HomeMy WebLinkAboutOpening of Bids - Morris Performing Arts Center - Main Level Slab Replacement Proj No. 121-029A - The Robert Henry Corp.CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name Morris Performing Arts Center - Main Level Slab Replacement
Project No.
For Bids Due
Date:
Address:
City/State/Zip:
121-029a
December 14, 2021
PART I
(Must be completed for all bids. Please type or print)
12/14/2021
404 S. Frances St.
South Bend, IN 46617
Bidder (Firm): The Robert Henry Corporation
Telephone Number: ( 574 ) 232-2091
Agent of Bidder (if Applicable): John Callan
Pursuant to notices given, the undersigned offers to furnish
public works project of:
labor and/or material necessary to complete the
Morris Performing Arts Center - Main Level Slab Replacement - Project No. 121-029a
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
Frost Engineering & Consulting
and dated November 19, 2021 for the sum of (enter the Total Bid as shown on the Proposal)
One rvlSlhan,rthce e1��ndt
�'T-A�� TwaThe+�axt�J , C` _ "- %". ($ 1.374, !58.0a
(Enter sum ofase-Bid plus Alternates shown on Proposal) (Numerical)
N
�k '�d1�a.[S ar too flop
U e undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in
the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance
with the notice. Any addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed, the cost of units must be the same as that
shown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a unit
basis, the itemization of the units shall be shown on a separate to ent.
By
(Signa )
Brian S. Henrv. President
(Printed Name 4 Person Signing)
ACCEPTANCE
The above bid 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
Murray L. Miller, Member Attest: , Clerk
Version 09/29/2021 Contractor's Bid for Public Works - 2
BID/PROPOSAL
CITY OF SOUTH BEND
Project Name: Morris Performing Arts Center - Main Level Slab Replacement
Project Number: 121-029a
For Bids Due: December 14, 2021
Contractor Name: The Robert Henry Corporation
BASE BID
Item
No.
Description
Quantity
Unit
Unit Price Total Amount
1.1
CPM Schedule
1
LS
Q,6Q0- 0 a,CQ0 •d0
2.1
Preconstruction Video
1
LS
(Q,3?0. (o,380•40
3.1
Utility Allowance
1
LS
$10,000.00 $10,000.00
4.1
Protection of the Existing Structure
1
LS
&,1.300.06 J . 310,33X-00
5.1
Construction Engineering
1
LS
�) I I,�oQ,aD 11 j QeD. C6
6.1
Common Excavation
152
CYS
*H,yBa
7.1
Structure Backfill
38
CYS
(.0(co-60
Chair Removal
1
LS
(�1,-7�rir00 (QI �•�
9.1
Slab on Grade — Remove and Replace
530
SYD
577 5 3140,Y/0.00
10.1
Air Duct Trench — Remove and Replace
340
LFT
11.1
Cable Trough
182
LFT
o190•Cb $a� %�7.
12.1
Return Air Grilles
109
EA
&ly&7.4U J5 413 0)ZIM
13.1
Electric — Remove and Replace
1
LS
(GQ 1W•60 S Val I_ --b5.60
14.1
Architectural Features and Finishes
1
LS
3g,ysa 5 (31p,Y5D•
15.1
Elevated Seating Platforms
1
LS
,�3 o`iGS 3 004
i
16.1
Mobilization & Demobilization (5% Max)
1
LS
I ,d90.
Bidder (Firm): The Robert Henry Corporation
Address: 404 S. Frances St.
City/State/Zip: South Bend, IN 46617 Telephone Number:
By
BASE BID TOTAL ,3r%o�• 18�•�
574 ) 232-2091
R�
Brian S. Henry, PresideA, t
(Printed Name of Person Signing)
Version 09/29/2021 Contractor's Bid for Public Works - 7
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
RESPONSIBLE BIDDER CHECKLIST
Project Name Morris Performing Arts Center - Main Level Slab Replacement
Project No. 121-029a
For Bids Due December 14, 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 10/13/2021 General Conditions - 10
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 10/13/2021 General Conditions - 11
PRE -QUALIFIED BIDDER CHECKLIST
(a) Acknowledgements:
(i) X By checking this box, I hereby acknowledge that I am a pre -qualified bidder with
the City of South Bend and that I have met the pre -qualification requirements within
the last twelve (12) months. A copy of my Pre -Qualification verification letter
is attached.
(ii) X By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided by me, and may also conduct random inquiries of my current and prior
customers.
(b) Attachments:
(i) X Indiana Secretary of State's on-line records (ie. Business verification) dated within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State's Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
proprietors or partnerships).
(ii) X Statement on staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work. It
outlines how I intend to meet the staffing needs of the work.
(iii) X List of projects of similar size and scope of work performed in all areas, including
the State of Indiana, within the last three (3) years.
(iv) X For every project, submit evidence of participation in apprenticeship and training
programs, applicable to the work to be performed on the project, which are
approved by and registered with the United States Department of Labor's Office of
Apprenticeship, or its successor organization.
Version 10113/2021 General Conditions -12
II. PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED)
(a) Acknowledgements:
(i) _ By checking this box, I hereby acknowledge that I am not a pre -qualified bidder
with the City of South Bend.
(ii) _ By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided, and may also conduct random inquiries of my current and prior
customers. The City reserved the right to utilize all information provided in this
submission and all information obtained in inquiries or requests to determine if a
bidder is responsive and responsible. Additionally, I acknowledge that all
information provided to the City shall be regarded as public records.
(iii) _ By checking this box, I hereby acknowledge that copies of all Applicable
apprenticeship certificates or standards for training programs applicable to the
work performed on the project may be requested at any time and shall be furnished
upon request.
(iv) _ By checking this box, I hereby acknowledge and ensure that I and all sub-
contractors, from whom I have accepted a bid and/or intend to hire to perform work
on the public work project, are properly licensed. Furthermore, I acknowledge my
understanding that it is my responsibility to ensure that all sub -contractors have
the necessary licenses to undertake the work called for in this bid. If a sub-
contractor loses their license at any point, it is the responsibility of that sub-
contractor to notify the City.
(b) Attachments:
(i) _
Indiana Secretary of State's on-line records (ie. Business verification) dated within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State's Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
proprietors or partnerships).
List identifying all former business names.
(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 10/13/2021 General Conditions - 13
(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: Tuesday, December 14, 2021
(Sign Here)
Brian S. Henry, President
(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 10/13/2021 General Conditions -14
CITY OF SOUTH BEND JAMES MUELLER, MAYOR
DEPARTMENT OF PUBLIC WORKS
ERIC HORVATH, DIRECTOR
October 19, 2021
Jenna Grisham
The Robert Henry Corporation
i grishamnroberthenrycoM.com
RE: Pre -Qualification Verification
Dear Ms. Grisham:
This letter serves as verification of Pre -Qualification status of your company for bidding
with the City of South Bend. This Pre -Qualification status is effective for twelve (12)
months from the date of this letter. Thereafter you are required to re -submit a complete
application for continuation of pre -qualification status prior to December 31 for the
upcoming calendar year.
A copy of this Verification Letter must be included with every bid exceeding $150,000
submitted to the City of South Bend Board of Public Works, along with your Pre -Qualified
Bidder Checklist and attachments.
If you have any further questions regarding this matter, please call this office at (574) 235-
9251.
Sincerely,
Liz Horvath, Permit Manager
BUSINESS INFORMATION
HOLLI SULLIVAN
INDIANA SECRETARY OF STATE
12/14/202106:54 AM
RUS43e 4 Details
, l
Business Name: THE ROBERT HENRY CORPORATION
Entity Type: Domestic For-Prof€t Corporation
Creation Date: 08/01/1974
Principal Office Address: 404 S FRANCES STREET, SOUTH
BEND, IN, 46624, USA
Foreign Legal Name:
Jurisdiction of Formation:
Business ID: 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
I?rgistered .hent Infrjr-mation
Type: Individual
Name: STEPHEN HENRY
Address: 404 S FRANCES ST, SOUTH BEND, IN, 46617 - 0000, USA
THE R OBER T HENR Y CORPORA TION
Building and Utility Contractors
December 14, 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,
fV7 -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
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60,950
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1019002 The Redmond Company
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1019001 The Redmond Company
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1019050 St. Joseph Regional Medical Center
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217928 Gilbane Building Company
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1019051 American Electric Power
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1019008 Lewis Cass Intermediate School
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1019010 Siemens Healthcare Diagnostics
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1020002 St. Joseph Regional Medical Center
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1019003 Lighthouse Point Condo Assoc
Lighthouse Point Tower Repairs
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$
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1019029 Siemens Healthcare Diagnostics
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1019023 Washington Square Development
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$
134,337
1019041 Town Of Shipshewana
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544,500
1020005 Michiana Area Construction Ind
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1019039 C&E Excavating, Inc.
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$
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1020001 Siemens Healthcare Diagnostics
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1020019 Trinity Health
Wellness & Weight Management
Jan -21
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1020013 Elkhart Plastics, Inc.
Elkhart Plastics Site Concrete
Aug -20
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1020014 Siemens Healthcare Diagnostics
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1020006 City Of Mishawaka
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1021005 Ivy Tech Community College
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1021009 Trinity Health
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1019052 St. Joseph County Parks Fndn
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1020008 St. Joseph County Public Library
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1021010 Ivy Tech Community College
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1021029 AEP: American Electric Power
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1021001 HRP Construction Inc
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1021032 City Of South Bend
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INDIANA/KENTUCKY/OHIO REGIONAL COUNCIL OF CARPENTERS AWWRNL
JOINT APPRENTICESHIP AND TRAINING FUND
711 GREENWOOD SPRINGS DRIVE
GREENWOOD, IN 46143 0
ADMIMTRATION OFFICE
711 Gmenwood Springs Drive
Greenwood, IN 46143
Phone: 317-807-1112
Fax: 317-807-1115
Ashland Campus
574 Carpenters way
October 30, 2020
Qraysm, KY 41143
Phone: 606-929-1362
Fax: 606-929-5319
Indianapolis Campus
To Whom It May Concern:
711 Greenwood Springs Drive
Director of Education
Greenwood, IN 46143
IKORCC JATF
Phone; 317-807-1116
Fax: 317-807-1131
Please allow this letter to serve as verification that the Robert Henry
Corporation has been a good standing contributor/participant with the
Lafayette opus
2953 South Cressy Lane
Indiana/Kentucky/Ohio Regional Council of Carpenters Joint Apprenticeship
Lafayette, IN 47905
and TrainingFd for at least 3 consecutive and is thereby authorized to
uneascoyears y
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: 502-366-9668
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
Bastecourt
Pleasefeel free to contact our office with any additional questions, at 317-
Merr46410
Merrillville, I
IN
Phone: 219-947-3348
807-1112„
Fax: 219-947-1889
Muncie Campus
Sincerely,
4121 East Centennial Avenue
Muncie, IN 47303
Phone: 765-288-9015
Fax: 765-288-9298
Jerry N. Burke
Newburgh Campus
5400 Covert Court
Director of Education
Newburgh, rN 47630
IKORCC JATF
Phone: 812-853-9312
Fax: 812-853-9316
Terre Haute Campos
3099 South 61, 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
0Es
va,
epartme�t
0
)Bureau Of 2PprMirmbip and Xmining
Qrti tt of F4mabon
CENTRAL INDIANA CARPENTERS JOINT APPRENTICESHIP COMWETTEE
INDIANAPOLIS, INDIANA
for the trade classifications of CARPENTER, FLOOR COVERER and MILLWRIGHT
Neyr rleredr a s par! o lEie `, alional . pprenficgsAiip p rayraM
in aecort(ance wAA Ae basic skno(ard al appre z ceslsip
esArS,&Aied 6y IAe cSecreiary o�G'abor
September 4, 1941
Derr Rev. August 23, 1989
0 4 0 0 4 1 1
AyfAWAW X.,
Diana �.egi�otta! cauncti ot rpEitzers
Irmutp-r- 49iftilubt. -objer U;
W --VkpprlD'(JtUl
E
302 IPr5t 1009bilgW11 f9trEEt
Plaatenn` & Cement -Masons'
Apprenticeship Coordinator Local Union #692
To Whom It May Concern;
Phone: (219) 707 7767
Email; bkristot@olcmiocaM.org
October 2.2, 2020
This letter is to certify The Robert Henry Corporation is and has been a signatory
contractor with OPCMIA Local 692 and has participated in the Plasterers &
Cement Masons Apprenticeship Training Program for many years. The Robert
Henry Corporation, Is a valued Contractor in good standing with Local 692 and the
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
9280 Louisiana Street - Merrillville, Indiana 46410
WWW.PLCML0CAL692.0RG-4101-
INDIANA LABORERS' TRAINING TRUST 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
(912)279-9751
October 22, 2020
To Whom It May Concern!
Sean Coakley, Direclor
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,
Sean Coakley,
Director
SC:ap
www.indianalaborerstraining.org
P#►�rtrnP�t�r
eje f raft of
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INDIANA LABORERS TRAINING TRUST FUND
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CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS
Project Name Morris Performing Arts Center - Main Level Slab Replacement
Project No.
For Bids Due
121-029a
December 14, 2021
"x.165
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 M/WBE Utilization Plans [MBE -1.0 and WBE-1.0]. Also provide Evidence of Good
Faith Efforts Forms [MBE -2.0 and WBE-2.0] and M/WBE Contacted Forms [MBE -2.1 and
X WBE-2.1 ].
X Acknowledge Receipt of 1 Addendum(s) included with the bid.
X All required additional information is included with the bid.
Proposal statements and other affidavits all signed by the proper party with name either
X printed or typed underneath signature.
X This checklist submitted with the Bid.
This checklist is provided for bidder's use in assuring compliance with required
documentation; however, it does not include all specifications requirements and does not
relieve the bidder of the need to read and comply with the specifications.
Bidder: The Robert Henry Corporation Date: 12/14/2021
By Authorized Representative:
Signature:
Print Name & Title: Brian S. Henry, President
Version 09/29/2021 Contractor's Bid for Public Works -1
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 I * Please see attached.
1. Attach information regarding projects your organization has completed for the period of one
(1) year prior to the date of the current bid.
2. Attach a listing of public works projects currently in process of construction by your
organization.
3. Attach information regarding any failure to complete any work awarded to you and the
location thereof.
4. Attach references from private firms for which you have performed work.
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE I * Please see attached.
1. Attach an explanation of your plan or layout for performing proposed work. (Examples could
include a narrative of when you could begin work, complete the project, number of workers,
etc. and any other information which you believe would enable the City of South Bend to
consider your bid.)
2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside
your own firm who have performed part of the work) that you have used on public works
projects during the past five (5) years along with a brief description of the work done by each
subcontractor.
3. If you intend to sublet any portion of the work, attach the name and address of each
subcontractor, equipment to be used by the subcontractor, and whether you will require a
bond. However, if you are unable to currently provide a listing, please understand a listing
must be provided prior to contract approval. Until the completion of the proposed project, you
are under a continuing obligation to immediately notify the City of South Bend in the event that
you subsequently determine that you will use a subcontractor on the proposed project.
4. Attach a listing of equipment you have available to use for the proposed project.
5. Have you entered into contracts or received offers for all materials which substantiate the
prices used in preparing your proposal? If not, attach an explanation for the rationale used
which would corroborate the prices listed.
SECTION III CONTRACTOR'S FINANCIAL STATEMENT * Please 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 09/29/2021 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.
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.
Version 09/29/2021 Contractor's Bid for Public Works - 4
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 contract or employment, or any matter directly or indirectly related to contracting
or employment because of race, sex, religion, color, national origin, ancestry, gender expression, gender
identity, sexual orientation, or due to age 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. On goal -eligible contracts,
Contractors are required to either meet both MBE and WBE utilization goals or demonstrate that the
Contractor has made good faith efforts to obtain participation from MBE and WBE subcontractors. A finding
of noncompliance or a discriminatory practice shall prohibit that Contractor from being awarded a City
contract for a period of one (1) year from the date of such determination, and such determination may also
be grounds for terminating the contact to which the discriminatory practice or noncompliance pertains.
7. The undersigned Contractor agrees that the following nondiscrimination commitment shall be made
a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its
agencies, boards or commissions.
Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the
performance of this contract with privileges of employment, or any matter directly or indirectly related to
employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation,
handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of
contract.
1, the undersigned bidder or agent as contractor on a public works project, understand my statutory
obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1).1 hereby
certify that I and all subcontractors employed by me for this project will use steel products or foundry
products made in the United States on this project if awarded. I understand I have an affirmative duty to
notify the City in my bid that my proposal does not include the use of steel products or foundry products
made in the United States. I understand it is my sole obligation and responsibility to provide a justification
to the City, subject to review and approval, why the cost of United States made steel or foundry products is
unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry
products made in the United States, the City, through its director of public works, shall make a determination
if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder
Version 09/29/2021 Contractor's Bid for Public Works - 5
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 14th day of Dec. . 20 21
Subscribed and sworn to before me this 14th
My Commission Expires Z,,
County of Residence
The Robert Henry Corporation
Contrac Bidder irm)
Signature of ContractorBid r or Its Agent
Brian S. Henry, President
Printed Name and Title
day of December 20 21
Notary Public
6
2�- P&CAROL B. DOYLE
Notary Public
SEAL * st. Joseph County, state of Indiana
�NoaANP Commission Expires March 18 2023
Version 09/29/2021 Contractor's Bid for Public Works - 6
THE R OBER T HENR Y CORPORA TION
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 seethe attached "List of Projects" for projects currently in process of construction by our
organization.
3. Our organization has never failed to complete work awarded to us.
4. References from private firms for which you have performed work:
NAME
COMPANY
PHONE
Mr. Pat Kelly
Gurley Leep
(574) 272-2002
Mr. Steve Sewell
Siemens Healthcare
(346) 213-8149
Ms. Nicole Read
St. Joseph Regional Medical Center
(574) 335-3901
PART II — SECTION II — PLAN AND EQUIPMENT QUESTIONNAIRE
1. A detailed quantity survey has been made from the contract plans and specifications. Sufficient
manpower is available to begin work 10 days to 2 weeks after Notice of Award. We anticipate
completion per plans and specifications.
2. A list of subcontractors will be provided within 24 hours of Notice of Award.
3. A list of subcontractors will be provided within 24 hours of Notice of Award. It is not anticipated
that a bond will be required from subcontractors.
4. All required equipment will be provided for this project.
5. Yes
404 South Frances Street • P.O. Box 1407 • South Bend, Indiana 46624
www.roberthenrycorp.com • Tel. 574-232-2091 • Fax 574-232-3979
THE ROBERT HENRY CORPORATION
FINANCIAL REPORT
(Reviewed)
December 31, 2020 and 2019
Davis & Woj tysiak, LLC
CERTIFIED PUBLIC ACCOUNTANTS
INDEPENDENT ACCOUNTANTS' REVIEW REPORT
To the Board of Directors and Stockholders
The Robert Henry Corporation
South Bend, Indiana
We have reviewed the accompanying financial statements of The Robert Henry Corporation (an S
corporation), which comprise the balance sheets as of December 31, 2020 and 2019, and the related
statements of income and other comprehensive income, stockholders' equity and cash flows for the years
then ended, and the related notes to the financial statements. A review includes primarily applying
analytical procedures to management's financial data and making inquiries of Company management. A
review is substantially less in scope than an audit, the objective of which is the expression of an opinion
regarding the financial statements as a whole. Accordingly, we do not express such an opinion.
Management's Responsibility for the Financial Statements
Management is responsible for the preparation and fair presentation of the financial statements in
accordance with accounting principles generally accepted in the United States of America; this includes
the design, implementation, and maintenance of internal control relevant to the preparation and fair
presentation of the financial statements that are free from material misstatement whether due to fraud or
error.
Accountants' Responsibility
Our responsibility is to conduct the review engagement in accordance with Statements on Standards for
Accounting and Review Services promulgated by the Accounting and Review Services Committee of the
AICPA. Those standards require us to perform procedures to obtain limited assurance as a basis for
reporting whether we are aware of any material modifications that should be made to the financial
statements for them to be in accordance with accounting principles generally accepted in the United
States of America. We believe that the results of our procedures provide a reasonable basis for our
conclusion.
Accountants' Conclusion
Based on our reviews, we are not aware of any material modifications that should be made to the
accompanying financial statements in order for them to be in accordance with accounting principles
generally accepted in the United States of America.
Supplementary Information
The supplementary information included in the accompanying Schedules I and If 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.
YL �l-1 f+ q, etc
Davis & Wojtysiak, LLC
South Bend, Indiana
March 8, 2021
1.
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE -1.0
MBE UTILIZATION PLAN
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE participation. It is
the bidder's sole responsibility to verify whether any listed minority-owned business meets the MBE qualifications.
Project Number:
Bidder:
121-029a Project Name:
The Robert Henry Corporation
Morris Performing Arts Center - Main Level Slab Replacement
Total Bid Amount: 3� )13%a f )108 .to MBE Goal: 1.8%
Page of
Primary Contact Person Scope of Work to be Performed Dollar Amount of MBE Percentage
Name & Address of MBE (Name/Telephone) (Attach scope/schedule if you need additional space) Component of Total
Bid/Pronosa
1st Class Logistics, LLC Bernard Coutee Trucking
2213 St. Charles Ave. 574-993-0071
South Bend, IN 46614
Submitted by: Brian S. Henry, President Tuesday, December 14, 2021
Print Name Sig a ure Date
Version 09/29/2021 Contractor's Bid for Public Works - 8
/I
CITY OF SOUTH BEND °
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM WBE-1.0
WBE 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 woman -owned business meets the WBE qualifications.
Project Number: 121-029a Project Name:
Morris Performing Arts Center - Main Level Slab Replacement
1� o
Bidder: The Robert Henry Corporation
Total Bid Amount: J10 I ,_2M.4&$ ,t"_�]
WBE Goal:
4.1%
M. J. Schuetz Insurance Services
Jenni Waggoner Bonds
Page J
of�i
Primary Contact Person
Name & Address of WBE
Scope of Work to be Performed Dollar Amount of WBE
Percentage
of Total
(Name/Telephone)
(Attach scope/schedule if you need additional space)
Component
BidlProposal
Ritschard Brothers, Inc.
1204 West Sample
Rachelle Dolniak Excavating Site Demo
574-288-4777
1� o
South Bend, IN 46619
M. J. Schuetz Insurance Services
Jenni Waggoner Bonds
1531 Indiana Ave.
317-548-3932
Z/1 16DY1.
L"
Indianapolis, IN 46202
6.3-176
Submitted by:
Brian S. Henry, President Tuesday, December 14, 2021
Print Name Signature Date
Version 09/29/2021 Contractor's Bid for Public Works - 9
CITY OF SOUTH BEND er
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN4 ' ' ..�
FORM MBE -2.0 `v' a'
EVIDENCE OF GOOD FAITH EFFORTS Y,er
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 MBE participation.
Project Number: 121-029a Date: December 14, 2021
Project Name: Morris Performing Arts Center - Main Level Slab Replacement
Bidder: The Robert Henry Corporation
Contact Person: John Callan Telephone: 574-232-2091
Address: 404 S. Frances St.
City: South Bend State: Indiana Zip: 46614
Email: jcallan@roberthenrycorp.com
To determine whether a bidder has demonstrated good faith efforts to reach the MBE 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*:
I I EVIDENCE OF GOOD FAITH EFFORTS
MBE LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business Enterprise
Inclusion Program Plan; 2) the listof certified MWBEs provided by the City; and 3) the Indiana Department
of Administration list of Minority and Women Owned Businesses (both certified and non -certified) found
at: httn:/lwww.in..gov/idoa/. i
GOOD FAITH EFFORTS TO OBTAIN MBE PARTICIPATION
The bidder shall initial each item below, as evidence of its good faith efforts to obtain MBE participation
in the awarded contract.
1 affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise I
Inclusion Program Plan and the Indiana Department of Administration's certified list of
Indiana Minority and Women Business Enterprises, found on their website
(htt-,://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 MBE participation.
I affirm that I have made good faith efforts to solicit through all reasonable and available
means the interest of all MBEs in the scopes of work of the contract.
I affirm that I attended all pre-bid meetings scheduled by the City of South Bend to inform
MBEs of contracting and subcontracting opportunities.
I affirm that I advertised in general circulation and/or trade association publications
concerning subcontract opportunities and allowed MBEs reasonable time to respond to
such advertisements.
I affirm that I performed any and all necessary steps to provide written notices in a manner
reasonably calculated to inform MBEs of subcontracting opportunities and allowed
sufficient time for MBEs to participate effectively.
I affirm that I followed up on initial solicitations with interested MBEs.
I affirm that I negotiated with interested MBEs in good faith, including providing such MBEs
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 MBEs in obtaining bonding,
lines of credit, or insurance as required by the City or the bidder, where appropriate.
Version 09/29/2021 Contractor's Bid for Public Works -10
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE -2.0
EVIDENCE OF GOOD FAITH EFFORTS
I affirm that I have made good faith efforts to assist interested MBEs in obtaining necessary
equipment, supplies, materials, or related assistances or services, where appropriate.
I affirm that I did not reject any MBEs 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 MBE 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 MBE was unqualified to perform the job.
*Proner demonstration of Good Faith Efforts reauires vour initials next to all of the above boxes. Anv
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 09/29/2021 Contractor's Bid for Public Works -11
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM WBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
This completed form should be included as part of the Bids documents related to City of South Bend Public
Works Projects requiring Good Faith Efforts to obtain MWBE participation.
Project Number: 121-029a Date: December 14, 2021
Project Name: Morris Performing Arks Center - Main Level Slab Replacement
Bidder: The Robert Henry Corporation
Contact Person: John Callan Telephone: 574-232-2091
Address: 404 S. Frances St.
City: South Bend State: Indiana Zip: 46614
Email: jcallan@roberthenrycorp.com
To determine whether a bidder has demonstrated good faith efforts to reach the WBE utilization goals set forth in
the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions,
REQUIRE ALL of the following Good Faith Efforts as listed in the table below*:
Version 09/29/2021 Contractor's Bid for Public Works -12
EVIDENCE OF GOOD FAITH EFFORTS
WBE LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business Enterprise
Inclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the Indiana Department
of Administration list of Minority and Women Owned Businesses (both certified and non -certified) found
at: htto://www.in-qovlidoa/-
GOOD FAITH EFFORTS TO OBTAIN WBE PARTICIPATION
The bidder shall initial each item below, as evidence of its good faith efforts to obtain WBE 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
(hftp://www.in.gov/idoa).
r
I affirm that I have made good faith efforts to select portions of the contract work to be
performed by WBEs, including, where appropriate, breaking out contract work items into
economically feasible units to facilitate WBE participation.
I affirm that I have made good faith efforts to solicit through all reasonable and available
means the interest of all WBEs in the scopes of work of the contract.
I affirm that I attended all pre-bid meetings scheduled by the City of South Bend to inform
�v
WBEs of contracting and subcontracting opportunities.
I affirm that I advertised in general circulation and/or trade association publications
concerning subcontract opportunities and allowed WBEs reasonable time to respond to
such advertisements.
I affirm that I performed any and all neoessary steps to provide written notices in a manner
reasonably calculated to inform WBEs of subcontracting opportunities and allowed
sufficient time for WBEs to participate effectively.
I affirm that I followed up on initial solicitations with interested WBEs.
I affirm that I negotiated with interested WBEs in good faith, including providing such WBEs
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 WBEs in obtaining bonding,
lines of credit, or insurance as required by the City or the bidder, where appropriate.
Version 09/29/2021 Contractor's Bid for Public Works -12
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN \;
FORM WBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
I affirm that I have made good faith efforts to assist interested WBEs in obtaining
;(�ry
necessary equipment, supplies, materials, or related assistances or services, where
appropriate.
I affirm that I did not reject any WBEs as unqualified without sound business reasons
At— based on a thorough investigation of their capabilities.
CONTRACT RECORDS: The bidder has maintained the following records for each WBE 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 09/29/2021 Contractor's Bid for Public Works - 13
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE -2.1 ry`
MBE 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-owned business meets the MBE qualifications. Attach additional pages if necessary.
PAGE OFA_
Project Number: 121-029a MBE Participation Goal 1.8% .
Project Name:
Bidder:
By:
Morris Performing Arts Center - Main Level Slab Replacement
The Robert Henry Corporation
John Callan, Project Manager 12/14/2021
(Title) (Date)
MBE Firm 1 st Class Logistics, LLC
Owner or Contact at MBE Firm Bernard Coutee
Telephone: 574-993-0071 Fax: Email: lstclasslogistics20l3@gmail.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Hauling Construction Material
RESULTS OF CONTACT WITH THE MBE FIRM:
C(�,`4 ej `u •d
MBE Firm C. Lee Construction Services, Inc.
Owner or Contact at MBE Firm Frederick Lee
Telephone: 219-888-9554 Fax: 219-888-9564 Email: Glee@cleecsi.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
rU(�
RESULTS OF CONTACT WITH THE MBE FIRM:
N o ase.
Version 09/29/2021 Contractor's Bid for Public Works - 14
CITY OF SOUTH BEND �
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN II
FORM MBE -2.1'
MBE 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-owned business meets the MBE qualifications. Attach additional pages if necessary.
PAGE__:Q_OFf
Project Number: 121-029a MBE Participation Goal 1.8%
Project Name: Morris Performing Arts Center - Main Level Slab Replacement
Bidder: The Robert Henry Corporation
By: John Callan, Project Manager 12/14/2021
(S' attire (Title) (Date)
MBE Firm DRC Corporation
Owner or Contact at MBE Firm Don Chambers
Telephone: 574-233-1904 Fax: Email: biddre@sbcglobal.net
TYPE OF WORK SOLICITED FOR THIS PROJECT:
A -C
RESULTS OF CONTACT WITH THE MBE FIRM:
MBE Firm Kennedy Expressline, Inc.
Owner or Contact at MBE Firm Marcus Northern
Telephone: 574-876-8881 Fax:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE FIRM:
Email: kennedyexpressline@yahoo.com
Version 09/29/2021 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 MBEs. It is the bidder's sole responsibility to verify whether any listed
minority-owned business meets the MBE qualifications. Attach additional pages if necessary.
PAGE OF__J
Project Number: 121-029a MBE Participation Goal 1.8%
Project Name: Morris Performing Arts Center - Main Level Slab Replacement
Bidder: / , The Robert Henry Corporation
By:
re)
MBE Firm V & R Trucking, Inc.
Owner or Contact at MBE Firm Veda Godette
John Callan, Project Manager 12/14/2021
(Title) (Date)
Telephone: 574-234-1268 Fax: 574-234-0748
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE FIRM:
11No RRanS�
MBE Firm Jackson Demolition Svcs
Owner or Contact at MBE Firm
Telephone: 574-542-2871 Fax:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE FIRM:
00 �r?�aur�SQ
Email: rfightingirish@aol.com
Dave Jackson
Email: Jacksons@pwrtc.com
Version 09/29/2021 Contractor's Bid for Public Works -14
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE -2.1
MBE 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-owned business meets the MBE qualifications. Attach additional pages if necessary.
PAGE OF__J
Project Number: 121-029a MBE Participation Goal 1.8%
Project Name: Morris Performing Arts Center - Main Level Slab Replacement
Bidder: / , The Robert Henry Corporation
By:
re)
MBE Firm V & R Trucking, Inc.
Owner or Contact at MBE Firm Veda Godette
John Callan, Project Manager 12/14/2021
(Title) (Date)
Telephone: 574-234-1268 Fax: 574-234-0748
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE FIRM:
11No RRanS�
MBE Firm Jackson Demolition Svcs
Owner or Contact at MBE Firm
Telephone: 574-542-2871 Fax:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE FIRM:
00 �r?�aur�SQ
Email: rfightingirish@aol.com
Dave Jackson
Email: Jacksons@pwrtc.com
Version 09/29/2021 Contractor's Bid for Public Works -14
CITY OF SOUTH BEND�+:.
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
y p:
FORM MBE -2.1
MBE 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-owned business meets the MBE qualifications. Attach additional pages if necessary.
PAGE OF
Project Number: 121-029a MBE Participation Goal _ 1.8%
Project Name: Morris Performing Arts Center - Main Level Slab Replacement
Bidder: The Robert Henry Corporation
By: John Callan, Project Manager 12/14/2021
(Si ature) (Title) (Date)
MBE Firm M & L Taylor -Made Trucking
Owner or Contact at MBE Finn Lasheen Taylor
Telephone: 269-876-7856 Fax: Email: lasheen.taylor@aol.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE FIRM:
MBE Firm
Owner or Contact at MBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE FIRM:
Version 09/29/2021 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
woman -owned business meets the WBE qualifications. Attach additional pages if necessary.
PAGE OF >
Project Number: 121-029a WBE Participation Goal 4.1%
Project Name: Morris Performing Arts Center - Main Level Slab Replacement
Bidder: The Robert Henry Corporation
By:
WBE Firm Kennedy Expressline, Inc.
Owner or Contact at WBE Finn Marcus Northern
Telephone: 574-876-8881 Fax:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE WBE FIRM:
WBE Firm V & R Trucking, Inc.
Owner or Contact at WBE Firm Vad= r,ndaffa
John Callan
(Title)
Telephone: 574-234-1268 Fax: 574-234-0748
TYPE OF WORK SOLICITED FOR THIS PROJECT -
RESULTS OF CONTACT WITH THE WBE FIRM:
12/14/2021
(Date)
Email: kennedyexpressline@yahoo.com
Email: rfightingirish@aol.com
Version 09/29/2021 Contractor's Bid for Public Works -15
T J4
f
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE -2.1"
WBE 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
woman -owned business meets the WBE qualifications. Attach additional pages if necessary.
PAGE OF >
Project Number: 121-029a WBE Participation Goal 4.1%
Project Name: Morris Performing Arts Center - Main Level Slab Replacement
Bidder: The Robert Henry Corporation
By:
WBE Firm Kennedy Expressline, Inc.
Owner or Contact at WBE Finn Marcus Northern
Telephone: 574-876-8881 Fax:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE WBE FIRM:
WBE Firm V & R Trucking, Inc.
Owner or Contact at WBE Firm Vad= r,ndaffa
John Callan
(Title)
Telephone: 574-234-1268 Fax: 574-234-0748
TYPE OF WORK SOLICITED FOR THIS PROJECT -
RESULTS OF CONTACT WITH THE WBE FIRM:
12/14/2021
(Date)
Email: kennedyexpressline@yahoo.com
Email: rfightingirish@aol.com
Version 09/29/2021 Contractor's Bid for Public Works -15
CITY OF SOUTH BEND �
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN . cE:._. }sn
FORM MBE-2.1�
WBE 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
woman -owned business meets the WBE qualifications. Attach additional pages if necessary.
PAGEOF
Project Number: 121-029a WBE Participation Goal 4.1%
Project Name: Morris Performing Arts Center - Main Level Slab Replacement
Bidder: The Robert Henry Corporation
By; John Callan, Project Manager 12/14/2021
( gnature) (Title) (Date)
WBE Firm Ritschard Brothers, 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:
RESULTS OF CONTACT WITH THE WBE FIRM:
WBE Firm Jackson Demolition Svcs
Owner or Contact at WBE Firm Dave Jackson
Telephone: 574-542-2871 Fax: Email: jacksons@pwrtc.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
-fin 1iyi al
RESULTS OF CONTACT WITH THE WBE FIRM:
Version 09/29/2021 Contractor's Bid for Public Works -15
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE -2.1
1865-=�
WBE 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
woman -owned business meets the WBE qualifications. Attach additional pages if necessary.
PAGE OF
Project Number: 121-029a WBE Participation Goal 4.1%
Project Name: Morris Performing Arts Center - Main Level Slab Replacement
Bidder: The Robert Henry Corporation
By;6W e, - John Callan, Project Manager 12/14/2021
(Si ature) (Title) (Date)
WBE Firm State Barricading
Owner or Contact at WBE Firm James Michalski
Telephone: 574-287-2078 Fax: 574-287-1744
TYPE OF WORK SOLICITED FOR THIS PROJECT:
-Tc ic. CxAfo\
Email: statebarricadel@aol.com
RESULTS OF CONTACT WITH THE WBE FIRM:
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 09/29/2021 Contractor's Bid for Public Works -15
CITY OF SOUTH BEND =
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN.►
FORM MBE -2.1 e
WBE 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
woman -owned business meets the WBE qualifications. Attach additional pages If necessary.
PAGE OF S
Project Number: -121-029a WBE Participation Goal 4.1%
Project Name: Morris Performing Arts Center - Main Level Slab Replacement
Bidder. , The Robert Henry Corporation
By:
WBE Firm
Electrical Maint. & Constr.
Owner or Contact at WBE Firm Dan Gearhart
John Callan. P
12/14/2021
(Date)
Telephone: 269-683-9473 Fax: 269-468-7222 Email: dgearhart@emcelectricalllc.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
f-1ef-*e, o,.1 WOO,
RESULTS OF CONTACT WITH THE WBE FIRM:
WBE Firm McMann Electric
Owner or Contact at WBE Firm Steve, Terri, Dan
Telephone: 574-674-5748 Fax:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
-r�co"t UJB k
RESULTS OF CONTACT WITH THE WBE FIRM:
Email: terrimcmann@mcmannelectric.com
Version 09129/2021 Contractor's Bid for Public Works -15
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN l _►."�r
FORM MBE -2.1 +
WBE 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
woman -owned business meets the WBE qualifications. Attach additional pages if necessary.
PAGE OF
Project Number: 121-029a WBE Participation Goal 4.1%
Project Name: Morris Performing Arts Center - Main Level Slab Replacement
Bidder. -) , The Robert Henry Corporation
By:
Project Manaaer
WBE Finn Traffic Control Specialists
Owner or Contact at WBE Firm Tracey
Telephone: 574-772-7001 Fax: 574-772-7002 Email: tracey@tcspecialists.net
TYPE OF WORK SOLICITED FOR THIS PROJECT:
N -ca)
RESULTS OF CONTACT WITH THE WBE FIRM:
WBE Firm Montgomery Trucking
Owner or Contact at WBE Firm Karen Montgomery
Telephone: 260-312-2632 Fax: Email: karenmontgomery56@hotmail.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE WBE FIRM:
Version 09129/2021 Contractor's Bid for Public Works -15
r'�4 So
1316 COUNTY -CITY BUILDING PHONE 574/235-9251
227 W. JEFFERSON BOULEVARD FAx 574/ 235-9171
b 9
SOUTH BEND, INDIANA 46601-1830 TDD 574/ 235-5567
CITY OF SOUTH BEND, JAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
Date:
December 6, 2021
To:
All Planholders
From
Clerk, Board of Public Works
Subject
Addendum Number: 1.
Project Name:
Morris Performing Arts Center— Main Level Slab Replacement
Project Number: 12-029A
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: December 6, 2021
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum
by faxing this sheet to the Board of Public Works at (574) 235-9171
within 48 hours of receipt. A copy MUST also be included with your
bid package upon submittal.
THIS ADDENDUM MAY AFFECT YOUR BID.
Notes:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company: The Robert Henry Coi
Authorized Signature:
Date: Tuesday, Decembe14, 2021
Version 4/2/2015
- John Callan, P
Document A►310Tm - 2010
Conforms vAth 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 ce to
ular nOwner
City of South Bend
Contractor, Surety, or
227 West Jefferson Boulevard
other party shall be considered
South Bend, IN 46601
plural where applicable.
BOND AMOUNT: ""Five Percent (5%) of the Accompanying Bid***
PROJECT:
(Name, location or address, and Project number, if arty)
Morris Performing Arts Center- Main Level Slab Replacement, 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 famished 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 14th day of
(Witness)
(Witness)
December , 2021
The Robert Henry Corporation
(Principal) (Seal)
LAY,/=
(Title) Brian S. Henry, President
Fidelity and Deposit Com any .f Maryla
(S ery — y„
s �0R+os_
osm
2�L
(Tiliej David A. Li icum, Attomey-in-Fact ``$ low '
n.,uu,unna'.
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New
York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by
Robert D. Murray, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which
are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate,
constitute, and appoint, Vickie L. WOLCOTT, David A. LINTHICUM, Carolyn J. WAGGONER, Michael IC
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 1 I th day of July, A.D. 2019.
IOPP!+s
o _ �
ATTEST:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
By: Robert D. Murray
Vice President
1`• -�-)Curet. ,�
By: Daum Dawn E. Brown
Secretary
State of Maryland
County of Baltimore
On this I lth 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 swom, 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, 1 have hereunto set my hand and affixed my Official Seal the day and year first above written.
:.ril. vcr i
Constance A. Dunn, Notary Public
My Commission Expires: July 9, 2023
1�lf�fitl\I\`
EXTRACT FROM BY-LAWS OF THE COMPANIES
"Article V, Section 8, Attorne. s -in -Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President
may, by written instrument under the attested corporate seal, appoint 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
attorney4ii-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 14th day of December , 2021 .
0
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.EgortsfelaimsL4zurichna.com
800-626-4577