HomeMy WebLinkAboutOpening of Bids - 905, 907, 909 Michigan Demolition Proj No. 120-063 - Ritschard Bros., Inc.CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS
Project Name 905-907-909 Michigan Demolition
Project No. 120-063
For Bids Due April 13th, 9:00a.m. (local time) via email bpwbids@southbendin.gov
1865
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
X 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 Addendum(s) included with the bid.
X All required additional information is included with the bid.
Proposal statements and other affidavits all signed by the proper party with name either
X 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: Ritschard Bros.. Inc.
By Authorized Rep
Signature:
Print Name & Title: Rachelle L. Dolniak, President
Date: 4 / 13 / 2021
Version 01/13/2021 Contractor's Bid for Public Works - 1
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name
Project No.
For Bids Due
905-907-909 Michigan Demolition
120-063
April 131h, 9:00a.m. (local time) via email bpwbids@southbendin.gov
PART I
(Must be completed for all bids. Please type or print)
Date: April 13, 2021 Bidder (Firm):
Address: 1204 W. Samule Street
Ritschard Bros., Inc.
City/State/Zip: South Bend, IN 46619 Telephone Number: (574 ) 288-4777
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:
905-907-909 Michigan Demolition — Project No. 120-063
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
Troyer Group
and dated March 25, 2021
for the sum of (enter the Total Bid as shown on the Proposal)
One Hundred Ninety—four Thousand One Hundred Fifty Dollars ($ 194,150.00
(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��e City of South Bend. If the bid is to be awarded on a unit
basis, the itemization of the units shall be shg non p separate attach jet.
By
}L
(Signature)
Rachelle L. Dolniak, President
(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
Joseph R. Molnar, Member
Jordan V. Gathers, Member
Murray Miller, Member Attest: Anne Fuchs, Clerk
20
Version 01/13/2021 Contractor's Bid for Public Works - 2
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
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.
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
RITSCHARD
BROS., INC.
EXCAVATING AND DEMOLITION
April 13, 2021
Section I Experience Questionnaire
1. Completed Projects:
Contract Amount Class of Work
$ 106,760.00
$ 54,258.00
$ 65,457.00
$ 1,590,138.31
$ 1,691,015.50
Demolition
Completion Project Name
Date and Owner
05/2020
Earthwork/Utilities 10/2020
Water Service 10/2020
Earthwork/Utilities 11/2020
Earthwork/Utilities 11/2020
2. Public Works Projects in Process:
Contract Amount Class of Work
$ 200,833.00
$ 133,315.00
3. None
Earthwork/Utilities
Demolition
4. References:
Gibson -Lewis, LLC / Robert Lingenfelter
The Robert Henry Corporation / Stephen Henry
Walsh & Kelly, Inc. / Doug Kesler
Ziolkowski Construction, Inc. / Bill Favors
City of South Bend
City of South Bend
City of South Bend
Holladay Constr Gr
Truck Centers, Inc.
Project Name
and Owner
Ivy Tech Comm College
INDOT
1204 West Sample Street • South Bend, Indiana 46619 • PHONE (574) 288-4777 • FAX (574) 288-5438 • E-MAIL: ritl204@datacruz.com
RITSCHARD
BROS., INC.
EXCAVATING AND DEMOLITION
April 13, 2021
905-907-909 Michigan Demolition
Project No. 120-063
Section Il Plan and Equipment Questionnaire
1. Install site fencing, demolish the building.
Backfill and seed the site.
2. Hydro-Tek Seeding, Inc.
Rieth-Riley Construction Co., Inc.
3. Hydro-Tek Seeding, Inc.
Seeding
Asphalt and Concrete Pavement
Seeding
4. See Enclosed Schedule of Owned Equipment.
5. Yes.
1204 West Sample Street - South Bend, Indiana 46619 - PHONE (574) 288-4777 - FAX (574) 288-5438 - E-MAIL: ritl204@datacruz.com
RITSCHARD
BROS., INC.
EXCAVATING AND DEMOLITION
FORM 96 (Revised 2005)
SECTION II Plan and Equipment Questionnaire
ITEM 3 — LIST OF OWNED EQUIPMENT
3 — Vibratory Compactors
3 — 650J John Deere Bulldozers
2 — 750C John Deere Bulldozers
1 — 450G John Deere Bulldozer Long Track
1 — 450H John Deere Long Track Dozer
1 — 416C Caterpillar Loader/Backhoe Combinations
1 — 420D Caterpillar Loader/Backhoe Combination
2 — TS 14 Terex Earthmovers
1 — 120G Caterpillar Grader
1 — 30B Bucyrus Erie Crawler Crane — 1 yd
1 — L60 Volvo Loader - 2 3/4 yd
1 — L70 Volvo Loader -3 yd
4 — L90 Volvo Loaders - 3 1/4 yd
1 — L 120 Volvo Loader - 3 `/2 yd
2 — Gehl Skid Steer Track Loaders
2 — Takeuchi TL8 Skid Steer Track Loaders
1 — 595D John Deere Excavator
1 — Gehl GE383Z Mini Excavator
1 - Takeuchi TB 180FR Excavator
1 — Takeuchi TB260CR Excavator
1 — Takeuchi TB290CR Excavator
1 — ZX160LC-5 Hitachi Excavator
1 — ZX350LC-5 Hitachi Excavator
1 — EC210BLC Volvo Excavator
1 — EC240CLC Volvo Excavator
2 — Tri Axle Dump Trucks
1204 West Sample Street • South Bend, Indiana 46619 • PHONE (574) 288-4777 • FAX (574) 288-5438 • E-MAIL: rit1204@datacruz.com
When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit.
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION
REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON-
DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL
PRODUCTS OR FOUNDRY PRODUCTS
(Must be completed for all quotes and bids. Please type or print)
STATE OF Indiana )
) SS:
St. Joseph COUNTY )
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury
that:
1. Contractor has not, nor has any other member, representative, or agent of the firm, company,
corporation or partnership represented by him, entered into any combination, collusion or agreement with
any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding
nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and
without any agreement, understanding or combination with any other person in reference to such bidding.
Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or
indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and
2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals
are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from
participation in this transaction by any Federal department or agency; and
3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in
investment activities in Iran.
a. For purposes of this Certification, "Iran" means the government of Iran and any agency
or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as
amended from time -to -time.
b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor
is engaged in investment activities in Iran if either:
i. Contractor, its successor or its affiliate, provides goods or services of twenty
million dollars ($20,000,000) or more in value in the energy sector of Iran;
or
ii. Contractor, its successor or its affiliate, is a financial institution that extends
twenty million dollars ($20,000,000) or more in credit to another person for
forty-five (45) days or more, if that person will (i) use the credit to provides
goods and services in the energy sector in Iran; and (ii) at the time the
financial institution extends credit, is a person identified on list published by
the Indiana Department of Administration.
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 airMWBE;
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 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 13th day of April , 20 21
$3tschard Bros., Inc.
o tractor/Bidder (Firm)
Signature of Contractor/Bidder or Its Agent
Rachelle L. Dolniak, President
Printed Name and Title
Subscribed and sworn to before nh4i R Rd 'qf April , 2021
My Commission Expires 2/27/2 QTAP
— Not* y Piiblic
Count3 zaf �e§idPAOC� t• J2iseph
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Version 01/13/2021 Contractor's Bid for Public Works - 6
CITY OF SOUTH BEND
PROJECT: 905-907-909 Michigan Demolition
City of South Bend
Project No.: 120-063
April 13, 2021
ITEM
NO.
DESCRIPTION
UNIT
ESTIMATED
QUANTITY
UNIT PRICE
EXTENSION
1
MOBILIZATION AND DEMOBILIZATION
L.S.
1
3,000.00
3,000.00
2
MAINTENANCE OF TRAFFIC
L.S.
1
16, 306.00
16 306.00
3
EROSION CONTROL
L.S.
1
3,800.00
3,800.00
4
BELOW -GRADE DEMOLITION
L.S.
1
20 100.00
20,100.00
5
DISPOSAL
L.S.
1
64,254.00
64,254.00
6
BACKFILL AND COMPACTION
L.S.
1
32,190.00
32,190.00
7
ISITE RESTORATION
L.S.
1
4,500.00
4,500.00
8
ENVIRONMENTAL ALLOWANCE
DOL
25,000
$1
$25,000
9
MASONRY ALLOWANCE
DOL
25,000
$1
$25,000
194,150.00
TOTAL BASE BIC
ALLOWANCE UNIT PRICES
Item No.
Description
Unit
Unit Price
CONTAMINATED SOIL REMOVAL AND
1
TON
100.00
DISPOSAL
ASBESTSOS CONTAINING THERMAL
2
SYSTEM PIPE INSULATION REMOVAL
LFT
30.00
AND DISPOSAL
3
MASONRY BRICK REPAIR
SFT
85.00
Contractor (Bidder): Ritschard Bros., Inc.
Address: 1204 W.Sample Street
Authorized A ent: Rachelle L. Dolniak
Title: Preside t
Signature: U'' Date: 4/13/2021
CITY OF SOUTH BEND
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 MBE participation. It is
the bidder's sole responsibility to verify whether any listed minority or woman business meets the MBE qualifications.
Project Number:
Bidder:
120-063 Project Name: 905-907-909 Michigan Demolition
Total Bid Amount:
MBE Goal: 1.4%
Page of
Name & Address of MBE
Primary Contact Person
(Name/Telephone)
Scope of Work to be Performed
(Attach scope/schedule if you need additional space)
Dollar Amount of MBE
Component
Percentage
of Total
Bid/Proposal
Submitted by:
Print Name Signature
Version 01/13/2021 Contractor's Bid for Public Works - 8
Date
CITY OF SOUTH BEND
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 WBE participation. It is
the bidder's sole responsibility to verify whether any listed minority or woman business meets the WBE qualifications.
Project Number: 120-063 Project Name
Bidder: Ritschard Bros., Inc.
905-907-909 Michigan Demolition
Total Bid Amount: $194,150.00
WBE Goal: 4.7%
Page 1 of 1
Name & Address of WBE
Primary Contact Person
(Name(Telephone)
Scope of Work to be Performed
(Attach scope/schedule if you need additional space)
Dollar Amount of WBE
Component
Percentage
of Total
Bid/Proposal
Ritschard Bros., Inc.
1204 W. Sample Street
South Bend, IN 46619
Rachelle Dolniak
574-288-4777
Building Demolition
and Backfill
$125 , 000.00
64%
Submitted by:
Rachelle L. Dolniak
Print Name
April 13, 202
Signature Date
Version 01/13/2021 Contractor's Bid for Public Works - 9
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
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: 120-063 Date:
Project Name: 905-907-909 Michigan Demolition
Bidder:
Contact Person: Telephone:
Address:
City: State: Zip:
Email:
To determine whether a bidder has demonstrated good faith efforts to reach 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:
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 ov/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
Indiana Minority and Women Business Enterprises, found on their website
(http://www.in.gov/idoa).
I affirm that I have made good faith efforts to select portions of the contract work to be
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
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
reasonably calculated to inform MWBEs of subcontracting opportunities and allowed
sufficient time for MWBEs to participate effectively.
I 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
MWBEs with adequate information about the plans, specifications and other requirements
of the subcontract.
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 - 10
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MWBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
I affirm that I have made good faith efforts to assist interested MWBEs in obtaining
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.
*Proper demonstration of Good Faith Efforts requires your initials next to all of the above boxes. Any
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 - 11
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 MBEs. It is the bidder's sole responsibility to verify whether any listed
minority or woman business meets the MBE qualifications. Attach additional pages if necessary.
PAGE OF
Project Number: 120-063 MBE Participation Goal 1.4%
Project Name: 905-907-909 Michigan Demolition
Bidder:
By:
(Signature) (Title) (Date)
MBE Firm
Owner or Contact at MBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE FIRM:
MBE Firm
Owner or Contact at MBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE FIRM:
Version 01/13/2021 Contractor's Bid for Public Works - 12
-�tlli l7f flj;�
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 WBEs. It is the bidder's sole responsibility to verify whether any listed
minority or woman business meets the WBE qualifications. Attach additional pages if necessary.
PAGE OF
Project Number: 120-063 WBE Participation Goal 4.7%
Project Name: 905-907-909 Michigan Demolition
Bidder:
By:
(Signature) (Title) (Date)
WBE Firm
Owner or Contact at WBE Firm
Telephone: Fax:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Email:
RESULTS OF CONTACT WITH THE WBE FIRM:
WBE Firm
Owner or Contact at WBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE WBE FIRM:
Version 01/13/2021 Contractor's Bid for Public Works - 13
CONTRACTOR:
(Name, legal status and address)
Ritschard Bros., Inc.
1204 W. Sample Street
South Bend, IN 46619
Bond No.
SURETY: Western Surety Company: South Dakota Corporation
(Name, legal status and principal place
of business)
151 N. Franklin Street
17th Floor
Chicago, IL 60606
OWNER:
(Name, legal status and address)
City of South Bend, Indiana
Board of Public Works
County -City Building, Room 1316
227 W. Jefferson Blvd.
South Bend, IN 46601
BOND AMOUNT: Five percent (5%) of accompanying bid
This document has important legal
consequences. Consultation with
an attorney is encouraged with
respect to its completion or
modification.
Any singular reference to
Contractor, Surety, Owner or
other party shall be considered
plural where applicable.
PROJECT:
(Name, location or address, and Project number, if any)
905-907-909 Michigan Demolition
Project No. 120-063
905-907-909 Michigan Street, South Bend, IN
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 co icTlpv with said statutory or legal requirement shall be deemed deleted herefrom and
provi 'o s conforming tq,suc sta1 ory or other gey requirement shall be deemed incorporated herein. When so
fur she . tVelniant i a t isi3dnd shall be 96nstkued as a statutory bond and not as a common law bond.
(Witness)
2021
Ritschard Bros., Inc.
( ncip) Rachelle L. Ddmak, President
Western SuretyCompany
(Surety) �Onf,Ao
�- f V �/ Dl! 4 (Seal)
(Title) EIK. Miller, Attorney -in -Fact
Printed in cooperation with the American Institute of Architects (AIA).
The language in this document conforms to the language used in AIA Document A310 - Bid Bond - 2010 Edition.
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
Thomas J Me Govern, Harold E Everett, Elaine K Miller, Jada M Karst, Thomas J Van Dyck,
Melinda S Jagger, Connie J Messer, Laura L Diver, Tracie M McBride, Individually
of Fort Wayne, IN, 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 -
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 28th day of March, 2020.
�., WESTERN SURETY COMPANY
uaer "�
a:4 lam` :Z� y.
=Wi
�so4w�h°p� Paul T. Bruflat, Vice President
State of South Dakota
ss
County of Minnehaha
On this 28th day of March, 2020, before me personally came 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. MOHR
raotnm waic •-;"
June 23, 2021 �SOUTHDAKM 0
'mot
IV J. Mohr, Notary Public
CERTIFICATE
I, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attomey 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 dris 13th day of April, 2021.
e.of.t T}"'.' WESTERN SURETY COMPANY
Y-
=
01
'�IIIIN.N•�
L. Nelson, Assistant Secretary
Form F4280-7-2012
Go to www.cnasurety.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.
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, .TAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
Date: April 9, 2021
To: All Planholders
From Anne Fuchs, Clerk, Board of Public Works
Subject Addendum Number: 1
Project Name: 905-907-909 Michigan Demolition
Project Number: 120-063
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 including in your electronic submission. A copy MUST be
included with your bid package upon submittal.
THIS ADDENDUM MAY AFFECT YOUR BID.
Notes: See attached memo/clarifications, and revised bid sheet
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company:
Authorized Signature:
Date: "loci I a b
Version 8/11/2020
DEPARTMENT OF ADMINISTRATION
STATE OF I N D IANA Division of Supplier Diversity
na
Eric J. Holcomb, Governor Indiana Government Center South
402 West Washington Street, Room W469
Indianapolis, IN 46204
(317) 232 - 3061
April 11, 2018
Rachelle Dolniak
Ritschard Bros., Inc.
1204 W Sample St
South Bend, IN 46619
Subject: Application for WBE Certification
Dear Ms. Dolniak,
Congratulations! The Indiana Department of Administration, Division of Supplier Diversity is pleased to
inform you that Ritschard Bros., Inc. is hereby certified as a Women's Business Enterprise (WBE).
Your company provides a commercially useful function in the areas listed below. Only work performed in
these areas will be counted towards Women's Business Enterprise participation:
UNSPSC CODE(S)
Code
Description
831 GI 500
Water and Sewer Utilities
72153900
Building site preparation services
72141510
Demolition services
72141511
Digging services
7-2141500
Land preparation services
On September 13, 2010, the Governor's Commission on Minority and Women's Business Enterprises
approved the department's effort to streamline its recertification process. Instead of conducting an onsite
visit to each company seeking recertification, the department now has the discretion to waive the visit after
a thorough review of the company's file and recertification documents. We have approved your
recertification and it is valid through April 30, 2021. Please note that IDOA continues to reserve the right
to conduct a site visit or phone interview at any time to certified companies.
Although your certification is valid for a three-year period, you are required to submit an annual Affidavit
of Continued Eligibility (ACE) form, located at www.in.eov/idoa/mwbe/files/ACE Form.pdf. Please
remember you must notify us immediately if any changes occur. Failure to notify us of changes or to provide
an ACE form annually will result in revocation of your certification. Changes include, but are not limited
to, changes in location, contact information, ownership and control.
We encourage you to visit IDOA's procurement website, www.in.gov/idoa/2464.htm, and update your
Business Registration Profile. It is important that you review and update your profile regularly, because
state purchasing agents and prime contractors may use this information to contact you for business
opportunities. For questions regarding your registration profile, you may contact our office at 317-232-
306:1.
Reference: Ritschard Bros., Inc.
While this letter serves as notification of certification, it does not serve to prove continued eligibility. Please
visit www.in.aoN,/idoa/mwbe/2743.htm to verify certification status. Please contact our office at (317) 232-
3061 if you have any other questions.
We ask that you.please contact Amy L. Wolf, Deputy Director of Certification, at (317) 232-3061 or
awolfna.idoa.in.aov if you have any questions or concerns about your letter.
Sincerely,
2�
Amy L. Wolf, Deputy Director of Certification
Indiana Department of Administration
Division of Supplier Diversity
ALW:yj
Bidder Registration No. 0000023294
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
RESPONSIBLE BIDDER CHECKLIST
Project Name 905-907-909 Michigan Demolition
Project No. 120-063
For Bids Due April 131'', 9:00a.m. (local time) via email bpwbids@southbendin.gov
Contractor Name: Ritschard Bros. , Inc.
The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works
projects by institution of comprehensive submission requirements in compliance with State law. Quality
workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet
certain minimum requirements to be responsive and responsible bidders.
THIS FORM MUST BE SUBMITTED WITH YOUR BID.
INSTRUCTIONS:
If you are a pre -qualified bidder, complete Section I only.
If you are not a pre -qualified bidder, complete Section II only.
Section II acts as an application for pre -qualification. Submission of Section II will allow the bidder to be
considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre -
qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6-
63 of The Responsible Bidding Ordinance No. 10594-18 (hereinafter, "Responsible Bidding Ordinance")
for a period of twelve (12) months.
Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre -
qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified
Bidders") by December 31 st for the upcoming calendar year, or within twelve (12) months of obtaining pre -
qualified standing. If the status of any item changes within the twelve (12) months, it is the responsibility of
the contractor to notify the City. Failure by any pre -qualified contractor to submit its complete application
for continuation of "pre -qualified" standing within the time prescribed above shall result in automatic removal
of the designation, effective January 1 of the following year, or immediately following the twelve (12) months
of pre -qualified standing.
However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works
projects, though the contractor must submit all required documents under 6-63 until "pre -qualified" status
is re-established.
Please Note: The City reserves the right to request supplemental information from the bidder,
additional verification of any information provided by the bidder, and may also conduct random
inquiries of the bidder's current and previous customers regardless of pre -qualified standing.
It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to
the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the date of the public bid
opening.
Version 01/13/2021 General Conditions - 6
POST BID SUBMISSIONS:
Post -bid submissions must be submitted in accordance with Section 6-64 of the Responsible Bidding
Ordinance. The post -bid submission requirements are as follows:
1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses the
name, address, licensing status, and type of work for any subcontractor from whom the bidder has
accepted a bid and/or intends to hire on any part of the public work project, including individuals
performing work as independent contractors.
2. Each subcontractor, whose portion of the project is estimated to be at least one -hundred fifty
thousand dollars ($150,000.00), shall be required to adhere to the requirements of Section I of the
Responsible Bidder Ordinance as though it were bidding directly to the City, except that the
subcontractor shall submit the required information (including the name, address, and type of work)
to the successful bidder prior to the commencement of work.
3. Failure of a subcontractor to submit the required information shall not disqualify the successful
bidder from performing work on the project and shall not constitute a contractual default and/or
breach by the successful bidder. However, the City may withhold all payment otherwise due for
work performed by a subcontractor, until the subcontractor submits the required information and
the City approves such information.
4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall
not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another
subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the
name, address, licensing status, and type of work of the substitute subcontractor.
5. The successful bidder and all subcontractors on a public works project are required to submit
certified payroll utilizing the federal form known as WH-347 or a similar form on a bi-weekly basis,
submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall
identify the job title and craft for each employee. Certified payrolls shall be submitted
electronically.
Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in
the automatic disqualification of the bid.
The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into
account all information in the submission requirements, determine whether a bidder is responsive and
responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to
utilize all information provided in the contractor's submission and any information obtained by the City
through its own independent verification of the information provided by the contractor.
Version 01/13/2021 General Conditions - 7
PRE -QUALIFIED BIDDER CHECKLIST
(a) Acknowledgements:
(i) _ By checking this box, I hereby acknowledge that I am a pre -qualified bidder with
the City of South Bend and that I have met the pre -qualification requirements within
the last twelve (12) months. A copy of my Pre -Qualification verification letter
is attached.
(ii) _ By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided by me, and may also conduct random inquiries of my current and prior
customers.
(b) Attachments:
(i) _ Indiana Secretary of State's on-line records (ie. Business verification) dated within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State's Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
proprietors or partnerships).
(ii) _ Statement on staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work. It
outlines how I intend to meet the staffing needs of the work.
(iii) _ List of projects of similar size and scope of work performed in all areas, including
the State of Indiana, within the last three (3) years.
(iv) _ For every project, submit evidence of participation in apprenticeship and training
programs, applicable to the work to be performed on the project, which are
approved by and registered with the United States Department of Labor's Office of
Apprenticeship, or its successor organization.
Version 01/13/2021 General Conditions - 8
II. PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED)
(a) Acknowledgements:
(i) X By checking this box, I hereby acknowledge that I am not a pre -qualified bidder
with the City of South Bend.
(ii) X By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided, and may also conduct random inquiries of my current and prior
customers. The City reserved the right to utilize all information provided in this
submission and all information obtained in inquiries or requests to determine if a
bidder is responsive and responsible. Additionally, I acknowledge that all
information provided to the City shall be regarded as public records.
(iii) X By checking this box, I hereby acknowledge that copies of all Applicable
apprenticeship certificates or standards for training programs applicable to the
work performed on the project may be requested at any time and shall be furnished
upon request.
(iv) X By checking this box, I hereby acknowledge and ensure that I and all sub-
contractors, from whom I have accepted a bid and/or intend to hire to perform work
on the public work project, are properly licensed. Furthermore, I acknowledge my
understanding that it is my responsibility to ensure that all sub -contractors have
the necessary licenses to undertake the work called for in this bid. If a sub-
contractor loses their license at any point, it is the responsibility of that sub-
contractor to notify the City.
(b) Attachments:
(i) X
Indiana Secretary of State's on-line records (ie. Business verification) dated within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State's Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
proprietors or partnerships).
(ii) _
List identifying all former business names.
(iii) X
Any determinations by a court or governmental agency any violations of federal
state, or local laws including, but not limited to, violations of contracting or antitrust
laws, tax or licensing laws, environmental laws, Occupational Safety and Health
Act (OSHA), or federal Davis -Bacon and related Acts, within the preceding five (5)
years.
(iv) x
Statement about staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work I
am bidding on OR outlines how I intend to meet the staffing needs of the work.
(v) x
Statement that individuals who will perform work on the public work project on my
behalf will be properly classified as an employee or as an independent contractor
under all applicable state and federal laws and local ordinances.
(vi) X
For every project, submit evidence of participation in apprenticeship and training
programs, applicable to the work to be performed on the project, which are
approved by and registered with the United States Department of Labor's Office of
Apprenticeship, or its successor organization.
(vii) X
Copy of a written plan for employee drug testing that covers all of my employees
who will perform work on the public work project and meets or exceeds the
requirements set forth in IC 4-13-18-5 or IC 4-13-18-6.
(viii) X
Evidence that I am utilizing a surety company which is on the Bureau of Fiscal
Service "Department of Treasury's Listing of Approved Sureties" as required in the
bid specifications or contract.
Version 01/13/2021 General Conditions - 9
(ix) Written statement of any federal, state or local tax liens or tax delinquencies owed
to any federal, state or local taxing body in the preceding three years.
(i) X List of projects of similar size and scope of work performed in all areas, including
the State of Indiana, within three (3) years prior to the date on which the bid is due.
D te: April 13, 2021
(Sign Here)
Rachelle L. Dolniak
(Print Name Here)
Ritschard Bros., Inc.
(Name of Company)
1204 W. Sample Street
(Address of Company)
South Bend
(City)
Indiana
(State)
574-288-4777
(Telephone Number)
Version 01/13/2021 General Conditions - 10
BUSINESS INFORMATION
HOLLI SULLIVAN
INDIANA SECRETARY OF STATE
04/09/2021 12:01 PM
Business Details
Business Name: RITSCHARD BROS., INC. Business ID: 194333-060
Entity Type: Domestic For -Profit Corporation
Creation Date: 12/06/1961
Principal Office Address: 1204 W SAMPLE ST, SOUTH BEND, IN,
46619, USA
Jurisdiction of Formation: Indiana
Business Status: Active
Inactive Date:
Expiration Date: Perpetual
Business Entity Report Due 12/31/2021
Date:
Years Due:
Principal Information
Title Name Address
President RACHELLE DOLNIAK 2004 POPPY CT, MISHAWAKA, IN, 46544, USA
Secretary DONALD RITSCHARD JR 23593 NORTH SHORE DRIVE, EDWARDSBURG, MI, 49112, USA
Registered Agent Information
Type: Individual
Name: RACHELLE L DOLNIAK
Address: 2004 POPPY CT, MISHAWAKA, IN, 46544, USA
Expedited Informal Settlement Agreement
ed
Indiana Department: of Labor.
Occupational Safety and Health Adrriiriistratiori NOV 2 9 2016
402' W. Washington Street, Room W195
:Indianapolis, 1N 46204 iszdia:�a 'Dept. of Lab°r
In the Matter -of: Ritschard Bros Inc;. Inspection Number: 318.014271
EXPEDITED INFORMAL SETTLEMENT AGREEMENT
The undersigned EMPLOYED and the undersigned Indiana.Occupafional Safety and Health
Administration (IOSHA), .in settlement of the. above referenced Safety Order(s) and Notifications) -of
Penalty which. were issued on September 21, 2016, hereby agree.as follows:
1. The EMPLOYER agrees to correct the violations as cited in the -above referenced safety
order(s).
2. The EMPLOYER. agrees to provide evidence of the actions .taken to correct the cited violations.
3. Upon correction of all violations, the EMPLOYER; agrees. to provide written certification to
IOSHA that all of the violations have been corrected. The EMPLOYER. agrees to post a copy of
the written certification for a peribd of three (3) working days in the same locatibri.where the
safety' orders were posted as described in paragraph 6 of this AGREEMENT.
4. IOSHA agrees that the total penalty is amended to $8,818-15. Failure of the EMPLOYER to
comply with the terms of this AGREEMENT shall cause the penalty to revert to the in"itiai
proposed penalty.
5. In consideration of the foregoing amendment(s).and/ormodification(s)_ td the safety drder(s),
the EMPLOYER hereby waives its right to contest said safety order(s). It is, understood and
agreed by the Indiana Occupational Safety and Health Administration and the EMPLOYER that
the -ciiaiion(s) as amended and/or modified by this agreement shall. be. deemed a final order not.
subject'to review by any court or agency.
6. The 'EMPLOYER agrees to immediately post a copy of this Settlement Agreement in the same
manner and place as the Safety Orders (Safety Orders are required by law to be posted in a
prominent place.at or� near -the location of the violation(s). Safety Orders. must remain posted
until -the violations cited have been corrected, odor three. working days (excluding
weekends and federal holidays), whichever is longer:
7. Each partyhereby agrees to bear its own fees and other expenses incurred by such party in
connection with any stage of this proceeding.
Ritse.hp.rd Bros Inc.
+-
CO R OF BOR.
A -oil
l y� ���.V
'fLa
Date:
RITSCHARD
BROS., INC.
EXCAVATING AND DEMOLITION
April 9, 2021
City of South Bend, Indiana
Board of Public Works
1316 County -City Building
227 W. Jefferson Blvd.
South Bend, IN 46601
RE: Staffing Capabilities and
Properly Classified Workers
To Whom it May Concern:
We have sufficient staffing capabilities through our union participation
with:
Local 150 Operating Engineers
Laborers Union #645
Teamsters Union #364
They will always provide the labor we need.
All individuals that perform work on the public works project will be
classified either as an employee or an independent contractor.
RITSCHARD BROS., INC.
Rachelle L. Dolniak
1204 West Sample Street - South Bend, Indiana 46619 - PHONE (574) 288-4777 - FAX (574) 288-5438 - E-MAIL: ritl204@datacruz.com
INTERNATIONAL UNION OF OPERATING ENGINEERS
LOCAL UNION NO. 150, 1508, 1SOA, 150C, 150RA, 1SOD, 150G, 150M
AFFILIATED WITH THE A.F.L.-C.I.O. AND BUILDING TRADES DEPARTMENT
JAMES M. SWEENEY
PRESIDENT -BUSINESS MANAGER
Date: 4-13-2021
To whom it may concern:
5'6_�
(708) 4B2•BBOO -FAX (70B) 482-71B6
6200 JOLIET ROAD
COUNTRYSIDE, IL 60525.3992
Countless individuals, businesses, and communities — in the private and public sector, alike
— recognize the added value of doing business with contractors who support Workforce
Development through their participation in United States Department of Labor (USDOL) approved
apprenticeship programs. USDOL-approved apprenticeship programs ensure that the young
people of Indiana have the opportunity to develop a portable skill set that remains with them
throughout their careers in the construction industry. The training provided by these programs
addresses the evolving concerns of communities, businesses and industry for the development of
a quality skilled craft workforce that meets their needs, whether the projects are public or private
in nature.
To that end, please be advised that Ritschard Bros., Inc is signatory to a collective
bargaining agreement (CBA) with the International Union of Operating Engineers Local 150. This
CBA requires the above -referenced employer to participate in Local 150's USDOL-approved
Apprenticeship and Skill Improvement Program. It is understood and agreed that the Employer
shall be bound by the terms and provisions of the Agreement and Declaration of Trust of the
Apprenticeship Fund, and all amendments heretofore or hereafter made thereto, as though the same
were fully incorporated herein. The Employer further agrees to be bound by the terms of the
Apprenticeship Standards established by Joint Apprenticeship Training Committee of the Northern
Illinois and Northern Indiana Apprenticeship and Skill Improvement Program, as approved by the
United States Department of Labor, Bureau of Apprenticeship Training.
Sincerely,
James Gardner
Business Agent\ Organizer
Operating Engineers
Local 150, AFL-CIO
District 6
1001 N. Michigan Street
Lakeville, Indiana 46536
574/784-3694 office
574/784-8035 fax
574/215-8901 cell
jyarclner(Gt)..local 150.or
Jfiine.s Gardner
!Pl'u-ccau of Apprenticeship cirtb'Trainbiag,
LOCAL 150 OPERATING ENGINEERS, NORTHERN ILLINOIS A:N'D NORTPERN INDIANA
APPRENTICESHIP AaqP SKILL D�'RCIVEMENT PROGIBU-M
for the trade classification of OPMATING ENGINEER
? 7 196p,
't.T= �20-, 1971
SECRETARY OF LABOR
JA-1�11 � LLLI.
,ASSISTANT SECRETARY FOR MANPOWER
Nd.
I v
FI
:
V-1i.L-91366-1 (fonmarlv V-ILL-90P'ftb.lL,';
REGISTRY NO.
MANPOWER
BUREAU ADMINISTRATOR,
BUREAU OF APPRENTICESHIP AND TRAINING
INDIANA LABORERS' TRAINING TRUST FUND
David A. Frye
Secretary -Treasurer
Jerry J. Bolk
Chris L. Guerrero
Ricky Henson, Jr.
Ramon Mendoza, Jr.
Danny L. Stults
P.O. Box 758 - Bedford, Indiana 47421
(812)279-9751
April 9, 2021
To Whom It May Concern:
Do
0A11
�hC]q
o lema-%�O—
'D//NAHA�\\
;A:;�
NX+.V0/
�prii t9'�$
Sean Coakley, Director
John P. Brown
Chairman
Kelly Abel
Michael Ferrara
Stan Meyer
Nick Timmerman
Jim Wiseman
FAX: (812) 279-5545
Toll Free (800) 742-4086
This letter is to confirm that "Ritschard Bros., Inc." is a signatory contractor in good standing
with the Indiana Laborers' Training Trust Fund.
The abovementioned company is a participant in the Joint Apprenticeship and Training
Committee through this Union and has been an active participant in good standing for each of the
past five plus consecutive years and is currently eligible to use our apprentices on a project.
Further, our organization's program is approved by the U.S. Veterans Administration to
participate in the GI educational benefits program. A copy of our approval letters are attached
along with the collective bargaining agreement stating the ratios of Journey workers to
Apprentices; which is one (1) Apprentice for every four (4) Journey workers and thereafter may
not employ more that (1) Apprentice for every (3) Journey workers.
Sincerely,
Sean Coakley,
Director
SC:jt
www. indianalaborerstraining. org
�t�tes �e�r�rt�eh�
1�
0.`-.
Nurrau of Apprmficts4ip uub 01raining
Ter#iftcatt of Registration
INDIANA LABORER'S TRAINING TRUST FUND
BEDFORD, INDIANA
for the trade classification of CONSTRUCTION CRAFT LABORER
2e9islereo"as earl o'I Me Xalionaf 7pprenliceship J royram
in accoro�ance wild the basic slanofarofs of apprenlices. ,p
esla6fisAeo' 6y lie c3ecrelarr,. of %'a6or
December 14, 1995
!Dale
IN040-0528
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STATE OF INDIANA
DEPARTMENT OF VETERANS AFFAIRS
STATE APPROVING AGENCY
402 WEST WASHINGTON STREET ROOM W-469
INDIANAPOLIS, INDIANA46204-2738
Jeremy Brewer
Apprenticeship Coordinator
Indiana Laborers Training Trust Fund -Apprenticeship
439 Patton Hill Rd.
Bedford, IN 47421
Dear Jeremy Brewer,
Eric Holcomb, Governor
James M. Brown, Director
January 9, 2019
This will acknowledge receipt of your revised Work Processes for the Construction Craft
Laborer program offered at Hoosier Energy, located in Bedford, Indiana. The State Approving
Agency has reviewed the document as listed below:
TRAINING PROGRAM LENGTH DOT CODE
Construction Craft Laborer
FACILITY CODE: 30004114
4,000-7800 hours 47-2061.00
To the best of my knowledge Indiana Laborers Training Trust Fund -Apprenticeship does not utilize
erroneous or misleading advertisement, either by actual statement, omission, or intimation. It is
understood by Indiana Laborers Training Trust Fund -Apprenticeship that they will maintain a
complete record of all advertising utilized by or on behalf of the company in regards to their training
programs during the preceding 12 months. The company's advertising will be available for review
by any and all future supervisory visits by the SAA, or the U.S. Department of Veteran Affairs.
This approval is made pursuant to and under the provisions of Title 38, U. S. Code 3687, with an
effective date of January 8, 2019.
If you have any questions, please contact me at 317-232-3916.
Sincerely,
Taniqua Griffin
Program Director
State Approving Agency
Cc:VARO/ELR
Phone(317)-234-6062 Toll Free (800)-400-4520 Fax(317)-234-8744
STATE OF INDIANA
DEPARTMENT OF VETERANS AFFAIRS
STATE APPROVING AGENCY
402 WEST WASHINGTON STREET ROOM W-469
INDIANAPOLIS, INDIANA 46204-2738
Jeremy Brewer
Apprenticeship Coordinator
Indiana Laborers Training Trust Fund -Apprenticeship
439 Patton Hill Rd.
Bedford, IN 47421
Dear Jeremy Brewer,
Eric Holcomb, Governor
James M. Brown, Director
January 9, 2019
The Indiana State Approving Agency conducted a supervisory visit on 01/8/2019 at Indiana
Laborers Training Trust Fund -Apprenticeship. The purpose of the visit was to provide training to
the Certifying Officials and review enrollment certifications, record retention and reporting
procedures.
The organization demonstrated proper record maintenance and record maintenance and reporting
procedures. During the visit, we discussed the importance of reporting hours on a monthly basis,
good record keeping techniques, and how to report a leave of absence or completion via VA Form
22-1999b. We also updated the Certifying Officials via VA Form 22-8794, work processes, and
wage scale.
If you need any assistance or have any questions regarding this technical visit please contact me
directly at tgriffm@dva.in.gov or (317) 232-3916. Thank you for the courtesy extended during my
visit. The education and training opportunities that your organization continues to provide veterans
and their dependents are appreciated.
Sincerely,
Taniqua Griffin
Program Director
Phone (317)-234-6062 Toll Free (800)-400-4520 Fax (317)-234-8744
STATE OF I N D IANA
DEPARTMENT OF VETERANS AFFAIRS
STATE APPROVING AGENCY
402 WEST WASHINGTON STREET ROOM W469
INDIANAPOLIS, INDIANA 46204-2738
Jeremy Brewer
Apprenticeship Coordinator
Indiana Laborers Training Trust Fund -Apprenticeship
439 Patton Hill Rd.
Bedford, IN 47421
Dear Jeremy Brewer,
Eric Holcomb, Governor
James M. Brown, Director
January 9, 2019
This will acknowledge receipt of your updated Wage Scale for the Construction Craft Laborer program
offered by Indiana Laborers Training Trust Fund -Apprenticeship. The State Approving Agency has reviewed
the document as listed below:
Wage Scale: Construction Craft Laborer
FACILITY CODE: 30004114
To the best of my knowledge Indiana Laborers Training Trust Fund -Apprenticeship does not utilize erroneous
or misleading advertisement, either by actual statement, omission, or intimation. It is understood by Indiana
Laborers Training Trust Fund -Apprenticeship that they will maintain a complete record of all advertising
utilized by or on behalf of the Indiana Laborers Training Trust Fund -Apprenticeship in regards to their
training programs during the preceding 12 months. Indiana Laborers Training Trust Fund -Apprenticeship's
advertising will be available for review by any and all future supervisory visits by the SAA, or the U.S.
Department of Veteran Affairs.
Please Review the entire packet for content and accuracy. Approval is granted pursuant to the provisions of
Title 38, U.S. Code 3687, with an effective date of April 1, 2018.
If you have any questions, please feel free to give me a call at 317-232-3916 or email me at
tgriffin@dva.in.gov. Thank you for what you do for our Veterans, and have a great day!
Sincerely,
Taniqua Griffin
Program Director
State Approving Agency
Cc: VARO/ELR
G�6
` 9 �1919
�q 72�gDpv�O L
17NGgGt-�
Apprentice Status Report By Indenture Date
Apprentices Indentured Between 1/1/2020 And 12/31/2020
Apprentice Program: IN2
Year Apprentice Status Apprentices Percentage
2020
Active
537
78.85 %
Active Duty
2
0.29 %
Adv. to Joumeyman
8
1.17 %
APPLICANT
1
0.15 %
Med. Susp.
3
0.44 %
Not Registered
6
0.88 %
Reinstate
27
3.96 %
Suspended
4
0.59 %
Terminated
80
11.75 %
Voluntary withdraw
13
1.91 %
Total Indentured 681
Printed: Tuesday, January 12, 2021 Page 1 of i
Apprentice Status Report By Indenture Date
Apprentices Indentured Between 1/1/2017 And 5/13/2020
Apprentice Program: IN2
Year Apprentice Status Apprentices Percentage
2017
2018
Active
156
22.67 %
Active Duty
1
0,15 %
Adv. to Journeyman
47
6.83 %
Deceased
4
0.58 %
Graduated
45
6.54 %
Inactive
2
0.29 %
Journeyman
1
0.15 %
Med. Susp.
4
0.58 %
Reinstate
2
0.29 %
Suspended
5
0.73 %
Terminated
396
57.56 %
Voluntary withdraw
25
3.63 %
Total Indentured 688
Active
283
32.38 %
Active Duty
3
0.34 %
Adv. to Journeyman
47
5.38 %
Deceased
3
0.34 %
Graduated
5
0.57 %
Inactive
10
1.14 %
Joumeyman
2
0.23 %
Med. Susp.
4
0.46 %
Reinstate
15
1.72 %
Suspended
8
0.92 %
Terminated
462
52.86 %
Voluntary withdraw
32
3.66 %
Total Indentured 874
Printed: Wednesday, May 13, 2020 Page 1 of 2
Apprentice Status Report By Indenture Date
Apprentices Indentured Between 1/1/2017 And 5/13/2020
Apprentice Program: IN2
Year Apprentice Status Apprentices Percentage
2019
2020
Active
641
65.47
Adv. to Journeyman
28
2.86 %
Deceased
3
0,31 %
Graduated
1
0.10 %
Inactive
11
1.12 %
Journeyman
13
1.33 %
Med. Susp.
2
0.20 %
Reinstate
29
2.96 %
Suspended
4
0.41 %
Terminated
201
20.53 %
Voluntary withdraw
46
4.70 %
Total Indentured 979
Active
75
91.46 %
Med. Susp.
1
1.22 %
Reinstate
5
6.10 %
Terminated
1
1.22 %
Total Indentured 82
Printed: Wednesday, May 13. 2020 Page 2 of 2
RITSCHARD BROS., INC.
DRUG AND ALCOHOL POLICY
A. GENERAL PHILOSOPHY
The management of Ritschard Bros., Inc. ("Ritschard") is committed to
providing a work environment which ensures the well-being of all Ritschard employees,
protects Ritschard's and employees' property and prohibits any influences which might
have a detrimental effect upon the orderly, safe and efficient operation of the business.
Based upon these goals, Ritschard will require all potential employees to submit to pre-
employment drug screening as a part of the pre -employment evaluation and its employees
to report for work and perform their duties within the standards established. The intent
of this policy is to ensure that the individuals hired by Ritschard are free of the effects
of controlled substances and to intervene when an employee may be working in a
condition that may potentially harm himself/herself, fellow employees or other individuals
or property.
B. APPLICATION OF POLICY
1. This policy applies to all applicants and employees.
2. A separate alcohol and controlled substance testing policy has been
established for those employee -drivers who are covered under the rules and
regulations of the Department of Transportation (CDL Employees). (See
Appendix 1 attached to this policy.)
C . DEFINITIONS
1. Chemical Substances: (a) any illegal substance, including, but not limited
to, narcotics, hallucinogens, cocaine, marijuana, designer drugs; (b) any
controlled substance, including, but not limited to, amphetamines and
barbiturates, which are used either without being prescribed by a licensed
physician or in excess of the amount prescribed by a licensed physician; and
(c) any beverage containing alcohol.
2. Unfit Condition: Manifesting behavior which includes, but is not limited
to, the following: (a) drowsiness; (b) sleepiness or sleeping; (c) slurred
and/or incoherent speech; (d) unusually aggressive behavior; (e) unusually
depressive behavior; (f) unusual and rapid changes in mood; (g)
disorientation or inability to concentrate; (h) lack of coordination in walking
or performing other tasks.
3. Unsatisfactory Job Performance: Incidents which indicate job performance
problems, including, but not limited to, the following: (a) unexplained
work errors; (b) unusual difficulty in performing normal or routine duties;
(c) unexplained on -the job accident; (d) unexplained on-the-job injury.
4. History of Unsatisfactory Job Performance: A pattern of recurring job
performance problems such as poor work performance, absenteeism,
tardiness, minor injuries/accidents or other job difficulties.
5. Reportable Accident: Any accident on the job which results in death or
bodily injury to one or more individuals requiring medical treatment away
from the accident scene, or damages to property totalling $500.00.
6. Off -Duty Misconduct: Any arrest by a law enforcement agency for off -duty
use, sale or possession of chemical substances or for other off -duty drug
activity.
7. Fitness -for -Duty Evaluation: A medical examination which may include
testing for chemical substances.
8. Positive Test. A positive test is one which indicates the presence of any
drug listed in Exhibit A.
9. Negative Test. A negative test is one which does not indicate the presence
of any drug listed in Exhibit A.
D. PRE -EMPLOYMENT DRUG SCREENING POLICY
1. All individuals submitting applications for employment to Ritschard will be
provided with a copy of the written Notice to All Applicants and will be
orally informed, at the time of making application, about the requirement
of a urine drug screen. All applicants must sign a copy of the notice
acknowledging that the applicant has received a copy of the Notice.
2. All applicants who meet the criteria for employment will be screened for
drugs prior to being made an offer of employment. In the unlikely event
that it is necessary to make an offer of employment prior to the applicant
undergoing drug screening, the offer shall be made contingent upon the
applicant's compliance with the drug screening program. The applicant will
be specifically informed that if the applicant refuses to fully cooperate with
-2-
Ritschard's drug screening policies and procedures, or fails the drug
screening test, the offer of employment will be rescinded.
3. Applicants who refuse to take the drug screening test or do not sign the
appropriate Consent and Release form (Consent Form 1) shall not be
offered employment.
4. Applicants who test positive for drugs with no legitimate medical
explanation shall not be employed. An applicant who tests positive may,
at the applicant's option and own expense, undergo confirmatory testing of
the original sample at the independent laboratory that performed the initial
testing. The GC/MS will be used for confirmatory testing. If the applicant
tests negative upon confirmatory testing, Ritschard will consider the
applicant eligible for employment. If the applicant tests positive upon
confirmatory testing, the applicant will not be employed.
5. The cost of the initial screening and evaluation will be paid by Ritschard.
E. FITNESS -FOR -DUTY POLICY
1. Compliance With This Policy is Considered a Condition of Employment
(a) If an employee refuses to comply fully with all aspects of this policy,
such employee will be suspended without pay pending completion of
an investigation. During the course of the investigation, the
employee shall have the opportunity to offer an explanation for his
or her behavior. Management will decide the course of action.
2. Possession Sale or Use of Chemical Substances.
(a) Employees will be subject to immediate discharge if caught selling,
using, or being in possession of chemical substances (i) on company
premises, including the company parking lot; (ii) on the job site; (iii)
while in or responsible for company vehicles at or away from
company premises; or (iv) while on company business at or away
from company premises, including the job site.
(b) An employee who is arrested for off -duty drug activity, including
use, sale or possession of narcotics, drugs or other illegal chemical
substances will be considered to be in violation of this policy and
9:2
may be suspended or terminated by the Company. In deciding what
action to take, the Company will take into consideration the nature
of the charges, the employee's present job assignment, the
employee's record with the Company, including length of service
and other factors relative to the impact of the employee's arrest upon
the conduct of the Company's business and reputation.
3. Searches.
(a) Ritschard may conduct unannounced searches for chemical
substances in company facilities, in company property or on
company premises, including company vehicles in the company
parking lot. Employees are expected to cooperate in the conducting
of such searches.
(b) Searches of employees and their personal property may be conducted
upon reasonable suspicion; this includes, but is not limited to, when
an employee appears to be in an unfit condition, or when there has
been a reportable accident, or when circumstances or workplace
conditions justify such search in the employer's sole discretion.
(c) Although an employee, or his personal property, will not be searched
without consent, an employee's consent to such a search is required
as a condition of employment and the employee's refusal to consent
will result in the employee's suspension without pay for thirty (30)
calendar days on the first refusal and termination on the second
refusal.
(d) Searches of company facilities and company property, including
lockers and company vehicles, can be conducted at any time and do
not have to be based on reasonable suspicion.
4. Random Testing.
(a) The Company may require a test on a random basis if:
(i) The test is authorized by federal or state law.
(ii) The employee serves in an occupation that regulations of the
Indiana Department of Labor have designated as a high risk
or safety -sensitive occupation.
ME
(iii) The test is conducted as part of an employee assistance
program sponsored or authorized by the employer in which
the employee voluntarily participates.
(iv) The employee's occupation separates the employee from a
supervisor's ability to ascertain whether the employee is in an
unfit condition.
(b) The employee selected for random testing and the employee's direct
supervisor will be notified within two (2) hours of the scheduled
testing.
(c) If the employee was randomly selected, the Company shall explain
to the employee that the employee is under no suspicion and that the
employee's name was selected randomly.
(d) An employee selected for random testing may obtain a deferral of
testing if the employee's supervisor and another management person
concur that there is a compelling need to defer the testing. An
employee whose random test is deferred will be subject to an
unannounced test within the following sixty (60) days.
5. Evaluation Procedure.
(a) An employee may be requested to undergo a fitness -for -duty
evaluation if:
(i) The employee appears to be in an unfit condition at work;
(ii) The employee demonstrates unsatisfactory job performance;
(iii) The employee demonstrates a history of unsatisfactory job
performance;
(iv) The employee is involved in off -duty misconduct; or
(v) The employee is involved in a reportable accident while on
the job.
(b) An employee who (1) refuses to submit to a fitness -for -duty
evaluation in accordance with the provisions of this policy, or (2)
-5-
refuses to fill out and sign the written consent form agreeing to
submit to the medical examination and/or testing and permitting
Ritschard to be apprised of the testing results or fitness -for -duty
evaluation (Consent Form 2), will be subject to immediate discharge.
(c) An employee who switches or adulterates any sample submitted for
testing will be subject to immediate discharge.
F. EMPLOYEE ASSISTANCE PROGRAM
1. Employees who are determined, as a result of the fitness -for -duty
evaluation, to have used chemical substances in excess of the limits set forth
in Exhibit A, shall be required to attend and pay for at their own expense
a treatment program offered by an outside provider. The cost of the
program will be fully explained to each employee. Refusal to participate
in or complete the program or the after -care program will result in the
employee's termination.
2. Employees who believe that they have a chemical substance problem should
promptly contact the President of the Company. The employee will be
given the opportunity to enroll in a voluntary program operated by
professional counselors. The cost of the program will be fully explained to
each employee.
3. Employees who participate in the program will be tested for chemical
substances in accordance with the provisions of the program until the
program ends. A positive test result following the commencement of the
program will subject the employee to immediate discharge.
4. Employees who complete the program will be tested for chemical
substances in accordance with the recommendations of the Medical Review
Officer. The days on which the testing will occur will be unannounced.
If an employee tests positive for chemical substances after the completion
of the program, the employee will be subject to immediate discharge. If
eighteen (18) months pass without a positive test for chemical substances,
there will be no presumption in the future that the employee is using a
chemical substance or is under the influence. If, in the future, the
employee is subject to action under this policy, the employee shall be
treated as if he or she never underwent a fitness -for -duty evaluation.
ON
5. Employees who complete the program will also be required to comply with
the after -care program as established by the treatment facility. Failure to
do so will result in the employee's termination.
G. CONFIRMATORY TESTING AT THE EMPLOYEE'S OPTION
1. Should any testing procedure indicate that an employee has used chemical
substances in excess of the limits set forth in Exhibit A, the employee may,
at his or her option and own expense, have a confirmatory test performed
on the original sample at the laboratory which performed the initial testing.
The laboratory shall use the GC/MS test (for drugs) or the blood alcohol
test (for alcohol), whichever is applicable under the circumstances. If the
confirmatory test indicates the employee has not used chemical substances
in excess of the limits set forth in Exhibit A, the results of the confirmatory
test will control for the purposes of any subsequent action. In addition,
Ritschard will purge the employee's personnel record of the results of the
initial test. If the confirmatory test indicates the employee has used
chemical substances in excess of the limits set forth in Exhibit A, the results
of the confirmatory test will control for the purposes of any subsequent
action.
H. COLLECTION AND TESTING PROCEDURES
1. Collection Procedures.
(a) All reports of medical examinations and treatment status and
chemical substances tests will be maintained in a confidential manner
with original medical records remaining with the Medical Review
Officer (MRO) at the collection facility.
(b) Initial urine collection shall be performed in private. The collection
facility shall check the sample for temperature, pH, specific gravity,
and urine creatinine level to determine whether adulteration has
occurred. If collection facility personnel suspect adulteration has
occurred, a second sample shall be collected in direct visualization
by collection facility personnel of the same gender as the applicant
to verify the source of the sample.
(c) The MRO shall be a licensed physician who is responsible for
receiving laboratory results generated from the Company's drug
testing program. The MRO must have knowledge of substance
-7-
abuse disorders and have appropriate medical training to interpret
and evaluate an individual's positive test result together with the
employee's medical history and any other relevant biomedical
information. The MRO can be an employee of the Company or a
private physician performing review services for the Company.
(d) The collection facility shall follow the appropriate chain of custody
protocol established in accordance with federal regulations and the
testing laboratory.
2. Testing Procedures.
(a) Testing will be performed by an independent laboratory certified by
the United States Department of Health and Human Services. All
testing should be done under the direction of a board -certified
forensic toxicologist. The testing laboratory should also be a
participant in the College of American Pathologists accreditation
program and the accreditation program offered by the State of
Indiana.
(b) The testing laboratory will define and publish an appropriate chain
of custody protocol in accordance with federal and state regulations.
I. MANAGEMENT RESPONSIBILITY
1. All management employees (including supervisors) are responsible for
maintaining a drug- and alcohol -free environment. At a minimum, all
management employees will receive basic training on identification of
behavioral and psychological signs of alcohol and substance abuse.
2. In addition to the basic training, certain management employees who are
responsible for identifying employees, including CDL Employees, who
appear to be unfit to perform their duties safely due to alcohol or substance
abuse, will additionally receive Company provided DOT Supervisor
Training in accordance with Department of Transportation, Federal Motor
Carrier Safety Regulations.
3. Any supervisor who believes an employee is in an unfit condition and
cannot continue to work shall report his/her observations to the Project
Manager or Safety Director and shall complete the Observation Checklist.
10
4. Upon receipt of information that an employee is believed to be in an unfit
condition, the Project Manager or Safety Director shall interview the
employee and conduct whatever investigation is deemed necessary to
determine if the employee needs to be sent for a Fitness -for -Duty
evaluation. A Fitness -for -Duty questionnaire should be completed at the
time of the interview.
5. If the Project Manager or Safety Director concludes that the employee is in
an unfit condition and cannot continue to work because of either alcohol or
substance abuse, the employee shall immediately be referred to the
collection facility for a Fitness -for -Duty evaluation. In addition, the
employee should be suspended from work, without pay, pending the results
of the Fitness -for -Duty evaluation.
6. An employee who appears to be in an unfit condition will be asked to sign
a Testing Consent and Release Agreement. If the employee refuses -to
consent to a Fitness -for -Duty evaluation, the employee should be
suspended, without pay, pending termination.
7. Regardless of the outcome of this process, the supervisory staff members
are responsible for transporting the employee either to the medical facility,
back to the work site, or to the employee's home. Only if the employee
openly refuses transportation shall the management staff involved abdicate
this responsibility. Any refusal by the employee to accept such assistance
should be documented by management. Should the employee insist upon
driving himself/herself home, management is to contact the local police
authorities, indicating what behavior has been observed, his/her refusal to
accept assistance in getting home, the make of his/her automobile, and
his/her license plate number. The date and time of this call should be
recorded along with the name of the police personnel who took the call.
8. Throughout this process, supervisory personnel should not attempt to
diagnose possible causes of observed behaviors. It is the supervisor's
responsibility, however, to communicate with the medical personnel
involved as to what behaviors have been observed and reasons for concern.
SBDS01 GFL 32463
-9-
EDIT A
Department. of Health and Human Services
Final Guidelines for Cutoff Levels
To Be Used in Mine Drug Testing
For Federal Agencies
Effective
Positive Cutoffs/Drug Retention
AMPHETAMINES
Amphetamine
Methamphetamine
COCAINE -
Benzoylecgonine
MAWANA (THC).
THC Metabolites
OPIATES
Codeine
.Heroin (as Morphine or. Monacetyl Morphine)
Morphine
PHENCYCLIDINE (PCP)
BARBITURATES
$hort Acting
Pentobarbital
Secobarbital
Int. edi A
erm ate- ctmg
Amobarbital
'Butabarbital.
Butalbital
-tong-Acting
Phenobarbital
PROPDXYPHENE
Propoxyphene (Darvo&)
BENZODIAZEPHINES
Chlorazepate. (Tranxene®)
Chlordiazepoxide ' (Librium®)
Desalkylflurazepam
N Desmiethyldiazepam (Madam)
Diazepam. (Valium®)
Flurazepam (Dalmane®)
Lorazepam (Ativan®)
Oxazepam- (Serax®)
-Temazeparn (Restoril®)
ETHANOL (ALCOHOL)
Positive EMIT
10.00 ng/mL
300 ng/mL
100 ng/mL
300 nghmL
25. ng/.mL
300 ng/mL
1000 ng/mL
300 ng/mL
50 mg
Cutoffs GCAMS
500 ng/mL
150 -ng/mL .
15 ng;mL
300 ng/mL
25" ng/mL
300 ng/mL
300 ng/mr
300 ng/mL
50 mg (GC)
SBD501 GbL 32463
11/12/2018
Surety Bonds - Certified Companies
-t-- Back To Top
M
Washington International Insurance Company (NAIC #32778)
BUSINESS ADDRESS: 5200 METCALF, OVERLAND PARK, KS 66202-1391. PHONE: (913) 676-5200.
UNDERWRITING LIMITATION b/: $8,244,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC,
FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC,
ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: New
Hampshire.
West American Insurance Company (NAIC #44393)
BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: (617) 357-9500. UNDERWRITING
LIMITATION b/: $5,122,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA,
KS, KY, LA, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD,
TN, TX, UT, VA, WA, WV, WI, WY. INCORPORATED IN: Indiana.
WEST BEND MUTUAL INSURANCE COMPANY (NAIC #15350)
BUSINESS ADDRESS: 1900 South 18th Avenue, West Bend, WI 53095. PHONE: (262) 334-5571.
UNDERWRITING LIMITATION b/: $104,114,000. SURETY LICENSES c,f/: IL, IN, IA, KS, KY, MI, MN, MO, NE,
OH, PA, TN, WI. INCORPORATED IN: Wisconsin.
Westchester Fire Insurance Company (NAIC #10030)
BUSINESS ADDRESS: 436 Walnut Street, P.O.Box 1000, Philadelphia, PA 19106. PHONE: (215) 640-1000.
UNDERWRITING LIMITATION b/: $22,345,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM,
NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN:
Pennsylvania.
Western National Mutual Insurance Company (NAIC #15377)
BUSINESS ADDRESS: PO. BOX 1463, MINNEAPOLIS, MN 55440. PHONE: (952) 835-5350.
UNDERWRITING LIMITATION b/: $46,998,000. SURETY LICENSES c,f/: AK, AZ, AR, CA, CO, DE, ID, IL, IN,
IA, KS, KY, MD, MI, MN, MO, MT, NE, NV, NJ, NM, ND, OH, OK, OR, PA, RI, SD, TX, UT, WA, WI, WY.
INCORPORATED IN: Minnesota.
Western Surety Company (NAIC #13188)
BUSINESS ADDRESS: 151 N. FRANKLIN ST, CHICAGO, IL 60606. PHONE: (312) 822-5000.
UNDERWRITING LIMITATION b/: $151,958,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC,
ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: South
Dakota.
Westfield Insurance Company (NAIC #24112)
BUSINESS ADDRESS: P. O. Box 5001 , Westfield Center, OH 44251 - 5001. PHONE: (330) 887-0101.
UNDERWRITING LIMITATION b/: $127,843,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DE, DC,
FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, ND, NE, NV, NH, NJ, NM, NY, NC,
OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Ohio.
Westfield National Insurance Company (NAIC #24120)
BUSINESS ADDRESS: P. 0. Box 5001 , Westfield Center, OH 44251 - 5001. PHONE: (330) 887-0101.
UNDERWRITING LIMITATION b/: $31,722,000. SURETY LICENSES c,f/: AL, AZ, AR, CA, CO, DE, FL, GA, IL,
IN, IA, KY, MD, MI, MN, NM, NC, ND, OH, OK, PA, SC, SD, TN, TX, VA, WV, WI. INCORPORATED IN: Ohio.
Westport Insurance Corporation (NAIC #39845)
BUSINESS ADDRESS: 5200 METCALF AVENUE, OVERLAND PARK, KS 66202 - 1391. PHONE: (913) 676-
5200. UNDERWRITING LIMITATION b/: $121,403,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT,
DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ,
NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY.
INCORPORATED IN: Missouri.
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X
XL Reinsurance America Inc. (NAIC #20583)
BUSINESS ADDRESS: 70 SEAVIEW AVENUE, STAMFORD, CT 06902. PHONE: (203) 964-5200.
UNDERWRITING LIMITATION b/: $173,303,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND,
OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New York.
XL Specialty Insurance Company (NAIC #37885)
BUSINESS ADDRESS: 70 SEAVIEW AVENUE, STAMFORD, CT 06902. PHONE: (203) 964-5200.
UNDERWRITING LIMITATION b/: $31,352,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE,
DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM,
NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN:
Delaware.
httos://www.fiscal.treasurv.gov/fsreports/ref/suretyBnd/c570 a-z.htm#w 22/23
RITSCHARD BROS., INC.
April 9, 2021
LIST OF PROJECTS SIMILAR IN SIZE AND SCOPE OF WORK:
Demolitions Phase 2 — Project No. 117-121
City of South Bend, IN
$391,088.00
Completed 5/18
Several House Demolitions
Demolition of 209 N. Cedar Street
City of Mishawaka, IN
$30,880.00
Completed 2018
House Demolition
Demolition of 917 N. Main Street
City of Mishawaka, IN
$18,420.00
Completed 2018
House Demolition
Demolition of 416 N. Main Street
Beacon Health Systems
$178,062.00
Completed 2018
Building Demolition
Demolition of 810 Napoleon Blvd.
Association for Educational Development
$17,650.00
Completed 5/2018
House Demolition
Demolition of 25898 U.S. 20
Shirley Heinze Land Trust
$46,490.00
Completed 5/2019
House and Outbuilding Demolitions
Page 1 of 3
LIST OF PROJECTS SIMILAR IN SIZE AND SCOPE OF WORK, CONTINUED: Page 2 of 3
2018 Demolitions, Division A, B and C — Project No. 118-307
City of South Bend, IN
$264,417.00
Completed 6/2019
Several House Demolitions
Demolition of 614 Howard Street
Alice Augustin
$12,210.00
Completed 6/2019
House Demolition
Demolition of 1022 and 1026 N. St. Louis Blvd.
Thomas Patrick Dore, Jr.
$19,422.00
Completed 8/2019
Demolish 2 Houses
2019 Demolitions, Phase 1— Project No. 119-035
City of South Bend, IN
$106, 744.40
Completed 10/2019
Demolish 6 Houses
Demolition of 535 W. Colfax Avenue
Berean Seventh Day Adventist Church
$34,742.00
Completed 2/2020
Former Steak & Shake Restaurant Demolition
Pana Bread
$51,765.00
Completed 7/2020
Demolition of 2212 S. Lafayette Blvd.
Omega Group
$15, 880.00
Completed 7/2020
LIST OF PROJECTS SIMILAR IN SIZE AND SCOPE OF WORK, CONTINUED: Page 3 of 3
Demolition of 17130 State Road 23
David Cloutier, Jr.
$14, 500.00
Completed 10/2020
Emergency Demolition at 1018 Napier Street
City of South Bend
$8,550.00
Completed 10/2020
Demolition of 110 E. Madison and 332 N. Michigan Street
Beacon Health Systems
$81,240.00
Completed 11/2020
Demolition of 215 W. Marion Street
Beacon Health Systems
$33,700.00
Completed 11/2020
Demolition of burned structure at 51080 State Road 933
U.S. 31 Electrical Supply
$132,863.00
Completed 12/2020
Demolition of 2614 Ford Street
Jameel Murphy
$12, 250.00
Completed 3/2021
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 04/02/2021
Name Zach Hurst Department DPW
BPW Date 04/13/2021 Phone Extension 3057
Review and Approval Required Prior to Submittal to Board
Diversity Compliance ❑
Officer Name
and Inclusion Officer
BPW Attorney
❑ Attorney Name
Dept. Attorney ❑ Attorney Name
Purchasing ❑
Check the Appropriate Item I
Professional Services Agreement ❑ Contract
❑ Open Market Contract
® Bid Opening
❑ Quote Opening
❑ Proposal Opening
❑ Chg. Order, No.
I-1 Other:
❑ Amendment/Addendum
❑ Bid Award
❑ Quote Award
❑ C/O & PCA No.
❑ Traffic Control
Information
All Submissions
U Proposal
❑ Special Purchase, QPA
❑ Req. to Advertise ❑ Title Sheet
❑ Reject Bids/Quotes
❑ PCA
❑ Resolution
Ease./Encroach
Company or Vendor Name
New Vendor ❑ Yes [I If Yes, Approved by Purchasing
❑ No
MBE/WBE Contractor ❑ ❑
MBE Completed E-Verify Form Attached ❑ Yes
No
Project Name 905-907-909 Michigan Demolition
Project Number 120-063
Funding Source COIT
Account No. PR-00008115
Amount
Terms of Contract Lump Sum, separated by parcel
Purpose/Description Open bids to demolish three adjacent fire -damaged buildings at the corner of
Sample/Michigan.
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:
New Completion Date: