HomeMy WebLinkAboutOpening of Bids - 2022 Contractor Paving Round III Project No. 122-048 - Milestone Contractors North, Inc.CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name 2022 Contractor Paving Round 3
Project No. 122-048
For Bids Due October 25, 2022 at 9:00am Local Time to bpwbids@southbendin.gov
PART I
(Must be completed for all bids. Please type or print)
Date: 10/25/2022 Bidder (Firm): Milestone Contractors North, Inc.
Address: 24358 SR 23
City/State/Zip: South Bend, IN 46614 Telephone Number: ( 574 ) 288-4811
Agent of Bidder (if Applicable):
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
2022 Contractor Pavina Round 3
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
and dated 7172022 & 10/13/2022 for the sum of (enter the Total Bid as shown on the Proposal)
Two million nine hundred fifty one thousand dollars and zero cents �_$ 2,951.000.00
(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, tAundaned submits a proposal for each in
accordance with the notice. Any addendums attachedecifically referenced at the applicable
page. If additional units of material included in the coed, the cost of units must be the
same as that shown in the original contract if accepty of South Bend. If the bid is to be
awarded on a unit basis, the itemization of the units agn-a's'eparate attachment.
By
The above bid is accepted this
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Elizabeth A. Maradik, President
Gary A. Gilot, Member
ACCEPTANCE
day of
of
20
Joseph R. Molnar, Vice President
Jordan V. Gathers, Member
Murray L. Miller, Member Attest: Theresa Heffner, Clerk
Version 09/29/2021 Contractor's Bid for Public Works - 2
BID/PROPOSAL
CITY OF SOUTH BEND
lU I
PROJECT NAME: 2022 Contractor Paving Round 3
PROJECT NO. 122-048
FOR BIDS DUE: October 25, 2022 at 9:00 am Local Time to bpwbids@southbendin.gov
CONTRACTOR NAME: Milestone Contractors North, Inc.
Addendum no. 4
BASE BID
Item
No. Line Item
Quantity
+ Unit
I
Unit Price
Cost
1
Maintenance of Traffic
1
LS
80,360.40
$80,360.40
2
Mobilization and Demobilization
1
LS
156,500.00
$156,500.00
3
Milling, 1.5"
41022
SY
6.00
$24,132.00
4
Milling, 2"
13,404
SY
4.00
$53,616.00
5
6
Milling, 3"
HMA Surface, 9.5 mm—Type B
45,636
51571
SY
TONS
3.80
117.00
$173,416.80
$651,807.00
7
HMA Intermediate, 12.5mm - Type B
3,765
TONS
102.00
$384,030.00
8
Tack Coat
20
TONS
710.00
$14,200.00
9
Joint Adhesive, Surface
13,568
LF
4.00
$54,272.00
10
Adjust Manhole to Grade
10
EA
2,500.00
$25,000.00
11
Adjust Inlet to Grade
9
EA
2,600.00
$23,400.00
12
Adjust Water Valve Structure to Grade
2
EA
104.00
$208.00
13
Pavement Message Markings, Thermoplastic,
White, Lane Indication Arrow
48
EA
110.00
$5,280.00
14
Line, Thermoplastic, Solid, White, 4"
9,155
LF
3.00
$27,465.00
15
Line, Thermoplastic, Solid, White, 6"
105
LF
3.00
$315.00
16
Line, Thermoplastic, Solid, Yellow, 4"
22,886
LF
0.65
$14,875.90
Version 09/29/2021 Contractor's Bid for Public Works - 7
BID/PROPOSAL
CITY OF SOUTH BEND" o
PROJECT NAME: 2022 Contractor Paving Round 3 t
PROJECT NO. 122-048
FOR BIDS DUE: October 25, 2022 at 9:00 am Local Time to bpwbids@southbendin.gov
CONTRACTOR NAME: Milestone Contractors North, Inc.
Addendum no. 4
BASE BID CONTINUED
Item
No.
Line Item
Quantity
Unit
Unit Price
Cost
17
Line, Thermoplastic, Broken, White, 4"
7,824
LF
0.10
$782.40
18
Line, Thermoplastic, Broken, Yellow, 4"
6,952
LF
0.65
$4,518.80
19
Grooving for Pavement Markings, 4"
46,817
LF
0.60
$28,090.20
20
Transverse Marking, Thermoplastic, Solid, White,
24„
258
LF
10.00
$2,580.00
21
Concrete Curb Ramp, Removal
1,902
SY
60.00
$114,120.00
22
Concrete Curb Ramp, Installation
1,857
SY
182.00
$337,974.00
23
Concrete Curb, Replacement
7,085
LF
70.30
$498,075.50
24
Concrete Curb, Replacement (Undistributed)
1,000
LF
70.30
$70,300.00
25
Concrete Header, Replacement
522
LF
148.00
$77,256.00
26
Traffic Loop Lane Replacement
2
EA
2,100.00
$4,200.00
27
Pedestrian Push Button
32
EA
1,850.00
$59,200.00
28
HMA for Patching
255
TONS
255.00
$65,025.00
BASE BID TOTAL
$2,951,000.00
Bidder(Firm):
Address:
City/State/Zip
Telephone Number:
Milestone Contractors North, Inc.
24358 SR 23
South Bend,IN
574-288-4811..
BY I
(Signature)
Dustin Hilary, Director of Estimating
(Printed name of Person Signing)
Version 09/29/2021 Contractor's Bid for Public Works - 8
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
RESPONSIBLE BIDDER CHECKLIST
Project Name 2022 Contractor Paving Round 3
Project No. 122-048
For Bids Due October 25, 2022 at 9:00am Local Time to bpwbids@southbendin.gov
Contractor Name: Milestone Contractors North, Inc.
The City seeks to enhance its ability to identify responsive and responsible bidders on all City public
works projects by institution of comprehensive submission requirements in compliance with State law.
Quality workmanship, efficient operation, safety, and timely completion of projects requires that all bidders
meet certain minimum requirements to be responsive and responsible bidders.
THIS FORM MUST BE SUBMITTED WITH YOUR BID.
INSTRUCTIONS:
If you are a pre -qualified bidder, complete Section I only.
If you are not a pre -qualified bidder, complete Section II only.
Section II acts as an application for pre -qualification. Submission of Section II will allow the bidder to be
considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre-
qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6-
63 of The Responsible Bidding Ordinance No. 10594-18 (hereinafter, "Responsible Bidding Ordinance")
for a period of twelve (12) months.
Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre-
qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified
Bidders") by December 3181 for the upcoming calendar year, or within twelve (12) months of obtaining pre-
qualified standing. If the status of any item changes within the twelve (12) months, it is the responsibility
of the contractor to notify the City. Failure by any pre -qualified contractor to submit its complete
application for continuation of "pre -qualified" standing within the time prescribed above shall result in
automatic removal of the designation, effective January 1 of the following year, or immediately following
the twelve (12) months of pre -qualified standing.
However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works
projects, though the contractor must submit all required documents under 6-63 until "pre -qualified" status
is re-established.
Please Note: The City reserves the right to request supplemental information from the bidder,
additional verification of any information provided by the bidder, and may also conduct random
inquiries of the bidder's current and previous customers regardless of pre -qualified standing.
It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to
the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the date of the public bid
opening.
Version 10/13/2021 General Conditions -10
POST BID SUBMISSIONS:
Post -bid submissions must be submitted in accordance with Section 6-64 of the Responsible Bidding
Ordinance. The post -bid submission requirements are as follows:
1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses
the name, address, licensing status, and type of work for any subcontractor from whom the bidder
has accepted a bid and/or intends to hire on any part of the public work project, including
individuals performing work as independent contractors.
2. Each subcontractor, whose portion of the project is estimated to be at least one -hundred fifty
thousand dollars ($150,000.00), shall be required to adhere to the requirements of Section I of
the Responsible Bidder Ordinance as though it were bidding directly to the City, except that the
subcontractor shall submit the required information (including the name, address, and type of
work) to the successful bidder prior to the commencement of work.
3. Failure of a subcontractor to submit the required information shall not disqualify the successful
bidder from performing work on the project and shall not constitute a contractual default and/or
breach by the successful bidder. However, the City may withhold all payment otherwise due for
work performed by a subcontractor, until the subcontractor submits the required information and
the City approves such information.
4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall
not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another
subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the
name, address, licensing status, and type of work of the substitute subcontractor.
5. The successful bidder and all subcontractors on a public works project are required to submit
certified payroll utilizing the federal form known as WH -347 or a similar form on a bi-weekly basis,
submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall
identify the job title and craft for each employee. Certified payrolls shall be submitted
electronically.
Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in
the automatic disqualification of the bid.
The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into
account all information in the submission requirements, determine whether a bidder is responsive and
responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to
utilize all information provided in the contractor's submission and any information obtained by the City
through its own independent verification of the information provided by the contractor
Version 10/13/2021 General Conditions -11
I. PRE -QUALIFIED BIDDER CHECKLIST
(a) Acknowledgements:
(i) X By checking this box, I hereby acknowledge that I am a pre -qualified bidder with
the City of South Bend and that I have met the pre -qualification requirements
within the last twelve (12) months. A copy of my Pre -Qualification verification
letter is attached.
(ii) X By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided by me, and may also conduct random inquiries of my current and prior
customers.
(b) Attachments:
(i) X Indiana Secretary of State's on-line records (ie. Business verification) dated
within sixty (60) days of the submission of said document showing that business
is in existence, current with the Indiana Secretary of State's Business Entity
Report, and eligible for a certificate of good standing. (Not applicable to
individuals, sole proprietors or partnerships).
(ii) X Statement on staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work.
It outlines how I intend to meet the staffing needs of the work.
(iii) X List of projects of similar size and scope of work performed in all areas, including
the State of Indiana, within the last three (3) years.
(iv) X For every project, submit evidence of participation in apprenticeship and training
programs, applicable to the work to be performed on the project, which are
approved by and registered with the United States Department of Labor's Office
of Apprenticeship, or its successor organization.
Version 10/13/2021 General Conditions -12
II. PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED)
(a) Acknowledgements:
(i) _ By checking this box, I hereby acknowledge that I am not a pre -qualified bidder
with the City of South Bend.
(ii) _ By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided, and may also conduct random inquiries of my current and prior
customers. The City reserved the right to utilize all information provided in this
submission and all information obtained in inquiries or requests to determine if a
bidder is responsive and responsible. Additionally, I acknowledge that all
information provided to the City shall be regarded as public records.
(iii) _ By checking this box, I hereby acknowledge that copies of all Applicable
apprenticeship certificates or standards for training programs applicable to the
work performed on the project may be requested at any time and shall be
furnished upon request.
(iv) _ By checking this box, I hereby acknowledge and ensure that I and all sub-
contractors, from whom I have accepted a bid and/or intend to hire to perform
work on the public work project, are properly licensed. Furthermore, I
acknowledge my understanding that it is my responsibility to ensure that all sub-
contractors have the necessary licenses to undertake the work called for in this
bid. If a sub -contractor loses their license at any point, it is the responsibility of
that sub -contractor to notify the City.
(b) Attachments:
(i) _
Indiana Secretary of State's on-line records (ie. Business verification) dated
within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State's Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
proprietors or partnerships).
(ii) _
List identifying all former business names.
(iii) _
Any determinations by a court or governmental agency any violations of federal
state, or local laws including, but not limited to, violations of contracting or
antitrust laws, tax or licensing laws, environmental laws, Occupational Safety and
Health Act (OSHA), or federal Davis -Bacon and related Acts, within the
preceding five (5) years.
(iv) _
Statement about staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work I
am bidding on OR outlines how I intend to meet the staffing needs of the work.
(v) _
Statement that individuals who will perform work on the public work project on my
behalf will be properly classified as an employee or as an independent contractor
under all applicable state and federal laws and local ordinances.
(vi) _
For every project, submit evidence of participation in apprenticeship and training
programs, applicable to the work to be performed on the project, which are
approved by and registered with the United States Department of Labor's Office
of Apprenticeship, or its successor organization.
(vii) _
Copy of a written plan for employee drug testing that covers all of my employees
who will perform work on the public work project and meets or exceeds the
requirements set forth in IC 4-13-18-5 or IC 4-13-18-6.
(viii) _
Evidence that I am utilizing a surety company which is on the Bureau of Fiscal
Service "Department of Treasury's Listing of Approved Sureties" as required in
the bid specifications or contract.
Version 10/13/2021 General Conditions - 13
(ix) _ Written statement of any federal, state or local tax liens or tax delinquencies
owed to any federal, state or local taxing body in the preceding three years.
(i) _ List of projects of similar size and scope of work performed in all areas, including
the State of Indiana, within three (3) years prior to the date on which the bid is
due.
Milestone Contractors North. Inc.
(Name of Company)
24358 SR 23
(Address of Company)
South Bend
(City)
Indiana
(State)
574-288-4811
(Telephone Number)
Version 10/13/2021 General Conditions - 14
Responsible Bidding Practices and Submission
Requirements for Pre -Qualified Bidder Checklist
(b) Attachments
(i) Attached
Staffing Capabilities: Milestone Contractors North, Inc. is signatory with the
following unions which supply our workforce — Laborers International Union,
Teamsters, Operating Engineers and Cement Masons.
(iii) See Forms 96 and 96a
(iv) All individuals who will perform worn on the public works project on behalf of
Milestone Contractors North, Inc. will be properly classified under applicable state
and federal laws and local ordinances.
Dated: October 25t'. 2022
. Hilary, Director of Estimating
CITY OF SOUTH BEND .LAMES MUELLER, MAYOR
DEPAI"TMENT G9 ] 'UIII�XC WORKS
!.SIC HORVATH, I 117 CTOR
October 25, 2021
Milestone Contractors North, Inc.
Kreger, Alisha akrueger6imilestonelp.com
Hilary, Dustin dhilarv_c milestonelp.corn
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
Project Name 2022 Contractor Paving Round 3
Project No. 122-048
For Bids Due October 25, 2022 at 9:00am Local Time to bpwbids@southbendin.gov
From time to time the South Bend Board of Public Works finds it necessary to reject a bid
because it does not comply with statutory requirements. In preparing your bid, please use the
following checklist in order to make sure that your bid is done in the proper manner.
Proper bid security included. The bidder has the option of providing either a Certified Check
X or Bid Bond.
Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely
X executed.
Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments
with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and
X Certification of use of United States Steel Products or Foundry Products.
Proof of M/WBE Utilization Plans [MBE -1.0 and WBE-1.0]. Also provide Evidence of Good
Faith Efforts Forms [MBE -2.0 and WBE-2.0] and M/WBE Contacted Forms [MBE -2.1 and
X WBE-2.1 ].
X Acknowledge Receipt of 1.2.3 & 4Addendum(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 Ad comply with the specifications.
Bidder: Milestone Contractors wort , Inc. Date: 10/25/2022
By Authorized Representa iv .
Signature:
Print Name & Title: .D tin P. Hilary Director of Estimating
Version 09/29/2021 Contractor's Bid for Public Works - 1
I
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS
Project Name 2022 Contractor Paving Round 3
Project No. 122-048
For Bids Due October 25, 2022 at 9:00am Local Time to bpwbids@southbendin.gov
From time to time the South Bend Board of Public Works finds it necessary to reject a bid
because it does not comply with statutory requirements. In preparing your bid, please use the
following checklist in order to make sure that your bid is done in the proper manner.
Proper bid security included. The bidder has the option of providing either a Certified Check
X or Bid Bond.
Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely
X executed.
Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments
with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and
X Certification of use of United States Steel Products or Foundry Products.
Proof of M/WBE Utilization Plans [MBE -1.0 and WBE-1.0]. Also provide Evidence of Good
Faith Efforts Forms [MBE -2.0 and WBE-2.0] and M/WBE Contacted Forms [MBE -2.1 and
X WBE-2.1 ].
X Acknowledge Receipt of 1.2.3 & 4Addendum(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 Ad comply with the specifications.
Bidder: Milestone Contractors wort , Inc. Date: 10/25/2022
By Authorized Representa iv .
Signature:
Print Name & Title: .D tin P. Hilary Director of Estimating
Version 09/29/2021 Contractor's Bid for Public Works - 1
PART II
(For projects of $100,000 or more — IC 36-1-124)
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 may result in forfeiture of contractual payments.
Version 09/29/2021 Contractor's Bid for Public Works - 5
I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid
for public works are true and correct.
Dated this 25th day of October, 2022
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of Contractor/Bidder or Its Agent
Dustin P. Hilary. Director of Estimating
Printed Name and Title
Subscribed and sworn to before me this 25th day of October , 20 22
My Commission Expires 6/5/2030 — 4A.- W
Notary Pu is J4��Alisha�ueger
County of Residence LaPorte
AUSHAKRUEGER
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Version 09/29/2021 Contractor's Bid for Public Works - 6
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN Y '
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: 122-048 Project Name: 2022 Contractor Paving Round 3
Bidder: Milestone Contractors North, Inc. Total Bid Amount: $2,951,000.00
Name & Address of MBE Primary Contact Person Scope of Work to be Performed
(Namerrelephone) (Attach scope/schedule if you need additional space)
list Class Logistics, LLC. Bernard Coutee
24423 IN 23 574-993-0071 Hauling
South Bend, IN 46614
C. Lee Construction Services, Inc! Frederick "Chip" Lee
1011 S. Lake Street 219-922-7733 Hauling
Gary, IN 46403
I
V & R Trucking, Inc.
1845 North Elmer Street Veda Godette Hauling
South Bend, IN 46628 574-234-1268
Kennedy Expressline, Inc.
4324 Ashard Drive
South Bend, IN 46628
Marcus Northern, Sr
574-876-8881
Submitted by: Dustin P. Hilary, Director of Estimating
Print Name
Hauling
Version 09/29/2021 Contractor's Bid for Public Works - 9
MBE Goal:
4.28%
Page 1
of 1
Percentage
Dollar Amount of MBE
Totalof
Component
Bid/Proposal
$63,000.00
2.13%
$22,000.00 1 0.75%
$22,000.00 1 0.75%
$20,000.00 I 0.68%
10/25/2022
Date
CITY OF SOUTH BEND ;
w
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM WBE-1.0
WBE UTILIZATION PLAN
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving WBE participation. It
is the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications.
Project Number:
Bidder:
122-048 Project Name: 2022 Contractor Paving Round 3
Milestone Contractors North. Inc. Total- Bid Amount: $2,951.000.00 WBE Goal: 6.09%
Page 1 of 1
Primary Contact Person Scope of Work to be Performed Dollar Amount of WBE Percentage
Name & Address of WBE of Total
(NamefTelephone) (Attach scope/schedule if you need additional space) Component I o; ,,o- ,
State Barricading, Inc.
24963 US Hwy 20 W.
South Bend, IN 46628
C.E. Hughes Milling, INc.
d/b/a The Airmarking
Company
1544 N. SR 25
BUC Construction Supply, Inc.
PO Box 4153
IN 47903
Hawk Enterprises, Inc.
1840 E. North Street
Crown Point, IN 46403
James Michalski
574-287-2078
Caroline Hughes
574-223-5817
Teresa Butler
765-412-3484
Greg Neulieb
219-662-8090
Submitted by: Dustin P. Hilary, Director of Estimating
Print Name
Traffic Control Devices
Pavement Markings
ADA "Armor Tiles" Material Purchase
Traffic Loops & Pedestrian Push Buttons
Version 09/29/2021 Contractor's Bid for Public Works -10
$17,136.00
$96,407.30
$25,200.00
$65,500.00
10/25/2022
Date
0.58%
3.27%
0.85%
2.22%
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM WBE-2.0 -
EVIDENCE OF GOOD FAITH EFFORTS
This completed form should be included as part of the Bids documents related to City of South Bend Public
Works Projects requiring Good Faith Efforts to obtain MBE participation.
Project Number: 122-048 Date: 10/25/2022
Project Name: 2022 Contractor Paving Round 3
Bidder: Milestone Contractors North Inc.
Contact Person:
Address:
Ed Pilipow
24358 SR 23
Telephone: 574-288-4811
City: South Bend State: Indiana Zip: 46614
Email: epilipow@milestonelp.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*:
Version 09/29/2021 Contractor's Bid for Public Works -11
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: hftp://www.in.gov/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
(hftp://www.in.gov/idoa).
I affirm that I have made good faith efforts to select portions of the contract work to be
performed by MWBEs, including, where appropriate, breaking out contract work items
into economically feasible units to facilitate MBE participation.
I affirm that I have made good faith efforts to solicit through all reasonable and available
means the interest of all MBEs in the scopes of work of the contract.
I affirm that I attended all pre-bid meetings scheduled by the City of South Bend to
inform MBEs of contracting and subcontracting opportunities.
I affirm that I advertised in general circulation and/or trade association publications
concerning subcontract opportunities and allowed MBEs reasonable time to respond to
such advertisements.
I affirm that I performed any and all necessary steps to provide written notices in a
manner reasonably calculated to inform MBEs of subcontracting opportunities and
allowed sufficient time for MBEs to participate effectively.
I affirm that I followed up on initial solicitations with interested MBEs.
i
I affirm that I negotiated with interested MBEs in good faith, including providing such
MBEs with adequate information about the plans, specifications and other requirements
of the subcontract.
I affirm that I have made good faith efforts to assist interested MBEs in obtaining
(�
bonding, lines of credit, or insurance as required by the City or the bidder, where
appropriate.
Version 09/29/2021 Contractor's Bid for Public Works -11
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM WBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
*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
I affirm that I have made good faith efforts to assist interested MBEs in obtaining
necessary equipment, supplies, materials, or related assistances or services, where
appropriate.
I affirm that I did not reject any MBEs as unqualified without sound business reasons
based on a thorough investigation of their capabilities.
CONTRACT RECORDS: The bidder has maintained the following records for each MBE that has bid
on the subcontracting opportunity:
1. Name, address, and telephone number;
2. A description of information provided by the bidder or subcontractor; and
3. A statement of whether an agreement was reached, and if not, why not, including any reasons for
concluding that the MBE was unqualified to perform the job.
*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 ` 'f
. z
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 2
Project Number: `!X_- 48 MBE Participation Goal 4.28%
Project Name:22 Cofitractor Paving Round 3
r
Bidder: Mil ne Contractors North. Inc.
By: Director of Estimating_ 10/25/2022
u e) Dustin P. Hilary (Title) (Date)
Tor
1st Class Logistics, LLC
Contact at MBE Firm Bernard Coutee
Telephone: 574-993-0071 Fax: Email: 1 stclasslo istics2013 mail.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Hauling
RESULTS OF CONTACT WITH THE MBE FIRM:
If we are awarded the project, we'll enter into a Hauling Agreement with 1st Class Logistics, LLC.
MBE Finn C. Lee Construction Services, Inc.
Owner or Contact at MBE Firm Frederick "Chip" Lee
Telephone: 219-922-7733 Fax: 219-888-9564
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Hauli
Email: chip@cleecsi.com
RESULTS OF CONTACT WITH THE MBE FIRM:
If we are awarded the project, we'll enter into a Hauling Agreement with C. Lee Construction Services Inc.
Version 09/29/2021 Contractor's Bid for Public Works - 13
CITY OF SOUTH BEND �y
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 2 OF 2
Project Number: 12Z,048 MBE Participation Goal 4.28%
Project Name: 2 C tractor Paving Round 3
Bidder: Mile a Contractors North, Inc.
By, Director of Estimating 10/25/2022
tune) Dustin P. Hilary (Title) (Date)
M Irm V & R Trucking, Inc.
Owner or Contact at MBE Finn Veda Godettte
Telephone: 574-234-1268 Fax: 574-234-0748 Email: rfightingirishCa?_aolcom
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Hauling
RESULTS OF CONTACT WITH THE MBE FIRM:
If we are awarded the project, we'll enter into a Hauling Agreement with V & R Trucking, Inc.
MBE Firm Kennedy Expressline, Inc.
Owner or Contact at MBE Firm Marcus D. Northern Sr..
Telephone: 574-876-8881 _ Fax: Email: kennedyexpressline@yahoo.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Hauling
RESULTS OF CONTACT WITH THE MBE FIRM:
If we are awarded the project,, we'll enter into a Hauling Agreement with Kennel Expressline, Inc.
Version 09/29/2021 Contractor's Bid for Public Works -13
CITY OF SOUTH BEND '=
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE -2.1
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—2
Project Number: -048 WBE Participation Goal 6.09%
Project Nam 022 ntractor Paving Round 3
Bidder: Mil tone Contractors North Inc.
By: Director of Estimating 10/25/2022_
( ture) Dustin P. Hilary (Title) (Date)
Firm State Barricading, Inc. _
"Owner or Contact at WBE Firm James Michalski
Telephone: 574-287.2078 Fax: 574-287-1744 Email: statebarricade1@aol.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Traffic Control Devices
RESULTS OF CONTACT WITH THE WBE FIRM:
If we are awarded the project, we'll enter into a subcontract with State Barricading, Inc.
WBE Firm C.E. Hughes Milling, Inc. d/b/a The Airmarking Company
Owner or Contact at WBE Firm Caroline Hughes
Telephone: 574-223-5817 Fax: Email: caroline@airmarking.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Pavement Markings
RESULTS OF CONTACT WITH THE WBE FIRM:
If we are awarded the project, we'll enter into a subcontract with C.E. Hughes Milling, Inc. d/b/a The
Airmarkina Companv.
Version 09/29/2021 Contractor's Bid for Public Works - 14
�r
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE -2.1
WBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring Good Faith Efforts to contact WBEs. It is the bidder's sole responsibility to verify whether any
listed woman -owned business meets the WBE qualifications. Attach additional pages if necessary.
PAGE 2 OF 2
Project Number: 43!-0488 _ WBE Participation Goal _ 6.09%
Project Name:
Bidder:
By:
re) Dustin P. Hilary
r Paving Round 3
North, Inc.
Director of
irm BUC Construction Supply, Inc.
or Contact at WBE Firm Teresa Butler
Telephone: 765-412-3484 Fax:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
ADA "Armor Tiles" Material Purchase
(Title)
10/25/2022
(Date)
Email: tcQbucconstructionsupply.com
RESULTS OF CONTACT WITH THE WBE FIRM:
If we are awarded the prooect, we'll enter into a purchase order BUC Construction Supply, Inc.
WBE Firm Hawk Enterprises, Inc.
Owner or Contact at WBE Firm Greg Neulieb
Telephone: 219-662-8090 Fax: 219-662-8093
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Traffic Loops & Pedestrian Push Buttons
Email: greg@hawk-inc.com
RESULTS OF CONTACT WITH THE WBE FIRM:
If we are awarded the project, we'll enter into a subcontract with Hawk Enterprises, Inc.
Version 09/29/2021 Contractor's Bid for Public Works -14
A
6-4AVIM
._
Bid Bond
Bond No . Bid Bond
CONTRACTOR: SURETY: Continental Casualty Company
(Name, legal status and address) (Name, legal status and principal place
of business)
Milestone Contractors North, Inc. 151 N. Franklin Street
24358 State Road 23 17th Floor
South Bend, IN 46614 Chicago, IL 60606
This document has important legal
consequences. Consultation with
OWNER:
an attorney is encouraged with
(Name, legal status and address)
respect to its completion or
modification.
City of South Bend
Any singular reference to
227 West Jefferson Blvd.
Contractor, Surety, Owneror
other party shall be considered
South Bend, IN 46601
plural where applicable.
BOND AMOUNT: 5% Five Percent of the Base Bid Plus Any Alternates
PROJECT:
(Name, location or address, and Project number, if any)
2022 Contractor Paving Round 3; Project No. 122-048
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
any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted h
provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.:
furnished, the intent is that this Bond shall be construed as a statutory bond and nqX as a common law IS N
e
Signed and sealed this 25th day of October
— 4L�"- U
(Witness Alisha Krueger
(Witness) Hannah Collantes
Milestone G6ntractors North
1111111/J/.,
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rand•••. S�, �•,
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SEAL,.,
(nxxuustin P. Hilary, Director of Estima
ntinental Casualty Company,--\ ' aIIeP°�'re
( reY l ty l O
Z _ "Seal)„
i Y 1 �
(Title) An*la)M. Riley, Attorney -i
Printed in cooperation with the American Institute of Architects (AIA).
The language in this document conforms to the language used In AIA Document A310 - Bid Bond - 2010 Edition.
A
••o• a
,r��604
i�N159�690oQ'
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT
Know All Men By These Presents, That Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of
Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company (herein called
"the CNA Companies"), are duly organized and existing insurance companies having their principal offices in the City of Chicago, and State of Illinois,
and that they do by virtue of the signatures and seals herein affixed hereby make, constitute and appoint
Angela M. Riley, Individually
of ,Indianapolis, IN , their true and lawful Attorney(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and
on their behalf bonds, undertakings and other obligatory instruments of similar nature
- In Unlimited Amounts -
Surety Bond No.: Bid Bond
Principal: Milestone Contractors North, Inc.
Obligee: City of South Bend
and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of their insurance companies and
all the acts of said Attorney, pursuant to the authority hereby given is hereby ratified and confirmed.
This Power of Attorney is made and executed pursuant to and by authority of the By -Law and Resolutions, printed on the reverse hereof, duly
adopted, as indicated, by the Boards of Directors of the insurance companies.
In Witness Whereof, the CNA Companies have caused these presents to be signed by their Vice President and their corporate seals to be hereto
affixed on this 16th day of lune, 2021.
01 CASU1QT 09
r,OKP�ATg � ��MLaMOR/TFG �rr
JULY 11, p,
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Continental Casualty Company
National Fire Insurance Company of Hartford
American C Ity Company of Re ing, Pennsylvania
Paul T. Bruflat Ace President
State of South Dakota, County of Minnehaha, ss:
On this 16th day of June, 2021, before me personally came Paul T. Bruflat to me known, who, being by me duly swom, did depose and say: that he
resides in the City of Sioux Falls, State of South Dakota; that he is a Vice President of Continental Casualty Company, an Illinois insurance company,
National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a
Pennsylvania insurance company described in and which executed the above instrument; that he knows the seals of said insurance companies; that the
seals affixed to the said instrument are such corporate seals; that they were so affixed pursuant to authority given by the Boards of Directors of said
insurance companies and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said insurance
companies.
...... ..M.EN
..............
' M. BT
SOUTH nwuc
My Commission Expires March 2, 2026 M. Bent Notary Public
CERTIFICATE
1, D. Johnson, Assistant Secretary of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford,
an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company do hereby certify that the
Power of Attorney herein above set forth is still in force, and further certify that the By -Law and Resolution of the Board of Directors of the insurance
companies printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said
insurance companies this 25th day of October, 2022.
'y t!1(Ty 04SUR vaMrao
iy`� c�°O1UTe`ttlWt°¢�
JULY !I,
o� SEAL
itigr _ �, ���: •
Continental Casualty Company
National Fire Insurance Company of Hartford
American Casualty Company of Reading, Pennsylvania
D. Johnson • Assistant Secretary
Form F680�4/201? ",
l;
Go to www.crim_surety.cZrn >"Owl*r / Obligee Services > Validate Bond Coverage, if you want to verify bond authenticity.
' o�SpU TN 8�ti
d
1316 COUNTY -CITY BUILDING PHONE 574/235-9251
227 W. JEFFERSON BOULEVARD Ip FAX 574/ 235-9171
SOUTH BEND, INDIANA 46601-1830 W MACE > TDD 574/ 235-5567
18b5
CITY OF SOUTH BEND JAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
Date:
To:
From
Subject
Project Name:
Project No.:
October 21, 2022
All Planholders
Theresa Heffner, Ch
Addendum Number:
2022 Contractor Pa
122-048
k, Board of Public Works
4
inrs Round 3
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: 10/21/2022
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 Contr tc
Authorized Signature:
in P
Date: 10/24/2022
ary, Director of Estimating
�yli`Ix►
1316 COUNTY -CITY BUILDING F, .� PHONE
227 W. JEFFERSON BOULEVARD tv FAX
SOUTH BEND, INDIANA 46601-1830 PFAcs > TDD
1865
CITY OF SOUTH BEND JAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
Date:
To:
From
Subject
Project Name:
Project No.:
October 13, 2022
All Planholders
Theresa Heffner, Clerk, Board of Public Works
Addendum Number: 3
2022 Contractor Paving Round 3
122-048
574/235-9251
574/235-9171
574/235-5567
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: 10/13/2022
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:
Date: 10/13/2022
, Director of Estimating
1316 COUNTY -CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND, INDIANA 46601-1830
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
September 30, 2022
All Planholders
Theresa Heffner, Clerk, Board of Public Works
Addendum Number: 2
2022 Contractor Paving Round 3
122-048
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: 9/30/2022
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 ContTV rs North, Inc.
Authorized Signature:
ary, Director of Estimating
Date: 9/30/2022
1316 COUNTY -CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND, INDIANA 46601-1830
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
July 15, 2022
All Planholders
Theresa Heffner, Clerk, Board of Public Works _
Addendum Number: 1
2022 Contractor Paving Round 3
122-048
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: 7/15/2022
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:
Authorized Signature:
ilary, Director of Estimating
Date: 7/1.5/2022
Authorizing By -Laws and Resolutions
ADOPTED BY THE BOARD OF DIRECTORS OF CONTINENTAL CASUALTY COMPANY:
This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors ofthe Company at a
meeting held on May 12,1995:
"RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the
Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be
provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective."
This Power of Attorney is signed by Paul T. Brutlat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on
behalf of Continental Casualty Company.
This Power of Attomey is signed and scaled by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by
unanimous written consent dated the 251 day of April, 2012:
"Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers")to execute
various policies, bonds, undertakings and other obligatory instruments of like nature; and
Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or
otherwise in an electronic format (collectively. "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer
shall be valid and binding on the Company. "
ADOPTED BY 111E BOARD OF DIRECTORS OF NATIONAL FIRE INSURANCE COMPANY OF HARTFORD:
This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company by
unanimous written consent dated May 10, 1995:
"RESOLVED: That any Senior or Group Vice President may, authorize an officer to sign specific documents, agreements and instruments on behalf of the
Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be
provided in writing by the Senior or Group Vice President to the Secretary ofthe Company prior to such execution becoming effective."
This Power of Attorney is signed by Paul T. Bruflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on
behalf of National Fire Insurance Company of Hartford.
This Power of Attomey is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by
unanimous written consent dated the 251 day of April, 2012:
"Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers")to execute
various policies, bonds, undertakings and other obligatory instruments of like nature; and
Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or
otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer
shall be valid and binding on the Company. "
ADOPTED BY THE BOARD OF DIRECTORS OF AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA:
This Power of Attomey is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company by
unanimous written consent dated May 10, 1995:
"RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the
Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be
provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective."
This Power of Attorney is signed by Paul T. Bruflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on
behalf of American Casualty Company of Reading, Pennsylvania.
This Power of Attorney .is signed. and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by
unanimous written consent dated the 251 day of April, 2012:
"Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers")to execute
various policies, bonds, undertakings and other obligatory instruments of like nature; and
Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or
otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved; that the Electronic Signature of any Authorized Officer
shall be valid and binding on the Company. "
CONTRACTOR'S BID FOR PUBLIC WORK - FORM 96
1 :1� State Form 52414 (R2/2-13) / 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): October 25th, 2022
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
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete
the public works project of 2022 Contractor Paving Round 3 - Project No. 122-048
(Governmental Unit) in accordance with plans and specifications prepared by City of South Bend - Dept.
of Public Works & Engineering_
See Attached
and dated 7/7/2022&10/1312022 for the sum of
$ See Attached
The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the
notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the
notice. Any addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed, the cost of units must be the same as
that shown in the original contract if accepted by the governmental unit. If the bid is to be awarded on a unit
basis, the itemization of the units shall be shown on a separate attachment.
The contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee,
or applicant for employment, to be employed in the performance of this contract, with respect to any matter
directly or indirectly related to employment because of race, religion, color, sex, national origin or ancestry.
Breach of this covenant may be regarded as a material breach of the contract.
CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS
(if 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.
ACCEPTANCE
The above bid is accepted this day of subject to the
following conditions:
Contracting Authority Members:
PART II
(For projects of $150, 000 or more — lC 36-1-12-4)
Governmental Unit: City of South Bend, Indiana
Bidder (Firm) Milestone Contractors North, Inc.
Date (month, day, year): October 25th, 2022
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
1. What public works projects has your organization completed for the period of one (1) year prior to the
date of the current bid?
Completion
Contract Amount Class of Work Date Name and Address of Owner
10,422,417.00 Resurface November 2021 INDOT
6,800,827.00
Resurface
November 2021
Lake County Hwy Dept
2,083,392.00 Resurface November 2021 City of Hammond
3,891,896.00 Resurface November 2021 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
24,572,623.00 Sidewalk Replacement September 2023 Town of Griffith
13,847,877.00
Resurface
Summer 2022
St. Joseph Airport Authority
9,568,000.00 Resurface
October 2022
INDOT
2,838,234.00 Reconstruction
June 2023
INDOT
3. Have you ever failed to complete any work awarded to you? _ No If so, where and why?
4. List references from private firms for which you have performed work.
Gatlin Plumbing & Heating, Inc. 1111 E. Main St., Griffith, IN Ms. Patti Centrowski
Gough, Inc. 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 II PLAN AND EQUIPMENT QUESTIONNAIRE
1 Explain your plan or layout for performing proposed work. (Examples could include a narrative of when
you could begin work, complete the project, number of workers, etc. and any other information which you
believe would enable the governmental unit to consider your bid.)
As required by owner
2. Please list the names and addresses of all subcontractors (i.e. persons orfirms outside yourown 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
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
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 sworn 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
STATE OF Indiana
COUNTY OF St. Joseph
M
) ss
_ day of October 2022
r
orth, Inc.
(Name of Organization)
Hilary, Director of Estimati
(Title of Verson Signing)
ACKNOWLEDGEMENT
Before me, a Notary Public, personally appeared the above-named Dustin P. Hi
swore that the statements contained in the foregoing document are true and correct.
Subscribed and sworn to before me this 25th day of October 2022
Notary Pubric
My Commission Expires: June 5, 2030
County of Residence: LaPorte [&-1-X
a•Cam�rSio EEx
..x I W a'EAL :*: June 5, 2030
,�?; CWn Tk" Number NPW53544
La Porbe County
and
Part of State Form 52414 (R212-13) / Form 96 (Revised 2013)
9
Milestone Contractors North, Inc.
(Contractor)
24358 SR 23
(Address)
South Bend. IN 46614
FOR
PUBLIC WORKS PROJECTS
OF
of South Bend, Indiana
2022 Contractor Paving Round 3
Project No. 122-048
Filed October 25th , 2022
Action taken
General Form No. 96-a
Prescribed by the State Board of
Accounts of Indiana. Revised 1949.
Standard Questionnaires and
Financial Statement for Bidders
Prescribed by
THE STATE BOARD OF ACCOUNTS OF INDIANA
For use in investigating and determining the qualifications of bidders on public
construction when the aggregate cost of any such work or improvement will be Five Thousand
Dollars or more.
These statements to be submitted under oath by each bidder with and as a part of his bid, as provided
by Chapter 306, page 1248, Acts of 1947
Submitted to . City of South Bend, Indiana
By Milestone Contractors North, Inc.
Address 24358 SR 23, South Bend, IN 46614
Date submitted October 25t''. 2022
Filed
A.E. BOYCE CO., MUNCIE, IND.
1
tA Corporation
Sec. 2 of an Act entitled `AN ACT 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.
TO TBE 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
The undersigned hereby declares that the foregoing is a true statement of the financial condition of the individual, co -partnership or
corporation herein first named, as of the date herein first given; that this statement is for the express se of inducing the parry to whom
it is submitted to award the submittor a contract; and that any depository, vendor or otheragen ere naF(ed 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 {I I 1 f 111
and affix corporate seal. /?D P.Hil Director of Estima ` ' a c fo
Affidavit f dividual
o co?'? 0 PA;? -
STATE OF
— �• _
{ss:
',•''
`• SEAL.:"-'::
COUNTY OF
being duly sworn, depo �
and'says tl{at•ttie
`�Z-
foregoing financial statement, taken from his books, is a true and accurate statement of his financial condition as ofSq�fAldr��'
that the answers to the foregoing interrogatories are true.
(Applicant must sign here)
Subscribed and sworn to before me this
day of 20
Notary Public
Affidavit for Co -Partnership
STATE OF
ss
{
COUNTY OF
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
{COUNTY OF St. Joseph ss
Dustin P. Hilary being duly sworn, deposes and says that he is Director of Estimatin
ilest ne Contractors North Inc. the
corporation described in and which executed the foregoing statement; that he is f ' ar wi the s of the said corporation showing its
financial condition; that the foregoing financial statement, taken from the books the
d co ration, is a d accurate statement of
the financial condition of said corporation as of the date thereof and that the sw
the n ogatories are true.
O - er must sign here) Dustin P. Hilary, Direct b0i df
`.,%NOQtractoIt
Subscribed and sworn to before me this
�� r , •. 2 °®
250' day of ctober 2022.
or .o
cRPOR AT
SEAL /
Alisha rueger, Notary Public
%
i� . • . , •. ' `��
iQN,
b1
ALISFtAiCR�JEGEF
Ypue`=
t�`,``
MyCornmi ImExpi;4s
SEAL June 5, 2030
9 z Comnt(ssion Number NP065ac.": %
La Porte County
15
State of Indiana
Office of the Secretary of State
CERTIFICATE OF EXISTENCE
To Whom These Presents Come, Greeting:
I, HOLLI SULLIVAN, Secretary of State of Indiana, do hereby certify that I am, by virtue of the laws of
the State of Indiana, the custodian of the corporate records and the proper official to execute this
certificate.
I further certify that records of this office disclose that
MILESTONE CONTRACTORS NORTH, INC.
duly filed the requisite documents to commence business activities under the laws of the State of
Indiana on March 29, 1966, and was in existence or authorized to transact business in the State of
Indiana on September 08, 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.
In Witness Whereof, I have caused to be affixed my
signature and the seal of the State of Indiana, at the City
of Indianapolis, September 08, 2022
HOLLI SULLIVAN
181S" -0 -or SECRETARY OF STATE
194-484-057 1 202 22763 276
All certificates should be validated here: https://bsd.sos.in.gov/ValidateCertificate
Expires on October 08, 2022.
State of Indiana
Office of the Secretary of State
Certificate of Amendment
of
WALSH & KELLY INC
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 prescribed by the
provisions of the Indiana Lode.
The name following said transaction will be:
MILESTONE CONTRACTORS NORTH, INC.
NOW, THEREFORE, with this document I certify that said transaction will become effective Monday,
February 01, 2021
In Witness Whereof, i have caused to be affixed my
signature and the seal of the State of Indiana, at the City
of Indianapolis, February 01, 2021
&M44;v (%3� "?�-
To ensure the certificate validity, go to https://bsd.sos.in.gov/PublicBusiness5earch
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 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*4;W Ci .
SE ,
o • . .. thP. 1;. , ,I. ...• I. I . - ..f „I.i.;t - ...;I,I.
CERTIFICATE OF QUALIFICATION
to provide
CONSTRUCTION SERVICES
for
PUBLIC WORKS PROJECTS
to the
STATE OF INDIANA
This Certification Board, having duly considered application for qualification in terms of apparent experience and financial
resources; and under the applicable Indiana Code 4-13.6-4 and adopted rules of this Board, hereby issues a
Certificate of Qualification to provide construction services to the State of Indiana for Public Works Projects to:
WALSH - KELLY INC
1700 E MAIN ST
GRIFFITH IN 46319
Phone 219-924-5900
Fax 219-924-8768
Company Official
JOHN PEISKER
for the twenty-seven month period stated herein, unless revoked by this Board for cause,
and in the classifications of services stated below. This certificate supercedes any previous certificate.
1611.01 Concrete Construction of Roads & Curbing
1611.02 Asphalt Construction of Roads and Parking Lots
CERTIFICATION DATE 11/4/2020
EXPIRATION DATE 2/4/2023
THIS CERTIFICATE ISSUED BY THE STATE OF INDIANA, PUBLIC WORKS DIVISION CERTIFICATION BOARD,
402 WEST WASHINGTON STREET, ROOM W467, INDIANAPOLIS, INDIANA 46204,
ALSO ACTS AS THE OFFICIAL NOTICE OF EXPIRATION.
'�f • Ck.4A�
Tracy L. Cross, EnPutive Secretary
Certification Board
DAPW PQ2 State Form 3983R Rev. 07106
WRITTEN CONSENT TO RESOLUTIONS
of the
BOARD OF DIRECTORS
of
NHLESTONE 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.
Z11-4 M -6� 4
Fred Fehsenfeld, Jr.
Geoffrey C. Dillon
Q� ":�-
--:
James ehsenfeld
P
Jdk6 P. Vercruysse
P�jj 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
(317)616-4937
CJ Potts, Chief Operating Officer
EOE M/FNets/Disabled
PAi� 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 M/FNets/Disabled
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L9SUEDBY
Iia 3Brp Of Transilortewn
INDIANAPOLIS, IN October 20, 2022
TO
MILESTONE CONTRACTORS NORTH, INC.
GRIFFITH, IN
who has filed with the Department a Contractor's Statement of Experience and Finandal Condition as
required under Indiana Code 8-23-10, is hereby qualified to bid at any Department of Transportation
letting in Classes of Work and within the amount and other limitation of each classification as listed
below, for such period as the uncompleted work on hand from all sources does not exceed the Aggregate
amount Classification references by name or symbol are in accordance with the definitions in the
Contractor's Statement of Experience and Financial Condition. This certificate supersedes any certificate
previously issued, but is subject to revision or revocation according to the law, If and when changes
in the financial condition of the contracting firm or other facts justrty such revision or revocation.
Valid October 20, 2022 Thru September 30, 2023
Aggregate Bidding Capacity: 327,748,000.00
A(B) CONCRETE PAVEMENT: LIMITED................................................................................... $25,000,000.00
B(A) ASPHALT PAVEMENT: W/INDOT CERTIFIED HMA PLANT ............................................. $99,999,999.00
C(B) LIGHT GRADING............................................................................................................... $99,999,999.00
E(E) SMALL STRUCTURES AND DRAINAGE ITEMS.............................................................. $25,000,000.00
E(F) SURFACE MASONRY AND MISCELLANEOUS CONCRETE ........................................... $50,000,000.00
E(G) TRAFFIC CONTROL: PAVEMENT MARKINGS................................................................ $25,000,000.00
E(H) DEEP SEWER AND/OR EXCAVATION.............................................................................. $25,000,000.00
E(Q) CONCRETE PAVEMENT: REPAIRS.................................................................................. $25,000,000.00
E(R) ASPHALT PAVEMENT MILLING....................................................................................... $50,000,000.00
PREQUAL 1CA10K ENGINEER
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COMMISSIONER