010, and which Restated By -Laws, as amended, and the authority granted to the above named designee continue in full force and effect. This Certificate of Authority is issued, signed and sealed, if required by law, by facsimile under and by authority of the following standing resolutions adopted by the Board of Directors of Rieth-Riley Construction Co., Inc., at a meeting held on the 16th day of February, 1996, at which a quorum was present, and which resolutions have not been amended or repealed and continue in full force and effect: "Resolved that for purposes of clarification and in furtherance of the intent of Section 6.03 of the By -Laws of the Company the authority granted in Section 6.03 shall extend to the making, execution, sealing, if required by law, and delivery on behalf of the Company of all documents required as part of any bid, proposal or contract, which is for work, services or materials to be furnished by Company and which is being submitted to an individual or entity, public or private. " "Resolved that in carrying out the provisions of Section 6.03 of the By -Laws of the Company the signatures of such directors and officers and, if required by law, the seal of the Company may be affixed to any such Certificate of Authority or any certificate relating thereto by facsimile, and any such Certificate of Authority or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the Company and any such Certificate of Authority so executed and certified by facsimile signature and facsimile seal shall be valid and binding upon the Company, with respect to any bid, proposal or contract to which it is attached." IN WITNESS WHEREOF, Rieth-Riley Construction Co., Inc., has caused these presents to be signed by its President and its corporate seal to be hereto affixed, this 10th day of September, 2020. �CMOs RIETH-RILEY CONSTRUCTION CO., INC. SEAL � A. Keith Rose, President STATE OF INDIANA ) )SS: COUNTY OF ELKHART ) On this 10th day of September, 2020, before me personally came A. Keith Rose, to me known, who, being by me sworn, did depose and say: that he is President of Rieth-Riley Construction Co., Inc., the corporation described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; and that he executed the said instrument on behalf of the corporation by authority of his office pursuant to corporation's Restated By -Laws and standing resolutions. My Commission Expires: March 16, 2024 YP Z SEAL n, Ronya Phillips, Notary Public Residing in Elkhart County, Indiana I, Robert L. Konopinski, do hereby certify that I am the duly appointed and acting Secretary of Rieth-Riley Construction Co., Inc., a corporation duly organized, validly existing and in good standing under the laws of the State of Indiana; that the foregoing Certificate of Authority has neither been amended or rescinded and remains in full force and effect; and furthermore, that the Restated By -Laws and standing resolutions of the corporation, as referred to and set forth in this Certificate of Authority, continue in full force and effect. i 6neIpci �Ohe1¢prporate Office of Rieth-Riley Construction Co., Inc., in the City of Goshen, State of Indiana. Dated thi�� day of SEAL Robert L. Konopinski, Secretary October 16, 2020 CERTIFIED HOT MIX ASPHALT PRODUCERS Specification Reference: 401, 402 & 410 SM Producer/Supplier Type: Certified HMA Producer ITM 583 SM Material Code: 40IM34500 to 41OM34600 Source Code Producer Name Location 3334 NIBLOCK EXCAVATING INC BRISTOL, IN 3296 NIBLOCK EXCAVATING INC KIMMEL, IN 3546 DAVE O'MARA CONTRACTORS INC BRAZIL, IN 3393 DAVE O'MARA CONTRACTORS INC FLATROCK, IN Comments 3377 DAVE O'MARA CONTRACTORS INC HAYDEN, IN ---------------------------------------- A 3192 DAVE O'MARA CONTRACTORS INC LEXINGTON, IN 3344 DAVE O'MARA CONTRACTORS INC NEW POINT, IN 3326 DAVE O'MARA CONTRACTORS INC VERSAILLES , IN 3402 OWENSBORO PAVING (I) OWENSBORO, KY - (PLANT #1)---------------------------pl 3533 OWENSBORO PAVING (r) OWENSBORO, KY - (PLANT #2) 3137 PHEND & BROWN INC DISKO, IN --------------------------------------------A 3171 PHEND & BROWN INC LEESBURG, IN -----------------------------------------A 3395 RIETH-RILEY CONSTRUCTION CO INC DANVILLE , IN 3173 RIETH-RILEY CONSTRUCTION CO INC ELKHART, IN ------------------------------------------A 3353 RIETH-RILEY CONSTRUCTION CO INC GARY, IN ---------------------------------------------A 3330 RIETH-RILEY CONSTRUCTION CO INC INDIANAPOLIS, IN - KY AVE "B"--------- ------ A 5 of Comments A= Water Injection System Installed B = In -Line Blending System Installed October 16, 2020 CERTIFIED HOT MIX ASPHALT PRODUCERS Specification Reference: 401, 402 & 410 SM Producer/ Supplier Type: Certified HMA Producer ITM 583 SM Material Code: 40IM34500 to 410M34600 Source Producer Name Code . Location Comments 3184 RIETH-RILEY CONSTRUCTION CO INC INDIANAPOLIS, IN - KY AVE -A- 3316 RIETH-RILEY CONSTRUCTION CO INC INDIANAPOLIS, IN - 96TH ST ---------------------------p, 3386 RIETH-RILEY CONSTRUCTION CO INC LAFAYETTE, IN ----------------------------------------A 3365 RIETH-RILEY CONSTRUCTION CO INC LAPORTE, IN ------------------------------------------A 3300 RIETH-RILEY CONSTRUCTION CO INC NOBLESVILLE, IN - (RIVER AVE) ------------------------A 3290 RIETH-RILEY CONSTRUCTION CO INC SOUTH BEND, IN --------------------------------------A 3379 RIETH-RILEY CONSTRUCTION CO INC VALPARAISO, IN ---------------------------------------A 3511 RIETH-RILEY CONSTRUCTION CO INC WINAMAC, IN 3378 JH RUDOLPH & CO INC ENGLISH, IN ------------------------------------------A 3308 JH RUDOLPH & CO INC EVANSVILLE , IN 3288 TEMPLE & TEMPLE PAVING 3350 WABASH VALLEY ASPHALT CO INC TERRE HAUTE, IN --------------------------------------A 6of7 Comments A = Wa ter Inj ection System Installed B = In -Line Blending System Installed SALEM, IN 3154 TRI -COUNTY ASPHALT OTWELL , IN 3534 VALLEY ASPHALT CORP CLEVES, OH 3510 VALLEY ASPHALT CORP (I) ROSS, OH 3392 WABASH VALLEY ASPHALT CO INC CLOVERDALE, IN 3350 WABASH VALLEY ASPHALT CO INC TERRE HAUTE, IN --------------------------------------A 6of7 Comments A = Wa ter Inj ection System Installed B = In -Line Blending System Installed CERTIFICATE OF QUALIFICATION to provide CONSTRUCTION SERVICES for PUBLIC WORKS PROJECTS to the STATE OF INDIANA This Certification Board, having duly considered application for qualification in terms of apparent experience and financial resources; and under the applicable Indiana Code 4-13.6-4 and adopted rules of this Board, hereby issues a Certificate of Qualification to provide construction services to the State of Indiana for Public Works Projects to: RIETH RILEY CONSTRUCTION CO INC 3626 ELKHART RD PO BOX 477 GOSHEN IN 46527-0477 Phone 574-875-5183 Fax 574-875-8405 Company Official KEITH ROSE for the twenty-seven month period stated -herein, unless revoked by this Board for cause, and in the classifications of services stated below. This certificate supercedes any previous certificate. 1611.01 Concrete Construction of Roads & Curbing 1611.02 Asphalt Construction of Roads and Parking Lots 1622.01 Gen Contr-brdgs,vdcts,elvd hwys,rlwy,tnis 1623.03 Sewers and/or Water Lines 1794.01 Earthmoving and Land Clearing 1794.02 Excavation 1795.02 Demolition of Pavements and Roads CERTIFICATION DATE 2/24/2020 EXPIRATION DATE 5124/2022 THIS CERTIFICATE ISSUED BY THE STATE OF INDIANA, PUBLIC WORKS DIVISION CERTIFICATION BOARD, 402 WEST WASHINGTON STREET, ROOM W467, INDIANAPOLIS, INDIANA 46204, ALSO ACTS AS THE OFFICIAL NOTICE OF EXPIRATION. 4 Tracy L. Cross, Executive Secretary Certification Board DAPW PQ2 State Form 3983R Rev. 07106 NOTE: Rieth-Riley is currently in the process of prequalification renewal. New certificate can be furnished when received from INDOT. x INDIANAPOLIS, IN October 23, 2019 TO RIETH. RILEY CONSTRUCTION GO FIEN, .INI who has filed with the Department a Contractor's Statement of Experience and Financial Condition as required under Indiana Code 8-23-10, is hereby qualified to bid at any Department of Transportation letting in Classes of Work and within the amount and other limitation of each classification as listed below, for such period as the uncompleted work on hand from all sources does not exceed the Aggregate amount. Classification references by name or symbol are in accordance with the definitions in the Contractor's Statement of Experience and Financial Condition. This certificate supersedes any certificate previously issued, but is subject to revision or revocation according to the law, if and when changes in the financial Condition of the contracting firm or other facts justify such revision or revocation, Valid Aqgggust 27, 2019 T ru July 31, 020 AGGREGATE ., ........ ...... 1ITED 0085 CLEAN/SEAL CRACKS/JOINTS: PCCP/HivLA PVIviT .................. .................,............ .......................... $10,000,000 0103 3 -SIDED BOX STRUCTURE(S) W/SPAN>2OF'T ............................. ..................:.......................,....,.......$UNLIMITED 0290 SEWER AND PIPE CLEANING AND LINING .................................. .............. .............. ,................. $10.000,000 0318 TRAFFIC CONTRt L:SNOW .AND ;ICE REMOVAL, ...... ,........... ..............:.............................. .......... $10,000,000 0390 UNDERSEALING........................................ ................... .......... . . ........... , .........., .....,.,. $10,000,000 A(A) CONCRETE PAVEMENT: GENERAL ............................... ..................... ......... ...................... .......... ...... $UNLIMITED B(A) ASPHALT PVM.T:WANDOT CERTIFIED HMA PLANT.,.... ............................................................_$UNLIMITI D C(A) HEAVY GRADING ... ................................. .:,..,,.,.,....:.,,...,..,................ I ............... ,....................................—$UI\TI,IMITED D(A) HIGHWAY OR RAILROAD BRIDGE OVER Ar-ATER ,....................;,............................ ......... .........$UNLI"MITED D(B) HIGHWAY OR RAILROAD BRIDGE OVER HIGHWAY . ......... ........................ ......... ................_...SL N ,1M TED D(C) HWY/RR BRIDGE REQ RRTRACK PROTECTION ......................... ,.................................. ........,........... $UNL[-VIITED E(C) BRIDGE DECK. OVERLAY&, MINOR. BRIDGE REPAIR .:... .................... ....... ,................... .................... . $1.0,000,000 E(E) SIVIAT L STRUCTURES AND DRAINAGE ITEMS . ................... ........._...,.............,................ .,....., $1.0,000,000 E(F) SURFACE MASONRY AND .MISC CO:NCRE-TE .................,..,,....,......................................................$UNLIMI:IED E(H) DEEP SEWER AND/OR EXCAVA.TION................................................................................................... $ NLIMITED E(R) ASl'I-LALT PAVEMENT MILLING......................,.,,.....,.;,,............................,....:..........;.......................,....$ INLIMITED E(T) DEMOLITION .......................... ...... ............. ........ ....................... ............ ...................................................... $UNLIMITED 4 PREQUALIFICATION ENGINEER COMMISSIONER State Form 20508 (R3 15-05) SECTION IV CONTRACTOR'S NON — COLLUSION AFFIDAVIT The undersigned bidder or agent, being duly sworn on oath, says that he 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 include 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. He 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. SECTION V OATH AND AFFIRMATION I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION CONTAINED IN THE FOREGOING BID FOR PUBLIC WORKS ARE TRUE AND CORRECT. Dated at South Bend, IN this 24th day of November , 2020 Rieth-Riley Construction Co., Inc. / (Name of Organization) LIM Ruben Alvarado, Sales Manager (Title of Person Signing) ACKNOWLEDGEMENT STATE OF INDIANA ) ) ss COUNTY OF St. Joseph Before me, a Notary Public, personally appeared the above-named Ruben Alvarado swore that the statements contained in the foregoing document are true and correct. Subscribed and sworn to before me this 24th My Commission Expires: 4/18/23 County of Residence: LaPorte November 2020 ``occas sa°�+i �A'� DAWN E. ARMSTRONG e�`%Notary Public, State of Indiana 'NOTA"''• LaPorte County '. SEAVCommission # 665596 ovo� My Commission Expires April 18, 2023 and