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HomeMy WebLinkAboutOpening of Bids - Mayflower and Sample Street Intersection Improvements Proj No. 120-052 - JBL Signals and Lighting LLCCITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Mayflower Road and Sample Street Traffic Improvements Project No. 120-052 For Bids Due March 23, 2021 Date: Address: City/State/Zip: PART I (Must be completed for all bids Bidder (Firm) Please type or print) n L SiRral. ald LiA liA e I -L(- Telephone Number: (5714 ) 855-d-al 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: Mayflower Road and Sample Street Traffic Improvements the City of South Bend, Indiana, in accordance with plans and specifications prepared by: et.,... -.-he f`nncnitnntc Ind - and dated February 8, 2021 for the sum of (enter the Total Bid as shown on the Proposal) i � (Enter sum of Total Bas�Bidlus Alternates shown on Propos I) 4�t1oo (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 sfq36-9r&ttachment. By Si nature) TANNER LEi96V[TZ (Printed Name of Person Signing) ACCEPTANCE The above bid is accepted this day of Subject to the following conditions: BOARD OF PUBLIC WORKS Elizabeth A. Maradik, President Gary A. Gilot, Member Jordan V. Gathers, Member Joseph R. Molnar, Member , Member Attest: Anne Fuchs, Clerk Version 01/13/2021 Contractor's Bid for Public Works - 2 20 0 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Mayflower Road and Sample Street Traffic Improvements Project No. For Bids Due 120-052 March 23, 2021 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 MWBE Utilization Plan [MWBE-1.0]. If minimum participation goal is not met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MWBE Contacted Form [MWBE-2.1]. Acknowledge Receipt of —,41— 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: Q(�3 By Authorized Representative_,) Signature: Print Name & Title: TANNER i-EMOVITZ P,4i.414 Version 01/13/2021 Contractor's Bid for Public Works - 1 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 .IrIAOM ) ) SS: 6-1 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. Version 01/13/2021 Contractor's Bid for Public Works - 4 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 01/13/2021 Contractor's Bid for Public Works - 3 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, 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. ``NO 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 disc-irhinatory practice shall prohibit that Contractor from being awarded a City contract for a period of one (1) year from the date of such Iiet.,rminatiop, and such determination may also be grounds for terminating the; contact to which the dieorintitry practice or noncompliance pertains. ���.,, . «a•xp The undek' ed. Contractor agrees thatlhe following nondiscrimination commitment shall be made a past of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agpbcies, boards or commissions. 1 Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1).1 hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder r may result in forfeiture of contractual payments. Version 01/13/2021 Contractor's Bid for Public Works - 5 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 J?2 day of , 20AJ J U Sig W 6 andLAMe.� L�- Contractor/ der (Firm) /^"' / v Signature of Contractor/Bidder or Its Agent BANNER) LEIBOVITZ )0�,�4 Printed Name and Title Subscribed and sworn to before me this z3� day o /, , 20�L My Commission Expires / Y" Zo Z Notary Public County of Residence `,,`I,twwt1t 11111111/11j1,','' ' X10\ • , i FRANK THOMAS WA* M MO Q : E tiAwlrl �M1�N►/f� r - � � - �'^�/ ` �� � �. 11Z r�G i�•t� c, 1111,u1,1u,1'" Version 01/13/2021 Contractor's Bid for Public Works - 6 Project Name: Project Number: For Bids Due: Contractor Name: BASE BID U O BID/PROPOSAL al CITY OF SOUTH BEND _ Mayflower Road and Sample Street Traffic Improvements '"16''' 120-052 March 23, 2021 T Rt .4;ehall, MA L i ehtina I_ LL Item No. Description Quantity Unit Unit Price Total Amount 1. Mobilization/Demobilization 1 LS + 00 (,�, v0 2. Construction Engineering 1 LS 100 00 3. Clearing Right of Way 1 LSW.3. 00 00 4, Concrete Curb, Remove 368 LFT 191 to 00 5. Pavement, Remove 125 SYD 1q. 00 00 6. Signal Pole and Foundation, Remove 2 EACH00 ,00 10� 00 r7. Maintenance of Traffic 1 LS .� 00 8. Traffic Signal Equipment, Remove and Salvage 1 LS 1,000,60 1,000, 00 9. Common Excavation 1 LS I p OD 06 8 0w, 10. Temporary Erosion and Sediment Control 1 LS WO -d9 wo, 00 11. Pavement Milling, 1.5" 442 SYD 00 1. q3q J 00 12. HMA Surface, 9.5 mm, Type B 345 TON 160,0 ? f0 13. HMA Intermediate, 19.0 mm, Type B 40 TON 13520 00 14. HMA Base, 25.0 mm, Type B 120 TON 11,09 00 S. 510, 15. Concrete Curb 332 LFT gg,00xj.00 16. Concrete for Driveway, 6" 24 SYD �! 00 )640 p0 17. Drywell, 1200 Gal. 2 EACH , 0.)D.0V 140 00 18. Catch Basin 1 EACH 0�00 ).;"700. 00 19. Storm Pipe, 12" 20 LFT 00 20. Adjust Casting to Grade 2 EACH 511go, 00 00 21. Adjust Valve Box to Grade 2 EACH 00 S1 f 00 22. Controller, TS -2 Cabinet and P1 Foundation 1 EACH, a).DaO, °0 00 .1-1 W0 r Version 01/13/2021 Contractor's Bid for Public Works - 7 BID/PROPOSAL CITY OF SOUTH BEND Project Name: Mayflower Road and Sample Street Traffic Improvements Project Number: 120-052 For Bids Due: March 23, 2021 Contractor Name: S &L-NiSmIS pip, Li1 1 AR �aLL 23. Thermal Detection System r 1 EACH 3.000.00 5-000.00 24. Thermal Detection Camera 4 EACH 60 3.51 . 00 25. Strain Pole, Foundation 4 EACH so 26. Signal Strain Pole, 30' with 25' Mast Arm 4 EACH y 00 3 1001 to 27 Traffic Signal Head, 3 Section, 12" Red, Amber, Green 4 EACH do 28. Traffic Signal Head, 5 Section, 12" Red, Amber, Green, Lt. Amber Arrow & Lt. Green Arrow 4 EACH 00.00 11 o� 29. Service Point, TESCO Cabinet & Foundation 1 EACH q 100. 00 q1W. OD 30. Disconnect Hanger 4 EACH 3:15-,80 0tj 31. Handhole, Traffic 1 EACH 00 00 32. Conduit, HDPE Schedule 80, 3" 190 LFT �'�� Oa 00 33. Span, Catenary and Tether 4 EACH 3 00,00 CP 34. Signal Cable, 3c/8 GA 30 LFT 330gel. 00 35. Signal Cable, 504 GA 114 LFT 40 y0 36. Signal Cable, 704 GA 663 LFT 90 Ja ID 37. Signal Cable, Coax 670 LFT 1 !.� �-Iry 38. Luminaire for Street Lighting 2 EACH o A 1.300-00 39. Lighting Cable, 3c/10 GA 325 LFT x"70 30 40. Install Overhead Street Sign 10 EACH �3`, 00 a 340.60 41. Install Ground Mounted Sign 2 EACH I 00 42 Pavement Marking, Thermoplastic, Thru & Right Arrow 11 EACH 130.'"- 4300 00 43. Pavement Marking, Thermoplastic, Left Arrow 11 EACH 0a. 00 44. Line, Solid, White, Thermoplastic, 4" 1,820 LFT )H 07LI. 8a 45. Line, Solid, Yellow, Thermoplastic, 4" 2,510 LFT ,)a 81, HD 46. Line, Solid, White, Thermoplastic, 8" 326 LFT lv I 3 47. Line, Solid, Yellow, Thermoplastic, 8 P 202 LFT" 2a 48 Transverse Line, Thermoplastic, White, 24", Stop Bar 157 LFT 7i 10. Version 01/13/2021 Contractor's Bid for Public Works - 8 Project Name: Project Number: For Bids Due: BID/PROPOSAL CITY OF SOUTH BEND Mavflower Road and Sample Street Traffic Improvements 120-052 March 23, 2021 Contractor .J 04TH e��Q PEKE M % �H(IJ 49. Grooved Line,6" 4,330 LFT Iq '1+q3 _ 50. Sodding 440 SYD _ 1 1.-9°.-_ 3 -700 i& 771 7f 710. d' 51. Relocate Fire Hydrant 1 EACH Bidder (Firm): Address: BASE BID TOTAL __; 0), 0 _ i vn.N..... .. City/State/Zip: �0tAw &a4'NHuG Number:By 1'ANNFR LEMOvrrz (Signature) (Printed Name of Person Signing) Version 01/13/2021 Contractor's Bid for Public Works — 9 Addendum No. 1 Addendum No. 1 Mayflower Road & Sample Street Traffic Improvements Project No. 120-052 BID/PROPOSAL: Change to: Sheet 9 Add item No. 51 - Relocate Fire Hydrant 1 EACH. A new sheet No. 9 is attached to this proposal. END OF ADDENDUM NO. 1 Roger T. Nawrot Professional Engineer Indiana No. 60016991 Sheet 3 of 4 T. V4 i1. No. 60016991 -o STATE OF P•'��. ]nit. "�a I Document A310T"' 2010 — :ro:• o CONTRACTOR: SURETY: (Name, legal status and address) (Name, legal status and principal place JBL Signals and Lighting, LLC of business) The Cincinnati Insurance Company This document has important legal 4316 Technology Drive Cincinnati, OH consequences. Consultation with South Bend, IN 46628 an attorney is encouraged with OWNER: respect to its completion or (Name, legal status and address) modification. City of South Bend, Indiana, Board of Public Works Any singular reference to County City Building Room 1316, 227 West Jefferson Street Contractor, Surety, Owner or South Bend, IN 46601 other party shall be considered BOND AMOUNT:o ) ( 5% of Total Bid plural where applicable. Five Percent of the Total Bid PROJECT: (Name, location or address, and Project number, if any) Mayflower Road and Sample Street Traffic Improvements; Project No. 120-052 The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof-, or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 19th day of March 2021 (Witness) JBL Signals and Lighting, LLC (Principal) (Seal) (Title) The Cincinnati Insurance Company (Seal) (Wi ess --— (Title) e ife L. znia, Atto ey in Fact — — CAUTION: You should sign an original AIA Contract Document, on w this text appears in R D. An original assures that changes will not be obscured. —_ --- — ------ AIA Document A310'"' — 2010. Copyright ©1963, 1970 and 2010 by The American Institute of Architects. All rights reserved. WARNING: This AIA® Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA* Document, or any portion of It, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents. e-mail The American Institute of Architects' legal counsel, copyright@aia.org. 061170 THE CINCINNATI INSURANCE COMPANY Fairfield, Ohio POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That THE CINCINNATI INSURANCE COMPANY, a corporation organized under the laws of the State of Ohio, and having its principal office in the City of Fairfield, Ohio, does hereby constitute and appoint Mark E. Wobbe; Barbara E. Pearson; Nicole L. Bicknell; Jennifer L. Kasznia; William J. Cemey, III; Wesley L. Mantooth; Jordan M. Scheiber; Sandra L. Junk; Theresa M. Burns; Megan E. Riesenberg and/or Cheryl E. Alkire of South Bend, Indiana its true and lawful Attorneys) -in -Fact to sign, execute, seal and deliver on its behalf as Surety, and as its act and deed, any and all bonds, policies, undertakings, or other like instruments, as follows: Any such obligations in the United States, up to Thirty Five Million and No/100 Dollars ($35,000,000.00). This appointment is made under and by authority of the following resolution passed by the Board of Directors of said Company at a meeting held in the principal office of the Company, a quorum being present and voting, on the 611 day of December, 1958, which resolution is still in effect: "RESOLVED, that the President or any Vice President be hereby authorized, and empowered to appoint Attorneys -in - Fact of the Company to execute any and all bonds, policies, undertakings, or other like instruments on behalf of the Corporation, and may authorize any officer or any such Attomey-in-Fact to affix the corporate seal; and may with or without cause modify or revoke any such appointment or authority. Any such writings so executed by such Attomeys-in- Fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company." This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company at a meeting duly called and held on the 7" day of December, 1973. "RESOLVED, that the signature of the President or a Vice President and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the signature of the Secretary or Assistant Secretary and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power of certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certified by certificate so executed and sealed shall, with respect to any bond or undertaking to which it is attached, continue to be valid and binding on the Company." IN WITNESS WHEREOF, THE CINCINNATI INSURANCE COMPANY has caused these presents to be sealed with its corporate seal, duly attested by its Vice President this 81" day of March, 2017. E ,r. THE CINCINNATI INSURANCE COMPANY E Vice President STATE OF OHIO ) ss: COUNTY OF BUTLER ) On this 8'' day of March, 2017, before me came the above-named Vice President of THE CINCINNATI INSURANCE COMPANY, to me personally known to be the officer described herein, and acknowledged that the seal affixed to the preceding instrument is the corporate seal of said Company and the corporate seal and the signature of the officer were duly affixed and subscribed to said instrument by the authority and direction of said corporation. . "S.- A E ,Q0 9<�+ 3- MARK J. H LLER, Attorney at Law O NOTARY PUBLIC - STATE OF OHIO 4,%� O �•� My commission has no expiration of date. Section 147.03 O.R.C. I, the undersigned Secretary or Assistant Secretary of THE CINCINNATI INSURANCE COMPANY, hereby certify that the above is a true and correct copy of the Original Power of Attorney issued by said Company, and do hereby further certify that the said Power of Attorney is still in full force and effect. GIVEN under my hand and seal sof said Company at Fairfield, Ohio. this / day of OOEA BN-1005 j3/17) Secretary � �r!� •� U O 1316 COUNTY' -CITY BUIL DING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 Date: To: From Subject PHONE 574/235-9251 FAX 574/ 235-9171 TDD 574/ 235-5567 CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS March 18, 2021 All Bidders Anne Fuchs, Clerk, Board of Public Works Addendum Number: 1 Project Name: Project Number: Mayflower Road & Sample Street Traffic Improvements________ 120-052 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. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Note: The attached documents are hereby Add to the Specifications and Contract Documents and become a part of herein. Company: Authorized Signature: Date: MnalY� AO L. �FAt NER LOBovra /�ilr-Tff 13�' r� rUf i17� 1316 COUNTY -CITY BUILDING � ` ` ` � PHONE 574/ 235-9251 777 W. JEFFERSON BOULEVARDlt3fi /k FAX 574/ 235-9171 SOUTH BEND, INDIANA 46601-1830 TDD 574/ 235-5567 CITY OF SOUTH BEND, .TAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS Date: To: From Subject March 19, 2021 All Planholders Anne Fuchs. Clerk, Board of Public Works Addendum Number Project Name Project Number: I Mayflower and Sample Street Traffic Improvements 120-052 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: M ( A; Version 4/2/2015 F? i_l_IFQVITZ CITY OF SOUTH BENDi� J.D MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MWBE-1.0 MWBE UTILIZATION PLAN This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MWBE participation. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the MWBE qualifications. Project Number: 120-052 Project Name: Bidder: J Road and Sample Street Traffic I Total Bid Amount: MWBE Goal: 7.2% Page of Name 8 Address of MWBE Primary Contact Person (Name/Telephone) Scope of Work to be Performed (Attach scope/schedule if you need additional space) Dollar Amount of MWBE Component Percentage of Total Bid/Proposal 51us �l o AsU5 ,'5 Il5 m Sfi � S7N-T�.-3101 Po E 3210 M44C�i�ficg0l�A tnc. 10"5 MQiA}cl P3 Tr ff'c. I+ewl, i -71gW. �- A446; 46; US, AP Ut61 M14aId, P1- x27- jw7s TANNER LEIBOVffZ /11�00, 3 -Zj.Z.� 1 Submitted by: Print Name Signature Date Version 01/13/2021 Contractor's Bid for Public Works - 10 li;�~`1LTFj jl li J� CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN y. �. FORM MWBE-2.0 ���• EVIDENCE OF GOOD FAITH EFFORTS This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MWBE participation. Project Number: 120-052 Date: Ma(L � w ` Project Name: Mayflower Road and Sample Street Traffic Improvements Bidder: &L 5;AriA aAot L , Contact Person: '',,JZ Telephone: Address: 431U ;'r A ndow hr. 1 j�' City: O& State: 1 hdIli A0► Zip: ►4LA& Email: lanuf L gSM S;t � QAQ1 141 91 To determine whether a bidder has demonstrated goo aith efforts to reacAl the MWBE utilization goals set forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below*: Version 01/13/2021 Contractor's Bid for Public Works - 11 EVIDENCE OF GOOD FAITH EFFORTS MWBE LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business Enterprise Inclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the Indiana Department of Administration list of Minority and Women Owned Businesses (both certified and non - certified) found at: http://www.in.gov/idoa/. GOOD FAITH EFFORTS TO OBTAIN MWBE PARTICIPATION The bidder shall initial each item below, as evidence of its good faith efforts to obtain MWBE participation in the awarded contract. I affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise Inclusion Program Plan and the Indiana Department of Administration's certified list of X Indiana Minority and Women Business Enterprises, found on their website (http://www.in.gov/idoa). affirm that I have made good faith efforts to select portions of the contract work to be XI performed by MWBEs, including, where appropriate, breaking out contract work items into economically feasible units to facilitate MWBE participation. I affirm that I have made good faith efforts to solicit through all reasonable and available means the interest of all MWBEs in the scopes of work of the contract. I affirm that I attended all pre-bid meetings scheduled by the City of South Bend to inform X MWBEs of contracting and subcontracting opportunities. I affirm that I advertised in general circulation and/or trade association publications concerning subcontract opportunities and allowed MWBEs reasonable time to respond to such advertisements. I affirm that I performed any and all necessary steps to provide written notices in a manner X reasonably calculated to inform MWBEs of subcontracting opportunities and allowed sufficient time for MWBEs to participate effectively. XI affirm that I followed up on initial solicitations with interested MWBEs. I affirm that I negotiated with interested MWBEs in good faith, including providing such X MWBEs with adequate information about the plans, specifications and other requirements of the subcontract. /X1 I affirm that I have made good faith efforts to assist interested MWBEs in obtaining bonding, lines of credit, or insurance as required by the City or the bidder, where appropriate. Version 01/13/2021 Contractor's Bid for Public Works - 11 ti�ji�._rfi tis CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MWBE-2.0 FvinFNCF OF GOOD FAITH EFFORTS 'Proper demonstration of Good Faith Efforts requires your initials next w an 01 Me above T omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 01/13/2021 Contractor's Bid for Public Works -12 I affirm that I have made good faith efforts to assist interested MWBEs in obtaining X necessary equipment, supplies, materials, or related assistances or services, where appropriate. I affirm that I did not reject any MWBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. CONTRACT RECORDS: The bidder has maintained the following records for each MWBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MWBE was unqualified to perform the job. Anw 'Proper demonstration of Good Faith Efforts requires your initials next w an 01 Me above T omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 01/13/2021 Contractor's Bid for Public Works -12 0 0 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN = '' FORM MWBE-2.1 MWBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring Good Faith Efforts to contact MWBEs. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the MWBE qualifications. Attach additional pages if necessary. PAGE OF Project Number: 120-052 MWBE Participation Goal 7.2% Project Name: Mayflower Road and Sample Street Traffic Improvements Bidd( By: MWBE Firm Owner or Contact at I Telephone: 577y_ X87 � )607t Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MWBE FIRM: Lel' Email: MWBE Firm _�1455eIS Owner or Contact at MWBE Firm Sohn W I hi am Telephone: 574-111'3110 Fax: — Email:U 14 V. �SSUS. GdY� TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MWBE FIRM: U�tA a& 4ub Cm4fftr Version 01/13/2021 Contractor's Bid for Public Works -13 Page 1 of 3 ITEMUNIT NO. QTY UNIT DESCRIPTION COST TOTAL COST 1 1.00 LS Mobilization/Demobilization 16,500.00 16,500.00 2 1.00 LS Construction Engineering 6,000.00 6,000.00 3 1.00 LS Clearing Right of Way 3,300.00 3,300.00 4 368.00 LFT Concrete Curb, Remove 19.00 6,992.00 5 125.00 SYD Pavement, Remove 19.00 2,375.00 6 2.00 Each Signal Pole and Foundation, Remove 500.00 1,000.00 7 1.00 LS Maintaining Traffic 8,600.00 8,600.00 8 1.00 LS Traffic Signal Equipment, Remove and Salvage 1,000.00 1,000.00 9 1.00 LS Common Excavation 18,000.00 18,000.00 10 1.00 LS Temporary Erosion and Sediment Control 7,000.00 7,000.00 11 442.00 SYD Pavement Milling, 1.5" 27.00 11,934.00 12 345.00 Ton HMA Surface, 9.4 mm, Type B 100.50 34,672.50 13 40.00 Ton HMA Intermediate, 19.00 mm, Type B 135.00 5,400.00 14 120.00 Ton HMA Base, 25.0 mm, Type B 71.00 8,520.00 15 332.00 LFT Concrete Curb 49.00 16,268.00 16 24.00 SYD Concrete For Driveway, 6" 135.00 3,240.00 17 2.00 Each Drywell, 1200 Gal. 7,020.00 14,040.00 18 1.00 Each Catch Basin 2,700.00 2,700.00 19 20.00 LFT Storm Pipe, 12" 108.00 2,160.00 20 2.00 Each Adjust Casting to Grade 540.00 1,080.00 21 2.00 Each Adjust Valve Box to Grade 27.00 54.00 22 1.00 Each Controller, TS -2 Cabinet and P1 Foundation 22,000.00 22,000.00 Page 3 of 3 QUOTE No.: 03/0321 RE: J City of South Bend LMayflower and Sample Street Signals & Lighting Traffic Improvements TO: I I commercial. Infrastructure. Industrial DATE: March 23rd 2021 ITEMUNIT NO. QTY UNIT DESCRIPTION COST TOTAL COST 44 1,820.00 LFT Line, Solid, White, Thermoplastic, 4" 1.14 2,074.80 45 2,510.00 LFT Line, Solid, Yellow, Thermoplastic, 4" 1.14 2,861.40 46 326.00 LFT Line, Solid, White, Thermoplastic, 8" 3.20 1,043.20 47 202 LFT Line, Solid, Yellow, Thermoplastic, 8" 3.20 646.40 48 157 LFT Transverse Line, Thermoplastic, White, 24", Stop Bar 7.52 1,180.64 49 4330 LFT Grooved Line, 6" 1.14 4,936.20 50 440 SYD Sodding 12.90 5,676.00 51 1 Each Relocate Fire Hydrant 3,780.00 3,780.00 TOTAL 352,048.24 TERMS : NOTE: THE ABOVE ITEMS ARE QUOTED AS A COMPLETE PACKAGE. NO ITEM MAY BE DELETED WITHOUT PRIOR APPROVAL.