HomeMy WebLinkAboutOpening of Quotes - Triumph Court Lighting Addition Proj No. 120-006E - Pemberton Davis Electric�Tx BEd
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CITY OF SOUTH BEND, INDIANA "
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CONTRACTOR'S QUOTE FOR PUBLIC WORK x� x
1865 -
PROJECT NAME: Triumph Court Lighting Addition
PROJECT NO. 120-OOSE
QUOTES DUE December 8th, 2020, 9:00 AM Local Time
Electronic quotes shall be sent to bpwbids0southbend in. oov
(Must be completed for all quotes. Please type or print)
Date_ ra'%'Firm: Pem6cy-taly.
Address: q 16 E Mcui4" &#—
City/State/Zip: N61 Gc a,SN %SSS Telephone Number: (SW
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 specifications prepared by:
The Cit of South Bend, Department of Public Works
and dated Lb�� for the sum of (enter the Total Quote as shown on the Proposal)
(Enter Sum of Total Quote plus Alternates shown on Proposal (Numerical)
If alternative quotes apply, the undersigned submits a proposal for each in accordance with the notice. Any
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 quote is to be awarded on a unit basis, the
itemization of the units shall be shown on a separate attachment.
The above quote is accepted this
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
Elizabeth A. Maradik, Member
Joseph R. Molnar, Member
By
(Signature)
v�f
(Printed Name of Person Signing)
ACCEPTANCE
day of
Jordan V. Gathers, Member
Attest: Linda M. Martin, Clerk
20
Version 2/14/2020 Page - 8 Public Works Quote
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 )
SS:
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, a Contractor is
engaged in investment activities in Iran if either:
i. Contractor, its successor or its affiliate, provides goods or services of twenty million
dollars ($20,000,000) or more in value in the energy sector of Iran; or
ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty
million dollars ($20,000,000) or more in credit to another person for forty-five (45)
days or more, if that person will (i) use the credit to provides goods and services in
the energy sector in Iran; and (ii) at the time the financial institution extends credit, is
a person identified on list published by the Indiana Department of Administration.
4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain
any employee or contract with a person that the Contractor subsequently learns is an unauthorized
Version 2/1412020 Page - 9 Public Works Quote
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, firms, 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 will consider the Contractor's good faith efforts to obtain
participation by those subcontractors 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.
Contractors seeking the award of a City contract cannot be required to award a subcontract to an
MWBE; however, they may not unlawfully discriminate against said MBE/WBE. A finding of
noncompliance or a discriminatory practice shall prohibit that Contractor 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 to 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). I hereby certify that I and all subcontractors employed by me for this project will use steel
Version 2/14/2020 Page -10 Public Works Quote
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. C understand that violations hereunder 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 7 Tom' day of 20 2.a
Subscribed and sworn to before me this 7T*
My Commission Expires �•'/2O
County of Residence
Contractor/Bidder (Firm)
ignature o ontractorlBidder or Its Agent
Printed Name and Title
day of E , 20-2:d
Notary Abicd
ST NQS ,Qf'/
;a rsiv'Pua KEMY M FW148AUGH
-*-'SEAL ice:
My Comnussion Exp�es
Ft ts&y 5 2028
��?FRF 1410e`'
Commission Number NP0726004
St imo co"
Version 2/1412020 Page - 11 Public Works Quote
QUOTE/PROPOSAL
CITY OF SOUTH BEND
PROJECT NAME Triumph Court Lighting Addition
PROJECT NO. 120-006E
December 8th, 2020,9:00 AM Local Time
QUOTES DUE Electronic quotes shall be sent to Ewbids(dsouthbend in.gov
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
1
Light Fixture Type A
4
EA
"�'a�� ,c1D
XybW •mss
2
Lighting Foundation
4
EA
A�
3
Handhole, Fiberglass Reinforced[�,
Polymer Concrete
4
EA
.aa
1
c»
3� u w•"
4
Conduit, PVC, 2", Sch 40
280
LF
Z • �`�
j ��
5
Wire, Copper, No. 4
560
LF`
90
1 %(4 c�
6
Wire, Copper, No. 8
280
LF
•�a
334-, L-vcz'
7
Wire, Copper, No. 10
120
LF
3
.39.
Total Amount of Quote
$ 3q m
Firm: ?I_W6 <-7a1J ,. >A%11s i.L/c
Address: 9 1.6, LE. Av�
City/State/Zip: A4r;LAA />RJij 7-,cl �elephoneNumber: (�7� )� 27Z 7 I
Fax Number: _0, 7,1) 2040-25X5
By
A (Signature)
(Printed Name of Plerson Signing)
Version 2/94/2020 Page - 12 Public Works Quote
Page 1 of 1
QUOTE No.:
02/1220
RE:
' DAVIS
City of South Bend - 120-006E
Triumph Court Lighting Addition
TO:
916 East Mckinley Avenue
Mishawaka, Indiana 46544
Phone: (574) 277-7001
Fax: (574) 204-2565
DATE:
December Sth 2020
INE
QTY
UNIT
DESCRIPTION
UNIT
COST
TOTAL COST
1
4
Each
Light Fixture Type A
7,000.00
28,000.00
2
4
Each
Lighting Foundation
850.00
3,400.00
3
4
Each
Handhole, Fiberglass Reinforced Polymer Concrete
950.00
3,800.00
4
280
LFT
Conduit, PVC, 2", SCH 40
12.00
3,360.00
5
560
LFT
Wire, Copper, No. 4
1.90
1,064.00
6
280
LFT
Wire, Copper, No. 8
1.20
336.00
7
120
LFT
Wire, Copper, No. 10
0.30
36.00
TOTAL
39,996.00
TERMS : NOTE: THE ABOVE ITEMS ARE QUOTED AS A COMPLETE
PACKAGE. NO ITEM MAY BE DELETED WITHOUT PRIOR
APPROVAL.