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HomeMy WebLinkAboutOpening of Bids - 2023 Asphalt Materials Proj No. 123-020 - Milestone Contractors North Inc.4":> VTFI B d , lVl� \� k�►:i� �l x x CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name 2023 Asphalt Materials Bid Project No. 123-020 For Bids Due March 28, 2023, 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]. NOT REQUIRED 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-.epmply with the specifications. Bidder: Milestone Contractors Nort nc._ Date: 3/28/2023 By Authorized Represent�ati e Signature: Print Name & Title/Dustin P. Hilary, Director of Estimating Version 09/29/2021 Contractor's Bid for Public Works - 1 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Project No. For Bids Due 2023 Asphalt Materials Bid 123-020 March 28, 2023, 9:00 a.m., Local Time PART I (Must be completed for all bids. Please type or print) Date: 3/28/2023 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: 2023 Asphalt Materials the City of South Bend, Indiana, in accordance with plans and specifications prepared by: City of South Bend - Department of Public Works & Engineering and dated 2/20/2023 for the sum of (enter the Total Bid as shown on the Proposal) Three million two hundred eighty five thousand three hundred seventy five dollars and zero cents i$ 3,285,375.00 (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 referenced at the applicable page. If additional units of material included in the contract are ne , the cost of units must be the same as that shown in the original contract if accepted by the City o Bend. If the bid is to be, awarded on a unit basis, the itemization of the units shall be shown o s rat�'attachment._. The above bid is accepted this Subject to the following conditions: BOARD OF PUBLIC WORKS Elizabeth A. Maradik, President Gary A. Gilot, Member Murray L. Miller, Member By - (Signature) 4 Dustin P. Hilary, Director of Estimating (Printed Name of Person Signing) ACCEPTANCE day of 20 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 28th day of March , 2023 Subscribed and sworn to before me this 28th My Commission Expires 6/5/2030 County of Residence M (Firm) of Contractor/Bidder or Its Agent Dustin P. Hilary, Director of Estimating Printed Name and Title day of March , 20 23 C Notary Public - Alisha Krueg LaPorte "'..iP;; ALISHAKRUEGER ` -' SEAL = June�S, Zp3p 9 P2l• ^-�.. -- �PMC'C,. (j01r1nftionHumberNP0653544 Le Polb Coungr Version 09/29/2021 Contractor's Bid for Public Works - 6 BID/PROPOSAL CITY OF SOUTH BEND Project Name: 2023 Asphalt Materials Bid Project Number: 123-020 For Bids Due: March 28, 2023, 9:00 a.m., Local Time Contractor Name: Milestone Contractors North. Inc. BASE BID - ASPHALT MATERIALS Item No. Description Quantity Unit Unit Price Total A-1 HMA Surface Type B, 9.5mm, PG 64-28P 5000 TON $72.00 $ 360 000.00 A 2 HMA Surface Type B, 9.5mm, PG 70-22P 17500 TON $72.00 $ 1,260,000.00 A-3 HMA Binder 11 22500 TON $ $62.75 1, 411, 875.00 A-4 HMA Base 5D 3000 TON $ CMA Patch AE-300P 500 TON 52.00 156 000.00 A-5 $ _ $130.00 65,000.00 A-6 High Performance Cold Mix 250 TON $ 130.00 32.500.00 TOTAL $ 3,285,375.00 Bidder (Firm): Milestone Contractors North, Inc. Address: 24358 SR 23 City/State/Zip: South Bend, IN 46614 Telephone Number: [ 0%J 1111111 4i `ontr...forsi�;� i °ce•_pRPORgT••'L�� SEAL By 4 JA88-4811- xv (Signature) Dustin P. Hilary, Director of Estimating (Printed Name of Person Signing) Version 09/29/2021 Contractor's Bid for Public Works - 7 _�•� i t i irr t. CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-1.0, MBE UTILIZATION PLAN This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE participation. It is the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications. Project Number: Bidder: 123-020 Project Name: 2023 Asphalt Materials Bid Milestone Contractors North Inc. Total Bid Amount: $3,285,375.00 MBE Goal: N/A Page 1 of 1 Name & Address of MBE Primary Contact Person (Name/Telephone) Scope of Work to be Performed (Attach scope/schedule if you need additional space) Dollar Amount of MBE Component N/A Percentage of Total Bid/Proposal N/A N/A N/A N/A Submitted by: Dustin P. Hilary_,_ Director of Estim. Print Name Version 09/29/2021 Contractor's Bid for Public Works - 8 3/28/2023 Date CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM WBE-1.0 WBE UTILIZATION PLAN This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving WBE participation. It is the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications. Project Number: 123-020 Project Name: 2023 Asphalt Materials Bid Bidder.- Milestone Contractors North, Inc. Total Bid Amount. $3,285,375.00 WBE Goal. N/A Page 1 of 1 Name & Address of WBE Primary Contact Person (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 N/A N/A N/A N/A N/A I Submitted by. Dustin P. Hilary, Director of Estimatii Print Name Version 09/29/2021 Contractor's Bid for Public Works - 9 3/28/2023 Date CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-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. NOT REQUIRED BUT STRONGLY ENCOURAGED Project Number: 123-020 _ Date: 3/28/2023 Project Name: 2023 Asphalt Materials Bid Bidder: Milestone Contractors North, Inc. Contact Person: Dustin P. Hilary Telephone: 574-288-4811 Address: 24358 SR 23 City: South Bend state: Indiana _ zip: 46614 Email: dhilary@milestonelp.com REQUIRE ALL of the fellewffino Good rma.th Efferls, As lis, d In the table *. , I EVIDENCE OF GOOD FAITH EFFORTS MBE LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business Enterprise Inclusion Program Plan; 2) the 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: hfti)://www.in.ciov/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. t 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 7 tZ such advertisements. I affirm that I performed any and all necessary steps to provide written notices in a manner u reasonably calculated to inform MBEs of subcontracting opportunities and allowed sufficient time for MBEs to participate effectively. I affirm that I followed up on initial solicitations with interested MBEs. I affirm that I negotiated with interested MBEs in good faith, including providing such MBEs with adequate information about the plans, specifications and other requirements of the subcontract. ✓ I affirm that I have made good faith efforts to assist interested MBEs in obtaining bonding, lines of credit, or insurance as required by the City or the bidder, where appropriate. Version 09/29/2021 Contractor's Bid for Public Works - 10 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS I affirm that I have made good faith efforts to assist interested MBEs in obtaining necessary equipment, supplies, materials, or related assistances or services, where appropriate. I affirm that I did not reject any MBEs as unqualified without sound business reasons based 41 �v 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 - 11 CITY OF SOUTH BEND S . . MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN x4 FORM WBE-2.0 • " EVIDENCE OF GOOD FAITH EFFORTS This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MWBE participation. NOT REQUIRED BUT STRONGLY ENCOURAGED Project Number: 123-020 Date: 3/28/2023 Project Name: 2023 Asphalt Materials Bid Bidder: Milestone Contractors North, Inc. Contact Person: Dustin P. Hilary Telephone: 574-288-4811 Address: 24358 SR 23 City: South Bend State: Indiana zip: 46614 Email: dhilaryftmilestonelp.com To detffffliRe whetheF a bmddeF has demen&ated good faith e#eFt6 to FeaGh the W13F= utilization goals set feFth in *. , REQUIRE ALL of the fellewiRg Good Faith Effeils ags listed iR the table EVIDENCE OF GOOD FAITH EFFORTS WBE LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business Enterprise Inclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the Indiana Department of Administration list of Minority and Women Owned Businesses (both certified and non -certified) found at: htt ://www.in. ov/idoi /. GOOD FAITH EFFORTS TO OBTAIN WBE PARTICIPATION The bidder shall initial each item below, as evidence of its good faith efforts to obtain WBE participation in the awarded contract. I affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise Inclusion Program Plan and the Indiana Department of Administration's certified list of Indiana Minority and Women Business Enterprises, found on their website (hftp://www.in.g.ov/idoa). I affirm that I have made good faith efforts to select portions of the contract work to be performed by WBEs, including, where appropriate, breaking out contract work items into tL economically feasible units to facilitate WBE participation. affirm that I have made good faith efforts to solicit through all reasonable and available L means the interest of all WBEs in the scopes of work of the contract. I affirm that I attended all pre -bid meetings scheduled by the City of South Bend to inform WBEs of contracting and subcontracting opportunities. I affirm that I advertised in general circulation and/or trade association publications concerning subcontract opportunities and allowed WBEs reasonable time to respond to 7l such advertisements. I affirm that I performed any and all necessary steps to provide written notices in a manner reasonably calculated to inform WBEs of subcontracting opportunities and allowed sufficient time for WBEs to participate effectively. I affirm that I followed up on initial solicitations with interested WBEs. t I affirm that I negotiated with interested WBEs in good faith, including providing such WBEs with adequate information about the plans, specifications and other requirements of the i subcontract. Version 09/29/2021 Contractor's Bid for Public Works - 12 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN t FORM WBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS I affirm that I have made good faith efforts to assist interested WBEs in obtaining bonding, lines of credit, or insurance as required by the City or the bidder, where appropriate. I affirm that I have made good faith efforts to assist interested WBEs in obtaining �i necessary equipment, supplies, materials, or related assistances or services, where �l appropriate. I affirm that I did not reject any WBEs 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 WBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MWBE was unqualified to perform the job. *Proper demonstration of Good Faith Efforts requires your initials next to all of the above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 09/29/2021 Contractor's Bid for Public Works - 13 CITY OF SOUTH BEND 7. li z MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN Lary a up FORM MBE-2.1`� f5 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: 123-020 MBE Participation Goal N/A Project Name: 23 Asphalt Materials Bid Bidder: tone Contrac rs.North, Inc. By: Director of Estimating 3/2/8/2023 (Si afure) Dustin P. Hilary (Title) (Date) MBE Firm N/A Owner or Contact at MBE Firm N/A Telephone: N/A Fax: N/A Email: N/A TYPE OF WORK SOLICITED FOR THIS PROJECT: N/A RESULTS OF CONTACT WITH THE MBE FIRM: n/A MBE Firm Owner or Contact at MBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE FIRM: Version 09/29/2021 Contractor's Bid for Public Works - 14 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN i° 1 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 1 Project Number: 1 020 WBE Participation Goal N/A Project Name: 2 Asphalt Materials Bid Bidder: ne Contractors North Inc. By: Director of Estimating 3/28/2023 iSi ture) Dustin P. Hilary (Title) (Date) WB irm N/A Owner or Contact at WBE Firm N/A Telephone: N/A Fax: N/A TYPE OF WORK SOLICITED FOR THIS PROJECT: IN/P% RESULTS OF CONTACT WITH THE WBE FIRM: Email: nuA WBE Firm Owner or Contact at WBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE WBE FIRM: Version 09/29/2021 Contractor's Bid for Public Works - 15 1316 COUNTY -CITY BUILDING 227 W. JEFFERSONBOULEVARD 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 March 9, 2023 All Planholders Theresa Heffner, Clerk, Board of Public Works Addendum Number: 1 _ 2023 Asphalt Material Bid 123-020 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 3/9/2023 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: Inc. ,fin P. Hilary, Director of Estimating Date: 3/28/2023 i 0.. c: �p0RATf �' S: c� 0 fr= CONTRACTOR'S BID FOR PUBLIC WORK - FORM 96 +EI� Yi { State Form 52414 (R2 / 2-13) / Form 96 (Revised 2013) 1' b •q� Prescribed by State Board of Accounts PART (To be completed for all bids. Please type or print) Date (month, day, year): March 28th, 2023 1. Governmental Unit (Owner):_ City of South Bend, Indiana 2. County: St. Joseph 3. Bidder (Firm): Milestone Contractors North, Inc. 24358 SR 23 City/State/ZlPcode: South Bend, IN 46614 4. Telephone Number: (574) 288-4811 5. Agent of Bidder (if applicable): 2023 Asphalt Material Bid Project No. 123-020 Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of (Governmental Unit) in accordance with plans and specifications prepared by City of South Bend - Dept. of Public Works & Engineering and dated 2/20/2023 for the sum of See Attached $ See Attached The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the governmental unit. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. The contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee, or applicant for employment, to be employed in the performance of this contract, with respect to any matter directly or indirectly related to employment because of race, religion, color, sex, national origin or ancestry. Breach of this covenant may be regarded as a material breach of the contract. CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS (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. The above bid is accepted this following conditions: Contracting Authority Members: ACCEPTANCE day of PART II (For projects of $150,000 or more — IC 36-1-12-4) Governmental Unit: City of South Bend, Indiana Bidder (Firm) Milestone Contractors North, Inc. , subject to the Date (month, day, year): March 28th, 2023 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 Date 24,572,623.00 Sidewalk Replacement September 2023 Name and Address of Owner Town of Griffith 13,847,877.00 Resurface Summer 2022 St. Joseph Airport Authorit 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 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 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 sx, tr a cttoi � (0 ......... rS2 0i 2 : p (' TF r� SEAT. to f of March , 2023 Milestone Cal ck� North, Inc. By STATE OF Indiana ) St. Joseph ) ss COUNTY OF P ) (Name of Organization) P. Hilary, Director of Estimating (Title of Person Signing) ACKNOWLEDGEMENT Before me, a Notary Public, personally appeared the above -named Dustin P. Hila swore that the statements contained in the foregoing document are true and correct. Subscribed and sworn to before me this 28th day of March � 2023 My Commission Expires: June 5, 2030 County of Residence: LaPorte Notary Public 4003 OWd el H65£S90dN RqwnNeu IV3900Z*j sgdx3 uass!uau00 NN 2l3�J3n2�1 VHSnV and Part of State Form 52414 (R2 / 2-13) / Form 96 (Revised 2013) Milestone Contractors North, Inc. (Contractor) 24358 SR 23 (Address) South Bend, IN 46614 FOR PUBLIC WORKS PROJECTS OF City of South Bend, Indiana 2023 Asphalt Material Bid Project No. 123-020 Filed March 28th , 2023 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 March 281, 2023 A.E. BOYCE CO., MUNCIE, IND. IA Corporation 1 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 THE BII)DER— 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 3 The undersigned hereby declares that the foregoing is a true statement of the financial condition of ividual, co -partnership or corporation herein first named, as of the date herein first given; that this statement is for the ex ss p ose f inducing the party to whom it is submitted to award the submittor a contract; and that any depository, vendor or othe:BgtGncy h ein . med is hereby authorized to supply such party with any information necessary to verify this statement. r-- 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. Dustin P. Hilar_v.Director of Estima ' t11111111 `ortf a c toy, Affidavit or Individual e ° 0?,P 0 RATF •• S STATE OF ss: SEAL COUNTY OF .- being duly sworn, depp;es•2nd says tjiai the`��� foregoing financial statement, taken from his books, is a true and accurate statement of his financial condition as 6fit�►jrb,�t`►d 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 fss 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 { ss COUNTY OF St. Joseph Dustin P. Hilary being duly sworn, deposes and says that he is Director of Estimatigg Hof ilestone Contractors North Inc. the corporation described in and which executed the foregoing statement; that he is £afniliar the books of the said corporation showing its financial condition; that the foregoing financial statement, taken from the books of th id oration, is a true and accurate statement of the financial condition of said corporation as of the date thereof and that the'answ to th goin ' terrogatories are true. .f ( f ust sign here) Dustin P. HilaQ�%Z i tf or#mating 0 � N Lon,........ Subscribed and sworn to before me this Q, : •. o y ;• �OR40RATF ••: S 28a' day of March, 2023. __ v SEAL In Alisha , Notary Public ••. ,,,, .• ' ��� ALIS AKRUEGER �►gv P( * Cpfnn*SW ER M June 5, 2030 SEAL 2 CCXnMWion Number NP0653544 9 b� La Porte County or, 15 State of Indiana Office of the Secretary of State CERTIFICATE OF EXISTENCE To Whom These Presents Come, Greeting: I, DIEGO MORALES, 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 corpotate records and the proper official to execute this certificate. . I further certify that records of this gffice disclose;4hat .t: MILESTONE CONTR�► TORS NORTH INC. duly filed tl a requisite documents to commence business activities under thefaws of the State of Indiana on`March 29, 2*, acid was in existence or authorized to teansAct business in the State of Indiana on March 06, 202i I further certify this Domestic For -Profit Corporation has filed its most recent report required by Indiana law Wiih the Secretary of State, or is not yet required to fil4 such report, and that no notice of withdrawal, dissolution, or expirPNn has beenjiled or taken .place. All fees, taxes; interest, and t • 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, March 06, 2023 DML�w M"k;� DIEG❑ MORALES SECRETARY OF STATE 194484-057 / 20233060083 All certificates should be validated here: https://bsd.sos.in.gov/ValidateCertificate Expires on April 05, 2023. State of Indiana Office of the Secretary of State Certificate of Amendment of WALSH & KELLY INC 1, 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.: r MILESTONE CONTRACTORS NORTH, INC. k NOW, THEREFORE, with this document I certify that said transaction will become effective Monday, February 01, 2021. In Witness Whereof, I have caused to be affixed my signature and the seal of the State of Indiana, at the City of Indianapolis, February 01, 2021 CONNIE LAWSON SFCRETARYOF STA1E 394484.057/8878219 To ensure the certificate's validity, go to litIps.//bsd.sos.in.gov/Public8usiness5earch State of Indiana Office of the Secretary of State Certificate of Assumed Business Name of MILESTONE CONTRACTORS NORTH, INC. I, CONNIE tAWSON, 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: WAISH &°K1LY 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. 6m" C%3 ""An% CONNIE LAWSON SECRETARY Of STATE 194484.057 / 8878234 to ensure the certificate's validity, go to htips:llbsd so- in gov/Public$usinessSearch 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: MILESTONE CONTRACTORS NORTH INC 1700 E MAIN ST GRIFFITH IN 46319 Phone 219-924-5900 Fax 219-924-8768 Company Official TODD FAWVER 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 2/1/2023 EXPIRATION DATE 5/1/2025 THIS CERTIFICATE ISSUED BY THE STATE OF INDIANA, PUBLIC WORKS DMSION CERTIFICATION BOARD, 402 WEST WASHINGTON STREET, ROOM W467, INDIANAPOLIS, INDIANA 46204, ALSO ACTS AS THE OFFICIAL NOTICE OF EXPIRATION. --� "��v �f. ct-'--O� Tracy L. Cross, Ex tive Secretary Certification Board DAPW P02 State Form 3963R 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 Charles Potts Jr. John P. Vercruysse Mark Andrews David L. Franz John M. Peisker Patrick J. Walters Brad McCall Derek Merida David M. Kozyra Lynn J. Bauer Danielle Payne President Chief Operating Officer, Construction Executive Vice President Executive Vice President Vice President Vice President, Production Vice President, Finance Vice President, Estimating Vice President, Bridge Operations Vice President/Area Manager Griffith Vice President/Area Manager South Bend 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 26 h day of August, 2021. Zt-.,-A YA -6At&-o , � . Fred Fehsenfeld, Jr. Geoffrey C. Dillon Q, r-- James ehsenfeld P. J P. Vercruysse Milestone DATE: May 24, 2022 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 5757 Decatur Blvd, Suite 250 Indianapolis, IN 46241 ngarner@milestonelp.,,, — (317) 616-4937 d;4�= -- C1 Potts, Chief Operating Officer Milestone EQUAL EMPLOYMENT OPPORTUNITY/ AFFIRMATIVE ACTION POLICY STATEMENT it is the policy of Milestone Contractors to afford equal opportunity for employment to all individuals regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, housing status, or veterans' status. The corporation is committed to this policy by our status as a federally assisted government contractor. We are far more strongly bound to the policy by the fact that adherence to the principles involved is the only acceptable American way of life. Therefore, it is the policy of this corporation to assure that applicants are employed, and that employees are treated during employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, housing status, or veterans' status. Such action shall include: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship, pre - apprenticeship, and/or on-the-job training. The successful achievement of a nondiscriminatory employment program requires a maximum of cooperation between management and employees. In fulfilling its' part in this cooperative effort, management is obliged to lead the way by establishing and implementing affirmative procedures and practices which will ensure our objective, namely equitable employment opportunity for all. (Minority and female employees are encouraged to participate in all company activities and refer applicants.) I have designated Margaret Garner to direct the establishment of and to monitor the implementation of personnel procedures to guide our affirmative action program. This official is charged with designing and implementing audit and reporting systems that will keep management informed on a regular basis of the status of equal employment opportunity and affirmative action. She can be reached at (317)616-4937. Supervision has been made to understand that their work performance is being evaluated based on their equal employment opportunity efforts and results, as well as other criteria. It shall be a responsibility of the supervision to take actions to prevent harassment of employees placed through affirmative action efforts. We shall comply with the Civic Rights Act of 1964, as amended, the Federal Highway Act of 1968, the Executive Order #11246 and #11375, the Rehabilitation Act of 1973, as amended, the Vietnam Era Veterans Readjustment Assistance Act of 1974, as amended, the Indiana Civil Rights Act and other applicable Federal and State Laws and regulations pertaining to equality of Opportunities and Affirmative Action policies. We have developed an Affirmative Action Program for Veterans and Individuals with Disabilities. G Potts, Chief Operating Officer Margaret Garner, HR Area Partner/EEO Officer January 2023 ISStFBD BY INDIANAPOLIS, IN October 20, 2022 TO MILESTONE CONTRACTORS NORTH, INC. GRIFFITH, IN who has tied with the Ceparhy rit a Contractor's Statement of Experience and Fi! anc`al Condition as required under kx iana Code 8-23-10, Is hereby quar&W to bid at any Department of Transportation letting in ICtasses of Work and within the amount and other Iimita ion of each dassi6catlon as wed blow, for such period as the rnooVeted work on hwA *om att sources does mtexc eed the Aggmgate amount Classlka references by namor symbol are in accordance with the definffions in the CorirWces Shterrrertt of Experience and Firrarxai Coition. This aNblicalle supers any cerlli&cate previously issued, but is subject to revision or revocation acomding to the taw, if and when changes in the financial condition of the :ontracting firm or other facts justify such revision or wvocabon. Valid October 20, 2022 Thru September 30, 2023 Aggregate Bidding Capacity: 327,748,000.1 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 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 nz tjAv�� PREQUALIFICA71014 ENGINEER sftF*-„(A3,6-" Nrr�r C01111111111113WHER BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 3/15/23 Department Public Name Scott BPW Date 3/28/23 Phone Extension 9245 Required Prior to Submittal to Board BPW Attorney ® Attorney Name Michael Schmidt Dept. Attorney ❑ Attorney Name Purchasing ❑ Mickey Low Check the Appropriate Item Type — Required. for All Submissions ❑ Professional Services Agreement ❑ Contract ❑ Proposal ❑ Open Market Contract ❑ Amendment/Addendum ❑ Special Purchase, QPA ® Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet ❑ Quote Opening ❑ Quote Award ❑ Reject Bids/Quotes ❑ Proposal Opening ❑ C/O & PCA No. ❑ PCA ❑ Chg. Order, No. ❑ Traffic Control ❑ Resolution ❑ Other: ❑ Ease./Encroach Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Information ❑ Yes ❑ If Yes, Approved by Purchasing ❑ No E] MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Nos 2023 Asphalt Materials Bid 123-020 (PR-22957) MVH R. LRS Mai or Moves 266-06-602-503-423002, 251-06-600-506-423002, 412-06-600-506- 423002 For Change Orders Only Amount of ❑ Increase $ ❑ Decrease ($ ) Previous Amount Current Percent of Change New Amount Total Percent of Change: Time Extension Amount: New Completion Date: Increase Decrease Increase Decrease