HomeMy WebLinkAboutOpening of Bids - Ward Bakery Exterior Improvements Proj No. 121-061R - C & S Masonry Restoration LLCCITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name Ward Bakery Exterior Improvements
Project No. 121-061R
For Bids Due December 14, 2021
Date:
Address:
City/State/Zip
PART I
(Must be completed for all bids. Please type or print)
12/13/2021 Bidder (Firm): C&S Masonry Restoration LLC
3725 Foundation CT
South Bend, IN 46628 Telephone Number: ( )574-208-8484
Agent of Bidder (if Applicable): Steve Fields
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
Ward Bakery Exterior Improvements
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
_Kil Architecture / Planninq
and dated 12/13/2021
Two Hundred & Seventy Seven
-------------
for the sum of (enter the Total Bid as shown on the Proposal)
Thousand 277,000.00
(Enter sum of Total Base Bid plus Alternates shown on Proposal) ($
(Numerical)
The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in
the notice of the letting. If alternative bids 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 attachment.
The above bid is accepted this _
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Elizabeth A. Maradik, President
Gary A. Gilot, bM mer
Murray L. Miller, Member
By �&614,
Steve Fields (Signature)
(Printed Name of Person Signing)
ACCEPTANCE
day of
Joseph R. Molnar, Member
Jordan V. Gathers, Member
Attest: Anne Fuchs, Clerk
Version 09/29/2021 Contractor's Bid for Public Works - 2
20
ALTERNATE 1-1
Item
No. Description
Northwest portion of Portage Avenue
1 Fapade and a small section along North
California Avenue Facade (AREA B):
Mason Repair & Rehabilitation
BP -1, BID ALTERNATE 1-2
Item
No. Description
Southeast Portion of Portage Avenue
1 Ground Floor (AREA A -Ground Floor):
Cosmetic Masonry Repair
BP -1, BID ALTERNATE 1-3
ItemFNo.Description
st Portion of Portage Avenueand North California AvenueAREA B): Cosmetic Masonry
Repair
QuantityI Unit Unit Price Total Amount
1 1 Ls 1 1
108,000.00
BP -1, BID ALTERNATE 1-1 TOTAL 108,000.00
tCQ1uant±ityU4nit:Unit Price Total Amount
1
5,000.00
BP -1, BID ALTERNATE 1-2 TOTAL 5,000.00
QuantityI Unit I Unit Price I Total Amount
1 1 LS 1 1 1 4,000.00
BID ALTERNATE 1-3 TOTAL 4,000.00
Version 09/29/2021 Contractor's Bid for Public Works - 7
ti/50�,. �H irt'
BID/PROPOSAL
(�
CITY OF SOUTH BEND
Project Name: Ward Bakery Exterior Improvements
xk PEAU
t
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Project Number: 121-061'
"
For Bids Due: December 14, 2021
Contractor Name:
BID PACKAGE 1 — BASE BID
Item
No. Description Quantity
Southeast portion of Portage Ave
Unit Unit Price Total Amount
1 2 -Story Section (Main Floor and Upper -
Level Facade (AREA A): Masonry 1
-Repair & Rehabilitation
LS 1 155 000.00
2 Construction Contingency Allowance Bid
Package 1 1
1 each
�s,000.00
BID PACKAGE 1
— BASE BID TOTAL 1 F30 0 0 00
BP -1 BID
ALTERNATE 1-1
Item
No. Description
Northwest portion of Portage Avenue
1 Fapade and a small section along North
California Avenue Facade (AREA B):
Mason Repair & Rehabilitation
BP -1, BID ALTERNATE 1-2
Item
No. Description
Southeast Portion of Portage Avenue
1 Ground Floor (AREA A -Ground Floor):
Cosmetic Masonry Repair
BP -1, BID ALTERNATE 1-3
ItemFNo.Description
st Portion of Portage Avenueand North California AvenueAREA B): Cosmetic Masonry
Repair
QuantityI Unit Unit Price Total Amount
1 1 Ls 1 1
108,000.00
BP -1, BID ALTERNATE 1-1 TOTAL 108,000.00
tCQ1uant±ityU4nit:Unit Price Total Amount
1
5,000.00
BP -1, BID ALTERNATE 1-2 TOTAL 5,000.00
QuantityI Unit I Unit Price I Total Amount
1 1 LS 1 1 1 4,000.00
BID ALTERNATE 1-3 TOTAL 4,000.00
Version 09/29/2021 Contractor's Bid for Public Works - 7
MERCHANTsi—k
BONDING COMPANY,
MERCHANTS NATIONAL BONDING, INC. P.O. BOX 14498, DES MOINES, IOWA 50306-3498
CONTRACTOR:
(Name, legal status and address)
C&S Masonry Restoration, LLC
3725 N. Foundation Ct., Suite AB
South Bend, IN 46628
OWNER:
(Name, legal status and address)
City of South Bend, Indiana
Board of Public Works
1316 County -City Building
South Bend, IN 46601
PHONE: (800) 678-8171 FAX: (515) 243-3854
BOND AMOUNT:
Five Percent (5%) of Accompanying Bid
PROJECT:
(Name, location or address, and Project number, if any)
Ward Bakery Exterior Improvements
Project No. 121-061
Bond Number:
SURETY:
(Name, legal status and principal place
of business)
Merchants National Bonding, Inc.
A Corporation
6700 Westown Parkway, West Des Moines, IA 50266
This document has important legal
consequences. Consultation with
an attorney is encouraged with
respect to its completion or
modification.
Any singular reference to
Contractor, Surety, Owner or
other party shall be considered
plural where applicable.
The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the
Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and
severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor
within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and
Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such
bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted
in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract
and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the
difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount
for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this
obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of
an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of
notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for
acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for
an extension beyond sixty (60) days.
If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall
be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor.
When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project,
any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and
provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so
furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond.
Signed and sealed this 14th day of December, 2021.
C&S Masonry Restoration, LLC
(Witness) (Principal) (Se 1) (Title)
Merchants National-Bbnding Inc.
(Witness) (Surety Seal
(Title) Tom McGolzr4f, Attorney -in -Fact
CON 0657 (2/15) Printed in cooperation with American Institute of Architects (AIA), The language in this
document conforms exactly to the language used in AIR-Doocument A310 -Bid Bond -2010
MERCKkNTS
----_TS_7�k
BONDING COMPANY
POWER OF ATTORNEY
Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.,
both being corporations of the State of Iowa (herein collectively called the "Companies") do hereby make, constitute and appoint, individually,
Dawn M Pequignot; Elaine K Miller; Harold E Everett; Jada M Karst; Laura L Diver; Melinda Jagger; Thomas J VanDyck; Tom McGovern
their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings,
contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity
of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any
actions or proceedings allowed by law.
This Power -of -Attorney is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board
of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors
of Merchants National Bonding, Inc., on October 16, 2015.
"The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority
to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and
undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof."
"The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney
or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the
Company, and such signature and seal when so used shall have the same force and effect as though manually fixed."
In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the
Attorney -in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction
contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department
of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of
its obligations under its bond.
In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given
to the Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner -
Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation.
In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 17th day of November 2020
,,■Unrrrr
s,4`14G CO
C,.•GpRP�Rq�;.O'•� ; �0��'0(POg9'0gy MERCHANTS BONDING COMPANY (MUTUAL)
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v � 2003
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By
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1�. President
STATE OF IOWA '• •� • •. •
COUNTY OF DALLAS ss.
On this 17th day of November 2020 before me appeared Larry Taylor, to me personally known, who being by me duly sworn
did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the
seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf
of the Companies by authority of their respective Boards of Directors.
A,yVA4POLLY MASON
v Commission Number 750576
My Commission Expires a�o
+ lows i January07, 2023
Notary Public
(Expiration of notary's commission
does not invalidate this instrument)
I, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby
certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies, which is still in full
force and effect and has not been amended or revoked.
In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 14th day of December 2021
JIG
V%•PO ' .N'•. w'p�. ' P'
?a� -o-
2003 1933Cs Secretary
POA 0018 (1/20) 'rrr■■■■■'• g ° • •'
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CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WOR \ k/
CHECKLIST FOR BIDDERS K
Project Name Ward Bakery Exterior Improvements
Project No. 121-061R
For Bids Due December 14, 2021
From time to time the South Bend Board of Public Works finds it necessary to reject a bid because
it does not comply with statutory requirements, In preparing your bid, please use the following
checklist in order to make sure that your bid is done in the proper manner.
/ Proper bid security included, The bidder has the option of providing either a Certified Check
�L or Bid Bond.
Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely
executed.
Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments
with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and
Certification of use of United States Steel Products or Foundry Products.
Proof of M/WBE Utilization Plans [MBE -1.0 and WBE-1.0].
WBE-2.1]. Also provide Evidence of Good
Faith Efforts Forms [MBE -2.0 and WBE-2.0] and MN1/BE Contacted Forms [MBE -2.1 and
Acknowledge Receipt of 1 Addendum(s) included with the bid.
All required additional information is included with the bid.
Proposal statements and other affidavits all signed by the proper party with name either
printed or typed underneath signature.
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: C&S Masonry Restoration LLC
By Authorized Representative:
Signature:
Print Name & Title:
Version 09/29/2021
Steve Fields President
Contractor's Bid for Public Works - 1
Date: 12/13/2021
Date: December 10, 2021
To: All PlaZo-ldcrs
From Laura Hensley,
,Actipgg, Clerk, Board of Public Works
Subject Addendum Number: I
Pro . ject Name: Ward Bakery Exterior Improvemems
Project Number. 121-06I8
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: / Z - /0 -- Z I
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
quote package upon submittal.
THIS ADDENDUM MAY AFFECT YOUR QUOTE.
Notes:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company: cl S
Authorized Signature:
Date: 3,
Version 4/2/2019
HP PageWide Pro 477dw MFP Series
Last Transaction
Date Time Type
Dec 13, 1:OOPM Fax Sent
Fax Log for
Dec 13 2021 1:OOPM
Station ID Duration Pages Result
Digital Fax
5742359171 0:39 1 OK
N/A
PART II
(For projects of $100,000 or more — IC 36-1-12-4)
These statements to be submitted under oath by each bidder with and as part of his/her/its bid.
Attach additional pages for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
1. Attach information regarding projects your organization has completed for the period of one
(1) year prior to the date of the current bid.
2. Attach a listing of public works projects currently in process of construction by your
organization.
3. Attach information regarding any failure to complete any work awarded to you and the
location thereof.
4. Attach references from private firms for which you have performed work.
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
1. Attach an explanation of your plan or layout for performing proposed work. (Examples could
include a narrative of when you could begin work, complete the project, number of workers,
etc. and any other information which you believe would enable the City of South Bend to
consider your bid.)
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 listin
must be provided prior to contract approval. Until the completion oflthe proposed p oject, 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
Attachment of bidder's financial statement is mandatory. Any bid submitted without said
statement provided hereunder to the City of South Bend awarding the contracfinancial statement as required by statute shall thereby be rendered invalid. The financial
enough in detail so that said City of South Bend can make a proper determinatit be specific
on t must
the bidder's
capability for completing the project if awarded.
Version 09/29/2021 Contractor's Bid for Public Works - 3
PART II
Section I Experience Questionnaire
Question 1.
Previous jobs from the past year
Job Name
Contact Information
Private Hospital
219 392-7576
Private University
574 307-7310
Private University
574 631-4200
Brad Emberton
574-286-7119
Question 2. N/A
Question 3. N/A
Question 4.
Reference List: Reference List:
Tom Boomershine — 574-533-7176
Russ Cain — 219-392-7567
Jim Hiss- 574-993-3335
Section II Plan and Equipment Questionnaire
Question 1.
Plan for proposed project.
Our main goal is to provide excellent service while working as efficiently as possible. We
have spent time looking over the blueprints and reference material to not only complete
the job on time and on budget, but we have formulated a "visitor friendly" plan to help
maintain your business activities during the construction process. This will be done by
working closely with staff members to ensure that work zones are clear of problems and
issues, as well as ensuring that entrances and areas are accessible to staff.
Question 2. N/A
Question 3. N/A
Question 4.
List of equipment that will be available for use during the proposed project.
• Air Compressor
•
Hammer Drill
• Brick Cart
•
Ladders
• Brick Saw
•
Lifts (rented)
• Caulk Cutter
•
Mortar Stands
• Circular Saw
•
Pallet Jack
• Concert Mixer
•
Pressure Washer
• Converted Saw
•
Roof Gator
• Dumpster (rented)
•
Scaffold
• Gang Box
•
Shop Vac
• Generator
•
Trailer
• Grinders
•
Wheelbarrow
Question 5. I have received material quotes for this project
Section III Contractors Financial Statement
*Attached
C & S Masonry is in FULL compliance with E -Verify Program.
4/20/2021 11:43:57AM
License $125.00
Check 55288 $125.00
ddecocke 39440
No. 4831-22 1
RE"iGISTRATION $1,25.00
ST. JOSEPH COUNTY AT,�[D CITY OF SOUTH BEND, INDIANA
April 20, 2021
WHEREAS, C&S Masonry Restoration LLC having this day paid to the Building Department -the
sum ot'One Hundred Twenty Five Dollars and: Zero Cents is hereby REGISTERED to operate in the
unincorporated areas of ST. JOSEPH COUNTY and the CITY OF SOUTH BEND, as a
Building Contractor
[_ THIS REGISTRATION EXPIRES: April 1.5, 2022 1
11andy James
3725 N. Foundation Court, Suite AB
South Bend, IN 46628
574-855-21189 THIS REGISTRATION IS NOT TRANSFERABLE
, Building Commissioner
south bend > jobs > 2 categories >
logged in as
Thanks for posting! We really appreciate it.
Purchase Receipt
This is a receipt confirming your purchase. Please print or save a copy of this receipt for your records. All
sales are final. No Refunds.
ft*
�*Iostingl(D 7395698084: south br nd / michiana > general labor $20.00 USD
PostinglD 7395698085: south bend / michiana > skilled trades/artisan $20.00 US#
2021-10-18 -® Payment ID: 219313475
Fleas!a. —visit your �acco�urt h�rnepaga.to–managQ.Jq�ic's
P-01– 1b
9
PER -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE-QU4UF/ED)
ATTACHMENTS:
(i) Indiana Secretary ofState
(ii) N/A
(iii) OshaAttachnnent
(k) Staffing/ | will meet the staffing needs of this project
(v) VVeare union contractor
(vi) We participate in in union apprenticeship training
(vii) We are paying members ofthe 8CR[drug testing program
(viii) Our Surety Company isMerchants Bonding Company
BUSINESS ENTITY REPORT
NAME AND PRINCIPAL OFFICE ADDRESS
BUSINESS ID
BUSINESS TYPE
BUSINESS NAME
ENTITY CREATION DATE
JURISDICTION OF FORMATION
PRINCIPAL OFFICE ADDRESS
YEARS FILED
YEARS
EFFECTIVE DATE
EFFECTIVE DATE
EFFECTIVE TIME
REGISTERED OFFICE AND ADDRESS
APPROVED AND FILED
CONNIE LAWSON
INDIANA SECRETARY OF STATE
01/19/2021 10:30 AM
2015030900873
Domestic Limited Liability Company
C & S MASONRY RESTORATION, LLC
03/09/2015
Indiana
3725 N. Foundation Court, Suite E, South Bend, IN, 46628, USA
2021/2022
01/19/2021
10:30 AM
REGISTERED AGENT TYPE Individual
NAME JAMES M. LEWIS
ADDRESS 212 E. LASALLE AVENUE, SUITE 100, SOUTH BEND, IN, 46617, USA
PRINCIPAL(S)
TITLE Vice President
NAME Gene Goble
ADDRESS 18695 W. 3B Road, Walkerton, IN, 46574, USA
TITLE President
NAME Steve David Fields
ADDRESS 3725 N. Foundation CT, Suite E, South Bend, IN, 46628, USA
- Page 1 of 2 -
APPROVED AND FILED
CONNIEE LAWSON
INDIANA SECRETARY OF STATE
01/19/2021 10:30 AM
SIGNATURE
IN WITNESS WHEREOF, THE UNDERSIGNED HEREBY VERIFIES, SUBJECT TO THE PENALTIES OF PERJURY, THAT THE
STATEMENTS CONTAINED HEREIN ARE TRUE, THIS DAY January 19, 2021.
SIGNATURE Steve Fields
TITLE Member
Business ID: 2015030900873
Filing No.: 8861527
- Page 2of2-
Indiana Department of Labor
T `
an-dHea-1tl-1Adhn- Stjra--i-�-- "A
nd 10 safety
-Vat 11 --al M
402 West Washington St - ROOM W195
Indianapolis, IN 46204
Phone: (317)232-1979 FAX: (317)233-3790
0 k Qb
INVOICE/DEBT COLLECTION NOTICE AJ' -1
Company Name: C & S Masonry Restoration LLC
Inspection site: 305 W North Shore Dr., South Bend, IN 46617
Issuance Date: 4/19/2018
Summary of Penalties for Inspection Number: 318096039
Safety Order 1, Serious
TOTAL PENALTIES
= $6,000.00
= $6,000.00
Pienanitiie-s nre
fifteen (15)worki:nc,days ---e.--
' ` "Indiana "f r of tbis notification 11,n] s -o co- nfes ed, Make
Your check or money order payable to: "Indana. DOL/IOSHA,,. Please indicate IOSIIA's Inspection
Number (indicated above) on the remittance.
IOSHA does not agree to any restrictions or conditions or endorsements put on any check or money
order for less than full amount due, and will cash the check or money order as if these restrictions
conditions, or endorsements do not exist.
Corrective action-, taken by you for each afleged violation should be submitted to this office on or about
the abatement dates indicated on the Safety Order and Notification of Penalty.
A wor I sheet h een provided to assist in providing the required abatement information. A completed
co e inf n
PY Itr w k heet should be posted at the worksite with the safety order(s).
Jerry Land- Date
Oil of C
Di +Z) struction Safety
Safety Order and Notification of Penalty Page 1 (Rev 9/13)
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 -1 J( -A r )
Si.
_10 H_ _ COUNTY SS:
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
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 aenc
or commissions will consider the Contractor's good faith efforts to obtain par gen ies, boards,
icipation 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.
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 (LC. 5-16-8-1). I hereby
certify that I and all subcontractors employed by me for this project will use steel products or foundry
products made in the United States on this project if awarded. I understand I have an affirmative duty to
notify the City in my bid that my proposal does not include the use of steel products or foundry products
made in the United States. I understand it is my sole obligation and responsibility to provide a justification
to the City, subject to review and approval, why the cost of United States made steel or foundry products is
unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry
Products made in the United States, the City, through its director of public works, shall make a determination
if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder
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.
4,0
Dated this%_-_ �'_ day of PC's 20 Z
C&S Masonry Restoration LLC
Contractor/Bidder (Firm)
Signature of Contractor/Bidder or Its Agent
Steve Fields President
Printed Name and Title
Subscribed and sworn to before me this, r
fir'..day of C�vr.
My Commission Expires 3 • �'
Notary Public
County of Residence
PAMELA A. SHIDAKER
NOTARY PUBLIC
SEAL
ST JOSEPH COUNTY, STATE OF INDIANA
COMMISSION NO. NP0732251
MY COMMISSION EXPIRES MARCH 8, 2029
Version 09/29/2021
Contractor's Bid for Public Works - 6
CITY OF SOUTH BEND c u rimy,
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN L
FORM WBE-1.0
.n.u;
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: ee12g1-p61R Project Name: Ward Bake Exterior Improvements —Bid Packa e 1 Mason
Bidder: 6`�ryl
V-� �'6u �j'j it cr.t•��� i Total Bid Amount: -�` f Cl
114 WBE Goal: 3.6% _
BPI -Base Bid WBE Goal: 3.6% Page^l_ofI
Name & Address of Primary Contact Person
WBE _ (Name/Telephone)
BPI -Alternate 1-1 WBE Goal: 3.6%
Name & Address of
WBE
Version 10/18/21
Scope of Work to be Performed
(Attach scope/schedule if you need additional space)
4_013 L A
Base
Primary Contact Person
(Name/Telephone) Scope of Work to be Performed
gg (Attach scope/schedule if you n ed additional space)
i iAQ —
Alternate 1•
Contractor's Bid for Public Works — 9.3
DollarAmount of Percentage of
WBE Component Total Bid/Proposal
Dollar Amount of Percentage of
WBE Component Total Bid/Proposal
CITY OF SUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM WBE-1.0
WBE UTILIZATION PLAN
BPI' -Alternate .1-2 WBE Goal: 3.6%
Name & Address of�--
WBE Primary Contact Person
{Name?elephone)
BPI -Alternate 1-3 WBE Goal: 3.G%
Name & Address of
WBE Primary Contlerson
--------�_ {Name/Telephone)
Submitted by:
T ej e—
ci s
Print Name
Scope of Work to be Performed
(Attach scope/schedule If you need additional space)
aof
Scope of Work to be
Performe'
(Attach soope/schedule if you ne additional space)
Signature
Version 10/1$121
Contractor's Bid for Public Works - 9,4
a
-3
Date
�� s{lll'1'tf jj�
DollarAmount of pet of
WBE Co______ mponeot TotalrcBid loge sat
DollarAmountof nl
Percentage of
WB_ E �omponent Total Bid/Proposal
CITY OF SOUTH BEND '
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN ray.
FORM MBE -1.0
This cMBE UTILIZATION PLAN as
ompleted 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: 121-06111 Project Name: Ward Bakery Exterior Improvements — Bid Package 1 Mason
Bidder: tA C7 e ems! 5 tt.y�.�, �w Totai Bid Amount: ?' J 184 pd'
MBE Goal: 0.3%
BPI -Base Bid MBE Goal: 0.3% Page_J_of
Name & Address of Primary Contact Person
MBE (Name/Telephone) Scope of Work to be Performed DollarAmount of Percentage of
(�khocopacse/schedule if you need additional space) MBE Component Total Bid/Proposal
KM
v X
Base Bid MBE Totals
BP1-Alternate 1-1 MBE Goal: 0.3%
Name & Address of Prima y Contact Person
MBE _ (Name/Telephone) Scope of Work to be Performed Dollar Amount of Percentage of
(Attach scope/schedule if you need additional space)
MBE Component Total Bid/Proposal
A ✓,Cxx�- PiLoj ,141
Version 10/18/21 1 Contractor's Bid for Public Works — 9.1
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE -1.0
MBE UTILIZATION PLAN
BPI -Alternate 1-2 MBE Goal: 0.3%
Name & Address of Primary Contact Person
MaE
(Name/Telephone)
BPI -Alternate I-3 MBE Goal: 0.3%
Name & Address of Primary Contact Person
MBE
— (Name/Telephone)
Submitted by:
Print Name
Scope of Work to be Performe�—
(Attach s
jc
coope/schedule if you need Ormeonal space)
Scope of Wod( to be -Pe rform,,d
(Attach scope/schedule if you neJIlonal space)
Version 10/18/29
Contractor's Bid for Public Works — 9.2
t • 4
Date
DOIIarAmoUnlor[ On
MBB L'om onent Percentage of
P Total aid/Proposal
Dollar Amount of
MBE Com Percentage of
ponent Total Bid/Proposal
CITY OF SOUTH BEND z(
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN W
FORM MBE -2.0
EVIDENCE OF GOOD FAITH EFFORTS8 ,
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: 121-061 R Date: 12/13/21
Project Name: Ward Bakery Exterior Improvements
Bidder: MET Construction LLC
Contact Person: Tonia Miller Telephone: 317-828-2376
Address: 8710 Bash Street
City: Indianapolis State: Indiana
zip: 46256
Email: tonia.miller@metconstructionllc.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*:
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 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: http,//www.in. ov/idoa/.
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.
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
htt ://www.in. q ov/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
cJ 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.
1 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
cam.'son u.y calculated to inform MBEs of subcontracting opportunities and allowed
sufficient time for MBEs to participate effectively.
��F__ I affirsn that ! followed up on initial solicitations with interested MBEs.
C 1 affirm that I negotiated with interested MBEs in good faith, including providing such MBEs
ad::y i;;te information about the plans, specifications and other requirements of the
subcontract.
r_— 1 affirm that I have made good faith efforts to assist interested MBEs in obtaining bonding,
ifnes of credit, or insurance as required by the City or the bidder, where appropriate.
Version 09/29/2021 Contractor's Bid for Public Works - 11
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PL
FORM MBE -2.0 AN
EVIDENCE OF GOOD FAITH EFFORTS
1,
cam`
U
x AF
M4.,IRC�J
I affirm that i have made good faith efforts to assist interested MBEs in obtaining necessary
W n`, - pplies, materials, or related assistances or services, where appropriate.
I affirm that 1 did not reject any MBEs as unqualified without sound business reasons based
n -3 til = roL;gh investigation of their capabilities.
CONTRACT RECORDS; The bidder has maintained the following records for each MBE that has bid on
the suntracting opportunity:
I. 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.
'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 - 12
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN c
z
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: 121-061R 12/13/21
Date:
Project Name: Ward Bakery Exterior Improvements
Bidder: MET Construction LLC
Contact Person: Tonia Miller 317-828-2376
Telephone:
Address: 8710 Bash Street
City: Indianapolis state: Indiana
Zip: 46285
Email: tonia.miller@metconstructionlic.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":
EVIDENCE OF GOOD FAITH EFFORTS
WBE UST(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: htt :H, w.in, ov/idoa/.
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
t
ht ://www.in. ov/idoa .
I affirm that I have made good faith efforts to select portions of the contract work to be
;;y 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
�✓� ° I -Gns t^e 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
VJ''kCs cr contracting and subcontracting opportunities.
c I affirm that I advertised in general circulation and/or trade association publications
ct;ncrarii;-,y subcontract opportunities and allowed WBEs 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 WBEs of subcontracting opportunities and allowed
sun`icien tune for WBEs to participate effectively.
12 f?rm t"M : followed up on initial solicitations with interested WBEs.
:I:affirm that 1 negotiated with interested WBEs in good faith, including providing such WBEs
- �1.ie4l 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 - 13
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM WBE-2.0':;,_
EVIDENCE OF GOOD FAITH EFFORTS
a
I affirm that I have made good faith efforts to assist interested WBEs in obtaining
necessary equipment, supplies, materials, or related assistances or services where
g
appropriate. re
affirm that t did not reject any WBEs as unqualified without sound business reasons
bused on a thorough investigation of their capabilities.
LI,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. An
omissions shall be considered grounds for rejection of the bid by the Board of Public Works, The n
South Bend reserves the right to request additional information, y
City of
Version 09!2912021
Contractor's Bid for Public Works - 14
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION P 1
ROGRAM 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 o ffu whether any listed
minority-owned business meets the MBE qualifications. Attach additional pages if necessary,
Project Number: 121-061R PAGE 1 OF 1
MBE Participation Goal
Project Name: Ward Bakery Exterior Improvements
Bidder: MET Construction LLc
By. President
(Signature) (Title) 12/13/2021
(Date)
MBE Firm MET Construction LLc
Owner or Contact at MBE Firm Tonia Miller
Telephone: 317-828-2376 Fax: Email: tonia.miller@metc6nst uuctionlic.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Scrape & aln o In e s
Provide framing of new masonry openings
Provide Dumpsters & Joy Johns
RESULTS OF CONTACT WITH THEM REB IF M:
MF t did not ive a break out of bids, they bid (1) dump sum for the work listed above.
MET lump sum bid 74,989.00
C&S (same scope) 35,971.00
C&S will not be able —to—us—et—he–fie p o onis p
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 - 15
CITY OF SOUTH BEND
MINORITY AND �°�, ����•�,
WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAMu 7
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
waman-owned business meets the WBE I cts
qualifications. Attach additional pages if necessary.
Project Number: 121-061R PAGE—
QF-Project Name:Ward Bakery Exterior Imnrnvta . --4.. WBE Participation Goal
Bidder.-
By:
idder:By:
(Signature)
WBE Firm
Owner or Contact at WBE Firm
Telephone: ----
Fax: Fax:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE WBE FIRM:
WBE Firm
Owner or Contact at WBE Firm
Telephone: — —
Fax:
TYPE OF WORK SOLICITED FOR THIS PROJECT
RESULTS OF CONTACT WITH THE WBE FIRM:
''Ai -5,,
Email:
Email:
Version 09/29/2021
Contractor's Bid for Public Works - 16