HomeMy WebLinkAboutOpening of Bids - Southeast Neighborhood Center (United Way) Proj No. 119-093R - The Robert Henry CorporationCITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
RESPONSIBLE BIDDER CHECKLIST
Project Name Southeast Neighborhood Center (United Way)
Project No. 119-093R
For Bids Due Tuesday, July 13, 2021
Contractor Name: The Robert Henry Corporation
The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works
projects by institution of comprehensive submission requirements in compliance with State law. Quality
workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet
certain minimum requirements to be responsive and responsible bidders.
THIS FORM MUST BE SUBMITTED WITH YOUR BID.
INSTRUCTIONS:
If you are a pre -qualified bidder, complete Section I only.
If you are not a pre -qualified bidder, complete Section II only.
Section 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 - 7
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 - 8
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 (i.e., 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 - 9
II. PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED)
(a) Acknowledgements:
(i) _ By checking this box, I hereby acknowledge that I am not a pre -qualified bidder
with the City of South Bend.
(ii) _ By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided, and may also conduct random inquiries of my current and prior
customers. The City reserved the right to utilize all information provided in this
submission and all information obtained in inquiries or requests to determine if a
bidder is responsive and responsible. Additionally, I acknowledge that all
information provided to the City shall be regarded as public records.
(iii) _ By checking this box, I hereby acknowledge that copies of all Applicable
apprenticeship certificates or standards for training programs applicable to the
work performed on the project may be requested at any time and shall be furnished
upon request.
(iv) _ By checking this box, I hereby acknowledge and ensure that I and all sub-
contractors, from whom I have accepted a bid and/or intend to hire to perform work
on the public work project, are properly licensed. Furthermore, I acknowledge my
understanding that it is my responsibility to ensure that all sub -contractors have
the necessary licenses to undertake the work called for in this bid. If a sub-
contractor loses their license at any point, it is the responsibility of that sub-
contractor to notify the City.
(b) Attachments:
(i) _
Indiana Secretary of State's on-line records (i.e., Business verification) dated
within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State's Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
proprietors or partnerships).
(ii) _
List identifying all former business names.
(iii) _
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 - 10
(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: July 13, 2021
Al���
(Sign Here)
Brian S. Henry
(Print Name Here)
The Robert Henry Corporation
(Name of Company)
404 S. Frances St.
(Address of Company)
South Bend
(City)
Indiana
(State)
574-232-2091
(Telephone Number)
Version 01/13/2021 General Conditions -11
rP.nce
CITY OF SOUTH BEND JAMES MUELLER, MAYOR
DEPARTMENT OF PUBLIC WORKS
ERIC HORVATH, DIRECTOR
November 5, 2020
Mr. John Callan
The Robert Henry Corporation
icat lan WroberthenrN cor .com
RE: Pre -Qualification Verification
Dear Mr. Callan:
This letter serves as verification of Pre -Qualification status of your company for bidding with the
City of South Bend. This Pre -Qualification status is effective for twelve (12) months from the date
of this letter. Thereafter you are required to re -submit a complete application for continuation of
pre -qualification status prior to December 31 for the upcoming calendar year.
A copy of this Verification Letter must be included with every bid exceeding $150,000 submitted
to the City of South Bend Board of Public Works, along with your Pre -Qualified Bidder Checklist
and attachments.
If you have any further questions regarding this matter, please call this office at (574) 235-9251.
Sincerely,
g9iWly LprcA by Lli M9rveM
Liz HorvathM19�.
Oate.1OID.11D6113139�95'OV
Liz Horvath, Permit Manager
KnAness Retail.
THE ROBERT HENRY
Business Name: CORPORATION
Entity Type: Domestic For -Profit Corporation
Creation Date: 08/01/1974
Principal Office 404 S FRANCES STREET, SOUTH
Address: BEND, IN, 46624, USA
Foreign Legal Name:
Jurisdiction of
Formation:
I �lEniarmANan .
BUSINESS INFORMATION
HOLLI SULLIVAN
INDIANA SECRETARY OF STATE
07/08/202101:15 PM
Business TD: 197408-008
Business Status: Active
Inactive Date:
Expiration Date: Perpetual
Business Entity Report Due Date: 08/31/2022
TITLE
President
NAME
STEPHEN R HENRY
ADDRESS
33055 LAKE FOREST COURT, NILES, MI, 49120, USA
!! Re�isrerrd Agcnr Information _ � - ���
Type: Individual
Name: STEPHEN HENRY
Address: 404 S FRANCES ST, SOUTH BEND, IN, 46617 - 0000, USA
THE R OBER T HENRY CORPORATION
Building and Utility Contractors
July 13, 2021
To whom it may concern:
Per the Pre -Qualified Bidder Checklist (b) (ii), The Robert Henry Corporation has the staffing
capabilities, including the labor resources, necessary to complete the project on time. We will
utilize workers from the local union hall or from our existing workforce.
Sincerely,
16�L "7
Brian S. Henry
President
404 South Frances Street • P.O. Box 1407 • South Bend, Indiana 46624
www.roberthenrycorp.com • Tel. 574-232-2091 • Fax 574-232-3979
The Robert Henry Corporation
List of Projects
leb # Customer Name Job Name/Desc. Completion Date Contract Amount
217947 The Salvation Army
Kroc Center Bathroom Reno
Jul -18
$
353,706
1018016 St. Joseph Regional Medical Center
SJRMC Podiatry
Aug -18
$
53,073
1018001 American Electric Power
Renovation Elec Laydown Yard
Sep -18
$
74,359
217917 St. Joseph Regional Medical Center
SJRMC - Univ Park Fam Medicine
Sep -18
$
55,114
217943 The Redmond Company
UFCU - Ireland Rd. - So. Bend
Oct -18
$
158,478
217945 The Redmond Company
UFCU - Mishawaka, In.
Nov -18
$
165,442
1018021 Appalachian Power Company
Buchanan Dam Repair
Nov -18
$
163,900
1018010 Gurley Leep Automotive Group
Gurley Leep Mercedes-Benz
Jan -19
$
337,136
1018004 Gurley Leep Automotive Group
Gurley Leep Volkswagen
Jan -19
$
794,884
1018029 Vic Trippel Plumbing & Heating
Demising Wall - UP Mall Suite
Feb -19
$
66,817
1018038 Plymouth Veterinary Clinic, LI
Renovations to Plymouth Vet
Mar -19
$
109,381
1018012 University Of Notre Dame
Melander, Warren Center & G1&2
May -19
$
2,369,700
217939 Menards
Menards Elkhart Fixturing
Jun -19
$
863,985
217932 School City Of Mishawaka
Mishawaka H.S. Retaining Wall
Jun -19
$
405,864
1019018 Jacob Sonner
Sonner - Retaining Wall
Jul -19
$
60,950
1018032 St. Joseph Regional Medical Center
SJRMC Family Medicine Faculty
Jul -19
$
342,332
1019022 Gurley Leep Automotive Group
Collision Center Renovations
Jul -19
$
91,750
1018024 City Of South Bend
SB VPA Maint. Storage Building
Jul -19
$
388,984
1019017 Siemens Healthcare Diagnostics
Siemens - Safety Equipment
Aug -19
$
65,066
1018023 Hasse Construction Co, Inc
Molded Products - So. Bend
Oct -19
$
520,519
1019002 'rhe Redmond Company
UFCU Bremen Hwy. Mishawaka, In
Dec -19
$
97,501
1019001 The Redmond Company
UFCU Toscana Blvd. Granger, In
Dec -19
$
101,189
1019050 St. Joseph Regional Medical Center
Suite 130 Physicians Lounge
Dec -19
$
54,579
217928 Gilbane Building Company
Siemens NICP Project
Jan -20
$
2,444,647
1019051 American Electric Power
Twin Branch Dam Stabilzation
Feb -20
$
302,000
1019008 Lewis Cass Intermediate School
North Pointe Envelope Sys Impr
Feb -20
$
1,302,640
1019010 Siemens Healthcare Diagnostics
Siemens Healthineers- Novus 2
Apr -20
$
724,100
1020002 St. Joseph Regional Medical Center
Plymouth IT Rooms Renovations
Apr -20
$
129,045
1019003 Lighthouse Point Condo Assoc
Lighthouse Point Tower Repairs
May -20
$
3,372,565
1019029 Siemens Healthcare Diagnostics
Siemens - OCG Laboratory
May -20
$
1,194,119
1019023 Washington Square Development
Liberty Tower Exterior Renovat
Jun -20
$
134,337
1019041 Town Of Shipshewana
Shipshewana Public Restroom
Jun -20
$
544,500
1020005 Michiana Area Construction Ind
MACIAF Interior Renovations
Jun -20
$
66,944
1019039 C&E Excavating, Inc.
Mishawaka Ironworks - Phase I
Jul -20
$
724,113
1020001 Siemens Healthcare Diagnostics
Siemens -Project Moose-Minicare
Jul -20
$
1,659,902
1020019 Trinity Health
Wellness & Weight Management
Jan -21
$
742,988
1020006 City Of Mishawaka
Beutter Park Founder's Circle
May -21
$
152,295
1020007 City Of Mishawaka
Central Park Picnic Plaza
May -21
$
386,112
1019052 St. Joseph County Parks Fndn
River Ramble Natural Playscape
In Progress
$
598,902
1020008 St. Joseph County Public Library
SJCPL Structural,Site Concrete
In Progress
$
1,198,103
1020013 Elkhart Plastics, Inc.
Elkhart Plastics Site Concrete
In Progress
$
82,490
1020014 Siemens Healthcare Diagnostics
Siemens Concrete Paving
In Progress
$
110,650
1020022 Jefferson Centre Assoc. LLC
Jefferson Center Water Main
In Progress
$
113,451
1021001 HRP Construction Inc
Holy Cross Parkway LiftStation
In Progress
$
51,841
1021005 Ivy Tech Community College
Ivy Tech S. Bend TestingCenter
In Progress
$
85,600
1021009 Trinity Health
Plymouth Lifeplex
In Progress
$
91,986
1021010 Ivy Tech Community College
SB Nursing Lab
In Progress
$
159,600
1021015 South Bend Community School Corporat Navarre Middle School
In Progress
$
149,400
1021016 South Bend Community School Corporati Wilson Elementary
In Progress
$
69,600
INDIANA/KENTUCKY/OHIO REGIONAL COUNCIL OF CARPENTERS
JOINT APPRENTICESHIP AND TRAINING FUND
711 GREENWOOD SPRINGS DRIVE
GREENWOOD, IN 46143 is
ADMINISTRATION OFFICE
711 Greenwood Springs Drive
Greenwood, IN 46143
Phone: 317-807-1112
Fax: 317-807-1115
Ashland Campus
574 Carpenters Way
October 30, 2020
Grayson; KY 41143
[✓'��
Phone: 606-929-1362
Fax: 606-929-5319
Jerry N. Burke
Indianapolis Campus
To Whom It May Concern:
711 Greenwood Springs Drive
Director of Education
Greenwood, IN 46143
IKORCC JATF
Phone: 317-907-1116
Fax: 317-807-1131
Please allow this letter to serve as verification that the Robert Henry
Corporation has been a good standing contributor/participant with the
i.arayette Campua
2953 South Creasy Lane
Indiana/Kentucky/Ohio Regional Council of Carpenters Joint Apprenticeship
Lafayette, IN 47905
and TrainingFd for at least 3 consecutive ears and is thereby authorized to
uneascoy
Phone. 765-447-5959
Fax: 765-447-7676
employ our apprentices.
Louisville Campus
Our program is registered with the United States Department of Labor, Office
1245 Durrett Lane
Louisville, KY 40213
of Apprenticeship and Training, and is also approved by the U.S. Veterans
Phone: 502-366-8668
Administration toro artici ate in the GI Education benefits ram. Enclosed
p p program.
Fax: 502-366-8678
are copies of those certificates.
Merrillville Campus
1565 cast loth court
Please feel free to contact our office with any additional questions, at 317-
Merri
erllville, IN 46410
Phone: 219-947-3348
807-1112.
Fax: 219-947-1889
Muncie Campus Sincerely,
4121 East Centennial Avenue
Muncie, IN47303
d
Phone: 70-288-9015
[✓'��
Fax:765-288-9298
Jerry N. Burke
Newburgh Campus
5400 Covert Court
Director of Education
Newburgh, IN 47630
IKORCC JATF
Phone: 312-953-9312
Fax: 8 12-853-9316
Terre Haute Campus
3099 South 6", Street
Terre Haute, IN 47802
Phone: 812-466-7899
Fax: 812-466-9840
Warsaw Campus
1095 Mariners Drive
Warsaw, IN 46582
Phone: 574-267-5264
Fax: 574-269-1464
5tatcs Be
at'
r�•.a •�d-- �Y�
• �1 � d J
bureau of 3pprenticahip and Training
Ttrdfimtr of REgamdon
CENTRAL INDIANA CARPENTERS JOI1dT APPRENTICESHIP COMMITTEE
INDIANAPOLIS, INDIANA
for the trade classifications of CARPENTER, FLOOR COVERER and MILLWRIGHT
egrr�erreo�as par! af1�e `.�Calronaf .�ljvprenlicssiip Jro9ram
in accordrance mih� fie baric xiervo�rorf o1 apprentice Aj
e-MaS AW 6y lie t5ecrefary of Sa6or
September 4, 1941
�n Rev. Auqust 23, 1989
0 4 0 0 4 1 1
'L•\ ,� �e.:r •'•� rwi !aR..� w,. ice.. +�� /^r n s
� �� `t 1 � �� '� ` •�� haw% � w �.
hana 16.2giDICa1 Coulatt Dt (tl.al'pElitErg
40
311ant. Ir wt
6tate
'Wr9t
:302
Plasterers' & Cement -Masons'
Apprenticeship Coordinator Local Union #692
To Whom it May Concern:
Phone:(219)70.7-7767
Email: bkddotf@phamloc&Mw.org
October 22, 2020
This letter is to certify The Robert Henry Corporation is and has been a signatory
contractor with OPCMiA Local 693 and has participated In the Plasterers &
Cement Masons Apprenticeship Training Program for many years. The Robert
Henry Corporation, Is a valued Contractor In good standing with Local 692 and the
JATC, All our apprentices are registered with the United States Department of
Labor.
I may be reached at (219) 707-7767 if additional Information is needed.
Further, our organization's program is approved by the U.S. Veterans
Administration to participate in the GI Education Benefit Program.
Thank you,
Brian Kristoff
Apprentice Coordinator
Plasterers & Cement Masons
9200 Louisiana Street • Merrillville, Indiana 46410
WWW.PLCML0CAL692.0RG
INDL4NA LABORERS' TRAINING TR UST FUND
David A. Frye
Secretary -Treasurer
Jerry J. Bolk
Chris L. Guerrero
Ricky Henson, Jr.
Ramon Mendoza, Jr.
Robert S. Wright
P.O. Box 758 - Bedford, Indiana 47421
(812)279-9751
October 22, 2020
To Whom It May Concern:
Sean Coakley, Director
John A Brown
Chairman
Kelly Abel
Michael Ferrara
Stan Meyer
Nick Timmerman
Jim Wiseman
FAX: (812) 279-5545
Toll Free (800) 742-4086
This letter is to confirm that "Henry Robert Corp" is a signatory contractor in good standing with
the Indiana Laborers' Training Trust Fund.
The above mentioned company is a participant in the Joint Apprenticeship and Training
Committee through this Union and has been an active participant in good standing for each of the
past five plus consecutive years, and is currently eligible to use our apprentices on a project.
Further, our organization's program is approved by the U.S. Veterans Administration to
participate in the GI educational benefits program. A copy of our approval letters are attached
along with the collective bargaining agreement stating the ratios of Journey workers to
Apprentices, which is one (1) Apprentice for every five (5) Journey workers and thereafter may
not employ more that (1) Apprentice for every (3) Journey workers.
Sincerely,
�t�- &MAr vk-�,
Sean Coakley,
Director
SC:ap
www.indianalaborerstraining.org
a�t�xtEsVIA
0 A%
. Inre%
ureau of Appradtao4tV *:tubiutut ig
Tie tift of.9tr m
INDIANA LABORER'S TRAINING TRUST FUND
BEDFORD, INDIANA
for the trade classification of CONSTRUCTION CRAFT LABORER
.Wecisfereo' as parf of the Xaiionaipprenfices,6ip 2royram
in accordance w -dA I& 6asic sfamfaros of apprenficese�ip
esfa6lisAeof 6y Ae c3ecrefary of G'a6or
December 14, 1995
2619
IN040-0528
Xayia4x4waCo.
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CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS
Project Name Southeast Neighborhood Center (United Way)
Project No.
For Bids Due
119-093R
Tuesday, July 13, 2021
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 Addendum(s) included with the bid.
X All required additional information is included with the bid.
Proposal statements and other affidavits all signed by the proper party with name either
X printed or typed underneath signature.
X This checklist submitted with the Bid.
This checklist is provided for bidder's use in assuring compliance with required
documentation; however, it does not include all specifications requirements and does not
relieve the bidder of the need to read and comply with the specifications.
Bidder: The Robert Henry Corporation Date: July 13, 2021
By Authorized Representativ :
Signature:
Print Name & Title: Brian S. Henry, Preside
Version 01/13/2021 Contractor's Bid for Public Works -1
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name
Project No.
For Bids Due
Date:
Address:
Southeast Neighborhood Center (United Way)
119-093R
Tuesday, July 13, 2021
PART I
(Must be completed for all bids. Please type or print)
July 13, 2021 Bidder (Firm): The Robert Henry Corporation
404 S. Frances St.
City/State/Zip: South Bend, IN 46617 Telephone Number: ( 574 ) 232-2091
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:
Southeast Neighborhood Center (United Way) - Project No. 119-093R
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
AME Consulting, LLC
and dated May 27, 2021 for the sum of (enter the Total Bid as shown on the Proposal)
one- milk" NAUA-6 ;x - r 7V1 50 (s ! , I (a$. cos . no
(Enter sum of Total Base Bid plus Alternates dhowm,6 n Proposal) (Numerical)
V :ve. v6Ao- S
The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in
the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance
with the notice. Any addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed, the cost of units must be the same as that
shown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a unit
basis, the itemization of the units shall be shown on a se • rate attachment.
By -
(Signatur
Brian S. Henrv. President
(Printed Name of Person Signing)
ACCEPTANCE
The above bid is accepted this day of
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Elizabeth A. Maradik, President
Gary A. Gilot, Member
Joseph R. Molnar, Member
Jordan V. Gathers, Member
Murray 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 * Please see attached.
1. Attach information regarding projects your organization has completed for the period of one
(1) year prior to the date of the current bid.
2. Attach a listing of public works projects currently in process of construction by your
organization.
3. Attach information regarding any failure to complete any work awarded to you and the
location thereof.
4. Attach references from private firms for which you have performed work.
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE • Please see attached
1. Attach an explanation of your plan or layout for performing proposed work. (Examples could
include a narrative of when you could begin work, complete the project, number of workers,
etc. and any other information which you believe would enable the City of South Bend to
consider your bid.)
2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside
your own firm who have performed part of the work) that you have used on public works
projects during the past five (5) years along with a brief description of the work done by each
subcontractor.
3. If you intend to sublet any portion of the work, attach the name and address of each
subcontractor, equipment to be used by the subcontractor, and whether you will require a
bond. However, if you are unable to currently provide a listing, please understand a listing
must be provided prior to contract approval. Until the completion of the proposed project, you
are under a continuing obligation to immediately notify the City of South Bend in the event that
you subsequently determine that you will use a subcontractor on the proposed project.
4. Attach a listing of equipment you have available to use for the proposed project.
5. Have you entered into contracts or received offers for all materials which substantiate the
prices used in preparing your proposal? If not, attach an explanation for the rationale used
which would corroborate the prices listed.
SECTION III CONTRACTOR'S FINANCIAL STATEMENT =lease see attached.
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 a+}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 (1.C. 5-16-8-1).1 hereby
certify that I and all subcontractors employed by me for this project will use steel products or foundry
products made in the United States on this project if awarded. I understand I have an affirmative duty to
notify the City in my bid that my proposal does not include the use of steel products or foundry products
made in the United States. I understand it is my sole obligation and responsibility to provide a justification
to the City, subject to review and approval, why the cost of United States made steel or foundry products is
unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry
products made in the United States, the City, through its director of public works, shall make a determination
if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder
may result in forfeiture of contractual payments.
Version 01/13/2021 Contractor's Bid for Public Works - 5
I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid
for public works are true and correct.
Dated this 13th day of July 92021 2021
Subscribed and sworn to before me this 13th
My Commission Expires g Z023
County of Residence
The Robert Henry Corporation
Contractor/ 'dder (Fi )
Signature of Contractor/Bidder r Its Agent
Brian S. Henry, President
Printed Name and Title
day of July , 2021
Notary Public
S-�. 1,05 Ceti
�PPr. PU CAROL .B'. -DOY.LE
: SEALIn Notary Public
* St, JBSeRh Co�nf�. Stats oflndiani,; .
�VninNP Camrt►ission 6xpir'�`s Mar�rF'18 2623.'
Version 01/13/2021 Contractor's Bid for Public Works - 6
BID/PROPOSAL
CITY OF SOUTH BEND
Project Name: Southeast Neighborhood Center
Project Number: 119-093R
For Bids Due: Tuesday, July 13, 2021
Contractor Name: The Robert Henry Corporation
Item
No.
Description
Quantity
Unit
Total Amount
1
Demolition, clearing & grubbing, grading,
site preparation, and miscellaneous to
1
LS
Q�
P
complete the work.
Site Utilities, piping, below grade
2
storage, bedding, backfill, testing, taps,
1
LS
or? S3, °�s$' 60
fittings, valves, structures, and
miscellaneous to complete the work.
3
Concrete, curbs, sidewalks, ADA ramps,
approach, frost slabs, and
1
LS
a0� �•�
miscellaneous to complete the work.
Asphalt paving, pavements markings,
$Qi 66
4
subgrade preparation, aggregates, etc.
1
LS
321W.
and miscellaneous to corn p lete the work.
5
Landscape
1
LS
/ a pa .00
6
Playground
1
LS
, i a 8, (496.60
7 1 Courtyard Walls and Gates
1
LS
8
Allowance: Storage Shed (Refer to
1
LS
Section XXV
$18,000.00
TOTAL BASE BID
Alternate #01 (Add): Shade Structures (Refer to Section XXV); Install
(2) cantilevered shade structures with 12' post height, (1) cantilevered
shade structure with 10' post height, concrete foundations, foundation
aa, 5� • to
engineering, ground -mounted light fixtures, and associated wiring
connections. Structures furnished by Owner via OMNIA. Installation to
be coordinated closely with playground equipment and surfacing.
Bidder (Firm): The Robert Henry Corporation
Address: 404 S. Frances St.
City/State/Zip: South Bend, IN 46617
Telephone Number: 574 232-2091
By /4,,� Z-/== —
(Signature)
Brian S. Henry, President
(Printed Name of Person Signing)
Version 01/13/2021 Contractor's Bid for Public Works - 7
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: 119-093R Project Name:
Southeast Neighborhood Center United Way)
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CITY OF SOUTH BEND
Total Bid Amount: i � COS - co
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
t'�'��• • z.,.
FORM MWBE-1.0
MWBE UTILIZATION PLAN
of
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: 119-093R Project Name:
Southeast Neighborhood Center United Way)
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Bidder: The Robert Henry Corporation
Total Bid Amount: i � COS - co
MBE Goal:
2.6%
Page
of
Name &Address of MBE
Primary Contact Person
Scope of Work to be Performed
Dollar Amount of MBE
P ercentage
of Total
(Name/Telephone)
(Attach scope/schedule if you need additional space)
Component
o:
C. Lee Construction Services Inc Frederick Lee
1011 S. Lake St 219-888-9554 Tc�c k
Gary, IN 46403
160,jwo.60 , l7S%
o a 13 `sl-• Cho e -e-:, Arte •
bex ^&ra
SAY -943 -�2)
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P. C �
Submitted by: Brian S. Henry, President ZLZ� July 13, 2021
Print Name Signature Date
Version 01/13/2021 Contractors Bid for Public Works - 9
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MWBE-1.0
MWBE UTILIZATION PLAN
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving WBE participation. It is
the bidder's sole responsibility to verify whether any listed minority or woman business meets the WBE qualifications.
Project Number: 119-093R Project Name: Southeast Neighborhood Center (United Way)
Bidder: The Robert Henry Corporation Total Bid Amount: i �, Q[] 5 . WBE Goal: 5.1%
Page_�_of��
Primary Contact Person Scope of Work to be Performed Dollar Amount of WBE Percentage
Name & Address of WBE (Name/Telephone) (Attach scope/schedule if you need additional space) Component of Total
Bid/Proposal
M. J. Schuetz Insurance Services Jenni Waggoner Bonds
1531 Indiana Ave. 317-548-3932
Indianapolis, IN 46202 sC� O
j�;�5c.1�a cd 'gcal4�ars
1 bZOy w •fin mele
iZ�e k 1>o6o.K
S?Y- a$g-Y777
CTenecal �cca.•►a+t0A
151,31(o.Gri
3(o. a(Ja'
Submitted by: Brian S. Henry, President 44n= 12/=7
Print Name Signature
Version 01/13/2021 Contractor's Bid for Public Works - 10
luly 13, 2021
Date
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
oe-:'�
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: 119-093R Date: July 13, 2021
Project Name: Southeast Neighborhood Center (United Way)
Bidder: The Robert Henry Corporation
Contact Person: Jim Hiss
Address: 404 S. Frances St.
City: South Bend State: Indiana
Email: jhiss@roberthenrycorp.com
Telephone: 574-232-2091
Zip: 46614
To determine whether a bidder has demonstrated good faith efforts to reach the MWBE utilization goals set forth in
the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions,
REQUIRE ALL of the following Good Faith Efforts as listed in the table below*:
EVIDENCE OF GOOD FAITH EFFORTS
MWBE LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business
Enterprise Inclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the Indiana
Department of Administration list of Minority and Women Owned Businesses (both certified and non-
nPrtifiaril fniinri nt• httn-//www_in nnvlidna/
GOOD FAITH EFFORTS TO OBTAIN MWBE PARTICIPATION
The bidder shall initial each item below, as evidence of its good faith efforts to obtain MWBE
participation in the awarded contract.
I affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise
Inclusion Program Plan and the Indiana Department of Administration's certified list of
Indiana Minority and Women Business Enterprises, found on their website
dJY�
(hftp://www.in.gov/idoa).
I affirm that I have made good faith efforts to select portions of the contract work to be
performed by MWBEs, including, where appropriate, breaking out contract work items into
economically feasible units to facilitate MWBE participation.
I affirm that I have made good faith efforts to solicit through all reasonable and available
means the interest of all MWBEs in the scopes of work of the contract.
N / A
I affirm that I attended all pre-bid meetings scheduled by the City of South Bend to inform
MWBEs of contracting and subcontracting opportunities.
I affirm that I advertised in general circulation and/or trade association publications
concerning subcontract opportunities and allowed MWBEs reasonable time to respond to
such advertisements.
A
I affirm that I performed any and all necessary steps to provide written notices in a manner
reasonably calculated to inform MWBEs of subcontracting opportunities and allowed
sufficient time for MWBEs to participate effectively.
I affirm that I followed up on initial solicitations with interested MWBEs.
I affirm that I negotiated with interested MWBEs in good faith, including providing such
j
MWBEs with adequate information about the plans, specifications and other requirements
of the subcontract.
I affirm that I have made good faith efforts to assist interested MWBEs in obtaining
' ^
bonding, lines of credit, or insurance as required by the City or the bidder, where
appropriate.
Version 01/13/2021 Contractor's Bid for Public Works - 11
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MWBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
I affirm that I have made good faith efforts to assist interested MWBEs in obtaining
necessary equipment, supplies, materials, or related assistances or services, where
t`' appropriate.
I affirm that I did not reject any MWBEs as unqualified without sound business reasons
based on a thorough investigation of their capabilities.
CONTRACT RECORDS: The bidder has maintained the following records for each MWBE that has bid
on the subcontracting opportunity:
1. Name, address, and telephone number;
2. A description of information provided by the bidder or subcontractor; and
3. A statement of whether an agreement was reached, and if not, why not, including any reasons for
concluding that the MWBE was unqualified to perform the job.
"Proper demonstration of Good Faith Efforts requires your initials next to all of the above boxes. Any
omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of
South Bend reserves the right to request additional Information.
Version 01/13/2021 Contractor's Bid for Public Works - 12
X
CITY OF SOUTH BEND
�., }
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN` `P"
FORM MWBE-2.1
MWBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring Good Faith Efforts to contact MBEs. It is the bidder's sole responsibility to verify whether any listed
minority or woman business meets the MBE qualifications. Attach additional pages if necessary.
PAGE OF
Project Number: 119-093R MBE Participation Goal 2.6%
Project Name: Southeast Neighborhood Center (United Way)
Bidder: The Robert Henry Corporation
By: Brian S. Henry, President July 13, 2021
(Si nature) (Title) (Date)
MBE Firm 1 st Class Logistics, LLC (Montgomery Trucking)
Owner or Contact at MBE Firm Bernard Coutee
Telephone: 574-993-0071 Fax: Email: lstclasslogistics20l3@gmaii.com
TYPE OF WORK SOLICITED FOR THIS PROJECT
Hauling Construction Material
RESULTS OF CONTACT WITH THE MBE FIRM:
fete;-ied uae.
MBE Firm C. Lee Construction Services Inc
Owner or Contact at MBE Firm Frederick Lee
Telephone: 219-888-9554 Fax: 219-888-9564 Email: clee@cleecsi.com
TYPE OF WORK SOLICITED FOR THIS PROJECT
Hauling Construction Material
RESULTS OF CONTACT WITH THE MBE FIRM:
Version 01/13/2021 Contractor's Bid for Public Works - 13
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: 119-093R MBE Participation Goal 2.6%
Project Name: Southeast Neighborhood Center JUnited Way)
Bidder: The Robert Henry Corporation
By.
Brian S. Henry, President July 13, 2021
CITY OF SOUTH BEND
(Title) (Date)
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MWBE-2.1z.-''
MWBE CONTACTED
Furnishing of Electrical Material
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: 119-093R MBE Participation Goal 2.6%
Project Name: Southeast Neighborhood Center JUnited Way)
Bidder: The Robert Henry Corporation
By.
Brian S. Henry, President July 13, 2021
(Signa ure)
(Title) (Date)
MBE Firm First E ectric Supply
Owner or Contact at MBE Firm John Cox
Telephone: 317-931-3675 Fax: 317-931-3681 Email: johns@firstelectricsupply.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Furnishing of Electrical Material
RESULTS OF CONTACT WITH THE MBE FIRM:
N6 64:f—
MBE Firm Jackson Demolition Services
Owner or Contact at MBE Firm Dave Jackson
Telephone: 574-542-2871 Fax:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Demolition
RESULTS OF CONTACT WITH THE MBE FIRM:
Email: Jacksons@pwrtc.com
1RP—o MA 0 acre
Version 01/13/2021 Contractor's Bid for Public Works -13
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. 41.
PAGE OF l__
Project Number: 119-093R MBE Participation Goal 2.6%
Project Name: Southeast Neighborhood Center (United Way)
Bidder: A The Robert Henry Corporation
By:
Brian S. Henry, President July 13, 2021
(Signature) / (Title) (Date)
MBE Firm Kennedy Expressline, Inc.
Owner or Contact at MBE Firm Marcus Northern
Telephone: 574-876-8881 Fax. Email: kennedyexpressline@yahoo.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Hauling Construction Material
RESULTS OF CONTACT WITH THE MBE FIRM:
'Ru -c4 Q
MBE Firm M & L Taylor -Made Trucking, LLC
Owner or Contact at MBE Firm LaSheen Taylor
Telephone: 269-876-7856 Fax: Email: lasheen.taylor@aol.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Hauling Construction Material
RESULTS OF CONTACT WITH THE MBE FIRM:
Version 01/13/2021 Contractor's Bid for Public Works - 13
1'x'
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
PL LE
FORM MWBE-2.1
MWBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring Good Faith Efforts to contact MBEs. It is the bidder's sole responsibility to verify whether any listed
minority or woman business meets the MBE qualifications. Attach additional pages if necessary. 41.
PAGE OF l__
Project Number: 119-093R MBE Participation Goal 2.6%
Project Name: Southeast Neighborhood Center (United Way)
Bidder: A The Robert Henry Corporation
By:
Brian S. Henry, President July 13, 2021
(Signature) / (Title) (Date)
MBE Firm Kennedy Expressline, Inc.
Owner or Contact at MBE Firm Marcus Northern
Telephone: 574-876-8881 Fax. Email: kennedyexpressline@yahoo.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Hauling Construction Material
RESULTS OF CONTACT WITH THE MBE FIRM:
'Ru -c4 Q
MBE Firm M & L Taylor -Made Trucking, LLC
Owner or Contact at MBE Firm LaSheen Taylor
Telephone: 269-876-7856 Fax: Email: lasheen.taylor@aol.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Hauling Construction Material
RESULTS OF CONTACT WITH THE MBE FIRM:
Version 01/13/2021 Contractor's Bid for Public Works - 13
1•.
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN,'
FORM MWBE-2.1
MWBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring Good Faith Efforts to contact MBEs. It is the bidder's sole responsibility to verify whether any listed
minority or woman business meets the MBE qualifications. Attach additional pages if necessary.
PAGE__I_OF
Project Number: 119-093R MBE Participation Goal 2.6%
Project Name: Southeast Neighborhood Center United Way)
Bidder: The Robert Henry Corporation
By. f Brian S. Henry, President July 13, 2021
(Signature (Title) (Date)
MBE Firm V & R Trucking, Inc.
Owner or Contact at MBE Firm Veda Godette
Telephone: 574-234-1268 Fax: 574-234-0748 Email: rfightingirish@aol.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Hauling Construction Material
RESULTS OF CONTACT WITH THE MBE FIRM:
,No andtf—
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 - 13
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MWBE-2.1
MWBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring Good Faith Efforts to contact WBEs. It is the bidder's sole responsibility to verify whether any listed
minority or woman business meets the WBE qualifications. Attach additional pages if necessary.
PAGE_J _OF��
Project Number: 119-093R WBE Participation Goal 5.1%
Project Name: Southeast Neighborhood Center United Way)
Bidder: The Robert Henry Corporation
By:_ - Brian S.Henry,President July 13, 2021
nature)
(Title)
WBE Firm Electrical Maintenance & Construction
Owner or Contact at WBE Firm Dan Gearhart
Telephone: 269-683-9473 Fax: 269-468-7222 Email: dgearhart@emcelectricalllc.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Electrical Work
RESULTS OF CONTACT WITH THE WBE FIRM:
T[ ,tc.6-iel Goal,
WBE Firm Jackson Demolition Services
Owner or Contact at WBE Finn Dave Jackson
Telephone: 574-542-2871 Fax: Email: jacksons@pwrtc.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Demolition
RESULTS OF CONTACT WITH THE WBE FIRM:
uceaeb Cavo -
Version 01/13/2021 Contractor's Bid for Public Works -14
P °
CITY OF SOUTH BEND k \ o
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN` roti
FORM MWBE-2.1
MWBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring Good Faith Efforts to contact WBEs. It is the bidder's sole responsibility to verify whether any listed
minority or woman business meets the WBE qualifications. Attach additional pages if necessary.
PAGE__OF
Project Number:
119-093R
WBE Participation Goal 5.1%
Project Name: Southeast Neighborhood Center United Way)
Bidder: The Robert Henry Corporation
By:
Brian S. Henry, President July 13, 2021
(Title) (Date)
WBE Firm M.J. Schuetz Insurance Services, Inc.
Owner or Contact at WBE Firm Jenni Waggoner
Telephone: 317-548-3932 Fax: 317-639-6910 Email: jwaggoner@mjsis.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Bonds
RESULTS OF CONTACT WITH THE WBE FIRM:
lZe.LotY QUokc
WBE Firm Montgomery Trucking (1st Class Logistics)
Owner or Contact at WBE Firm Karen Montgomery
Telephone: 260-312-2632 Fax: Email: karenmontgomery56@hotmail.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Hauling Construction Material
RESULTS OF CONTACT WITH THE WBE FIRM:
Zece,ied
Version 01/13/2021 Contractor's Bid for Public Works -14
CITY OF BEND
UTH
MINORITY AND WOMEN BUSINESS ENOTERPRISE INCLUSION PROGRAM PLANye.Ec�E'
W y�'
.IC .•:;;�.a:J
FORM MWBE-2.1'
MWBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring Good Faith Efforts to contact WBEs. It is the bidder's sole responsibility to verify whether any listed
minority or woman business meets the WBE qualifications. Attach additional pages if necessary.
PAGE OF tY
Project Number: 119-093R WBE Participation Goal 5.1%
Project Name: Southeast Neighborhood Center (United Way)
Bidder: The Robert Henry Corporation
BY: %Brian S. Henry, President July 13, 2021
(Si ature) (Title) (Date)
WBE Firm Recreation Insites
Owner or Contact at WBE Firm Melissa Guffey
Telephone: 317-578-0588 Fax: Email: melissag@recreationinsites.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Playground Equipment
RESULTS OF CONTACT WITH THE WBE FIRM:
2ce� v'ed
WBE Firm Ritschard Bros., Inc.
Owner or Contact at WBE Firm Rachelle Dolniak
Telephone: 574-288-4777 Fax: 574-288-5438 Email: ritl204@datacruz.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Demolition, Earthwork, and Site Utilities
RESULTS OF CONTACT WITH THE WBE FIRM:
Version 01/13/2021 Contractor's Bid for Public Works - 14
�. fir•.
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN `
FORM MWBE-2.1�
MWBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring Good Faith Efforts to contact WBEs. It is the bidder's sole responsibility to verify whether any listed
minority or woman business meets the WBE qualifications. Attach additional pages if necessary.
PAGE OF
Project Number: 119-093R WBE Participation Goal 5.196
Project Name: Southeast Neighborhood Center (United Way)
Bidder: The Robert Henry Corporation
By. Brian S. Henry, President July 13, 2021
(Si_ ature) (Title) (Date)
WBE Firm Slusser's Green Thumb Inc
Owner or Contact at WBE Firm John Williamson
Telephone: 574-722-3102 Fax: 574-722-2993 Email: jdw@slussers.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Landscaping Work
RESULTS OF CONTACT WITH THE WBE FIRM:
No &)aP- - woc). S fie. rod 0-ee caable-
WBE Firm State Barricading
Owner or Contact at WBE Firm James Michalski
Telephone: 574-287-2078 Fax: 574-287-1744 Email: statebarricade1 @aol.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Traffic Control
RESULTS OF CONTACT WITH THE WBE FIRM:
We -to Lase -t &em i -wax6ed k pco-ec+-
Version 01/13/2021 Contractor's Bid for Public Works - 14
1
CITY OF SOUTH BEND.,
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN �\\e
FORM MWBE21I J
MWBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring Good Faith Efforts to contact WBEs. It is the bidder's sole responsibility to verify whether any listed
minority or woman business meets the WBE qualifications. Attach additional pages if necessary.
PAGE__S _OF00
Project Number: 119-093R WBE Participation Goal 5.1%
Project Name: Southeast Neighborhood Center (United Wayy
Bidder: The Robert Henry Corporation
By: ,'r Brian S. Henry, President July 13, 2021
(Sign3f'ure) % (Title) (Date)
WBE Firm Traffic Control Specialists, Inc
Owner or Contact at WBE Firm Tracev Triska
Telephone: 574-772-7001
Fax: 574-772-7002
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Email: tracey@tcspecialists.net
Traffic Control
RESULTS OF CONTACT WITH THE WBE FIRM:
No Qua2 — wcof- scA(v— +06 smr-ll A%'*n.-h^W__
WBE Firm V & R Trucking, Inc.
Owner or Contact at WBE Firm Veda Godette
Telephone: 574-234-1268 Fax: 574-234-0748 Email: rfightingirish@aol.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Hauling Construction Material
RESULTS OF CONTACT WITH THE WBE FIRM:
Version 01/13/2021 Contractor's Bid for Public Works - 14
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring Good Faith Efforts to contact WBEs. It is the bidder's sole responsibility to verify whether any listed
minority or woman business meets the WBE qualifications. Attach additional pages if necessary.
PAGE OF
Project Number: 119-093R WBE Participation Goal 5.1%
Project Name: _Southeast Neighborhood Southeast Neighborhood Center (United Way)
Bidder: The Robert Henry Corporation
By: ,
Brian S. Henry, President July 13, 2021
Title) (Date)
WBE Firm Kennedy Expressline, Inc.
Owner or Contact at WBE Firm Marcus Northern
Telephone: 574-876-8881 Fax:
TYPE OF WORK SOLICITED FOR THIS PROJECT
Hauling Construction Material
Email: kennedyexpressline@yahoo.com
RESULTS OF CONTACT WITH THE WBE FIRM:
1eX-(?A-11(5A at e
WBE Firm
Owner or Contact at WBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE WBE FIRM:
Version 01/13/2021 Contractor's Bid for Public Works -14
7`E 1
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MWBE-2.1:
MWBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring Good Faith Efforts to contact WBEs. It is the bidder's sole responsibility to verify whether any listed
minority or woman business meets the WBE qualifications. Attach additional pages if necessary.
PAGE OF
Project Number: 119-093R WBE Participation Goal 5.1%
Project Name: _Southeast Neighborhood Southeast Neighborhood Center (United Way)
Bidder: The Robert Henry Corporation
By: ,
Brian S. Henry, President July 13, 2021
Title) (Date)
WBE Firm Kennedy Expressline, Inc.
Owner or Contact at WBE Firm Marcus Northern
Telephone: 574-876-8881 Fax:
TYPE OF WORK SOLICITED FOR THIS PROJECT
Hauling Construction Material
Email: kennedyexpressline@yahoo.com
RESULTS OF CONTACT WITH THE WBE FIRM:
1eX-(?A-11(5A at e
WBE Firm
Owner or Contact at WBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE WBE FIRM:
Version 01/13/2021 Contractor's Bid for Public Works -14
Document A31 OTM-2010
Conforms with The American Institute of Architects AIA Document 310
Bid Bond
CONTRACTOR: SURETY:
(Name, legal status and address) (Name, legal status and principal place of business)
The Robert Henry Corporation Fidelity and Deposit Company of Maryland
404 S Frances St, PO Box 1407 1299 Zurich Way, 5th Floor This document has important
South Bend, IN 46624-1407 Schaumburg, IL 60196-1056 legal consequences.
Consultation with an attorney is
Mailing Address for Notices encouraged with respect to its
OWNER: completion or modification.
(Name, legal status and address)
Any singular reference to
Ci of South Bend
City
Contractor, Surety, Owner or
227 W Jefferson Blvd
other party shall be considered
South Bend, IN 46601
plural where applicable.
BOND AMOUNT: ***Five Percent (5%) of the Accompanying Bid***
PROJECT:
(Name, location or address, and Project number, if any)
RE -BID of City of South Bend, Southeast Neighborhood Center (United Way),
Dubail and Fellows Street, South Bend, IN
The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind
themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this
Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period
as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with
the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in
the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt
payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the difference, not to exceed the amount of
this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another
party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The
Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the
bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for
acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond
sixty (60) days.
If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be
Subcontractor and the term Owner shall be deemed to be Contractor.
When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in
this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such
statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed
as a statutory bond and not as a common law bond.
Signed and sealed this 13th day of July 2021
The Robert Henry Corporation
(Principal) (Seal)
(Witness) 1
Fidelh and Deposit Company of Maryland
(1 imess) = a�RSEA 1
(Title) Carolyn ggoner, y -in -F
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New
York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by
Robert D. Murray, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which
are set forth on the reverse side hereof and are hereby certified to be in fall force and effect on the date hereof, do hereby nominate,
constitute, and appoint, Vickie L. WOLCOTT, David A. LINTHICUM, Carolyn J. WAGGONER, Michael K
CORCORAN, Stella M. MILLI, Pamela D. CHRISTIANSON and Tiffany T. WILLIAMS, all of Indianapolis, Indiana,
EACH, its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and
deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as
binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the
regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly
elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the
regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their
own proper persons.
The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of
the By -Laws of said Companies, and is now in force.
IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said
ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and
FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 11 th day of July, A.D. 2019.
Y
l-
a=i
mp
ATTEST:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
By: Robert D. Murray
Vice President
By: Dawn E. Brown
Secretary
State of Maryland
County of Baltimore
On this l Ith day of July, A.D. 2019, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, Robert D.
Murray, Vice President and Dawn E. Brown, Secretary of the Companies, to me personally known to be the individuals and officers described in and who
executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is the said officer of
the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and
the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Sea] the day and year first above written.
o,CA..14i►ie 11.1
o•' �Gv;tY m �'
11
CL.
Constance A. Dunn, Notary Public
My Commission Expires: July 9, 2023
EXTRACT FROM BY-LAWS OF THE COMPANIES
"Article V, Section 8, Attomevs-in-Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President
may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies,
recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such
attorney-in-fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any
time."
CERTIFICATE
I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN
CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the
foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of
the By -Laws of the Companies is still in force.
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998.
RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary
and the Seal of the Company may be affixed by facsimile on any Power of Attorney ... Any such Power or any certificate thereof bearing such
facsimile signature and seal shall be valid and binding on the Company."
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of
May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a
meeting duly called and held on the 10th day of May, 1990.
RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature
of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a
certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect
as though manually affixed.
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies,
this 13th day of JUN , 2021 .
(00
Brian M. Hodges, Vice President
TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION
OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT
INFORMATION TO:
Zurich Surety Claims
1299 Zurich Way
Schaumburg, IL 60196-1056
www.re ortsfclaimsu zurichna.com
800-626-4577
1316 COUNTY -CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND, INDIANA 46601-1830
PHONE 574/235-9251
FAx 574/ 235-9171
TDD 574/ 235-5567
CITY OF SOUTH BEND, JAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
Date: July 9, 2021
To: All Planholders
From Anne Fuchs, Clerk, Board of Public Works
Subject Addendum Number: 1
Project Name:
Southeast Neighborhood Center— United Way
Project Number: 119-093R
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: July 8, 2021
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum
by faxing this sheet to the Board of Public Works at (574) 235-9171
within 48 hours of receipt. A copy MUST also be included with your
bid package upon submittal.
THIS ADDENDUM MAY AFFECT YOUR BID.
Notes: See attached revisions and clarifications.
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company:
The Robert Henr
Authorized Signature:
Brian S. Henry, President
Date: July 13, 2021
Version 8/11/2020
THE R OBER T HENRY CORPORATION
Building and Utility Contractors
PART II — SECTION I — EXPERIENCE QUESTIONNAIRE
1. Please see the attached "List of Projects" for projects our organization has completed for the
period of one (1) year.
2. Please see the attached "List of Projects" for projects currently in process of construction by our
organization.
3. Our organization has never failed to complete work awarded to us.
4. References from private firms for which you have performed work:
NAME
COMPANY
PHONE
Mr. Pat Kelly
Gurley Leep
(574) 272-2002
Mr. Steve Sewell
Siemens Healthcare
(346) 213-8149
Ms. Nicole Read
St. Joseph Regional Medical Center
(574) 335-3901
PART II — SECTION II — PLAN AND EQUIPMENT QUESTIONNAIRE
1. A detailed quantity survey has been made from the contract plans and specifications. Sufficient
manpower is available to begin work 10 days to 2 weeks after Notice of Award. We anticipate
completion per plans and specifications.
2. A list of subcontractors will be provided within 24 hours of Notice of Award.
3. A list of subcontractors will be provided within 24 hours of Notice of Award. It is not anticipated
that a bond will be required from subcontractors.
4. All required equipment will be provided for this project.
5. Yes
404 South Frances Street • P.O. Box 1407 • South Bend, Indiana 46624
www.roberthenrycorp.com • Tel. 574-232-2091 • Fax 574-232-3979
MA
THE ROBERT HENRY CORPORATION
FINANCIAL REPORT
(Reviewed)
December 31, 2020 and 2019
Davis & o j tysiak, LLC
CERTIFIED PUBLIC ACCOUNTANTS
INDEPENDENT ACCOUNTANTS' REVIEW REPORT
To the Board of Directors and Stockholders
The Robert Henry Corporation
South Bend, Indiana
We have reviewed the accompanying financial statements of The Robert Henry Corporation (an S
corporation), which comprise the balance sheets as of December 31, 2020 and 2019, and the related
statements of income and other comprehensive income, stockholders' equity and cash flows for the years
then ended, and the related notes to the financial statements. A review includes primarily applying
analytical procedures to management's financial data and making inquiries of Company management. A
review is substantially less in scope than an audit, the objective of which is the expression of an opinion
regarding the financial statements as a whole. Accordingly, we do not express such an opinion.
Management's Responsibility for the Financial Statements
Management is responsible for the preparation and fair presentation of the financial statements in
accordance with accounting principles generally accepted in the United States of America; this includes
the design, implementation, and maintenance of internal control relevant to the preparation and fair
presentation of the financial statements that are free from material misstatement whether due to fraud or
error.
Accountants' Responsibility
Our responsibility is to conduct the review engagement in accordance with Statements on Standards for
Accounting and Review Services promulgated by the Accounting and Review Services Committee of the
AICPA. Those standards require us to perform procedures to obtain limited assurance as a basis for
reporting whether we are aware of any material modifications that should be made to the financial
statements for them to be in accordance with accounting principles generally accepted in the United
States of America. We believe that the results of our procedures provide a reasonable basis for our
conclusion.
Accountants' Conclusion
Based on our reviews, we are not aware of any material modifications that should be made to the
accompanying financial statements in order for them to be in accordance with accounting principles
generally accepted in the United States of America.
Supplementary Information
The supplementary information included in the accompanying Schedules I and II and Comparative
Financial Statistics is presented for purposes of additional analysis and is not a required part of the basic
financial statements. Such information is the responsibility of management and was derived from, and
relates directly to, the underlying accounting and other records used to prepare the financial statements.
The supplementary information has been subjected to the review procedures applied in our review of the
basic financial statements. We are not aware of any material modifications that should be made to the
supplementary information. We have not audited the supplementary information and do not express an
opinion on such information.
Davis & Wojtysiak, LLC
South Bend, Indiana
March 8, 2021