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Home My WebLink AboutOpening of Quotes - West Side Quiet Zone Improvements - Median & Curb Proj No. 117-114A - Walsh & Kelly, Inc.'Th CITY OF SOUTH BEND, INDIANA F 1,01 CONTRACTOR'S QUOTE FOR PUBLIC WORK PROJECT NAME: PROJECT NO. QUOTES DUE WEST SIDE QUIET ZONE IMPROVEMENTS - MEDIAN & CURB 117-114A December 8. 2020 by 9:00 AM Local Time (Must be completed for all quotes. Please type or print) Date: 12/8/20 Firm: Walsh & Kelly, Inc. Address: 24358 SR 23 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: West Side Quiet Zone Improvements - Median & Curb the City of South Bend, Indiana, in accordance with plans and specifications prepared by: The City of South Bend, Department of Public Works and dated —September 1 2019 for the sum of (enter the Total Quote as shown on the Proposal) Forty six thousand five hundred dollars and zero cents c_$ 46,500.00 (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 to be awarded on a unit basis, the itemization of the units shall �q hlpp#n on a separate attachment. / % ELE�-'r�o `e �c� tea,.,....••, f, '.P By C) B ~ `.•"r ��'V O R A TF% . %•' (Signature) t to Dustin Hilary, VP of South Bend Area _ 19 (Printed Name of Person Signing) i1 . • '�.1•. AL bre a ACCEPTANCE The above quis day of 20 Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member Joseph R. Molnar, Member Version 2/14/2020 Member Jordan V. Gathers, Member Attest: Linda M. Martin, Clerk Page - 7 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 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, 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 2/14/2020 Page - 8 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 - 9 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. I 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 8th day of Dec , 2020 Cb r � /NDINZZI 1i�1B Subscribed and sworn to before me this My Commission Expires 6/5/22 nc. ignature of Contractor/Bidder or Its Agent Dustin Hilary, VP of South Bend Area Printed Name and Title 8th day of ecember , 2020 Nota ublic i ha Krueger County of Residence St. Joseph ...,,,,, ALISH,4 KRUEGER PP�•pU9'4 Notary Pubho, State of Indiana }��" St. Joseph County _; SEAL;` Ny Gommisslon Expires y June 05, ?0 22 Version 2/14/2020 Page - 10 Public Works Quote QUOTE/PROPOSAL CITY OF SOUTH BEND IAG5 WEST SIDE QUIET ZONE IMPROVEMENTS - MEDIAN PROJECT NAME CURB PROJECT NO. 117-114A QUOTES DUE December 8, 2020 by 9:00 AM Local Time Base Quote - Ford Street Item No. Description Quantity Unit Unit Price Total Amount 1 Construction Engineering 1 LS 1,087.00 $1,087.00 2 Mobilization & Demobilization 1 LS 8,800.00 $8,800.00 3 Pavement Removal 56 SYS 48.00 $1,632.00 4 Compacted Aggregate, No. 73 22 TON 168.00 $9,408.00 4 Center Curb, D, Concrete 56 SYS 83.00 $1,826.00 5 Curb, Concrete 57 LFT 153.00 $8,568.00 5 Construction Sign, A (W20-1) 3 EACH 94.00 $282.00 6 Construction Sign, B (G20-2) x 3 0 EACH SEE BASE BID SEE BASE BID ***Included in Base Bid*** 7 EACH 65.00 $455.00 Construction Sign, B (R4-7) x 4 Construction Sign, A (W21-5) 1 EACH Total Amount of Base Quote $28,600.00 Alternate Quote — Grandview Avenue Item No. Description Quantity Unit Unit Price Total Amount 1 Construction Engineering 1 LS 1,087.00 $1,087.00 2 Mobilization & Demobilization 1 LS 4,882.00 $4,882.00 3 Compacted Aggregate, No. 53 34 TON 48.00 $1,632.00 4 Compacted Aggregate, No. 73 22 TON 83.00 $1,826.00 5 Curb, Concrete 57 LFT 147.00 $8,379.00 6 Construction Sign, A (W20-1) x 2 0 EACH SEE BASE BID SEE BASE BID ***Included in Base Bid*** 7 Construction Sign, A (W21-5) 1 EACH 94.00 $94.00 Construction Sign, B (G20-2) x 2 0 EACH SEE BASE BID SEE BASE BID L8 *** Included in Base Bid*** Total Amount of Alternate Quote $17,900.00 Version 2/14/2020 Page - 11 Public Works Quote Bidder(Firm): Address: City/State/Zip Telephone Number: Fax Number - Walsh & Kelly, Inc. 24358 SR 23 South Bend,IN 46614 5288-4811 74 By: I (Signature) Austin P. Hilary, VP of South Bend Area (Printed Name of Person Signing) `�R`1�tie�@Illlg/ ELLY 1. ..�pORATF•.C> °• do • ® •: a 0 /N D I NDI @@@@rye Part of State Form52414 (R212.13) Form 96 (Revised 2013) BID OF Walsh & Kelly. Inc. (Contractor) 2A3.58 SR 23 (Address) South Bend IN 46614 FOR PUBLIC WORKS PROJECTS OF City of South Bend, Indiana West Side Quiet Zone Improvements — Median & Curb Proiect No. 117-114A Filed December 8th. 2020 Action taken State Form 52414 (R / 9-10) Prescribed by State Board of Accounts _ Farm No. 96 (Revised 2013) CONTRACTOR'S BID FOR PUBLIC WORK — FORM 96 PART 1 (To be completed for all bids. Please type or print) 1. Governmental Unit (Owner): 2. County: 3. Bidder (Firm): Address: City/State: 4. Telephone Number: 5. Agent of Bidder (If applicable): Date (month, day, year): December 8th, 2020 City of South Bend, Indiana St. Jos h 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 The City of South Bend, Department of Public Works and dated September 1, 2019 for the sum of Forty-six thousand five hundred dollars and zero cents $46,500.00. 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. The above bid is accepted this Contracting Authority Members: day of ACCEPTANCE subject to the following conditions: 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) December 9, 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 1. 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 May 2019 Walsh Construction $ 5,489,454 Resurface November 2019 Lake County Hwy 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 3 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 3 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 Gough, Inc. 2200 E. 88t' Dr., Merrillville, IN 46410 Mr. Raymond Gough Dyer Construction Co., 1716 Sheffield Avenue, Dyer. IN Janet Furman Grimmer Construction Co., Inc. 2619 Main Street, Highland, IN Mr. Greg Grimmer SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. 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 2. 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 3. 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 5 Asphalt Plants DESCRIPTION, SIZE, CAPACITY, ETC. CONDITION YEARS OF SERVICE PRESENT LOCATION Various Good Griffith, South Bend, Valparaiso, Lowell, LaPorte 19 Asphalt Pavers Various Good 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 '/2 and 3/ ton PiclaTs 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 Tri -Axle Dump Mack Good Griffith, South Bend 4. 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 4 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 8a' day of December, 2020. stin ACKNOWLEDGEMENT STATE OF Indiana ) ss COUNTY OF St. Joseph ] of Organization) VP of South Bend Area (Title of Person Signing) Before me, a Notary Public, personally appeared the above-named Dustin Hilary and swore that the statements contained in the foregoing document are true and correct. Subscribed and sworn to before me this 8th day of December, 2020. My Commission Expires: June 5. 2022 lisha Krueger, Notary ublic ;1111771jJJ, ALISHA KRUEGER =`•:PPY PU'a Notary Public, State of Indiana L.SEAL;"' St. JosephCounty County of Residence: St. Joseph *'. *� My Commissidn Expires ''i� JDI ` June 05, 2022 �JJ/17111t1�� Form 96 Section II, #2 Subcontractors Used on Public Works Contracts SUBCONTRACTORS the Past 5 Years COMPANY ADDRESS CITY/STATE/ZIP PHONE FAX 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 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 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 (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 19)8795339 MILLING 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 Companv LANDSCAPE 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 Hiahwav Avenue 3122 Olympia Dr 1810 W Pacific Avenue 3542 Hiqhwav 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 (219) 662-8093 (219) 397-8888 (219) 769-0565 (574) 271-0144 (219) 662-8093 (219) 397-8888 (574)772-7002 (574) 223-5817 (574) 223-7959 (219) 864-2300 (708) 430-6910 (317) 780-1825 (574) 287-2078 (574)772-7001 (574)772-7002 (291) 746-2433 (317) 780-1825 (574) 772-7001 (574) 772-7002 (219) 746-2433 Great American Landscape P.O. Box 235 Dyer, IN 46311 (219) 322-7033 (219) 322-4419 Hubinger Landscape 210 E. 113th Avenue Crown Point, IN 46307 (219) 662-9911 (219) 662-6206 Slusser's Green Thumb, Inc. 125 Montgomery Street Logansport, IN 46947 (574) 722-3102 (574) 722-1628 T & J Landscape Service 8253 Wicker Avenue St. John, IN 46373 (219) 374-9900 (219) 374-9950 GUARDRAIL/FENCING Acorn Fence 2041 164th Street Hammond, IN 46320 (219) 844-8400 (219) 844-8441 C Tech Corporation 5300 W. 100 North Boggstown, IN 46110 (317) 835-2745 (317) 835-2781 James H. Drew Company 8701 Zionsville Rd. Indianapolis, IN 46268 (317) 876-3739 (317) 876-3829 Security Industries 1000 Georgiana St. Hobart, IN 46342 (219) 942-9447 (219) 942-9448 Specialties Company 9350 E. 30th St. Indianapolis, IN 46229 (317) 594-0291 (317) 594-0271 TRUCKING/HAULING C. 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 (219) 322-9391 Gilmer Trucking 20390 New Road South Bend, IN 46614 (574) 229-3233 Material Transfer Inc. 7811 West 101 st Ave. Crown Point, IN 46307 (219) 865-9575 (618) 263-4084 Morris Motor Service, Inc. 10525 W US Hwy 30 Bid Wanatah, IN 46390 (219) 733-9430 (815) 653-2583 Specialties_ Company 7 Indianapolis, IN 46229 (317) 594-0291 (317) 594-0271 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 (765) 533-5831 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) 594-0271 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 General Form No. 96-a Prescribed by the State Board of Accounts of Indiana. Revised 1949. Standard Questionnaires and Financial Statement for Bidders Prescribed by THE STATE BOARD OF ACCOUNTS OF INDIANA For use in investigating and determining the qualifications of bidders on public construction when the aggregate cost of any such work or improvement will be Five Thousand Dollars or more. These statements to be submitted under oath by each bidder with and as a part of his bid, as provided by Chapter 306, page 1248, Acts of 1947 Submitted to City of South Bend, Indiana By Walsh & Kelly, Inc. Address 1700 E. Main St. Griffith. IN 46319 Date submitted December 8', 2020 Filed A.E. BOYCE CO., MUNCIE, IND. 1 IA Corporation Sec. 2 of an Act entitled "AN ACT concerning the awarding of contracts for the performance of public work and authorizing the board of accounts to prescribe certain forms to be used in ascertaining the responsibility of contractors who submit bids for the performance of such work, providing for plans and specifications, providing for bids repealing certain laws and declaring an emergency." (Approved March 13, 1947.) Sec. 2. Whenever the aggregate costs of any work or improvement will be five thousand dollars ($5,000.00) or more, for the purpose of enabling such board, commission, trustee, officer or agent to ascertain and determine which of the bidders submitting bids for the performance of any such public work is, in the judgment of such board, commission, trustee, officer or agent, the lowest and/or best bidder and to exercise intelligently the discretion hereby conferred on such board, commission, trustee, officer or agent each bidder shall be required to submit under oath with and as a part of his bid a statement of his experience, his proposed plan for performing such work and the equipment which he has available for the performance of such work and a financial statement. The statements hereby required shall be submitted on forms which shall be prescribed by the state board of accounts. The forms so prescribed shall be designated, respectively, as the experience questionnaire, the plan and equipment questionnaire and the contractor's financial statement, and shall be based, so far as applicable, on the standard questionnaires and financial statement for bidders as approved and recommended by the joint conference on construction practices, for use in investigating the qualifications of bidders on public construction work, and the forms so prescribed are hereby prescribed as the forms which shall hereafter be used by all such boards, commissions, trustees, officers and agents in obtaining the information which is required in the administration of this act. If the information submitted by any bidder on the forms herein prescribed is found, on examination, to be unsatisfactory, the bid submitted by such bidder shall not be considered. (Bums Statutes 1933, See. 53-109) Sec. 2, Chapter 306, Acts of 1947. TO THE BIDDER— The following forms of questionnaires and financial statement are prescribed by the State Board of Accounts in conformity with the statute set out on the preceding page. These forms, properly filled out and attested, must accompany each bid of five thousand dollars or more on any public work. The forms are designed to cover all contracts for all kinds of work and the bidder is required to answer such questions as are pertinent to the work upon which he is bidding. The purpose of the questionnaire and financial statement, as set forth in the law, is to enable the awarding body to determine the qualifications of the bidder to carry out successfully the contract if the same is awarded to him. The bidder will find it to his advantage to answer fully all questions coming within the range of the work upon which he is bidding. Particular attention should be given the "Financial Statement" and the details relative to the assets and liabilities set out. This form is made in extensive detail so that the bidder may explain his assets and liabilities in proper sequence and in a uniform manner. T. M. HINDMAN, State Examiner Submitted by Walsh & Kelly, Inc. { x A Corporation Principal Office at 1700 East Main Street, Griffith. IN 46319 To, City of South Bend, Indiana EXPERIENCE QUESTIONNAIRE The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to interrogatories hereinafter made. 1 0-1 3 How many years has your organization been in business as a general contractor under your present business name? 54 Years How many years experience in asphalt paving construction work has your organization had: (a) As a general contractor 73 years (b) As a sub -contractor 73 Years What projects has your organization completed? Contract Amount Class of Work When Completed Name and Address of Owner $ 12,170,428 Reconstruction May. 2019 Walsh Construction $ 5,489,454 Resurface November 2019 Lake County Hwy D t $ 4,356,212 Resurface December 2019 CitZ of Crown Point $ 3,180,214 Resurface December 2019 St. Joseph County Hwy Dept 3-A. What projects has your organization now in process of construction? 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 2020 South Bend Regional Airport 4. Have you ever failed to complete any work awarded to you?_ No _ If so, where and why? 5. Has any officer or partner of your organization ever been an officer or partner of some other organization that failed to complete a construction contract? No If so, state name of individual, other organization and reason therefore_ 6. Has any officer or partner of your organization ever failed to complete a construction contract handled in his own name? No If so, state name of individual, name of owner and reason therefor 7. In what other lines of business are you financially interested? 4 For what corporation or individuals have you performed work, and to whom do you refer? BP Amoco Whitip = Indiana Tonn & Blank Construction 1623 Greenwood Ave., Michigan City, IN 46360 Grimmer Construction Co Inc. 2619 Main Street, Highland, IN 46322 _ University of Notre Dame, South Bend, Indiana Gough, Inc.. 1151 E. Summit. Crown Point, IN 46307 9. For what cities have you performed work and to whom do you refer? Town of Griffith Director of Public Works Griffith. IN Town of Schererville Town Manager Schererville, IN City of Hammond City Engineer _ Hammond, IN City of South Bend City Engineer South Bend, IN Town of St. John Town Manager St. John, IN 10. For what counties have you performed work and to whom do you refer? Lake County Highway YEARS OF CONSTRUCTIO N EXPERIENCE Superintendent Crown Point, IN Porter County Highway 35 Superintendent Valparaiso, IN St. Joseph County HighwayHighw4y 40 Su erintendent South Bend IN Elkhart County Highway 35 Superintendent Elkhart, IN Laporte County Highway 33 Superintendent Laporte, IN 11. For what State bureaus or departments have you performed work and to whom do you refer? Indiana Department of Transportation i INDOT LaPorte District Laporte IN Department of Natural Resources _ Indianapolis, IN 12. Have you ever performed any work for the U.S. Government Yes If so, when and to whom do you refer? U.S. Army Corps of Engineers Chicago, IL Indiana National Guard, Dept. of Administration Indianapolis, IN Federal Highway Administration Sterling, VA 13. What is the construction experience of the principal individual of your organization? INDIVIDUAL'S NAME PRESENT POSITION OR OFFICE YEARS OF CONSTRUCTIO N EXPERIENCE MAGNITUDE AND TYPE OF WORK IN WHAT CAPACITY John M. Peisker President 35 All Types General Manager Mark S. Andrews Exec. Vice President 40 All Types General Manager David J. Misirl . Vice President 35 Bituminous Paving Engineer Greg A. Hoffman Vice President 33 Bituminous Paving Engineer Jamie L. Tancos Vice President, Secre /Treasurer 16 Administration General Manager Lynn J. Bauer South Bend Operations Manager 25 All types Engineer Dustin P. Hilary South Bend Area Manager 20 All types Engineer Mark E. Krachenfels Vice President 30 All types Engineer Nikolas G. Relias i Project Manager 18 Bituminous Paying I Engineer PLAN AND EQUIPMENT QUESTIONNAIRE The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to interrogatories hereinafter made. 1. In what manner have you inspected this proposed work? Explain in detail. Plans, Specifications, and Site Inspections 2. Explain your plan or layout for performing the proposed work As directed by owner/engineer 3. The work, if awarded to you, will have the personal supervision of whom? John M. Peisker, Mark S. Andrews, David J. Misirly, Gregory A. Hoffinan, Dustin P. Hilary, and Lynn J. Bauer 4. *Do you intend to do the hauling on the proposed work with your own forces? Yes If so, give amount and type of equipment to be used As needed 5. *If you intend to sublet the hauling or perform it through an agent, state amount of sub -contract or agent's contract, and if known, the name and address of sub -contractor or agent, amount and type of his equipment and financial responsibility Items 4,5,6 and 7 may not be applicable in all building contracts; if not, omit. 6. *Do you intend to do the grading on the proposed work with your own forces? If so, give type of equipment to be used _ _ 7. *If you intend to sublet the grading or perform it through an agent, state amount of sub -contract or agent's contract, and, if known, the name and address of sub -contractor or agent, amount and type of his equipment and financial responsibility 8. Do you intend to sublet any other portions of the work? If so, state amount of sub -contract, and, if known, the name and address of the sub -contractor, amount, and type of this equipment and financial responsibility 9. From which sub -contractors or agents do you expect to require a bond? None 10. What equipment do you own that is available for the proposed work? 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 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 % 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 Good Griffith, South Bend 11. What equipment do you intend to purchase for use on the proposed work, should the contract be awarded to you? QUANTITY ITEMf DESCRIPTION, SIZE, CAPACITY, ETC. APPROXIMATE COST None 12. How and when will you pay for the equipment to be purchased?. N/A 13. Do you propose to rent any equipment for this work?No If so, state type, quantity and reasons for renting 14. Have you made contracts or received firm offers for all materials within prices used in preparing your proposal? Do not give names of dealers or manufacturers Dated at South Bend this 8t' day of December, 2020. � `t%d� o.gy KLt }' r�i, Walsh & KdK21nc. ��c��`:''• ` (Name of O do �epORAiF . :.3 s � ® By n Hi rY '• a of South Bend Area '�i�i A • ��` �.`� (Title of Person Signing) STATE OF Indiana Iss. COUNTY OF St. Joseph Dustin Hilary being duly sworn deposes and says that he is VP of South Bend Area of the above Walsh & Kelly. Inc. (Name of Organization) and that the answers to the questions in the foregoing questionnaires and all statements therein contained are true and correct. Subscribed and sworn to before me this 81 day o ' Decemeber, 2020. Alisha Kru r, Notary Public My Commission expires June 5, 2022 r`""'' ✓, ALISHA KRUEGER 8 Notary Public, State of Indiana .._`:SEAL.' st.JosephCounty * * My Commission Expires "✓DI A�'YP�� ,dune 05, 2022 Contractor's Financial Statement Submitted by Walsh & Kelly Inc. {x A Corporation With principal office at 1700 E. Main St, Griffith, IN 46319 To City of South Bend, Indiana Condition at close of business December 31, 2019 ASSETS 1. Cash: a On hand $ 13.961 In Bank $ 10.148.546 C Elsewhere $--- _..._...._(_) ... ..1_..._..._......___._._.__._„_......_._..-_-.--,,z.._(__)__.__._._...._.__.__._._.______._..._.__._....--.--._........._._. 2. -Notes receivable..._.(a..). Due within 90._days...._..._.._._............................ _._._._._...---.........._..._------...._.._----._......_......----•----.......-_ ....._._ (b) Due after 90 days _ .......... ...._........................................................... .c Past due - - ._._......._... --.._._..............._......... _._............... - --._..._............ __......... ..._............. _... -_--._..._.............. _._._...----._............... _._.__................... ........... ._._...._..._......................_..._. 3. Accounts receivable from completed contracts, exclusive of claims not approved for paym 4. Sums earned on uncompleted contracts as shown by engineer's or architect's estimate (a) Amount receivable after deducting retainage ... .... _.._ .. _.__ __........ -- -. _. __ _........................... _..._._.. (b) Retainage to date, due upon completion of contracts ........... __._.._. _.... 5. ts receivable Accounts from sources other than construction contracts __._.........._._........._._._......._..._._....._._......._.............._....._.... - - :- - - - ---- ...._._....__...... ----............. ..... --._......_._.......---.... .--- ... _................. _._ 6. Deposits for bids or other guarantees:(a) Recoverable with 90 days (b) Recoverable after 90 days --...... ...._..__ - ..._ _.....__ 7. Interest accrued on loans securities etc. ... ...._._.... _._......_........._...._...----..... _.._.........._...._....-... -.-...'----._......_._.............__z..._......__._..._...... ..... _._........................................_.... - - .......... .... ....... --.......... ........ ..._........._._......._._.................. 8. Real estate: (a) Used for business purposes __.._._.__..........__..._._._....._._..__.................. _._.._._............_...__._._..._._...._._......._........___._...._......__._..._...._... _._..... _........... _... ...... _.__... ...................... _._... .............. (b) Not used for business purposes -. ............_........._.._._ .. _......... ..........._..... ... .. _._...... ........_..._. _..._... 9. Stocks and bonds (a) Listed - present market value (b) Unlisted present value 10. Materials in stock not included in Item 4 (a) For uncompleted, contracts (present value) .... .... ..... ----....... _........ - ......... _.................................._.. . ......_........_..................-- (b) Other materials (present value) 11. Equipment, book value ...................... .... ..... _.....__.... -..... .............. .... ................... _................. . - _._...-................. -........................ ................... 12. Furniture and fixtures, book value ... -.... --...... .... _............. .................................... -.....-_-.......__..-_........._._._._.--._......---......._...-----.......... 13. Other assets LIABILITIES _j �Notespayable: _.__...(a) To banksregular_......_...._.._._._...._......... _....... (b) To banks for certified checks __....._.__...._._.................._. _._ ._ ._._._( )._To others for equipment obli (d) .To others exclusive of equil 2 Accounts payable (a) Not past due (b) Past due ..............................................................._._.........._..._........_._.._._..._._._...............__._._....__._......__......_...._...._......_............__......._._ 3. Real estate encumbrances 4. Other liabilities 5. Reserves ._........._...._..._............._._....._.... _.......... _....................---.----................_........__._.._....._...._ ......... ................... ... 6. Capital stock paid up: (a) Common ._...... _......... _...... mmon _ . ___.__Co __..._... _. ......... ...... _............. ____ (c) Preferred _...... -..._................._..._......._......_._........_........_._.__._.. _.... _.... ...................................... -....... - (d) Preferred __...-- ...... -- - ...._.......__._....--- -_._..._......... _._......_........ - ...._............... -... ...-- 7. Surplus (net worth) CONTINGENT LIABILITIES ...._..._._._......._............_.._....................._........---._._._......_.._......_............._.__._ ._ ..............._._..__........._........__......._................._.._......_....__.._._...... 1. Liabil. -._......_......._._......_._........._._..._...._._..........._....__._._....__....---._..............._._..........__.._.............._.._........._._._..._...._._. 2. Liability on accounts receivable, pledged, assigned or sold ....._._... ........... _.............. 3. Liability as bondsman _-- .....- .................. .... ....... .................. .......................... _..... 4. Liability as guarantor on contracts or on accounts of others 5. Other continent liabilities Total 9 Total assets Total liabilities liabilities Dollars and Cents. 10,162,507 ....... 0 0 0 0 _...-__ __._._......._..___. 9,1.92,382 1,231,680 89,416 ................... 1,475., 0 ....- .._........... ......... - . 0 7,456,927 0 ........... ..........-0 ................................... 0 4,016,185 0 ....................... . ...... _.. 30,023,932 508,243 5,187,696 88,371,020 0. .._..._..-------......._.._..... 16,310,164 0 5,884,775 0 .._............... --- .... _... _.......... 0 _._..... _...... ........... ._...__..... 7,705,425 0 10,000 0 ........... ........ _.. . _. _.... _.. _.._........._._..._......_._._.. . 0 ....... .......... ..... _._........... 55,460,656 88,371,020 DETAILS RELATIVE TO ASSETS (a) on hand. ............._._..................._...................._._._._.........._..._.........._...._......................................._._._......._...-._.......__._._.................._...._.._._._._. ...... ._.._.......... 13,961_..... Cash (b) deposited in banks named below 10,148,546 _ ................. .................... ._._._..._.......... _._.__._............. _._._................ _... ................... _... .......... _.......... _._._...._......._......... ........................ ._......._..... ............ .._._._............ ............. _._._.... _._._._._......._._..................... ._._...._...._.. c elsewhere -(state where 0 NAME OF BANK LOCATION DEPOSIT IN NAME OF AMOUNT Centier Bank Mishawaka, IN Walsh & Kelly Inc. 9 637,256 Centier Bank Mishawaka, IN Omega Trucking Co. Inc. 377,478 Centier Bank Mishawaka, IN South Bend Transfer Ltd. 68,353 Centier Bank Mishawaka, IN WK Land Acquisition, LLC 65,459 (a) due within 90 days..._._................._._._..................._._...._..._.._........_...._............._._._.___._ * Notes receivable (b) due after 90 days 0 _.........._.........._----.._............_.._..._.-._._............._.._._._..................._...._._.......-........................._._......._..._..................._..._......._.........................._.__...._._......._._......._......._._.._._.........._..................... c past due 0 RECEIVABLE FROM: NAME AND ADDRESS I FOR WHAT I DATE OF MATURITY I HOW SECURED AMOUNT Have any of the above been discounted or sold? No If so, state amount, to whom and reason N/A 3 * Accounts receivable from completed contracts exclusive of claims not approved for payment $20,500,577 NAME AND ADDRESS OF OWNER NATURE OF CONTRACT AMOUNT OF CONTRACT AMOUNT RECEIVABLE City of G IN 2 contracts) Asphalt Paving 3,408,621 3,050,659 City of Crown Point 1 contract) Asphalt Paving 4,356,212 941,425 BP/Amoco Oil Q contracts Asphalt Paving 2,670,470 543,993 GE Marshall(6 contracts) Asphalt Paving 1,629,010 656,239 Panzica Construction ( 3 contracts) Asphalt Paving 1,209,197 920,170 Other/Misc. Asphalt Paving 1,665,113 14,388,091 Have any of the above been assigned, sold, or pledged? No If so, state amount, to whom, and reason 4 * Sums earned on uncompleted contracts, as shown by engineer's or architect's estimate: (a) Amount receivable after deducting retainage_ $ 9,192, 382 (b) Retainage to date due upon completion of contract $ 1,231,68 DESIGNATION OF CONTRACT AND NAME AND ADDRESS OF OWNER AMOUNT OF CONTRACT AMOUNT EARNED AMOUNT RECEIVED RETAINAGE WHEN DUE AMOUNT AMOUNT EXCLUSVIE OF REATINAGE INDOT 7 contracts) 32,295,866 29,673 032 28.724 965 2020 ---- 948.067 City of East Chicago (1 contract) 757,212 461 1416 46,298 2020 50,771 456,943 City of Mishawaka (2 contracts) 3,484 400 3,176,683 2,092,189 2020 141,286 943,208 Town of Lowell (1 contract) 2,681 387 2,546,950 1,665,113 2020 263,092 618,745 Other/Misc 75,608,174 31 613 665 24,611,715 2020 776,531 6,225 419 Totals 114,827,039 67,471,746 57,047,684 1,231,680 9,192,382 Have any of the above been sold, assigned, or pledged? No If, so, state amount, to whom and reason, *List separately each item amounting to 10 per cent or more of the total and combine the reminder. 10 DETAILS RELATIVE TO ASSETS 5* Accounts receivable not from construction contracts $ 89,416 RECEIVABLE FROM: NAME AND ADDRESS I FOR WHAT WHEN DUE AMOUNT Misc. Employees/other I Advances/Other $ 89.416 What amount if any is past due 6' Deposits with bids or otherwise as guarantees $1.475 DEPOSITED WITH: NAME AND ADDRESS FOR WHAT WHEN RECOVERABLE AMOUNT Bid deposits _ Various $1,475 7 Interest accrued on loans, securities etc. $ 0 ON WHAT ACCRUED TO BE PAID WHEN AMOUNT None 8 Real estate (a) Used for business purposes $7,456,927 Book value (b) Not used for business purposes DESCRIPTION OF PROPERTY IMPROVEMENTS TOTAL BOOK VALUE NATURE OF IMPROVEMENTS BOOK VALUE 1 Land 3,999 387 2 Buildings & Land Improvements 3,457,540 3 4 5 6 7 LOCATION HELD IN WHOSE NAME ASSESSED VALUE AMOUNT OF ENCUMBRANCES 1 2 3 4 5 6 7 *List separately each item amounting to 10 per cent or more of the total and combine the reminder. 11 9 Stocks and Bonds: (a) Listed -present market value (b) Unlisted -present value $ 0. $ 0. DESCRIPTION ISSUING COMPANY LAST INT. OR PAR DIV. PAID VALUE DATE % PRESENT MARKET VALUE QUANTITY AMOUNT 1 None Construction Equipment Various 30,619,481 15:975,781 2 Trucks & Trailers Various 13,795,739 6,855,724 3 Shop, Lab & Radio Equipment Various 589,373 462,406 1 4 5 6 7 WHO HAS POSSESSION IF ANY ARE PLEDGED OR IN ESCROW, STATE FOR WHOM AN D REASON AMOUNT PLEDGED OR IN ESCROW 1 2 3 4 5 6 7 Materials in stock and not included in Item 4, Assets: 10 (a) For use on uncompleted contracts (present value) $4,016,185 (b) Other materials (present value) DESCRIPTION OF MATERIAL QUANTITY PRESENT VALUE FOR UNCOMPLETED OTHER CONTRACTS MATERIALS Liquid Asphalt 467 Fuel oil 42,951 A¢ereeates 3.276.797 Plant Mix and other inventor- 388,621 Recycled Materials 307,349 11 * Equipment at book value $ 30.023.932 QUANT DESCRIPTION AND CAPACITY OF ITY ITEMS AGE OF ITEMS PURCHASE PRICE DEPRECIATION CHARGED OFF BOOK VALUE Plant Equipment Various 22,526,955 14 213,705 8,313,250 Construction Equipment Various 30,619,481 15:975,781 1-416-43-1700 Trucks & Trailers Various 13,795,739 6,855,724 6,940,015 Shop, Lab & Radio Equipment Various 589,373 462,406 1 126,967 Are there any liens against the above? No Is so, state total amount *If two or more items are lumped above, give the sum of their ages. 12 $ 0 DETAILS RELATIVE TO ASSETS Continued 12 Furniture and fixtures at book value $508,243 13 Other assets $ 5,187,696 DESCRIPTION AMOUNT Construction in progress 1,008,084 Prepaid ex enses & other assets, including intangibles 2,487,513 Costs & Earnings in Excess of Billings 1,692,099 TOTAL ASSETS $ 88,371,020 DETAILS RELATIVE TO LIABILITIES Payable: 1 Notes (a) To banks, regular _ $ 3.000,000 (b) To banks, for certified checks $ 0 (c) To others for equipment obligations $ 16,310,164 (d) To others exclusive of equipment obligations $ 0 TO WHOM: NAME AND ADDRESS WHAT SECURITY WHEN DUE AMOUNT Centier Bank 3,000 000 Equipment Suppliers/Financing Suppliers/Financing Various 16,310,164 Deferred Compensation 1,390,248 Accrued Pro eny Taxes 449,333 2 Accounts payable: (a) Not past due _ $ 5.884,775 b Past due $ 0 TO WHOM: NAME AND ADDRESS FOR WHAT DATE PAYABLE AMOUNT Various Materials 2,267,365 Subcontractors 3.617,410 3 Real estate encumbrances (See Item 8, Assets) 4 l Other liabilities $ 7,705,425 DESCRIPTION AMOUNT Accrued Wages/Taxes 3,044,915 Billings in excess of Costs and Estimated Earnings 1,329,616 Deferred Compensation 1,390,248 Accrued Pro eny Taxes 449,333 Other Current Liabilities 1,491,313 5 � Reserves $ 0 INTEREST I INSURANCE I BLDG. & FDCT. I PLANT DEPR. I TAXES BAD DEBTS 6 Capital stock paid up: (a) Common _ _ $ 10,000 (b) Preferred $ 0 7 Surplus ` _ _ _ 13 $ 55,460 656 TOTAL LIABILITIES $88,371,020 If a corporation answer this: Amount for which incorporated $211,072 Capital paid in cash $534.752 When incorporated 1966 In What State Indiana Names and titles of all persons having authority to execute and receipt estimate vouchers and to conduct other business for the corporation, including its officers, the signatures of whom are legally binding. John M. Peisker, President Jamie L. Tancos Vice President, Secreta /Treasurer Mark S. Andrews, Executive Vice President Gregory A. Hoffinan, Vice President Dustin P. Hilary, Vice President David J. Misirly, Vice President Lynn J. Bauer Vice President Do you have necessary "certificate of authority" to transact corporate business in this state, under the terms of Chapter 215, Acts of 1929, and acts amendatory thereto? Yes 14 The name of the partnership firm under which the above partners are operating is Give names and titles of all persons having authority to execute and receipt estimate vouchers and to conduct other business for the partnership, the signatures of whom are legally binding. The undersigned hereby declares that the foregoing is a true statement of the financial condition of the individual, co -partnership or corporation herein first named, as of the date herein first given; that this statement is for the ex s pure of inducing the party to whom it is submitted to award the submittor a contract; and that any depository, vendor oro gency em named is hereby authorized to supply such parry with any information necessary to verify this statement. NOTE: A co -partnership must give firm name and signatures of all partners. A corporation must give full corporate name, signature of official and affix corporate seal. VP of South d9At��rrrri Affidavit for Individual : '• `C, i s STATE OF e �(y,PORATF {.. �s�• COUNTY OF ss: d t � being duly sworn, dej>ses hi" al1e foregoing financial statement, taken from his books, is a true and accurate statement of his financial condition as'gf the ZWAJ! �,Cevf•�nd >` that the answers to the foregoing interrogatories are true. ! J t %Aj d ".#rfi,,,11►1% (Applicant must sign here) Subscribed and sworn to before me this day of 20 Notary Public Affidavit for Co -Partnership STATE OF { COUNTY OF ss being duly sworn, deposes and says that he is a member of the firm of : that he is familiar with the books of the said firm showing its financial condition; that the foregoing financial statement, taken from the books of the said firm , is a true and accurate statement of the financial condition of the said firm as of the date thereof and that the answers to the foregoing interrogatories are true. (Member of firm must sign here) Subscribed and sworn to before me this day of 20 Notary Public Affidavit for Corporation STATE OF Indiana {COUNTY OF : St. Joseph ss Dustin Hilary being duly sworn, deposes and says that he is VP of South Bend Area of the _ Walsh & Kelly. Inc. , the corporation described in and which executed the foregoing statement; that he is familiar the books of the said corporation showing its financial condition; that the foregoing financial statement, taken from the books oft s ' corpora; , is a true pd'accurate statement of the financial condition of said corporation as of the date thereof and that the ans s the fore ng interUvgrories are true. (Officer st sign here) Dustin Hilary, VP of South Bend Area Subscribed and sworn to before me this 8th day f Decey4L 2020. w ,� •CORPORATE =�Q; •. Alisha eger, Notary Public ®� _ •• KRUEGEF' A_ISHA�', _ ��-^q�� L.' Notary Public, State of India St. Joseph County :* =_W-WOM—M901 is �NDIMy Commission Expires d '�� 2022\ June 05, 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, 2420 CONNIE LAWSON SECRETARY OF STATE 194484-057/20201725474 All certificates should be validated here: https://bsd.scs.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 Boarli, 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. Ck,,-) Tracy L. Cross, E tive Secretary Certification Board DAPW P02 State Form 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. Hoffman, 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 ofthe 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 15'h day of January, 2020. Fred Feh feld, Jr. Albert E. VanDenBergh Kevin J. Kelly James VFehsenfeld V n4P. Vercruysse J EXECUTED this 15" day of January, 2020. Fred Fehsenfeld, Jr. Albert E. VanDenBergh Kevin J. Kelly James C. Fehsenfeld John P. Vercruysse EXECUTED this 15`h day of January, 2020. Fred Fehsenfeld, Jr. Albert E. VanDenBergh James C. Fehsenfeld John P. Vercruysse Kevin J. Kelly eat g, K E L 4 `GJ. ' . SEAL ��1111114�, WalshS L. GRIFFITH SOUTH BEND 1■ ! h 1& 1700 East Main Street 24358 SR 23 Griffith, Indiana 46319 www.waishkelly.com South Bend, Indiana 46614 Phone (219) 924-5900 Phone (574) 288-4811 Kelly.c. 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; (Z) 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 j Walsh SOUTH BEND !% � Kelly,.. 170GRIFFITH 0 East Main Street Griffith, Indiana 46319 wwwowalshkelly.com Phone (219) 924-5900 24358 SR 23 South Bend, Indiana 46614 Phone (574) 288.4811 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 forjob openings • Sending notices to union affiliations Posting of equal opportunity notice on all company and job site bulletin boards Except when precluded by valid 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. �.. A2� John Peisker, President, Walsh & Kelly EOE M/F/Vets/Disabled 01��O / 2r 2,,, Date I GRIFFITH SOUTH BEND 1700 East Main Street 24358 SR 23 Griffith, Indiana 46319 www.Walshkelly.com South Bend, Indiana 46614 04 Phone (219) 924-59OG Phone (574) 288-4811 [ne. 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 ..m .wri ht milestone) .com (317) 616-4907 (o) (317) 474-2559 (m) G C%Z� ��• KE'''��-� � & . #JoPeisker, President �Q.� •�nRPURATF �: C :. .SEA Ll .,�a/IV DI pN `,N (antifiratr .af Qualif- n an ISSUED BY Jxothtlm Rrpu I--- of QTr=V=fi&M 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......................................................................................................... $25,000,000 B(A) ASPHALT PVMT:W/INDOT CERTIFIED HMA PLANT..........................................................................SUNLIMITED C(B) LIGHT GRADING........................................................................................................................................$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 rl PREQUALIFICATION ENGINEER State Form 20508 (R3 15-05) COMMISSIONER PREQUALIFICATION WORKSHEET PRINTED: 5/21/2020 PQA APPROVED: 5/7/2020 ACCT : # 35-1120685 ALT ACCT: # 0449 NEW? SUPP? /�A APPROVED BY: ` �j NAME: WALSH & KELLY INC DATE: 5/21/2020 December 31, 2019 CURRENT FIXED EQUIPMENT ASSETS REPORTED $47,119,378.00 $10,219,627.00 $31,032,017.00 VALID: 5/21/2020 LIABILITIES REPORTED ($16,158,151.00) ($16,742,213.00) EXPIRES: 4/30/2021 DENIAL DATE: NET ASSETS REPORTED $30,961,227.00 ($6,522,586.00) $31,032,017.00 DENIAL REASON: 09 OMIT NO DETAIL OR QUANTITY ($4,016,185.00) $0.00 $0.00 11 OMIT NO DETAIL ($277,917.00) $0.00 $0.00 15 CASH SURRENDER VALUE $1,390,248.00 ($1,390,248.00) $0.00 16 OMIT INTANGIBLES $0.00 ($864,210.00) $0.00 22 DUE AFTER 24 MONTHS $0.00 $13,536,060.00 $0.00 NET FIXED ASSETS $0 NET FIXED ASSETS EQUIPMENT $0COMPONENT -------------- ---------------------------------- ----------------------------------------- RATING CURRENT $280,573,730.00 NET ACCEPTABLE ASSETS $28,057,373 $4,759,016 $31,032,017 FIXED $9,518,032.00 RATING FACTORS X 10 X 2 X R EQUIPMENT $248,256,136.00 RATING COMPONENTS $280,573,730 $9,518,032 $248,256,136 ---------------------- ------ --------------------- MAXIMUM BALANCE $538,347,898.00 X 1.5 - $248,256,136 — ---------------------- ------------------------ MAXIMUM EQUIPMENT --------- $420,860,595 -------- --------- $0 STATEMENT TYPE: AUDITED 8.00 EXPER. REDUCTION 0% $248,256,136 ---------------- $0 AGGREGATE UNLIMITED + $280,573,730 + $4,759,016 C(B) UNLIMITED $528,829,866 $4,759,016 B(A) UNLIMITED X 0.25 X 2 E(F) $50,000,000 MAXIMUM FIXED $132,207,467 ADJ. FIXED $9,518,032 ------------------------- - ----------------------- $25,000,000 BALANCE SHEET ANALYSIS E(R) $50,000,000 CURRENT ASSETS: $47,119,378 CURRENT RATIO: 2.916 A(B) $25,000,000 INVENTORY: $4,016,185 QUICK RATIO: 2.668 E(Q) $25,000,000 CURRENT LIABILITIES: $16,158,151 WORKING CAPITAL: $30,961,227 E(H) $25,000,000 -------------------- -- LONG TERM LIABILITIES: -------------- --- $16,742,213 DEBT/NET WORTH: 0.593 E(G) $25,000,000 N ET WORTH: -------------------------------------------------------------- $55,470,656 TOTAL LIABILITIES: $32,900,364 NOTES: