HomeMy WebLinkAboutOpening of Bids - 2021 Curb and Sidewalk Proj No. 121-001 - Ziolkowski Construction, Inc.4 SOUTR1
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CITY OF SOUTH BEND, INDIANA 111865
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS
Project Name 2021 Curb and Sidewalk Construction
Project No. 121-001
For Bids Due June 8, 2021 at 9:00am Local Time to bpwbids(cDsouthbendin.gov
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 0 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: Ziolkowski Construction, Inc. Date: 6/8/2021
By Authorized Representative:
Signature:
Print Name & Title: Bill Favors, President
Version 01/13/2021 Contractor's Bid for Public Works - 1
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name 2021 Curb and Sidewalk Construction
Project No. 121-001
For Bids Due June 8, 2021 at 9:00am Local Time. Sealed electronic bids shall be submitted
tobidsoc�thbend'm.cov.
PART 1
(Must be completed for all bids. Please type or print)
Date: 6/8/2021 Bidder (Firm): Ziolkowski Construction, Inc.
Address: 4050 Ralph Jones Dr.
City/State/Zip: South Bend, IN 46628 Telephone Number: ( 574 ) 287-1811
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. -
South Bend, Indiana 2021 Curb and Sidewalk Construction
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
City of South Bend, Department of Public Works
and dated 01/13/2021 for the sum of (enter the Total Bid as shown on the Proposal)
SiX hUkIdred -thiIN- tight -Uasand Hine hwuOeal ($ 12Z 970. )
(Enter sum of Total Bas6 Bidq6lus Alternates shown on Proposal) Sexes% (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 aPPIY, the undersigned submits a proposal for each%i q4 ceb_
with the notice. Any addendums attached will be specifically referenced at the applicabler'eag�°°°
If additional units of material included in the contract are needed, the cost of units mustie' : en
.°�-
shown in the original contract if accepted by the City of South Bend. If the bid is to be aN�ar�fed oon"u it
basis, the itemization of the units shall be shown on a separate attachm t.
ri
GSEAL
By oe
e® y
(Signature)
Bill Favors, President
(Printed Name of Person Signing)
ACCEPTANCE ----------
The above bid is accepted this
Subject to the following conditions. -
BOARD OF PUBLIC WORKS
Elizabeth A. Maradik, President
Gary A. Gilot, Member
day of
Joseph R. Molnar, Member
Jordan V. Gathers, Member
Murray L. Miller, 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
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 11 PLAN AND EQUIPMENT QUESTIONNAIRE
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.) Use the available manpower and work with construction manager and other trades
to maintain schedule.
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. A list of subcontractors will be submitted when awarded project.
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.
Most work is self -performed. If subs are used, a list will be provided when contract is awarded.
4. Attach a listing of equipment you have available to use for the proposed project.
Whatever equipment is necessary to complete the project properly and on time.
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. Yes, we recieve pricing on the day of the bid./
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 statements below, it shall attach an explanation to this Affidavit
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION
REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON-
DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL
PRODUCTS OR FOUNDRY PRODUCTS
(Must be completed for all quotes and bids. Please type or print)
STATE OF Indiana )
) SS:
St. Joseph COUNTY )
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury
that:
1. Contractor has not, nor has any other member, representative, or agent of the firm, company,
corporation or partnership represented by him, entered into any combination, collusion or agreement with
any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding
nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and
without any agreement, understanding or combination with any other person in reference to such bidding.
Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or
indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and
2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals
are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from
participation in this transaction by any Federal department or agency; and
3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in
investment activities in Iran.
a. For purposes of this Certification, "Iran" means the government of Iran and any agency
or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as
amended from time -to -time.
b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor
is engaged in investment activities in Iran if either:
i. Contractor, its successor or its affiliate, provides goods or services of twenty
million dollars ($20,000,000) or more in value in the energy sector of Iran;
or
ii. Contractor, its successor or its affiliate, is a financial institution that extends
twenty million dollars ($20,000,000) or more in credit to another person for
forty-five (45) days or more, if that person will (i) use the credit to provides
goods and services in the energy sector in Iran; and (ii) at the time the
financial institution extends credit, is a person identified on list published by
the Indiana Department of Administration.
Version 01/13/2021 Contractor's Bid for Public Works - 4
4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any
employee or contract with a person that the Contractor subsequently learns is an unauthorized alien.
Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's
newly hired employees through the E -Verify Program as defined by I.C. 22-5-1.7-3. Contractor's
documentation of enrollment and participation in the E -Verify Program is included and attached as part of
this bid/quote; and
5. Contractor shall require his/her/its subcontractors performing work under this public contract to
certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain
any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien,
and that the subcontractor has enrolled in and is participating in the E -Verify Program. The Contractor agrees
to maintain this certification throughout the term of the contract with the City of South Bend, and understands
that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision
no later than thirty (30) days after being notified by the City.
6. Persons, firms, partnerships, corporations, associations, or joint venturers awarded a contract by the
City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee
or applicant for employment in the performance of a City contract with respect to hire, tenure, terms,
conditions, or privileges of employment, or any matter directly or indirectly related to employment because
of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity, sexual
orientation or disability that does not affect that person's ability to perform the work.
In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any
combination of the foregoing including, but not limited to, public works contracts awarded under public
bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards,
or commissions will consider the Contractor's good faith efforts to obtain participation by those
subcontractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business
Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder.
Contractors seeking the award of a City contract cannot be required to award a subcontract to an-MWBE;
however, they may not unlawfully discriminate against said MBE/WBE. A finding of noncompliance or a
discriminatory practice shall prohibit that Contractor from being awarded a City contract for a period of one
(1) year from the date of such determination, and such determination may also be grounds for terminating
the contact to which the discriminatory practice or noncompliance pertains.
7. The undersigned Contractor agrees that the following nondiscrimination commitment shall be made
a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its
agencies, boards or commissions.
Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the
performance of this contract with privileges of employment, or any matter directly or indirectly related to
employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation,
handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of
contract.
I, the undersigned bidder or agent as contractor on a public works project, understand my statutory
obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby
certify that I and all subcontractors employed by me for this project will use steel 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 8th day of June 2021
5 _v Am
Ziollcowski Construction Inc.
Contractor/Bidder (Firm)
�R42
o a
ignature of Contractor/Bidder or -Its". j
°
°
Bill Favors, President
Printed Name and Title
Subscribed and sworn to before me this 8th day of Tune , 2021
My Commission Expires January 28, 2023
Not Public
County of Residence St. Joseph
ho,
s,;?•��� JENNIFER WIEST
' Notary Public, state of Indiana
s
,•'NOTARY.
SEA
St. Joseph County
*, :
Commission # 663344
U��11t,`��.`
4•T1TT¢¢��
My Commission Expires
January 28, 2023
Version 01/13/2021 Contractor's Bid for Public Works - 6
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE participation. It is
the bidder's sole responsibility to verify whether any listed minority or woman business meets the MBE qualifications.
Project Number:
Bidder:
121-001
Project Name: 2021 Curb and Sidewalk Construction
Ziolkowski Construction, Inc. Total Bid Amount:
MBE Goal: 3.7%
Page 1 of
Name & Address of MBE
Y\
Scope of Work to be Performed
(Attach scope/schedule if you need additional space)
oYti�urir`U
CITY OF SOUTH BEND
Ritschard Bros., Inc.
1204 W Sample St.
South Bend, IN 46619
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MWBE-1.0
yt ril
•\-1H6„
MWBE UTILIZATION PLAN
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE participation. It is
the bidder's sole responsibility to verify whether any listed minority or woman business meets the MBE qualifications.
Project Number:
Bidder:
121-001
Project Name: 2021 Curb and Sidewalk Construction
Ziolkowski Construction, Inc. Total Bid Amount:
MBE Goal: 3.7%
Page 1 of
Name & Address of MBE
Primary Contact Person
(Name/Telephone)
Scope of Work to be Performed
(Attach scope/schedule if you need additional space)
Dollar Amount of MBE
Component
Percentage
of Total
Bid/Proposal
Ritschard Bros., Inc.
1204 W Sample St.
South Bend, IN 46619
574-288-4777
Earthwork
Submitted by: Bill Favors 06/08/2021
Print Name Ignature Date
Version 01/13/2021 Contractor's Bid for Public Works - 10
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MWBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
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: 121-001 Date: 6/8/2021
Project Name: 2021 Curb and Sidewalk Construction
Bidder: Ziolkowski Construction, Inc.
Contact Person: Mike Cushway Telephone: 574-287-1811
Address: 4050 Ralph Tones Drive
City: South Bend State: IN Zip: 46628
Email: mcushwayC@zbuild.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':
Version 01/13/2021 Contractor's Bid for Public Works - 12
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
X
Department of Administration list of Minority and Women Owned Businesses (both certified and non -
certified) found at: hftp://www.in.gov/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
MC
Indiana Minority and Women Business Enterprises, found on their website
(hftp://www.in.gov/idoa).
I affirm that I have made good faith efforts to select portions of the contract work to be
MC
performed by MWBEs, including, where appropriate, breaking out contract work items into
economically feasible units to facilitate MWBE participation.
MC
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
MC
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
MC
reasonably calculated to inform MWBEs of subcontracting opportunities and allowed
sufficient time for MWBEs to participate effectively.
MC
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
MC
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
MC
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
O�SOUIH
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MWBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
"Proper demonstration of Good Faith Efforts requires your initials next to all of the above boxes. Any
omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of
South Bend reserves the right to request additional information.
Version 01/13/2021 Contractor's Bid for Public Works - 13
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
MC
appropriate.
MC
I affirm that I did not reject any MWBEs as unqualified without sound business reasons
based on a thorough investigation of their capabilities.
CONTRACT RECORDS: The bidder has maintained the following records for each MWBE that has bid
on the subcontracting opportunity:
1. Name, address, and telephone number;
2. A description of information provided by the bidder or subcontractor; and
3. A statement of whether an agreement was reached, and if not, why not, including any reasons for
concluding that the MWBE was unqualified to perform the job.
"Proper demonstration of Good Faith Efforts requires your initials next to all of the above boxes. Any
omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of
South Bend reserves the right to request additional information.
Version 01/13/2021 Contractor's Bid for Public Works - 13
�Sogrh 9Fti.
`0 L
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN = f>
FORM MWBE-2.1 ,H:;
MWBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring Good Faith Efforts to contact MBEs. It is the bidder's sole responsibility to verify whether any listed
minority or woman business meets the MBE qualifications. Attach additional pages if necessary.
PAGE OF
Project Number: 121-001 MBE Participation Goal 3.7%
Project Name:
Bidd
By:
2021 Curb and Sidewalk Construction
MBE Firm Ritschard Bros., Inc.
Owner or Contact at MBE Firm
Telephone: 574-288-4777 Fax: Email: rit1204gdatacruz.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Earthwork
RESULTS OF CONTACT WITH THE MBE FIRM:
MBE Firm
Owner or Contact at MBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE FIRM:
Version 01/13/2021 Contractor's Bid for Public Works -14
BID/PROPOSAL
CITY OF SOUTH BEND
Project Name: 2021 Curb and Sidewalk Construction
Project Number: 121-001
For Bids Due: June 8, 2021 at 9:00am Local Time to bpwbids(a�southbend in.gov
Contractor Name:
DIVISION Al
Item No.
Description
Quantity
Unit
Unit Price
Total Amount
1
CONCRETE SIDEWALK, REMOVE
205
SYS
53.37
$10,939
2
CONCRETE SIDEWALK, 4 -IN
205
SYS
54.92
$11,258
3
CONCRETE CURB, REMOVE
365
LFT
4.20
$1,532
4
CONCRETE CURB, MODIFIED
365
LFT
20.22
$7,378
5
CONCRETE APPROACH, REMOVE
22
SYS
69.64
$1,532
6
PCCP FOR APPROACHES, 6 -IN
22
SYS
64.41
$1,417
7
TOPSOIL AND SEEDING
200
SYS
15.08
$3,016
8
TREE, REMOVE, 6 IN
1
EA
1,856.00
$1,856
10
TREE, REMOVE, 18 IN
1
EA
1,856.00
$1,856
13
STUMP, REMOVE
1
EA
406.00
$406
14
PLANT, DECIDUOUS TREE, SINGLE STEM, 2-
IN TO 2.5 IN
3
EA
673.00
$2,019
15
CURB RAMP, REMOVE
16
SYS
81.25
$1,300
17
PAIRED PERPENDICULAR CURB RAMP
16
SYS
61.50
$984
DIVISION Al TOTAL $45,493
DIVISION 131
Item No.
Line Item
Quantity
Unit
Unit Price
Total Amount
1
CONCRETE SIDEWALK, REMOVE
320
SYS
53.37
$17,076
2
CONCRETE SIDEWALK, 4 -IN
320
SYS
51.03
$16,327
3
CONCRETE CURB, REMOVE
575
LFT
81.20
$46,690
4
CONCRETE CURB, MODIFIED
575
LFT
20.04
$11,520
7
TOPSOIL AND SEEDING
320
SYS
11.60
$3,712
11
TREE, REMOVE, 30IN
2
EA
928.00
$1,856
13
STUMP, REMOVE
2
EA
203.00
$406
14
PLANT, DECIDUOUS TREE, SINGLE STEM, 2-
IN TO 2.5 IN
4
EA
673.00
$2,692
15
CURB RAMP, REMOVE
5
SYS
696.00
$3,480
16
ONE-WAY PERPENDICULAR CURB RAMP
5
SYS
292.60
$1,463
DIVISION B1 TOTAL $105,222
DIVISION B2
Item No.
Line Item
Quantity
Unit
Unit Price
Total Amount
1
CONCRETE SIDEWALK, REMOVE
170
SYS
53.37
$9,072
2
CONCRETE SIDEWALK, 4 -IN
170
SYS
52.08
$8,852
3
CONCRETE CURB, REMOVE
240
LFT
81.20
$19,488
4
CONCRETE CURB, MODIFIED
240
LFT
20.62
$4,948
5
CONCRETE APPROACH, REMOVE
90
SYS
69.60
$6,264
6
PCCP FOR APPROACHES, 6 -IN
90
SYS
61.27
$5,514
7
TOPSOIL AND SEEDING
135
SYS
18.57
$2,506
10
TREE, REMOVE, 18 IN
2
EA
928.00
$1,856
14
PLANT, DECIDUOUS TREE, SINGLE STEM, 2-
IN TO 2.5 IN
1 2
EA
673.00
$1,346
DIVISION B2 TOTAL $59,846
Version 01/13/2021 Contractor's Bid for Public Works - 7
BID/PROPOSAL
CITY OF SOUTH BEND
Project Name: 2021 Curb and Sidewalk Construction
Project Number: 121-001
For Bids Due: June 8, 2021 at 9:00am Local Time to bpwbids�southbendingov
Contractor Name:
DIVISION B3
Item No.
I Line Item
Quantity
Unit
Unit Price
Total Amount
1
CONCRETE SIDEWALK, REMOVE
240
SYS
53.37
$12,807
2
CONCRETE SIDEWALK, 4 -IN
240
SYS
51.14
$12,273
3
CONCRETE CURB, REMOVE
145
LFT
81.20
$11,774
4
CONCRETE CURB, MODIFIED
145
LFT
19.98
$2,897
7
TOPSOIL AND SEEDING
80
SYS
23.20
$1,856
8
TREE, REMOVE, 6 IN
1
EA
1,856.00
$1,856
9
TREE, REMOVE, 10 IN
1
EA
1,856.00
$1,856
10
TREE, REMOVE, 18 IN
1
EA
1,856.00
$1,856
13
STUMP, REMOVE
1
EA
406.00
$406
14
PLANT, DECIDUOUS TREE, SINGLE STEM, 2-
IN TO 2.5 IN
4
EA
673.00
$2,692
15
CURB RAMP, REMOVE
10
SYS
69.60
$696
16
ONE-WAY PERPENDICULAR CURB RAMP
10
SYS
63.30
$633
DIVISION B3 TOTAL $51,602
DIVISION C1
Item No.
Line Item
Quantity
Unit
Unit Price
Total Amount
1
CONCRETE SIDEWALK, REMOVE
240
SYS
53.37
$12,807
2
CONCRETE SIDEWALK, 4 -IN
240
SYS
53.00
$12,719
3
CONCRETE CURB, REMOVE
405
LFT
81.20
$32,886
4
CONCRETE CURB, MODIFIED
405
LFT
20.52
$8,308
7
TOPSOIL AND SEEDING
225
SYS
15.08
$3,393
10
TREE, REMOVE, 18 IN
2
EA
928.00
$1,856
11
TREE, REMOVE, 30 IN
1
EA
1,856.00
$1,856
14
PLANT, DECIDUOUS TREE, SINGLE STEM, 2-
IN TO 2.5 IN
3
EA
673.00
$2,019
15
CURB RAMP, REMOVE
16
SYS
69.63
$1,114
17
PAIRED PERPENDICULAR CURB RAMP
16
SYS
55.07
$881
DIVISION C1 TOTAL $77,839
DIVISION D1
Item No.
Line Item
Quantity
Unit
Unit Price
Total Amount
1
CONCRETE SIDEWALK, REMOVE
425
SYS
54.46
$23,142
2
CONCRETE SIDEWALK, 4 -IN
425
SYS
54.57
$23,192
3
CONCRETE CURB, REMOVE
675
LFT
81.20
$54,810
4
CONCRETE CURB, MODIFIED
675
LFT
20.20
$13,635
5
CONCRETE APPROACH, REMOVE
75
SYS
69.60
$5,220
6
PCCP FOR APPROACHES, 6 -IN
75
SYS
59.91
$4,493
7
TOPSOIL AND SEEDING
375
SYS
11.60
$4,350
11
TREE, REMOVE, 30 IN
1
EA
1,856.00
$1,856
12
TREE, REMOVE, 48 IN
1
EA
1,856.00
$1,856
13
STUMP, REMOVE
1
EA
406.00
$406
14
PLANT, DECIDUOUS TREE, SINGLE STEM, 2-
IN TO 2.5 IN
3
EA
673.00
$2,019
15
CURB RAMP, REMOVE
15.5
SYS
69.62
$1,079
16
ONE-WAY PERPENDICULAR CURB RAMP
9
SYS
68.45
$616
18
DEPRESSED CORNER CURB RAMP
6.5
SYS
94.77 1
$616
DIVISION D1 TOTAL $137,290
Version 01/13/2021 Contractor's Bid for Public Works - 8
BID/PROPOSAL
CITY OF SOUTH BEND
Project Name: 2021 Curb and Sidewalk Construction
Project Number:
For Bids Due:
Contractor Name:
DIVISION D2
121-001
June 8, 2021 at 9:00am Local Time to bl2wbidsAsouthbend in. gov
Item No.
Line Item
Quantity
Unit
Unit Price
Total Amount
1
CONCRETE SIDEWALK, REMOVE
90
SYS
53.37
$4,803
2
CONCRETE SIDEWALK, 4 -IN
90
SYS
56.04
$5,043
3
CONCRETE CURB, REMOVE
225
LFT
81.20
$18,270
4
CONCRETE CURB, MODIFIED
225
LFT
20.21
$4,547
7
TOPSOIL AND SEEDING
136
SYS
18.571
$2,525
DIVISION D2 TOTAL $35,188
DIVISION E1
Item No.
Line Item
Quantity
Unit
Unit Price
Total Amount
1
CONCRETE SIDEWALK, REMOVE
105
SYS
53.37
$5,603
2
CONCRETE SIDEWALK, 4 -IN
105
SYS
56.59
$5,941
3
CONCRETE CURB, REMOVE
200
LFT
81.20
$16,240
4
CONCRETE CURB, MODIFIED
200
LFT
20.08
$4,016
7
TOPSOIL AND SEEDING
110
SYS
19.73
$2,170
12
TREE, REMOVE, 48 IN
1
EA
1,856.00
$1,856
14
PLANT, DECIDUOUS TREE, SINGLE STEM, 2-
IN TO 2.5 IN
1
EA
754.00
$754
DIVISION E1 TOTAL $36,580
DIVISION F1
Item No.
Line Item
Quantity
Unit
Unit Price
Total Amount
1
CONCRETE SIDEWALK, REMOVE
255
SYS
53.37
$13,607
2
CONCRETE SIDEWALK, 4 -IN
255
SYS
56.39
$14,378
3
CONCRETE CURB, REMOVE
400
LFT
81.20
$32,480
4
CONCRETE CURB, MODIFIED
400
LFT
20.08
$8,032
5
CONCRETE APPROACH, REMOVE
75
SYS
69.60
$5,220
6
PCCP FOR APPROACHES, 6 -IN
75
SYS
60.60
$4,545
7
TOPSOIL AND SEEDING
225
SYS
15.08
$3,393
10
TREE, REMOVE, 18 IN
1
EA
1,856.00
$1,856
11
TREE, REMOVE, 30 IN
1
EA
1,856.00
$1,856
13
STUMP, REMOVE
2
EA
203.00
$406
14
PLANT, DECIDUOUS TREE, SINGLE STEM, 2-
IN TO 2.5 IN
4
EA
673.00
$2,692
15
CURB RAMP, REMOVE
10
SYS
69.60
$696
16
DEPRESSED CORNER CURB RAMP
10
SYS
74.90
$749
Bidder (Firm):
Address:
City/State/Zip:
DIVISION F1 TOTAL $89,910
Telephone Number:
ByAff J&414 A
�I��yoK'S! a��!i'�Qi� l
(Printed Name of Person Signing)
Version 01/13/2021 Contractor's Bid for Public Works - 9
Document A310TM -2010
Conforms with The American Institute of Architects AIA Document 310
CONTRACTOR:
(Name, legal status and address)
Ziolkowski Construction, Inc.
4050 Ralph Jones Drive
South Bend, IN 46628
OWNER:
(Name, legal status and address)
City of South Bend, Indiana, Board of Public Works
227 West Jefferson Boulevard
South Bend, IN 46601
SURETY:
(Name, legal status and principal place of business)
Liberty Mutual Insurance Company
175 Berkeley Street
Boston, MA 02116
State of Inc: Massachusetts
BOND AMOUNT: Five Percent of Amount Bid (5%)
PROJECT:
(Name, location or address, and Project number, if any)
2021 Curb and Sidewalk Construction, Project No. 121-001
This document has important legal
consequences. Consultation with
an attorney is encouraged with
respect to its completion or
modification.
Any singular reference to
Contractor, Surety, Owner or
other party shall be considered
plural where applicable.
The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the
Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and
severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor
within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and
Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid,
and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the
jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for
the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the difference,
not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the
Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall
be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement
between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the
Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids
specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond
sixty (60) days.
If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bon(°1 ttx)}:kV,.
deemed to be Subcontractor and the term Owner shall be deemed to be Contractor.°°peSt° C 0
:='^.�^ Yee.•••..: � `n��''n,
When this Bond has been furnished to comply with a statutory or other legal requirement in the locatjon'ofdbe
P y Y g q ° ��.a�
any provision in this Bond conflicting with said statutory or legal requirement shall be deemed dela L��p m -an a
provisions conforming to such statutory or other legal requirement shall be deemed incorporated hkr�drf Wheiryy� o �
furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common laV; bd4* .
SEAL
1`i. °
,SigilheiLed his 8th day of June 2021
Ziolkowski ConstruCtion;rlric•.,, °.• � ,�
(Prin i al Seal)
WOWS') r i Siivi Ky Wlt.1�
(Title) 13i 11 FaVoirs, 'RIes ie l
Y)
Liberty Mutual Insurance Company
(Sure t ` (Seal)
(Witnes�S) Maria Concepcion ✓{J X,/- L�
(Title) Adrienne C. Stevenson, Attorney -in -Fact
State of Georgia
County of Fulton ss:
On June s, 2021 , before me, a Notary Public in and for said County and State, residing
therein, duly commissioned and sworn, personally appeared
Adrienne C. Stevenson
known to me to be Attorney -in -Fact of Liberty Mutual Insurance Company
the corporation described in and that executed the within and foregoing instrument, and known to me to be the person who executed
the said instrument in behalf of the said corporation, and he duly acknowledged to me that such corporation executed the same.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, the day and year stated in this certificate above.
My Commission Expires February 13, 2022
Sh0o Jean Potts Notary Public
Sharon Jean Potts
NOTARY PUBLIC
Fulton County, GEORGIA
My Commission Expires 02/13/2022
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This Power of Attorney limits the acts of those named herein, and they have no authority to
Liberty bind the Company except in the manner and to the extent herein stated.
Mutual. Liberty Mutual Insurance Company
SURETY The Ohio Casualty Insurance Company Certificate No: 8204866
West American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that
Liberty Mutual Insurance Company is a corporation duly organized under the laws of the Stale of Massachusetts, and West American Insurance Company is a corporation duly
organized under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint,
Adrienne C. Stevenson
all of the city of Atlanta , state of Georgia each individually if there be more than one named, its true and lawful attomey-in-fact to
make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in
pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their
own proper persons.
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 15th day of February, 2021.
Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company
P� %NSURq P'11 INS& INSU'D West American Insurance Company
J FPO Z J RPO q P FPOq �Jr
J 20o Ramo �,m r°o �f�Q yc+ `G ac. qr�c
dv19SS1A9CH1U2S�.ab 0 1NA9M1P9S�`,aL
1991 By:44
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David M. Carey, Assistant Secretary
STATE OF PENNSYLVANIA ss
COUNTY OF MONTGOMERY
On this 15th day of February, 2021, before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance Company,
The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein
contained by signing on behalf of the corporations by himself as a duly authorized officer.
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and yearfirst above written.
Gip` PAgT
44,nh�oww£sc��f Commonwealth of Pennsylvania - Notary Seal
1 Teresa Pastella, Notary Public
?Q/�
OF Montgomery County
y wrrsl'�yPwcG My commision Commis on number res March 28, 2025 By:
mber 1126044
Teresa Pastella, Notary Public
OTgRY Fua~ Member, Pennsylvania Association of Nolades
This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual
Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows:
ARTICLE IV— OFFICERS: Section 12. Power of Attorney.
Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the
President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety
any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective powers of allomey,
shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such
instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney-in-fact under the
provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority.
ARTICLE XIII - Execution of Contracts: Section 5. Surety Bonds and Undertakings.
Any officer of the Company authorized forthat purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe,
shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings,
bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind
the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding
as if signed by the president and attested by the secretary.
Certificate of Designation —The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys-
infact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surely any and all undertakings, bonds, recognizances and other
surety obligations.
Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary
of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the
Company with the same force and effect as though manually affixed.
I, Renee C. Llewellyn, the undersigned, Assistant Secretary, of Liberty Mutual Insurance Company, The Ohio Casualty Insurance Company, and West American Insurance Company
do hereby certify that this power of attorney executed by said Companies is in full force and effect and has not been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 8th day of June 2021
INSUR -t1 INSG a 1NSUR
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91912�y 3 i z� 1919 o Q 1991 o By:CIA
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Marsh MSurety POA LMIC OCIC WAIC Multi Co_022021
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ZIOLKOWSKI
Construction, Inc..
General Construction & Design/Build
Building Strong Relationships Since 1974
Completed Projects 2020-2021
Contract Amount
Class of Work
Completion Date
Name and Address of Owner
LaPorte Community School Corporation
$14,814,127
School
November 2020
1000 Harrison St., LaPorte, IN 46350
Flaherty & Collins Properties
$3,654,487
City Park
August 2020
211 N. Pennsylvania St., #300, Indianapolis, IN 46204
Elkhart Community School Corporation
$7,777,960
School
December 2020
2720 California Rd., Elkhart, IN 46514
Plymouth Community School Corporation
$6,185,921
School
February 2021
611 Berkley St., Plymouth, IN 46563
Current Projects 2020-2021
Contract Amount
Class of Work
Estimated Completion Date
Name and Address of Owner
St. Joseph County Public Library
$3,090,507
Library
May 2021
304 S. Main St., South Bend, IN 46601
Elkhart Community School Corporation
$4,504,000
School
June 2021
2720 California Rd., Elkhart, IN 46514
South Bend Board of Public Works
$7,334,832
City Park
July 2022
227 W. Jefferson Blvd., South Bend, IN 46601
Goshen Health Systems
$4,247,944
Hospital I
October 2022
200 High Park Ave., Goshen, IN 46526
ZIOLKOWSKI
Construction, Inc.
General Construction & Design/Build
Building Strong Relationships Since 1974
References
Company Name / Address
Contact Name
Phone No.
University of Notre Dame
200 Facilities Building
Notre Dame, IN 46556
Tony Polotto
LEED, AP
574-631-4200
City of Mishawaka
600 East Third Street
Mishawaka, IN
Ken Prince
574-258-1625
Fetters Construction, Inc.
5417 County Road 427
Auburn, IN 46706
Steven A. Fetters
260-927-8516
Memorial Hospital & Health System
615 N. Michigan Street
South Bend, IN46601
Larry Lies
574-647-1000
ZIOLKOW,SKI
Construction Inc.
cl erai Constrvcdon & DeslgrV Baud
$uUdktg Strong Rela wah" Since 1974
FINANCIAL STATEMENTS
December 31, 2020 and 2019
ZIOLKOWSKI CONSTRUCTION, INC.
South Bend, Indiana
FINANCIAL STATEMENTS
December 31, 2020 and 2019
CONTENTS
INDEPENDENT AUDITOR'S REPORT............................................................................................. 1
FINANCIAL STATEMENTS
BALANCESHEETS..................................................................................................................... 3
STATEMENTS OF INCOME AND RETAINED EARNINGS....................................................... 4
STATEMENTS OF CASH FLOWS............................................................................................. 5
NOTES TO FINANCIAL STATEMENTS..................................................................................... 6
Crowe
Crowe LLP
'n Peper&nl Ntr&t -r C=Ae Glehrl
INDEPENDENT AUDITOR'S REPORT
Board of Directors and Shareholders
Ziolkowski Construction, Inc.
South Bend, Indiana
Report on the Financial Statements
We have audited the accompanying financial statements of Ziolkowski Construction, Inc., which comprise
the balance sheets as of December 31, 2020 and 2019, and the related statements of income and
retained earnings, and cash flows for the years then ended, and the related notes to the financial
statements.
Management's Responsibility for the Financial Statements
Management is responsible for the preparation and fair presentation of these 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 financial statements that are free from material misstatement, whether due to fraud or
error.
Auditor's Responsibility
Our responsibility is to express an opinion on these financial statements based on our audits. We
conducted our audits in accordance with auditing standards generally accepted in the United States of
America. Those standards require that we plan and perform the audit to obtain reasonable assurance
about whether the financial statements are free from material misstatement.
An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in
the financial statements. The procedures selected depend on the auditor's judgment, including the
assessment of the risks of material misstatement of the financial statements, whether due to fraud or
error. In making those risk assessments, the auditor considers internal control relevant to the entity's
preparation and fair presentation of the financial statements in order to design audit procedures that are
appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of
the entity's internal control. Accordingly, we express no such opinion. An audit also includes evaluating
the appropriateness of accounting policies used and the reasonableness of significant accounting
estimates made by management, as well as evaluating the overall presentation of the financial
statements.
We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for
our audit opinion.
(Continued)
1.
Opinion
In our opinion, the financial statements referred to above present fairly, in all material respects, the
financial position of Ziolkowski Construction, Inc. as of December 31, 2020 and 2019, and the results of its
operations and its cash flows for the years then ended in accordance with accounting principles generally
accepted in the United States of America.
Crowe LLP
Oak Brook, Illinois
March 11, 2021
2.
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
RESPONSIBLE BIDDER CHECKLIST
Project Name 2021 Curb and Sidewalk Construction
Project No. 121-001
For Bids Due June 8, 2021 at 9:00am Local Time to bpwbids(dsouthbend in.gov
Contractor Name: Ziolkowslci Construction, Inc.
The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works
projects by institution of comprehensive submission requirements in compliance with State law. Quality
workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet
certain minimum requirements to be responsive and responsible bidders.
THIS FORM MUST BE SUBMITTED WITH YOUR BID.
INSTRUCTIONS:
If you are a pre -qualified bidder, complete Section I only.
If you are not a pre -qualified bidder, complete Section II only.
Section II acts as an application for pre -qualification. Submission of Section II will allow the bidder to be
considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre-
qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6-
63 of The Responsible Bidding Ordinance No. 10594-18 (hereinafter, "Responsible Bidding Ordinance")
for a period of twelve (12) months.
Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre-
qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified
Bidders") by December 31 st for the upcoming calendar year, or within twelve (12) months of obtaining pre-
qualified standing. If the status of any item changes within the twelve (12) months, it is the responsibility of
the contractor to notify the City. Failure by any pre -qualified contractor to submit its complete application
for continuation of "pre -qualified" standing within the time prescribed above shall result in automatic removal
of the designation, effective January 1 of the following year, or immediately following the twelve (12) months
of pre -qualified standing.
However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works
projects, though the contractor must submit all required documents under 6-63 until "pre -qualified" status
is re-established.
Please Note: The City reserves the right to request supplemental information from the bidder,
additional verification of any information provided by the bidder, and may also conduct random
inquiries of the bidder's current and previous customers regardless of pre -qualified standing.
It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to
the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the date of the public bid
opening.
Version 01/13/2021 General Conditions - 6
POST BID SUBMISSIONS:
Post -bid submissions must be submitted in accordance with Section 6-64 of the Responsible Bidding
Ordinance. The post -bid submission requirements are as follows:
1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses the
name, address, licensing status, and type of work for any subcontractor from whom the bidder has
accepted a bid and/or intends to hire on any part of the public work project, including individuals
performing work as independent contractors.
2. Each subcontractor, whose portion of the project is estimated to be at least one -hundred fifty
thousand dollars ($150,000.00), shall be required to adhere to the requirements of Section I of the
Responsible Bidder Ordinance as though it were bidding directly to the City, except that the
subcontractor shall submit the required information (including the name, address, and type of work)
to the successful bidder prior to the commencement of work.
3. Failure of a subcontractor to submit the required information shall not disqualify the successful
bidder from performing work on the project and shall not constitute a contractual default and/or
breach by the successful bidder. However, the City may withhold all payment otherwise due for
work performed by a subcontractor, until the subcontractor submits the required information and
the City approves such information.
4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall
not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another
subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the
name, address, licensing status, and type of work of the substitute subcontractor.
5. The successful bidder and all subcontractors on a public works project are required to submit
certified payroll utilizing the federal form known as WH -347 or a similar form on a bi-weekly basis,
submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall
identify the job title and craft for each employee. Certified payrolls shall be submitted
electronically.
Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in
the automatic disqualification of the bid.
The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into
account all information in the submission requirements, determine whether a bidder is responsive and
responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to
utilize all information provided in the contractor's submission and any information obtained by the City
through its own independent verification of the information provided by the contractor.
Version 01/13/2021 General Conditions - 7
PRE -QUALIFIED BIDDER CHECKLIST
(a) Acknowledgements:
(i) 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.
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.
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: Tune 8. 2021
JAj
(S1gn Here)
® )
Bill Favors o �� l
(Print Name Here)
,oSIM
°
°
Ziolkowski Construction Inc.
(Name of Company)
4050 RalDh Tones Dr.
(Address of Company)
South Bend
(City)
(State)
574-287-1811
(Telephone Number)
Version 01/13/2021 General Conditions - 10
CITY OF SOUTH BEND .LAMES MUELLER, MAYOR
DEPARTMENT OF PUBLIC WORKS
ERIC HORVATH, DIRECTOR
November 16, 2020
Ms. Kristin Kromer
Ziolkowski Construction, Inc.
kkromer@zbuild.com
RE: Pre -Qualification Verification — O'Brien Recreation Renovation Project No. 118-091
Dear Ms. Kromer:
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
HOLLI SULLIVAN
INDIANA SECRETARY OF STATE
06/08/202107:54 AM
Business Details
Business Name: ZIOLKOWSKI CONSTRUCTION, INC. Business ID: 197812-318
Entity Type: Domestic For -Profit Corporation
Creation Date: 12/11/1978
Principal Office Address: 4050 RALPH JONES DR, SOUTH BEND,
IN, 46628, USA
Jurisdiction of Formation: Indiana
Business Status: Active
Inactive Date:
Expiration Date: Perpetual
Business Entity Report Due 12/31/2022
Date:
Years Due:
Principal Information
Title Name Address
President Bill Favors 4050 Ralph Jones Dr., South Bend, IN, 46628, USA
Registered Agent Information
Type: Individual
Name: BILL FAVORS
Address: 4050 RALPH JONES DR, SOUTH BEND, IN, 46628 -1000, USA
ZIOLKOWSKI
Construction, Inc.
General Construction & Design/Build
Building Strong Relationships Since 1974
January 1, 2021
Subject: Pre -Qualification Letter
Dear Sirs:
Ziolkowski Construction, Inc. has been in business since 1974 and operated during that
period of time under that name only.
Ziolkowski Construction has not violated any federal, state or local laws, including
violations of contracting or antitrust laws, tax or licensing laws, environmental laws,
Occupational Safety and Health Act (OSHA) laws, federal Davis -Bacon Act laws, within
the past five years.
Ziolkowski Construction, Inc. is proud to employ the industry's top skilled craftsmen.
We have a core group of union craftsmen working on our projects and supplement that
group with trained skilled workers from the local union halls. We currently have
sufficient workers to perform the work that we are bidding for the above project.
All individuals performing work for Ziolkowski Construction, Inc. will be properly
classified as employees under the federal Fair Labor Standards Act and in line with all
Indiana State and local ordinances.
Ziolkowski Construction, Inc. had no federal, state or local tax liens or tax delinquencies
in any of the preceding three tax years.
Respectfully,
ZIOLKOWSKI CONSTRUCTION, INC.
Bill Favors
President & CFO
4050 Ralph Jones Dr., South Bend, IN 46628 Phone (574) 287-1811 Fax (574) 234-0151
Committed to professionalism and excellence for the benefit of our clients, employees, and shareholders.
ZIOLKOWSKI
Construction, Inc..
General Construction & Design/Build
Building Strong Relationships Since 1974
Completed Projects 2020-2021
Contract Amount
Class of Work
Completion Date
Name and Address of Owner
LaPorte Community School Corporation
$14,814,127
School
November 2020
1000 Harrison St., LaPorte, IN 46350
Flaherty & Collins Properties
$3,654,487
City Park
August 2020
211 N. Pennsylvania St., #300, Indianapolis, IN 46204
Elkhart Community School Corporation
$7,777,960
School
December 2020
2720 California Rd., Elkhart, IN 46514
Plymouth Community School Corporation
$6,185,921
School I
February 2021
611 Berkley St., Plymouth, IN 46563
Current Projects 2020-2021
Contract Amount
Class of Work
Estimated Completion Date
Name and Address of Owner
St. Joseph County Public Library
$3,090,507
Library
May 2021
304 S. Main St., South Bend, IN 46601
Elkhart Community School Corporation
$4,504,000
School
June 2021
2720 California Rd., Elkhart, IN 46514
South Bend Board of Public Works
$7,334,832
City Park
July 2022
227 W. Jefferson Blvd., South Bend, IN 46601
Goshen Health Systems
$4,247,944
Hospital
October 2022
200 High Park Ave., Goshen, IN 46526
August 20, 2020
BAC 4 IN/KY
Apprenticeship & Training Program
www.bac4training.com
bac4apprenticeship(ct gmail.com
19-5-25-44,431
Roger Jones - Mant-iging Director
C/O Ziolkowski Construction, Inc.
To Whom It May Concern,
This is a letter of recommendation on behalf ofZiolkowski Construction, Inc. The
BAC 4 IN/KY Apprenticeship & Training Program is a statewide program that was
established in I994 and is recognized by the U. S. Department of Labor and is
considered in good standing.
Ziolkowski Construction, Inc. has been a "signatory union contractor" since 2000
and at the present time employ enrolled apprentices. Ziolkowski Construction, Inc.
has continued to follow the guidelines set forth in Collective Bargaining Agreement
with BAC Local #4 IN/KY meeting the required Journeyman/Apprentice ratio on
their jobs.
Should you have any further questions please feel free to contact the State office at
(2I9) 525-4443.
Sincerely,
Roger Jones
Managing Director
BAC 4 IN/KY Apprenticeship & Training Program
niteb �'tate� rpartme�t
effirp of O[pprpnttrpqbt'p
certificate of Rrgi!gtration of Apprrutt"tobip Program
BRICKLAYERS AND ALLIED CRAFTWORKERS LOCAL 4 IN/KY APPRENTICE FUND
VALPARAISO, INDIANA
FOR THE TRADE CLASSIFICATIONS: BRICKLAYER; BRICKLAYER, FIREBRICK & REFRACTORY; TILE SETTER; TUCKPOINTER, CLEANER, CAULKER
2eyl'sfere0(¢s pori of%�2e Xafionaj,2-pprenlices�2ip 6Jr. sfem
in accoro�ance wifhl' h�e 4asic sfanofaro(s of apprenfices"ip
esiaais eo(�� I,& c5ecrefary of ca&r
MAY 24, 1996
Dale Revised: February 2, 2007
IN001960012
J�eyislrabon Xo.
.Z` cSecrelary ofGa6or
5UMIi islralor, Off'ae pprenl�ces�iip
�:� TES pE
INDIANA/KENTUCKY/OHIO REGIONAL COUNCIL OF CARPENTERS
JOINT APPRENTICESHIP AND TRAINING FUND m
1095 MARINERS DRIVE
WARSAW, IN 46582
ADMINISTRATION OFFICE
711 Greenwood Springs Drive
Greenwood, IN 46143
Phone: 317-807-1112
Fax: 317-807-1115
Ashland Campos
574 Carpenters Way
Grayson, KY41143
Phone: 606-929-1378
Fax: 502-996-8108
Indianapolis Campus
711 Greenwood Springs Drive
Greenwood, IN 46143
Phone: 317-807-1116
Fax: 317-807-1131
Lafayette Campus
2953 South Creasy Lane
Lafayette, IN 47905
Phone: 765-447-5959
Fax: 765-447-7676
Louisville Campus
1245 Durrett Lane
Louisville, KY 40213
Phone: 502-366-8668
Fax: 502-366-8678
Merrillville Campus
1565 East 70th Court
Merrillville, IN 46410
Phone: 219-947-3348
Fax: 219-947-1889
Muncie Campus
4121 East Centennial Avenue
Muncie, IN 47303
Phone: 765-288-9015
Fax: 765-289-9298
Newburgh Campus
5400 Covert Court
Newburgh, IN 47630
Phone: 912-853-9312
Fax, 812-853-9316
Terre Haute Campus
3099 South 6th Street
Terre Haute, IN 47802
Phone: 812A66-7899
Fax: 812-466-9840
Warsaw Campus
1095 Mariners Drive
Warsaw, IN 46582
Phone: 574-267-5264
Fax: 574-269-1464
August 20, 2020
Ziolkowski Construction, Inc.
4050 Ralph Jones Drive
South Bend, IN 46628
To Whom It May Concern:
Ziolkowski Construction reguarly employs a number of apprentices affiliated
with our apprenticeship program and has done so for many years. We are
registered with the United States Department of Labor, Bureau of Apprenticeship
and Training and our registration number is 020 0537. Our program also
participates in the Building Trades Associate Degree Program with Ivy
Tech Community College and has done so since 1996.
Ziolkowski Construction is a bona fide contractor in good standing with the
Indiana/Kentucky/Ohio Regional Council of Carpenters Joint Apprenticeship
and Training Fund and is eligible to employ apprentice carpenters in the future.
I have enclosed copies of our certificates from the United States Department of
Labor and from the Indiana Department of Veterans Affairs for GI educational
benefits.
If I can be of further assistance, please do not hesitate to give me a call.
Dale Newlin
Area Coordinator
IKORCC JATF
Warsaw Campus
vf,Aw=ffm4ip t iA
of
'NDIA.NAIKENTUCKY REOIONA L .COUNCIL OF CARPENTERS
' ARSAW9 INDIANA J.A.T.F.
FOR THE TRADE CLASSIFICATIONS, CARPENTER, MMLWRIGHTT, BLooR "yK
�e9rsfer'eo�as p�f Q'��e �'+�c��rar�ct�'�ppj'enfices�ai
p ���rarn
Zn dccort�crrrce wi,�e ��sic sfana� c��pp j„enficeshr`
es of s eo Ise c3ecreA2r o 'rr P
or
OCTOBER 109,, 1989
Ea. RevIBe : pIZ
IN0208900og x :
. '.''Q''_� `.: '� ' '�d►iieiulnr/or, .'��py/w1/cs�P :7viweb � 16
. 9 P yrr andGc6a. cSrrrroes
II
111
TO WHOM IT MAY CONCERN,
Plasterers' & Cement Masons'
Apprentice Coordinator
of
Local Union #692
Phone 317-508-1609
FAX 317-972-4907
Email hansen@plcmlocal692.org
Q) � 1049-M
THIS LETTER IS TO CERTIFY THAT ZIOLKOWSKI CONSTRUCTION INC.HAS BEEN A SIGNATORY UNION
CONTRACTOR WITH THE PLASTERERS' AND CEMENT MASONS' JOINT APPRENTICESHIP TRAINING
PROGRAM OF LOCAL 692, FOR AT LEAST THE LAST FIVE YEARS, AND IS IN GOOD STANDING.
THEY HAVE A SIGNED CONTRACT WITH LOCAL 692 AND IS ELIGIBLE TO USE UNION PLASTERERS'
APPRENTICES AND UNION CEMENT MASONS' APPRENTICES. THROUGH THIS CONTRACT AND OTHERS,
THE FINANCIAL OBLIGATIONS OF TRAINING AND SAFETY ISSUES ARE MET.
ALL OF THE APPRENTICES ARE REGISTERED WITH THE UNITED STATES DEPARTMENT OF LABOR, BUREAU
OF APPRENTICESHIP AND TRAINING.
SINCERELY,
PAT HANSEN
APPRENTICESHIP COORDINATOR FOR LOCAL 692
220 N. Fulton St.
Indianapolis, IN 46202
c,
>
0
CL
— CL
41
2i .L1 1
S��IiI. 1�1
lureau of App' ruts-ceo4fli nub 01raining
Ter#if tate of rgistrttttou
LOCAL #692 PLASTERERS $ CEMENT MASONS J. A. T. C.
LAFAYETTE, INDIANA
FOR THE TRADE CLASSIFICATIONS OF PLASTERER; CEMENT MASON
-Weyisfereo( as part 0'/f ie �afionaf : p enficesnfip J ro9 ram
in accoro(anee wilh fie basic slanofarol o�apprenficesnfi
esfa6lishecf 6y 1nie cSecrelary of Labor
1 -LAY 22, 1995
Del. �,-------- --
9eryil/ry/ion 7%.
2!�..reuu
o/zu�ti::c:
INDIANA LABORERS' TRAINING TRUST FUND
Dav&A. Frye
Secretary -Treasurer
Jerry J.. Bolk
Chris L. Guerrero
Ricky Henson, Jr.
Rmnon Mendoza, Jr.
Robert S. Wright
P.O. Bos 758 - Bedford, Indiana 47421
(812) 279.9751
To Whom It May Concern:
Sean Coakley, Director
John P. Brown
Chairman
Kelly.Abel
Brad Dreibelbis
Michael Ferrara
Stan Meyer
An Wiseman
FAX: (812) 279-5545
This letter is to confirm that "Ziolkowski Construction, hic." 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.
SincerelN71'41;
Sean Coakley,
Director
SC:dc
www. indianalaborerstraining. org
.ttateo �e�rttrtrr�e�r
Bureau of Avvrmtt-rts4t-v'nnb' &afninp
Tntiffiratr of Registration
INDIANA LABORER'S TRAINING TRUST FUND
BEDFORD, INDIANA
for the trade classification of CONSTRUCTION CRAFT LABORER
i
J2y1�2r2� av �7ar�e JY, ajlor2a rpprenlrces.6ap %�ro�nra
in accoro(ance a)A-4 • nfe basic siano(aro(s o/ appreniices6iip
esfa61isheor 6y I& cSecrefary of sa6or
December 14, 1995
/oale
IN040-0528
✓�feyislrolion 19co.
OCCRLEQ•U/ Or! QUOS
1J [wCf4 i� 1]4wQLL pf PT�SLl:�C: �2 alt6 �'Lallt(RC�
ZIOLKOWSKI Construction, Inc.
4050 Ralph Jones Drive
South Bend, IN 46628
Re: Proof of Compliance with 30 ILCS 500/30-22(6)
Our File No. MI -00321
Dear Sir or Madam:
At the request of ZIOLKOWSKI Construction, Inc, I am providing you with evidence of
the Company's compliance with the apprenticeship requirements in 30 ILCS 500/30-
22(6) of the Illinois Procurement Code. I am submitting this letter along with
apprenticeship certificates (Nos.IL012020003 and I1,008780173).
As a signatory contractor with the International Union of Operating Engineers, Local
150, AFL-CIO, ZIOLKOWSKI Construction, Inc., is required by Collective Bargaining
Agreement to participate in an applicable apprenticeship and training program approved
by and registered with the United States Department of Labor's Bureau of Apprenticeship
and Training. The attached certificates are evidence of compliance with the U.S.
Department of Labor's apprenticeship requirements.
Thank you for your cooperation in this matter. If you have any questions or concerns,
please do not hesitate to contact me.
Very truly yours,
IUOE, Local 150, AFL-CIO
District 1 dispatch office
Caroline Lesniak
Enclosures: Certificates
��ite� �'tate� �e�artrr�P�� ofd
4
office of appuntitt6blyp t
Catiftratle of Rmi4trattlon of O(Pprmthobip-joriogram
Operating Engineers Loca(150,�qpprenticeship Fund
wrmington, lxln s
�'or the trade -- Operating Engineer (Meavy Equipment Technician)
eyrslereorasnzf o i e ¢fionfen.l cesSilc�r�sfem
ii2 ¢ccorofance will-, lSe �'Qssc sldno� ros ofgpprenficesh�p
esfa4�'sleo(W %,ie -6ecrelaz of &' 'or
la 5 2002
Q?§vise ,dune 21, 2011
IL 012 020003
OSS", op ,vwla,
-0arygFFia6ar
a
� 4
�`� `.1idnnir/ra/or��'ca of�ippren/iat�ip
ttgWtratw"n Df ZIPPry 1p
�xA�C�.ltt
Operating engineers Locall50Apprenticeship Fund
ImfMington, Ifil'i s
!°orthe Trade -- Operating Engineer
5?e ssfereoras,palrf of �'e gCaj ona.�,9pprenfice&40 63rd em
9 .
sn accoro�an ce wAS IZe �7as rc sfan throes o)Appren feces ip
esfa�][isZeo(6 fSe c5ecrefary of
Decem6er31 178 -
q?§vised,7une 23, 2011
' TLOO8780173
r opt
V
m of t-
�EL`�I.tI��tE Dt
October 13, 2020
Painters Local Union 1118
1345 Northside Blvd, South Bend, IN 46615
Telephone: 219-246-4235/fax: 317-522-4907
To whom it may concern:
Ziolkowski Construction is currently in good standings with IUPAT District
Council 91 Local 1118 out of South Bend, Indiana.
They are up to date on all of their union contributions to all funds.
If you should have any further questions, please feel free to contact my office.
Respectfully yours,
Lisa Earls
Administrative Assistant
IUPAT District Council 91/LU 1118
e.Lw{iopim ]I�pttttt�P�tf��`
gratmug"gWyloger nub phorSrMas
�urrnu ,ofrenf'rrrshi�r nub graming
dnfifirafr of �rglsfrnfiou
Finishing Trades Institute of District Council 91
Evansville, Indiana
for the trade classifications of
Painter (Construction), Glazier, Drywall Applicator, Hydro BlasterNacuum Technician
e� s ereo'as pa-rf of f�'e ezroar f 57p.ps.I'2
sn
ezecororarPce mi'r` e basic slano�zrol ,fa
pprenlicesSp
esla, 6-f s-SeoT�� ZSe cSecrelarr�. of.'a�or
,/larch 9, 2009
T.7,
IN -070 092065
-WagiTl,va/ion Co.
C4 1 ;}
cSecrchwy of,6a O o,
��nini:/ra/or; ✓rlppr_n/me.,� Jrvininy, l vnp/oyer andi-Ga6or cScr ,incl