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Home My WebLink AboutOpening of Bids - 2023 VPA Athletic Court Renovations, Phase III Proj No. 123-040 - Milestone Contractors North Inc.CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Project No. For Bids Due VPA Athletic Court Renovations, Phase 3, 2023 123-040 April 11th, 2023 by 9:00am EST at 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 MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted X Form [MWBE-2.1]. X Acknowledge Receipt of 1 Addendum(s) included with the bid. X All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either X printed or typed underneath signature. X This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read Vd comply with the specifications. Bidder: By Authorized Signature: Print Name & TitWAustin P. H Version 4/2/2019 Contractor's Bid for Public Works -1 Date: 4/11 /2023 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Project No. For Bids Due VPA Athletic Court Renovations, Phase 3, 2023 123-040 April 11th, 2023 by 9:00am EST at bpwbids@southbendin.gov PART (Must be completed for all bids. Please type or print) Date: 4/11/2023 Bidder (Firm): Milestone Contractors North Inc. Address: 24358 SR 23 City/State/Zip: South Bend, IN 46614 Telephone Number: f 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: Athletic Court Repairs the City of South Bend, Indiana, in accordance with plans and specifications prepared by: WBK Engineering and dated February 23, 2023 for the sum of (enter the Total Bid as shown on the Proposal) One million one hundred niner; six thousand five hundred ninety five dollars and fi" y five cents (._$_ _ 1,196 595.55 } (Enter sum of Total Base Bid plus Alternates shown on Proposal) (Numerical) The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract ar?,de94ed shown in the original contract if accepted by the City fof out basis, the itemization of the units shall be shown ri a epar By Dustin P. HiIE The above bid is accepted this Subject to the following conditions: BOARD OF PUBLIC WORKS Elizabeth A. Maradik, President Jordan V. Gathers, Member Gary A. Gilot, Member ACCEPTANCE day of cost of units must be the same as that . If the bid is to be awarded on a unit Director of Estimatini Name of Person Signing) 20 Joseph R. Molnar, Vice President Murray L. Miller, Member Attest: Theresa Heffner, Clerk Version 4/2/2019 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 4/2/2019 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. Version 4/2/2019 Contractor's Bid for Public Works - 4 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. 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, 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 employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation 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 may consider the Contractor's good faith efforts to obtain participation by those Contractors 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. In no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity 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 for 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 4/2/2019 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 11th day of April 12023 of Contractor/Bidder or Its Agent Dustin P. Hilary, Director of Estimating Printed Name and Title Subscribed and sworn to before me this 11th day of April 20 23 My Commission Expires 6/5/2030 Notary Public Alisha Krueger County of Residence LaPorte Version 4/2/2019 Contractor's Bid for Public Works - 6 BID/PROPOSAL CITY OF SOUTH BEND Project Name: VPA Athletic Court Renovations, Phase 3, 2023 Project No.: 123-040 For Bid Due: April I'Ift 2023 by 9:00 a.m. EST at bpwbids southbendin.gov Contractor Name: Milestone Contractors North. Inc. PARK BREAKOUT BASE BID Park No. Park Name Amount 1 KELLER PARK BASKETBALL AND TENNIS $ 225,752.55 2 COQUILLARD TENNIS $ 214,094.00 BASE BID TOTAL $ 439,846.55 PARK BREAKOUT ALTERNATES BID Park No. Park Name Amount ALT-1 RIVERSIDE MANOR PARK BASKETBALL AND TENNIS $ 279,622.65 ALT-2 ST CLAIR TENNIS $ 236,017.35 ALT-3 MARSHALL TENNIS $ 241,109.00 ALTERNATES TOTAL $ 756,749.00 Bidder (Finn): Milestone Contractors North ..Inc. Address: 24358 SR 23 City/State/Zip: South Bend, IN 46614 Telephone Number: (674) 288-4811 By (Signature) Dustin P. Hilary. Director of Estimatln�i (Printed Name of Person Signing) BIDIPROPOSAL CITY OF SOUTH BEND Project Name: VPA Athletic Court Renovations, Phase 3. 2023 Project No.: 123-040 For Bid Due: April 11th 2023 by 9:00 a.m. EST at bpwbids0southbendin.qov Contractor Name: Milestone Contractors North Inc. KELLER PARK TENNIS BASE BID Item No. Description Quantity Unit Unit Price Total Amount 1 MOBILIZATION AND DEMOBILIZATION LS 1 $ 11,000.00 $ 11,000.00 2 HMA REMOVAL SYS 1358 $ 10.00 $ 13,580.00 3 SUBBASE REMOVAL CYS 165 $ 125.00 $ 20,625.00 4 SUBBASE FILL COMPACTED AGGREAGTE, NO. 53 CYS 10 $ 300.00 $ 3,000.00 5 FURNISH AND PLACE TOPSOIL, 4" CYS 81 $ 240.00 $ 19,440.00 6 EARTH EXCAVATION AND REMOVAL CYS 50 $ 100.00 $ 5,000.00 7 4" PERFORATED CPE LFT 254 $ 65.00 $ 16,510.00 8 LEACHING BASIN, 48" EACH 1 $ 17,500.00 $ 17,500.00 9 NET POST AND FOUNDATION REMOVAL EACH 4 $ 195.00 $ 780.00 10 REMOVE NET ANCHORS EACH 2 $ 195.00 $ 390.00 11 TENNIS NET POST, INCLUDING FOUNDATION EACH 2 $ 2,500.00 $ 5,000.00 12 INSTALL NET ANCHOR EACH 1 $ 750.00 $ 750.00 13 COMPACTED AGGREAGTE, NO. 53 CYS 112 $ 165.00 $ 18,480.00 14 HMA, TYPE A, BASE, 1.5" TON 59 $ 400.00 $ 23,600.00 15 HMA, TYPE A, SURFACE, 1.5" TON 59 $ 400.00 $ 23,600.00 16 COURT RESURFACING SYS 671 $ 12.00 $ 8,052.00 17 2" COURT STRIPING, WHITE LFT 480 $ 1.50 $ 720.00 18 FENCE REMOVAL LFT 287 $ 15.00 $ 4,305.00 19 FENCE TYPE 1 LFT 176 $ 121.00 $ 21,296.00 20 EDGE GRADING LFT 220 $ 14.00 $ 3,080.00 21 TURF ESTABLISHMENT SYS 751 $ 3.05 $ 2,290.55 22 TYPICAL GRADING SYS 751 $ 4.00 $ 3,004.00 23 TEMPORARY INLET PROTECTION EACH 1 $ 600.00 $ 600.00 24 GRIND AND SEAL CONCRETE JOINT LFT 42 $ 75.00 $ 3,150.00 KtLLtK UAW: I51U I U I AL 4) L[O, I3[.OD Bidder (Firm): Address: 24358 SR 23 City/State/Zip: South Bend, IN 46614 Telephone Number: (574) 288-4811 By (signature) Dustin P. Hilary, Director of Estimating (Printed Name of Person Signing) BID/PROPOSAL CITY OF SOUTH BEND Prolect Name: VPA Athletic Court Renovations, Phase 3. 2023 Project No.: 123-040 For Bid Due: April 11th, 2023 by 9:00 a.m. EST at bpwbids0southbendin.gov Contractor Name: Milestone Contractors North. Inc. COOUILLARD TENNIS BASE BID Item No. Description Quantity Unit Unit Price Total Amount 1 MOBILIZATION AND DEMOBILIZATION LS 1 $ 10,000.00 $ 10,000.00 2 CRACK REPAIR MILLING SYS 437 $ 60.00 $ 26,220.00 3 SURFACE GRINDING SYS 1,402 $ 18.00 $ 25,236.00 4 HMA PATCHING, FULL DEPTH, TYPE B TON 68 $ 500.00 $ 34,000.00 5 HMA, TYPE A, SURFACE, 1.5" TON 121 $ 380.00 $ 45,980.00 6 COURT RESURFACING SYS 1,402 $ 12.00 $ 16,824.00 7 TENNIS NET POST, INCLUDING FOUNDATION EACH 4 $ 2,500.00 $ 10,000.00 8 INSTALL NET ANCHOR EACH 2 $ 750.00 $ 1,500.00 9 2" COURT STRIPING, WHITE LFT 960 $ 1.50 $ 1,440.00 10 2" COURT STRIPING, BLUE LFT 396 $ 1.50 $ 594.00 11 FENCE REMOVAL LFT 250 $ 18.00 $ 4,500.00 12 FENCE TYPE 1 LFT 360 $ 105.00 $ 37,800.00 COQUILLARD TENNIS BASE BID TOTAL $ 214,094.00 Bidder (Firm): Milestone Contractors North, Inc. Address: 24358 SR 23 City/State/Zip: South Bend, IN 46614 Telephone Number: (574) 288-4811 By (Signature) Dustin P. Hilary, Director of Estimating BID/PROPOSAL CITY OF SOUTH BEND Proiect Name: VPA Athletic Court Renovations. Phase 3. 2023 Profect No.: 123-040 For Bid Due: ril 11th. 2023 b 9:00 a.m. EST at b wbids a south bendi n.q ov Contractor Name: Milestone Contractors North. Inc. RIVERSIDE PARK BASKETBALL AND TENNIS ALTERNATE 1 Item No. Description Quantity Unit Unit Price Total Amount 1 MOBILIZATION AND DEMOBILIZATION LS 1 $ 12,500.00 $ 12,500.00 2 HMA REMOVAL SYS 1327 $ 12.00 $ 15,924.00 3 SUBBASE REMOVAL CYS 60 $ 65.00 $ 3,900.00 4 SUBBASE FILL COMPACTED AGGREAGTE, NO. 53 CYS 25 $ 200.00 $ 5,000.00 5 FURNISH AND PLACE TOPSOIL, 4" CYS 75 $ 225.00 $ 16,875.00 6 4" PERFORATED CPE LFT 249 $ 65.00 $ 16,185.00 7 LEACHING BASIN, 60" EACH 1 $ 12,500.00 $ 12,500.00 8 NET POST AND FOUNDATION REMOVAL EACH 4 $ 175.00 $ 700.00 9 REMOVE NET ANCHORS EACH 1 $ 175.00 $ 175.00 10 TENNIS NET POST, INCLUDING FOUNDATION EACH 2 $ 2,500.00 $ 5,000.00 11 INSTALL NET ANCHOR EACH 1 $ 750.00 $ 750.00 12 REMOVE BASKETBALL HOOP, POST & FOUNDATION EACH 2 $ 780.00 $ 1,560.00 13 PLACE BASKETBALL HOOP, POST AND FOUNDATION EACH 2 $ 9,500.00 $ 19,000.00 14 CRACK REPAIR MILLING SYS 58 $ 175.00 $ 10,150.00 15 SURFACE GRINDING SYS 314 $ 24.00 $ 7,536.00 16 HMA PATCHING, FULL DEPTH, TYPE B TON 9 $ 700.00 $ 6,300.00 17 COMPACTED AGGREAGTE, NO. 53 CYS 133 $ 150.00 $ 19,950.00 18 HMA, TYPE A, BASE, 1.5" TON 70 $ 400.00 $ 28,000.00 19 HMA, TYPE A, SURFACE, 1.5" TON 97 $ 400.00 $ 38,800.00 20 COURT RESURFACING SYS 1114 $ 12.00 $ 13,368.00 21 2" COURT STRIPING, WHITE LFT 622 $ 1.50 $ 933.00 22 2" COURT STRIPING, BLUE LFT 198 $ 1.50 $ 297.00 23 FENCE REMOVAL LFT 469 $ 15.00 $ 7,035.00 24 FENCE TYPE 1 LFT 270 $ 103.00 $ 27,810.00 25 EDGE GRADING LFT 571 $ 8.00 $ 4,568.00 26 TURF ESTABLISHMENT SYS 505 $ 3.68 $ 1,858.40 27 TYPICAL GRADING SYS 505 $ 4.65 $ 2,348.25 28 TEMPORARY INLET PROTECTION EACH 1 $ 600.00 1 $ 600.00 RIVER5IDEALIEKNAIt3,WIAL ZO ztu,ozz.00 Bidder (Firm): Address: 24358 SR 23 City/State/Zip: South Bend IN 46614 Telephone Number: (574) 288-4811 Dustin P. Hilary, Director of Estimating BID/PROPOSAL CITY OF SOUTH BEND Project Name: VPA Athletic Court Renovations, Phase 3, 2023 Project No.: 123-040 For Bid Due: April 11th, 2023 by 9:00 a.m. EST at bpwbidsasouthbendin.gov Contractor Name: Milestone Contractors North Inc. ST CLAIR TENNIS ALTERNATE 2 Item No. Description Quantity Unit Unit Price Total Amount 1 MOBILIZATION AND DEMOBILIZATION LS 1 $ 11,500.00 $ 11,500.00 2 HMA REMOVAL SYS 1389 $ 12.00 $ 16,668.00 3 SUBBASE REMOVAL CYS 77 $ 115.00 $ 8,855.00 4 SUBBASE FILL COMPACTED AGGREAGTE, NO. 53 CYS 44 $ 300.00 $ 13,200.00 5 FURNISH AND PLACE TOPSOIL, 4" CYS 62 $ 295.00 $ 18,290.00 6 EARTH EXCAVATION AND REMOVAL CYS 10 $ 90.00 $ 900.00 7 4" PERFORATED CPE LFT 268 $ 65.00 $ 17,420.00 8 LEACHING BASIN, 60" EACH 1 $ 16,000.00 $ 16,000.00 9 NET POST AND FOUNDATION REMOVAL EACH 4 $ 195.00 $ 780.00 10 TENNIS NET POST, INCLUDING FOUNDATION EACH 2 $ 2,500.00 $ 5,000.00 11 INSTALL NET ANCHOR EACH 1 $ 750.00 $ 750.00 12 COMPACTED AGGREAGTE, NO. 53 CYS 117 $ 165.00 $ 19,305.00 13 HMA, TYPE A, BASE, 1.5" TON 60 $ 400.00 $ 24,000.00 14 HMA, TYPE A, SURFACE, 1.5" TON 60 $ 400.00 $ 24,000.00 15 COURT RESURFACING SYS 800 $ 12.00 $ 9,600.00 16 2" COURT STRIPING, WHITE LFT 480 $ 1.50 $ 720.00 17 2" COURT STRIPING, BLUE LFT 198 $ 1.50 $ 297.00 18 FENCE REMOVAL LFT 311 $ 28.00 $ 8,708.00 19 FENCE TYPE 1 LFT 270 $ 110.00 $ 29,700.00 20 EDGE GRADING LFT 360 $ 14.00 $ 5,040.00 21 TURF ESTABLISHMENT SYS 561 $ 3.35 $ 1,879.35 22 ITYPICAL GRADING SYS 561 $ 5.00 $ 2,805.00 23 TEMPORARY INLET PROTECTION EACH 1 $ 600.00 $ 600.00 Bidder (Firm): Address: 24358 SR 23 ST CLAIR TENNIS ALTERNATE 2 TOTAL $ 236,017.35 City/State/Zip: South Bend, IN 46614 Telephone Number: By Dustin P. Hilary, Director of Estimating BID/PROPOSAL CITY OF SOUTH BEND Pr 'ect Name: VPA Athletic Court Renovations Phase 3. 2023 Project No.: 123-040 For Bid Due: April 11th, 2023 by 9:00 a.m. EST at bpwbids(dlsouthbendin.gov Contractor Name: Milestone Contractors North. Inc. MARSHALL TENNIS ALTERNATE 3 Item No. Description Quantity Unit Unit Price Total Amount 1 MOBILIZATION AND DEMOBILIZATION LS 1 $ 11,500.00 $ 11,500.00 2 HMA REMOVAL SYS 1442 $ 12.00 $ 17,304.00 3 SUBBASE REMOVAL CYS 67 $ 60.00 $ 4,020.00 4 SUBBASE FILL COMPACTED AGGREAGTE, NO. 53 CYS 23 $ 200.00 $ 4,600.00 5 FURNISH AND PLACE TOPSOIL, 4" CYS 0 $ 300.00 $ - 6 EARTH EXCAVATION AND REMOVAL CYS 10 $ 140.00 $ 1,400.00 7 COMPACTED AGGREAGTE, NO. 53 CYS 222 $ 170.00 $ 37,740.00 8 HMA, TYPE A, BASE, 1.5" TON 109 $ 395.00 $ 43,055.00 9 HMA, TYPE A, SURFACE, 1.5" TON 109 $ 395.00 $ 43,055.00 10 COURT RESURFACING SYS 1333 $ 12.00 $ 15,996.00 11 2" COURT STRIPING, WHITE LFT 960 $ 1.50 $ 1,440.00 12 TENNIS NET POST, INCLUDING FOUNDATION EACH 4 $ 2,500.00 $ 10,000.00 13 INSTALL NET ANCHOR EACH 2 $ 750.00 $ 1,500.0- 14 2" COURT STRIPING, BLUE LFT 396 $ 1.50 $ 594.00 15 FENCE REMOVAL LFT 415 $ 17.00 $ 7,055.00 16 FENCE TYPE 1 LFT 350 1 $ 107.00 $ 37,450.00 17 EDGE GRADING LFT 440 $ 10.00 $ 4,400.00 Bidder (Firm): Address: 24358 SR 23 MARSHALL TENNIS ALTERNATE 3 TOTAL City/State/Zip: South Bend IN 46614 Telephone Number: 241,1 W.UU Dustin P. Hilary, Director of Estimati 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 participa.IVII. I. 10 the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications. Project Number: 123-040 Project Name: VPA Athletic Court Renovation, Phase 3, 2023 Bidder: Milestone Contractors North, Inc. Total Bid Amount: S1.196,595.55 MBE Goal: 1.9% Page 1 of 1 Name & Address of MBE Primary Contact Person (Namelrelephone) Scope of Work to be Performed (Attach scope/schedule if you need additional space) Dollar Amount of MBE Component Percentage of Total Bid/Proposal C. Lee Construction Services, Inc. 1011 S. Lake Street Frederick "Chip" Lee 219-922-7733 Hauling $12,000.00 1.00% Gary, IN 46403 1st Class Logistics, LLC. 24423 IN 23 Bernard Coutee 574-933-0071 Hauling $12,000.00 1.00% South Bend, IN 46614 Submitted by: Dustin P. Hilary, Director of Estimating Print Name J Version 4/2/2019 Contractor's Bid for Public Works - 4/11 /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: 123-040 Project Name: VPA Athletic Court Renovations. Phase 3, 2023 Bidder: Milestone Contractors North, Inc. Total Bid Amount: $1,196,595.55 WBE Goal: 5.6% Page 1 of 1 r•iame &Address of WBE Primary Contact Person Scope of Work to be Performed Dollar Amount of WBE Percentage o f Total (NamefTelephone) (Attach scope/schedule if you need additional space) Component Bid/Proposal Slusser's Green Thumb, Inc. Nelson Slusser Seeding $7,233.91 0.60% 125 Montgomery Street 574-722-3102 j Logansport, IN 46947 V & R Trucking, Inc. Veda Godette Hauling $7,000.00 0.58% 1845 N. Elmer Street 574-234-1268 South Bend, IN 46628 Submitted by: Dustin_P. Hilag, Director of Estimating Print Name Version 4/2/2019 Contractor's Bid for Public Works - 4/11/2023 Date 110 a. - CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN •-. eons 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: Project Name: Bidder: Contact Person: Address: 123-040 Date: 4/11 /2023 VPA Athletic Court Renovations, Phase 3, 2023 Milestone Contractors North Inc. Dustin P. Hilary 24358 SR 23 Telephone: 574-288-4811 City: South Bend State: Indiana Zip: 46614 Email: dhilary@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': CE OF GOOD FAITH EFFORTS 1E LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business Enterprise lusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the Indiana Department of ministration list of Minority and Women Owned Businesses (both certified and non -certified) found f` hftp://www.in.gov/idoa/. FAITH EFFORTS TO OBTAIN MBE PARTICIPATION bidder shall initial each item below, as evidence of its good faith efforts to obtain MBE participation in awarded contract. affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise iclusion Program Plan and the Indiana Department of Administration's certified list of idiana Minority and Women Business Enterprises, found on their website iftp://www.in.gov/idoa). affirm that I have made good faith efforts to select portions of the contract work to be erformed by MWBEs, including, where appropriate, breaking out contract work items into conomically feasible units to facilitate MBE participation. affirm that I have made good faith efforts to solicit through all reasonable and available leans the interest of all MBEs in the scopes of work of the contract. affirm that I attended all pre -bid meetings scheduled by the City of South Bend to inform IBEs of contracting and subcontracting opportunities. affirm that I advertised in general circulation and/or trade association publications mcerning subcontract opportunities and allowed MBEs reasonable time to respond to such affirm that I performed any and all necessary steps to provide written notices in a manner I -asonably calculated to inform MBEs of subcontracting opportunities and allowed sufficient me for MBEs to participate effectively. %�Y f I affirm that I followed up on initial solicitations with interested MBEs. affirm that I negotiated with interested MBEs in good faith, including providing such MBEs rith adequate information about the plans, specifications and other requirements of the I affirm that I have made good faith efforts to assist interested MBEs in obtaining bonding, PP lines of credit, or insurance as required by the City or the bidder, where appropriate. Version 4/2/2019 Contractor's Bid for Public Works - CITY OF SOUTH BEND x MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN ` -A FORM MBE-2.0 j I affirm that I have made good faith efforts to assist interested MBEs in obtaining necessary (]l� quipment, supplies, materials, or related assistances or services, where appropriate. py�I affirm that I did not reject any MBEs as unqualified without sound business reasons based n a thorough investigation of their capabilities. ONTRACT RECORDS: The bidder has maintained the following records for each MBE that has bid on he 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 4/2/2019 Contractor's Bid for Public Works - CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN.:. This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MWBE participation. Project Number: 123-040 Date: 4/11/2023 Project Name: VPA Athletic Court Renovations, Phase 3 2023 Bidder: Milestone Contractors North. Inc. Contact Person: Dustin P. Hilaa! r_ _ __Telephone: 574-2884811 Address: 24358 SR 23 City: South Bend State: Indiana Zip: 46614 Email: dhilary@milestonelp.com To determine whether a bidder has demonstrated good faith efforts to reach the WBE utilization goals set forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below*: IEVIDENCE OF GOOD FAITH EFFORTS ` NBE LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business Enterprise nclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the Indiana Department of kdministration list of Minority and Women Owned Businesses (both certified and non -certified) found it: htto://vwwv.in.00v/idoa/. GOOD FAITH EFFORTS TO OBTAIN WBE PARTICIPATION The bidder shall initial each item below, as evidence of its good faith efforts to obtain WBE participation in he awarded contract. it 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 tthftp://www.in.gov/idoa . I affirm that I have made good faith efforts to select portions of the contract work to be 1 performed by WBEs, including, where appropriate, breaking out contract work items into conomically feasible units to facilitate WBE participation. I affirm that I have made good faith efforts to solicit through all reasonable and available means the interest of all WBEs in the scopes of work of the contract. I affirm that I attended all pre -bid meetings scheduled by the City of South Bend to inform AJ �✓�" WBEs of contracting and subcontracting opportunities. I affirm that I advertised in general circulation and/or trade association publications roncerning subcontract opportunities and allowed WBEs reasonable time to respond to such advertisements. I affirm that I performed any and all necessary steps to provide written notices in a manner n reasonably calculated to inform WBEs of subcontracting opportunities and allowed sufficient time for WBEs to participate effectively. I affirm that I followed up on initial solicitations with interested WBEs. I affirm that I negotiated with interested WBEs in good faith, including providing such WBEs ith adequate information about the plans, specifications and other requirements of the Fa—lines; ubcontract.I affirm that I have made good faith efforts to assist interested WBEs in obtaining bonding, of credit, or insurance as required by the City or the bidder, where appropriate. Version 4/2/2019 Contractor's Bid for Public Works - CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM - PLAN FORM WBE-2.0 I affirm that I have made good faith efforts to assist interested WBEs in obtaining necessary equipment, supplies, materials, or related assistances or services, where appropriate. I affirm that I did not reject any WBEs as unqualified without sound business reasons based +�n a thorough investigation of their capabilities. �ONTRACT RECORDS: The bidder has maintained the following records for each WBE that has bid on he 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 4/2/2019 Contractor's Bid for Public Works - CITY OF SOUTH BEND _ MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM r' PLAN FORM MBE-2.1 This completed form should be supplied with Bids that pertain to City of South Bend Public Works Proiects 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 Rages if necessary. PAGE 1 OF 1 Project Number: 123-040 MBE Participation Goal 1.9% Project Na A Athletic Court Renovations Phase 3 2023 Bidder: Milestones Contractors North, Inc. By: ��£ Director of Estimatina 4/11/2023 Signature) Dustin P. Hilary (Title) (Date) E Firm C. Lee Construction Services, Inc. Owner or Contact at MBE Firm Frederick "Chip" Lee Telephone: 219-922-7733 Fax: 219-888-9564 chip@cleecsi.com Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE FIRM: If we're awarded the project, we'll enter into a Hauling Agreement with C. Lee Construction Services, Inc. MBE Firm 1st Class Logistics, LLC. Owner or Contact at MBE Firm Bernard Coutee Telephone: 219-993-0071 Fax: 1stclasslogistics2013ftgmail.com Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: Hauling RESULTS OF CONTACT WITH THE MBE FIRM: If we're awarded the project, we'll enter into a Hauling Agreement with 1st Class Logistics, LLC. Version Contractor's Bid for Public Works - CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM r PLAN FORM WBE-2.1 This completed form should be supplied with Bids that pertain to Citv of South Bend Public Works Proiects 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 necessa . PAGE 1 OF 1 Project Number: 123-040 WBE Participation Goal 5.6% Project Name- VP Athletic Court Renovations. Phase 3.2023 Bidder: ilestone Co�liractors North, Inc. By: n Firm Slusser's Green Thumb, Inc. Owner or Contact at WBE Firm Telephone: 574-722-3102 SOLICITED FOR THIS PROJECT: Seeding (Title) 4/11 /20 (Date) Nelson Slusser Fax: nts@slussers.com Email: TYPE OF WORK RESULTS OF CONTACT WITH THE WBE FIRM: If we're awarded the project, we'll enter into a subcontract with Slusser's Green Thumb, INc. WBE Firm V & R Trucking, Inc. Owner or Contact at WBE Firm Veda Godette Telephone: 574-234-1268 Fax: 574-234-0748 rfightingirish@aol.com Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: Hauling RESULTS OF CONTACT WITH THE WBE FIRM: If we're awarded the project, we'll enter into a Hauling Agreement with V & R Trucking, Inc. Version Contractor's Bid for Public Works - CNASURETY 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, Owner or 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) VPAAthletic Court Renovations, Phase 3, 2023; Project No. 123-040 The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefro�lAku I II/I/.. provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. WqA�� actors furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bow °: ''• ;o.� Signed and sealed this 11th day of _ April 3 ` o°; ��?ORATE S Milestone tra s North, Inc. L2�•� Jrrmuc B (T ustin P. Hilary, Director of Estimatin �., / Y tqF 16,1. a gbXinental Casualty Compares,ooPR�agTE ur r-A _� 1n n 1> X .� . Ui i _ r` ahead) Riley, f89 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. 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 Attomey(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 - SuretyBondm.: 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 June, 2021. Rj SM Jay 11, lag? > Continental Casualty Company National Fire Insurance Company of Hartford American C• • ity Company of R ing, Pennsylvania Paul T. Bruflat VTce 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 be 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. [N. BENT I owt>xl�MI Q4 My Commission Expires March 2, 2026 M. Bent CERTIFICATE &1'1� - - - Notary Public 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 11th day of April, 2023. 'y 4 05W4 COWrAMr a ,, E 1ULY ll, 1NY Form m6$534/2012. Continental Casualty Company National Fire Insurance Company of Hartford American Casualty Company of Reading, Pennsylvania • D. Johnson Assistant Secretary Go to www.cnasurety.com.> Owner / Obligee Services > Validate Bond Coverage, if you want to verify bond authenticity. °VP.Jn�iv�0� 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 ofthe 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 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 Continental Casualty Company. This Power of Attorney is signed and waled by facsimile under and by the authority ofthe following Resolution adopted by the Board of Directors ofthe Company by unanimous written consent dated the 251 day of April, 2012: "Whereas, the bylaws ofthe Company or specific resohrtion ofthe 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 ofthe 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 NATIONAL FIRE INSURANCE COMPANY OF HARTFORD: This Power of Attorney is made and executed pursuant to and by authority ofthe following resolution duly adopted by the Board of Director; 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 Attorney is signed and sealed by facsimile under and by the authority ofthe following Resolution adopted by the Board of Directors ofthe Company by unanimous written consent dated the 25' day of April, 2012: "Whereas, the bylaws of the Company or specific resolution ofthe 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 ofthe 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 Signst= 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 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 Attomey is signed by Paul T. Brullat, 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 ofthe following Resolution adopted by the Board of Directors ofthe Company by unanimous written consent dated the 251 day of April, 2012: "Whereas, the bylaws ofthe Company or specific resolution ofthe 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. " g� CONTRACTOR'S BID FOR PUBLIC WORK - FORM 96 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): April 11 th, 2023 1. Governmental Unit (Owner): City of South Bend, Indiana 2. County: St. Jose 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): Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of VPA Athletic Court Renovations, Phase 3, 2023 (Governmental Unit) in accordance with plans and specifications prepared by WBK ENGINEERING, LLC See Attached and dated 3/14/2023 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 — /C 36-1-12-4) Governmental Unit: City of South Bend, Indiana Bidder (Firm) Milestone Contractors North, Inc. Date (month, day, year): April 11th, 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? Contract Amount 10,422,417.00 Class of Work , Resurface Completion Date November 2021 Name and Address of Owner 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? Contract Amount Class of Work Expected Completion Date Name and Address of Owner 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 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 actors04 AV •Notr�i �;' �QORA7Ejo STATE OF Indiana COUNTY OF St. Jose IN ) ss 11 th day of April 2023 rs North, Inc. (Name of Organization) stin P. Hilary, Director of Estimati (Title of Person Signing) ACKNOWLEDGEMENT Before me, a Notary Public, personally appeared the above -named.. Dustin P. Hilary and swore that the statements contained in the foregoing document are true and correct. Subscribed and sworn to before me this _ 11 th day of,. April 2023 .+ Notary Public My Commission Expires: June 5, 2030 County of Residence: LaPorte AL(SHAKRUEGER My commission Expirzs *; SEAL ,_. June 5, 2030 �, :; Commission Number NP0653544 La Potte County y Part of State Form 52414 (R2 / 2-13) / Form 96 (Revised 2013) O 019 Milestone Contractors North, Inc. (Contractor) 24358 SR 23 (Address) South Bend, IN 46614 FOR PUBLIC WORKS PROJECTS OF City of South Bend, Indiana VPA Athletic Court Renovations, Phase 2, 2023 Project No. 123-040 Filed April 11 th 1 2023 Action taken 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 ress p se of inducing the party to whom it is submitted to award the submittor a contract; and that any depository, vendor or oth cy her named is hereby authorized to supply such party with any information necessary to verify this statement. NOTE: A co -partnership must give firm name and signatures of all partners. A corporation must give full corporate name, signature of official xacto rS and affix corporate seal. Dustin P. Hilary. Director of Estima&Wp C.C'..•••'••'•• o,� �QpRATE Affidavit for Individual ., : ` �• t ' •^ = STATE OF . d'•v ss: COUNTY OF �� ''••......•�p�°',,��` being duly swom, deposes an'Siryt�s'a��, foregoing financial statement, taken from his books, is a true and accurate statement of his financial condition as of the date ereof and that the answers to the foregoing interrogatories are true. Subscribed and sworn to before me this _day of 20 Notary Public STATE OF COUNTY OF member of the firm of I ss (Applicant must sign here) Affidavit for Co -Partnership duly sworn, deposes and says that he is a 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. Subscribed and sworn to before me this day of 20 Notary Public STATE OF Indiana { COUNTY OF St. Joseph ss (Member of firm must sign here) Affidavit for Corporation Dustin P. Hilary_ being duly sworn, deposes and says that he is Director of Esti corporation described in and which executed the foregoing statement; that he is financial condition; that the foregoing financial statement, taken from the book' the financial condition of said corporation as of the date thereof and that the 01, Subscribed and sworn to before me this 11 th day of Alisha Kft egdr, Notary ALIStiAKRUEGER SEAL :*° June 6,2030 Commission Number NP0653544 of i1, La Porte County Milestone Contractors North, Inc. the with th,p books of the said corporation showing its said coration; is a true and accurate statement of to "regeirig interrogatories are true. must sign here) Dustin P. Hilary, DirWj VnihQiating �itracro �ti CpRPORgTF• :,s yak �-•— �,t�L �n 15 State of Indiana Office of the Secretary of State Certificate of Amendment of WALSH & KELLY INC I, CONNIE tAWSON, Secretary of State, hereby certify that Articles of Amendment of the above Domestic For -Profit Corporalion'have been presented to me at my office, accompanied by the fees prescribed by law and that the documentation presented conforms to law as prescribed by the provisions of the Indiana Code. The name following said transaction will be: MILESTONE CONTRACTORS NORTH, INC. NOW, THEREFORE, with this document I certify that said transaction will become effective Monday, February 01, 2021. 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;U 0%-fj""M [ ONNIE I AWSON SECRE7AR1' OF STATF 194484-E357 / 8878219 To ensure the certificate's validity, go to https-.Ilbsd.sm.In.gav/PublicBus inessSearch State of Indiana Office of the Secretary of State Certificate of Assumed Business Name of MILESTONE .CONTRACTORS NORTH, INC. I, CONNIE LAWSON, Secretary of State, hereby certify that a Certificate of Assumed Business Name of the above Domestic For -Profit Corporation has been presented to me at my office, accompanied by the fees prescribed by law and that the documentation presented conforms to law as prescribed by the provisions of the Indiana Code. Following said transaction, the above named entity will transact business under the assumed business names) of: WALSN & 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. C014NIC IAWSON SI CRF?AR4 Of 57AT E 154484 057 j 88.78214 10 ensure the cerlificate.'s validity_ go to hItp%-Ilbsd sac 111 gov/Public8usinessSearch 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 211/2023 EXPIRATION DATE 5/1/2025 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. Tracy L. Cross, Ex tive Secretary Certification Board DAPW PQ2 State Form 3983R Rev. 07/06 WRITTEN CONSENT TO RESOLUTIONS of the BOARD OF DIRECTORS of MILESTONE CONTRACTORS NORTH, INC. The undersigned, being all of the Directors of MILESTONE CONTRACTORS NORTH, INC., an Indiana Corporation, hereby consent to the following actions to be taken by the Corporation without a meeting of the Board of Directors under the applicable provisions of the Indiana Business Corporation Law, as amended: RESOLVED that the following be, and hereby are, elected officers of the Corporation, to hold the office until the next regular meeting of the Board of Directors and until their successors are duly elected and have qualified: Todd A. Fawver 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"' day of August, 2021. Fred Fehsenfeld, Jr. Geoffrey C. Dillon James ehsenfeld NA-1- Pv J P. Vercruysse P,i,l 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 m9arner& miiestoneip.co,, (317) 616-4937 CJ Potts, Chief Operating Officer P,i,milestone EQUAL EMPLOYMENT OPPORTUNITY/ AFFIRMATIVE ACTION POLICY STATEMENT It is the policy of Milestone Contractors to afford equal opportunity for employment to all individuals regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, housing status, or veterans' status. The corporation is committed to this policy by our status as a federally assisted government contractor. We are far more strongly bound to the policy by the fact that adherence to the principles involved is the only acceptable American way of life. Therefore, it is the policy of this corporation to assure that applicants are employed, and that employees are treated during employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, housing status, or veterans' status. Such action shall include: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship, pre - apprenticeship, and/or on-the-job training. The successful achievement of a nondiscriminatory employment program requires a maximum of cooperation between management and employees. In fulfilling its' part in this cooperative effort, management is obliged to lead the way by establishing and implementing affirmative procedures and practices which will ensure our objective, namely equitable employment opportunity for all. (Minority and female employees are encouraged to participate in all company activities and refer applicants.) I have designated Margaret Garner to direct the establishment of and to monitor the implementation of personnel procedures to guide our affirmative action program. This official is charged with designing and implementing audit and reporting systems that will keep management informed on a regular basis of the status of equal employment opportunity and affirmative action. She can be reached at (317)616-4937. Supervision has been made to understand that their work performance is being evaluated based on their equal employment opportunity efforts and results, as well as other criteria. It shall be a responsibility of the supervision to take actions to prevent harassment of employees placed through affirmative action efforts. We shall comply with the Civic Rights Act of 1964, as amended, the Federal Highway Act of 1968, the Executive Order #11246 and #11375, the Rehabilitation Act of 1973, as amended, the Vietnam Era Veterans Readjustment Assistance Act of 1974, as amended, the Indiana Civil Rights Act and other applicable Federal and State Laws and regulations pertaining to equality of Opportunities and Affirmative Action policies. We have developed an Affirmative Action Program for Veterans and Individuals with Disabilities. CJ Potts, Chief Operating Officer Margaret Garner, HR Area Partner/EEO Officer January 2023 edu-nteor qutainwativu ISS4EI)BY ru INDIANAPOLIS, IN October 20, 2022 TO MILESTONE CONTRACTORS NORTH, INC. GRIFFITH, IN who has filed with the Department a s onka ors Stalemen! of Experience and Financial Condition as required under Indiana Code 8-23-10, is hereby qualified b bid at any Department of Transportation letting in +Classes of Work and within the amount and ocher limitation of each classification as listed Wow, for such period as the unoornpleted work on hand from all sources does not exceed the Aggreque amount Classification ,references try name or syrnbol are in accordance with the definitions in the Cor traetoes Stalementof Expedenceand RnancialCondition. Rils ceri frcale supersedes arty oertifrcate previously issued, but is subject to revision or revocation according to the law, fi and when changes to the financial condition of the contracting firm or other facts justify such revision or revocation. 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 MASONRYAND MISCELLANEOUS CONCRETE ........................................... $50,000,000.00 E(G) TRAFFIC CONTROL: PAVEMENT MARKINGS................................................................ $25,000,000.00 E(H) DEEP SEWER AND/OR EXCAVATION.............................................................................. $25,000,000.00 E(Q) CONCRETE PAVEMENT: REPAIRS.................................................................................. $25,000,000.00 E(R) ASPHALT PAVEMENT MILLING....................................................................................... $50,000,000.00 PREQUALIFICAMOM ENGINEER COMNESSIONER ,LSTfi., 1316 COUNTY -CITY BUILDING PHONE 574/ 235-9251 227 W. JEFFERsoN BOULEVARD ti 1£365 . s FAX 574/ 235-9171 SOUTH BEND, INDI ANA 46601-1830 TDD 574/ 235-5567 A CITY OF SOUTH BEND, TAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS Date: March 31, 2023 To: All Planholders From Theresa Heffner, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: VPA ATHLETIC COURT RENOVATIONS, PHASE 3, 2023 Project Number: 123-040 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 3/31 /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 Contra Authorized Signature: Date: 4/11 /2023 Version 4/2/2015 nc. ng CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name VPA Athletic Court Renovations, Phase 3, 2023 Project No. 123-040 For Bids Due April 111h, 2023 by 9:00am EST at 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. 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 315S 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 3/19/2019 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 3/19/2019 General Conditions -11 PRE -QUALIFIED BIDDER CHECKLIST (a) Acknowledgements: (i) X By checking this box, I hereby acknowledge that I am a pre -qualified bidder with the City of South Bend and that I have met the pre -qualification requirements within the last twelve (12) months. A copy of my Pre -Qualification verification letter is attached. (ii) X By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided by me, and may also conduct random inquiries of my current and prior customers. (b) Attachments: (i) X Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). (ii) X Statement on staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work. It outlines how I intend to meet the staffing needs of the work. (iii) X Evidence that I am utilizing a surety company which is on the United States Department of Treasury's Listing of Approved Sureties as required in the bid specifications or contract. (iv) 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. (v) 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 3/19/2019 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. By checking this box, I hereby acknowledge that copies of all Applicable apprenticeship certificates or standards for training programs applicable to the work performed on the project may be requested at any time and shall be furnished upon request. (iv) _ By checking this box, I hereby acknowledge and ensure that I and all sub- contractors, from whom I have accepted a bid and/or intend to hire to perform work on the public work project, are properly licensed. Furthermore, I acknowledge my understanding that it is my responsibility to ensure that all sub -contractors have the necessary licenses to undertake the work called for in this bid. If a sub- contractor loses their license at any point, it is the responsibility of that sub- contractor to notify the City. (b) Attachments: (i) _ Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). List identifying all former business names. 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 3/19/2019 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 3/19/2019 General Conditions -14 CITY OF SOUTH BEND JAWS MUELLER, MAYOR DEPARTMENT OF PUBLIC WORKS ERIC HORVATH, DIRECTOR November 18, 2022 Alisha Krueger Milestone Contractors North, Inc. akrueger(cc.milestonelp.com RE: Pre -Qualification Verification Dear Ms. Krueger: This letter serves as verification of Pre -Qualification status of your company for bidding with the City of South Bend. This Pre -Qualification status is effective for twelve (12) months from the date of this letter. Thereafter you are required to re -submit a complete application for continuation of pre -qualification status prior to December 31 for the upcoming calendar year. A copy of this Verification Letter must be included with every bid exceeding $150,000 submitted to the City of South Bend Board of Public Works, along with your Pre -Qualified Bidder Checklist and attachments. If you have any further questions regarding this matter, please call this office at (574) 235- 9251. Sincerely, Liz Horvath, Permit Manager I0 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. 6J P. Hilary, Director of Estimating Dated: April 11"', 2023 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 04/04/2023 Name Patrick Sherman Department Public Works BPW Date 04/11 /2023 Phone Extension 5601 Review and Approval Required Prior to Submittal to Board Diversity Compliance ❑ Officer Name and Inclusion Officer BPW Attorney ® Attorney Name Dept. Attorney ❑ Attorney Name Purchasing ® Mickey Lovy Michael Schmidt 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 n Other: n 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 Itl:3r7 ❑ Yes ❑ If Yes, Approved by Purchasing ❑ No E] MBE ❑ WBE Completed E-Verify Form Attached ❑ Yes ❑ 2023 VPA Athletic Court Renovations PROJ00000414 — 123-040 Fund 201: PR-00023268 201-11-206-273-445003-- TBD BID _Phase 3 of renovations of asphalt athletic courts in multiple parks. For Chance Orders Onl Amount of ❑ Increase $ ❑ Decrease ($ ) Previous Amount $ Increase Current Percent of Change: Decrease New Amount $ Increase Total Percent of Change: Decrease Time Extension Amount: New Completion Date: