HomeMy WebLinkAboutOpening of Quotes - 2021 Concrete Speed Hump Installations Proj No. 121-076 - Milestone Contractors North, Inc.ti m4
CITY OF SOUTH BEND, INDIANA
YE U;E'
CONTRACTOR'S QUOTE FOR PUBLIC WORK
PROJECT NAME:
PROJECT NO.
QUOTES DUE
2021 Concrete Speed Hump Installations
121-076
October 26, 2021 at 9:00 AM Local Time — electronic quotes
should be submitted to bowbids(&southbend in.gov
(Must be completed for all quotes. Please type or print)
Date: 10/26/2021
Address: 24358 SR 23
Firm: Milestone Contractors North, Inc.
City/State/Zip: South Bend, IN 46614 Telephone Number: ( 574 ) 288-4811
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:
2021 Concrete Speed Hump Installations
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
The City of South Bend, Department of Public Works
and dated 7/20/20 & 10/7/21 for the sum of (enter the Total Quote as shown on the Proposal)
Sixty seven thousand sixty dollars and zero cents
(Enter Sum of Total Quote plus Alternates shown on Proposal)
67, 060.00
(Numerical)
If alternative quotes apply, the undersigned submits a proposal for each in accordance with the notice. Any
addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed, the cost of units must be the same as that shown
in the original contract if accepted by the City of South Bend. If quote is to be awarded on a unit basis, the
itemization of the units shall be shown on a separate attachme .
,,`ontracl`o
rs
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............ ,•2 iB
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♦ p
L00 0 P Q r, (Signature)
_ Dustin P. Hilary, Director of Estimating
SEALn ' ♦ (Printed Name of Person Signing)
r �
bNti ACCEPTANCE
The above quote is accepted this day of 20
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
Version 9/29/2021 Page - 8 Public Works Quote
Murray L. Miller, Member Attest: Anne Fuchs, Clerk
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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.
4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain
any employee or contract with a person that the Contractor subsequently learns is an unauthorized
Version 9/29/2021 Page - 10 Public Works Quote
alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of
Contractor's newly hired employees through the E -Verify Program as defined by I.C. 22-5-1.7-3.
Contractor's documentation of enrollment and participation in the E -Verify Program is included
and attached as part of this bid/quote; and
5. Contractor shall require his/her/its subcontractors performing work under this public
contract to certify that the subcontractors do not knowingly employ or contract with an
unauthorized alien, nor retain any employee or contract with a person that the subcontractor
subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is
participating in the E -Verify Program. The Contractor agrees to maintain this certification
throughout the term of the contract with the City of South Bend, and understands that the City
may terminate the contract for default if the Contractor fails to cure a breach of this provision no
later than thirty (30) days after being notified by the City.
6. Persons, 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). 1 hereby certify that I and all subcontractors employed by me for this project will use steel
Version 9/29/2021 Page -11 Public Works Quote
products or foundry products made in the United States on this project if awarded. I understand I
have an affirmative duty to notify the City in my bid that my proposal does not include the use of
steel products or foundry products made in the United States. I understand it is my sole obligation
and responsibility to provide a justification to the City, subject to review and approval, why the
cost of United States made steel or foundry products is unreasonable. Prior to award and upon
submission of bid which does not use steel products or foundry products made in the United States,
the City, through its director of public works, shall make a determination if the price of United
States made steel or foundry is unreasonable. I understand that violations hereunder may result in
forfeiture of contractual payments.
I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public
works are true and correct.
Dated this 26th day of Oct. , 2021
,tractot., Ai
p `ORY Aif•':�
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'�V4 f Nd' 0, N%`��`
Subscribed and sworn to before me this 26th
My Commission Expires
6/5/22
County of Residence
MilestoP6 Gdntractors North. In
of Contractor/Bidder or Its Agent
Dustin P. Hilary, Director of Estimating
Printed Name and Title
day of October .20 1
Notary Public Alish rueger
LaPorte
Version 9/29/2021 Page - 12 Public Works Quote
ALISHA KRUEGEER
2•NOTkRY f
La Pone Gounly
s
My commission Expires
June 5, 2022 i
Version 9/29/2021 Page - 12 Public Works Quote
'UT
QUOTE/PROPOSAL
1�Ie
CITY OF SOUTH BEND
PROJECT NAME 2021 Concrete Speed Hump Installations
PROJECT NO. 121-076
October 26, 2021 at 9:00 AM Local Time — electronic quotes
QUOTES DUE should be submitted to b wbids south bend i n.q ov
Item
No. Description
1 Speed Hump, Concrete
2 W17-1
3 High Contrast Chevron Pavement
Marking Set
intity
Unit
Unit Price
Total Amount
2
EA
$
$31.100.00
62,200.00
4
E4
$365.00
1,460.00
4
EA
$
$850.00
3A00.00
Total Amount of Quote
$
67-060.00
Firm: Milestone Contractors North, Inc.
Address: 24358 SR 23
City/State/Zip: South Bend, IN 46614 Telephone Number:
11111A Fax Number:
288-4811
��'"(Signature)
rustin P�ustin P. Hil- Director of Estimatingof Estimating
(Printed Name of Person Signing)
Version 9/29/2021 Page -13 Public Works Quote
`o• ��,,....... ,� :°err
°S
fi �p01RATE r
By
i d ]J ••
288-4811
��'"(Signature)
rustin P�ustin P. Hil- Director of Estimatingof Estimating
(Printed Name of Person Signing)
Version 9/29/2021 Page -13 Public Works Quote
CONTRACTOR'S BID FOR PUBLIC WORK - FORM 96
1� State Form 52414 (R212-13) / Form 96 (Revised 2013)
Prescribed by State Board of Accounts
PART
(To be completed for all bids. Please type or print)
Date (month, day, year): 10/26/2021
1. Governmental Unit (Owner): City of South Bend, Indiana
2. County: St. Joseph - -
3. Bidder (Firm):. Milestone Contractors North, Inc.
Address: 24358 SR 23 —
City/State/ZlPcode:_ South Bend, IN 4fQg 4 _
4. Telephone Number: 574-288-481 j
5. 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 City of South Bend. _Indtan�
(Governmental Unit) in accordance with plans and specifications prepared by
The City of South Bend Public Works - Engineering Dept. and dated 7/20/20 & 10/7/21 for the sum of
See Attached _
$ See Attached
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 governmental unit. If the bid Is to be awarded on a unit
basis, the itemization of the units shall be shown on a separate attachment.
The contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee,
or applicant for employment, to be employed in the performance of this contract, with respect to any matter
directly or indirectly related to employment because of race, religion, color, sex, national origin or ancestry.
Breach of this covenant may be regarded as a material breach of the contract.
CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS
(lf applicable)
I, the undersigned bidder or agent as a contractor on a public works project, understand my statutory
obligation to use steel products made in the United States (I.C. 5-16-8-2). 1 hereby certify that I and all
subcontractors employed by me for this project will use U.S. steel products on this project if awarded. l
understand that violations hereunder may result in forfeiture of contractual payments.
ACCEPTANCE
The above bid is accepted this _ day of _ subject to the
following conditions:
Contracting Authority Members:
PART II
(For projects of $150, 000 or more — !C 36-1-12-4)
Governmental Unit: City, of South Bend, Indiana
Bidder (Firm) Milestone Contractors North, Inc. _ _ _
Date (month, day, year)' October 26,_2021
These statements to be submitted under oath by each bidder with and as a part of his bid.
Attach additional pages for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
What public works projects has your organization completed for the period of one (1) year prior to the
date of the current bid?
Contract Amount
9,946,272.00
4,287,140.00
Class of Work
Reconstruction
Resurface : _
Completion
Date Name and Address of Owner
May 2020 INDOT
November 2020 1 Lake County HwyDe}�t
4 1_041874.00 1Resurface
December 2020 St. Joseph County Airport Authority
3 698,954.00
Resurface
October 2020 _i NDOT _
2. What public works projects are now in process of construction by your organization?
Contract Amount
Class of Work
Expected
Completion
Name and Address of Owner
-
6 917,653.00J,
Resurface
Ma 2021
INDOT _
6,716,400.00
Reconstruction _
December2021
i INDOT
5,126,831.00
Reconstruction
November 2021
I INDOT
3,338,539.00
RaconstrucUonlsewer
December 2021
INDOT _
3. Have you ever failed to complete any work awarded to you? _No If so, where and why?
4. List references from private firms for which you have performed work.
Gatlin Plumbing & Heating, Inc. 1111 E. Main St., Griffith, IN Ms. Patti Centrowski
Gough, Inc. 7200 E. 88th Dr., Merrillville, IN Mr. Raymond Gough
Dyer Construction Co., 1716 Sheffield Avenue, Dyer, IN Ms. Janet Furman
Grimmer Construction Co., Inc. 2619 Main St., Hi hland, IN Mr. Greg Grimmer
SECTION 11 PLAN AND EQUIPMENT QUESTIONNAIRE
1 Explain 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 governmental unit to consider your bid.)
As reRuired by owner
2. Please list the names and addresses of all subcontractors (i.e. persons or fines 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.
See attached list _
3. If you intend to sublet any portion of the work, state 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 governmental unit in the event that you subsequently determine that you will use a
subcontractor on the proposed project.
Will supply upon award of contract
4. What equipment do you have available to use for the proposed project? Any equipment to be used by
subcontractors may also be required to be listed by the governmental unit.
See attached list
5. Have you entered into contracts or received offers for all materials which substantiate the prices used In
preparing your proposal? If not, please explain the rationale used which would corroborate the prices
listed.
Yes, we received quotes from potential subcontractors and suppliers
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 governing body awarding the contract must be specific enough in detail so that said governing body can make
a proper determination of the bidder's capability for completing the project if awarded.
SECTION IV CONTRACTOR'S NON — COLLUSION AFFIDAVIT
The undersigned bidder or agent, being duly swom on oath, says that he 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 include 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.
He 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.
SECTION V OATH AND AFFIRMATION
I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION
CONTAINED IN THE FOREGOING BID FOR PUBLIC WORKS ARE TRUE AND CORRECT.
Dated at South Bend this 2' _ day of October__ , 2021
♦���`,%tracto
.o g
N ; �p4P0RA ';� —
'V%. SEAL
STATE OF Indiana
) ss
COUNTY OF St. Joseoh� ?
North, Inc.
(Name of organization)
Director of Estimatin
(Tide o€Person Signing)
ACKNOWLEDGEMENT
Before me, a Notary Public, personally appeared the above-named Dustin P. Hilary
swore that the statements contained in the foregoing document are true and correct.
Subscribed and sworn to before me this _26th
My Commission Expires: 6/5/22
County of Residence: LaPorte
day of ,_._—October _ , 2021
and
4"N46,yP�,bfi�ashaeger
4Fo P Y^�6n
�ALISHA KRUEGER
" NOTARY =
LaPorte County
.,5 :2==
My Commission Expires
of "°s
June 5, 2022
Part of State Form 52414 (R212-13)! Form 96 (Revised 2013)
BID OF
Milestone Contractors North, Inc.
(Confrador)
24358 SR 23
- (Address)
South Bend, IN 46614
FOR
PUBLIC WORKS PROJECTS
OF
City of South Bend, Indiana
2021 Concrete Speed Hump Installations_
Project No. 121-076
Filed October 26th 2021
r
Action taken
General Form No. 96-a
Prescribed by the State Board of
Accounts of Indiana. Revised 1949.
Standard Questionnaires and
Financial Statement for Bidders
Prescribed by
THE STATE BOARD OF ACCOUNTS OF INDIANA
For use in investigating and determining the qualifications of bidders on public
construction when the aggregate cost of any such work or improvement will be Five Thousand
Dollars or more.
These statements to be submitted under oath by each bidder with and as a part of his bid, as provided
by Chapter 306, page 1248, Acts of 1947
Submitted to City of South Bend, Indiana
By Milestone Contractors North, Inc.
Address 1700 E. Main St Griffith IN 46319
Date submitted October 26 2021
Filed
A.E. BOYCE CO., MUNCIE, IND.
1
fA Corporation
Sec. 2 of an Act entitled `ANACT concerning the awarding of contracts for the performance of public work and authorizing
the board of accounts to prescribe certain forms to be used in ascertaining the responsibility of contractors who submit bids for the
performance of such work, providing for plans and specifications, providing for bids repealing certain laws and declaring an
emergency." (Approved March 13, 1947.)
Sec. 2. Whenever the aggregate costs of any work or improvement will be five thousand dollars ($5,000.00) or more, for the
purpose of enabling such board, commission, trustee, officer or agent to ascertain and determine which of the bidders submitting
bids for the performance of any such public work is, in the judgment of such board, commission, trustee, officer or agent, the lowest
and/or best bidder and to exercise intelligently the discretion hereby conferred on such board, commission, trustee, officer or agent
each bidder shall be required to submit under oath with and as a part of his bid a statement of his experience, his proposed plan for
performing such work and the equipment which he has available for the performance of such work and a financial statement. The
statements hereby required shall be submitted on forms which shall be prescribed by the state board of accounts. The forms so
prescribed shall be designated, respectively, as the experience questionnaire, the plan and equipment questionnaire and the
contractor's financial statement, and shall be based, so far as applicable, on the standard questionnaires and financial statement for
bidders as approved and recommended by the joint conference on construction practices, for use in investigating the qualifications
of bidders on public construction work, and the forms so prescribed are hereby prescribed as the forms which shall hereafter be
used by all such boards, commissions, trustees, officers and agents in obtaining the information which is required in the
administration of this act. If the information submitted by any bidder on the forms herein prescribed is found, on examination, to
be unsatisfactory, the bid submitted by such bidder shall not be considered. (Bums Statutes 1933, Sec. 53-109) Sec. 2, Chapter 306,
Acts of 1947.
TO THE BEDDER—
The following forms of questionnaires and financial statement are prescribed by the State Board of
Accounts in conformity with the statute set out on the preceding page.
These forms, properly filled out and attested, must accompany each bid of five thousand dollars or
more on any public work.
The forms are designed to cover all contracts for all kinds of work and the bidder is required to answer
such questions as are pertinent to the work upon which he is bidding. The purpose of the questionnaire and
financial statement, as set forth in the law, is to enable the awarding body to determine the qualifications
of the bidder to carry out successfully the contract if the same is awarded to him.
The bidder will find it to his advantage to answer fully all questions coming within the range of the
work upon which he is bidding. Particular attention should be given the "Financial Statement" and the
details relative to the assets and liabilities set out. This form is made in extensive detail so that the bidder
may explain his assets and liabilities in proper sequence and in a uniform manner.
T. M. B INDMAN,
State Examiner
The undersigned hereby declares that the foregoing is a true statement of the financial condition of the individual, co -partnership
or corporation herein first named, as of the date herein first given; that this statement is for the exp urpose of inducing the party to
whom it is submitted to award the submittor a contract; and that any depository, vendor or oth ag cy em named is hereby authorized
to supply such party with any information necessary to verify this statement.
NOTE: A co -partnership must give firm name and signatures of all
partners. A corporation must give full corporate name, signature of official
and affix corporate seal.
"V a c tors
r
pFtP 0 RA?F a
Affidavit for Individual •
STATE OF ` • SEAL n
COUNTY OF { ss: ���� ' . • ���:
being duly sworn, deposes
foregoing financial statement, taken from his books, is a true and accurate statement of his financial condition as of the date thereof and
that the answers to the foregoing interrogatories are true.
(Applicant must sign here)
Subscribed and sworn to before me this
day of 20
Notary Public
STATE OF
COUNTY OF
t ss
Affidavit for Co -Partnership
being duly sworn, deposes and says that he is a
member of the firm of _; that he is familiar with the books of the said
firm showing its financial condition; that the foregoing financial statement, taken from the books of the said firm , is a true and accurate
statement of the financial condition of the said firm as of the date thereof and that the answers to the foregoing interrogatories are true.
Subscribed and sworn to before me this
day of 20
Notary Public
(Member of firm must sign here)
Affidavit for Corporation
STATE OF Indiana
{COUNTY OF _Lake ss
Gregory A. Hoffman _ being duly sworn, deposes and says that he is 1
Contractors North, Inc. the corporation described in and which executed the
of the said corporation showing its financial condition; that the foregoing financial
is a true and accurate statement of the financial condition of said corporation as of -t
interrogatories are true.
Subscribed and sworn to before me this
26 . y 09jober, 4)j 1.
Alish eger, Notary Public
15
�EAimating of the Milestone
tatement; that he is familiar with the books
taken from the books of the said corporation,
Kof and th;atthe answers to the foregoing
must sign here) Dustin P. Hilary,
VORAre
- ami: �•� t3
:. SEAL ^
,''`��i�i •bty V IGO %%N���,
�iirnln��
AL1S11A KRUE(NR
y ' ,
La Porte County
5E�
My Commission Expires
a
�OFi;;�;"•e
I
June 5, 2,022
15
�EAimating of the Milestone
tatement; that he is familiar with the books
taken from the books of the said corporation,
Kof and th;atthe answers to the foregoing
must sign here) Dustin P. Hilary,
VORAre
- ami: �•� t3
:. SEAL ^
,''`��i�i •bty V IGO %%N���,
�iirnln��
State of Indiana
Office of the Secretary of State
CERTIFICATE OF EXISTENCE
To Whom These Presents Come, Greeting:
I, HOLLI SULLIVAN, Secretary of State of Indiana, do hereby certify that I am, by virtue of the laws of
the State of Indiana, the custodian of the corporate records and the proper official to execute this
certificate.
I further certify that records of this office disclose that
MILESTONE CONTRACTORS NORTH, INC.
duly filed the requisite documents to commence business activities under the laws of the State of
Indiana on March 29, 1966, and was in existence or authorized to transact business in the State of
Indiana on September 30, 2021.
I further certify this Domestic For -Profit Corporation has filed its most recent report required by
Indiana law with the Secretary of State, or is not yet required to file such report, and that no notice of
withdrawal, dissolution, or expiration has been filed or taken place. All fees, taxes, interest, and
penalties owed to Indiana by the domestic or foreign entity and collected by the Secretary of State
have been paid.
rats
In Witness Whereof, I have caused to be affixed my
signature and the seal of the State of Indiana, at the City
of Indianapolis, September 30, 2021
HOLLI SULLIVAN
SECRETARY OF STATE
r
194484-057 / 20212229525
All certificates should be validated here: https://bsd.sos.in.gov/ValidateCertificate
Expires on October 30, 2021.
State of Indiana
Office of the Secretary of State
Certificate of Amendment
of
WALSH & KELLY INC
I, CONNIE LAWSON, Secretary of State, hereby certify that Articles of Amendment of the above
Domestic For -Profit Corporation have been presented to me at my office, accompanied by the fees
prescribed by law and that the documentation presented conforms to law as prescribed by the
provisions of the Indiana Code.
The name following said transaction will be:
MILESTONE CONTRACTORS NORTH, INC.
NOW, THEREFORE, with this document I certify that said transaction will become effective Monday,
February 01, 2021.
In Witness Whereof, I have caused to be affixed my
signature and the seal of the State of Indiana, at the City
of Indianapolis, February 01, 2021
&m4ci.� 0%-41"ftm
a ONNiE I Alh",c_rr•:
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194484-057; 88787.19
f'n:LIF E t 11 CiftifiCATI - alydrty. go to https.+;bsd-sos rn.govjPublrc9usinessSearch
State of Indiana
Office of the Secretary of State
Certificate of Assumed Business Name
of
MILESTONE CONTRACTORS NORTH, INC.
I, CONNIE LAWSON, Secretary of State, hereby certify that a Certificate of Assumed Business Name of the
above Domestic For -Profit Corporation has been presented to me at my office, accompanied by the fees
prescribed by law and that the documentation presented conforms to law as prescribed by the provisions
of the Indiana Code.
Following said transaction, the above named entity will transact business under the assumed business
name(s) of-
WALSH & KELLY
NOW, THEREFORE, with this document I certify that said transaction will become effective Monday,
February 01, 2021.
In Witness Whereof, I have caused to be affixed my
signature and the seal of the State of Indiana, at the City of
Indianapolis, February 01, 2021,
CONNIE LAWSON
SECRETARY Of STATE
194484-057 % 8878234
To ensure the certificate's validity, go to https://bsd.sos.rn.gov/PublicBusinessSearch
CERTIFICATE OF QUALIFICATION
to provide
CONSTRUCTION SERVICES
for
PUBLIC WORKS PROJECTS
to the
STATE OF INDIANA
This Certification Board, having duly considered application for qualification in terms of apparent experience and financial
resources; and under the applicable Indiana Code 4-13.6-4 and adopted rules of this Board, hereby issues a
Certificate of Qualification to provide construction services to the State of Indiana for Public Works Projects to:
WALSH - KELLY INC
1700 E MAIN ST
GRIFFITH IN 46319
Phone 219-924-5900
Fax 219-924-8768
Company Official
JOHN PEISKER
for the twenty-seven month period stated herein, unless revoked by this Board for cause,
and in the classifications of services stated below. This certificate supercedes any previous certificate.
1611.01 Concrete Construction of Roads & Curbing
1611.02 Asphalt Construction of Roads and Parking Lots
CERTIFICATION DATE 11/4/2020
EXPIRATION DATE 2/4/2023
THIS CERTIFICATE ISSUED BY THE STATE OF INDIANA, PUBLIC WORKS DIVISION CERTIFICATION BOARD,
402 WEST WASHINGTON STREET, ROOM W467, INDIANAPOLIS, INDIANA 46204,
ALSO ACTS AS THE OFFICIAL NOTICE OF EXPIRATION.
Tracy L. Cross, ExePutive Secretary
Certification Board
DAPW PQ2 State Forth 3983R Rev. 07106
WRITTEN CONSENT TO RESOLUTIONS
of the
BOARD OF DIRECTORS
of
MILESTONE CONTRACTORS NORTH, INC.
The undersigned, being all of the Directors of MILESTONE CONTRACTORS NORTH, INC., an
Indiana Corporation, hereby consent to the following actions to be taken by the Corporation without a
meeting of the Board of Directors under the applicable provisions of the Indiana Business Corporation Law,
as amended:
RESOLVED that the following be, and hereby are, elected officers of the Corporation, to
hold the office until the next regular meeting of the Board of Directors and until their
successors are duly elected and have qualified:
Todd A. Fawver President
Charles Potts Jr.
Chief Operating Officer, Construction
John P. Vercruysse
Executive Vice President
Mark Andrews
Executive Vice President
David L. Franz
Vice President
John M. Peisker
Vice President, Production
Patrick J. Walters
Vice President, Finance
Brad McCall
Vice President, Estimating
Derek Merida
Vice President, Bridge Operations
David M. Kozyra
Vice President/Area Manager Griffith
Lynn J. Bauer
Vice President/Area Manager South Bend
Danielle Payne
Assistant Controller, Secretary and Treasurer
RESOLVED FURTHER that the above officers be, and they hereby are, authorized to
execute all contracts or similar documents on behalf of the Corporation. In addition to
the above officers the following are hereby appointed as authorized signers on behalf
of the Corporation:
David J. Misirly Senior Estimator
Gregory A. Hoffman Director of Estimating, Griffith
Dustin P. Hilary Director of Estimating, South Bend
Mark E. Krachenfels Construction Manager
RESOLVED FURTHER that the actions of the Officers of the Corporation taken since
the last meeting of the Board of Directors be, and the same hereby are, fully ratified
and approved.
RESOLVED FURTHER that this consent shall be in lieu of an annual meeting of the Board
of Directors of the Corporation and shall be filed in the minute book of the Corporation in
place of any such annual minutes.
<<SIGNATURES ON THE NEXT PAGE>>
EXECUTED this 26b day of August, 2021.
Z11-4 YA'7�- -
Fred Fehsenfeld, Jr.
Geoffrey C. Dillon
James ehsenfeld
J P. Vercruysse
F,il Milestone
EQUAL EMPLOYMENT OPPORTUNITY/
AFFIRMATIVE ACTION POLICY STATEMENT
It is the policy of Milestone Contractors to afford equal opportunity for employment to all individuals regardless of
race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, housing status, or
veterans' status. The corporation is committed to this policy by our status as a federally assisted government
contractor. We are far more strongly bound to the policy by the fact that adherence to the principles involved is the
only acceptable American way of life. Therefore, it is the policy of this corporation to assure that applicants are
employed, and that employees are treated during employment without regard to race, color, religion, sex, sexual
orientation, gender identity, national origin, age, disability, housing status, or veterans' status. Such action shall
include: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or
termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship, pre -
apprenticeship, and/or on-the-job training.
The successful achievement of a nondiscriminatory employment program requires a maximum of cooperation
between management and employees. In fulfilling its' part in this cooperative effort, management is obliged to lead
the way by establishing and implementing affirmative procedures and practices which will ensure our objective,
namely equitable employment opportunity for all. (Minority and female employees are encouraged to participate
in all company activities and refer applicants.)
I have designated Margaret Garner to direct the establishment of and to monitor the implementation of personnel
procedures to guide our affirmative action program. This official is charged with designing and implementing audit
and reporting systems that will keep management informed on a regular basis of the status of equal employment
opportunity and affirmative action. She can be reached at (317)616-4937.
Supervision has been made to understand that their work performance is being evaluated based on their equal
employment opportunity efforts and results, as well as other criteria. It shall be a responsibility of the supervision
to take actions to prevent harassment of employees placed through affirmative action efforts.
We shall comply with the Civic Rights Act of 1964, as amended, the Federal Highway Act of 1968, the Executive Order
#11246 and #11375, the Rehabilitation Act of 1973, as amended, the Vietnam Era Veterans Readjustment Assistance
Act of 1974, as amended, the Indiana Civil Rights Act and other applicable Federal and State Laws and regulations
pertaining to equality of Opportunities and Affirmative Action policies. We have developed an Affirmative Action
Program for Veterans and Individuals with Disabilities.
G Po s, Chief Operating Officer
Margaret Garner, HR Area Partner/EEO Officer
February 2021
EOE AffNets/Disabled
P,i\ milestone
DATE: February 26, 2021
TO: All Employees
RE: EEO Officer Appointment
Margaret Garner has been appointed Equal Employment Opportunity Officer for Milestone
Contractors. It is her responsibility to coordinate, advise and assist management and
supervisors in their responsibilities of assuring all applicants and employees' equal
opportunities in all aspects of their employment. She will review complaints that allege
discrimination because of race, religion, color, sex, sexual orientation, gender identity, age,
national origin, disability, housing status or veteran status.
Employees of Milestone Contractors are to submit any issues or concerns to Margaret. We are
committed to comply with the provisions of the Civil Rights Act of 1964 and 1991, plus all
Executive Orders issued relating to Equal Employment.
Margaret's contact information is listed below.
Milestone Contractors
7661 N Perimeter Rd, Suite 200
Indianapolis, IN 46241
mgarner@milestoneip.com
(317)616-4937
r
Ci Potts, Chief Operating Officer
EOE M/FYVets/Disabled
amines of qutaim-atto
LSSUED BY
i� f Ts
INDIANAPOLIS, IN May 20, 2021
TO
MILESTONE CONTRACTORS NORTH, INC.
GRIFFITH, IN
who has tiled with the Department a Contractor's Staternet t of F_xperierlcs and Financial Condib n as
Wired txtider lrMctiana sCo[fe 8-23 1D, is hereby qualifteci bid at an/ Department of Transportation
lettirrlg Claves of Work and within the amount arxl other lirrtrithtI of each classification as listed
betas fcr such f►erind as tNs work on hanri frnm aN sour -es does not exceed the AW e(ple
amount CYasstficaliat or es by rtarr : or syrobot are in accordance with the definitions in the
Contractor's Statement of Fxperierce arxi Finar+c l C ed ion. TJ s cediftalle supersedes any poet icate
pterriottsty isstred, but is submit to re�nsion or re;ocati0r► accr�rding to the law. I and when cthanges
in the finan+ciai condition of the contracting firm or othEr facts justly such revision or revocation.
Valid May 19, 2021 Thru September 30, 2022
Aggregate Bidding Capacity: 552,167,000.00
A(B) CONCRETE PAVEMENT: LIMITED................................................................................... $25,000,000.00
B(A) ASPHALT PAVEMENT: W/INDOT CERTIFIED HMA PLANT ............................................. $99,999,999.00
C(B) LIGHT GRADING............................................................................................................... $99,999,999.00
E(E) SMALL STRUCTURES AND DRAINAGE ITEMS.............................................................. $25,000,000.00
E(F) SURFACE MASONRY AND MISCELLANEOUS CONCRETE ........................................... $50,000,000.00
E(G) TRAFFIC CONTROL: PAVEMENT MARKINGS................................................................ $25,000,000.00
E(H) DEEP SEWER AND/OR EXCAVATION.............................................................................. $25,000,000.00
E(Q) CONCRETE PAVEMENT: REPAIRS.................................................................................. $25,000,000.00
E(R) ASPHALT PAVEMENT MILLING....................................................................................... $50,000,000.00
PREQUAUFICAMONERIMMEER
SA*hxMWM(A31S-0!�
C0lAtMtSBM MER
PREQUALIFICATION WORKSHEET
PRINTED: 05/20/2021
ACCOUNT M 351120685 VALID: 05/19/2021
NAME: Milestone Contractors North, Inc. EXPIRES: 09/30/2022
APPLICATION TYPE: New AUDITOR APPROVED: 0511212021
FINANCIAL STATEMENT TYPE: Audit ANALYST APPROVED: 05/19/2021
FINANCIAL STATEMENT DATE: 12/31/2020 PREQUALIFICATION APPROVED: 05/20/2021
ASSETS REPORTED
LIABILITIES REPORTED
NET ASSETS REPORTED
CURRENT
$45,301,075.00
$15,307,087.00
$29,993,988.00
NET FIXED ASSETS
$279,489,810.00
NET FIXED ASSETS EQUIPMENT
------------------------------------
$0.00
-- --------------
NET ACCEPTABLE ASSETS
$27,948,981.00
RATING FACTORS
X10
-------- -- ---- ----- ---------
RATING COMPONENTS
- --
$279,489,810.00
EXPER. REDUCTION
x 1.5
MAXIMUM EQUIPMENT
$419,234,715.00
$262,136,992.00
+ $279,489,810.00
--------------------
$541,626,802.00
X 0.25
------------------
FIXED
$11,290,806.00
$16,142,099.00
$(4,851,293.00)
EQUIPMENT
$32,767,124.00
---------------
$32,767,124.00
- - --- ----
$0.00
-------- --------------
$5,270,157.00 $32,767,124.00
X2 X8
$10,540,314.00 $262,136,992.00
$262,136,992.00
$0.00
8
$0.00
+ $5,270,157.00
-- - -------------
$5,270,157.00
X2
MAXIMUM FIXED $135,406,701.00 ADJUSTED FIX. $10,540,314.00
--------- .. .
------------------ -- -- — ..------------
BALANCE SHEET ANALYSIS
COMPONENT RATING
CURRENT
$279,489,810.00
FIXED
$10,540,314.00
EQUIPMENT
-- -
$262,136,992.00
------------------
---------- --- ---- —
MAXIMUM BALANCE
$552,167,116.00
STATEMENT TYPE
Audit
EXPER. REDUCTION
0.00%
AGG. BIDDING CAPACITY
$552,167,000.00
CURRENTASSETS:
$45,301,075.00
CURRENT RATIO:
2.96
------------- --
INVENTORY:
--------------
$5,215,421.00
QUICK RATIO:
2.62
--- -----
-------------------
CURRENT LIABILITIES:
- - -- ------------------------------
$15,307,087.00
WORKING CAPITAL:
- --------
$29,993,988.00
---- ------------------
LONG TERM LIABILITIES:
..................
$16,142,099.00
-- -------- - - --------
DEBIT/ NET WORTH:
---
0.54
--------
---------------
NET WORTH:
--------------
$57,909,819.00
---------------- - -- — ---- ----------------
ACCOUNTS RECEIVABLE TURNOVER:
- ----------- ----------------- ---
8.63
-------------------
TOTAL LIABILITIES:
--------------------------
$31,449,186.00
ACCOUNTS RECEIVABLE/TOTAL CURRENTASSETS:
---------- - --- --- - -------- ---------------
0.38
---------
----- -- -----
- -
ACCOUNTS PAYABLE/TOTAL CURRENT LIABILITIES:
------- - --- --- ----------------------------------
0.30
------ --
RECEIVABLES/PAYABLES:
3.74
---------------------
DAYS IN ACCOUNTS RECEIVABLE:
42.27
ADJUSTMENTS
Line Item # - Description
Current
Adjustment Amount
Fixed Equipment
11 Detail is not Clear
$(38,221.00)
$0.00 $0.00
16 Omit Goodwill
$0.00
$(1,138,640.00) $0.00
17 Due after 24 Months
$0.00
$12,033,636.00 $0.00
99 Omit Affiliates
$(2,780,332.00)
99 Reclassify to Current
$1,274,516.00
$(1,274,516.00)
99 To 16 Long Term
$(500,970.00)
$500,970.00
Page 1 of 2
ACCOUNT #: 351120685
NAME: Milestone Contractors North, Inc.
APPLICATION TYPE: New
FINANCIAL STATEMENT TYPE: Audit
FINANCIAL STATEMENT DATE: 12/31/2020
WORK TYPES
Code
Description
Approved Amount
A(b)
CONCRETE PAVEMENT: LIMITED
$25,000,000.00
B(a)
ASPHALT PAVEMENT: W/INDOT CERTIFIED HMA PLANT
$99,999,999.00
C(b)
LIGHT GRADING
$99,999,999.00
E(e)
SMALL STRUCTURES AND DRAINAGE ITEMS
$25,000,000.00
E(f)
SURFACE MASONRY AND MISCELLANEOUS CONCRETE
$50,000,000.00
E(q)
TRAFFIC CONTROL: PAVEMENT MARKINGS
$25,000,000.00
E(h)
DEEP SEWER AND/OR EXCAVATION
$25,000,000.00
E(q)
CONCRETE PAVEMENT: REPAIRS
$25,000,000.00
E(r)
ASPHALT PAVEMENT MILLING
$50,000,000.00
VALID: 05/19/2021
EXPIRES: 09/30/2022
AUDITOR APPROVED: 05/1212021
ANALYST APPROVED: 05/19/2021
PREQUALIFICATION APPROVED: 05/2012021
Page 2 of 2