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Home My WebLink AboutOpening of Bids - 3400 Block S. Michigan Street Improvements Proj No. 120-062 - LaPorte Construction Co., Inc.Version 4/2/2019 Contractor’s Bid for Public Works - 41 CITY OF SOUTH BEND, INDIANA CONTRACTOR’S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS 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 or Bid Bond. Bid prepared on the City of South Bend Contractor’s Bid for Public Work Form, completely executed. Contractor’s Non-Collusion and Non-Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non-Discrimination Commitment, and 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 Form [MWBE-2.1]. Acknowledge Receipt of _____ Addendum(s) included with the bid. All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either printed or typed underneath signature. 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: Date: By Authorized Representative: Signature: Print Name & Title: Project Name 3400 Block S. Michigan Street Improvements Project No. 120-062 For Bids Due February 23, 2021 X X X X 1X X X X LaPorte Construction Co., Inc.2/23/21 Lori Schrad, President Version 4/2/2019 Contractor’s Bid for Public Works - 42 CITY OF SOUTH BEND, INDIANA CONTRACTOR’S BID FOR PUBLIC WORK Project Name 3400 Block S. Michigan Street Improvements Project No. 120-062 For Bids Due February 23, 2021 PART I (Must be completed for all bids. Please type or print) Date: Bidder (Firm): Address: City/State/Zip: Telephone Number: ( ) 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: and dated for the sum of (enter the Total Bid as shown on the Proposal) ($ ) (Enter sum of Total Base Bid plus Alternates shown on Proposal) (Numerical) The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. ACCEPTANCE The above bid is accepted this day of 20 Subject to the following conditions: BOARD OF PUBLIC WORKS Elizabeth A. Maradik, President Jordan V. Gathers, Member Gary A. Gilot, Member Joseph R. Molnar, Member Attest: Anne Fuchs, Clerk By (Signature) (Printed Name of Person Signing) February 23, 2021 LaPorte Construction Co., Inc. PO Box 577 LaPorte, IN 46352 219 393-5555 3400 Block S. Michigan Street Improvements Lori Schrad, President Jones Petrie Rafinski 01/27/21 303,297.76Three hundred three thousand two hundred ninety-seven dollars and seventy-six cents Version 4/2/2019 Contractor’s Bid for Public Works - 43 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 - 44 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. INDIANA LAPORTE Version 4/2/2019 Contractor’s Bid for Public Works - 45 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. 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 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 BID/PROPOSAL CITY OF SOUTH BEND Project Name: 3400 Block S. Michigan Street Improvements Project Number: 120-062 For Bids Due: February 23, 2021 Contractor Name: Version 01/13/2021 Contractor’s Bid for Public Works - 7 BASE BID Item No. Description Quantity Unit Unit Price Total Amount 1 CONSTRUCTION ENGINEERING 1 LS 2 MAINTENANCE OF TRAFFIC 1 LS 3 MOBILIZATION AND DEMOBILIZATION 1 LS 4 VIDEO RECORD 1 LS 5 ASPHALT PAVEMENT REMOVAL 525 SYS 6 CONCRETE PAVEMENT REMOVAL 146 SYS 7 CURB, CONCRETE, REMOVAL 149 LFT 8 CLEARING AND GRUBBING 385 SFT 9 LIGHT POLE & FOUNDATION, REMOVE 1 EA 10 SIGN, REMOVE & RESET 1 EA 11 CHAIN LINK FENCE, REMOVE 212 LFT 12 TEMPORARY INLET PROTECTION 2 EA 13 EARTHWORK 158 CYS 14 COMPACTED AGGREGATE, NO. 53 68 TON 15 HMA SURFACE, 1-1/2” DEPTH, TYPE B 19 TON 16 HMA INTERMEDIATE, 3” DEPTH, TYPE B 3 TON 16 STANDARD CURB 852 LFT 17 SIDEWALK, CONCRETE, 4 IN 828 SYS 18 CURB RAMP, CONCRETE 90 SYS 19 PCCP FOR APPROACH, 6 IN 172 SYS 20 HMA PATCHING, TYPE B 122 TON 21 ORNAMENTAL FENCING – DETENTION BASIN 246 LFT 22 SHEET SIGN W/ LEGEND, REFLECTIVE, 0.10 11 SFT 23 SIGN POST, SUQARE TYPE 2, UNREINFORCED, ANCHOR BASE 18 LFT 24 EVERGREEN TREE, 6’-8 HT MINIMUM 3 EA 25 ORNAMENTAL TREE, 1-1/2 IN CALIPER 6 EA LaPorte Construction Co., Inc. 4,500.00 4,500.00 11,660.00 11,660.00 15,000.00 15,000.00 2,500.00 2,500.00 20.00 10,500.00 40.00 5,840.00 12.00 1,788.00 10.00 3,850.00 500.00 500.00 210.00 210.00 12.00 2,544.00 150.00 300.00 75.00 11,850.00 45.00 3,060.00 364.00 6,916.00 180.00 540.00 60.00 51,120.00 57.67 47,750.76 280.00 25,200.00 120.00 20,640.00 250.00 30,500.00 118.00 29,028.00 22.00 242.00 22.00 396.00 685.00 2,055.00 575.00 3,450.00 BID/PROPOSAL CITY OF SOUTH BEND Project Name: 3400 Block S. Michigan Street Improvements Project Number: 120-062 For Bids Due: February 23, 2021 Contractor Name: Version 01/13/2021 Contractor’s Bid for Public Works - 8 BASE BID 26 SEEDED TURF, HYDROMULCH 1,202 SYS 27 TREE WATERING SYSTEM 9 EA BASE BID TOTAL ALTERNATE #1 Item No. Description Quantity Unit Unit Price Total Amount 1 ORNAMENTAL FENCING – DETENTION BASIN & PLAYGROUND 431 LFT ALTERNATE #1 TOTAL ALTERNATE #2 Item No. Description Quantity Unit Unit Price Total Amount 1 BLACK VINYL CHAIN LINK FENCING – DETENTION BASIN & PLAYGROUND 431 LFT ALTERNATE #2 TOTAL ALTERNATE #3 Item No. Description Quantity Unit Unit Price Total Amount 1 SIDEWALK, CONCRETE, 4 IN – EXTEND FROM SHERWOOD SOUTH TO CONNECT TO EXISTING SIDEWALK ALONG MAIN STREET 146 SYS 2 EARTHWORK 30 CYS 3 SEEDED TURF, HYDROMULCH 140 SYS ALTERNATE #3 TOTAL ALTERNATE #4 Item No. Description Quantity Unit Unit Price Total Amount 1 LIGHT STANDARD, TYPE A 2 EA 2 ASPHALT PAVEMENT, REMOVE 70 SYD 3 HMA SURFACE, 1-1/2”, TYPE B 6 TON 4 HMA INTERMEDIATE, 3”, TYPE B 12 TON 5 COMPACTED AGGREGATE 24 TON ALTERNATE #4 TOTAL LaPorte Construction Co., Inc. 9.00 10,818.00 60.00 540.00 $ 303,297.76 136.00 50.00 64.00 75.00 13,000.00 26,000.00 20.00 418.00 207.00 45.00 1,400.00 2,508.00 2,484.00 1,080.00 $ 33,472.00 9,344.00 2,250.00 21,550.00 $ 21,550.00 58,616.00 $ 58,616.00 575.00 80,500.00 92,094.00 BID/PROPOSAL CITY OF SOUTH BEND Project Name: 3400 Block S. Michigan Street Improvements Project Number: 120-062 For Bids Due: February 23, 2021 Contractor Name: Version 01/13/2021 Contractor’s Bid for Public Works - 9 Bidder (Firm): Address: City/State/Zip: Telephone Number: ( ) By (Signature) (Printed Name of Person Signing) LaPorte Construction Co., Inc. LaPorte Construction Co., Inc. PO Box 577 LaPorte, IN 46352 219 393-5555 Lori Schrad, President CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MWBE-1.0 MWBE UTILIZATION PLAN Version 01/13/2021 Contractor’s Bid for Public Works - 10 This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE participation. It is the bidder’s sole responsibility to verify whether any listed minority or woman business meets the MBE qualifications. Project Number: 120-062 Project Name: 3400 Block S. Michigan Street Improvements Bidder: Total Bid Amount: MBE Goal: 2.6% Page_______of___ ____ Name & Address of MBE Primary Contact Person (Name/Telephone) Scope of Work to be Performed (Attach scope/schedule if you need additional space) Dollar Amount of MBE Component Percentage of Total Bid/Proposal Submitted by: Print Name Signature Date LaPorte Construction Co., Inc.$ 309,997.00 Lori Schrad, President 02/23/21 LaPorte Construction Co., Inc. PO Box 577 LaPorte, IN 46352 574-876-2772 Concrete, Prime Contractor Hawk Enterprises, Inc. 1850 E. North St. Crown Point, IN 219-662-8090 Sign Work 1,848.00 22,556.00 State Barricading, Inc. 24963 US 20 West South Bend, IN 46628 574-287-2078 Traffic Control 4,250.00 303,899.00 98 % 1 % 7 % 1 % CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MWBE-2.1 MWBE CONTACTED Version 01/13/2021 Contractor’s Bid for Public Works - 14 This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring Good Faith Efforts to contact MBEs. It is the bidder’s sole responsibility to verify whether any listed minority or woman business meets the MBE qualifications. Attach additional pages if necessary. PAGE_______OF________ Project Number: 120-062 MBE Participation Goal 2.6% Project Name: 3400 Block S. Michigan Street Improvements Bidder: By: (Signature) (Title) (Date) MBE Firm Owner or Contact at MBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE FIRM: MBE Firm Owner or Contact at MBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE FIRM: LaPorte Construction Co., Inc. Lori Schrad, President 2/23/21 Hawk Enterprises, Inc. Jo-Ann Plank 219-662-8090 219-662-8093 joann@hawk-inc.com Signs, Light Poles Quoted and used in bid State Barricading, Inc. Mary Michalski 574-287-2078 574-287-1744 statebarricade1@aol.com Traffic Control Quoted and used in bid 1 1 Version 5/16/2019 General Conditions - 6 CITY OF SOUTH BEND, INDIANA CONTRACTOR’S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name 3400 Block S. Michigan Street Improvements Project No. 120-062 For Bids Due February 23, 2021 Contractor Name: 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. 10594-18 (hereinafter, “Responsible Bidding Ordinance”) for a period of twelve (12) months. Thereafter, contractors who are pre-qualified must submit a complete application for continuation of “pre- qualified” standing, on a form provided by the City (“Responsible Bidder Checklist (1) Pre-Qualified Bidders”) by December 31st 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. LaPorte Construction Co., Inc. Version 5/16/2019 General Conditions - 7 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 - 8 I. PRE-QUALIFIED BIDDER CHECKLIST (a) Acknowledgements: (i) ___ 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) ___ 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) ___ 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) ___ 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) ___ 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) ___ 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 - 9 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. X X X X X X X X X X X X Version 5/16/2019 General Conditions - 10 (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: ___________________________________________ ________________________________________________ (Sign Here) ________________________________________________ (Print Name Here) ________________________________________________ (Name of Company) ________________________________________________ (Address of Company) ________________________________________________ (City) ________________________________________________ (State) ________________________________________________ (Telephone Number) X X February 23, 2021 Lori Schrad, President LaPorte Construction Co., Inc. PO Box 577 / 4999 S US Highway 35 LaPorte IN, 46352 219-393-5555 Date: February 19, 2021 To: All Planholders From Anne Fuchs, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: 3400 Block S. Michigan Street Improvements Project No.: 120-062 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 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: Authorized Signature: Date: CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS 1316 COUNTY-CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/ 235-9251 FAX 574/ 235-9171 TDD 574/ 235-5567 LaPorte Construction Co., Inc. 02/19/21 �� .......................... $17,081,000.......................................................................................................................AGGREGATE Valid April 30, 2020 Thru March 31, 2021 TO LAPORTE CONSTRUCTION COMPANY INC LAPORTE, IN INDIANAPOLIS, IN April 29, 2020 A(B) CONCRETE PAVEMENT: LIMITED ......................................................................................................... $17,081,000 C(B) LIGHT GRADING ........................................................................................................................................ $17,081,000 D(A) HIGHWAY OR RAILROAD BRIDGE OVER WATER .............................................................................. $17,081,000 D(B) HIGHWAY OR RAILROAD BRIDGE OVER HIGHWAY ......................................................................... $8,714,000 D(C) HWY/RR BRIDGE REQ RR TRACK PROTECTION ................................................................................. $8,714,000 E(C) BRIDGE DECK OVERLAY& MINOR BRIDGE REPAIR ......................................................................... $4,000,000 E(E) SMALL STRUCTURES AND DRAINAGE ITEMS .................................................................................... $8,714,000 E(F) SURFACE MASONRY AND MISC CONCRETE ....................................................................................... $8,714,000 E(Q) CONCRETE PAVEMENT: REPAIRS ......................................................................................................... $4,000,000 E(T) DEMOLITION .............................................................................................................................................. $8,714,000 LAPORTE CONSTRUCTION COMPANY INC # 35-1339168 # 0250 Y 4/29/2020 November 30, 2019 4/23/2020 PREQUALIFICATION WORKSHEET PRINTED: PQA APPROVED: DATE: NEW? SUPP? NAME: ACCT :ALT ACCT: 4/29/2020 APPROVED BY: CURRENT FIXED EQUIPMENT $2,424,340.00 $77,916.00 $901,948.00 ($1,324,195.00) ($1,480,063.00) $1,100,145.00 ($1,402,147.00) $901,948.00 3/31/2021 4/30/2020ASSETS REPORTED LIABILITIES REPORTED NET ASSETS REPORTED DENIAL REASON: VALID: EXPIRES: DENIAL DATE: 11 OMIT NO DETAIL ($45,209.00)$0.00 $0.00 22 DUE AFTER 24 MONTHS $0.00 $1,316,736.00 $0.00 X 10 X 2 X 8 X 1.5 8.00 X 0.25 X 2 $10,549,360.00 $0.00 $6,532,296.00 $17,081,656.00 17,081,000 0% NET FIXED ASSETS NET FIXED ASSETS EQUIPMENT NET ACCEPTABLE ASSETS RATING FACTORS RATING COMPONENTS MAXIMUM EQUIPMENT MAXIMUM FIXED ADJ. FIXED CURRENT FIXED EQUIPMENT COMPONENT RATING MAXIMUM BALANCE EXPER. REDUCTION AGGREGATE+ - + STATEMENT TYPE:AUDITED CURRENT ASSETS:$2,424,340 INVENTORY:$0 CURRENT LIABILITIES:$1,324,195 LONG TERM LIABILITIES:$1,480,063 NET WORTH:$599,946 TOTAL LIABILITIES:$2,804,258 CURRENT RATIO:1.831 QUICK RATIO:1.831 WORKING CAPITAL:$1,100,145 DEBT/NET WORTH:4.674 BALANCE SHEET ANALYSIS NOTES: $0 $1,054,936 ($85,411) $816,537 ($85,411) $6,532,296$10,549,360 $0 $6,532,296 $0 $0 $0 $10,549,360 $4,270,414 $0 $15,824,040 $0 $6,532,296 $17,081,656 E(Q) $4,000,000 E(T) $8,714,000 D(A) $17,081,000 D(B) $8,714,000 C(B) $17,081,000 E(E) $8,714,000 E(F) $8,714,000 A(B) $17,081,000 D(C) $8,714,000 E(C) $4,000,000 St. Joseph LaPorte Construction Co., Inc. PO Box 577 LaPorte, IN 46352 219-393-5555 February 23, 2021 City of South Bend, IN , Board of Public Works 3400 Block S Michigan Street Improvements, Project No. 120-062 Elkhart, IN Jones Petrie Rafinski, 01/27/2027 23rd February 2021 City of South Bend, IN Board of Public Works February 23, 2021 $ 4,042,969 Bridge 11/15/19 $ 1,036,102 Bridge 12/15/19 $ 343,862 Sheeting 05/31/20 B-40315-B INDOT B-41242-B INDOT R-29682-B INDOT $ 593,706 Bridge 06/06/20 RS-40689-B INDOT $ 819,090 11/30/20 $ 622,537 06/30/20 $ 744,644 07/15/20 $ 1,383,190 Bridge Concrete Sign Foundations Pedestrian Walkway Sheeting, Concrete 11/15/20 R-41024-A INDOT T-41218-B INDOT Riverwalk North, City of Elkhart Howard Park, City of South Bend LaPorte Construction Co., Inc. no E & B Paving, Inc. Michiana Contracting, Inc. Rieth-Riley Construction Midwestern Electric, Inc. Walsh & Kelly Construction, Inc. Signatory with all necessary trades see attached LaPorte Construction Co., Inc. PO Box 577, LaPorte, IN 46352City of South Bend IN February 23, 2021 City of South Bed, IN Board of Public Works3400 Block South Michigan St ImprovementsProject No. 120-062 EQUAL OPPORTUNITY EMPLOYER Company Employee Drug-Free Workplace Policy Pursuant to regulations promulgated by the State of Indiana, Executive Order number 90-5, dated April 12, 1990, LaPorte Construction Co., Inc. has established the following: (1) a drug-free awareness program, (EAP Program); (2) a Company Drug-Free Workplace Policy; (3) an Employees Assistance Program (EAP Program); and (4) the penalties which may be imposed upon any employee for drug abuse violations occurring in the workplace. It is the policy of LaPorte Construction Co., Inc. that its employees should be free of substance abuse while on the jobsite at all times. Consequently, the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance by employees in the Company’s workplace is prohibited. The overall goal is to insure a drug-free workplace and to reduce accidents, injuries and fatalities. Employees shall be notified upon hiring, rehiring or returning to active employment status, that as a condition of continued employment, the employee will (1) abide by the terms and conditions of the Drug-Free Workplace Policy; (2) notify the Company of any criminal drug statute conviction for a violation occurring in the workplace no later than five (5) days after such conviction. LaPorte Construction Co., Inc. shall notify in writing the contracting State Agency and the Indiana Department of Administration within (10) days after receiving notice from an employee, as outlined in (2) above, or otherwise receiving actual notice of such conviction. LaPorte Construction Co., Inc. shall within thirty (30) days after receiving notice of such employee conviction, impose the following sanctions or remedial measures on any employee who is convicted of drug abuse violations in the workplace; (1) take appropriate personnel action against the employee, up to and including termination; or (2) require such employee to Satisfactorily participate in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State or Local health, law enforcement or other appropriate agency. Prospective employees and employee rehires may be tested for substance abuse. Following an extended period of absence, and prior to an employee returning to work, the employee may be tested for substance abuse. LaPorte Construction Co., Inc. is a member of the Figment Group, Inc., Consortium/Third Party Administrators and they will implement random drug screening and/or any requests for drug testing, as well as perform any employee/supervisor educational training. Employees who are involved in an on-the-job (OSHA recordable) injury; an employee involved in an on-the-job injury requiring medical treatment; or an employee involved in an on-the-job injury whose performance or behavior gives reasonable cause to believe that he or she may be in violation of this Policy, will be tested for substance abuse. If the employee tests positive (for illegal drug abuse), the employee will be discharged. If the employee refuses the testing, the refusal may be deemed an admission and the employee will be discharged. If an employee has tested positive for substance abuse, either post accident or with regards to job specific pre - employment testing, the employee may reapply for employment with LaPorte Construction Co., Inc. after ninety (90) days provided he/she passes approved clinical testing. The testing will be conducted at the employee’s expense. Employees whose on-the-job behavior or performance gives reasonable cause to believe that he or she may be in violation of the Policy may be tested for substance abuse. Employees operating a Company vehicle(s) shall be tested for substance abuse. LaPorte Construction Co., Inc. shall make a good faith effort to maintain a drug-free workplace through the implementation of this Drug-Free Workplace Policy. The terms and conditions of this Policy are subject to any and all collective bargaining agreements previously signed or currently in effect and force. These collective bargaining agreements may supersede certain provisi ons of this Policy. Employees covered by a collective bargaining agreement shall have no disciplinary action levied against them due to this Policy until the bargaining unit is notified and the terms of the agreement have been reviewed. LaPorte Construction Co., Inc. Lori Schrad, President