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Home My WebLink AboutOpening of Bids - 2021 Street and Sewer Materials Bid Proj No. 121-018 - Ozinga Ready Mix Concrete, Inc.CONTRACT DOCUMENTS AND SPECIFICATIONS " •C 2021 Street and Sewer Material Bid Project No. 121-01 s April 2021 Prepared for CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS Department of Public Works Division of Engineering March 15, 2021 Leslie N. Biek Registered Professional Engineer State of Indiana No. PE11600392 FOR BIDS DUE: 9:00 a.m., April 13, 2021 P iCF CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name 2021 Street and Sewer Material Bid Project No. 121-018 For Bids Due April 13, 2021, 9:00 a.m., Local Time 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. X 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 X executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and X 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]. X Acknowledge Receipt of 1 &2 Addendum(s) included with the bid. X All required additional information is included with the bid. X Proposal statements and other affidavits all signed by the proper party with name either printed or typed underneath signature. X 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: Ozinga Ready Mix Concrete, Inc. Date: April 13, 2021 By Authorized Representative: Signature: Print Name & Title: Scott Underwood Sales Representative Version 01/13/2021 Contractor's Bid for Public Works - 1 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name 2021 Street and Sewer Material Bid Project No. 121-018 For Bids Due April 13, 2021, 9:00 a.m., Local Time PART I (Must be completed for all bids. Please type or print) late: April 13, 2021 Bidder (Firm): 07inga Ready Mix Conrrete, Inc Address: 715 W. Ireland Road City/State/Zip: South Bend, IN 46614 Telephone Number: ( 574 ) 291-7100 Agent of Bidder (if Applicable): Scott Underwood Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: Pq /1,t - es 2Z2(�-Street and Sewer Department Materials #12®-6815 the City of South Bend, Indiana, in accordance with plans and specifications prepared by: and dated April 13, 2021 for the sum of (enter the Total Bid as shown on the Proposal) fi"W ($ ) (Enter sum of Total Base Bid plus Alternates shown on Proposal) (Numerical) The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. BY (Signature) Scott Underwood (Printed Name of Person Signing) The above bid is accepted this Subject to the following conditions: BOARD OF PUBLIC WORKS Elizabeth A. Maradik, President Gary A. Gilot, Member ACCEPTANCE day of Joseph R. Molnar, Member Jordan V. Gathers, Member Attest: Anne Fuchs, Clerk 20 Version 01/13/2021 Contractor's Bid for Public Works - 2 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. Version 01/13/2021 Contractor's Bid for Public Works - 4 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. Contractors seeking the award of a City contract cannot be required to award a subcontract to arrMWBE; 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 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. Version 01/13/2021 Contractor's Bid for Public Works - 5 I hereby affinn under the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this 13th day of April 2021 Ozinga Ready Mix Concrete, Inc. Contractorer �i/n�n�)� Signature of Contractor/Bidder or Its Agent Scott Underwood Sales Representative Printed Name and Title Subscribed and sworn to before me this 154 day of Pr art 1 20 Z t My Commission Expires N tary Public County of Residence Version 01/13/2021 Contractor's Bid for Public Works - 6 BID/PROPOSAL CITY OF SOUTH BEND Project Name: 2021 Street and Sewer Material Bid, Project Number: 121-018 For Bids Due: April 13, 2021, 9:00 a.m., Local Time Contractor Name: Ozinga Ready Mix Concrete, Inc. DIVISION A — PCC MATERIALS Item No. Description Quantity Unit Unit Price A-1 Class A Concrete 2500 CY $115.00 A-2 Class A High Early 800 CY $125.00 A-3 7 Bag Mix - New City Specs 600 CY $138.00 A-4 High Early Concrete w/ Integral Color - Black 350 CY $215.00 A-5 Flowable Fill, Removable 350 CY $78.00 A-6 Non -Chloride Accelerator added to concrete — 325 EA CY 0.5% $2.75 A-7 Non -Chloride Accelerator added to concrete —1% 1000 EA CY $5.50 A-8 Non -Chloride Accelerator added to concrete — 2% 2100 EA CY $11.00 DIVISION B - AGGREGATE MATERIALS Item No. Description Quantity Unit Unit Price B-1 No. 23 Sand 5000 TON $16.35 B-2 No. 53 Gravel 1000 TON $23.50 B-3 No. 53 Recycled Concrete 7500 TON $13.85 B-4 No. 53 Slag 1000 TON $19.25 B-5 Topsoil 500 CY No Bid Version 01/13/2021 Contractor's Bid for Public Works - 7 BID/PROPOSAL CITY OF SOUTH BEND Project Name: 2021 Street and Sewer Material Bid Project Number: 121-018 For Bids Due: April 13, 2021, 9:00 a.m., Local Time Contractor Name: Ozinga Ready Mix Concrete, Inc. DIVISION B - AGGREGATE MATERIALS — CONT' B-6 No. 11 Slag Chip Stone 1000 TON $20.85 DIVISION C - SEWER MATERIALS - CASTINGS Item No. Description Quantity Unit Unit Price Manhole Cover and Frame: EJ 1040A or Neenah R- NO Bid C-1 1642 (Circle One) 300 EA Catch Basin Cover & Frame: EJ 1020-M1 or Neenah No Bid C 2 R-1642 (Circle One) 300 EA DIVISION D - SEWER MATERIALS Item No. Description Quantity Unit Unit Price D-1 MH Riser 20 3/4" D — 1 "R — 7/8"L 40 EA No Bid D-2 MH Riser 20 3/4" D — 1 1/2"R — 7/8"L 40 EA No Bid D-3 MH Riser 20 3/4" D — 2"R — 7/8"L 20 EA No Bid D-4 MH Riser 20 3/4" D — 2 1/2"R — 7/8"L 10 EA NO Bid D-5 MH Riser 21 3/4" D — 1 "R — 1 3/81 20 EA No Bid D-6 MH Riser 21 3/4" D — 1 1/2"R —1 3/8"L 30 EA No Bid D-7 MH Riser 21 3/4" D — 2"R — 1 3/8"L 30 EA NO Bid D-8 MH Riser 22 1/8" D — 2"R — 1 1/4"L 20 EA NO Bid D-9 MH Riser 22 1/8" D — 3"R — 1 1/4"L 5 EA No Bid Version 01/13/2021 Contractor's Bid for Public Works - 8 BID/PROPOSAL CITY OF SOUTH BEND Project Name: 2021 Street and Sewer Material Bid Project Number: 121-018 For Bids Due: April 13, 2021, 9:00 a.m., Local Time Contractor Name: Ozinga Ready Mix Concrete, Inc. DIVISION D - SEWER MATERIALS — CONT' D-10 MH Riser 22 1/4" D — 1 "R —1 1/21 30 EA No Bid D-11 MH Riser 22 1/4" D — 1 1/2"R —1 1/2"L 30 EA No Bid D-12 MH Riser 23" D —1 "R —1 3/4"L 30 EA No Bid D-13 MH Riser 23" D — 1 1/2"R — 1 3/4"L 20 EA No Bid D-14 MH Riser 23" D — 2"R — 1 3/4"L 40 EA No Bid D-15 MH Riser 23 5/8" D — 1 1/2"R — 1 1/8"L 10 EA No Bid D-16 MH Riser 23 5/8" D — 2"R — 1 1/8"L 10 EA No Bid D-17 MH Riser 23 5/8" D - 1"R - 1 1/2"L 20 EA No Bid D-18 MH Riser 23 5/8" D — 1 1/2"R —1 1/2"L 25 EA No Bid D-19 MH Riser 23 5/8" D — 2"R — 1 1/2"L 20 EA No Bid D-20 MH Riser 23 5/8" D — 2 1/2"R —1 1/2"L 20 EA No Bid Version 01/13/2021 Contractor's Bid for Public Works - 9 BID/PROPOSAL CITY OF SOUTH BEND Project Name: 2021 Street and Sewer Material Bid Project Number: 121-018 For Bids Due: April 13, 2021, 9:00 a.m., Local Time Contractor Name: Ozinga Ready Mix Concrete, Inc. DIVISION E - TRAFFIC MATERIALS Item No. Description Quantity Unit Unit Price E-1 High Build Fast Dry Waterborne Traffic Marking 2200 GAL Paint — White No Bid E-2 High Build Fast Dry Waterborne Traffic Marking 2200 GAL Paint — Yellow No Bid E-3 High Build Fast Dry Waterborne Traffic Marking 50 GAL Paint — Blue No Bid E-4 High Build Fast Dry Waterborne Traffic Marking 50 GAL Paint — Green No Bid E-5 Pavement Marking Beads, Standard 40000 LBS No Bid DIVISION F - SNOW REMOVAL MATERIALS Item No. Description Quantity Unit Unit Price F-1 Curved Double Bevel Carbon Steel Underbody 300 EA No Bid Blade 5'L x 6"T x 5/8"Th F-2 Curved Single Bevel Carbon Steel Underbody 50 EA No Bid Blade 5'L x 6" T x 3/4"Th Heat Treated — Hardened F-3 Curved Single Bevel Carbon Steel Underbody 50 EA No Bid Blade 6'L x 6"T x 3/4"Th Heat Treated — Hardened F-4 Boss Power V Plow Blade 51" X 6" X'/" Part # 6 EA No Bid BAL08858 Passenger Side Edge F-5 Boss Power V Plow Blade 51" X 6" X'/2" Part # 6 EA No Bid BAL08859 Drivers Side Edge No Bid F-6 8' 6" Western MVP Plus Plow Blade Part # 44285-1 6 EA No Bid F-7 Western Pro Plus Plow Blades 90"L x 67 x 1/2"Th 8 EA Version 01/13/2021 Contractor's Bid for Public Works - 10 BID/PROPOSAL " FF CITY OF SOUTH BEND Project Name: 2021 Street and Sewer Material Bid Project Number: 121-018 For Bids Due: April 13, 2021, 9:00 a.m., Local Time Contractor Name: Ozinga Ready Mix Concrete, Inc. Bidder (Firm): Ozinga Ready Mix Concrete, Inc. Address: 715 W. Ireland Road City/State/Zip: South Bend, IN 46614 Telephone Number: ( 574) 291-7100 By (Signature) Scott Underwood Sales Representative (Printed Name of Person Signing) Version 01/13/2021 Contractor's Bid for Public Works - 11 1316 COUNTY -CITY BUILDING 227 W.JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 Date: March 29, 2021 To: All Planholders PHONE 574/235-9251 FAX 574/235-9171 TDD 574/ 235-5567 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS 2021 Street and Sewer Department Materials 121-018 Addendum No. 1 From: Scott Kreeger, Project Manager You must acknowledge a receipt of this addendum by signing the first page and returning a copy with your bid. The following information is to be changed/added to the contract documents: PART I — GENERAL CONDITIONS 1. REMOVE General Conditions Pages 6 through 10. PART 2 — SPECIFICATIONS SPECIAL PROVISION, Page 2, Section III, Bidding Requirements 1. DELETE "Responsible Bidder Checklist" END OF ADDENDUM NO 1316 COUNTY -CITY BUILDING 227 W.JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/235-9251 FAX 574/235-9171 TDD 574/ 235-5567 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: March 29, 2021 To: All Planholders From Anne Fuchs, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: 2021 Street and Sewer Department Materials Project No.: 121-018 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: Ozinga Ready Mix Concrete, Inc. Authorized Signature: Date: April 13, 2021 Me 1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND. INDIANA 46601-1830 Date: To: From Subject Project Name Project No.: PHONE 574/235-9251 FAX 574/ 235-9171 TDD 574/ 235-5567 CITY OF SOUTH BEND .TAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS April 7, 2021 All Planholders Anne Fuchs, Clerk, Board of Public Works Addendum Number: 2 2021 Street and Sewer Material Bid 121-018 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: Ozinga Ready Mix Concrete, Inc. Authorized Signature: Date: April 13, 2021 1316 COUNTY -CITY BUILDING 227 W. JEFFERsoN BOULEVARD SOUTH BEND, INDIANA 46601-1830 Date: April 7, 2021 To: All Planholders PHONE 574/235-9251 FAx 574/ 235-9171 TDD 574/ 235-5567 CITY OF SOUTH BEND .JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS 2021 Street and Sewer Material Bid 121-018 Addendum No. 2 From: Scott Kreeger, Project Manager You must acknowledge a receipt of this addendum by signing the first page and returning a copy with your bid. The following information is to be changed/added to the contract documents: 1. Replace a. Contractor's Bid for Public Works Pages 7 through 10 with the attached documents. Attachments: Contractor's Bid for Public Works pages 7 through 11 END OF ADDENDUM NO. 2 Document A310 TM - 2010 Conforms with The American Institute of Architects AIA Document 310 Bid Bond CONTRACTOR: SURETY: (Name, legal status and address) (Name, legal status and principal place r jbusinewc) Western Surety Company Ozinga Ready Mix Concrete, Inc. 151 N. Franklin Street This document has important 715 W. Ireland Road Chicago, IL 60606 legal consequences. Consultation South Bend, IN 46614 Mailing Address for Notices with an attorney is encouraged with respect to its completion or OWNER: modification. (Name, legal starts and address) City of South Bend, Indiana, Board of Public Works 1316 County -City Building South Bend, IN BOND AMOUNT: 5% Five Percent of Amount Bid PROJECT: ('dine, location or address and Project number,. ijamry' 2021 Street and Sewer Materials Bid - Project No. 121-018 Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. 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 assists, jointly and severally, as provided herein. The conditions of this Bond arc such that if the Owner accepts the bid of tite 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 terns 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 1'roiect and othenvise acceptable to the Owner, for tile faithful performance of such Contract and for the prompt payment of labor and material funiislted in die 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 perlbrm the work covered by said bid, then this obligation shall be null and void, otherwise to remain in Bill force and ell'ect. 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 *aiwer ol'notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time lbr acceptance ol'bids tipecifsed in the bid documents, and the Owner and Contractor shall obtain the Surel)'s consent Iirr an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the teal 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 lurnished 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 hcretrom and pro+3sions conlimning to such statutory or other legal requirement shall be deemed incorporated herein. When sr liumished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and scaled this 13th day of April, 2021. Ozinga Ready Mix Concrete, Inc. (Principal) (seal) C' By: (Tile) 1-i6nr G-- Western Surety Company�yp4, (.Score (seal)w elfinr s) Kim be y Bragg 3*;, CA By: zs' {7ir1e) rah E. Green Attorney -in -Fact_ ''•.�+�uHa S-0054/AS 8110 Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make, constitute and appoint Sarah E. Green , Individually of Chicago, IL its true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - Surety Bond No: Bid Bond Principal: Ozinga Ready Mix Concrete, Inc. Obligee: City of South Bend, Indiana, Board of Public Works and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by the shareholders of the corporation. In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 27th day of February, 2018. ,5 WESTERN SURETY COMPANY 3 W14�0. Ajj�:gx A�'; t / JFPaul T. Bruflat, Vice President State of South Dakota I ss County of Minnehaha On this 27th day of February, 2018, before me personally carve Paul T. Bruflat, to me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is the Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. My commission expires J. MQHR NOTARY PU June 23, 2021SOUTH xorne7)11 J. Mohr, Notary Public CERTIFICATE L L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force, and further certify that the By -Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this 13th day of April, 2021. WESTERN SURETY COMPANY 01 L. Nelson, Assistant Secretary Form F4280-7-2012 Go to www.cnasuretV.com > Owner / Obligee Services > Validate Bond Coverage, if you want to verify bond authenticity. Authorizing By -Law ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY This Power of Attorney is made and executed pursuant to and by authority of the following By -Law duly adopted by the shareholders of the Company. Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile_ BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date Apri12, 2021 Department Public Name Scott BPW Date April 13, 2021 Phone Extension 9245 Required Prior to Submittal to Board BPW Attorney ® Attorney Name Clara McDaniels Dept. Attorney ❑ Attorney Name Purchasing ❑ Michael Schmidt 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 n Other: n Ease./Encroach Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Information ❑ Yes ❑ If Yes, Approved by Purchasing ❑ No E] MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Nos 2021 Street and Sewer Material Bid 121-018 MVH R, MVH NR, MVH Curb & Sidewalk, Sewer Insurance, Sewage Ops & Maint., Sewer Concrete, Water Works, Parks 266-06-602-503-422018, 202-06-602-503-423003, 202-06-602-505- 423003, 640-06-602-510-422000/423005, 641-06-602-509-423002, 641- 06-602-511-422000/423005, 620-06-604-606-423007, 201-11-201-201- 439000 For Change Orders Only Amount of ❑ Increase $ ❑ Decrease ($ ) Previous Amount Current Percent of Change New Amount Increase % Decrease ( %) Increase % Total Percent of Change: Decrease ( %) Time Extension Amount: