HomeMy WebLinkAboutOpening of Bids - 2022 Asphalt Materials Bid Proj No. 122-029 - Milestone Contractors North, Inc.CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS
Project Name 2022 Asphalt Materials Bid
Project No. 122-029
For Bids Due March 22, 2022, 9:00 a.m., Local Time
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.
N/A Proper bid security included. The bidder has the option of providing either a Certified Check
or Bid Bond. NOT REQUIRED
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,
X 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]. 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: Milestone Contractors
By Authorized Repre2tin
Signature:
Print Name & Title:
, Director of
Version 09/29/2021 Contractor's Bid for Public Works -1
Date: 3/22/2022
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name 2022 Asphalt Materials Bid
Project No. 122-029
For Bids Due March 22,2022,9:00 a.m., Local Time
PART I
(Must be completed for all bids. Please type or print)
Date: 3/22/2022
Address: 24358 SR 23
City/State/Zip: South Bend, IN 46614
Bidder (Firm): Milestone Contractors North. Inc.
Telephone Number: ( 574 ) 2884811
Agent of Bidder (if Applicable):
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
2022 Asphalt Material Bid
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
City of South Bend - Dept. of Public Works
and dated 2/14/2022 for the sum of (enter the Total Bid as shown on the Proposal)
Three million six hundred forty four thousand nine hundred thirty dollars and zero cents ($ 3,644,930.00
(Enter sum of Total Base Bid 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 r#erenced at the applicable page.
If additional units of material included in the contract are n tl6d, the cost of units must be the same as that
shown in the origir�q{Q1�act if accepted by the City�uth nd. If the bid is to be awarded on a unit
basis, the iterrii�p'b�t1�tiits shall be shown on s ara attach nt.
`NN eco ......., o
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:. �pRPORAT� y (Signature)
"•� _ D in P. Hila Dir in
EA:�,� (Printed Name of Person Signing)
L.
�i .• ' ear ACCEPTANCE
The above bi�R�m�this day of 20
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Elizabeth A. Maradik, President
Gary A. Gilot, Member
Murray L. Miller, Member
Joseph R. Molnar, Vice President
Jordan V. Gathers, Member
Attest: Theresa Heffner, Clerk
Version 09/29/2021 Contractor's Bid for Public Works - 2
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 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
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.
I, the undersigned bidder or agent as contractor on a public works project, understand my statutory
obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby
certify that I and all subcontractors employed by me for this project will use steel products or foundry
products made in the United States on this project if awarded. I understand I have an affirmative duty to
notify the City in my bid that my proposal does not include the use of steel products or foundry products
made in the United States. I understand it is my sole obligation and responsibility to provide a justification
to the City, subject to review and approval, why the cost of United States made steel or foundry products is
unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry
products made in the United States, the City, through its director of public works, shall make a determination
if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder
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 22nd day of March , 2022
`���tilttlli��i
�pORATE.'�
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Subscribed and sworn to before me this 22nd
My Commission Expires
6/5/2022
of Contractor/Bidder or Its Agent
Dustin P. Hilary. Director of Estimating
Printed Name and Title
day of March —2022
Notary ublic Alta Krueger
County of Residence LaPorte
Version 09/29/2021 Contractor's Bid for Public Works - 6
t HsP b`,
=''nounv
ALISHA KRUEGER
La Porte County
SEAL, ;
My Commission Expires
g_
June 5, 2022
Version 09/29/2021 Contractor's Bid for Public Works - 6
TTH
BIDIPROPOSAL
CITY OF SOUTH BEND _
Project Name: 2022 Asphalt Materials Bid AIDS
Project Number: 122-029
For Bids Due: March 22,2022,9:00 a.m., Local Time
Contractor Name: Milestone Contractors North, Inc.
BASE BID -ASPHALT MATERIALS
Bidder (Firm): Milestone Contractors North.. Inc.
Address: 24358 SR 23
City/State/Zip: South Bend, IN 46614 Telephone Number:
Version 09/29/2021
1tcctors
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v (Signature)
Dustin P. Hilary, Director of Estimating
(Printed Name of Person Signing)
Contractor's Bid for Public Works - 7
07 ,-
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: 122-029 Project Name:
2022 Asphalt Materials Bid
Bidder: Milestone Contractors North, Inc.
Total Bid Amount: $3,644,930.00
MBE Goal:
0.13%
Page 1
of 1
Name &Address of MBE
Primary Contact Person i
Scope of Work to be Performed
Dollar Amount of MBE
Percentage
of Total
(Name/Telephone)
i
Attach sco scope/schedule if you need additional space)
� P Y P )
Component
P
Rirl/Drnnnc.l
C. Lee Construction Services, Inc. Frederick "Chip" Lee Hauling
1011 S. Lake Street
Gary, IN 46403
Submitted by: Dustin P. Hilary, Director of Estimating
Print Name
Version 09/29/2021 Contractor's Bid for Public Works - 9
$4,750.00 1 0.13%
3/22/2022
Date
CITY OF SOUTH BEND V
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. U is
the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications.
Project Number.
Bidder.•
122-029
Project Name.,
Milestone Contractors North, Inc.
2022 Asphalt Materials Bid
Total Bid Amount: $3,644,930.00 WBE Goal. 0.18 %
Page 1 of 1
Primary Contact Person
Name & Address of WBE (Name/Telephone)
Scope of Work to be Performed
(Attach scope/schedule if you need additional space)
Dollar Amount of WBE
Component
Percentage
of Total
Bid/Proposal
V & R Trucking, Inc. Veda Godette
1845 N. Elmer Street
South Bend, IN 46628 574-514-9418
Hauling
$6,600.00
0.18%
Submitted by. Dustin P. Hilary, Director of Estimating
Print Name
Version 09/29/2021 Contractor's Bid for Public Works - 10
3/22/2022
Date
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN - „T
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 1 OF 1
Project Number: 122-029 MBE Participation Goal 0.13%
Project Name: 22 As halt Materials Bid
Bidder: Mil one Contractors North, Inc.
By: Director of Estimating 3/22/2002
(Sig ) Dustin P. Hilary (Title) (Date)
MB rm C. Lee Construction Services, Inc.
O ner or Contact at MBE Firm Frederick "Chip'Lee
Telephone: 219-888-9554 Fax: 219-888-9564 Email: chip@cleecsi.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Hauling
RESULTS OF CONTACT WITH THE MBE FIRM:
If Milestone Contractors North, Inc. is awarded the project, we'll enter into a Hauling Agreement with
C. Lee Construction Services: Inc.
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 PROGRAM PLAN
FORM MBE -2.1 b
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 1 OF 1
Project Number: 122-029 WBE Participation Goal __ 0.18%
Project Name:
Bidder:
By:
Materials Bid
Dustin P. Hilary
for of Estimati
(Title)
3/22/2022
(Date)
°1�°f1 V & R Trucking, Inc.
Owner or Contact at WBE Firm Veda Godette
Telephone: 574-514-9418 Fax: 574-234-0178 Email: rfightingirish@aol.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Hauli
RESULTS OF CONTACT WITH THE WBE FIRM:
If Milestone Contractors North, Inc. is awarded the project, we'll enter into a Hauling Agreement with
with V & R Truckina. Inc.
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 - 16
CITY OF SOUTH BEND .TAMES MUELLER, MAYOR
DEPARTMENT OF PUBLIC WORKS
ERIC HoRvATH, DIRECTOR
October 25, 2021
Milestone Contractors North, Inc.
Krueger, Alisha akrue sera milestone) .com
Hilary, Dustin ilarvrmilestoneip.com
Pilipow, P.E. , Ed epilipow@milestoneln.com
RE: Pre -Qualification Verification
Dear, All:
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,.
Liz Horvath, Permit Manager
CONTRACTOR'S BID FOR PUBLIC WORK - FORM 96
x' •`. State Form 52414 (R2 12-13) / Form 96 (Revised 2013)
Prescribed by State Board of Accounts
PART
(To be completed for all bids. Please type or print)
Date (month, day, year):
1. Governmental Unit (Owner): City of South Bend Indiana
2. County : St. Joseph
3. Bidder (Firm): Milestone Contractors North, Inc.
Address: 24358 SR 23
City/State/ZlPcode;_ South Bend, IN 46614
4. Telephone Number: 574-288-4811
5. Agent of Bidder (if applicable):_
3/22/2022
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete
the public works project of 2022 Asphalt Material Bid Pro ect No. 122-0 _
(Governmental Unit) in accordance with plans and specifications prepared by
City of South Bend - Dept. of Public Works and dated February_14th, 2022 for the sum of
See Attache. $ See AttWhed
The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the
notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the
notice. Any addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed, the cost of units must be the same as
that shown in the original contract if accepted by the governmental unit, If the bid Is to be awarded on a unit
basis, the itemization of the units shall be shown on a separate attachment.
The contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee,
or applicant for employment, to be employed in the performance of this contract, with respect to any matter
directly or indirectly related to employment because of race, -religion, color, sex, national origin or ancestry.
Breach of this covenant may be regarded as a material breach of the contract.
CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS
(!f applicable)
I, the undersigned bidder or agent as a contractor on a public works project, understand my statutory
obligation to use steel products made in the United States (I.C. 5-16-8-2). 1 hereby certify that I and all
subcontractors employed by me for this project will use U.S. steel products on this project if awarded. I
understand that violations hereunder may result in forfeiture of contractual payments.
The above bid is accepted this
following conditions:
Contracting Authority Members:
ACCEPTANCE
_ day of
PART II
(For projects of $150, 000 or more — !C 36-1-124)
Governmental Unit: Ci_ of South Bend Indiana
Bidder (Firm) Milestone Contractors North, Inc.
Date (month, day, year): ._ March 22nd 2022
subject to the
These statements to be submitted under oath by each bidder with and as a part of his bid.
Attach additional pages for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
What public works projects has your organization completed for the period of one (1) year prior to the
date of the current bid?
Completion
Class of Work Date Name and Address Owner
Contract Amount - -
9,946,272.00 i Reconstruction Ma 2020 INDOT
—4—,2287,3140.00 i Resurface November 2020 Lake County Hwy Dept
141041874.00 Resurface December 2020 St. Joseph County_ Airport Authority
3 698,954.00 Resurface October 2020 INDOT
2. What public works projects are now in process of construction by your organization?
Expected
Contract Amount
Class of Work
Completion
Name and Address of Owner
Date
6,917,653.00_
Resurface
May 2021
INDOT _
6 716 400.00
Reconstruction _
December 2021
I INDOT
5,126,831.00 Reconstruction
November 2021
INDOT _
3.338,539.00
Reconstrucuontsewer
December 2021
INDOT
3. Have you ever failed to complete any work awarded to you? . Na
If so, where and why?
4. List references from private firms for which you have performed work.
Gatlin Plumbing & Heating, Inc. 1111 E. Main St., Griffith, IN Ms. Patti Centrowski
Gough, Inc. 2200 E. 88th Dr., Merrillville, IN Mr. Raymond Gough
Dyer Construction Co., 1716 Sheffield Avenue, Dyer, IN Ms. Janet Furman
Grimmer Construction Co., Inc. 2619 Main St., Highland, IN Mr. Greg Grimmer
SECTION 11 PLAN AND EQUIPMENT QUESTIONNAIRE
1. Explain your plan or layout for performing proposed work. (Examples could Include a narrative of when
you could begin work, complete the project, number of workers, etc. and any other information which you
belleve would enable the governmental unit to consider your bid.)
As required by owner _
2. Please list 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.
See attached list
3. If you intend to sublet any portion of the work, state the name and address of each subcontractor,
equipment to be used by the subcontractor, and whether you will require a bond. However, if you are
unable to currently provide a listing, please understand a listing must be provided prior to contract
approval. Until the completion of the proposed project, you are under a continuing obligation to
Immediately notify the governmental unit in the event that you subsequently determine that you will use a
subcontractor on the proposed project.
Will supply upon award of contract
4. What equipment do you have available to use for the proposed project? Any equipment to be used by
subcontractors may also be required to be listed by the governmental unit.
See attached list _
5. Have you entered into contracts or received offers for all materials which substantiate the prices used In
preparing your proposal? If not, please explain the rationale used which would corroborate the prices
listed.
Yes, we received quotes from potential subcontractors and suppliers
SECTION III CONTRACTOR'S FINANCIAL STATEMENT
Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial
statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to
the governing body awarding the contract must be specific enough in detail so that said governing body can make
a proper determination of the bidder's capability for completing the project if awarded.
SECTION IV CONTRACTOR'S NON — COLLUSION AFFIDAVIT
The undersigned bidder or agent, being duly swom on oath, says that he has not, nor has any other
member, representative, or agent of the firm, company, corporation or partnership represented by him, entered
into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such
letting nor to prevent any person from bidding nor to include anyone to refrain from bidding, and that this bid is
made without reference to any other bid and without any agreement, understanding or combination with any other
person in reference to such bidding.
He further says that no person or persons, firms, or corporation has, have or will receive directly or
indirectly, any rebate, fee, gift, commission or thing of value on account of such sale.
SECTION V OATH AND AFFIRMATION
I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION
CONTAINED IN THE FOREGOING BID FOR PUBLIC WORKS ARE TRUE AND CORRECT.
Dated at South Bend this
Milestone
day of March
forth, Inc.
(Name qj�Qrganlzatlon)
Director of Estimating
(Title of Person Signing)
ACKNOWLEDGEMENT
Before me, a Notary Public, personally appeared the above-named Dustin P. Hilary
swore that the statements contained in the foregoing document are true and correct.
2022
— and
Subscribed and sworn to before me this 22nd day of March 2022
— NotaryAubrc Alisha Krueger
My Commission Expires: 6/5/22
ALISHAKRUEGER
County of Residence: _ . St_J.oseph — ;=°Nc. ` ; LaporleCaunty
My Commission Expires
mrd
June 5, 2022
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STATE OF
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COUNTY OF St. Joseph_ _ _
day of March
forth, Inc.
(Name qj�Qrganlzatlon)
Director of Estimating
(Title of Person Signing)
ACKNOWLEDGEMENT
Before me, a Notary Public, personally appeared the above-named Dustin P. Hilary
swore that the statements contained in the foregoing document are true and correct.
2022
— and
Subscribed and sworn to before me this 22nd day of March 2022
— NotaryAubrc Alisha Krueger
My Commission Expires: 6/5/22
ALISHAKRUEGER
County of Residence: _ . St_J.oseph — ;=°Nc. ` ; LaporleCaunty
My Commission Expires
mrd
June 5, 2022
Part of State Form 52414 (8212-13)1 Form 96 (Revised 2013)
BID OF
Milestone Contractors North, Inc.
(Contractor]
24358 SR 23
(Address)
South Bend, IN 46614
FOR
PUBLIC WORKS PROJECTS
OF
City of South Bend, Indiana
2022 Asphalt Material Bid
Project No. 122-029
Filed March 22nd 20212
Action taken.
Sec. 2 of an Act entitled "ANACT concerning the awarding of contracts for the performance of public work and authorizing
the board of accounts to prescribe certain forms to be used in ascertaining the responsibility of contractors who submit bids for the
performance of such work, providing for plans and specifications, providing for bids repealing certain laws and declaring an
emergency." (Approved March 13, 1947.)
Sec. 2. Whenever the aggregate costs of any work or improvement will be five thousand dollars ($5,000.00) or more, for the
purpose of enabling such board, commission, trustee, officer or agent to ascertain and determine which of the bidders submitting
bids for the performance of any such public work is, in the judgment of such board, commission, trustee, officer or agent, the lowest
and/or best bidder and to exercise intelligently the discretion hereby conferred on such board, commission, trustee, officer or agent
each bidder shall be required to submit under oath with and as a part of his bid a statement of his experience, his proposed plan for
performing such work and the equipment which he has available for the performance of such work and a financial statement. The
statements hereby required shall be submitted on forms which shall be prescribed by the state board of accounts. The forms so
prescribed shall be designated, respectively, as the experience questionnaire, the plan and equipment questionnaire and the
contractor's financial statement, and shall be based, so far as applicable, on the standard questionnaires and financial statement for
bidders as approved and recommended by the joint conference on construction practices, for use in investigating the qualifications
of bidders on public construction work, and the forms so prescribed are hereby prescribed as the forms which shall hereafter be
used by all such boards, commissions, trustees, officers and agents in obtaining the information which is required in the
administration of this act. If the information submitted by any bidder on the forms herein prescribed is found, on examination, to
be unsatisfactory, the bid submitted by such bidder shall not be considered. (Burns Statutes 1933, Sec. 53-109) Sec. 2, Chapter 306,
Acts of 1947.
2
TO THE BIDDER—
The following forms of questionnaires and financial statement are prescribed by the State Board of
Accounts in conformity with the statute set out on the preceding page.
These forms, properly filled out and attested, must accompany each bid of five thousand dollars or
more on any public work.
The forms are designed to cover all contracts for all kinds of work and the bidder is required to answer
such questions as are pertinent to the work upon which he is bidding. The purpose of the questionnaire and
financial statement, as set forth in the law, is to enable the awarding body to determine the qualifications
of the bidder to carry out successfully the contract if the same is awarded to him.
The bidder will find it to his advantage to answer fully all questions coming within the range of the
work upon which he is bidding. Particular attention should be given the "Financial Statement" and the
details relative to the assets and liabilities set out. This form is made in extensive detail so that the bidder
may explain his assets and liabilities in proper sequence and in a uniform manner.
T. M. HINDMAN,
State Examiner
Submitted by Milestone Contractors North, Inc. { x A Corporation
Principal Office at 1700 East Main Street, Griffith, IN 46319
To City of South Bend. Indiana
EXPERIENCE QUESTIONNAIRE
The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers
to interrogatories hereinafter made.
2.
0
How many years has your organization been in business as a general contractor under your present
business name? 55 Years
How many years experience in asphalt paving construction work has your organization had: (a)
As a general contractor 74 years (b) As a sub -contractor 74 Years
What projects has your organization completed?
Contract Amount
Class of Work
When Completed
Name and Address of Owner
$ 9,946,272
Reconstruction
May 2020
INDOT
$ 4,287,140
Resurface
November 2020
Lake CountyH D t
$ 4,104,874
Resurface
December 2020
St. Joseph County Airport
Authority
$ 3,698,954
Resurface
October 2020
INDOT
3-A. What projects has your organization now in process of construction?
CONTRACT AMT.
CLASS OF WORK
WHEN TO BE COMPLETED
NAME AND ADDRESS OF OWNER
$
6,917,653
Resurface
May 2021
INDOT
$
6,716,400
Reconstruction
December 2021
INDOT
$
5,126,831
Reconstruction
November 2021
INDOT
$
3,338,539
Reconstruction/Sewer
December 2021
INDOT
4. Have you ever failed to complete any work awarded to you? No If so, where and why?
5. Has any officer or partner of your organization ever been an officer or partner of some other
organization that failed to complete a construction contract? No If so, state name of individual,
other organization and reason therefore
6. Has any officer or partner of your organization ever failed to complete a construction contract handled
in his own name? No If so, state name of individual, name of owner and reason therefor
7. In what other lines of business are you financially interested?
4
For what corporation or individuals have you performed work, and to whom do you refer?_
BP Amoco, Whiting, Indiana
Tonn & Blank Construction 1623 Greenwood Ave., Michigan City. IN 46360
Grimmer Construction Co., Inc. 2619 Main Street. Highland. IN 46322
University of Notre Dame, South Bend, Indiana
Gouah, Inc. 1151 E. Summit Crown Point IN 46307
9. For what cities have you performed work and to whom do you refer?
Town of Griffith
Director of Public Works
Griffith IN
Town of Schererville
Town Manner
Schererville IN
City of Hammond
Cit En ineer
Hammand, IN
City of South Bend
City Engineer
South Bend, IN
Town of St. John
Town Manager
St. John IN
10. For what counties have you performed work and to whom do you refer?,
Lake Count
Hi-ghw!qy
YEARS OF
Su erintendent
Crown Point IN
Porter County
Highway
CONSTRUCTIO
Superintendent
Valparaiso, IN _
St. Joseph County
Highway
N EXPERIENCE
Superintendent
South Bend, IN
Elkhart CourV
HighwayHighwqy
35
Su erintendent
Elkhart IN
Laporte County
Highway
41
Superintendent
Laporte, IN
11. For what State bureaus or departments have you performed work and to whom do you refer?
Indiana Department of Transportation (INDOT) LaPorte District Laporte IN
Department of Natural Resources Indiana lis IN
12. Have you ever performed any work for the U.S. Government Yes
If so, when and to whom do you refer?
U.S. Army Corps of Engineers Chicago, IL
Indiana National Guard, Dept. of Administration Indianapolis, IN
Federal Highway Administration Sterling: VA
13. What is the construction experience of the principal individual of your oreanization?
INDIVIDUAL'S NAME
PRESENT POSITION OR
YEARS OF
MAGNITUDE AND
IN WHAT CAPACITY
OFFICE
CONSTRUCTIO
TYPE OF WORK
N EXPERIENCE
Todd A. Fawver
President
35
All Types
Engineer
Mark S. Andrews
Exec. Vice President
41
All Types
General Manager
John M. Peisker
VP — Production
36
All Types
General Manager
Jamie L. Tancos
Vice President,
17
Administration
General Manager
Secret /Treasurer
David M. Kozyra
VP, Area Manager
26
All Types
Project Manager
Griffith
Greg A. Hoffman
Director of
34
Bituminous Paving
Engineer
Estimating, Griffith
David J. Misirly
Senior Estimator
36
Bituminous Paving
Engineer
Mark E.
Construction Manager
31
All types
Engineer
Krachenfels
Lynn J. Bauer
VP, Area Manager
26
All types
Engineer
South Bend
Dustin P. Hilary
Dir. of Estimating,
21
All types
Engineer
South Bend
Nikolas G. Relias
Project Manager
19
Bituminous Paving
Engineer
PLAN AND EQUIPMENT QUESTIONNAIRE
The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers
to interrogatories hereinafter made.
1. In what manner have you inspected this proposed work? Explain in detail.
Plans, Specifications, and Site Ins ections
2. Explain your plan or layout for performing the proposed work
As directed by owner/engineer
3. The work, if awarded to you, will have the personal supervision of whom? Todd A. Fawver,
John M. Peisker, Mark S. Andrews, David J. MisirlW . GreL, ory A. Hoffman, Dustin P. Hilary, David
M. KonTa, and Lygp J. Bauer
4. *Do you intend to do the hauling on the proposed work with your own forces? Yes
If so, give amount and type of equipment to be used As needed
5. *If you intend to sublet the hauling or perform it through an agent, state amount of sub -contract or
agent's contract, and if known, the name and address of sub -contractor or agent, amount and type of
his equipment and financial responsibility
Items 4,5,6 and 7 may not be applicable in all building contracts; if not, omit.
C
*Do you intend to do the grading on the proposed work with your own forces?
If so, give type of equipment to be used
7. *If you intend to sublet the grading or perform it through an agent, state amount of sub -contract or
agent's contract, and, if known, the name and address of sub -contractor or agent, amount and type of
his equipment and financial responsibility
8. Do you intend to sublet any other portions of the work? If so, state
amount of sub -contract, and, if known, the name and address of the sub -contractor, amount, and type
of this equipment and financial responsibility
9. From which sub -contractors or agents do you expect to require a bond? None
10. What equipment do you own that is available for the proposed work?
QUANTITY
ITEM
DESCRIPTION,
SIZE, CAPACITY,
ETC.
CONDITION
YEARS PRESENT LOCATION
OF
SERVICE
5
Asphalt Plants
Various
Good
Griffith, South Bend,
Valparaiso, Lowell, LaPorte
20
Asphalt Pavers
Various
Good
I Griffith, South Bend
4
Sli form Cone. Paver
Various
Good
Griffith, South Bend
4
Road Widener
Various
Good
Griffith, South Bend
4
Motor Graders
CAT/J.D.
Good
Griffith, South Bend
57
Rollers
Various
Good
Griffith, South Bend
39
Rubber Tire Loaders
Various
Good
Griffith, South Bend
22
Excavators
Various
Good
Griffith, South Bend
8
Bulldozers
Various
Good
Griffith, South Bend
7
LowBoy Tractors
Various
Good
Griffith, South Bend
9
Flatbed Dumps
Various
Good
Griffith, South Bend
59
'/z and 3/ ton Pickups
Various
Good
Griffith, South Bend
66
1 Ton Crew Trucks
Various
Good
Griffith, South Bend
3
Cold Planers
Wirtgen 1900
DC
Good
Griffith, South Bend
78
j Quad/Tri-Axle Dump
Mack
I Good
I Griffith, South Bend
11. What equipment do you intend to purchase for use on the proposed work, should the contract be
awarded to you?
QUANTITY ITEM DESCRIPTION, SIZE, CAPACITY, ETC. APPROXIMATE
COST
None
12. How and when will you pay for the equipment to be purchased? N/A
13. Do you propose to rent any equipment for this work?No If so, state type, quantity and reasons for
renting_
14. Have you made contracts or received firm offers for all materials within prices used in preparing your
proposal?
Do not give names of dealers or manufacturers
Dated at South Bend this 22' day of March, 2022.
"v a'c to rs��i���
`� L, ......, ,•tio
p r •`�RPORgTF..•; S
SEAL.:n
�., N d' Q1,,`````�
STATE OF Indiana
t Ss.
COUNTY OF St. Joseph ,
(Name of
iC P. Hilary
A�Oirector of Estimat
(Title of Person Signing)
Inc.
Dustin P. Hil@U being duly sworn deposes and says that he is Director of Estimating of the
above Milestone Contractors North. Inc..
(Name of Organization)
and that the answers to the questions in the foregoing questionnaires and all statements therein contained
are true and correct.
Subscribed and sworn to before me this 22nd day of March, 2022.
JAL2',�
Alisha eger, Notary Public
My Commission expires .June 5, 2022 gLISHA KR]EXPIres
R
NOT;AY fi = La Porte C
8 ;1 SUi My CommissioJune 5, 2
The undersigned hereby declares that the foregoing is a true statement of the financial co ition of the individual, co -partnership
or corporation herein first named, as of the date herein first given; that this statement is for the e r s purpose of inducing the parry to
whom it is submitted to award the submittor a contract; and that any depository, vendororo ency ein named is hereby authorized
to supply such party with any information necessary to verify this statement.
NOTE: A co -partnership must give firm name and signatures of all
partners. A corporation must give full corporate name, signature of official
and affix corporate seal.
Affidavit for Indivft3ual a
STATE OF ��,. "s �T ? SS: IV�,.SEAL.i!') n:
COUNTY OF 7 1 •' ���
being duly sworn, deposes dim
foregoing financial statement, taken from his books, is a true and accurate statement of his financial condition as of thYd&v,,4h and
that the answers to the foregoing interrogatories are true.
Subscribed and sworn to before me this
_day of 21
Notary Public
STATE OF
COUNTY OF
f ss
(Applicant must sign here)
Affidavit for Co -Partnership
being duly sworn, deposes and says that he is a
member of the firm of ; that he is familiar with the books of the said
firm showing its financial condition; that the foregoing financial statement, taken from the books of the said firm , is a true and accurate
statement of the financial condition of the said firm as of the date thereof and that the answers to the foregoing interrogatories are true.
(Member of firm must sign here)
Subscribed and sworn to before me this
day of 20
Notary Public
Affidavit for Corporation
STATE OF Indiana _
{ ss
COUNTY OF St. Joseph
Dustin P. Hilary being duly sworn, deposes and says that he is Director of Estimatin a Milestone Contractors North,Inc. , the
corporation described in and which executed the foregoing statement; that he is famil' th the books of the said corporation showing its
financial condition; that the foregoing financial statement, taken from the books of a id corporation, a true and accurate statement of
the financial condition of said corporation as of the date thereof and that the ans o the fWgoi nterrogatories are true.
Subscribed and sworn to before me this
22nd day of March- 2022.
, Notary
rr'd� ALISHA KRUEGER
;T,a •,;: La Rorie County
e , : My Commission Expires
aaNi June 5, 2022
15
here) Dustin P. Hilary, Dir `c,QtlbM ng
��S� ntr a c tors ,,.....,,,,•.,yo lo
o r 0RArE ••: S
•��AIL:
n
State of Indiana
Office of the Secretary of State
CERTIFICATE OF EXISTENCE
To Whom These Presents Come, Greeting:
I, HOLLI SULLIVAN, Secretary of State of Indiana, do hereby certify that I am, by virtue of the laws of
the State of Indiana, the custodian of the corporate records and the proper official to execute this
certificate.
I further certify that records of this office disclose that
MILESTONE CONTRACTORS NORTH, INC.
duly filed the requisite documents to commence business activities under the laws of the State of
Indiana on March 29, 1966, and was in existence or authorized to transact business in the State of
Indiana on March 07, 2022.
I further certify this Domestic For -Profit Corporation has filed its most recent report required by
Indiana law with the Secretary of State, or is not yet required to file such report, and that no notice of
withdrawal, dissolution, or expiration has been filed or taken place. All fees, taxes, interest, and
penalties owed to Indiana by the domestic or foreign entity and collected by the Secretary of State
have been paid.
STArAi
In Witness Whereof, I have caused to be affixed my
signature and the seal of the State of Indiana, at the City
of Indianapolis, March 07, 2022
moi► �� // - ���
HOLLI SULLIVAN
SECRETARY OF STATE
194484-057 / 20222472571
All certificates should be validated here: https://bsd.sos.in.gov/ValidateCertificate
Expires on April 06, 2022.
State of Indiana
Office of the Secretary of State
Certificate of Amendment
of
WALSH & KELLY INC
I, CONNIE LAWSON, Secretary of State, hereby certify that Articles of Amendment of the above
Domestic For -Profit Corporation have been presented to me at my office, accompanied by the fees
prescribed by law and that the documentation presented conforms to law as prescribed by the
provisions of the Indiana Code.
The name following said transaction will be:
MILESTONE CONTRACTORS NORTH, INC.
NOW, THEREFORE, with this document I certify that said transaction will become effective Monday,
February 01, 2021.
STArE
In Witness Whereof, I have caused to be affixed my
�� signature and the seal of the State of Indiana, at the City
_ tid► of Indianapolis, February 01, 2021
..........-••' L0NN[E. I AWSON
late SFC R f TARY OF STATE
394484 057 / 8878219
To e n s u f e tfie certificate's vatidity, go I https://bsd.sos.in-gov/Pubfic8usrnessSearch
State of Indiana
Office of the Secretary of State
Certificate of Assumed Business Name
of
MILESTONE CONTRACTORS NORTH, INC.
I, CONNIE LAWSON, Secretary of State, hereby certify that a Certificate of Assumed Business Name of the
above Domestic For -Profit Corporation has been presented to me at my office, accompanied by the fees
prescribed by law and that the documentation presented conforms to law as prescribed by the provisions
of the Indiana Code.
Following said transaction, the above named entity will transact business under the assumed business
name{s} of:
WALSH & KELLY
NOW, THEREFORE, with this document I certify that said transaction will become effective Monday,
February 01, 2021.
In Witness Whereof, I have caused to be affixed my
signature and the seal of the State of Indiana, at the City of
Indianapolis, February 01, 2021.
&M" C%YA""M
CONNII iAWSLIN
SECRFTAM OF STATE
1944$4.057 / 8878234
To ensure the rPrIificate's validity, go to https:i/bsd sos in. govlPublicBusiness5earch
CERTIFICATE OF QUALIFICATION
to provide
CONSTRUCTION SERVICES
for
PUBLIC WORKS PROJECTS
to the
STATE OF INDIANA
This Certification Board, having duly considered application for qualification in terms of apparent experience and financial
resources; and under the applicable Indiana Code 4-13.64 and adopted rules of this Board, hereby issues a
Certificate of Qualification to provide construction services to the State of Indiana for Public Works Projects to:
WALSH - KELLY INC
1700 E MAIN ST
GRIFFITH IN 46319
Phone 219-924-5900
Fax 219-924-8768
Company Official
JOHN PEISKER
for the twenty-seven month period stated herein, unless revoked by this Board for cause,
and in the classifications of services stated below. This certificate supercedes any previous certificate.
1611.01 Concrete Construction of Roads & Curbing
1611.02 Asphalt Construction of Roads and Parking Lots
CERTIFICATION DATE 11/4/2020
EXPIRATION DATE 2/4/2023
THIS CERTIFICATE ISSUED BY THE STATE OF INDIANA, PUBLIC WORKS DIVISION CERTIFICATION BOARD,
402 WEST WASHINGTON STREET, ROOM W467, INDIANAPOLIS, INDIANA 46204,
ALSO ACTS AS THE OFFICIAL NOTICE OF EXPIRATION.
�a l
Com/ac
Try L. Cross, ExeEutive Secretary
Certification Board
DAPW PQ2 State Form 3983R Rev. 07/06
WRITTEN CONSENT TO RESOLUTIONS
of the
BOARD OF DIRECTORS
of
MILESTONE CONTRACTORS NORTH, INC.
The undersigned, being all of the Directors of MILESTONE CONTRACTORS NORTH, INC., an
Indiana Corporation, hereby consent to the following actions to be taken by the Corporation without a
meeting of the Board of Directors under the applicable provisions of the Indiana Business Corporation Law,
as amended:
RESOLVED that the following be, and hereby are, elected officers of the Corporation, to
hold the office until the next regular meeting of the Board of Directors and until their
successors are duly elected and have qualified:
Todd A. Fawver President
Charles Potts Jr.
Chief Operating Officer, Construction
John P. Vercruysse
Executive Vice President
Mark Andrews
Executive Vice President
David L. Franz
Vice President
John M. Peisker
Vice President, Production
Patrick J. Walters
Vice President, Finance
Brad McCall
Vice President, Estimating
Derek Merida
Vice President, Bridge Operations
David M. Kozyra
Vice President/Area Manager Griffith
Lynn J. Bauer
Vice President/Area Manager South Bend
Danielle Payne
Assistant Controller, Secretary and Treasurer
RESOLVED FURTHER that the above officers be, and they hereby are, authorized to
execute all contracts or similar documents on behalf of the Corporation. In addition to
the above officers the following are hereby appointed as authorized signers on behalf
of the Corporation:
David J. Misirly Senior Estimator
Gregory A. Hoffman Director of Estimating, Griffith
Dustin P. Hilary Director of Estimating, South Bend
Mark E. Krachenfels Construction Manager
RESOLVED FURTHER that the actions of the Officers of the Corporation taken since
the last meeting of the Board of Directors be, and the same hereby are, fully ratified
and approved.
RESOLVED FURTHER that this consent shall be in lieu of an annual meeting of the Board
of Directors of the Corporation and shall be filed in the minute book of the Corporation in
place of any such annual minutes.
<<SIGNATURES ON THE NEXT PAGE>>
EXECUTED this 26th day of August, 2021.
, YA , �.
Fred Fehsenfeld, Jr.
Geoffrey C. Dillon
James ehsenfeld
P.
Adi P. Vercruysse
Milestone
DATE: February 26, 2021
TO: All Employees
RE: EEO Officer Appointment
Margaret Garner has been appointed Equal Employment Opportunity Officer for Milestone
Contractors. It is her responsibility to coordinate, advise and assist management and
supervisors in their responsibilities of assuring all applicants and employees' equal
opportunities in all aspects of their employment. She will review complaints that allege
discrimination because of race, religion, color, sex, sexual orientation, gender identity, age,
national origin, disability, housing status or veteran status.
Employees of Milestone Contractors are to submit any issues or concerns to Margaret. We are
committed to comply with the provisions of the Civil Rights Act of 1964 and 1991, plus all
Executive Orders issued relating to Equal Employment.
Margaret's contact information is listed below.
Milestone Contractors
7661 N Perimeter Rd, Suite 200
Indianapolis, IN 46241
mgarner@ milestonelp.com
(317)616-4937
2--4�a -
CJ Potts, Chief Operating Officer
P,i; Milestone
EQUAL EMPLOYMENT OPPORTUNITY/
AFFIRMATIVE ACTION POLICY STATEMENT
It is the policy of Milestone Contractors to afford equal opportunity for employment to all individuals regardless of
race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, housing status, or
veterans' status. The corporation is committed to this policy by our status as a federally assisted government
contractor. We are far more strongly bound to the policy by the fact that adherence to the principles involved is the
only acceptable American way of life. Therefore, it is the policy of this corporation to assure that applicants are
employed, and that employees are treated during employment without regard to race, color, religion, sex, sexual
orientation, gender identity, national origin, age, disability, housing status, or veterans' status. Such action shall
include: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or
termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship, pre -
apprenticeship, and/or on-the-job training.
The successful achievement of a nondiscriminatory employment program requires a maximum of cooperation
between management and employees. In fulfilling its' part in this cooperative effort, management is obliged to lead
the way by establishing and implementing affirmative procedures and practices which will ensure our objective,
namely equitable employment opportunity for all. (Minority and female employees are encouraged to participate
in all company activities and refer applicants.)
I have designated Margaret Garner to direct the establishment of and to monitor the implementation of personnel
procedures to guide our affirmative action program. This official is charged with designing and implementing audit
and reporting systems that will keep management informed on a regular basis of the status of equal employment
opportunity and affirmative action. She can be reached at (317)616-4937.
Supervision has been made to understand that their work performance is being evaluated based on their equal
employment opportunity efforts and results, as well as other criteria. It shall be a responsibility of the supervision
to take actions to prevent harassment of employees placed through affirmative action efforts.
We shall comply with the Civic Rights Act of 1964, as amended, the Federal Highway Act of 1968, the Executive Order
#11246 and #11375, the Rehabilitation Act of 1973, as amended, the Vietnam Era Veterans Readjustment Assistance
Act of 1974, as amended, the Indiana Civil Rights Act and other applicable Federal and State Laws and regulations
pertaining to equality of Opportunities and Affirmative Action policies. We have developed an Affirmative Action
Program for Veterans and Individuals with Disabilities.
CJ Potts, Chief Operating Officer
Margaret Garner, HR Area Partner/EEO Officer
January 2022
EOE N"Nets/Disabled
Tedinwak orqutairt'ration
LSSUElfD BY
3nWana 39ep 4UTd Of Zrwts
INDIANAPOLIS, IN May 20, 2021
TO
MILESTONE CONTRACTORS NORTH, INC.
GRIFFITH, IN
who has filed with the Department a Contractor's Statem art of Experience and Financial Condition as
required under Indiana Code 8-23-10, is hereby qualified to bid at any Department of Transportation
Jetting in Classes of Work and within the amount and other limitation of each classification as listed
below, for such period as the irxxmWteted work on hand from all sources doe`; notexoeed the Aggregate
amount Classification references by name or�symbol are in accordance with the definitions in the
Contractor's Statement of Experience and Rnanciat Condition. This certificate supersedes any certificate
previously issued, but is subject to revision or revocation according to the taw, fi and when changes
in the financial condition of the contracting firm or other facts justify such revision or revocation.
Valid May 19, 2021 Thru September 30, 2022
Aggregate Bidding Capacity: 552,167,000.1
A(B) CONCRETE PAVEMENT: LIMITED................................................................................... $25,000,000.00
B(A) ASPHALT PAVEMENT: W/INDOT CERTIFIED HMA PLANT ............................................. $99,999,999.00
C(B) LIGHT GRADING............................................................................................................... $99,999,999.00
E(E) SMALL STRUCTURES AND DRAINAGE ITEMS.............................................................. $25,000,000.00
E(F) SURFACE MASONRYAND MISCELLANEOUS CONCRETE ........................................... $50,000,000.00
E(G) TRAFFIC CONTROL: PAVEMENT MARKINGS................................................................ $25,000,000.00
E(H) DEEP SEWER AND/OR EXCAVATION.............................................................................. $25,000,000.00
E(Q) CONCRETE PAVEMENT: REPAIRS.................................................................................. $25,000,000.00
E(R) ASPHALT PAVEMENT MILLING....................................................................................... $50,000,000.00
gytv- xll�' �-
ENGINEER
Shm f4xr 2Ua8 tR3, v-]
COUVASBtONER
PREQUALIFICATION WORKSHEET
PRINTED: 05/20/2021
ACCOUNT #: 351120685 VALID: 05119/2021
NAME: Milestone Contractors North, Inc. EXPIRES: 09/30/2022
APPLICATION TYPE: New AUDITOR APPROVED: 05/1212021
FINANCIAL STATEMENT TYPE: Audit ANALYST APPROVED: 05/19/2021
FINANCIAL STATEMENT DATE: 12/31/2020 PREQUALIFICATION APPROVED: 05/20/2021
--- ----------------
CURRENT
- --
FIXED
EQUIPMENT
ASSETS REPORTED
$45,301,075.00
$11,290,806.00
$32,767,124.00
LIABILITIES REPORTED
------------------------------- ------------------------------
$15,307,087.00
$16,142,099.00
0.00%
NETASSETS REPORTED
-----------------------------------------------------------------------------
$29,993,988.00
$(4,851,293.00)
$32,767,124.00
----------------
NET FIXED ASSETS
--
$57,909,819.00
-- -- -- -- ------
ACCOUNTS RECEIVABLE TURNOVER:
-------------------- ------------------
$0.00
NET FIXED ASSETS EQUIPMENT
$0.00
- — --- ---
-- ------ --
NET ACCEPTABLE ASSETS
$27,948,981.00
$5,270,157.00
$32,767,124.00
RATING FACTORS
X10
X2
X8
-------------------------- ------------------------------
RATING COMPONENTS
--
$279,489,810.00
----------------------
$10,540,314.00
--------------
$262,136,992.00
--
x 1.5_
-----------------
------------------
$262,136,992.00
MAXIMUM EQUIPMENT
$419,234,715.00
$0.00
8
$262,136,992.00
$0.00
+
$279,489,810.00
COMPONENT RATING
CURRENT
$279,489,810.00
FIXED
$10,540,314.00
EQUIPMENT
-------- - - --- ----- -
$262,136,992.00
-------- -------
-
MAXIMUM BALANCE
$552,167,116.00
STATEMENT TYPE
Audit
EXPER. REDUCTION
0.00%
AGG. BIDDING CAPACITY
$552,167,000.00
+ $5,270,157.00
................. ---------------
$541,626,802.00 $5,270,157.00
X 0.25 X 2
MAXIMUM FIXED $135,406,701.00 ADJUSTED FIX. $10,540,314.00
- --- -------
- -- — ---- ----- —------------- . .. . . .
BALANCE SHEET ANALYSIS
CURRENTASSETS:
$45,301,075.00
CURRENT RATIO:
2.96
INVENTORY:
.............. --- .......
$5,215,421.00
--------------- -
QUICK RATIO:
- --------------------
2.62
-- ------
CURRENT LIABILITIES:
$15,307,087.00
WORKING CAPITAL:
$29,993,988.00
-----------------------------
LONG TERM LIABILITIES:
---------
$16,142,099.00
- -- --- - -----------
DEBIT/ NET WORTH:
- ---------------------
0.54
----------------------- - -----------------
NET WORTH:
--
$57,909,819.00
-- -- -- -- ------
ACCOUNTS RECEIVABLE TURNOVER:
-------------------- ------------------
---- ----- - -------
8.63
--- - ------
- ---- - --
TOTAL LIABILITIES:
------------------------------------------------
----- -- - -- - —
$31,449,186.00
-
ACCOUNTS RECEIVABLE/TOTAL CURRENTASSETS:
-----------...-------------------------------------
0.38
---------
----- --- ---
....
ACCOUNTS PAYABLE/TOTAL CURRENT LIABILITIES:
---------- — -- ----------- - --
0.30
----- ------
----------------------
---------------------
RECEIVABLES/PAYABLES:3.74
-----------------------------------
.....
-------------------------------
-------------------------------------------------------------------
DAYS IN ACCOUNTS RECEIVABLE:
----------------------------------------------------- ----------------------------
----------------------------
42.27
ADJUSTMENTS
Line Item # - Description
Current
Adjustment Amount
Fixed Equipment
11 Detail is not Clear
$(38,221.00)
$0.00 $0.00
16 Omit Goodwill
$0.00
$(1,138,640.00) $0.00
17 Due after 24 Months
$0.00
$12,033,636.00 $0.00
99 Omit Affiliates
$(2,780,332.00)
99 Reclassify to Current
$1,274,516.00
$(1,274,516.00)
99 To 16 Long Term
$(500,970.00)
$500,970.00
Page 1 of 2
ACCOUNT #: 351120685
NAME: Milestone Contractors North, Inc.
APPLICATION TYPE: New
FINANCIAL STATEMENT TYPE: Audit
FINANCIAL STATEMENT DATE: 12/31/2020
WORK TYPES
Code
Description
Approved Amount
A(b)
CONCRETE PAVEMENT: LIMITED
$25,000,000.00
B(a)
ASPHALT PAVEMENT: W/INDOTCERTIFIED HMA PLANT
$99,999,999.00
C(b)
LIGHT GRADING
$99,999,999.00
E(e)
SMALL STRUCTURES AND DRAINAGE ITEMS
$25,000,000.00
E(f)
SURFACE MASONRY AND MISCELLANEOUS CONCRETE
$50,000,000.00
E(q)
TRAFFIC CONTROL: PAVEMENT MARKINGS
$25,000,000.00
E(h)
DEEP SEWER AND/OR EXCAVATION
$25,000,000.00
E(q)
CONCRETE PAVEMENT: REPAIRS
$25,000,000.00
E(r)
ASPHALT PAVEMENT MILLING
$50,000,000.00
VALID: 05/19/2021
EXPIRES: 09/30/2022
AUDITOR APPROVED: 05112/2021
ANALYST APPROVED: 05/19/2021
PREQUALIFICATION APPROVED: 05/20/2021
Page 2 of 2
1316 COUNTY -CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND, INDIANA 4660 1-1 83 0
Date:
To:
From
Subject
Project Name:
Project No.:
PHONE 574/235-9251
FAx 574/ 235-9171
TDD 574/ 235-5567
CITY OF SOUTH BEND JAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
March 9, 2022
All Planholders
Theresa Heffner, Clerk, Board of Public Works
Addendum Number: 1
2022 Asphalt Material Bid
122-029
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: 3/9/2022
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:
Milestone
Authorized Signature:
Hilary, Director of Estimating
Date: 3/22/2022