HomeMy WebLinkAboutAward Quote - El Campito Water Tap Quote Proj No. 121-017 - Selge Construction Co. Inc.
ELIZABETH A. MARADIK GARY A. GILOT JORDAN V. GATHERS JOSEPH R. MOLNAR
1316 COUNTY-CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND, INDIANA 46601-1830
PHONE 574/ 235-9251
FAX 574/ 235-9171
CITY OF SOUTH BEND JAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
March 23, 2021
Mr. Robert Kuhns
Selge Construction Co., Inc.
2833 S. 11TH. St.
Niles, MI 49120
Bkuhns@Selgeconstruction.com
RE: Quotation Award – El Campito Water Tap Quote – Project No. 121-017
Dear Mr. Kuhns:
At its March 23, 2021 meeting, the Board of Public Works awarded the above referenced
quotation to you in the amount of $17,725 for the base bid plus alternate number 1.
Please forward the following documents in one submittal by April 13, 2021 to my
attention for Board of Public Works approval at lhensley@southbendin.gov :
1) One (1) signed original of the Contract (enclosed); and
2) Certificate of Insurance naming the City of South Bend as an additional insured.
If you have any further questions regarding this matter, please call this office at (574)
235-9251.
Sincerely,
/s/ Anne Fuchs
Anne Fuchs, Clerk
Enclosures
AF/lh
ELIZABETH A. MARADIK GARY A. GILOT JORDAN V. GATHERS JOSEPH R. MOLNAR
1316 COUNTY-CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND, INDIANA 46601-1830
PHONE 574/ 235-9251
FAX 574/ 235-9171
CITY OF SOUTH BEND JAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
March 23, 2021
Mr. David Niezgodski
Niezgodski Plumbing Inc.
232 N. Mayflower Rd.
South Bend, IN 46619
niezplum@comcast.net
RE: Quotation Award – El Campito Water Tap Quote – Project No. 121-017
Dear Mr. Niezgodski:
At its March 23, 2021 meeting, the Board of Public Works awarded the above referenced
quotation to Selge Construction Co., Inc. in the amount of $17,725 for the base bid plus alternate
number 1.
We thank you for quoting and hope you will quote with us again in the future.
If you have any further questions regarding this matter, please call this office at (574)
235-9251.
Sincerely,
/s/ Anne Fuchs
Anne Fuchs, Clerk
AF/lh
INTER-OFFICE MEMORANDUM
DEPARTMENT OF PUBLIC WORKS
DIVISION OF ENGINEERING
TO: Anne Fuchs, Clerk
Board of Public Works
FROM: Alicia Pellegrino, Project Engineer
SUBJECT: Award Project No. 121-017
El Campito Water Tap Quote
DATE: March 9, 2021
On March 9, 2021, the Board of Public Works opened and read quotes for the above project.
The quoters ranked as follows:
Quoter Total Quote Amount Alternate #1 (Add)
1. Selge Construction Co., Inc. $ 16,975.00 $ 750.00
2. Niezgodski Plumbing Inc. $ 30,658.00 $ 3,540.00
Division of Engineering recommends award of a contract for Base Quote and Alternate 1 to the
lowest responsive / responsible quoter, Selge Construction Co., Inc. in the amount of
$17,725.00.
Sufficient funds have been has appropriated from West Washington TIF, 422-10-102-121-
431000—PROJ00000233.
QUOTE TABULATIONEl Campito Water Tap QuoteProject No: 121-017For Quotes Due: March 9, 2021Item No. Description Quantity Unit Unit Price Item Total Unit Price Item Total1 Mobilization/Demobilization 1 LS 2,175.00$ 2,175.00$ 1,275.00$ 1,275.00$ 3 Brick Pavement, Remove and Palletize 10 SY 100.00$ 1,000.00$ 293.00$ 2,930.00$ 4 Concrete Curb and Gutter, Remove and Replace 8 LFT 140.00$ 1,120.00$ 346.00$ 2,768.00$ 5 Concrete Sidewalk, Remove and Replace 5 SY 230.00$ 1,150.00$ 200.00$ 1,000.00$ 6 Parking Lane and Concrete Header, Remove and Replace 8 SY 210.00$ 1,680.00$ 512.00$ 4,096.00$ 7 Water Service, 2” Type K Copper 30 LFT 125.00$ 3,750.00$ 387.00$ 11,610.00$ 8 Water Meter Pit 1 EA 6,100.00$ 6,100.00$ 6,979.00$ 6,979.00$ Total16,975.00$ 30,658.00$ Item No. Description Quantity Unit Unit Price Item Total Unit Price Item Total1 "B" Borrow 30 CY 25.00$ 750.00$ 118.00$ 3,540.00$ Total750.00$ 3,540.00$ I hereby certify that the above truly and accurately represents quotes received for this project on March 9, 2021.Alicia Pellegrino, Project EngineerAcknowledgement of Addendum 1Yes YesNiezgodski Plumbing Inc.Non-Collusion AffadavitYesSelge Construction Co., Inc.YesPage 1 of 1
23rd. March 21
BOARD OF PUBLIC WORKS
CITY OF SOUTH BEND, INDIANA
PUBLIC WORKS CONTRACT
THIS AGREEMENT, made and entered into this 23rd Day of March, 2021, by and between, Selge
Construction Co., Inc., 2833 South 11th. St., Niles, MI 49120, HEREINAFTER called the
Contractor, and the Board of Public Works herein called the "Board".
WITNESSETH: That the Contractor covenants and agrees to make the following improvement,
as fully set out in the Request for Quotations, Standard Specifications, Special Provisions, Plans,
and Bid Proposals, all of which are set forth as a part of this Contract, for:
PROJECT NO. 121-017
DESCRIPTION: EL CAMPITO WATER TAP QUOTE
COMPLETION DATE: SEE SPECIFICATIONS
AMOUNT: $17,725
FUNDING: PR-00007560
The unit prices for this improvement were those prices as received and accepted by the Board on
the 9th Day of March, 2021.
The Contractor further agrees to notify the assigned Engineer when this improvement is
completed. This notification shall be in the form of a Project Completion Affidavit, signed by the
Contractor. Upon final acceptance of the improvement by the Engineer, the Contractor’s final
estimate will be presented to the Board for final Payment with one (1) copy of the Project
Completion Affidavit and one (1) copy of a Waiver of Lien.
Each of the Parties, by signing below, represents and warrants to the other Party that he/she/it has
the authority to bind the named person or entity to this Agreement.
BOARD OF PUBLIC WORKS SELGE CONSTRUCTION CO.,
INC.
President Member Printed Name
Member Member Signature
Member Attest: Anne Fuchs, Clerk
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SCOPE OF WORK
CITY OF SOUTH BEND
PROJECT NAME: El Campito Water Tap Quote
PROJECT NO. 121-017
QUOTES DUE March 9th, 2021 at 9:00am Local Time – electronic bids should be
submitted to bpwbids@southbendin.gov
I. PROJECT DESCRIPTION
A. The project includes the furnishing of all equipment, material, insurance, and labor for water tap and
utility connection for the proposed El Campito community garden within the City of South Bend,
IN. Work to be performed shall include utility connection to the proposed community garden as specified
in these documents.
II. PREVAILING SPECIFCIATIONS AND CONSTRUCTION STANDARDS AND SPECIFICATIONS
A. The City of South Bend's PREVAILING SPECIFICATIONS, most recent version, and
CONSTRUCTION STANDARDS AND SPECIFICATIONS, most recent version, are to be used on this
project.
B. Each Quote provider is specifically instructed to become completely familiar with the most recent
version of the PREVAILING SPECIFICATIONS and the CONSTRUCTION STANDARDS AND
SPECIFICATIONS prior to submitting a quote.
C. Wherever the PREVAILING SPECIFICATIONS refer to “State Specifications,” it shall mean the 2020
INDOT Standard Specifications for the letting effective after September 1, 2019.
D. These SPECIAL PROVISIONS will list only "Additions" or "Deletions" to the PREVAILING
SPECIFICATIONS and are to be used only in conjunction with the PREVAILING SPECIFICATIONS.
E. In the event of conflict between the SPECIAL PROVISIONS and the PREVAILING SPECIFICATIONS,
the SPECIAL PROVISIONS will govern.
III. TERM “OR EQUAL”
A. Prevailing Specifications: None
B. Additions
1. Where the term "or equal" is used in these specifications, the Quote provider deviating from
specified item shall file with his/her/its Quote a letter fully explaining and justifying his/her/its
proposed article or equal. The City of South Bend shall be the sole judge in determining if the “or
equal” offered meets the specification.
IV. TAX EXEMPT
A. Prevailing Specifications: None
B. Additions
1. Materials and properties purchased under contract with the Owner that becomes a permanent part
of the structure or facilities constructed are not subject to the Indiana Gross Retail Tax (Sales Tax).
The exemption number will be furnished to the Contractor upon award.
V. INDEMNIFICATION
A. Prevailing Specifications: None
B. Additions
1. Contractor agrees to indemnify, defend and hold harmless the City of South Bend, its agents,
officers and employees, from all costs, losses, claims and suits, including court costs, attorney fees,
and other expenses, arising from or out of the negligent performance of this Contract by Contractor,
or because of arising out of any defect in the goods, materials or equipment supplied by the Quote
provider.
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VI. INSURANCE
A. Prevailing Specifications: 2020, INDOT Standard Specifications Section 103
B. Additions:
1. All Contractors and subcontractors doing business with the City of South Bend shall present a
Certificate of Insurance showing coverage in the following minimum amount:
a. General Liability: Premises-Completed Operations or Products, Bodily Injury and Property
Damage Combined Single Limit - $5,000,000.
b. There shall be no exclusion for explosion, collapse or underground hazard.
c. Workmen’s Compensation: Statutory State of Indiana Employer's Liability - $100,000.
d. Auto Liability: Bodily Injury and Property Damage Combined Single limit - $1,000,000.
e. The City of South Bend shall be named as additional insured on the Certificate of Insurance.
VII. CONTROL OF WORK
A. Prevailing Specifications: 2020, INDOT Standard Specifications Section 105
B. Additions:
1. The complete responsibility for this project lies with the Director of Public Works of the City of South
Bend, Indiana acting through his authorized representatives.
2. Construction Engineering - The Contractor shall provide all the necessary, qualified personnel,
equipment and supplies to perform all work required under this item. There will be no direct payment
for this item.
3. The contractor is responsible to maintain the site which includes but is not limited to; dust control,
site security, erosion control, and protecting adjacent properties.
4. Work hours for the Project shall be from 7:00 a.m. through 6:00 p.m., Monday through Friday. No
work shall be permitted on weekends, Holidays, or after hours unless approved by the City of South
Bend Department of Public Works.
VIII. LEGAL RELATIONS
A. Prevailing Specifications: 2020, INDOT Standard Specifications Section 107
B. Additions:
1. The Owner, where mentioned in these documents, is the City of South Bend. The Engineer, where
mentioned in these documents, is the City of South Bend Department of Public Works, Division
of Engineering.
2. The Contractor shall apply for and obtain any and all required permits for the work from local, state,
and federal agencies and shall comply with permit requirements, including the St. Joseph County
/ City of South Bend Building Department.
3. If the Contractor awarded this contract is not a resident of Indiana, within thirty days, the Contractor
shall provide the Owner with proof that the Contractor is duly licensed, qualified and registered with
the Secretary of State of Indiana to engage in business within the State of Indiana.
4. The Contractor shall comply with all provisions of Indiana Code 5-16-13, as amended. The Owner
reserves the right to immediately terminate the public work project awarded should the Contractor
be found to be in violation of any provision of Indiana Code 5-16-13 and such violation shall result
in the forfeiture of Contractor’s performance bond to the Owner.
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IX. PROSECUTION AND PROGRESS
A. Prevailing Specifications: 2020, INDOT Standard Specifications Sec. 108
B. Additions:
1. The project will have a completion date of April 30, 2021. The contract time will start when the
Notice to Proceed is delivered and signed.
a. Contractor shall be responsible for coordinating work with City in anticipation of volunteer day
at El Campito site. Work should tentatively take place the week of April 26th to provide for
shortest possible temporary street closure time. Contractor shall be responsible for
coordinating in advance with City Water Works to ensure that tap can be made during tentative
work period.
2. The City, Engineer, and Contractor will hold a pre-construction meeting following award of the
contract. The date of the Notice to Proceed will be agreed at that meeting.
3. Contractor shall provide a schedule to the Owner prior to beginning any work on the site.
X. CHANGE OF CONTRACT TIME
A. Prevailing Specifications: 2020, INDOT Standard Specifications Section 108
B. Additions
1. The Contract Time may only be changed by Change Order. Any Claim for an extension in the
Contract Time shall be based on written notice delivered to the Department of Public Works within
seven (7) calendar days of the occurrence of the event giving rise to the claim. Notice of the extent
of the claim with supporting data shall be delivered within fourteen (14) calendar days after such
occurrence unless an official of the Public Works Department allows an additional period of time to
ascertain more accurate data. The Contract Time will be extended in an amount equal to time lost
to delays beyond the control of the Contractor if a claim is made in accordance with this provision.
Such delays shall include acts of neglect by the Public Works employees, or to fires, flood, labor
disputes, epidemics, abnormal weather conditions, governmental procedures, or acts of God.
2. Unless otherwise provided, the Contract time is based upon normal weather conditions. An
extension is granted for weather conditions significantly more severe than normal if the Contractor
demonstrates to the satisfaction of the City that the delay in the progress of the work was due to
such weather. The basis to define normal weather with be the data compiled by the United States
Department of Commerce, National Oceanic and Atmospheric Administration (NOAA).
3. No extension of time will be granted if the Contractor, by his/her/its own action or inaction, including
fault or negligence of Contractor’s subcontractors, caused the delay, or for which any remedies are
provided under any other provision of this agreement.
4. The grant of an extension of time under this Section in no way constitutes a waiver by the City of
any rights or remedies existing under this contract at law or in equity.
XI. DEFAULT AND TERMINATION
A. Prevailing Specifications: 2020, INDOT Standard Specifications Section 108
B. Additions:
1. Events of Default shall include Contractor’s failure to perform any of its obligations under this
contract including failure to commence work at the time specified, failure to perform the work in
accordance with these specifications, unauthorized discontinuation of the work, failure to carry out
the work in a manner acceptable to the City, failure to observe Federal, State, or local laws or
regulations, and failure to comply with any other term of this contract.
2. If an Event of Default occurs, the City shall provide Contractor written notice and may permit
Contractor ten (10) calendar days after the date of the notice to cure the default. If the default is
not cured within the ten (10) day cure period, the City may at any time thereafter terminate this
contract in which case the termination shall be final and effective.
3. Upon an Event of Default, the City may invoke the following remedies in addition to those remedies
provided under separate provisions of this contract, the right of set-off against any payments due
or to become due to the Contractor against the retainage, the right to take over and complete the
Work. If the City notifies Contractor that City is invoking its right to complete the Work, all rights that
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the Contractor has in order under Contractor’s subcontracts are assigned to the City, subject to the
City’s right to take assignment of all or only selected subcontracts at the City’s discretion. The sole
obligation accepted by the City under such subcontracts is to pay for Work satisfactorily performed
after the date of the assignment. In the event a conditional assignment has not been executed, the
Contractor shall execute or cause to be executed any assignment, agreement, or other document
that may be necessary in the sole opinion of legal counsel to the City’s Board of Public Works to
evidence compliance with this provision. The Contractor shall promptly deliver such documents
upon the City’s request. In the case of such assignment, unless otherwise agreed in writing, The
Contractor remains liability to subcontractors for any payment already involved, and for any claim,
suit or cause of action based upon or resulting from any error, omission, negligence or other breach
of contract by the Contractor, its officers, employees, or agents arising prior to the date of
assignment to the City.
XII. LIQUIDATED DAMAGES
A. Prevailing Specifications: 2020, INDOT Standard Specifications Section 108
B. Additions:
1. The contractor shall proceed with the work at such rate of progress to insure full completion within
the Contract Time. It is expressly understood and agreed, by and between the Contractor and the
Owner, that the Contract Time for completion of the work described herein is a reasonable time,
taking into consideration the average climatic and economic conditions and other factors prevailing
in the locality of the work, and excludes the time for unavoidable delays which were beyond the
control and without the fault of the Contractor.
2. If the Contractor shall fail to complete the work within the Contract Time, or extension of time
granted by the Owner, then the Contractor will pay to the Owner the amount for liquidated damages
a sum of five hundred dollars ($500.00) for each calendar day that the Contractor shall remain in
default after the time of completion stipulated in the Contract Documents.
3. The Contractor shall not be charged with liquidated damages or any excess cost when the delay
in completion of the work is due to the following and the Contractor has promptly given written
notice of such delay to the Owner and Engineer/Architect.
a. To any preference, priority, or allocation order duly issued by the Owner.
b. To unforeseeable causes beyond the control and without the fault or negligence of the
Contractor, including but not restricted to acts of God, acts of public enemy, acts of the Owner,
acts of another Contractor in the performance of a Contract with the Owner, fires, floods,
epidemics, quarantine restrictions, strikes, freight embargoes, and abnormal and
unforeseeable weather.
XIII. RETAINAGE AND FINAL PAYMENT
A. Prevailing Specifications: 2020, INDOT Standard Specifications Section 109
B. Additions:
1. Payments will be made every thirty (30) calendar days
2. Consistent with provisions of IC 36-1-12-14, the Board of Public Works shall retain a percentage of
payments throughout the duration of the project.
3. Before final payment and retainage are released the Contractor must satisfy the following:
a. All parts and labor meet requirements stated in the specifications.
b. Provide copies of test reports or cut sheets on all materials supplied.
c. Provide As-Built drawings in accordance with the City of South Bend Prevailing Specifications
for Public Works.
d. One (1) copy of the City of South Bend Completion Affidavit and one (1) copy of a Final Waiver
of Lien.
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XIV. WARRANTY
A. Prevailing Specifications: None
B. Additions
1. All Parts shall include the following:
a. Performance specifications
b. Bill of Materials
c. Warranties on all parts
d. Installation and safety requirements
XV. OTHER UTILITIES
A. Prevailing Specifications: None
B. Additions:
1. The Contractor shall verify the locations of all utilities by contacting Indiana811 by calling 811 (in
Indiana) or 1-800-382-5544 (outside of Indiana), or via www.indiana811.org, at least two (2)
working days, not counting Saturdays, Sundays or federal and state holidays before proceeding
with construction. It shall also be the Contractor’s responsibility to contact any other utility that is
not contacted by Indiana811 and verify the utility locations.
2. The Contractor shall be responsible for working with the other utilities, i.e., gas electric, telephone,
etc. in order to assure that all utilities that need to be replaced or relocated can be done with a
minimum disturbance to service. The Contractor shall also be responsible for coordinating
schedules with the various utilities such that they can proceed with their relocation work as
efficiently as possible.
3. If the odor of natural gas is detected in a work area at any time during the course of work, the
Contractor shall immediately notify NIPSCO at 1-800-634-3524. The Contractor shall also
immediately notify the residents of adjacent properties. The Contractor shall advise the residents
to evacuate their homes immediately if the odor is present within the dwelling.
4. Restoration of sprinkler systems damaged by the Contractor's operations shall be repaired by the
Contractor at no additional cost to the City or the Owner of the system.
XVI. MAINTENANCE OF TRAFFIC
A. Prevailing Specifications: 2020, INDOT Standard Specifications Sections 105 & 801
B. Additions:
1. Maintenance of traffic during construction shall conform to the “Indiana Manual on Uniform Traffic
Control Devices” and the City of South Bend Design and Construction Standards.
2. The attached “Traffic Closure Request” form is to be used for any lane restrictions or closures and
required to be filled out and sent to the Department of Public Works
3. The Contractor shall arrange and prosecute the work specified for this contract in such a manner
that traffic on existing streets is unrestricted throughout the Project. The Engineer shall approve
the method of traffic control. No construction equipment, vehicles, materials, supplies or temporary
facilities shall be left unattended in the right-of-way of any street or left parked overnight without
proper marking and lighting.
4. After the award of the contract and before beginning the work, the Contractor shall submit his/her/its
proposed schedule of operations for the review of the Engineer. The schedule of operations as
reviewed by the Engineer shall be maintained at all times.
5. There will be no direct payment for this work.
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XVII. DESCRIPTION OF WORK
A. Prevailing Specifications: None
B. Additions
1. Work to be performed shall include furnishing all labor, services, materials, insurance and
equipment to complete water tap and utility connection for the proposed El Campito
community garden within the City of South Bend.
2. The Contractor shall preserve and protect all surrounding property, structures, tenants, visitors and
their property from damage caused by the Contractor’s operations.
XVIII. MOBILIZATION AND DEMOBILIZATION
A. Prevailing Specifications: 2020, INDOT Standard Specifications Section 110
B. Additions:
1. The payment of mobilization will be limited to the greater of 5% of the total contract cost and 50%
of the lump sum cost of the contract item for mobilization and demobilization. The remainder of the
payment for the item will be considered for demobilization and paid at the completion of the project.
2. Mobilization and Demobilization will be paid for under the lump sum item and price as set forth in
the Proposal.
XIX. BRICK PAVEMENT REMOVE AND PALLETIZE
A. Prevailing Specifications: City of South Bend Construction Standards & Specifications, Standard 2-49
B. Additions:
1. All work shall be done according to City of South Bend Standard 2-49, see Appendix B.
2. Existing brick pavement shall be removed for a width 3 feet greater than the anticipated trench.
Existing brick pavement to be restored shall be salvaged undamaged, palletized, and delivered to
the South Bend Street Department (731 S Lafayette Blvd). The Contractor shall be responsible
for ensuring the security of the salvaged brick during the period between removal and delivery.
3. Brick pavement shall be re-installed by others at a future date.
4. Payment shall be made at the Unit Price as specified in the Proposal as follows:
Brick Pavement Remove and Palletize ……….SY
XX. CONCRETE CURB AND GUTTER, REMOVE AND REPLACE
A. Prevailing Specifications: 2020, INDOT Standard Specifications Section 202, 605
B. Additions:
1. The pay item Concrete Curb and Gutter, Remove and Replace, shall include removing the full
depth of existing curb and gutter, and installing new curb and gutter in accordance with the plans
and special provisions herein.
2. Removal limits shall include all areas designated on the plans necessary for installation. Precise
removal limits shall be coordinated with the City prior to starting work. The Contractor shall dispose
of the removed concrete at an offsite disposal site properly licensed to receive such material.
Removed material shall not be stockpiled at the work location. The cost of hauling of materials
offsite shall not be paid for separately but included in the cost of concrete curb removal. The
Contractor shall be responsible for preventing any removed materials from entering any storm
drains.
3. Concrete or other items outside the removal limits damaged by the Contractor or any
subcontractors during the removal process will be repaired or replaced to the satisfaction of the
Engineer at no additional cost.
4. Saw cuts required for removal shall not be paid for separately, but included in the cost of the
removal items.
5. The contractor shall minimize the area of disturbances not included in the plans.
6. The Contractor shall ensure that adequate drainage exists once new concrete curb and gutter are
installed. The Contractor shall ensure that low spots do not exist and that water can flow to existing
inlets similar to pre-existing conditions.
7. If tree roots are encountered and must be removed due to grades, the contractor shall contact a
representative from the City of South Bend Engineering Division. Tree roots shall not be removed
without the on-site approval of the Engineer. The cost of root removal shall not be paid for
separately but shall be included on the cost of other items.
8. Payment shall be made at the Unit Price specified in the Proposal as follows:
Concrete Curb and Gutter, Remove and Replace………………. LFT
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XXI. CONCRETE SIDEWALK, REMOVE AND REPLACE
A. Prevailing Specifications: 2020, INDOT Standard Specifications Section 202, 605
B. Additions:
1. The pay item Concrete Sidewalk, Remove and Replace, shall include removing the full depth of
existing sidewalk and installing new sidewalk in accordance with with the Americans with
Disabilities Act (ADA) guidelines, the United States Access Board Public Right-Of-Way
Accessibility Guidelines (PROWAG), the South Bend Construction Standards and Specifications,
and the special provisions herein.
2. Removal limits shall include all areas designated on the plans necessary for installation. Precise
removal limits shall be coordinated with the City prior to starting work. The Contractor shall dispose
of the removed concrete at an offsite disposal site properly licensed to receive such material.
Removed material shall not be stockpiled at the work location. The cost of hauling of materials
offsite shall not be paid for separately but included in the cost of concrete curb removal. The
Contractor shall be responsible for preventing any removed materials from entering any storm
drains.
3. Concrete or other items outside the removal limits damaged by the Contractor or any
subcontractors during the removal process will be repaired or replaced to the satisfaction of the
Engineer at no additional cost.
4. Saw cuts required for removal shall not be paid for separately, but included in the cost of the
removal items.
5. The contractor shall minimize the area of disturbances not included in the plans.
6. Cross slope for all concrete sidewalks shall be a maximum of 1.5%.
7. Contractor shall replace concrete sidewalks to the nearest existing joint.
8. Payment for joints and joint materials will not be paid for directly but shall be included in the cost of
the concrete sidewalk.
9. Transverse control joints shall be placed at equal intervals at a maximum of 5 ft.
10. The use of slag or local aggregate will not be permitted.
11. The Contractor shall ensure that adequate drainage exists once new concrete sidewalks are
installed. The Contractor shall ensure that low spots do not exist and that water can flow to existing
inlets similar to pre-existing conditions.
12. If tree roots are encountered and must be removed due to grades, the contractor shall contact a
representative from the City of South Bend Engineering Division. Tree roots shall not be removed
without the on-site approval of the Engineer. The cost of root removal shall not be paid for
separately but shall be included on the cost of other items.
13. Payment shall be made at the Unit Price specified in the Proposal as follows:
Concrete Sidewalk, Remove and Replace………………. SY
XXII. PARKING LANE AND CONCRETE HEADER, REMOVE AND REPLACE
A. Prevailing Specifications:
B. Additions
1. The pay item Parking Lane and Concrete Header, Remove and Replace, shall include removing
the full depth of existing asphalt parking lane and concrete header, and installing new 6” concrete
parking lane and concrete header in accordance with the plans and special provisions herein.
2. Removal limits shall include all areas designated on the plans necessary for installation. Precise
removal limits shall be coordinated with the City prior to starting work. The Contractor shall dispose
of the removed asphalt and concrete at an offsite disposal site properly licensed to receive such
material. Removed material shall not be stockpiled at the work location. The cost of hauling of
materials offsite shall not be paid for separately but included in the cost of concrete curb removal.
The Contractor shall be responsible for preventing any removed materials from entering any storm
drains.
3. Concrete or other items outside the removal limits damaged by the Contractor or any
subcontractors during the removal process will be repaired or replaced to the satisfaction of the
Engineer at no additional cost.
4. Saw cuts required for removal shall not be paid for separately, but included in the cost of the
removal items.
5. The contractor shall minimize the area of disturbances not included in the plans.
6. The Contractor shall ensure that adequate drainage exists once new concrete parking lane and
concrete header are installed. The Contractor shall ensure that low spots do not exist and that
water can flow to existing inlets similar to pre-existing conditions.
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7. If tree roots are encountered and must be removed due to grades, the contractor shall contact a
representative from the City of South Bend Engineering Division. Tree roots shall not be removed
without the on-site approval of the Engineer. The cost of root removal shall not be paid for
separately but shall be included on the cost of other items.
8. Payment shall be made at the Unit Price specified in the Proposal as follows:
Parking Lane and Concrete Header, Remove and Replace………………. SY
XXIII. WATER SERVICE, 2” TYPE K COPPER
A. Prevailing Specifications: City of South Bend Standards, Section 5 Water Works
B. Additions
1. Water service pipe and fittings shall be Type “K” Copper Pipe.
2. All curb valves and boxes will be located in the parking lane.
3. The service shall include the copper, corporation stop curb and valve. Curb box shall be provided
by City.
4. The Contractor shall be responsible for coordination with South Bend Water Works and all
tapping requirements per City of South Bend Standard 5-1, see Appendix B.
5. The cost of work for excavation, backfill, compact aggregate, compacting, leveling and grading
shall not be paid separately but included in the cost of Water Service. All work shall be done
according to City of South Bend Standard 2-49, see Appendix B.
6. Payment shall be made at the Unit Price as specified in the Proposal as follows:
Water Service 1” Type K Copper ………. LFT
XXIV. WATER METER PIT
A. Prevailing Specifications: City of South Bend Standards, Section 5 Water Works
B. Additions
1. Water Meter Pit shall be according to City of South Bend Standard 5-13, see Appendix B.
2. The pay item Water Meter Pit shall include all labor and materials to provide fully functional water
meter pit with 48” casting, water meter, piping, valves and backflow preventor. Backflow preventor
should include a vandal cover with padlock system.
3. Payment shall be made at the Unit Price specified in the Proposal as follows:
Water Meter Pit………………. EA
XXV. “B” BORROW (ALTERNATE)
A. Prevailing Specifications: 2020, INDOT Standard Specifications Section 211
B. Additions
1. The Contractor shall furnish all necessary equipment, labor, and materials to complete backfill of
excavations with “B” Borrow material if excavated material is determined to be unsatisfactory for
backfill by the Engineer. It is anticipated that native material will be acceptable for backfill. No topsoil
or organic material will be allowed to be used as backfill.
2. The actual quantity of “B” Borrow completed and accepted will be measured for payment at the unit
cost set forth in the proposal.
3. Payment shall be made at the Unit Price as specified in the Proposal as follows:
“B” Borrow ………. CY
XXVI. EXHIBITS
A. Prevailing Specifications: City of South Bend CONSTRUCTION STANDARDS AND SPECIFICATIONS
B. Additions:
1. The exhibits consist of 12 Sheets in total, including appendix fly sheets.
2. The work shall conform to the plans.
3. The drawings are schematic in nature.
4. The CONTRACTOR is responsible for estimating dimensions and quantities of materials.
5. In the event that the Special Provisions and the Plans conflict, the Special Provisions shall govern.
C. Appendices:
1. Appendix A – Displays showing new water service plan, as-builts, and reference photos (3 Sheets)
2. Appendix B – City of South Bend Standard Drawings 2-49, 5-1 – 5-3, and 5-13 (5 Sheets)
3. Appendix C – Traffic Control and Occupancy Request Form (1 Sheet)
Version 2/14/2020 Page - 9 Public Works Quote
CITY OF SOUTH BEND, INDIANA
CONTRACTOR’S QUOTE FOR PUBLIC WORK
PROJECT NAME: El Campito Water Tap Quote
PROJECT NO. 121-017
QUOTES DUE March 9th, 2021 at 9:00am Local Time – electronic bids should be
submitted to bpwbids@southbendin.gov
(Must be completed for all quotes. Please type or print)
Date: 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:
The City of South Bend, Department of Public Works
and dated for the sum of (enter the Total Quote as shown on the Proposal)
($ )
(Enter Sum of Total Quote plus Alternates shown on Proposal) (Numerical)
If alternative quotes apply, the undersigned submits a proposal for each in accordance with the notice. Any
addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed, the cost of units must be the same as that shown
in the original contract if accepted by the City of South Bend. If the quote is to be awarded on a unit basis, the
itemization of the units shall be shown on a separate attachment.
ACCEPTANCE
The above quote is accepted this day of 20
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Elizabeth A. Maradik, President , Member
Gary A. Gilot, Member Jordan V. Gathers, Member
Joseph R. Molnar, Member Attest: Anne Fuchs, Clerk
By
(Signature)
(Printed Name of Person Signing)
Version 2/14/2020 Page - 10 Public Works Quote
When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to
this Affidavit.
CONTRACTOR’S NON-COLLUSION AND NON-DEBARMENT AFFIDAVIT,
CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY
VERIFICATION, NON-DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE
OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS
(Must be completed for all quotes and bids. Please type or print)
STATE OF ___________ )
) SS:
COUNTY )
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that:
1. Contractor has not, nor has any other member, representative, or agent of the firm,
company, corporation or partnership represented by him, entered into any combination, collusion
or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent
any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made
without reference to any other bid and without any agreement, understanding or combination with
any other person in reference to such bidding. Contractor further says that no person or persons,
firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift,
commission or thing of value on account of such sale; and
2. Contractor certifies by submission of this proposal that neither contractor nor any of its
principals are presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from participation in this transaction by any Federal department or agency;
and
3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment
activities in Iran.
a. For purposes of this Certification, “Iran” means the government of Iran and any agency or
instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from
time-to-time.
b. As provided by Ind. Code § 5-22-16.5-8, as amended from time-to-time, a Contractor is
engaged in investment activities in Iran if either:
i. Contractor, its successor or its affiliate, provides goods or services of twenty million
dollars ($20,000,000) or more in value in the energy sector of Iran; or
ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty
million dollars ($20,000,000) or more in credit to another person for forty-five (45)
days or more, if that person will (i) use the credit to provides goods and services in
the energy sector in Iran; and (ii) at the time the financial institution extends credit, is
a person identified on list published by the Indiana Department of Administration.
4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain
any employee or contract with a person that the Contractor subsequently learns is an unauthorized
Version 2/14/2020 Page - 11 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 - 12 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 day of , 20__
Contractor/Bidder (Firm)
Signature of Contractor/Bidder or Its Agent
Printed Name and Title
Subscribed and sworn to before me this day of , 20
My Commission Expires
Notary Public
County of Residence
Version 2/14/2020 Page - 13 Public Works Quote
QUOTE/PROPOSAL
CITY OF SOUTH BEND
PROJECT NAME El Campito Water Tap Quote
PROJECT NO. 121-017
QUOTES DUE
March 9th, 2021 at 9:00am Local Time – electronic bids should
be submitted to bpwbids@southbendin.gov
Base Quote
Item
No. Description Quantity Unit Unit Price Total Amount
1 Mobilization/Demobilization 1 LS $
3 Brick Pavement, Remove and Palletize 10 SY
4 Concrete Curb and Gutter, Remove
and Replace 8 LFT
5 Concrete Sidewalk, Remove and
Replace 5 SY
6 Parking Lane and Concrete Header,
Remove and Replace 8 SY
7 Water Service, 2” Type K Copper 30 LFT
8 Water Meter Pit 1 EA
Total Amount of Quote $
Alternate 1
1 “B” Borrow 30 CY
Firm:
Address:
City/State/Zip: Telephone Number: ( )
Fax Number: ( )
By
(Signature)
(Printed Name of Person Signing)
Appendix A
121-017 El Campito Water Tap Quote
El Campito Water Tap QuoteNew Water Service PlanDisplay 1 / 3
01/28/2021
121-017City of South BendDept. of Public Works227 W Jefferson Blvd. #1316South Bend, IN 46601Phone: (574) 235-9251Fax: (574) 235-9171LAUREL STTHOMAS ST
1011 1009
220
218
222
225
1005 919
916
6 inch
4 inch
St Joseph County, Esri, HERE, Garmin, INCREMENT P, USGS, EPA, USDA
Legend
NewWaterTap
NewCurbStop
NewMeterPit
NewBackflowPreventor
Water MainLineValve
Water Hydrant Valve
Water Stop Box
Water Hydrant
Water LateralLine +/-80 ftEl Camipto Site
Approximate
Excavation
El Campito Water Tap Quote
Water As-BuiltsDisplay 2 / 301/28/2021121-017City of South Bend
Dept. of Public Works
227 W Jefferson Blvd. #1316
South Bend, IN 46601
Phone: (574) 235-9251
Fax: (574) 235-9171
El Campito Water Tap Quote
Reference PhotosDisplay 3 / 301/28/2021121-017City of South Bend
Dept. of Public Works
227 W Jefferson Blvd. #1316
South Bend, IN 46601
Phone: (574) 235-9251
Fax: (574) 235-9171
Appendix B
121-017 El Campito Water Tap Quote
GENERAL NOTES:
1. Temporary Patch:
If it is not possible, due to weather conditions, for the contractor to replace the
pavement within 24 hours following backfilling of cut, a coarse aggregate base 8"
thick and a cold asphaltic surface of 4" shall be applied and maintained as a
temporary patch until permanent repairs can be made. When temperature falls below
50°F within 72 hour cure time, concrete to be used shall be 7 bag w/ 2% accelerator.
Such temporary patches shall be replaced with permanent repairs no later than May 1
of the following year.
2. All utilities must be located prior to making pavement cut.
BRICK PAVER PREPARATION:
1. Remove organic, unstable or unconsolidated material from site. Verify conformance
of subgrade preparation, compacted density and elevations to specified requirements.
2. Clean and re-use existing street brick pavers removed during site demolition.
Remaining pavers not used will be returned to the city.
Backfill
Brick Pavements Shall be Removed for a Width
3 ft. Greater Than the Anticipated Trench and
Restored Upon Completion
Trench Cut3'3'12"Compacted #53 Base Course,
12" min.
Compacted Sand Setting
Bed 1" min.
Street Pavers
1"Slopes as per Trenching Safety Policy
29 CFR 1926, Subpart P -
Excavation & Trenching
Trench Cut
Max. 24" Wider Than
O.D. of Utility
See Section 3 for Bedding
and Backfill Requirements
6/26/18
CITY OF SOUTH BEND
Item Revision Approved Date
STANDARD
EFFECTIVE DATE:
REF STD SPEC SEC
APPROVED/REVISED BY THE BOARD OF PUBLIC WORKS
STANDARDS FOR DESIGN
AND CONSTRUCTION
Kara M. Boyles, Ph.D., P.E. Date
PAVEMENT PATCHING AND UTILITY CUTS - BRICK 2-49
2-6
June 26, 2018
SECTION 2 - STREETS AND PATHS
1" AND 2" TAP
* 1" Tap Shall be Level to 45° up
* 2" Taps Shall be Level
* Depth Shall be 1' Below Main (at Main)
* Tap Shall be a Min. 1' Laterally
From Other Taps or Joints
* 1' Below Water Main
* 1' Behind Water Main
* 5' Wide Excavation
* 5' in Front of Water Main
4" TO 12" TAP
* Tap Shall be Level
* Depth Shall be 2' Below Main (at Main)
* Tap Shall be a Min. 2' Laterally
From Other Taps or Joints
* Install Tap in Middle of Excavation
* 2' Below Water Main
* 4' Behind Water Main
* 8' Wide Excavation
* 8' in Front of Water Main
Back
Front
8'4'8'12'+ OverallPipe
Dia.
TOP VIEW SIDE VIEW
12' + Overall
4'8'
Front
Pipe
Dia.2'Sloping to 1.5 x Depth
TOP VIEW SIDE VIEW
6' + Overall
1'5'
Front
Pipe
Dia.1'Sloping to 1.5 x Depth
Back
Front
5'1'5'6'+ OverallPipe
Dia.
1
1.5
1" AND 2" TAP EXCAVATION
4" TO 12" TAP EXCAVATION
NOTE:
Shown are minimum excavations required - sheeting and shielding or sloping to 1.5 x depth is also needed.
1
1.5
SOUTH BEND WATER WORKS TAPPING REQUIREMENTS:
1. Call 811 or (800) 382-5544 for utility locates a minimum of 48 hours prior to
excavation.
2. The plumber or contractor must obtain all permits required by the City Engineering
Department. (excavation, street cuts, and sidewalk permits)
3. Call Engineering Department (574) 235-9251 a minimum of 48 hours prior to
excavation and street closure.
4. Call City Water Works Department at (574) 235-9279 for tap fee requirements. The
tap fee is to be paid to the Water Works Engineering Department, 830 N Michigan St.
5. Schedule taps through Field Operations number at (574) 235-9464.
6. Excavate, expose and clean water main for tap.
7. Material supplied by South Bend Water Works:
2" and smaller - corporation stop, curb stop and stop box
4" and larger - tapping sleeve and valve, roadway/valve box
8. All excavations must meet O.S.H.A. excavation standards.
9. Contractor shall provide all sheeting and shielding.
10. Domestic branches off of fire lines are strictly prohibited.
11. Any abandoned service lines within the property frontage of the new tap shall be
disconnected at the water main by the contractor during the tap excavation. This
applies to services at the same address as well as any other connections.6/26/18
CITY OF SOUTH BENDItemRevision
STANDARD
EFFECTIVE DATE:
REF STD SPEC SEC
APPROVED/REVISED BY THE BOARD OF PUBLIC WORKS
STANDARDS FOR DESIGN
AND CONSTRUCTION
Kara M. Boyles, Ph.D., P.E. Date
TAPPING REQUIREMENTS 5-1
5-2.5(e) and 5-2.5(g)
June 26, 2018
SECTION 5 - WATER WORKS
NOTES:
1. Tapping valves shall be Clow, Mueller, or approved equal.
2. The physical tapping of the existing water main shall be performed by the city's utility
distribution department. All excavation and preparation work shall be performed by
the contractor, and the contractor shall provide all materials. The utility will only
perform the physical tap. Contractor shall coordinate with the Water Department.
Tapping Valve
New Main
H304 Stainless
Steel Tapping
Sleeve
Ex. Main
TAP MADE UNDER PRESSURE (WET TAP)
CONNECTING NEW MAIN TO EXISTING MAIN
Flanged JointRestrain With Wedge
Action Restraints
6/26/18
CITY OF SOUTH BENDItemRevision
STANDARD
EFFECTIVE DATE:
REF STD SPEC SEC
APPROVED/REVISED BY THE BOARD OF PUBLIC WORKS
STANDARDS FOR DESIGN
AND CONSTRUCTION
Kara M. Boyles, Ph.D., P.E. Date
TAPPING SLEEVE AND VALVE 5-2
5-2.5(e)
June 26, 2018
SECTION 5 - WATER WORKS
Service Shut-Off Box (See Note 1)
(Tyler 95E or Approved Equal)
1" Type "K" Service
Pipe to Establishment
1" Compression Curb Stop
(Ball Valve)
Brick
1" Type "K" Copper Service
(Perpendicular to Main)
Ball Type Corporation Stop
(1" CC Threads X 1" Copper
Compression or Approved Equal)
Water Main
For 1" & 2" Services,
a Twin Strap Nylon or
Epoxy Coated Saddle
is Required 60" Minimum - 72" MaximumCast Iron Access Cap (4" - 2 Hole)
Finish Ground
(See
N
o
t
e
2
)
Shut-Off Box Rod
45°
NOTES:
1. Service shut-off box shall be placed in the public right-of-way in grass
between curb and sidewalk.
2. For a 2" service the corporation stop shall be located at 90° (level).6/26/18
CITY OF SOUTH BENDItemRevision
STANDARD
EFFECTIVE DATE:
REF STD SPEC SEC
APPROVED/REVISED BY THE BOARD OF PUBLIC WORKS
STANDARDS FOR DESIGN
AND CONSTRUCTION
Kara M. Boyles, Ph.D., P.E. Date
TYPICAL WATER SERVICE CONNECTION 5-3
5-2.1 and 5-2.5(g)
June 26, 2018
SECTION 5 - WATER WORKS
Light Duty Cast Iron
Frame and Cover
(See Note 3)Grade
Inlet Ball
Valve
Outlet Ball
Valve
1", 1 1 2", or 2"
Meter
Direction
of Flow
12" Min.36" Max.4'-0"
(Square or Circular)
4"4"
1" Holes for
Drainage 6'-0" Min.6"Min.6"Precast Conc. Base
Gravel (INDOT No. 8)
Core Holes
for Piping (Typ.)
(See Note 2)
Precast Conc.
6"
Min.
6"
Min.6"Min.Link Seal (Typ.) or
Approved Equal
Type "K" Copper Pipe
NOTES:
1. Precast Conc. structure shall be manufactured and installed in compliance with
ASTM C-478 (round str.) or ASTM C-913 (rectangular/square str.)
2. The cored opening shall be large enough to allow passage of the pipe flange.
3. Lid shall have the word "WATER" cast into it. If placed in a paved area, casting
shall be heavy duty.
SECTION VIEW
Curb Stop Valve and Box
Street Sidewalk
1", 1 1 2", or 2" Meter
Inlet Ball Valve
Outlet Ball ValveCurb Stop Valve and Box
Direction
of Flow
PLAN VIEW 2'-0"10" Clearance (Typ.)
24" Min.
Clearance
6/26/18
CITY OF SOUTH BENDItemRevision
STANDARD
EFFECTIVE DATE:
REF STD SPEC SEC
APPROVED/REVISED BY THE BOARD OF PUBLIC WORKS
STANDARDS FOR DESIGN
AND CONSTRUCTION
Kara M. Boyles, Ph.D., P.E. Date
METER PIT SPECS. FOR 1", 1 1/2", AND 2" METERS 5-13
5-2.7
June 26, 2018
SECTION 5 - WATER WORKS
Appendix C
121-017 El Campito Water Tap Quote
Version 3.1 [10/24/2017]
**SUBMIT 5 WORKING DAYS MINIMUM PRIOR TO PROJECT START DATE
Parking Lane Travel Lane Full Road Closure Alley
Submission Date: Applicant/Company:
Email Address:
Phone #:
Project STREET ADDRESS (eg: 110 W. Smith RD.):
Project Location (Block limits/Streets From and To):
Requested Start & End Dates:Requested Start & End Times:
Contractor Performing Work:
On-Site Contact: Phone #:
Reason for Closure:
Affected Customers:ATTACH THE FOLLOWING ITEMS: 1. Traffic Control Plan 2.Detour Plan 3. Barricades, Signs, or Flashers Placement
ENGINEERING OFFICE USE ONLY:
Approved Approved as Noted Revise Not Approved
Comments: ____________________________________________________________________________
_________________________________________________________________________________________
City of South Bend/Engineering Division Authorized Signature Date:
SOUTH BEND,INDIANA 46601 TDD 574/ 235-5567
Reason for Closure:
City of South Bend Public Works
Engineering Division
4227 W. Jefferson, County City Building 1316
South Bend, IN 46601-1830
PLAN YOUR START DATE ACCORDINGLY TO AVOID DELAYS
Complete 1 - 5 Incomplete Submittals Cannot Be Processed
(Refer to MUTCD for Traffic Control Device Requirements)
Failure to use traffic control for traffic restrictions or closures will result in stop work orders and/or delay in permitting.
Office
Cell
Name:
Office
Cell
Excavation/Boring? > Requires Excavation Form Construction? > Requires Curb Cut
application or sidewalk permit
1
2
3
4
5
Affected Customers:
~ Contractors are responsible for resolving safety issues and access concerns with affected customers ~
Phone: 574.235.9251
Email: dhanson@southbendin.gov
TRAFFIC CONTROL AND OCCUPANCY REQUEST
Sidewalk Closure
THIS OCCUPANCY PERMIT REQUEST IS NON-TRANSFERABLE AND A SIGNATURE SUBJECTS THE NAMED CONTRACTOR/PERMITTEE
TO ALL APPLICABLE RULES, DUTIES AND OBLIGATIONS IMPOSED BY THE CITY OF SOUTH BEND MUNICIPAL CODE AND TO ALL
REGULATIONS IMPOSED BY THE SOUTH BEND BOARD OF PUBLIC WORKS.
Applicant Signature _______________________________ Date ________________
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 03/09/2021
Name Alicia Pellegrino Department Engineering
BPW Date 03/23/2021 Phone Extension 5903
Review and Approval Required Prior to Submittal to Board Diversity Compliance
and Inclusion Officer Officer Name BPW Attorney Attorney Name
Dept. Attorney Attorney Name
Purchasing
Check the Appropriate Item Type – Required for All Submissions
Professional Services Agreement Contract Proposal
Open Market Contract Amendment/Addendum Special Purchase, QPA
Bid Opening Bid Award Req. to Advertise Title Sheet
Quote Opening Quote Award Reject Bids/Quotes
Proposal Opening C/O & PCA No. PCA
Chg. Order, No. Traffic Control Resolution
Other: Ease./Encroach
Required Information
Company or Vendor Name Selge Construction Co., Inc.
New Vendor Yes If Yes, Approved by Purchasing
No
MBE/WBE Contractor MBE
WBE Completed E-Verify Form Attached Yes
No
Project Name El Campito Water Tap Quote
Project Number 121-017
Funding Source West Washington TIF
Account No. 422-10-102-121-431000—PROJ00000233
Amount $17,725.00
Terms of Contract
Purpose/Description
For Change Orders Only
Amount of
Increase
Decrease
$
($ )
Previous Amount $
Current Percent of Change:
Increase
Decrease
%
( %)
New Amount $
Total Percent of Change:
Increase
Decrease
%
( %)
Time Extension Amount:
New Completion Date: