The URL can be used to link to this page

Home My WebLink AboutOpening of Bids - Ignition Park EV Charging Lot Proj No. 120-044R - The Robert Henry Corp.Q'. t- i 2 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Ignition Park: EV Charging Park Project No. 120-044R For Bids Due April 13, 2021 at 9:OOam 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. 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 X [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: The Robert Henry Corporation Date: April 13, 2021 By Authorized Representative: Signature: Print Name & Title: Brian S. Henry, President Version 01/13/2021 Contractor's Bid for Public Works -1 V� CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Ignition Park: EV Charging Park Project No. 1204)44R For Bids Due April 13, 2021 at 9:00am Local Time Date: Address: PART I (Must be oompleted for all bids. Please type or print) April 13, 2021 Bidder (Firm): The Robert Henry Corporation_ 404 S. Frances St Citytstate zip: South Bend, IN 46617 Telephone Number: (574 ) 232-2091 Agent of Bidder (if Applicable): John Callan Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of. Ignition Park: EV Charging Park - Project No. 120-044R the City of South Bend, Indiana, in accordance with plans and specifications prepared by: Jones Petrie Rafinski and dated April 13, 2021 for the sum of (enter the Total Bid as shown on the Proposal) Four Hundred Seven Thousand, Five Hundred Nineteen Dollars ($ 407,519.00 I (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 aft. +chment. By gnahire) The above bid is accepted this Subject to the following conditions: BOARD OF PUBLIC WORKS Elizabeth A. Maradik, President Gary A. Gilot, Member Murray Miller, Member Brian S. Henrv. President _ (Printed Name of Pelson Signing) ACCEPTANCE day of Joseph R. Molnar, Member Jordan V. Gathers, Member Attest: Anne Fuchs, Clerk Version 01/13/2021 Contractor's Bid for Public Works - 2 20 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 f Please see attached. 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 I Please see attached. 1. Attach an explanation of your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the City of South Bend to consider your bid.) 2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. 3. If you intend to sublet any portion of the work, attach the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the City of South Bend in the event that you subsequently determine that you will use a subcontractor on the proposed project. 4. Attach a listing of equipment you have available to use for the proposed project. 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, attach an explanation for the rationale used which would corroborate the prices listed. SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the City of South Bend awarding the contract must be specific enough in detail so that said City of South Bend can make a proper determination of the bidder's capability for completing the project if awarded. Version 01/13/2021 Contractor's Bid for Public Works - 3 When the prospective Contractor is unable to certify to any of the state► vents below, it shall attach an explanation to this Affa&& 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 C 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 afrMWBE; 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. 1, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1).1 hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder 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 Subscribed and sworn to before me this 13th My Commission Expires 3h & 2,3 County of Residence The Robert Henry Corporation Contractor/Bidder (Firm) &2-- Signature-Of Contractor/B' der or Its Agent Brian S. Henry, President Printed Name and Title day of6ui April 20 21 C LL Notary Public St. CAROL B. DOYLE : SEALS° Notary Public * St. Joseph County, State of Indian8 iAW' Commission Expires March 18, 2023 Version 01/13/2021 Contractor's Bid for Public Works - 6 � c BID/PROPOSAL t >' CITY OF SOUTH BEND Project Name: Ignition Park: EV Charging Park Project Number: 120-WR For Bids Due: April 13, 2021 at 9:00am Local Time Contractor Name: The Robert Henry Corporation BASE BID Item No. Description Quantity Unit Unit Price Total Amount 1 MOBILIZATION AND DEMOBILIZATION 1 LSUM 55,629 55,629 2 CONCRETE CURB & GUTTER REMOVAL 175 LFT 26.93 4,713 3 EARTHWORK 1775 CYD 14.91 26,466 4 COMMON EXCAVATION 720 CYD 19.17 13,803 5 HMA INTERMEDIATE, TYPE B 280 TON 76.68 21,471 6 HMA SURFACE, TYPE B 140 TON 133.13 18,638 7 COMPATCTED AGGREGATE, No. 53 550 CYD 44.20 24,309 8 PCCP FOR APPROACH, REINFORCED 120 SYD 51.69 6,203 9 SIDEWALK, CONCRETE, 4" 715 SYD 41.54 29,701 10 CURB RAMP, CONCRETE 16 SYD 75.75 1,212 11 CONCRETE CURB 1100 LFT 24.49 26,939 12 CURBTURNOUT 7 EA 444.57 3,112 13 CONCRETE PARKING STOP 15 EA 79.87 1,198 14 STORM SEWER PIPE,12 IN 80 LFT 53.25 4,260 15 STORM CASTING REPLACEMENT 1 EA 2,663 2,663 16 TESCO CABINET, FOUNDATION, WIRING, ETC 1 EA 24,166 24,166 17 ELECTRICAL SERVICE CONNECTION 1 LSUM '1,065 1,065 18 LIGHT STANDARD, TYPE A 1 EA 5,634 5,634 19 LIGHT STANDARD, TYPE B 1 EA 4,686 4,686 20 LIGHT POLE FO U NDATION q 2 EA 905.50 1,811 21 EV CHARGING FOUNDATION (18"x18"X18") 7 EA 203 1,421 22 LIGHTING CONDUIT, PVC, SCH 80,3 IN 270 LFT 13.31 3,594 23 LIGHTING CONDUIT, PVC, SCH 80,3 IN, DIRECTION DRILL 50 LFT 29.82 1,491 24 EV CHARGING CONDUIT, PVC SCH 40,3 IN 375 LFT 13.31 4,992 25 LIGHTING WIRING 360 LFT 3.73 1,342 26 ELECTRIC PULL BOX 5 EA 1,065 5,325 27 THERMOPLASTIC LINE, SOLID, WHITE, 6 IN 110 LFT 6.39 703 28 THERMOPLASTIC LINE, SOLID, YELLOW, 4 IN 530 LFT 1.14 605 Version 01/13/2021 Contractor's Bid for Public Works - 7 BID/PROPOSAL CITY OF SOUTH BEND Project Name: Ignition Park: EV Charging Park Project Number. 120-044R For Bids Due: April 13, 2021 at 9:00am Local Time Contractor Name: The Robert Henry Corporation BASE 131D 29 THERMOPLASTIC LINE, SOLID, BLUE, 4 IN 125 LFT 1.06 133 30 PAVEMENT MESSAGE HC MARKING, BLUE 1 EA 27 27 31 HANDICAP SIGNPOST 1 EA 266 266 32 ELEC VEHICLE SIGN/POST 4 EA 346 1,384 33 STOP SIGNPOST OVERSTORY TREE, 21/2 IN CALIPER 2 EA 282 564 34 12 EA 612.42 7,349 35 HYDROMULCH, SEEDING AND TOPSOIL 1750 SYD 12.97 22,701 36 SWALE SEED MIX AND TOPSOIL 725 SYD 5.56 4,030 37 TEMPORARY EROSION CONTROL MEASURES 1 LSUM 9,053 9,053 BASE BID TOTAL 342,659 ALTERNATE #1 Item Description Quantity Unit Unit Price Total Amount No. 1 CONCRETE SEAT WALL 80 LFT 207 16,560 ALTERNATE 01 TOTAL 16,560 ALTERNATE N2 Item Description Quantity Unit Unit Price Total Amount No. 2 PICNICTABLES 2 EA 2,381 4,762 ALTERNATE 03 Item Description No. 3 anvu inN/cH, STRUCTURE ALTERNATE 92 TOTAL 4,762 Quantity Unit Unit Price Total Amount 2 EA 21,769 i43,538 ALTERNATE #3 TOTAL 43,538 Bidder (Firm): The Robert Henry Corporation Address: 404 S. Frances St. City/State/Zip: South Bend, IN 46617 Telephone Number: , 574 } 232-2091 By 0 �� "_ (Signature) Brian S. Henry, President (Printed Name of Person Signing) Version 01/13/2021 Contractor's Bid for Public Works - 8 BID/PROPOSAL w a CITY OF SOUTH BEND Project Name: Ignition Park: EV Charging Park Project Number: 120-044R For Bids Due: April 13, 2021 at 9:OOam Local Time Contractor Name: The Robert Henry Corporation Version 01/13/2021 Contractor's Bid for Public Works - 9 a 'fir JZ CITY OF SOUTH BEND,. MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MWBE4.0 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. 120-044R _ Project Name: Ignition Park: Ell Charring Park Bidder: The Robert HenryCorporation Total Bid Amount: $ 413,317.00 MBE Goal: 2.4% Page 1 of 1 Name & Address of MBE Primary Contact Person hone (Namelrel p ) Scope of Work to be Performed (Attach scope/schedule H you need additional space) Dollar Amount of MBE Component Percentage of Total Bid/Proposal No MBE organizations have responded at this time. Submitted by: Brian S. Henry, President April 13, 2021 Print Name Signature Date Version 01/1312021 Contractor's Bid for Public Works -10 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MWBE-1.0 - MWBE UTILIZATION PLAN— Thiscompleted 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: 1204044R Project Name: 1-; ninon Park: EV Char ig na_Park Bidder: The Robert Henry Corporation Total Bid Amount: $ 413,317.00 WBE Goal: 4.2% Name 8 Address of WBE Primary Contact Person (Name/Telephone) M. J. Schuetz Insurance Services Jenni Waggoner Circle Tower Building 317-548-3932 55 Monument Circle, Ste, 600 Indianapolis, IN 46204 Ritschard Bros,, Inc. Circle Tower Building 55 Monument Circle, Ste. 500 Indianapolis, IN 46204 State Barricading 24963 US Highway 20 South South Bend, IN 46628 Don Ritschard 574-288-4777 Page 1 of 1 Scope of Work to be Performed Dollar Amount of WBE Percentage (Attach scope/schedule if you need additional space) Component of Total Bld1Proal Bonds $ 4,000.00 0.98% Eartwork Site Utilities $ 92,910.00 22.8% Mary Michalski Street Barricading 574-287-2078 Submitted by: Brian S. Henry, President _ April 13, 2021 Print Name Signature' Date Version 01113/2021 Contractor's Bid for Public Works -11 iTR CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN r!� 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: 120-044R Date: April 13, 2021 Project Name: Ignition Park: EV Charging Park Bidder: The Robert Henry Corporation Contact Person: John Callan Telephone: 574-232-2091 Address: 404 S. Frances St. City: South Bend State: Indiana Zip: 46617 Email: jcallan@roberthenrycorp.com 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: hft :/Iwww.in. 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. - V 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 �' I 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 -12 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. Anv omissions snau De consiaerea 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 - 13 TFI 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 1 Project Number: 1204044R MBE Participation Goal 2.4% Project Name: Ignition Park: EV Charging Park _ Bidder: The Robert Henry Corporation By: � Brian S. Henry, President April 13, 2021 (Signature) (Title) (Date) MBE Firm DRC Corporation Owner or Contact at MBE Firm Donald Chambers Telephone: 574-233-1904 Fax: 866-596-0986 Email: biddre@sbcglobal.net TYPE OF WORK SOLICITED FOR THIS PROJECT: Sheet Metal RESULTS OF CONTACT WITH THE MBE FIRM: Not bidding, per email. 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 - 14 Tfl CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN v , 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, 1 OF 2 Project Number: 1204044R WBE Participation Goal 4.2% Project Name: Ignition Park: EV Chaging Park Bidder: The Robert Henry Corporation By: Brian S. Henry, President April 13, 2021 (Signature) (Title) (Date) WBE Firm M.J. Schuetz Insurance Services, Inc. Owner or Contact at WBE Firm Jenni Waggoner Telephone: 317-548-3932 Fax: 317-639-6910 Email: jaggoner@mjsis.com TYPE OF WORK SOLICITED FOR THIS PROJECT: Bonds RESULTS OF CONTACT WITH THE WBE FIRM: Submitted a bid. WBE: Firm Ritschard Bros., Inc. Owner or Contact at WBE Firm Donald Ritschard Telephone: 574-2884777 Fax: Email: ritl204@datacruz.com TYPE OF WORK SOLICITED FOR THIS PROJECT: Earthwork Site Utilities RESULTS OF CONTACT WITH THE WBE FIRM: Submitted a bid. Version 01/13/2021 Contractor's Bid for Public Works -15 TH 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, 2 OF_ 2 Project Number: 120-044R WBE Participation Goal _ 4.2% Project Name: Ignition Park: EV Charging Park Bidder: The Robert Henry Corporation By: Brian S. Henry, President April 13, 2021 u nie) WBE Firm Dudack Roofing & Sheet Metal, Inc. Owner or Contact at WBE Firm Katy Dudek Telephone: 574-234-7912 Fax: 574-234-2471 TYPE OF WORK SOLICITED FOR THIS PROJECT: Sheet Metal Installation RESULTS OF CONTACT WITH THE WBE FIRM: Awaiting Response WBE Firm State Barricading Owner or Contact at WBE Firm Mary Michalski Telephone: 574-287-2078 Fax: 574-287-2744 TYPE OF WORK SOLICITED FOR THIS PROJECT - Street Barricading RESULTS OF CONTACT WITH THE WBE FIRM: Submitted A Bid (Date) Email: katy@dudeckroofing.com Email: statebarricade1@aol.com Version 01/13/2021 Contractor's Bid for Public Works - 15 John Callan From: John Callan Sent: Monday, April 12, 2021 8:25 AM To: Don Chambers Subject: RE: Invitation To Bid - REBID of South Bend Ignition Park EV Charging Park Thanks for your consideration, Don! John A. Callan, Project Manager THE ROBERT HENRY CORPORATION 574-232-2091, FX 574-232-3979 From: Don Chambers <biddre@sbcgloba1.net> Sent: Monday, April 12, 20214:01 AM To: John Callan <jca Ila n@roberthenrycorp.com> Subject: Re: Invitation To Bid - REBID of South Bend Ignition Park EV Charging Park Good morning John, Thanks for the invite to bid. At this time. DRC will not bid this project. Don Donald R. Chambers, Project Manager DRC Corporation 2214 Huron Street South Bend, IN 46619 574-233-1904 On Friday, April 9, 2021, 08:52:18 AM EDT, John Callan < callan roberthenr cor .com> wrote: You are invited to submit a Bid for your portion of the work for the above referenced Project. Please see the attached Invitation To Bid which contains instructions for obtaining the Bid Documents for this Project. Kindly send your request for the Bid Documents to BidDocRe uest.nccmail.com and you will receive a return email from our Van Nussbaum with links to download the Bid Docs at no cost. Please advise us if you are a MBE or WBE. Kindly contact us with any questions. Thank you for your interest! John A. Callan, Project Manager THE ROBERT HENRY CORPORATION 574-232-2091, FX 574-232-3979 -s,'s t%.n pw* SGiev— xWg-4- AP/ Prescribed by State Board of Accounts General Form No. 99P (Rev. 2009A) GovernmentalUnit To.................................................................................... Dr. THE ROBERT HENRY CORPORATION South Bend Tribune 635 S. Lafayette Blvd., Ste.138 ............................................County, Indiana South Bend, Indiana 46601 Tax I D# #83-2810977 PUBLISHER'S CLAIM LINE COUNT Ad #i'9'55140 Display Master (Must not exceed two actual lines, neither of which shall total more than foui.solid: lines of type in which the body of the advertisement is set) -- number of equivalent ................................... Head- Number of lines ................................... Body -- Number of lines ................................... Body -- Number of lines ...................... I ..... I...... Total number of lines in notice 10 COMPUTATION OF CHARGES 10 lines, 1 cplumris wide equals. 10 equivalent lines at 1.68 cants per line Additional charges for notices containing rule or tabular work (50 per cent of above amount) ................................... Charge for extra proofs of publication ($1.00 for each proof in excess of two) .__...... $0 00............... TOTAL AMOUNT OF CLAIM $16.80 DATA FOR COMPUTING COST Width of single column in picas 9.4ems Size of 8 point Number of Insertions 1 Pursuant to the provisions and penalties of IC 5-11-10-1, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after allowing all just credits, and that no part of the same has been paid. I also certify that the printed matter attached hereto is a true copy, of the same column width and type size, which was duly published in said paper 1 time(s). The dates of publication being as follows: , 04108/21. Ji CHERYL JUNE MOREY Notary Public - Seal St Joseph County - State of Indiana Commission Number 693302 7 i !i¢y Commission Expires Dec 21, 2024 Jane Morey. Notary Puyb� -- Resident of St. Joseph Couni� Alan Achkar, Executive Editor Commission Number: 693302 My Commission expires December 21, 2024 South Bend Tribune 635 S. Lafayette Blvd., Ste. 138 South Bend, IN 46601 ON ACCT OF APPROPRIATION FOR $16.80 Appropriation No. Tax ID# 83-2810977 That it is duly authenticated as required by law. That it is based upon statutory authority. That it is apparently correct incorrect ALLOWED I certify that the within claim is true and correct; that IN THE SUM OF $16.80 the services there in itemized and for which charge is made were ordered by me and were necessary to the public business es I . - '*Woe- cooAp'-04 - _ File Message Help QI�Tell me what you .vant to do raIgnore III F� `— e Meeting Move to, ? 3 To Manager p�� P' Rules - LJ O �p L� (U i "' Q Find /��t\ a 0 Team Email Done IN OneNote Related /--1 Ill v Delete Archive Reply Reply Forward _ Junk - �0 More - �j Reply & Delete Create Nen Move Assi n Mark Cate orize Follow Read Translate Zoom Save Insights All _ _ Actions Policy - Unread - y U p - j� Select - Aloud - to FSI Delete Respond Quick Steps r Move Tags r Editing Speech language Zoom Foundation FW: Invitation To Bid - REBID of South Bend Ignition Park EV Charging Park John Callan +D Reply *) ReplyAll Forward To John Callan (icallan(proberthenrycorp.com) Fri 4"gi2021 P::2 AM Scc James Michalski; biddreOsbcglobal.net; Katy@dudeckroofing,ccm `Y TRHC Invitationto Bid -REBID of 5B Ignition Park EV Charging Park4-6.pdf 18 K8 You are invited to submit a Bid for your portion of the work for the above referenced Project. Please seethe attached Invitation To Bid which contains Instructions for obtaining the Bid Documents for this Project. Kindly send your request for the Bid Documents to BIdDocilimuest.rhcMgmall and you will receive a return email from our Van Nussbaum with links to download the Bid Dons at no cost. Please advise us If you area MBE or WBE. Kindly contact us with any questions. Thank you for your interest John A. Callan, Project Manager THE ROBERT HENRY CORPORATION 574-232-2091,FX 574-232-3979 �' ' ,- '„� ,rs CS h ii� ant 4 9.11 AM f�, THE R OBER T HENR Y CORPORA TION Building and Utility Contractors PART II — SECTION I — EXPERIENCE QUESTIONNAIRE 1. Please seethe attached "List of Projects" for projects our organization has completed for the period of one (1) year. 2. Please seethe attached "List of Projects" for projects currently in process of construction by our organization 3. Our organization has never failed to complete work awarded to us. 4. References from private firms for which you have performed work: NAME COMPANY PHONE Mr. Pat Kelly Gurley Leep (574) 272-2002 Mr. Steve Sewell Siemens Healthcare (346) 213-8149 Ms. Nicole Read St. Joseph Regional Medical Center (574) 335-3901 PART II — SECTION II — PLAN AND EQUIPMENT QUESTIONNAIRE 1. A detailed quantity survey has been made from the contract plans and specifications. Sufficient manpower is available to begin work 10 days to 2 weeks after Notice of Award. We anticipate completion per plans and specifications. 2. A list of subcontractors will be provided within 24 hours of Notice of Award. 3. A list of subcontractors will be provided within 24 hours of Notice of Award. It is not anticipated that a bond will be required from subcontractors. 4. All required equipment will be provided for this project. 5. Yes 404 South Frances Street • P.O. Box 1407 • South Bend, Indiana 46624 www.roberthenrycorp.com • Tel. 574-232-2091 • Fax 574-232-3979 THE ROBERT HENRY CORPORATION FINANCIAL REPORT (Reviewed) December 31, 2020 and 2019 Davis d Woj tysiak, LLC -� CERTIFIED PUBLIC ACCOUNTANTS INDEPENDENT ACCOUNTANTS' REVIEW REPORT To the Board of Directors and Stockholders The Robert Henry Corporation South Bend, Indiana We have reviewed the accompanying financial statements of The Robert Henry Corporation (an S corporation), which comprise the balance sheets as of December 31, 2020 and 2019, and the related statements of income and other comprehensive income, stockholders' equity and cash flows for the years then ended, and the related notes to the financial statements. A review includes primarily applying analytical procedures to management's financial data and making inquiries of Company management. A review is substantially less in scope than an audit, the objective of which is the expression of an opinion regarding the financial statements as a whole. Accordingly, we do not express such an opinion. Management's Responsibility for the Financial Statements Management is responsible for the preparation and fair presentation of the financial statements in accordance with accounting principles generally accepted in the United States of America; this includes the design, implementation, and maintenance of internal control relevant to the preparation and fair presentation of the financial statements that are free from material misstatement whether due to fraud or error. Accountants' Responsibility Our responsibility is to conduct the review engagement in accordance with Statements on Standards for Accounting and Review Services promulgated by the Accounting and Review Services Committee of the AICPA. Those standards require us to perform procedures to obtain limited assurance as a basis for reporting whether we are aware of any material modifications that should be made to the financial statements for them to be in accordance with accounting principles generally accepted in the United States of America. We believe that the results of our procedures provide a reasonable basis for our conclusion. Accountants' Conclusion Based on our reviews, we are not aware of any material modifications that should be made to the accompanying financial statements in order for them to be in accordance with accounting principles generally accepted in the United States of America. Supplementary Information The supplementary information included in the accompanying Schedules I and It and Comparative Financial Statistics is presented for purposes of additional analysis and is not a required part of the basic financial statements. Such information is the responsibility of management and was derived from, and relates directly to, the underlying accounting and other records used to prepare the financial statements. The supplementary information has been subjected to the review procedures applied in our review of the basic financial statements. We are not aware of any material modifications that should be made to the supplementary information. We have not audited the supplementary information and do not express an opinion on such information. r .f�,,�, LLC Davis & Wojtysiak, LLC South Bend, Indiana March 8, 2021 1. 1316 COUNTY-CrrY BUILDING f- / �, x PHONE 574/ 235-9251 227 W.JEFFERSON BOULEVARD u d Fax 574/235-9171 SOUTH BEND, INDIANA 46601-1830 w WACF. a , TDD 574/ 235-5567 1865 -_• CITY OF Sotim BEND JAME'S MUELLER, MAYOR BOARD OF PUBLIC WORKS Date: Aril 9, 2021 To: All Planholders From Anne Fuchs, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: Ignition Park: EV Cha!ying Park Project No.: 120-044R ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: April 9, 2021 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: The Robert Henry Corporation A"t--4Authori zed Signature: Brian S. Henry, President Date: April 9, 2021 Document A310TM - 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 of business) The Robert Henry Corporation Fidelity and Deposit Company of Maryland 404 S Frances St, PO Box 1407 1299 Zurich Way, 5th Floor This document has important South Bend, IN 46624-1407 Schaumburg, IL 60196-1056 legal consequences. Consultation with an attorney is Mailing Address for Notices encouraged with respect to its OWNER' completion or modification. (Name, legal status and address) City of South Bend Any singular reference to ty Contractor, Surety, Owner or 227 West Jefferson Boulevard other party shall be considered South Bend, IN 46601 plural where applicable. BOND AMOUNT: ***Five Percent (5%) of the Accompanying Bid` PROJECT: (Name, location or address, and Project number, if any) REBID of South Bend Ignition Park EV Charging Park, Franklin at Garst Streets, 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 funished 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 parry to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 13th day of April -(Ld'6-64- (Witness) (Witness) , 2021 The Robert Henry Corporation (Principal) (Seal) ('Title) &c-AA $.VjeAfk� 1 c iaeA+ Fidelit:, ,i nd Deposit Company of Maryland (Surer (Title) Carolyn J. 16honeir, ywin-Fact a U'41P0QPog9mc� - � AL -) m %may iem� QsO��c ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D. Murray, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint, Vickie L. WOLCOTT, David A. LINTHICUM, Carolyn J. WAGGONER, Michael K. CORCORAN, Stella M. MILLI, Pamela D. CHRISTIANSON and Tiffany T. WILLIAMS, all of Indianapolis, Indiana, EACH, its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertaldngs, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 11 th day of July, A.D. 2019. ttas P ZER-b t: Sam rAL ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND By. Robert D. Murray Vice President By. Dawn E. Brown Secretary State of Maryland County of Baltimore On this 11 th day of July, A.D. 2019, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, Robert D. Murray, Vice President and Dawn E. Brown, Secretary of the Companies, to me personally ]mown to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. �5 - Constance A. Dunn, Notary Public r,/k� �f�;.• � filed. My Commission Expires: July 9, 2023 It EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, Attom ,.s-in-Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attomeys-in-fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attomey-in-fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of the By -Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney ... Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 1 Oth day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 13th day of April _ , 2021 . Brian M. Hodges, Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg, IL 60196-1056 ww 800-626-4577 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name Ignition Park: EV Charging Park Project No. 120-044R For Bids Due April 13, 2021 at 9:00am Local Time — electronic bids should be submitted to b wbids southbendin. ov Contractor Name: The Robert Henry Corporation 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 11 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 315t 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) X 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) X 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) 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) X 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) X 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) 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. Version 01/13/2021 General Conditions - 8 II. PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowledgements: (i) _ By checking this box, I hereby acknowledge that I am not a pre -qualified bidder with the City of South Bend. (ii) _ By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided, and may also conduct random inquiries of my current and prior customers. The City reserved the right to utilize all information provided in this submission and all information obtained in inquiries or requests to determine if a bidder is responsive and responsible. Additionally, I acknowledge that all information provided to the City shall be regarded as public records. (iii) _ By checking this box, I hereby acknowledge that copies of all Applicable apprenticeship certificates or standards for training programs applicable to the work performed on the project may be requested at any time and shall be furnished upon request. (iv) _ By checking this box, I hereby acknowledge and ensure that I and all sub- contractors, from whom I have accepted a bid and/or intend to hire to perform work on the public work project, are properly licensed. Furthermore, I acknowledge my understanding that it is my responsibility to ensure that all sub -contractors have the necessary licenses to undertake the work called for in this bid. If a sub- contractor loses their license at any point, it is the responsibility of that sub- contractor to notify the City. (b) Attachments: (i) _ Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). List identifying all former business names. Any determinations by a court or governmental agency any violations of federal state, or local laws including, but not limited to, violations of contracting or antitrust laws, tax or licensing laws, environmental laws, Occupational Safety and Health Act (OSHA), or federal Davis -Bacon and related Acts, within the preceding five (5) years. (iv) _ Statement about staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work I am bidding on OR outlines how I intend to meet the staffing needs of the work. (v) _ Statement that individuals who will perform work on the public work project on my behalf will be properly classified as an employee or as an independent contractor under all applicable state and federal laws and local ordinances. (vi) _ For every project, submit evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. (vii) _ Copy of a written plan for employee drug testing that covers all of my employees who will perform work on the public work project and meets or exceeds the requirements set forth in IC 4-13-18-5 or IC 4-13-18-6. (viii) _ Evidence that I am utilizing a surety company which is on the Bureau of Fiscal Service "Department of Treasury's Listing of Approved Sureties" as required in the bid specifications or contract. 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) _ List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within three (3) years prior to the date on which the bid is due. Date: April 13, 2021 (Sign Here) I Brian S. Henry (Print Name Here) The Robert Henry Corporation (Name of Company) 404 S. Frances St. (Address of Company) South Bend (City) Indiana (State) 574-232-2091 (Telephone Number) Version 01/13/2021 General Conditions -10 CITY OF SOUTH BEND JAWS MUELLER, MAYOR DEPARTMENT OF PUBLIC WORKS ERIC HORVATH, DIRECTOR November 5, 2020 Mr. John Callan The Robert Henry Corporation j callanQrobertheMcorp. com RE: Pre -Qualification Verification Dear MT. Callan: This letter serves as verification of Pre -Qualification status of your company for bidding with the City of South Bend. This Pre -Qualification status is effective for twelve (12) months from the date of this letter. Thereafter you are required to re -submit a complete application for continuation of pre -qualification status prior to December 31 for the upcoming calendar year. A copy of this Verification Letter must be included with every bid exceeding $150,000 submitted to the City of South Bend Board of Public Works, along with your Pre -Qualified Bidder Checklist and attachments. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, Liz Horvath, Permit Manager BUSINESS INFORMATION f CONNIE LAWSON INDIANA SECRETARY OF STATE M8/2021 10:50 AM VIA Business Name: THE ROBERT HENRY CORPORATION Business ID: 197408-008 Entity Type: Domestic For -Profit Corporation Business Status: Active Creation Date: 08/0111974 Inactive Date: Principal Office Address: U04 S Frances Street South Bend, IN, 46624, Expiration Date: Perpetual Business Entity Report Due 08/31/2022 Jurisdiction of Formation: Indiana Date: Years Due: P Title Name Address President STEPHEN R HENRY 33055 LAKE FOREST COURT, Niles, MI, 49120, USA A1;tuFlnCdrmst�� _ �_".�._.�. . s,, i �.a,. ;�� i_---- -- - - • - Type: Individual Name: STEPHEN HENRY Address: 404 S FRANCES ST, SOUTH BEND, IN, 46617 •- 0000, USA THE R OBER T HENRY CORPORATION Building and Utility Contractors April 13, 2021 To whom it may concern: Per the Pre -Qualified Bidder Checklist (b) (ii), The Robert Henry Corporation has the staffing capabilities, including the labor resources, necessary to complete the project on time. We will utilize workers from the local union hall or from our existing workforce. Sincerely, Brian S. Henry President 404 South Frances Street • P.O. Box 1407 • South Bend, Indiana 46624 www.roberthenrycorp.com • Tel. 574-232-2091 • Fax 574-232-3979 0 The Robert Henry Corporation List of Projects Job # Cus mer Name Job Name Desc. Comer Epletion Date Contract Amount 217927 Citv Of South Bend Newman Center Site Development Mar-18 $ 339,830 217955 St. Joseph Regional Medical Center MIC Renovations A r-18 $ 268,748 217947 The Salvation Army Kroc Center Bathroom Reno Jul-18 $ 353,706 1018016 St. Joseph Regional Medical Center SJRMC Podiatry Au -18 $ 53,073 1018001 American Electric Power Renovation Elec Laydown Yard Sep-18 $ 74,359 217917 St. Jose h Regional Medical Center SJRMC - Univ Park Fam Medicine Se -18 $ 55,114 217943 The Redmond Company UFCU - Ireland Rd. - So. Bend Oct-18 $ 158,478 217945 The Redmond Company UFCU - Mishawaka, In. Nov-18 $ 165 442 1018021 Appalachian Power Company Buchanan Dam Repair Nov-18 $ 163,900 1018010 Gurley Leep Automotive Group Gurley Leep Mercedes-Benz Jan-19 $ 337,136 1018004 Gurley Leep Automotive Group Gurley Leep Volkswagen Jan-19 $ 794,884 1018029 Vic Trippel Plumbing & Heating Demising Wall - UP Mall Suite Feb-19 $ 66,817 1018038 Plymouth Veterinary Clinic, LI Renovations to Plymouth Vet Mar-19 $ 109,381 1018012 University Of Notre Dame Melander, Warren Center & G1&2 May-19 $ 2,369,700 217939 Menards Menards Elkhart Fixturin Jun-19 $ 863,985 217932 School City Of Mishawaka Mishawaka H.S. Retaining Wall Jun-19 $ 405,864 1019018 Jacob Sonner Sonner - Retaining Wail Jul-19 $ 60,950 1018032 St. Joseph Reg! nal Medical Center SJRMC Family Medicine Faculty Jul-19 $ 342,332 1019022 Gurley Leee Automotive Group Collision Center Renovations Jul-19 $ 91,750 1018024 City Of South Bend SB VPA Maint. Storage Building__Jul-19 $ 388,984 1019017 Siemens Healthcare Diagnostics Siemens -Safety Equipment Aug-19 $ 65,066 1018023 Hasse Construction Co, Inc Molded Products - So. Bend Oct-19 $ 520,519 1019002 The Redmond Company UFCU Bremen Hwy. Mishawaka, In Dec-19 $ 97,501 1019001 The Redmond Company UFCU Toscana Blvd. Granger, In Dec-19 $ 101,189 1019050 St. Joseph Regional Medical Center Suite 130 Physicians Lounge Dec-19 $ 54,579 217928 Giibane Building Company Siemens NICP Project Jan-20 $ 2,444,647 1019051 American Electric Power Twin Branch Dam Stabilzation Feb-20 $ 302,000 1019008 Lewis Cass Intermediate School North Pointe Envelope Sys im r Feb-20 $ 1,302 640 1019010 Siemens Healthcare Diagnostics Siemens Healthineers- Novus 2 Apr-20 $ 724,100 1020002 St. Joseph Regional Medical Center Plymouth IT Rooms Renovations Apr-20 $ 129,045 1019003 Lighthouse Point Condo Assoc Li hthouse Point Tower Repairs Ma -20 $ 3,372,565 1019029 Siemens Healthcare Diagnostics Siemens-OCG Laboratory Mav-20 $ 1,194 119 1019054 Siemens Healthcare Diagnostics Siemens Minicare-Pre-Const. May-20 $ 28,543 1019023 Washington Square Development Liberty Tower Exterior Renovat Jun-20 $ 134,337 1019041 Town Of Shipshewana Shipshewana Public Restroom Jun-20 $ 544,500 1020005 Michiana Area Construction Ind MACIAF Interior Renovations Jun-20 $ 66,944 1019039 ME Excavating, Inc. Mishawaka Ironworks - Phase i Jul-20 $ 724,113 1020001 Siemens Healthcare Diagnostics Siemens -Project Moose-Minicare Jul-20 $ 1,659,902 1020019 Trinity Health Wellness & Weight Management Jan-211 $ 742,988 1019052 St. Joseph County Parks Fndn River Ramble Natural Pla scape In Pro ress $ 209,380 1020006 City Of Mishawaka Beutter Park Founder's Circle In Progress $ 151,165 1020007 City Of Mishawaka Central Park Picnic Plaza In Pro ress $ 380,977 1020008 St. Joseph Countz Public Library SJCPL Structural Site Concrete In Progress $ 1,198,103 1020013 Elkhart Plastics Inc. Elkhart Plastics Site Concrete In Progress $ 82,490 1020014 Siemens Healthcare Diagnostics Siemens Concrete Paving In ProgressProgressl $ 110,650 1020022 Jefferson Center Water Main Jefferson Centre Assoc. LLC In Pro ress $ 113,451 10210011 Holy Cross Parkway LiftStation HRP Construction Inc In ProgressProgressl $ 51,841 1021 05LIvy Tech S. Bend Testin Center Ivy Tech Community College In ProgressProgressi $ 85,600 INDIANA/KENTUCKY/OHIO REGIONAL COUNCIL OF CARPENTERS JOINT APPRENTICESHIP AND TRAINING FUND 711 GREENWOOD SPRINGS DRIVE GREENWOOD, IN 46143 ADMINISTRATION OFFICE 711 Greenwood Springs Drive Greenwood, IN 46143 Phone:317-807-1112 Fax:317-807-1115 Ashland Camp 574 Carpenters Way October 30, 2020 Grayson, KY 41143 Phone: 606-029-1362 Fax: 606-929-5319 Indianapolis Campus To Whom It May Concern: 711 Greenwood Springs Drive Greenwood, IN 46143 Phone:317-907-1116 Fax: 317-807-1131 Please allow this letter to serve as verification that the Robert Henry Corporation has been a good standing contributor/participant with the Lafayette Campus 2953 South Creasy Lane Indiana/Kentucky/Ohio Regional Council of Carpenters Joint Apprenticeship Lafayette, IN 47905 and Training Fund for at least 3 consecutive years and is thereby authorized to Phone: 765-447-5959 Fax: 765-447-7676 employ our apprentices. Louisville Campos Our ro ams re iistered with the United States De artment of Labor, Office p g p 1245 Durrett Lane Louisville, KY 40213 of Apprenticeship ind Training, and is also approved by the U.S. Veterans Phone: 502-366.8668 Administration to participate in the GI Education benefits program. Enclosed Fax:502-366-8678 are copies of those certificates. Merrillville Campus 1565 East Court Please feel free to contact our office With any additional Questions, at 317- I 46410 Merrillville, IN Phone:219-947-3348 807-1112. Fax:219-947-1889 Muncie Campus sincerely, 4121 East Centennial Avenue Muncie, IN47303 Phone: 765-288-9015 rA6- Fax:765-288-9298 Jerry N. Burke Newburgh Campus 5400 Covert Conn Director of Education Newburgh, IN47630 1KORCC JATF Phone:812-853-9312 Fax-. 812433-9316 Tlerre Haute Campus 3099 South 611 Street 7lerre Haute, IN 47802 Phone: 812-466-7899 Fax: 812466-9840 Warsaw Campus 1095 Mariners Drive Warsaw, IN 46582 Phone: 574-267-5264 Fax:574-269-1464 Mates �Hepsrtmenr O 1*4&VIII, )Bureau ufi19pprrntirmhip and Training &MAW of Rotmtion. CENTRAL INDIANA CARPENTERS JOINT APPRENTICESHIP COMMITTEE INDIANAPOLIS , IWIIIANA for the trade classifications of CARPENTER, FLOOR COVERER and MILLWRIGHT RegislereoF as par! of h6ealional.�jvpretrlicesiip Yrayram in accordance wAA foie bwk slaao(ardjr o1 a)Dren%rce rip esfa6,&A"W 6y Ae cSecrefary o'G'Qgor September 4, 1941 D,r Rev. August 23, 1989 0 4 0 0 4 1 1 -- m rmwl. k. Plasterers' & Cement Masons' ° - Apprenticeship Coordinator Local Union #N2 Phone: (219) 787-7767 1064 EmaA: bkrisW6plcrnlocal692.org �s - ioNh To Whom it May Concern: October 22, 2020 This letter is to certify The Robert Henry Corporation is and has been a signatory contractor with OPCMIA Local 692 and has participated in the Plasterers & Cement Masons Apprenticeship Training Program for many years. The Robert Henry Corporation, is a valued Contractor in good standing with Local 692 and the 1ATC. All our apprentices are registered with the United States Department of Labor. I may be reached at (219) 707-7767 if additional information is needed. Further, our organization's program is approved by the U.S. Veterans Administration to participate in -the GI Education Benefit Program. Thank you, Brian Kristoff Apprentice Coordinator Plasterers & Cement Masons 9200 Louisiana. Street - Merrillville, Indiana 46410 WWW-PLCML0CAL692.0RG _400- INDIANA LABORERS' TRAINING TR UST FUND David A. Frye Secretary -?treasurer Jerry J. Bolk Chris L Guerrero Ricky Henson, Jr. Ramon Mendoza, Jr. Robert S Wright P.O. Boa 758 - Bedford, Indiana 47421 (912)279-9751 October 22, 2020 To Whom It May Concern: Sean Coakley, Director John A Brown Chairman Kelly Abel Michael Ferrara Stan Meyer Nick Timmerman Jim Wiseman FAX: (812) 279-SW Toll Free (800) 742-4086 This letter is to confirm that "Henry Robert Corp" is a signatory contractor in good standing with the Indiana Laborers' Training Trust Fund. The above mentioned 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 five (5) Journey workers and thereafter may not employ more that (1) Apprentice for every (3) Journey workers. sincerely, Pk—, Sean Coakley, Director SC:ap www.indianalaborerstraining.org t7tat AO CSO wart, u of -^;j;jren#icjezlqiVdal wrowing Caffulcutt Of It4tatratin INDIANA LABORER'S TRAINING TRUST FUND BEDFORD, INDIANA for the trade classification of CONSTRUCTION CRAFT LABORER .Weyislereor as pail of lie Xalional 2,pprenlice vAo J royram in accoro(ance wills Z6e 6asic slanoraro( of apprenlicesj�ip es1a6hY.4eor 6y llie c3ecrelary o� , 'a6or December 14, 1995 2616 IN040-0528 Megls u� oc.• 6