HomeMy WebLinkAboutOpening of Bids - Sheridan St. and Sample St. Signal Improvements Proj No. 116-127A - Walsh & Kelly, Inc.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. 116-127A
For Bids Due November 24th. 2020
Contractor Name: Walsh & Kelly, 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 II only.
Section II acts as an application for pre -qualification. Submission of Section II 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. 10694-18 (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 s1 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
II. 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).
(ii)
List identifying all former business names.
(iii)
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.
(iv)
Statement about staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work I
am bidding on OR outlines how I intend to meet the staffing needs of the work.
(v)
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.
(vi)
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.
(vii)
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.
(viii)
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
PRE -QUALIFIED BIDDER CHECKLIST
(a) Acknowledgements:
(i) X 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
is attached.
(ii) X 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) Attachments:
(i) X 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).
(ii) X 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.
(iii) X List of projects of similar size and scope of work performed in all areas, including
the State of Indiana, within the last three (3) years.
(iv) X 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
(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: 11/24/20
Indiana
(State)
574-288-4811
(Telephone Number)
Version 5/16/2019 General Conditions -10
(Sign ere
John M. Peisker
(Print Name Here)
IS OjNX;: •''•••••••'• : ®`�
Walsh & Kelly, Inc.
�Q••��RPORATF•'t�c'
_
(Name of Company)
'� �L ••
24358 SR 23
' `
(Address of Company)
10i
��B/j1111t111�`
South Bend
(City)
Indiana
(State)
574-288-4811
(Telephone Number)
Version 5/16/2019 General Conditions -10
CITY OF SOUTH BEND JAMES MUELLER, MAYOR
DEPARTMENT OF PUBLIC WORKS
ERIC HORVATH, DIRECTOR
September 23, 2020
Mr. Dustin Hilary
Walsh & Kelly, Inc.
dhilarti,rci. walshkelly.com
RE: Pre -Qualification Verification
Dear Mr. Hilary:
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,
Dighalty lip l by LI2"°"a1h
Liz Horvath °":—"_"°"'"
mail=lh°"athaDs°uthbendin.9°v,
r—VS
Date: 2020.09, 2311:52,38-0 W
Liz Horvath, Permit Manager
Responsible Bidding Practices and Submission
Requirements for Pre -Qualified Bidder Checklist
(b) Attachments
(i) Attached
(ii) Staffing Capabilities: Walsh & Kelly, Inc. is signatory with the following unions
which supply our workforce — Laborers International Union, Teamsters, Operating
Engineers and Cement Masons.
(iii) See Forms 96 and 96a
(iv) All individuals who will perform worn on the public works project on behalf of
Walsh & Kelly, Inc. will be properly classified under applicable state and federal
laws and local ordinances.
By. r X v�
Joh . P sker President
ti. 4
0
��eal�ata®
Dated: November 24 2020
5pU Tq t?z.
F
CITY OF SOUTH BEND INDIANA. {Q- PRAL'R y^
CONTRACTORS BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS 1865,
Project Name Sheridan Street and Sample Street Signal Improvements
Project No. 116-127A
For Bids Due 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.
Proposal statements and other affidavits all signed by the proper party with name either
X 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: Walsh & Kelly. Inc.
By Authorized Represen fiVe"�
Signature:
Print Name & Title: LOW—. eisker President
Version 4/2/2019 Contractor's Bid for Public Works - 1
Date: 11/24/20
KELLY a
�.
CF .
'J pORA TI,,
y �
®`f111 ,ND 4P��o��
O450
10
T11 1#lk
CK
CITY OF SOUTH BEND INDIANA x:
CONTRACTOR'S BID FOR PUBLIC WORK. 65'
Project Name Sheridan Street and Sample Street Signal Improvements
Project No. 116-127A
For Bids Due November 24th, 2020
PART I
(Must be completed for all bids. Please type or print)
Date: 11/24/20
Address:
24358 SR 23
Bidder (Firm): Walsh & Kelly, Inc.
City/State/Zip: South Bend- IN 46614 Telephone Number: ( 574 ) 288-4811
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:
the City of South Bend, Indiana, in accordance with plans and specifica ns prepared by:
DLZ Indiana, LLC
and dated 10/30/20 for the sum of (enter the Total Bid as shown on the Proposal)
our hundred sixty nine thousand six hundred dollars and zero cents (5. 469.600.00 ]
(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 %AriJp1)pcluded in the contract are needed, the cost of units must be the same as that
shown in the orifi 0 c aZ cepted by the City of South Bend. If the bid is to be awarded on a unit
basis, the itemiAt ,p#thre°u 't�s%II be shown on a separateattachme
�,' °%C,
0 RA
.�
(Signature)
a; John M. Peisker, President
sSFa (Printed Name of Person Signing)
ACCEPTANCE
The above bid is°kdw4goo ®®a _ _ day of .20
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Elizabeth A. Maradik, Member
Jordan V. Gathers, Member
Therese J. Dorau, Member
Joseph R. Molnar, Member Attest: Linda M. Martin, Clerk
Version 4/2/2019 Contractor's Bid for Public Works - 2
PART II
(For projects of $100,000 or more — IC 36-1-12-4)
These statements to be submitted under oath by each bidder with and as part of his/her/its bid.
Attach additional pages for each section as needed.
SECTION I EXPERIENCE 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 a listing of public works projects currently in process of construction by your
organization.
3. Attach information regarding any failure to complete any work awarded to you and the
location thereof.
4. Attach references from private firms for which you have performed work.
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
1. Attach an explanation of your plan or layout for performing proposed work. (Examples could
include a narrative of when you could begin work, complete the project, number of workers,
etc. and any other information which you believe would enable the City of South Bend to
consider your bid.)
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
subcontractor, equipment to be used by the subcontractor, and whether you will require a
bond. However, if you are unable to currently provide a listing, please understand a listing
must be provided prior to contract approval. Until the completion of the proposed project, you
are under a continuing obligation to immediately notify the City of South Bend in the event that
you subsequently determine that you will use a subcontractor on the proposed project.
4. Attach a listing of equipment you have available to use for the proposed project.
5. Have you entered into contracts or received offers 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 submitted without said
financial statement as required by statute shall 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 )
) SS:
St. Joseph COUNTY )
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, aContractor
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 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.
1, 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). I hereby
certify that I and all subcontractors employed by me for this project will use steel products or foundry
products made in the United States 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
t%%1111111110, '
V LLL ®, �.,�
Walsh & Kelly, Inc.
s®� �
Contractor -q der (Firm)
St. Joseph
r ..�s z, Si at f Contractor/Bidder or Its Agent
11
John M. Peisker. President
11111SNC) `0; �S'
Printed Name and Title
*'SEALf+
St. Joseph County
Expires
Subscribed and sworn to before me this 24th day of November .20 20
My Commission Expires 6/5/22
County of Residence
Version 4/2/2019 Contractor's Bid for Public Works - 6
Notary lic
Alish rueger
St. Joseph
11
MINIM m'.
NA KRUEGER
ALIS
Notary Public. State of Indiana
*'SEALf+
St. Joseph County
Expires
!! ;, G,aa�Po`�
M4Commission
June 05, 2022
Version 4/2/2019 Contractor's Bid for Public Works - 6
PROJECT NAME:
PROJECT NO.
FOR BIDS DUE:
CONTRACTOR NAME:
BASE BID
BID/PROPOSAL
CITY OF SOUTH BEND
Sheridan st & Sample St Signal Improvemc
116-127A
November 24, 2020
Walsh & Kelly. Inc.
9 WAC .,
Item
Description
Quantity
Unit
Unit Price
Total Amount
1
CONSTRUCTION ENGINEERING
1
LS
3,168.12
$3,168.12
2
MOBILIZATION AND DEMOBILIZATION
1
LS
29,000.00
$29,000.00
3
CLEARING RIGHT OF WAY
1
LS
20,800.00
$20,800.00
4
EXPOSE AT&T CABLE
80
LFT
71.00
$5,680.00
6
CURB, CONCRETE, REMOVE
229
LFT
11.00
$2,519.00
7
SIDEWALK CONCRETE, REMOVE
202
SYS
18.00
$3,636.00
8
INLET, REMOVE
3
EACH
490.00
$1,470.00
9
SIGNAL POLE FOUNDATION, REMOVE
4
EACH
250.00
$1,000.00
10
BORROW
50
CYS
18.00
$900.00
11
EXCAVATION, COMMON
225
CYS
125.00
$28,125.00
12
TEMPORARY INLET PROTECTION
{BAG PROTECTION}
4
EACH
95.00
$380.00
13
SUBGRADE TREATMENT, TYPE 11
105
SYS
38.00
$3,990.00
14
ITEM WAS REMOVED
15
COMPACTED AGGREGATE NO 53
107
CYS
28.00
$2,996.00
16
MILLING, ASPHALT, 1.5 IN.
546
SYS
13.00
$7,098.00
17
HMA, SURFACE, TYPE B
78
TON
143.00
$11,154.00
18
HMA FOR WIDENING, TYPE B
64
TON
143.00
$9,152.00
19
HMA FOR PATCHING, TYPE B
5
TON
485.00
$2,425.00
20
RETROFITTED TIE BARS
120
EACH
25.00
$3,000.00
21
PCCP FOR PATCHING, 10 IN.
209
SYS
180.00
$37,620.00
22
CURB RAMP, CONCRETE
56
SYS
238.00
$13,328.00
23
DETECTABLE WARNING SURFACES
12
SYS
206.00
$2,472.00
24
SIDEWALK, CONCRETE, 4 IN
203
SYS
57.00
$11,571.00
25
CURB, CONCRETE
408
LFT
23.00
$9,384.00
26
CURB, INTEGRAL, CONCRETE
102
LFT
80.00
$8,160.00
27
PCCP FOR APPROACHES, 9 IN.
105
SYS
95.00
$9,975.00
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
5,100.00
$5,100.00
31
WATER MAIN, DUCTILE IRON, 6 IN
25
LFT
190.00
$4,750.00
32
WATER MAIN METER PIT
1
EACH
470.00
$470.00
33
PIPE, INDOT TYPE 2, 10 IN.
24
LFT
110.00
$2,640.00
34
STANDARD INLET, WITH CASTING
4
EACH
4,300.00
$17,200.00
Version 4/2/2019 Contractor's Bid for Public Works - 7
BID/PROPOSAL
CITY OF SOUTH BEND
PROJECT NAME: Sheridan st & Sample St Signal Imp_rovemE
PROJECT NO. 116-127A
FOR BIDS DUE: November 24, 2020
CONTRACTOR NAME: Walsh & Kelly, Inc.�,`�?
M ■
BASE BID
35
MAINTAINING TRAFFIC
1
LS
19,400.00
$19,400.00
36
TEMPORARY PAVEMENT MARKING,
REMOVABLE, 4IN.
4,267
LFT
0.94
$4,010.98
37
SIGN, SHEET, SHEETING TYPE IV, WITH
4
EACH
150.00
$600.00
LEGEND, 0.100 IN.
38
TRAFFIC SIGNAL EQUIPMENT, REMOVE
1
EACH
1,500.00
$1,500.00
39
MISCELLANEOUS EQUIPMENT FOR TRAFFIC
1
LS
100.00
$100.00
SIGNALS
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,
350
LFT
2.70
$945.00
3c/8 GA
49 1
SIGNAL CABLE, CONTROL, COPPER, 3c/14
1451
LFT
1.90
$2,756.90
GA
50
SIGNAL CABLE, CONTROL, COPPER, 504
1563
LFT
2.00
$3,126.00
GA
51
SIGNAL CABLE, CONTROL, COPPER, 704
418
LFT
2.20
$919.60
GA
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
4
EACH
10,000.00
$40,000.00
25' MAST ARM
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
LS
1,200.00
$2,400.00
58
177-.11 WASREMOVED
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
4
EACH
14.00
$56.00
WATERPROOFED
62
CONNECTOR KIT, UNFUSED
4
EACH
16.00
$64.00
Version 4/2/2019 Contractor's Bid for Public Works - 8
BID/PROPOSAL
CITY OF SOUTH BEND
PROJECT NAME: Sheridan st & Sample St Signal Improvem(
PROJECT NO. 116-127A
FOR BIDS DUE: November 24, 2020
c,.
CONTRACTOR NAME: Walsh &Kelly, Inc.
BASE BID
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
LINE, MULTI-COMPONENT, SOLID, WHITE, 4
IN.
200
LFT
4.65
$930.00
70
LINE, MULTI-COMPONENT, BROKEN, WHITE,
4 IN.
50
LFT
4.65
$232.50
71
LINE, MULTI-COMPONENT, SOLID, YELLOW, 4
IN
497
LFT
4.65
$2,311.05
72
LINE, THERMOPLASTIC, SOLID, YELLOW, 4
IN.
12
LFT
4.65
$55.80
TRANSVERSE MARKING, MULTI -
73
COMPONENT, CROSSWALK LINE, WHITE, 6
12
LFT
16.25
$195.00
N.
74
TRANSVERSE MARKING, MULTI-
COMPONENT, STOP LINE, 24 IN.
71
LFT
26.15
$1,856.65
75
GROOVING PAVEMENT MARKINGS 1
786
LFT
0.75
$589.50
BASE BID TOTAL:
Bidder(Firm): Walsh & Kelly, Inc.
Address: 24358 SR 23
City/State/Zip South Bend,IN 46614
Telephone Number: 574-288-4811
Fax Number- 574-289-7174
$469,600.00
By:
(Signature)
John M. Peisker, President
(Printed Name of Person Signing,%% \tELLY �, s
r y
� : �QORATF••': ,�
`'�,,���•.i
MOP'
rl'1111+
ovTH -
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM
FORM MWBE-1.0
MBE/WBE PARTICIPATION abs.
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: 116-127A Project Name: Sheridan Street and Sample Street Signal Improvements
Bidder: Walsh & Kelly. Inc. _ Total Bid Amount:_ $469,600.00 MBE/WBE Goal: 3.0%
Page 1 of. 1
Primary Contact Person Scope of Work to be Performed Dollar Amount of Percentage
Name &Address of MBE/WBE (Name/Telephone) (Attach scope/schedule if you need additional space) MBENVBE Component of Total
RiWPmn 1
State Barricading, Inc. James Michalski Maintaining of Traffic & Temporary
24963 US Highway 20 574-287-2078 Pavement Markings $14,144.98 3.0%
South Bend, IN 46628
Submitted by:L —
P6N9pm16 John M. Peisker, President Signature
Version 4/2/2019 Contractor's Bid for Public Works - 10
KE L%
y'✓
QPORATF : Da%
�O
® $ 4
;
,�i®ND t PSN
11111
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM
FORM MWBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS w
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
Project Name:
Bidder:
Contact Person:
Address:
City:
Email:
Date: 11/24/20
Sheridan Street and Sample Street Signal Improvements
Walsh & Kelly, Inc.
EdwardPilinow
24358 SR 23
South Bend
Telephone: 574-288-4811
State: Indiana Zip: 46614
epilipow(c-D.walshkelly.com
To determine whether a bidder has demonstrated good faith efforts to reach the MBENVBE 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
MBEIWBE 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 (ADVERTISEICONTACT): 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 MBENVBEs of contracting and
subcontracting opportunities.
2. Advertise in general circulation and/or trade association publications concerning subcontracting
0opportunities, and allow MBENVBEs reasonable time to respond.
3 Perform any and all necessary steps to provide written notice in a manner reasonably calculated
to inform MBENVBEs of subcontracting opportunities and allowed sufficient time for them to
04. 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 MBENVBE 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 MBENVBEs,
including providing such MBENVBE's with adequate information about the plans, specifications and other
requirements of the subcontract and did not reject MBENVBEs as unqualified without sound business
reasons based on a thorough investigation of theircapabilities.
SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by
MBENVBEs in order to increase the likelihood of meeting the MBENVBE goals (including breaking down
contracts into smaller units to facilitate MBENVBE participation)
CONTRACT RECORDS: The bidder has maintained the following records for each MBENVBE that has
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 MBENVBE was unqualified to perform thejob.
*Proper demonstration of Good Faith Effort 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 of ur'f--8�+
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY /i; V:
DEVELOPMENT PROGRAM
FORM MWBE-2.1
MBE/WBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring contacted MBEIWBE 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.
PAGE 1 OF—1
Project Number: 116-127A MBE/WBE Participation Goal
Project Name: Sheridan Street and Sample Street Signal Improvements
Bidder: Walsh & Keliv. tnc,
By:
John M.
MBE/W9trfirm State Barricading, Inc. _
(Title)
Owner or Contact at MBE/WBE Firm James Michalski
Telephone: 574-287-2078 Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
11/24/20.®_ �CEL(y °se
(Date)
J��pGFAT�°
.. Z
statebarricade1 CcDaol.cftom
ND1
r111111%
Maintaining of Traffic & Temporary Pavement Markings
RESULTS OF CONTACT WITH THE MBE/WBE FIRM:
Upon receipt of award and contract, Walsh & Kelly, Inc. will enter into a subcontract with the
above-named subcontractor.
MBENVBE Firm Hawk Enterprises, Inc.
Owner or Contact at MBE/WBE Firm Gyre _Neulieb
Telephone: 219-662-8090 Fax: 219-662-8093 Email: greg@hawk-inc.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Signal Improvements, Video Vehicle Detector System (Item 41.
RESULTS OF CONTACT WITH THE MBENVBE FIRM:
Hawk Enterprises,_ Inc. unfortunately was not the lowest responsive bidder.
Version 4/2/2019 Contractor's Bid for Public Works - 12
C H U B B'; Surety O+ 908.903.3485
202B Halls Mill Road, PO Box 1650 F + 908.903.3656
Whitehouse Station, NJ 08889-1650
Federal Insurance Company
AIA Document A31OTM - 2010 Bid Bond
Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable.
CONTRACTOR
(Name, legal status and address):
Walsh & Kelly, Inc.
24358 State Road 23
South Bend, IN 46614
OWNER
(Name, legal status and address):
City of South Bend, Indiana
227 West Jefferson Boulevard
South Bend, IN 46601
BOND AMOUNT 5%
Five Percent of the Base Bid
PROJECT
(Name, location or address, and Project number, if any)
SURETY
(Name, legal status and principal place of business):
Federal Insurance Company
202B Halls Mill Rd., PO Box 1650
Whitehouse Station, NJ 08889-1650
Sheridan Street and Sample Street Signal Improvements, Project No. 116-127A
The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the
Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and
severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor
within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and
Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such
bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted
in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract
and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the
difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount
for which the Owner 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. The Surety hereby waives any notice of
an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver
of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for
acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for
an extension beyond sixty (60) days.
If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall
be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor.
Printed in cooperation with the American Institute of Architects (AIA) by Chubb. The language in this document conforms to the language used in
AIA DocumentA310 TI'l-2010.
Form 15 -02 -0575 -FED (Rev. 3/17)
When this Hontihaahetet:furr,i,5l,ecltctMnti"}ly0tliast:ttttpryoratlarerl ti retialrertterttInt1.telomdoncifthr-Projc'st,
MY pclJvisiou In this Ifund s nntitcting, will, !,,dd 03lart ry or teyuir:•n,t nt sh 111 br deemed delvtrid heft:
front and 1110*loci.cnnforr:,lnl, t%Jautri,,!:t,fttttc>ryorTitherlt:p;slrequtremea2tshallbedremedinairporatedherein,
When Su furnished, the Intent is that this: Wnd shall be con imed a, a statutorybrincl and not Is a common law
bond.
Signed and Sealed this 241h
Mitnf 0 Allsha Krueger '
twanccr) An-,sla M Riley
day of
Walsh & Kelly,
November, 2020
e �v°'"" al�• 'poi
M11e)
Federal Imurance Company ['
•_7 -% 'i is �s�
Kathryn R Postman,Zr
ea:1y
, •- eet�.
,a r
PrintedIe,maperatiuni4ththe Amr'fronlnstaurrOfArchlicels(h1A)ITChubb. Thelerr�+J einthtsdc l3�ertronform�tgthrtaet�uasgautG{n
AIA Document A310 17', 2010.
P,Lrm 15fih75MF"` P {➢rev air, t 2
CHUBS°
Power of Attorney
Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company
Westchester Fire Insurance Company I ACE American Insurance Company
Know All by These Presents, that FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, PACIFIC INDEMNITY
COMPANY, a Wisconsin corporation, WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY corporations of the Commonwealth of
Pennsylvania, do each hereby constitute and appoint Kathryn R. Postma
Surety Bond Number: Bid Bond
Obligee: City of South Bend, Indiana
each as their true and lawful Attorney -in -Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety
thereon or otherwise, bonds and undertakings and other writings obligatory in the nature thereof (other than bail bonds) given or executed In the course of business, and any
instruments amending or altering the same, and consents to the modification or alteration of any instrument referred to In said bonds or obligations.
In Witness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, PACIFIC INDEMNITY COMPANY, WESTCHESTER FIRE INSURANCE COMPANY
and ACE AMERICAN INSURANCE COMPANY have each executed and attested these presents and affixed their corporate seals on this iR day of November, 2019.
�'
Dawn M. Chloros, Assistant Secretary
g wesr �$y,!sv�
�� � ♦w F 4 � �'aru•�e
Mpyy, �W Ic
STATE OF NEW JERSEY
County of Hunterdon S5.
Stephen M. Haney, Vice President
as�yM�' a ep'.w T
�wwa���Qliyy-`Pill; i4 A'!�
On this In day of November, 2019, before me, a Notary Public of New Jersey, personally came Dawn M. Chloros and Stephen M. Haney, to me known to be Assistant Secretary and
Vice President, respectively, of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, PACIFIC INDEMNITY COMPANY, WESTCHESTER FIRE INSURANCE COMPANY
and ACE AMERICAN INSURANCE COMPANY, the companies which executed the foregoing Power of Attorney, and the said Dawn M. Chloros and Stephen M. Haney, being by me duly
sworn, severally and each for herself and himself did depose and say that they are Assistant Secretary and Vice President, respectively, of FEDERAL INSURANCE COMPANY,
VIGILANT INSURANCE COMPANY, PACIFIC INDEMNITY COMPANY, WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY and know the
corporate seals thereof, that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of said Companies; and that their
signatures as such officers were duly affixed and subscribed by like authority.
Notarial Seal ,
OTAp
KATHEMNE J. ACELAAR
NOTARY PUBLIC OF NOW411ROW
4PUBLlC
�'JER
No. 2316086
CortrWallon Et plrae JuIY 16, 2024 Nay PoNe
CERTIFICATION
Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY on August 30, 2016;
WESTCHESTER FIRE INSURANCE COMPANY on December 11, 2006; and ACE AMERICAN INSURANCE COMPANY on March 20,2009:
'RESOLVED, that the following authorizations relate to the execution, for and on behalf of the Company, of bonds, undertakings, recognizances, contracts and other written commitments of the Company
entered into In the ordinary course of business (each a'Written Commitment):
(1) Each of the Chairman, the President and the Vice Presidents of the Company is hereby authorized to execute any Written Commitment for and on behalf of the Company, under the
seal of the Company or otherwise.
(2) Each duly appointed attorney-in-fact of the Company is hereby authorized to execute any Written Commitment for and on behalf of the Company, under the seal of the Company or otherwise,
to the extent that such action Is authorized by the grant of powers provided for In such person's written appointment as such attorney -In -fact
(3) Each of the Chairman, the President and the Vice Presidents of the Company Is hereby authorized, for and on behalf of the Company, to appoint In writing any person the attorney-in-
fact of the Company with full power and authority to execute, for and on behalf of the Company, under the seal of the Company or otherwise, such Written Commitments of the
Company as may be specified In such written appointment, which specification may be by general type or class of Written Commitments or by specification of one or more particular
Written Commitments.
(4) Each of the Chairman the President and the Vice Presidents of the Company Is hereby authorized, for and on behalf of the Company, to delegate in writing to any other officer of the
Company the authority to execute, for and on behalf of the Company, under the Company's seal or otherwise, such Written Commitments of the Company as are specified in such
written delegation, which specification may be by general type or class of Written Commitments or by specification of one or more particular Written Commitments.
(5) The signature of any officer or other person executing any Written Commitment or appointment or delegation pursuant to this Resolution, and the seal of the Company, may be affixed by
facsimile on such Written Commitment or written appointment or delegation.
FURTHER RESOLVED, that the foregoing Resolution shall not be deemed to be an exclusive statement ofthe powers and authority of officers, employees and other persons to act for and on behalf of the
Company, and such Resolution shall not limit or otherwise affect the exercise ofany such power or authority otherwise validly granted or vested."
1, Dawn M. Chloros, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, PACIFIC INDEMNITY COMPANY, WESTCHESTER FIRE INSURANCE
COMPANY and ACE AMERICAN INSURANCE COMPANY (the "Companies') do hereby certify that
(f) the foregoing Resolutions adopted by the Board of Directors of the Companies are true, correct and in full force and effect,
(it) the foregoing;Power of Attorney is true, correct and in full force and effect
Gimbli i ridi:Y :iey�fa-+idArd, seal; of said Companies at Whitehouse Station, NJ, this November 24, 2020.
r
&,C40
'
e, L"•-' f •' yrM i �lly/
t M 1 Dawn M. Chloros, Assistant Secretary
EVENT YOU WISH TO VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER, PLEASE CONTACT US AT:
(rev. 11-19)
Part of State Form52414 (112 / 2-13) Form 96 (Revised 2013)
BID OF
Walsh & Kelly. Inc.
(Contractor)
(Address)
South Bend, IN 46614
FOR
PUBLIC WORKS PROJECTS
OF
City of South Bend Indiana
Sheridan Street and Sample Street Signal Improvements
Project No. 116-127A
Filed November 24th. 2020
Action taken
State Form 52414 (R 19-10)
Proscribed by State Board of Accounts Farm No_ 96{Revised 20131
CONTRACTOR'S BID FOR PUBLIC WORK — FORM 96
PART 1
(To be completed for all bids. Please type or print)
Date (month, day, year): November 24th. 2020
1. Governmental Unit (Owner): City of South Bend, Indiana
2. County: St. Joseph
3. Bidder (Firm):
Address:
City/State:
4. Telephone Number:
5. Agent of Bidder (If applicable):
Walsh & Kelly, Inc.
24358 SR 23
South Bend, IN 46614
(574)288-4811
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public
works project of City of South Bend. Indiana (Governmental Unit) in accordance with plans and specifications
prepared by DLZ Indiana. LLC and dated _ October 30th, 2020 for the sum of See Attached $ See
Attached
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 Governmental Unit. If the bid is to be awarded on a unit basis, the itemization of
the units shall be shown on a separate attachment.
The Contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee, or
applicant for employment, to be employed in the performance of this contract, with respect to any matter directly or
indirectly related to employment because of race, religion, color, sex, national origin or ancestry. Breach of this covenant
may be regarded as a material breach of the contract.
CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS
(If applicable)
I, the undersigned bidder, or agent as a contractor on a public works project, understand my statutory obligation
to use steel products made in the United States. I.C. 5-16-8-2. I hereby certify I and all subcontractors employed by me for
this project will use U.S. steel products on this project if awarded. I understand that violations hereunder may result in
forfeiture of contractual payments.
ACCEPTANCE
The above bid is accepted this day of . subject to the following conditions:
Contracting Authority Members:
PART II
(For projects of $150,000 or more — IC 36-1-12-4)
Governmental Unit: City of South Bend, Indiana
Bidder (Firm): Walsh & Kelly, Inc.
Date(month, day, year): November 24, 2020
These statements to be submitted under oath by each bidder with and as part of his bid. Attach additional pages
for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
What public works projects has your organization completed for the period of one (1) year prior to the date of
the current bid?
Contract Amount
Class of Work
When Completed
Name and Address of Owner
$
12,170,428
Reconstruction
M4y 2019
Walsh Construction
$
5,489,454
Resurface
November 2019
Lake Coun Hvy Dept
$
4,356,212
Resurface
December 2019
City of Crown Point
$
3,180,214
Resurface
December 2019
St. Joseph County Hwy
Dept
3. What public works projects are now in process of construction by your organization?
4. Have you ever failed to complete any work awarded to you? No If so, where and why?
CONTRACT AMT.
CLASS OF WORK
WHEN TO BE
COMPLETED
NAME AND ADDRESS
OF OWNER
$
6,864,740
Resurface
May 2020
INDOT
$
5,902,953
Reconstruction
June 2020
INDOT
$
2,473,069
Reconstruction
November 2020
INDOT
$
4,090,509
Resurface
July 220
South Bend Regional
Airport
4. Have you ever failed to complete any work awarded to you? No If so, where and why?
5. List references from private firms for which you have performed work.
Gatlin Plumbing & Heating, Inc. 1111 E. Main St., Griffith, IN Ms. Clara Murphy
Go4gh, Inc. 2200 E. 881 Dr., Merrillville IN 46410 Mr. Ra . and Gou h
Dyer Construction Co., 1716 Sheffield Avenue, Dyer. IN Janet Furman
Grimmer Construction Co., Inc. 2619 Main Street,_ Highland, IN Mr. Gree Grimmer
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could
begin work, completed the project, number of workers, etc. and any other information which you believe would
enable the governmental unit consider your bid.)
As required by owner
Please list 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.
See Attached List
If you intend to sublet any portion of the work, state the name and address of each subcontractor, equipment to be
used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a
listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed
project, you are under a continuing obligation to immediately notify the governmental unit in the event that you
subsequently determine that you will use a subcontractor on the proposed project.
Will supply upon award of contract
QUANTITY
ITEM
DESCRIPTION,
SIZE, CAPACITY,
ETC.
CONDITION
YEARS PRESENT LOCATION
OF
SERVICE
5
Asphalt Plants
Various
Good
Griffith, South Bend,
Valparaiso, Lowell, LaPorte
19
Asphalt Pavers
Various
Good
I Griffith, South Bend
4
Sli form Conc. Paver
Various
Good
Griffith, South Bend
3
Road Widener
Various
Good
Griffith, South Bend
5
Motor Graders
CAT/J.D.
Good
Griffith, South Bend
56
Rollers
Various
Good
Griffith, South Bend
36
Rubber Tire Loaders
Various
Good
Griffith, South Bend
18
Excavators
Various
Good
Griffith, South Bend
9
Bulldozers
Various
Good
Griffith, South Bend
7
LowBoy Tractors
Various
Good
Griffith South Bend
9
Flatbed Dumps
Various
Good
Griffith, South Bend
54
1/i and 3/ ton Pickups
Various
Good
Griffith, South Bend
78
1 Ton Crew Trucks
Various
Good
Griffith, South Bend
3
Cold Planers
Wirtgen 1900
DC
Good
Griffith, South Bend
72
1 Tri -Axle Dump
Mack
I Good
Griffith, South Bend
What equipment do you have available to use for the proposed project? Any equipment to be used by subcontractors
may also be required to be listed by the governmental unit.
5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing
your proposal? Otherwise, please explain the rationale used which would corroborate the prices listed.
Yes, we received quotes from potential subcontractors and suppliers
SECTION III CONTRACTOR'S FINANCIAL STATEMENT
Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required
by statute shall thereby be rendered invalid. The financial statement provided hereunder to the governing body awarding
the contract must be specific enough in detail so that said governing body can make a proper determination of the bidder's
capability for completing the project if awarded.
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 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.
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 PRBLIC WORKS ARE TRUE AND CORRECT.
Dated at South Bend this
24th
day of November, 2020.
%%%911!11101111 Walsh & Kelly, Inc.
SCE LL j• ®," (Name of Organization)
e �Ct
Q�epRATF B Vv V
a
•I �.
(-;—M/M. Peisker, President
i
v, � �. (Title of Person Signing)
..�/W6%NO`�&KNOWLEDGEMENT
STATE OF Indiana ]
) ss
COUNTY OF St. Joseph )
Before me, a Notary Public, personally appeared the above-named John M. Peisker and
swore that the statements contained in the foregoing document are true and correct.
Subscribed and sworn to before me this 24th day of November,. 2020.
X-Ti'sha Krueger, Notary lic
My Commission Expires: June 5, 2022
"�% KRUEGER
PpX PV ,,
ALIShiA
Notary Public, State of Indiana
County of Residence: St. Joseph 'p'sEat =
St. Joseph County
My Commission Expires
June 05, 2022
Form 96 Section II, #2
Subcontractors Used on Public Works Contracts Durint
SUBCONTRACTORS
COMPANY ADDRESS CITY/STATE/ZIP
SEWER
B&DSewer
Deboer Egolf
Delta III
Dyer Construction
Gatlin Plumbing & Heating
Gough, Inc.
Grimmer Construction
Hasse Construction
HRP Construction
Rex Construction
Wirtz & Yates, Inc.
Woodruff & Sons
MILLING
531 Winston Ct
5772 Melton Road
2063 W 1250 S
1716 Sheffield Avenue
1111 E. Main Street
2200 E. 88th Drive
2619 Main Street
10 Lincoln Avenue
5777 Cleveland Rd.
700 Schiller Avenue
P.O. Box 41
P.O. Box 450
the Past 5 Years
Schererville, IN 46375
Portage, IN 46368
Hanna, IN 46340
Dyer, IN 46311
Griffith, IN 46319
Merrillville, IN 46410
Highland, IN 46322
Calumet City, IL 60409
South Bend, IN 46624
Schererville, IN 46375
Kentland, IN 47951
Michigan City, IN 46361
PHONE I FAX
(219) 322-2300
(219) 763-9700
(219) 797-4004
(219) 865-2961
(219) 924-6972
(219) 756-2200
(219) 924-1623
(219 )932-1611
(574)271-7800
(219) 322-8090
(219) 474-6542
(219) 872-8605
(219) 865-0065
(219) 763-9703
(219) 797-3008
(219) 865-2963
(219) 924-1401
(219) 756-2202
(219) 924-0328
(219) 932-6829
(574)271-0524
(219) 322-0031
(219) 8795339
C.E. Hughes Milling, Inc.
3113 Holmans Lane Jeffersonville, IN 47130
(812) 725-8665
(812) 725-8672
Javelina Construction, Inc.
13476 Britton Park Rd. Fishers, IN 46038
(317) 841-8364
(317) 841-0075
Mid America Milling Co.
6200 W. Hwy 62, Ste 400 Jeffersonville, IN 47130
(812) 282-2751
(812) 283-9846
McCrite Milling
209 Quality Ave. Ste 9 New Albany, IN 47150
(812) 941-0252
(812) 941-0852
Specialties Company
9350 E. 30th St. Indianapolis, IN 46229
(317) 594-0291
(317) 594-0271
ELECTRICAL INSTALLATION
Hawk Enterprises
Midwestern Electric
S/T Bancroft Electric
Sweney Electric Company
Trans Tech Electric
SIGN INSTALLATION
Hawk Enterprises
Midwestern Electric
RoadSafe Traffic Systems
State Barricading, Inc.
Traffic Control Specialists, Inc.
PAVEMENT MARKINGS
The Airmarking Company
Blackout Sealcoating
RoadSafe Traffic Systems
State Barricading, Inc.
Traffic Control Specialists, Inc.
Traffic Management Company
TRAFFIC CONTROL
RoadSafe Traffic Systems
Traffic Control Specialists, Inc.
Traffic Management Company
LANDSCAPE
Great American Landscape
Hubinger Landscape
Slusser's Green Thumb, Inc.
1850 E. North St
1620 E. Chicago Ave
25020 State Road 2
9111 Louisiana St.
4601 Cleveland Road
1850 E. North St
1620 E. Chicago Ave
3122 Olympia Dr
24963 U.S. Highway 20
1810 W Pacific Avenue
P.O. Box 526
7440 W. 87th Place
3122 Olympia Dr
24963 U.S. Highway 20
1810 W Pacific Avenue
3542 Highwav Avenue
3122 Olympia Dr
1810 W Pacific Avenue
3542 Highway Avenue
Crown Point, IN 46307
East Chicago, IN 46312
South Bend, IN 46619
Merrillville, IN 46410
South Bend, IN 46619
Crown Point, IN 46307
East Chicago, IN 46312
Lafayette, IN 47909
South Bend, IN 46628
Knox, IN 46534
Rochester, IN 46975
Bridgview, IL 60455
Lafayette, IN 47909
South Bend, IN 46628
Knox, IN 46534
Highland, IN 46322
Lafayette, IN 47909
Knox, IN 46534
Highland, IN 46322
(219) 662-8090
(219) 397-4444
(574)287-6490
(219) 769-6007
(574)272-9673
(219)662-8090
(219) 397-4444
(317) 780-1825
(574) 287-2078
(574) 772-7001
(574) 223-5817
(219) 864-2300
(317) 780-1825
(574) 287-2078
(574)772-7001
(291)746-2433
(219) 662-8093
(219) 397-8888
(219) 769-0565
(574) 271-0144
(219) 662-8093
(219) 397-8888
574) 772-7002
(574) 223-7959
(708) 430-6910
(574) 772-7002
(317) 780-1825
(574) 772-7001 (574) 772-7002
(219) 746-2433
P.O. Box 235 Dyer, IN 46311 (219) 322-7033
210 E. 113th Avenue Crown Point, IN 46307 (219) 662-9911
125 Montgomery Street Logansport, IN 46947 (574) 722-3102
6
(219) 322-4419
(219) 662-6206
(574) 722-1628
T & J Landscape Service 8253 Wicker Avenue St. John, IN 46373 (219) 374-9900 (219) 374-9950 1
GUARDRAIL/FENCING
Acorn Fence
C Tech Corporation
James H. Drew Company
Security Industries
Specialties Company
TRUCKING/HAULING
2041 164th Street
Hammond, IN 46320
(219) 844-8400
(219) 844-8441
5300 W. 100 North
Boggstown, IN 46110
(317) 835-2745
(317) 835-2781
8701 Zionsville Rd.
Indianapolis, IN 46268
(317) 876-3739
(317) 876-3829
1000 Georgiana St.
Hobart, IN 46342
(219) 942-9447
(219) 942-9448
9350 E. 30th St.
Indianapolis, IN 46229
(317) 594-0291
(317) 594-0271
IC. Lee Construction Services 1011 S. Lake St Gary, IN 46403 (219) 888-9554 (219) 888-9564
Condon Trucking, LLC 18245 Amberley Ln South Bend, IN 46637 (574) 360-4326 (574) 271-8984
Fanio Services
28015 SR 23
North Liberty, IN 46554
(574) 233-3236
Gilmer Trucking
20390 New Road
South Bend, IN 46614
(574) 229-3233
Material Transfer Inc.
7811 West 101st Ave.
Crown Point, IN 46307
(219) 865-9575
Morris Motor Service, Inc.
10525 W US Hwy 30 Bid
Wanatah, IN 46390
(219) 733-9430
7
P & C Trucking
4410 Ross Road
Gary, IN 46408
(219) 972-0193
Superior Construction Co., Inc.
1455 Louis Sullivan Dr
Portage, IN 46368
(219) 787-0850
V & R Trucking, Inc.
1845 Elmer St.
South Bend, IN 46628
(574) 329-2102
SRPM'S
K & S Markers, Inc.
2189 N 600 W
Thorntown, IN 46071
(765) 482-6184
(765) 482-6284
UNDERSEAL
Rieth-Riley Construction Co.,
2454 West CR 450 North
LaPorte, IN 46350
(219) 362-6178
Inc.
TREE REMOVAL
Dave's Tree Service
1555 Park West Circle
Munster, IN 46321
(219) 922-9829
(219) 922-9843
Homer Tree Service
14000 S. Archer Ave
Lockport, IL 60441
(815) 838-0320
Timber Masters LLC
P.O. Box 245
Dyer, IN 46311
(219) 864-8733
(219) 322-9391
LIME STABILIZATION
Mt. Carmel Sand & Gravel
1611 College Dr.
Mt. Carmel, IL 62863
(618) 262-5118
(618) 263-4084
Rock Solid Stabilization
5104 Mann Drive
Ringwood, IL 60072
(815) 653-2585
(815) 653-2583
Specialties Company
9350 E. 30th St.
Indianapolis, IN 46229
(317) 594-0291
(317) 5_94-0271
PIPE LINING
Indiana Reline, Inc.
312 E. Main Street
Sulphur Springs, IN
(765) 766-5040
(765) 533-5831
47388
SAW CUTTING
Diamond Coring Co., Inc.
11800 S Ewing Ave
Chicago, IL 60617
(773) 978-5000
Quality Saw & Seal, Inc.
7600 W. 79th Street
Bridgeview, IL 60455
(773) 767-9300
SEAL COATING/STRIPING
Site Services, Inc.
10117 Kennedy Ave
Highland, IN 46322
(219) 924-9944
Blackout Sealcoating
7440 W. 87th Place
Bridgview, IL 60455
(219) 864-2300
(708) 430-6910
UNDERDRAIN
3D Company, Inc.
3200 East CR 350 North
Muncie, IN 47303
(765) 288-3326
(765) 288-3344
7
State of Indiana
Office of the Secretary of State
CERTIFICATE OF EXISTENCE
To Whom These Presents Come, Greeting:
I, CONNIE LAWSON, Secretary of State of Indiana, do hereby certify that I am, by virtue of the laws of
the State of Indiana, the custodian of the corporate records and the proper official to execute this
certificate.
I further certify that records of this office disclose that
WALSH & KELLY INC
duly filed the requisite documents to commence business activities under the laws of the State of
Indiana on March 29, 1966, and was in existence or authorized to transact business in the State of
Indiana on November 20, 2020.
I further certify this Domestic For -Profit Corporation has filed its most recent report required by
Indiana law with the Secretary of State, or is not yet required to file such report, and that no notice of
withdrawal, dissolution, or expiration has been filed or taken place. All fees, taxes, interest, and
penalties owed to Indiana by the domestic or foreign entity and collected by the Secretary of State
have been paid.
In Witness Whereof, I have caused to be affixed my
signature and the seal of the State of Indiana, at the City
of Indianapolis, November 20, 2020
C�LiP� l�►[[�I►.��'I�I�I
194484-057 / 20201725474
All certificates should be validated here: https://bsd.sos.in.gov/validateCertificate
Expires on December 20, 2020.
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:
WALSH - KELLY INC
1700 E MAIN ST
GRIFFITH IN 46319
Phone 219-924,5900
Fax 219-924-8768
Company Official
JOHN PEISKER
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
CERTIFICATION DATE 11/4/2020
EXPIRATION DATE 2/4/2023
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.
t
Tracy L. Cross, Exi>'..live Secretary
Certification Board
DAPW P02 State Forth 3963R Rev. 07/06
WRITTEN CONSENT TO RESOLUTIONS
of the
BOARD OF DIRECTORS
of
WALSH & KELLY, INC.
The undersigned, being all of the Directors of WALSH & KELLY, INC., an Indiana Corporation,
hereby consent to the following actions to be taken by the Corporation without a meeting of the Board of
Directors under the applicable provisions of the Indiana Business Corporation Law, as amended:
RESOLVED that the following be, and hereby are, elected officers of the Corporation, to
hold the office until the next regular meeting of the Board of Directors and until their
successors are duly elected and have qualified:.
John M. Peisker, President
Jeffrey L. Swan, Executive Vice President
John P. Vercruysse, Executive Vice President
Jamie L. Tancos, Vice President of Finance, Secretary & Treasurer
Gregory A. Kelly, Vice President
Charles Potts Jr., Vice President
Albert E.VanDenBergh, Vice President
David L. Franz, Vice President
David J. Misirly, Vice President
Gregory A. Hoffman, Vice President
Dustin P. Hilary, Vice President
Lynn J. Bauer, Vice President
Mark E. Krachenfels, Vice President
RESOLVED FURTHER that the actions of the Officers of the Corporation taken since the
last meeting of the Board of Directors be, and the same hereby are, fully ratified and
approved.
RESOLVED FURTHER that the following be, and they hereby are, authorized to execute
all contracts or similar documents on behalf of the Corporation:
John M. Peisker, President .
Jeffrey L. Swan, Executive Vice President
John P. Vercruysse, Executive Vice President
Jamie L. Tancos, Vice President of Finance, Secretary & Treasurer
Gregory A. Kelly, Vice President
Charles Potts Jr., Vice President
Albert E.VanDenBergh, Vice President
David L. Franz, Vice President
David J. Misirly, Vice President
Gregory A. Hoffinan, Vice President
Dustin P. Hilary, Vice President
Lynn J. Bauer, Vice President
Mark E. Krachenfels, Vice President
RESOLVED FURTHER that this consent shall be in lieu of an annual meeting of the Board
of Directors of the Corporation and shall be filed in the minute book of the Corporation in
place of any such annual minutes.
<<SIGNATURES ON THE NEXT PAGE>>
EXECUTED this 15th day of January, 2020.
Fred Feh.'e feld, Jr. ,
Albert E. VanDenBergh
Kevin J. Kelly
James VFehsenfeld
Ip. Qgn�� �-
`J n P. Vercruysse
EXECUTED this 15th day of January, 2020.
Fred Fehsenfeld, Jr.
r
Albert E. VanDenBergh
Kevin J. Kelly T
James C. Fehsenfeld
John P. Vercruysse
EXECUTED this 15th day of January, 2020.
Fred Fehsenfeld, Jr.
Albert E. VanDenBergh
James C. Fehsenfeld
John P. Vercruysse
K6 `
Kevin J. Kelly
i.:' ?��'•LpRPORATe':c'
r • FF 44 w
N�E ANp t-oti
M0
I
Walsh GRIFFITH SOUTH BEND
ll'
I/ g 11 1700 fast Mafn Street 24358 SR 23
Griffith, Indiana 46319 www.walshkelly.com South Bend, Indiana 46614
Phone (219) 924-5900 Phone (574) 288.4811
Kelly,,,. Fax (219) 924-8768 Fax (574) 289-7174
Equal Employment Opportunity/Affirmative Action Policy Statement
It is the policy of Walsh & Kelly to afford equal opportunity for employment to all individuals regardless
of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, housing
status, or veterans' status. The corporation is committed to this policy by our status as a federally
assisted government contractor. We are far more strongly bound to the policy by the fact that
adherence to the principles involved is the only acceptable American way of life.
Therefore, it is the policy of this corporation to assure that applicants are employed, and that employees
are treated during employment without regard to race, color, religion, sex, sexual orientation, gender
identity, national origin, age, disability, housing status, or veterans' status. Such action shall include:
employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or
termination; rates of pay or other forms of compensation; and selection for training, including
apprenticeship, pre -apprenticeship, and/or on-the-job training.
The successful achievement of a nondiscriminatory employment program requires a maximum of
cooperation between management and employees. In fulfilling its' part in this cooperative effort,
management is obliged to lead the way by establishing and implementing affirmative procedures and
practices which will ensure our objective, namely equitable employment opportunity for all. (Minority
and female employees are encouraged to participate in all company activities and refer applicants.)
Our company will take affirmative action to ensure that we will
(1) recruit, hire and promote all job classifications without regard to race, color, religion, sex,
sexual orientation, gender identity, national origin, age, ancestry, disability, veterans status or housing
status;
(2) base decisions on employment so as to further the principle of equal employment
opportunity;
(3) ensure that promotion decisions are in accord with principles of equal employment
opportunity by imposing only valid requirements for promotional opportunities;
(4) ensure that all personnel actions such as compensation, benefits, transfers, layoffs, return
from layoffs, company sponsored training, education, tuition assistance, social and recreation programs
will be administered without regard to race, color, religion, sex, sexual orientation, gender identify,
national origin, age, disability veterans status or housing status.
I have designated Amy Wright, VP, HR and Talent Development, as the Equal Opportunity Officer to
direct the establishment of and to monitor the implementation of personnel procedures to guide our
affirmative action program. This official is charged with designing and implementing audit and reporting
systems that will keep management informed on a regular basis of the status of equal employment
opportunity and affirmative action. She can be reached at (317)616-4907.
Employees will be made known of our commitment to equal employment through the following means:
Posting of equal opportunity notice on bulletin boards
EOE M/F/Vets/Disabled
Walshf� GRIFFITH SOUTH BEND
■� h 1 1700 East Main Street 24358 SR 23
0)v�� Griffith, Indiana 46319 wwwmalshkelly-com south Bend, Indiana 46614
Phone (219) 924-5900 Phone (574) 288-4811
ylnm Fax (219) 924-8768 Fax (574) 289-7174
Including our equal opportunity statement in our Handbook which is disseminated to all
employees
Annual supervisory training
Potential employees will be made aware of our policy through the following means:
• By including the words "Equal Opportunity Employer" or EOE in all advertisements and notices
for job openings
• Sending notices to union affiliations
• Posting of equal opportunity notice on all company and job site bulletin boards
Except when precluded byvalid bargaining agreements, we will conduct systematic and direct recruitment
through public and private referral sources likely to yield qualified female and minority group applicants.
This recruitment will be conducted by direct and personal contacts with female and minority organizations
in the project area.
All union organizations with which we come into contact, including Laborers, Carpenters Operators, and
Teamsters, will be made aware of, and provided copies of our plan. They will be informed of our desire
for them to implement our program and will be specifically asked to refer females and minority group
employees for employment.
It is our policy that wages, working conditions and employee benefits will be determined and administered
on a non-discriminatory basis. We will conduct periodic reviews of wage rates, employee benefits, and
promotional capabilities to assure they are administered in a non-discriminatory manner.
Supervision has been made to understand that their work performance is being evaluated based on
their equal employment opportunity efforts and results, as well as other criteria. It shall be a
responsibility of the supervision to take actions to prevent harassment of employees placed through
affirmative action efforts.
We shall comply with the Civic Rights Act of 1964, as amended, the Federal Highway Act of 1968, the
Executive Order #11246 and #11375, the Rehabilitation Act of 1973, as amended, the Vietnam Era
Veterans Readjustment Assistance Act of 1974, as amended, the Indiana Civil Rights Act and other
applicable Federal and State Laws and regulations pertaining to equality of Opportunities and
Affirmative Action policies. We have developed an Affirmative Action Program for Veterans and
Individuals with Disabilities.
o
John"Peisker, President, Walsh & Kelly Date
EOE M/F/Vets/Disabled
a 1 L. GRIFFITH SOUTH BEND
■ i 1 I 1 1700 East Main Street 24358 SR 23
0)v
Griffith, Indiana 46319 WWW.Walshkelly.com South Bend, Indiana 46614
Phone (219) 924-5900 Phone (574) 288-4811 Kelh
tne. Fax (219) 924-8768 Fax (574) 289-7174
DATE: April 13, 2020
TO: All Employees
RE: EEO Officer Appointment
Amy Wright, VP, HR and Talent Development, has been appointed Equal Employment
Opportunity Officer for Walsh & Kelly. It is her responsibility to coordinate, advise and assist
management and supervisors in their responsibilities of assuring all applicants and employees'
equal opportunities in all aspects of their employment. She will review complaints that allege
discrimination because of race, religion, color, sex, sexual orientation, gender identity, age,
national origin, disability, housing status or veteran status.
Employees of Walsh & Kelly are to submit any issues or concerns to Amy. We are committed to
comply with the provisions of the Civil Rights Act of 1964 and 1991, plus all Executive Orders
issued relating to Equal Employment.
Amy's contact information is listed below.
Heritage Construction and Materials
P.O. Box 421459
Indianapolis, IN 46242
amv.wright@)milestonelu.com
(317) 616-4907 (o)
(317) 474-2559 (m)
*JoPeiisker, President �.` s) -p-0 ° 1 11
Yom '0
Q-; '
C'ORPOR,gT�•,�,'
*°
e
N `
(iPr#iftcttte of Quawwattoru
ISSUED BY
Glx tMa Rep of�x�t�r .
INDIANAPOLIS, IN
TO
WALSH & KELLY INC
May 21, 2020
GRIFFITH, IN
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 May 21, 2020 Thru April 30, 2021
AGGREGATE.......................................................................................................................
................ $UNLIMITED
A(B)
CONCRETE PAVEMENT: LIMITED.........................................................................................................
$25,000,000
B(A)
ASPHALT PVMT:W/INDOT CERTIFIED HMA PLANT
..........................................................................$UNLIMITED
C(B)
LIGHT GRADING........................................................................................................................................$UNLIMITED
E(E)
SMALL STRUCTURES AND DRAINAGE ITEMS....................................................................................
$25,000,000
E(F)
SURFACE MASONRY AND MISC CONCRETE.......................................................................................
$50,000,000
E(G)
TRAFFIC CONTROL: PAVEMENT MARKINGS......................................................................................
$25,000,000
E(H)
DEEP SEWER AND/OR EXCAVATION....................................................................................................
$25,000,000
E(Q)
CONCRETE PAVEMENT: REPAIRS.........................................................................................................
$25,000,000
E(R)
ASPHALT PAVEMENT MILLING..............................................................................................................
$50,000,000
0S `�j
PREQUALIFICATION ENGINEER
State Form 20508 (R315-05)
COMMISSIONER
PREQUALIFICATION WORKSHEET
ACCT: #35-1120685 ALT ACCT: # 0449 NEW? SUPP?
NAME: WALSH & KELLY INC
December 31, 2019
ASSETS REPORTED
LIABILITIES REPORTED
NET ASSETS REPORTED
09 OMIT NO DETAIL OR QUANTITY
11 OMIT NO DETAIL
15 CASH SURRENDER VALUE
16 OMIT INTANGIBLES
22 DUE AFTER 24 MONTHS
NET FIXED ASSETS
NET FIXED ASSETS EQUIPMENT
NET ACCEPTABLE ASSETS
RATING FACTORS
--------------------------------------------
- ------------------------------------------
RATING COMPONENTS
CURRENT FIXED EQUIPMENT
------------------------------------------------------------ --------------------
$47,119,378.00 $10,219,627.00 $31,032,017.00
($16,158,151.00) ($16,742,213.00)
$30,961,227.00 ($6,522,586.00) $31,032,017.00
MAXIMUM EQUIPMENT
MAXIMUM FIXED
($4,016,185.00)
$0.00
$0.00
($277,917.00)
$0.00
$0.00
$1,390,248.00
($1,390,248.00)
$0.00
$0.00
($864,210.00)
$0.00
$0.00
$13,536,060.00
$0.00
LONG TERM LIABILITIES:
--------------------------------------------------------------
$16,742,213
$0
$0
NET WORTH:
--------------------------------------------------------------
$55,470,656
$28,057,373
$4,759,016
$31,032,017
X 10
X 2
X 8
------------------ —
$280,573,730
$280,573,730
------ ---------------------
-----------------
$9,518,032
$248,256,136
X 1.5
_
$248,256,136
$420,860,595
$0
8.00
$248,256,136
$0
+ $280,573,730
+
---------------
$4,759,016
--------
$528,829,866
$4,759,016
X 0.25
X 2
$132,207,467
--------------------------
ADJ. FIXED
-------------------
$9,518,032
---- -
NOTES:
PRINTED:
BALANCE SHEET ANALYSIS
----------------------------------------
PQA APPROVED:
CURRENT ASSETS:
$47,119,378
----------- ---- --
CURRENT RATIO:
----------------------------------------------
2.916
INVENTORY:
-----------------------------------
$4,016,185
---------------------------
QUICK RATIO:
-------------------------------------------
2.668
CURRENT LIABILITIES:
--------------------------------------------------------------
$16,158,151
WORKING CAPITAL:
------ — ---------------------------------------
$30,961,227
LONG TERM LIABILITIES:
--------------------------------------------------------------
$16,742,213
DEBT/NET WORTH:
0.593
NET WORTH:
--------------------------------------------------------------
$55,470,656
$50,000,000
E(E)
TOTAL LIABILITIES:
$32,900,364
$50,000,000
A(B)
NOTES:
PRINTED:
5/21/2020
PQA APPROVED:
5/7/2002A0
APPROVED BY:
$9,518,032.00
DATE:
5/21/2020
VALID: 5/21/2020
EXPIRES: 4/30/2021
DENIAL DATE:
DENIAL REASON:
COMPONENT
RATING
----------------------------------
CURRENT
— ---------------------
$280,573,730.00
FIXED
$9,518,032.00
EQUIPMENT
$248,256,136.00
MAXIMUM BALANCE
---------------------------------------------------------
$538,347,898.00
STATEMENT TYPE:
AUDITED
EXPER. REDUCTION
0%
AGGREGATE
UNLIMITED
C(B)
UNLIMITED
B(A)
UNLIMITED
E(F)
$50,000,000
E(E)
$25,000,000
E(R)
$50,000,000
A(B)
$25,000,000
E(Q)
$25,000,000
E(H)
$25,000,000
E(G)
$25,000,000
1316 COUNTY -CITY BUILDING PHONE 574/235-9251
227 W. JEFFERSON BOULEVARD FAX 574/ 235-9171
SOUTH BEND, INDIANA 4660 1-1 830 +i P6AC6 f : AS.7 TDD 574/ 235-5567
`'► - i. ,. of
Date:
To:
From
Subject
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: 11/19/20
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: Walsh & Kelly, I
Authorized Signature:
Date:
Version 4/2/2015