HomeMy WebLinkAboutOpening of Quotes - Century Center Parking Lot Seal and Stripe Proj No. 122-060B - Asphalt Restoration ServicesE UTH 8
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CITY OF SOUTH BEND, INDIANA W a l
CONTRACTOR'S QUQIE---EQRFU5L1C WORK
PROJECT NAME: Century Center Parking Lot Seal and Stripe
PROJECT NO. 122-060B
QUOTES DUE April 111h, 2023 at 9.00am EST to bpwbids(aD_southbend in. nov
(Must be completed for all quotes. Please type or print)
Date: Firm: ,A226A 164.Orai- cm '�-YVEC.Q-SI [ LC
Address: O ox dlyy ��
City/State/Zip:_L4�l KQ_ Telephone Number: (5-7 y) $'? l9-(o J 9 (o
Agent of Bidder (if Applicable): Al 1A
Pursuant to notices given, the undersign d offers to furnish labor and/or material necessary to complete the
public works project of:
La+ Sea\ "A-Swk-oe ProleG- NO iaa_
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
The City of South Bend, Department of Public Works
and dated L4 Q aF) for the sum of (enter the Total Quote as shown on the Proposal)
10
�j1�JPictYli- nVSL1E�(S1�Y1 1'P� �bYl- (fop— ($
(Ent r Suof Total Quote plus Alternates showA on Proposal) (Numerical)
If alternative quotes apply, the undersigned submits a proposal for each in accordance with the notice. Any
addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed, the cost of units must be the same as that shown
in the original contract if accepted by the City of South Bend. If the quote is to be awarded on a unit basis, the
itemization of the units shall be shown on a separate attachment.
By 4-t --
(Signature)
ACCEPTANCE
The above quote is accepted this day of
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Elizabeth A. Maradik, President
Gary A. Gilot, Member
Murray L. Miller, Member
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of Person Signing)
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Joseph R. Molnar, Vice President
Jordan V. Gathers, Member
Attest: Theresa Heffner, Clerk
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CITY OF SOUTH BEND
EQUAL EMPLOYMENT OPPORTUNITY CONTRACTING
PROVISIONS DIVERSITY UTILIZATION
It is the policy of the City of South Bend to provide equal employment and business opportunity for
all persons, partnerships, companies, and corporations in accordance with the rules, regulations and
guidelines of the applicable federal, state and local laws. This policy of equal employment and business
opportunity shall apply to every contractor or subcontractor bidding or holding a public contract with the City
of South Bend.
In furtherance of this policy, the following Equal Opportunity Clauses are hereby made a part of every
construction contract entered into by the City of South Bend and all subcontractors entered into pursuant
to any such contract and the bidder hereby certifies that it/he/she will abide by these provisions.
The contractor will not discriminate against any applicant or employee because of race,
color, religion, sex, national origin, or handicap. The contractor will take affirmative action
to ensure that all applicants or employees are treated fairly and equitably. Such action
shall include but not be limited to the following: hiring, up -grading, demotion or transfer,
recruitment, advertising, lay-offs or termination, rates of pay or other forms of compensation
and selection for training including apprenticeship programs.
The contractor shall agree to post in conspicuous places available to employees and
applicants, notices to be provided setting forth the provisions of the Non -Discrimination Clause.
The contractor will, in all solicitations or advertisements for employees placed by or on behalf
of the contractor, state that all qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, or national origin.
The contractor will send to each labor union or representative of workers with which
it/ he/she has a bargaining agreement or other contract or understanding, a notice to be
provided, advising the labor union or worker's representatives of the contractor's
commitment under this section, and shall post copies of the notices in conspicuous places
available to applicants and employees.
The contractor will comply with all provisions of Executive Order 11246 (as amended by
11375) and of the rules, regulations and relevant orders of the Department of Labor.
Subpart B -- Contractors' Agreements
Sec. 202. Except in contracts exempted in accordance with Section 204 of this Order, all Government
contracting agencies shall include in every Government contract hereinafter entered into the following
provisions:
"During the performance of this contract, the contractor agrees as follows:"
"(1) The contractor will not discriminate against any employee or applicant for employment
because of race, color, religion, sex, or national origin. The contractor will take affirmative
action to ensure that applicants are employed, and that employees are treated equally
during employment, without regard to their race, color, religion, sex or national origin. Such
action will include, but not be limited to the following: 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. The contractor
agrees to post in conspicuous places, available to employees and applicants for
employment, notices to be provided by the contracting officer setting forth the provisions of this
nondiscrimination clause."
"(2) The contractor will, in all solicitations or advertisements for employees placed by or on
behalf of the contractor, state that all qualified applicants will receive consideration for
employment without regard to race, color, religion, sex or national origin."
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"(3) The contractor will send to each labor union or representative of workers with which
i t / he/she has a collective bargaining agreement or other contract of understanding, a notice,
to be provided by the agency contracting officer, advising the labor union or workers'
representative of the contractor's commitments under Section 202 of Executive Order No.
11246 of September 24, 1965, and shall post copies of the notice in conspicuous places
available to employees and applicants for employment."
"(4) The contractor will comply with all provisions of Executive Order No. 11246 of September
24, 1965, and of the rules and regulations, and relevant orders of the Secretary of Labor."
"(5) The contractor will furnish all information and reports required by Executive Order No.
11246 of September 24, 1965, and by the rules, regulations, and orders of the Secretary
of Labor, or pursuant thereto, and will permit access to his books, records, and accounts by
the contracting agency and the Secretary of Labor for purposes of investigation to ascertain
compliance with such rules, regulations, and orders."
11(6) In the event of the contractor's noncompliance with the nondiscrimination clauses of
this contract or with any of such rules, regulations, or orders, in this contract may be
cancelled, terminated or suspended in whole or in part and the contractor may be declared
ineligible for further Government contracts in accordance with procedures authorized in
Executive Order No. 11246 of September 24, 1965, and such other sanctions may be
imposed and remedies invoked" as provided in Executive Order No 11246 of September
24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided
by law."
"(7) The contractor will include the portion of the sentence immediately preceding paragraph
(1) and the provisions of paragraphs (1) through (7) in every subcontract or purchase
order unless exempted by rules, regulations, or orders of the Secretary of Labor issued
pursuant to Section 204 of Executive Order 11246 of September 24, 1965, so that such
provisions will be binding upon each subcontractor or vendor. The contractor will take such
action with respect to any subcontract or purchase order as the administering agency may
direct as a means of enforcing such provisions including sanctions for noncompliance:
Provided, however, that in the event a contractor becomes involved in, or is threatened
with, litigation with a subcontractor or vendor as a result of such direction by the
administering agency the contractor may request the United States to enter into such litigation
to protect the interests of the United States."
The applicant further agrees that it will be bound by the above equal opportunity clause with
respect to its own employment practices when it participates in federally assisted
construction work: Provided, that if the applicant so participating is a State or local
government, the above equal opportunity clause is not applicable to any agency,
instrumentality or subdivision of such government which does not participate in work on or
under the contract.
The applicant agrees that it will assist and cooperate actively with the administering
agency and the Secretary of Labor in obtaining the compliance of contractors and
subcontractors with the equal opportunity clause and the rules, regulations, and relevant
orders of the Secretary of Labor, that it will furnish the administering agency and the
Secretary of Labor such information as they may require for the supervision of such
compliance, and that it will otherwise assist the administering agency in the discharge of the
agency's primary responsibility for securing compliance.
The applicant further agrees that it will refrain from entering into any contract or contract
modification subject to Executive Order 11246 of September 24, 1965, with a contractor
debarred from, or who has not demonstrated eligibility for, Government contracts and
federally assisted construction contracts pursuant to the Executive Order and will carry out
such sanctions and penalties for violation of the equal opportunity clause as may be
imposed upon contractors and subcontractors by the administering agency or the Secretary
of Labor pursuant to Part II, Subpart D of the Executive Order. In addition, the applicant
agrees that if it fails or refuses to comply with these undertakings, the administering agency
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may take any or all of the following actions: Cancel, terminate, or suspend in whole or in
part this grant (contract, loan, insurance, guarantee); refrain from extending any further
assistance to the applicant under the program with respect to which the failure or refund
occurred until satisfactory assurance of future compliance has been received from such
applicant; and refer the case to the Department of Justice for appropriate legal proceedings.
Corrected to read "invoked". In the original text the word "involved" was printed in error.
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MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
The City of South Bend, Indiana has shown its commitment to addressing Minority and Women's Business
Enterprise ("MWBE") participation in public contracting through the adoption of the City of South Bend Ordinance
No. 10761-21. Persons, partnerships, corporations, associations, or joint ventures 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 or disability that does not affect that person's ability to perform work.
Minority and Women's Business Enterprises are described in the Ordinance. A list of MBEs and WBEs (both
certified and non -certified) can be found on the Indiana Department of Administration website:
http://www.in.gov/idoa/. Documentation shall be provided with the bid that states the MBEs and WBEs that will be
contracted, the dollar amount of the work that will be performed by the MBEs and WBEs on the project and the
percentage of the dollar amount as it relates to the total bid amount by using Form MBE-1.0, MBE Utilization Plan,
and Form WBE-1.0, WBE Utilization Plan.
The City, its agencies, boards, or commissions requires the Contractor's good faith efforts to obtain participation by
those Contractors classified as MBEs and WBEs.
Failure to either meet the MBE and WBE goals or to provide evidence of good faith efforts for the bid will
be grounds for rejecting a bid as non -responsive.
Bidders shall demonstrate good faith efforts to have active participation from MWBEs on this Project and supply
written documentation evidencing such efforts by using Forms MBE-2.0, Evidence of Good Faith Efforts and WBE-
2.0, Evidence of Good Faith Efforts and Forms MBE-2.1, MBE Contacted and WBE-2.1, WBE Contacted. Such
documentation shall include, but is not limited to, the following items:
a. A listing of all M/WBEs contacted including: (1) the name and address of the M/WBE; (2) the date of
contact; (3) the type of contact (i.e., phone call, written solicitation, etc.); (4) the nature or type services or
goods requested; and (5) the result of the contact.
b. Written evidence of outreach and copies of email exchanges inviting and receiving bids, quotes or other
responses from M/WBEs or other documentation of efforts to encourage and secure competitive responses
from M/WBE and local businesses to be included in the benefits of building this Project
c. Written documentation of letters of introduction, invitations to forging majority/minority strategic alliances
for capacity building, including but not limited to, mentoring, extensions of assistance on payroll, insurance,
bonding, line of credit, technical skills or business skills.
All bidders are actively encouraged to reach out to the MIWBEs in St. Joseph County, Indiana, other Indiana
counties, and Berrien County, Michigan to utilize a good faith effort to forge constructive and lasting business
partnerships.
Notwithstanding the foregoing, the award and performance of all City contracts shall comply with applicable federal,
state, and local laws.
;ity reserves the right to request verification of goal implementation throughout the course of the project.
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CITY OF SOUTH BEND'S GUIDELINES FOR GOOD FAITH EFFORTS
BY CONTRACTORS IN MEETING MWBE CONTRACT GOALS
Under the City of South Bend's Minority and Women's Business Enterprise (MWBE) Inclusion Program Plan (COSB
Inclusion Plan), the City of South Bend (the City) is authorized to set "contract specific" goals to increase MWBE
participation in City contracts and procurements.
MWBE participation goals are set based on availability of MWBE contractors within the City's geographic market
area identified in the City's Disparity Study.
For contractors bidding on a construction, services, supplies or equipment contract where goals have been set for
all or parts of the project, below is information relevant to "good faith efforts" to meet the contract goal.
When the City sets a contract goal, that means MWBE's are in fact available to perform work on the contract.
Project bidders must try diligently to meet the goal. Failure to make a good faith effort may result in
rejection of your bid as non -responsive to the contract.
Good faith efforts means actions undertaken by a contractor to achieve a contract goal which, by their scope,
intensity, and appropriateness to the objective, can be reasonably expected to fulfill the Program's goals (City's
Inclusion Plan, Section 4.B., No. 21).
A good faith effort is fully reviewable by the City. Where a contract goal is not met, contractors must provide
as much information as possible to help the City assess the contractor's good faith efforts to achieve the
goal. Inadequate proof of good faith efforts may result in a finding that the contractor was non -responsive,
causing its bid to be rejected even if it is the lowest.
Good faith efforts require active, aggressive efforts by the prime contractor to obtain the contract MWBE
participation goal. Mere pro forma efforts are not good faith efforts. To satisfy the good faith efforts test:
A prime contractor may not reject a MWBE's bid solely because it is not the lowest bid received from
subcontractors. If the MWBE's costs are reasonable and not excessive, the MWBE's quote or bid
presumptively should be accepted on a contract requiring goals even if the MWBE's bid is not the
lowest one received. However, if an MWBE's bid or quote is unreasonable or excessive, the prime
contractor may reject the bid on that basis. The contractor has the burden of demonstrating the
excessiveness or unreasonableness of the MWBE's bid or quote. Because the City must determine
whether a MWBE quote was unreasonable or excessive, Contractors must provide the City with
copies of each MWBE and non MWBE quote submitted to the bidder when a non-MWBE was
selected over an MWBE.
A contractor may not reject a MWBE as being unqualified without sound reasons based on a thorough
investigation of the MWBE's capabilities. If a prime contractor rejects a MWBE as unqualified, the
Contractor must provide the City with good reasons for this. The MWBE's industry standing or
membership in a specific group, organization, political or social affiliation (example: union v. non -union)
is not a basis to reject the MWBE for lack of qualification.
The ability or desire of a prime contractor to perform the work of the contract with its own organization
team does not relieve the prime contractor of the need to make good faith efforts to use MWBE sub
contractors to meet the contract goal.
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EXAMPLE: Total Project Estimate is $500,000, An MWBE goal of 10% is set for a specific part of the project, i.e.,
$50,000. Only one MWBE submits a quote to the prime contractor, and it is $50,000. A non MWBE submits a
quote of $45,000. Rejecting the MWBE bid may not meet the requirement of making a good faith effort to meet the
contract goal because: 1) the MWBE quote is within the goal percentage and dollar amount set for MWBE
participation on the project; 2) selection of the MWBE quote guarantees that the contractor meets the set goal and
that its bid will be deemed responsive; and 3) the difference between the MWBE and non MWBE quotes is not
significant in terms of the overall contract amount (i.e., 1 % of total contract).
If the MWBE's quote is $53,000 and the non-MWBE bid is $50,000, it may yet not be demonstrative of a good faith
effort to reject the MWBE solely because the MWBE's quote is not the lowest. The excess is not greatly significant
to the total contract cost, and it could reasonably be expected to be made up elsewhere in the contract while
guaranteeing full goal compliance.
The above examples are illustrative only. The City will make a fair and reasonable judgment as to good faith efforts
based on all information and documentation provided by bidders and taking into account the
Quality
Quantity, and
Intensity
of the efforts made by a contractor tq meet the contract goal.
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GOOD FAITH EFFORTS MATERIALS TO BE INCLUDED WITH BID
If a contractor's bid does not meet the goal set for the contract, the contractor must submit evidence of good
faith efforts with its bid so the City can determine whether the contractor is a responsive bidder. If the contractor's
bid meets the MWBE goal, evidence of good faith effort is not required, but it would be prudent to include some
evidence in case an error was made.
The information required of a contractor who has not achieved the contract goal to show good faith efforts can be
found in the South Bend Inclusion Program Plan at Section 8.B.3.d. as follows:
(b) Where the bidder cannot achieve the contract goal, the bidder must provide proof of having made
good faith efforts to meet the goal. In making this determination of whether to issue a goal waiver, the City will
consider, at a minimum, the bidder's efforts to:
(1) Solicit through all reasonable and available means (e.g., attendance at pre -bid meetings,
advertising and written notices) the interest of all MWBEs in the scopes of work of the contract.
The contractor shall provide interested MWBEs with timely, adequate information about the plans,
specifications, and requirements of the contract to allow such firms to respond to the solicitation.
The bidder must follow up initial solicitations with interested MWBEs.
(2) Select portions of the work to be performed by MWBEs in order to increase the likelihood that
the contract goal will be achieved. This includes, where appropriate, breaking out contract work
items into economically feasible units to facilitate participation, even when the bidder would
otherwise prefer to perform these work items with its own forces. It is the bidder's responsibility to
make a portion of the work available to MWBEs and to select those portions of the work or
material needs consistent with the availability of such firms to facilitate their participation.
(3) Negotiate in good faith with interested MWBEs. Evidence of such negotiation includes the
names, addresses, and telephone numbers of firms that were contacted; a description of the
information provided regarding the plans and specifications for the work selected for
subcontracting; and why agreements could not be reached. The bidder may not reject MWBEs as
being unqualified without sound reasons based on a thorough investigation of their capabilities.
That there may be some additional costs involved in finding and using MWBEs is not in itself
sufficient reason for a bidder's failure to meet the contract goal, as long as such costs are
reasonable. The ability or desire of a bidder to perform the work of a Contract with its own
organization does not relieve it of the responsibility to make good faith efforts on all scopes of
work within which subcontracting opportunities are available.
(4) Make efforts to assist interested MWBEs in obtaining bonding, lines of credit, or insurance as
required by the City or the bidder, where appropriate.
(5) Make efforts to assist interested MWBEs in obtaining necessary equipment, supplies,
materials, or related assistance or services, where appropriate.
Materials that should be submitted to support a contractor's good faith efforts include:
• Copies of advertisements, notices, or solicitations from contractor to MWBE's— to include date and
time of issuance;
• A list of all locations where advertisements or notices to MWBE's were placed or solicitations sent;
• Copies of communication between contractor and MWBE's in response to contractor's
advertisements, notices, or solicitations;
• Proof of contractor's break-out of contract items into units feasible for performance by WMBE's;
• Proof of communications between the contractor and MWBE regarding negotiations for
agreements, and why agreement could not be reached, as stated more specifically in above
Subsection (b) (3);
• Proof of bids or quotes from MWBE's and those from non MWBE's when non MWBE's bid or quote
is used;
• Proof of efforts made by contractor to assist MWBE to participate in contract, where appropriate;
and
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• Any other information tending to show that Contractor made active, aggressive efforts to meet the
MWBE participation goal but despite good faith efforts was unable to do so.
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PEACE_
QUOTE/PROPOSAL
CITY OF SOUTH BEND 1865
PROJECT NAME Century Center Parking Lot Seal and Stripe
PROJECT NO. 122-060B
QUOTES DUE April 11th, 2023 at 9.00am EST to bpwbids(a�southbendin.gov
Base Quote — vveria oI l.,eatul I relAW! 1 ill
Item
No. Description
Quanti
Unit
Unit Price
Total Amount
1 MOBILIZATION AND DEMOBILIZATION
1
LS
PARKING BLOCK, RESET
5
EACH
2
3 PARKING BLOCK, NEW
47
EACH
3 LIQUID ASPHALT
16000
SYS
f , q5
a3 aGo ,cn
4 POTHOLE PATCHING
750
SIFT
5. QQ.-
5 PAVEMLNT MARKING, ACCESSIBLE
14
EACHSYMBO
aL
$Q OO
,d
6 PAVEMENT MARKING, PAINT, 4 IN
9800
LIFT
,lt
7 PAVEMENT MARKING, PAINT,
450
LFT2
i
gI
ANGLED STRIPE
I
,
Total Amount of Base Quote
1$,35,5
Alternate #1— Rear Entrance Parking Lot and Drive
Item
No. I Description
Quantity
Unit
Unit Price
Total Amount
1 LIQUID ASPHALT
1500
SYS
1 �-
2 POTHOLE PATCHING
150
SIFT
3 PAVEMENT MARKING, PAINT, 4 IN
360
LIFT
Total Amount of Alternate
$
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Total Amount of Base Bid and Alternate
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Firm: A5(Jcon SRry�CeS, LLC
Address:
1
City/State/Zip: S 1�- ��N �{Io�OR�� Telephone Number:
Fax Number: NIA
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By Signature)
Z-avqie 13rolmo
(Printed Name of Person Signing)
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Z
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 or woman business meets the MBE qualifications.
Project Number:
Bidder:
122-0606 Project Name: Century Center Parking Lot Seal and Stripe
Total Bid Amount:
MBE Goal: 4.3%
Page of
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
Percentage
Bid/Proporal
Submitted by:
Print Name
Signature
Date
CZ
V
t
C
CU
C3
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�O O
2'
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN m ""'
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 minority or woman business meets the WBE qualifications.
Project Number:
Bidder:
122-060B
Project Name: Century Center Parking Lot Seal and Stripe
Total Bid Amount:
WBE Goal: 6.1 %
Page of
Name & Address of WBE
Primary Contact Person
Name/Tele hone
( p )
Scope of Work to be Performed
(Attach scope/schedule if you need additional space)
Dollar Amount of WBE
Component
Percentage
of Total
Bid/Proposal
Submitted by:
Print Name
�ignawre
Date
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of moo' .
CITY OF SOUTH BEND ,
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN iPEACE
FORM MBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
This completed form should be Included as part of the Bids documents related to c:rcy or soutn menu ruum;
Works Projects requiring Good Faith Efforts to obtain MBE participation.
Project Number:
Project Name:
Bidder:
Contact Person:
Address:
City:
122-060B
Date: 0
Century Center Parking Lot Seal and Stripe
A ��ha� 2ReS�,t10.A-i �
TGIVVIi e 4 )ro wy) Telephone: 5rJL4 4M (so -659 (o
n�c 2ygy
Ise-►ld State: Zip: L{ 6 (0 g0
Email: 0..y`5 L L C_ @ C_oMC0.ISA • h e-i—
To determine whether a bidder has demonstrated good faith efforts to reach the MBE utilization goal set forth in
the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions,
REQUIRE ALL of the following Good Faith Efforts as listed in the table below':
EVIDENCE OF GOOD FAITH EFFORTS
MBE LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business Enterprise
Inclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the Indiana Department
of Administration list of Minority and Women Owned Businesses (both certified and non -certified) found
at: htt ://www.in. ovfidoa/.
GOOD FAITH EFFORTS TO OBTAIN MBE PARTICIPATION
The bidder shall initial each item below, as evidence of its good faith efforts to obtain MBE participation
in the awarded contract.
I affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise
Inclusion Program Plan and the Indiana Department of Administration's certified list of
Indiana Minority and Women Business Enterprises, found on their website
htt ://www.in. ov(doa .
I affirm that I have made good faith efforts to select portions of the contract work to be
performed by MBEs, including, where appropriate, breaking out contract work items into
economically feasible units to facilitate MBE participation.
I affirm that I have made good faith efforts to solicit through all reasonable and available
means the interest of all MBEs in the scopes of work of the contract.
I affirm that I attended all pre -bid meetings scheduled by the City of South Bend to inform
MBEs of contracting and subcontracting opportunities.
I affirm that I advertised in general circulation and/or trade association publications
concerning subcontract opportunities and allowed MBEs reasonable time to respond to
such advertisements.
I affirm that I performed any and all necessary steps to provide written notices in a manner
reasonably calculated to inform MBEs of subcontracting opportunities and allowed
sufficient time for MWBEs to participate effectively.
I affirm that I followed up on initial solicitations with interested MBEs.
DI 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,
�f lines of credit, or insurance as required by the City or the bidder, where appropriate.
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CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
0 04��4\I
FORM MBE-2.0
cvrnGrJrrG nF r.nnn 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
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.
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CITY OF SOUTH BEND ;
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN rEACE
FORM WBE-2.0 1865
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 WBE participation.
Project Number: 122-060B Date:
Project Name: ''Century Center Parking Lot Seal and Stripe
Bidder:
Contact Person: mmm P YDrota is Telephone: 99 (9 —to 59 (O
Address:
City. .X),�JA bW J State: Zip: Lt to Lon
Email: CL r g L L C(_9 COYVICaS�-- A '_
To determine whether a bidder has demonstrated good faith efforts to reach the WBE utilization goals set forth in
the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions,
REQUIRE ALL of the following Good Faith Efforts as listed in the table below*:
EVIDENCE OF GOOD FAITH EFFORTS
WBE 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 :/Avww.in. ovfidoa/.
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
(http:/Avww.in.gov/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
economically feasible units to facilitate MWBE 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.
M 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
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.
1 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
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 WBEs in obtaining bonding,
lines of credit, or insurance as required by the City or the bidder, where appropriate.
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CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN .E.«
FORM WBE-2.0 M5
EVIDENCE OF GOOD FAITH EFFORTS
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.
N I 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 WBE was unqualified to perform the job.
'Proper demonstration of Good Faith Efforts requires your Initials next to all of the above boxes. Any
omisslons 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.
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o��rni RFti
CITY OF SOUTH BEND o
c
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE-2.1
MBE CONTACTED
This completed form should be supplied with Bids that pertaln 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 or woman business meets the MBE qualifications. Attach additional pages If necessary.
PAGE OF
Project Number: 122-060B MBE Participation Goal 4.3%
Project Name:
Bidder
Century Center Parking Lot Seal and Stripe
By:
(Signature) (Title) (Date)
MBE Firm
Owner or Contact at MBE Firm
Telephone: Fax:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
MBE Firm
Owner or Contact at MBE Firm
Telephone: Fax:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE FIRM:
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Email:
Email:
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o��rrr� nF�o
� x
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM WBE-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
minority or woman business meets the WBE qualifications. Attach additional pages If necessary.
PAGE OF
Project Number: 122-060B WBE Participation Goal 6.1 %
Project Name:
Bidder:
Century Center Parking Lot Seal and Stripe
By:
(Signature) (Title) (Date)
WBE Firm
Owner or Contact at WBE Firm
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:
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• Exact boundaries
are approximate
and must be
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• Striping shall
mirror what exists.
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SCOPE OF WORK
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CITY OF SOUTH BEND -a
PROJECT NAME: Century Center Parking Lot Seal and Stripe
PROJECT NO. 122-060B
QUOTES DUE April 111h, 2023 at 9:OOam EST to bpwbids(p�southbendin.gov
PROJECT DESCRIPTION
A. The project includes the furnishing of all equipment, material, insurance, and labor for seal and stripe
activities per the specifications at the Century Center within the City of South Bend, IN.
II. PREVAILING SPECIFICATIONS AND CONSTRUCTION STANDARDS AND SPECIFICATIONS
A. The City of South Bend's PREVAILING SPECIFICATIONS, most recent version, and
CONSTRUCTION STANDARDS AND SPECIFICATIONS, most recent version, are to be used on this
project.
B. Each Quote provider is specifically instructed to become completely familiar with the most recent
version of the PREVAILING SPECIFICATIONS and the CONSTRUCTION STANDARDS AND
SPECIFICATIONS prior to submitting a quote.
C. Wherever the PREVAILING SPECIFICATIONS refer to "State Specifications," it shall mean the 2022
INDOT Standard Specifications for the letting effective after September 1, 2021.
D. These SPECIAL PROVISIONS will list only "Additions" or "Deletions" to the PREVAILING
SPECIFICATIONS and are to be used only in conjunction with the PREVAILING SPECIFICATIONS.
E. In the event of conflict between the SPECIAL PROVISIONS and the PREVAILING SPECIFICATIONS,
the SPECIAL PROVISIONS will govern.
III. TERM "OR EQUAL"
A. Prevailing Specifications: None
B. Additions
1. Where the term "or equal" is used in these specifications, the Quote provider deviating from
specified item shall file with his/her/its Quote a letter fully explaining and justifying his/her/its
proposed article or equal. The City of South Bend shall be the sole judge in determining if the "or
equal" offered meets the specification.
IV. TAX EXEMPT
A. Prevailing Specifications: None
B. Additions
1. Materials and properties purchased under contract with the Owner that becomes a permanent part
of the structure or facilities constructed are not subject to the Indiana Gross Retail Tax (Sales Tax).
The exemption number will be furnished to the Contractor upon award.
V. INDEMNIFICATION
A. Prevailing Specifications: None
B. Additions
1. Contractor agrees to indemnify, defend and hold harmless the City of South Bend, its agents,
officers and employees, from all costs, losses, claims and suits, including court costs, attorney fees,
and other expenses, arising from or out of the negligent performance of this Contract by Contractor,
or because of arising out of any defect in the goods, materials or equipment supplied by the Quote
provider.
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VI. INSURANCE
A. Prevailing Specifications: 2022, INDOT Standard Specifications Section 103
B. Additions:
All Contractors and subcontractors doing business with the City of South Bend shall present a
Certificate of Insurance showing coverage in the following minimum amount:
a. General Liability: Premises -Completed Operations or Products, Bodily Injury and Property
Damage Combined Single Limit - $5,000,000.
b. There shall be no exclusion for explosion, collapse or underground hazard.
c. Workmen's Compensation: Statutory State of Indiana Employer's Liability - $100,000.
d. Auto Liability: Bodily Injury and Property Damage Combined Single limit - $1,000,000.
e. The City of South Bend shall be named as additional insured on the Certificate of Insurance.
VII. CONTROL OF WORK
A. Prevailing Specifications: 2022, INDOT Standard Specifications Section 105
B. Additions:
1. The complete responsibility for this project lies with the Director of Public Works of the City of South
Bend, Indiana acting through his authorized representatives.
2. Construction Engineering - The Contractor shall provide all the necessary, qualified personnel,
equipment and supplies to perform all work required under this item. There will be no direct payment
for this item.
3. The contractor is responsible to maintain the site which includes but is not limited to; dust control,
site security, erosion control, and protecting adjacent properties.
4. Work hours for the Project shall be from 7:00 a.m. through 6:00 p.m., Monday through Friday. No
work shall be permitted on weekends, Holidays, or after hours unless approved by the City of South
Bend Department of Public Works.
Vlll. LEGAL RELATIONS
A. Prevailing Specifications: 2022, INDOT Standard Specifications Section 107
B. Additions:
1. The Owner, where mentioned in these documents, is the City of South Bend. The Engineer, where
mentioned in these documents, is Patrick Sherman.
2. The Contractor shall apply for and obtain any and all required permits for the work from local, state,
and federal agencies and shall comply with permit requirements, including the St. Joseph County
/ City of South Bend Building Department.
3. If the Contractor awarded this contract is not a resident of Indiana, within thirty days, the Contractor
shall provide the Owner with proof that the Contractor is duly licensed, qualified and registered with
the Secretary of State of Indiana to engage in business within the State of Indiana.
4. The Contractor shall comply with all provisions of Indiana Code 5-16-13, as amended. The Owner
reserves the right to immediately terminate the public work project awarded should the Contractor
be found to be in violation of any provision of Indiana Code 5-16-13 and such violation shall result
in the forfeiture of Contractor's performance bond to the Owner.
IX. PROSECUTION AND PROGRESS
A. Prevailing Specifications: 2022, INDOT Standard Specifications Sec. 108
B. Additions:
1. The project will have a completion time of 120 Calendar Days. The contract time will start when
the Notice to Proceed is delivered and signed.
2. Scheduling:
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a. The contractor must work with the Century Center staff to ensure that work does not conflict
with scheduled events. An event schedule will be given to the contractor with the Notice to
Proceed.
3. The City, Engineer, and Contractor will hold a pre -construction meeting following award of the
contract. The date of the Notice to Proceed will be agreed at that meeting.
4. Contractor shall provide a schedule to the Owner prior to beginning any work on the site.
X. CHANGE OF CONTRACT TIME
A. Prevailing Specifications: 2022, INDOT Standard Specifications Section 108
B. Additions
1. The Contract Time may only be changed by Change Order. Any Claim for an extension in the
Contract Time shall be based on written notice delivered to the Department of Public Works within
seven (7) calendar days of the occurrence of the event giving rise to the claim. Notice of the extent
of the claim with supporting data shall be delivered within fourteen (14) calendar days after such
occurrence unless an official of the Public Works Department allows an additional period of time to
ascertain more accurate data. The Contract Time will be extended in an amount equal to time lost
to delays beyond the control of the Contractor if a claim is made in accordance with this provision.
Such delays shall include acts of neglect by the Public Works employees, or to fires, flood, labor
disputes, epidemics, abnormal weather conditions, governmental procedures, or acts of God.
2. Unless otherwise provided, the Contract time is based upon normal weather conditions. An
extension is granted for weather conditions significantly more severe than normal if the Contractor
demonstrates to the satisfaction of the City that the delay in the progress of the work was due to
such weather. The basis to define normal weather with be the data compiled by the United States
Department of Commerce, National Oceanic and Atmospheric Administration (NOAA).
3. No extension of time will be granted if the Contractor, by his/her/its own action or inaction, including
fault or negligence of Contractor's subcontractors, caused the delay, or for which any remedies are
provided under any other provision of this agreement.
4. The grant of an extension of time under this Section in no way constitutes a waiver by the City of
any rights or remedies existing under this contract at law or in equity.
XI. DEFAULT AND TERMINATION
A. Prevailing Specifications: 2022, INDOT Standard Specifications Section 108
B. Additions:
1. Events of Default shall include Contractor's failure to perform any of its obligations under this
contract including failure to commence work at the time specified, failure to perform the work in
accordance with these specifications, unauthorized discontinuation of the work, failure to carry out
the work in a manner acceptable to the City, failure to observe Federal, State, or local laws or
regulations, and failure to comply with any other term of this contract.
2. If an Event of Default occurs, the City shall provide Contractor written notice and may permit
Contractor ten (10) calendar days after the date of the notice to cure the default. If the default is
not cured within the ten (10) day cure period, the City may at any time thereafter terminate this
contract in which case the termination shall be final and effective.
3. Upon an Event of Default, the City may invoke the following remedies in addition to those remedies
provided under separate provisions of this contract, the right of set-off against any payments due
or to become due to the Contractor against the retainage, the right to take over and complete the
Work. If the City notifies Contractor that City is invoking its right to complete the Work, all rights that
the Contractor has in order under Contractor's subcontracts are assigned to the City, subject to the
City's right to take assignment of all or only selected subcontracts at the City's discretion. The sole
obligation accepted by the City under such subcontracts is to pay for Work satisfactorily performed
after the date of the assignment. In the event a conditional assignment has not been executed, the
Contractor shall execute or cause to be executed any assignment, agreement, or other document
that may be necessary in the sole opinion of legal counsel to the City's Board of Public Works to
evidence compliance with this provision. The Contractor shall promptly deliver such documents
upon the City's request. In the case of such assignment, unless otherwise agreed in writing, The
Contractor remains liability to subcontractors for any payment already involved, and for any claim,
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suit or cause of action based upon or resulting from any error, omission, negligence or other breach
of contract by the Contractor, its officers, employees, or agents arising prior to the date of
assignment to the City.
XII. LIQUIDATED DAMAGES
A. Prevailing Specifications: 2022, INDOT Standard Specifications Section 108
B. Additions:
1. The contractor shall proceed with the work at such rate of progress to insure full completion within
the Contract Time. It is expressly understood and agreed, by and between the Contractor and the
Owner, that the Contract Time for completion of the work described herein is a reasonable time,
taking into consideration the average climatic and economic conditions and other factors prevailing
in the locality of the work, and excludes the time for unavoidable delays which were beyond the
control and without the fault of the Contractor.
2. If the Contractor shall fail to complete the work within the Contract Time, or extension of time
granted by the Owner, then the Contractor will pay to the Owner the amount for liquidated damages
a sum of five hundred dollars ($500.00) for each calendar day that the Contractor shall remain in
default after the time of completion stipulated in the Contract Documents.
3. The Contractor shall not be charged with liquidated damages or any excess cost when the delay
in completion of the work is due to the following and the Contractor has promptly given written
notice of such delay to the Owner and Engineer/Architect.
a. To any preference, priority, or allocation order duly issued by the Owner.
b. To unforeseeable causes beyond the control and without the fault or negligence of the
Contractor, including but not restricted to acts of God, acts of public enemy, acts of the Owner,
acts of another Contractor in the performance of a Contract with the Owner, fires, floods,
epidemics, quarantine restrictions, strikes, freight embargoes, and abnormal and
unforeseeable weather.
XIII. RETAINAGE AND FINAL PAYMENT
A. Prevailing Specifications: 2022, INDOT Standard Specifications Section 109
B. Additions:
1. Payments will be made every thirty (30) calendar days
2. Consistent with provisions of IC 36-1-12-14, the Board of Public Works shall retain a percentage of
payments throughout the duration of the project.
3. Before final payment and retainage are released the Contractor must satisfy the following:
a. All parts and labor meet requirements stated in the specifications.
b. Provide copies of test reports or cut sheets on all materials supplied.
c. Provide As -Built drawings in accordance with the City of South Bend Prevailing Specifications
for Public Works.
d. One (1) copy of the City of South Bend Completion Affidavit and one (1) copy of a Final Waiver
of Lien.
XIV. WARRANTY
A. Prevailing Specifications: None
B. Additions
1. All Parts shall include the following:
a. Performance specifications
b. Bill of Materials
c. Warranties on all parts
d. Installation and safety requirements
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XV. OTHER UTILITIES
A. Prevailing Specifications: None
B. Additions:
1. The Contractor shall verify the locations of all utilities by contacting Indiana811 by calling 811 (in
Indiana) or 1-800-382-5544 (outside of Indiana), or via www.indiana811.org, at least two (2)
working days, not counting Saturdays, Sundays or federal and state holidays before proceeding
with construction. It shall also be the Contractor's responsibility to contact any other utility that is
not contacted by Indiana811 and verify the utility locations.
2. The Contractor shall be responsible for working with the other utilities, i.e., gas electric, telephone,
etc. in order to assure that all utilities that need to be replaced or relocated can be done with a
minimum disturbance to service. The Contractor shall also be responsible for coordinating
schedules with the various utilities such that they can proceed with their relocation work as
efficiently as possible.
3. If the odor of natural gas is detected in a work area at any time during the course of work, the
Contractor shall immediately notify NIPSCO at 1-800-634-3524. The Contractor shall also
immediately notify the residents of adjacent properties. The Contractor shall advise the residents
to evacuate their homes immediately if the odor is present within the dwelling.
4. Restoration of sprinkler systems damaged by the Contractor's operations shall be repaired by the
Contractor at no additional cost to the City or the Owner of the system.
XVI. MAINTENANCE OF TRAFFIC
A. Prevailing Specifications: 2022, INDOT Standard Specifications Sections 105 & 801
B. Additions:
1. Maintenance of traffic during construction shall conform to the "Indiana Manual on Uniform Traffic
Control Devices" and the City of South Bend Design and Construction Standards.
2. The Contractor shall arrange and prosecute the work specified for this contract in such a manner
that traffic on existing streets is unrestricted throughout the Project. The Engineer shall approve
the method of traffic control. No construction equipment, vehicles, materials, supplies or temporary
facilities shall be left unattended in the right-of-way of any street or left parked overnight without
proper marking and lighting.
3. After the award of the contract and before beginning the work, the Contractor shall submit his/her/its
proposed schedule of operations for the review of the Engineer. The schedule of operations as
reviewed by the Engineer shall be maintained at all times.
4. There will be no direct payment for this work.
XVII. DESCRIPTION OF WORK
A. Prevailing Specifications: None
B. Additions
1. Work to be performed shall include furnishing all labor, services, materials, insurance and
equipment to complete seal and stripe activities per the specifications at the Century Center
within the City of South Bend.
2. The Contractor shall preserve and protect all surrounding property, structures, tenants, visitors and
their property from damage caused by the Contractor's operations.
C. Scheduling:
1. The contractor must work with the Century Center staff to ensure that work does not conflict with
scheduled events. An event schedule will be given to the contractor with the Notice to Proceed.
D. Site visit:
1. A site visit is recommended and can be scheduled with Scott Herczeg @ scotth@southbendin.gov.
XVIII. PARKING BLOCK, RESET
A. Prevailing Specifications: 2022, INDOT Standard Specifications Section: 202
B. Additions:
1. Remove and store parking blocks on site where possible. Following sealing and restriping of lot,
reaffix parking blocks.
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2. The cost for resetting parking blocks shall be paid for at the contract unit price as indicated on the
itemized proposal sheet for'PARKING BLOCK, RESET... EACH.'
3. The cost for new parking blocks shall be paid for at the contract unit price as indicated on the
itemized proposal sheet for'PARKING BLACK, NEW.... EACH'.
XIX. LIQUID ASPHALT
A. Prevailing Specifications: 2022, INDOT Standard Specifications Section: 401, 408
B. Additions:
1. This work shall include crack repair and sealing of the existing asphalt.
2. Materials:
a. Hot rubberized crack sealant
b. Star -Seal asphalt pavement sealer or approved equal. Available from Specialty Technology
and Research, 1400 Walcutt Rd., Columbus, Ohio 43228, (614) 870-0744.
c. Sand and latex per manufacturer recommendations.
3. Submittals: Manufacturer product data.
4. Clean and fill all major cracks within the existing parking lot.
5. Clean the entire area to be sealed of dirt and debris. Apply two coats of sealer.
6. Measurement and Payment
a. Crack repair filler, sealer, and all other incidental materials and labor necessary for the
completion of sealing the lot shall be included in the cost of the pay item.
b. This work shall be paid for at the contract unit price as indicated on the itemized proposal sheet
for'LIQUID ASPHALT ... SYS'
XX. POTHOLE PATCHING
A. Prevailing Specifications: 2022, INDOT Standard Specifications 304
B. Additions:
1. Mill out damaged areas to a minimum of 2". Remove and clean areas. Install surface asphalt to be
level and compact.
2. The Contractor will work with the Owner to mark out areas needed to be patched.
3. This work shall be paid for at the contract unit price as indicated on the itemized proposal sheet for
'POTHOLE PATCHING ... SIFT
XXI. PAVEMENT MARKINGS
A. Prevailing Specifications: 2022, INDOT Standard Specifications 808, 909
B. Additions:
1. Permanent pavement markings shall be paint at all locations within parking lot, unless otherwise
specified.
2. Angled Stripe pavement marking areas include both accessible parking stall access aisles and any
other angled striping areas such as access to the water utility equipment, parking bay end caps,
and make-ready area. Areas called out separately, by purpose, on plans for reference only. Area
of measurement for payment shall be based not on actual paint application but on overall square
footage of the designated area.
3. This work shall be paid for at the contract unit price as indicated on the itemized proposal sheet as
follows:
a. PAVEMENT MARKING, PAINT, 4 IN... LFT
b. PAVEMENT MARKING, PAINT, ANGLED STRIPE... LFT
c. PAVEMENT MARKING, PAINT, ACCESSIBLE PARKING SYMBOL... EACH
XXII. PLANS
A. Prevailing Specifications: City of South Bend Design and Construction Standards
B. Additions:
1. The plans consist of 2 Sheets.
2. The work shall conform to the plans.
3. The drawings are schematic in nature.
4. The CONTRACTOR is responsible for estimating dimensions and quantities of materials.
5. In the event that the Special Provisions and the Plans conflict, the Special Provisions shall govern.
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IV. M/WBE GOALS
A. Prevailing Specifications: City of South Bend Ordinance No. 10761-21, Minority and Women
Business Enterprise Inclusion Program Plan
B. Additions:
1. The M/WBE Goals for this Project are
a. MBE _6.1—
%.
b. WBE _4.3_ %.
2. Complete FORMS MBE-1.0 MBE Utilization Plan and WBE-1.0 WBE Utilization Plan, and submit
with Bid Proposal
3. Complete FORMS MBE-2.0 Evidence of Good Faith Efforts and WBE-2.0 Evidence of Good Faith
Efforts and submit with Bid Proposal.
4. Complete FORMS MBE-2.1 MBE Contacted and WBE-2.1 WBE Contacted and submit with Bid
Proposal.
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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
Review and Approval Required Prior to Submittal to Board
Diversity Compliance ❑
and Inclusion Officer
Officer Name
BPW Attorney ®
Attorney Name
Michael Schmidt
Dept. Attorney ❑
Attorney Name
Purchasing ®
Mickey Lovey
Check the Appropriate
Item Type
— Re uired or All Submissions
❑ Professional Services Agreement
❑ Open Market Contract
❑ Bid Opening
® Quote Opening
❑ Proposal Opening
❑ Chg. Order, No.
❑ Other:
❑ Contract ❑ Proposal
❑ Amendment/Addendum ❑ Special Purchase, QPA
❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet
❑ Quote Award ❑ Reject Bids/Quotes
❑ C/O & PCA No. ❑ PCA
❑ Traffic Control ❑ Resolution
❑ Ease./Encroach
Reauired Information
Company or Vendor Name
TBD
❑ Yes[:] If Yes, Approved by Purchasing
New Vendor
❑ No
❑❑ MBYes
MBE/WBE Contractor
E Completed E-Verify Form Attached ❑
No
Project Name
Century Center Parking Lot Seal and Stripe
Project Number
122-060B
Funding Source
Hotel Motel Tax
Account No.
County Fund 7304
Amount
TBD
Terms of Contract
Unit Price
Purpose/Description
_Seal and stripe of Century Center Parking lot including limited asphalt
repair.
For Change Orders Only
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: