Loading...
HomeMy WebLinkAboutAward Quote - Installation of Temporary Speed Tables On Call Proj No. 121-042 - Selge Contruction Co., Inc.  ELIZABETH A. MARADIK GARY A. GILOT JORDAN V. GATHERS JOSEPH R. MOLNAR MURRAY L. MILLER 1316 COUNTY-CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/ 235-9251 FAX 574/ 235-9171 CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS May 25, 2021 Ms. Vicki Priest Selge Construction Co., Inc. 2833 S. 11th. St. Niles, MI 49120 jbutler@selgeconstruction.com; vpriest@selgeconstruction.com RE: Quotation Award – Installation of Two (2) Temporary Speed Tables – On Call Project No. 121-042 Dear Ms. Priest: At its May 25, 2021 meeting, the Board of Public Works awarded the above referenced quotation to you in the amount of $20,000. Please forward the following documents in one submittal by June 8, 2021 to my attention for Board of Public Works approval: 3) One (1) signed original of the Contract (enclosed); and 4) Certificate of Insurance naming the City of South Bend as an additional insured. If you have any further questions regarding this matter, please call this office at (574) 235- 9251. Sincerely, /s/ Anne Fuchs Anne Fuchs, Clerk Enclosures AF/lh   ELIZABETH A. MARADIK GARY A. GILOT JORDAN V. GATHERS JOSEPH R. MOLNAR MURRAY L. MILLER 1316 COUNTY-CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/ 235-9251 FAX 574/ 235-9171 CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS May 25, 2021 Ms. Nancy Knapik HRP Construction Inc. 5777 Cleveland Rd., PO Box 266 South Bend, IN 46624 joej@hrpconstruction.com RE: Quotation Award – Installation of Two (2) Temporary Speed Tables – On Call Project No. 121-042 Dear Ms. Knapik: At its May 25, 2021 meeting, the Board of Public Works awarded the above referenced quotation to Selge Construction Co., Inc. in the amount of $20,000. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, /s/ Anne Fuchs Anne Fuchs, Clerk AF/lh   ELIZABETH A. MARADIK GARY A. GILOT JORDAN V. GATHERS JOSEPH R. MOLNAR MURRAY L. MILLER 1316 COUNTY-CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/ 235-9251 FAX 574/ 235-9171 CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS May 25, 2021 Mr. Dustin Hilary Milestone Contractors North, Inc. 24358 State Road 23 South Bend, IN 46614 akrueger@milestonelp.com RE: Quotation Award – Installation of Two (2) Temporary Speed Tables – On Call Project No. 121-042 Dear Mr. Hilary: At its May 25, 2021 meeting, the Board of Public Works awarded the above referenced quotation to Selge Construction Co., Inc. in the amount of $20,000. We thank you for quoting and hope you will quote with us again in the future. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, /s/ Anne Fuchs Anne Fuchs, Clerk AF/lh   ELIZABETH A. MARADIK GARY A. GILOT JORDAN V. GATHERS JOSEPH R. MOLNAR MURRAY L. MILLER 1316 COUNTY-CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/ 235-9251 FAX 574/ 235-9171 CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS May 25, 2021 Mr. Ruben Alvarado Rieth-Riley Construction Co., Inc. 25200 State Road 23 South Bend, IN 46614 ralvarado@rieth-riley.com RE: Quotation Award – Installation of Two (2) Temporary Speed Tables – On Call Project No. 121-042 Dear Mr. Alvarado: At its May 25, 2021 meeting, the Board of Public Works awarded the above referenced quotation to Selge Construction Co., Inc. in the amount of $20,000. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, /s/ Anne Fuchs Anne Fuchs, Clerk AF/lh   ELIZABETH A. MARADIK GARY A. GILOT JORDAN V. GATHERS JOSEPH R. MOLNAR MURRAY L. MILLER 1316 COUNTY-CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/ 235-9251 FAX 574/ 235-9171 CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS May 25, 2021 Mr. Blake Marshall GE Marshall, Inc. 1351 Joliet Rd. Valparaiso, IN 46385 blake.marshall@gemarshall.com RE: Quotation Award – Installation of Two (2) Temporary Speed Tables – On Call Project No. 121-042 Dear Mr. Marshall: At its May 25, 2021 meeting, the Board of Public Works awarded the above referenced quotation to Selge Construction Co., Inc. in the amount of $20,000. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, /s/ Anne Fuchs Anne Fuchs, Clerk AF/lh INTER-OFFICE MEMORANDUM DEPARTMENT OF PUBLIC WORKS DIVISION OF ENVIRONMENTAL SERVICES TO: Board of Public Works Anne Fuchs, Clerk FROM: Leslie Biek, P.E., Assistant City Engineer Kara Boyles, Ph.D., P.E., City Engineer SUBJECT: Approval of Quote for the Installation of Temporary Speed Tables PN 121-042 PR-9540 DATE: 5/25/2021 Engineering is requesting approval of quotes received for the installation of two (2) temporary speed tables located on residential streets. The contractor would have one week to install the speed tables once the City gave them the notice to proceed and provided the locations. This would be an on-call agreement with the contractor that would remain in effect until November 1, 2021. The City would provide the temporary speed tables to the contractor for installation. Quotes were by due Monday 5/24/21 by 5pm. One quote was received from Selge Construction Inc for the price of $20,000. Funding Source: 251-06-600-506-442001 It is requested the Board of Public Works approve the on-call contract with Selge Construction for the installation of two (2) temporary speed tables for the contract price of $20,000. Thank you for your consideration of this request. 25th. May 21 BOARD OF PUBLIC WORKS CITY OF SOUTH BEND, INDIANA PUBLIC WORKS CONTRACT THIS AGREEMENT, made and entered into this 25th Day of May, 2021, by and between, Selge Construction Co., Inc. 2833 S. 11th. St. Niles, MI 49120, HEREINAFTER called the Contractor, and the Board of Public Works herein called the "Board". WITNESSETH: That the Contractor covenants and agrees to make the following improvement, as fully set out in the Request for Quotations, Standard Specifications, Special Provisions, Plans, and Bid Proposals, all of which are set forth as a part of this Contract, for: PROJECT NO. 121-042 DESCRIPTION: INSTALLATION OF TEMPORARY SPEED TABLES - ON CALL COMPLETION DATE: SEE SPECIFICATIONS AMOUNT: $20,000 FUNDING: PR-00009540 The unit prices for this improvement were those prices as received and accepted by the Board on the 24th Day of May, 2021. The Contractor further agrees to notify the assigned Engineer when this improvement is completed. This notification shall be in the form of a Project Completion Affidavit, signed by the Contractor. Upon final acceptance of the improvement by the Engineer, the Contractor’s final estimate will be presented to the Board for final Payment with one (1) copy of the Project Completion Affidavit and one (1) copy of a Waiver of Lien. Each of the Parties, by signing below, represents and warrants to the other Party that he/she/it has the authority to bind the named person or entity to this Agreement. BOARD OF PUBLIC WORKS SELGE CONSTRUCTION CO., INC, President Member Printed Name Member Member Signature Member Attest: Anne Fuchs, Clerk INTER-OFFICE MEMORANDUM DEPARTMENT OF PUBLIC WORKS DIVISION OF ENVIRONMENTAL SERVICES TO: Board of Public Works Anne Fuchs, Clerk FROM: Leslie Biek, P.E., Assistant City Engineer Kara Boyles, Ph.D., P.E., City Engineer SUBJECT: Approval of Quote for the Installation of Temporary Speed Tables PN 121-042 PR-9540 DATE: 5/20/2021 Engineering is requesting approval of quotes received for the installation of two (2) temporary speed tables located on residential streets. Quotes will be due Monday 5/24/21 by 5pm. Engineering will prepare an updated memo with the quotes that were received with a recommendation for approval prior to the BPW meeting. Funding Source: 251-06-600-506-442001 Thank you for your consideration of this request. City of South Bend Department of Public Works Division of Engineering Bureau of Public Construction 227 West Jefferson RM# 1316 South Bend, Indiana 46601 May 20, 2021 HRP Construction Inc. 5777 Cleveland Road, P.O. Box 266 South Bend, IN 46628 RE: Request for Quotations Installation of Temporary Speed Humps On Call Project No. 121-042 Dear Sir or Madam: The City of South Bend solicits your quotation for on call installation of temporary speed humps in various locations within the City of South Bend. The selected contractor must mobilize within one week when an installation is requested by the City. These will be installed on residential streets, so detours will not be needed. The City will allow and permit full closures for this work. MUTCD guidelines will need to be followed for the closure, with two barricades on each end. The spec sheet for the temporary speed humps and the installation guide are included with this quote request. This City will provide the temporary speed humps to be installed. The temporary speed hump will be 27ft, 10in x 13ft 4in. Your electronic quote must be on the City of South Bend Contractor’s Quote for Public Work Form, The Title of the Bid and Project Number as described above must be included in the subject line of the email to which you have attached your quote. The name of the company/vendor, address, contact email address and phone number must be included in the body of the email. Please submit quotes to cbrach@southbendin.gov. Your quote is due by 5:00 P.M., Local Time, Monday, May 24, 2021. Any quotes received after this time will not be opened. All quotes received by this time will be opened and read , and an award is expected to be announced at the Board of Public Works meeting date on May 25, 2021 . This contract will remain in effect until November 1, 2021. Upon award, all required documentation must be provided to the Clerk of the Board of Public Works within seven days. If you have any questions or concerns, please contact me at (574) 235-9246 or by email at cbrach@southbendin.gov. Best Regards, Charlotte Brach Project Engineer Enc.: Installation of Temporary Speed Humps On Call – Quote Form, Spec Sheet and Installation Guide c: File City of South Bend Department of Public Works Division of Engineering Bureau of Public Construction 227 West Jefferson RM# 1316 South Bend, Indiana 46601 May 20, 2021 Milestone Contractors North Inc. 24358 SR 23 South Bend, IN 46614 RE: Request for Quotations Installation of Temporary Speed Humps On Call Project No. 121-042 Dear Sir or Madam: The City of South Bend solicits your quotation for on call installation of temporary speed humps in various locations within the City of South Bend. The selected contractor must mobilize within one week when an installation is requested by the City. These will be installed on residential streets, so detours will not be needed. The City will allow and permit full closures for this work. MUTCD guidelines will need to be followed for the closure, with two barricades on each end. The spec sheet for the temporary speed humps and the installation guide are included with this quote request. This City will provide the temporary speed humps to be installed. The temporary speed hump will be 27ft, 10 in. x 13ft 4in. Your electronic quote must be on the City of South Bend Contractor’s Quote for Public Work Form, The Title of the Bid and Project Number as described above must be included in the subject line of the email to which you have attached your quote. The name of the company/vendor, address, contact email address and phone number must be included in the body of the email. Please submit quotes to cbrach@southbendin.gov. Your quote is due by 5:00 P.M., Local Time, Monday, May 24, 2021. Any quotes received after this time will not be opened. All quotes received by this time will be opened and read , and an award is expected to be announced at the Board of Public Works meeting date on May 25, 2021 . This contract will remain in effect until November 1, 2021. Upon award, all required documentation must be provided to the Clerk of the Board of Public Works within seven days. If you have any questions or concerns, please contact me at (574) 235-9246 or by email at cbrach@southbendin.gov. Best Regards, Charlotte Brach Project Engineer Enc.: Installation of Temporary Speed Humps On Call – Quote Form, Spec Sheet and Installation Guide c: File City of South Bend Department of Public Works Division of Engineering Bureau of Public Construction 227 West Jefferson RM# 1316 South Bend, Indiana 46601 May 20, 2021 Rieth Riley Construction Co., Inc. 25200 State Road 23 South Bend, IN 46614 RE: Request for Quotations Installation of Temporary Speed Humps On Call Project No. 121-042 Dear Sir or Madam: The City of South Bend solicits your quotation for on call installation of temporary speed humps in various locations within the City of South Bend. The selected contractor must mobilize within one week when an installation is requested by the City. These will be installed on residential streets, so detours will not be needed. The City will allow and permit full closures for this work. MUTCD guidelines will need to be followed for the closure, with two barricades on each end. The spec sheet for the temporary speed humps and the installation guide are included with this quote request. This City will provide the temporary speed humps to be installed. The temporary speed hump will be 27ft, 10in. x 13ft 4in. Your electronic quote must be on the City of South Bend Contractor’s Quote for Public Work Form, The Title of the Bid and Project Number as described above must be included in the subject line of the email to which you have attached your quote. The name of the company/vendor, address, contact email address and phone number must be included in the body of the email. Please submit quotes to cbrach@southbendin.gov. Your quote is due by 5:00 P.M., Local Time, Monday, May 24, 2021. Any quotes received after this time will not be opened. All quotes received by this time will be opened and read , and an award is expected to be announced at the Board of Public Works meeting date on May 25, 2021 . This contract will remain in effect until November 1, 2021. Upon award, all required documentation must be provided to the Clerk of the Board of Public Works within seven days. If you have any questions or concerns, please contact me at (574) 235-9246 or by email at cbrach@southbendin.gov. Best Regards, Charlotte Brach Project Engineer Enc.: Installation of Temporary Speed Humps On Call – Quote Form, Spec Sheet and Installation Guide c: File City of South Bend Department of Public Works Division of Engineering Bureau of Public Construction 227 West Jefferson RM# 1316 South Bend, Indiana 46601 May 20, 2021 Selge Construction 2833 S 11th Street Niles, MI 49120 RE: Request for Quotations Installation of Temporary Speed Humps On Call Project No. 121-042 Dear Sir or Madam: The City of South Bend solicits your quotation for on call installation of temporary speed humps in various locations within the City of South Bend. The selected contractor must mobilize within one week when an installation is requested by the City. These will be installed on residential streets, so detours will not be needed. The City will allow and permit full closures for this work. MUTCD guidelines will need to be followed for the closure, with two barricades on each end. The spec sheet for the temporary speed humps and the installation guide are included with this quote request. This City will provide the temporary speed humps to be installed. The temporary speed hump will be 27ft, 10in x 13ft 4in. Your electronic quote must be on the City of South Bend Contractor’s Quote for Public Work Form, The Title of the Bid and Project Number as described above must be included in the subject line of the email to which you have attached your quote. The name of the company/vendor, address, contact email address and phone number must be included in the body of the email. Please submit quotes to cbrach@southbendin.gov. Your quote is due by 5:00 P.M., Local Time, Monday, May 24, 2021. Any quotes received after this time will not be opened. All quotes received by this time will be opened and read , and an award is expected to be announced at the Board of Public Works meeting date on May 25, 2021 . This contract will remain in effect until November 1, 2021. Upon award, all required documentation must be provided to the Clerk of the Board of Public Works within seven days. If you have any questions or concerns, please contact me at (574) 235-9246 or by email at cbrach@southbendin.gov. Best Regards, Charlotte Brach Project Engineer Enc.: Installation of Temporary Speed Humps On Call – Quote Form, Spec Sheet and Installation Guide c: File City of South Bend Department of Public Works Division of Engineering Bureau of Public Construction 227 West Jefferson RM# 1316 South Bend, Indiana 46601 May 20, 2021 GE Marshall, Inc. 1351 Joliet Rd. Valparaiso, IN 46385 RE: Request for Quotations Installation of Temporary Speed Humps On Call Project No. 121-042 Dear Sir or Madam: The City of South Bend solicits your quotation for on call installation of temporary speed humps in various locations within the City of South Bend. The selected contractor must mobilize within one week when an installation is requested by the City. These will be installed on residential streets, so detours will not be needed. The City will allow and permit full closures for this work. MUTCD guidelines will need to be followed for the closure, with two barricades on each end. The spec sheet for the temporary speed humps and the installation guide are included with this quote request. This City will provide the temporary speed humps to be installed. The temporary speed hump will be 27ft, 10in x 13ft 4in. Your electronic quote must be on the City of South Bend Contractor’s Quote for Public Work Form, The Title of the Bid and Project Number as described above must be included in the subject line of the email to which you have attached your quote. The name of the company/vendor, address, contact email address and phone number must be included in the body of the email. Please submit quotes to cbrach@southbendin.gov. Your quote is due by 5:00 P.M., Local Time, Monday, May 24, 2021. Any quotes received after this time will not be opened. All quotes received by this time will be opened and read , and an award is expected to be announced at the Board of Public Works meeting date on May 25, 2021 . This contract will remain in effect until November 1, 2021. Upon award, all required documentation must be provided to the Clerk of the Board of Public Works within seven days. If you have any questions or concerns, please contact me at (574) 235-9246 or by email at cbrach@southbendin.gov. Best Regards, Charlotte Brach Project Engineer Enc.: Installation of Temporary Speed Humps On Call – Quote Form, Spec Sheet and Installation Guide c: File Version 2/14/2020 Page - 1 Public Works Quote CITY OF SOUTH BEND, INDIANA CONTRACTOR’S QUOTE FOR PUBLIC WORK PROJECT NAME: Installation of Temporary Speed Humps On Call PROJECT NO. 121-042 QUOTES DUE Monday, May 24th, 2021 at 5:00pm Local Time (Must be completed for all quotes. Please type or print) Date: Firm: Address: City/State/Zip: Telephone Number: ( ) Agent of Bidder (if Applicable): Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: the City of South Bend, Indiana, in accordance with plans and specifications prepared by: The City of South Bend, Department of Public Works and dated for the sum of (enter the Total Quote as shown on the Proposal) ($ ) (Enter Sum of Total Quote plus Alternates shown on Proposal) (Numerical) If alternative quotes apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the City of South Bend. If the quote is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. ACCEPTANCE The above quote is accepted this day of 20 Subject to the following conditions: BOARD OF PUBLIC WORKS Elizabeth A. Maradik, President Joseph R. Molnar, Member Gary A. Gilot, Member Murray L. Miller, Member Jordan V. Gathers, Member Attest: Anne Fuchs, Clerk By (Signature) (Printed Name of Person Signing) Version 2/14/2020 Page - 2 Public Works Quote QUOTE/PROPOSAL CITY OF SOUTH BEND PROJECT NAME Installation of Temporary Speed Humps On Call PROJECT NO. 121-042 QUOTES DUE Monday, May 24th, 2021 at 5:00pm Local Time Item No. Description Quantity Unit Unit Price Total Amount 1 On Call Installation of Temporary Speed Humps – 27ft 10in x 13ft 4in w/10 arrows (spec sheet attached) 2 EA $ Total Amount of Quote $ Firm: Address: City/State/Zip: Telephone Number: ( ) Fax Number: ( ) By (Signature) (Printed Name of Person Signing) Version 2/14/2020 Page - 3 Public Works Quote When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this A ffidavit. CONTRACTOR’S NON-COLLUSION AND NON-DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON-DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF ___________ ) ) SS: COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, “Iran” means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time-to-time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time-to-time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized Version 2/14/2020 Page - 4 Public Works Quote alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor’s newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor’s documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, 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 may consider the Contractor’s good faith efforts to obtain participation by those Contractors 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. In no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City’s MBE/WBE Utilization Board shall prohibit that person or entity 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 for 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- Version 2/14/2020 Page - 5 Public Works Quote 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. *** I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this day of , 20__ Contractor/Bidder (Firm) Signature of Contractor/Bidder or Its Agent Printed Name and Title Subscribed and sworn to before me this day of , 20 My Commission Expires Notary Public County of Residence All RubberForm speed tables are designed for easy installation and to be maintenance-free. Each module has been carefully designed to ensure that all pieces fit together without difficulty. The surfaces of our product exhibits a high quality appearance with no loose material or fiber-like finishes. Quality, value and safety are just a few of the many goals we set for our products. Asphalt speed bumps and speed humps are rarely consistent heights. They require road closures for installation or maintenance and are normally removed for road or pavement repairs. Then are reinstalled causing additional road closures, delays and expenses. RubberForm products do not require road closures for installation of for removal. They do not require heavy equipment , large crews or the difficulties associated with delivering proper quantities to the job site in a timely fashion. They can be easily installed as a permanent fixture, a temporary test or for work zone safety. This versatility is highly cost effective. Asphalt speed reducers cause havoc with low riding vehicles and usually slow critical emergency vehicle response time. Our speed tables are a consistent 3” in height and are designed to have no effect on low riding vehicles. Minimal Effect if any, on Emergency Vehicle Response Time! • Neighborhood, bicycle, motorcycle and skateboard friendly • Versatile arrow configurations • Modules connect with a propriety dog bone, no interlocking puzzle pieces • Modular design for custom sizing – widths and lengths • Longest warranty on the market • Effectively slow traffic without damaging tires or vehicles. • 100% Post Consumer Recycled Tire Rubber • Speed Slots for Emergency Vehicles • Patented • Made in U.S.A. 100% Recycled Material UV Resistant Made in the USA LEED Certified Speed Tables Features: Tel 716-478-0404 // Fax 716-478-0408 // sales@rubberform.com RubberForm.com // 75 Michigan St. Lockport, NY 14094 Speed Table Specifications Tel 716-478-0404 // Fax 716-478-0408 // sales@rubberform.com RubberForm.com // 75 Michigan St. Lockport, NY 14094 Layout Examples 45 pc - 19ft. 10in. X 10ft • 2 - RKP-RC (RT CORNERS 15” X 40” ) • 2 - RKP-LC (LT CORNERS 15” X 40” ) • 2 - RKP-SE (SIDE EXTENSIONS 15” x 40”) • 20 - RKP-C (CENTER RAMPS 16” X 40” ) • 6 - RKP-CA (ARROW RAMPS 16” X 40”) • 13 - RKP-CE (CENTER EXTENSIONS 16” x 40”) 68 pc - 22ft. 6in. x 13ft 4in. • 2 - RKP-RC (RT CORNERS 15” X 40” ) • 2 - RKP-LC (LT CORNERS 15” X 40” ) • 4 - RKP-SE (SIDE EXTENSIONS 15” x 40”) • 22 - RKP-C (CENTER RAMPS 16” X 40” ) • 8 - RKP-CA (ARROW RAMPS 16” X 40”) • 30 - RKP-CE (CENTER EXTENSIONS 16” x 40”) 105 pc - 27.8ft. x 16.7ft. • 2 - RKP-RC (RT CORNERS 15” X 40” ) • 2 - RKP-LC (LT CORNERS 15” X 40” ) • 6 - RKP-SE (SIDE EXTENSIONS 15” x 40”) • 30 - RKP-C (CENTER RAMPS 16” X 40” ) • 8 - RKP-CA (ARROW RAMPS 16” X 40”) • 57 - RKP-CE (CENTER EXTENSIONS 16” x 40”) Hardware: Installation Hardware Kit, includes stainless steel lag bolts, washers, rubber caps, anchors, connectors and adhesive 22ft. 6in x 13ft. 4in. 19ft. 10in. x 10ft. 27.8ft x 16.7ft 278ft16.7ft13ft. 4in.22ft. 6in. Can be custom configured for your street! Initiate installation, by placing chalk line on pavement to determine cushion and/or table placement. Starting with a corner module, insert Secure-Loc dual flange connectors into slots located in the module underside and place it atop pavement adjoining chalk line. Select the opposite corner module, insert one Secure-Loc Dual Flange connector into slot located in the module under- side so it will align with the initial corner module when set together. Place this module on pavement and interlock the two modules. This will form one side of the Cushion and/or Table SS Lag Bolts, Washers, Barbed Anchors, Rubber Bolt Caps and Two-Part Adhesive are supplied with each cushion. The two-part resin Applicator Gun as shown, is available as an option. Begin drilling as shown. Drill holes to a depth of 10” from module surface (7” into the pavement). Thorough- ly blow out holes with compressed air. Assemble the Lag Bolts, Washers and Anchors as shown Connect the static mixer to the adhe- sive tube and insert into the Resin Gun. Prime the Applicator Resin Gun until the resin at the tip is gray. Insert the mixer into the hole and apply the adhe- sive (Generally 2 pumps). Warning: The resin will harden in 15 minutes or less. Immediately insert and pound the anchor/bolt/washer combo into the hole until the lip of the anchor is at pave- ment level. Tighten the bolt with the impact wrench ensuring the washer is firmly seated. DO NOT over tighten. Insert the rubber bolt caps in each hole 1 1 2 2 3 3 4 4 TOOL REQUIREMENTS: 9/16” masonry bit (Preferably 18” long) Heavy duty hammer drill Long nose air nozzle (or vacuum) Impact wrench Resin Applicator Gun for adhesive Using the same connector insertion technique, continue with other two center modules and then a third corner module. It will should look like the photo shown below. Re-check module alignment and pavement position. Now add the final row of center modules, then the last corner. Once all modules are connected, you are now ready to bolt cushion to the pavement Take a center module and insert two Secure-Loc connectors. Place this module aligning with your chalk line and abutting the side of the initial corner module and interlock the two modules. The cushion should take on the appearance of a large “L”. RFP-Install-042321 ALL RIGHTS RESERVED 75 Michigan St. Lockport, NY 14094 Phone: 716.478.0404 Fax: 716.478.0408 www.rubberform.com sales@rubberform.com INSTALLATION INSTRUCTIONS Speed Cushions, Tables, & Humps Version 3.3 [1/11/2019] Parking Lane Travel Lane Full Road Closure Alley Submission Date: Applicant/Company: Email Address: Phone #: Project STREET ADDRESS (eg: 110 W. Smith RD.): Project Location (Block limits/Streets From and To): Contractor Performing Work: On-Site Contact: Phone #: Reason for Closure: Affected Customers:ATTACH THE FOLLOWING ITEMS: 1. Traffic Control Plan 2.Detour Plan 3. Barricades, Signs, or Flashers Placement ENGINEERING OFFICE USE ONLY: Approved Approved as Noted Revise Not Approved Comments: ____________________________________________________________________________ _________________________________________________________________________________________ City of South Bend/Engineering Division Authorized Signature Date: SOUTH BEND,INDIANA 46601 TDD 574/ 235-5567 Reason for Closure: City of South Bend Public Works Engineering Division 227 W. Jefferson, County City Building 1316 South Bend, IN 46601-1830 **SUBMIT 5 WORKING DAYS MINIMUM PRIOR TO PROJECT START DATE** Complete 1 - 5 Incomplete submittals cannot be processed; All submittals require occupancy bond (Refer to MUTCD for Traffic Control Device Requirements) See reverse for Checklist Failure to use traffic control for traffic restrictions or closures will result in stop work orders and/or delay in permitting. Office Cell Name: Office Cell Excavation/Boring? > Requires Excavation Form New Approach? > Curb Cut application 1 2 3 4 5 Affected Property Owners: Applicant agrees to share Project Information with affected Property Owners TRAFFIC CONTROL AND OCCUPANCY REQUEST Sidewalk THIS OCCUPANCY PERMIT REQUEST IS NON-TRANSFERABLE AND A SIGNATURE SUBJECTS THE NAMED CONTRACTOR/PERMITTEE TO ALL APPLICABLE RULES, DUTIES AND OBLIGATIONS IMPOSED BY THE CITY OF SOUTH BEND MUNICIPAL CODE AND TO ALL REGULATIONS IMPOSED BY THE SOUTH BEND BOARD OF PUBLIC WORKS. Applicant Signature _______________________________ Date ________________ **Requested Start & End Dates: Requested Start & End Times: Occupancy beyond 90 days requires completion of Long Term Occupancy Request Application Phone: 574.235.9251 Email: rowpermitsoffice@southbendin.gov Treelawn TRAFFIC CONTROL CHECKLIST PURPOSE: SAFETY FOR MOTORISTS, BICYCLISTS, PEDESTRIANS, WORKERS, EMERGENCY AND ENFORCEMENT PERSONNEL AND EQUIPMENT •Submit Traffic Control with any Occupancy Request in the City of South Bend. •Maps shall follow MUTCD Traffic Control Device guidelines, but do not submit MUTCD examples as your traffic control. INCLUDE THE FOLLOWING THAT APPLY TO YOUR JOB (COMMUNICATION PLAN REQUIRED FOR ALL): Communication Plan w/affected adjacent property owners & copy of notification letter Street map showing CURRENT street status ~ Can show aerial or streets only Street names Striping and sidewalks North Arrow Location of Activity Area and placement of vehicles and equipment in the work space Location of manholes or other facilities within work space Barricades, signs and/or flasher placement Taper distance/Advanced warning signage Traffic detour plan Examples of simple traffic control: North North Failure to comply with the below checklist may result in a delay of your permits BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 5/25/21 Name Leslie Biek, PE Department PW BPW Date 5/25/21 Phone Extension 9323 Review and Approval Required Prior to Submittal to Board Diversity Compliance and Inclusion Officer Officer Name BPW Attorney Attorney Name Dept. Attorney Attorney Name Clara McDaniels Purchasing Michael Schmidt Check the Appropriate Item Type – Required for All Submissions Professional Services Agreement Contract Proposal Open Market Contract Amendment/Addendum Special Purchase, QPA Bid Opening Bid Award Req. to Advertise Title Sheet Quote Opening Quote Award Reject Bids/Quotes Proposal Opening C/O & PCA No. PCA Chg. Order, No. Traffic Control Resolution Other: Ease./Encroach Required Information Company or Vendor Name Selge Construction New Vendor Yes If Yes, Approved by Purchasing No MBE/WBE Contractor MBE WBE Completed E-Verify Form Attached Yes No Project Name Installation of Temporary Speed Tables- On Call Project Number PR-00009540 PN 121-042 Funding Source Account No. 251-06-600-506-442001 Amount $20,000 Terms of Contract On-Call Purpose/Description Installation of two (2) temporary speed tables For Change Orders Only Amount of Increase Decrease $ ($ ) Previous Amount $ Current Percent of Change: Increase Decrease % ( %) New Amount $ Total Percent of Change: Increase Decrease % ( %) Time Extension Amount: New Completion Date: