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HomeMy WebLinkAboutOpening of Bids - 2023 Contractor Paving, Round II Proj No. 123-024 - Milestone Contracting North1316 COUNTY -CITY BUILDING 227 W.JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 Date: To: From Subject Project Name: Project No.: PHONE 574/235-9251 FAx 574/235-9171 TDD 574/ 235-5567 CITY OF SOUTH BIND JANII:S MUELLER. MAYOR BOARD OF PUBLIC WORKS June 29, 2023 All Planholders Theresa Heffner, Clerk, Board of Public Works Addendum Number: 1 2023 Contractor Paving Round' 123-024 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 6/29/2023 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 Co Authorized Signature: / Date: 7/11 /qnq i / f/ I nc. P. Hilary, Director of Estimating CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name 2023 Contractor Paving Round 2 Project No. 123-024 For Bids Due July 11, 2023 at 9:00am Local Time to bpwbids@southbendin.gov Contractor Name: Milestone Contractors North, Inc. The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works projects by institution of comprehensive submission requirements in compliance with State law. Quality workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet certain minimum requirements to be responsive and responsible bidders. THIS FORM MUST BE SUBMITTED WITH YOUR BID. INSTRUCTIONS: If you are a pre -qualified bidder, complete Section I only. If you are not a pre -qualified bidder, complete Section II only. Section II acts as an application for pre -qualification. Submission of Section II will allow the bidder to be considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre - qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6- 63 of The Responsible Bidding Ordinance No. 10594-18 (hereinafter, "Responsible Bidding Ordinance") for a period of twelve (12) months. Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre - qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified Bidders") by December 3111 for the upcoming calendar year, or within twelve (12) months of obtaining pre - qualified standing. If the status of any item changes within the twelve (12) months, it is the responsibility of the contractor to notify the City. Failure by any pre -qualified contractor to submit its complete application for continuation of "pre -qualified" standing within the time prescribed above shall result in automatic removal of the designation, effective January 1 of the following year, or immediately following the twelve (12) months of pre -qualified standing. However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works projects, though the contractor must submit all required documents under 6-63 until "pre -qualified" status is re-established. Please Note: The City reserves the right to request supplemental information from the bidder, additional verification of any information provided by the bidder, and may also conduct random inquiries of the bidder's current and previous customers regardless of pre -qualified standing. It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the date of the public bid opening. Version 10/13/2021 General Conditions - 10 POST BID SUBMISSIONS: Post -bid submissions must be submitted in accordance with Section 6-64 of the Responsible Bidding Ordinance. The post -bid submission requirements are as follows: 1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses the name, address, licensing status, and type of work for any subcontractor from whom the bidder has accepted a bid and/or intends to hire on any part of the public work project, including individuals performing work as independent contractors. 2. Each subcontractor, whose portion of the project is estimated to be at least one -hundred fifty thousand dollars ($150,000.00), shall be required to adhere to the requirements of Section I of the Responsible Bidder Ordinance as though it were bidding directly to the City, except that the subcontractor shall submit the required information (including the name, address, and type of work) to the successful bidder prior to the commencement of work. 3. Failure of a subcontractor to submit the required information shall not disqualify the successful bidder from performing work on the project and shall not constitute a contractual default and/or breach by the successful bidder. However, the City may withhold all payment otherwise due for work performed by a subcontractor, until the subcontractor submits the required information and the City approves such information. 4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the name, address, licensing status, and type of work of the substitute subcontractor. 5. The successful bidder and all subcontractors on a public works project are required to submit certified payroll utilizing the federal form known as WH-347 or a similar form on a bi-weekly basis, submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall identify the job title and craft for each employee. Certified payrolls shall be submitted electronically. Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in the automatic disqualification of the bid. The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into account all information in the submission requirements, determine whether a bidder is responsive and responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to utilize all information provided in the contractor's submission and any information obtained by the City through its own independent verification of the information provided by the contractor. Version 10/13/2021 General Conditions -11 PRE -QUALIFIED BIDDER CHECKLIST (a) Acknowledgements: (i) X By checking this box, I hereby acknowledge that I am a pre -qualified bidder with the City of South Bend and that I have met the pre -qualification requirements within the last twelve (12) months. A copy of my Pre -Qualification verification letter is attached. (ii) X By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided by me, and may also conduct random inquiries of my current and prior customers. (b) Attachments: (i) X Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). (ii) X Statement on staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work. It outlines how I intend to meet the staffing needs of the work. (iii) X List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within the last three (3) years. (iv) X For every project, submit evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. Version 10/13/2021 General Conditions -12 PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowledgements: (i) _ By checking this box, I hereby acknowledge that I am not a pre -qualified bidder with the City of South Bend. (ii) _ By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided, and may also conduct random inquiries of my current and prior customers. The City reserved the right to utilize all information provided in this submission and all information obtained in inquiries or requests to determine if a bidder is responsive and responsible. Additionally, I acknowledge that all information provided to the City shall be regarded as public records. (iii) _ By checking this box, I hereby acknowledge that copies of all Applicable apprenticeship certificates or standards for training programs applicable to the work performed on the project may be requested at any time and shall be furnished upon request. (iv) _ By checking this box, 1 hereby acknowledge and ensure that I and all sub- contractors, from whom I have accepted a bid and/or intend to hire to perform work on the public work project, are properly licensed. Furthermore, I acknowledge my understanding that it is my responsibility to ensure that all sub -contractors have the necessary licenses to undertake the work called for in this bid. If a sub- contractor loses their license at any point, it is the responsibility of that sub- contractor to notify the City. (b) Attachments: (i) _ Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). (ii) _ List identifying all former business names. (iii) _ Any determinations by a court or governmental agency any violations of federal state, or local laws including, but not limited to, violations of contracting or antitrust laws, tax or licensing laws, environmental laws, Occupational Safety and Health Act (OSHA), or federal Davis -Bacon and related Acts, within the preceding five (5) years. (iv) _ Statement about staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work I am bidding on OR outlines how I intend to meet the staffing needs of the work. (v) _ Statement that individuals who will perform work on the public work project on my behalf will be properly classified as an employee or as an independent contractor under all applicable state and federal laws and local ordinances. (vi) _ For every project, submit evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. (vii) _ Copy of a written plan for employee drug testing that covers all of my employees who will perform work on the public work project and meets or exceeds the requirements set forth in IC 4-13-18-5 or IC 4-13-18-6. (viii) _ Evidence that I am utilizing a surety company which is on the Bureau of Fiscal Service "Department of Treasury's Listing of Approved Sureties" as required in the bid specifications or contract. Version 10/13/2021 General Conditions - 13 (ix) _ Written statement of any federal, state or local tax liens or tax delinquencies owed to any federal, state or local taxing body in the preceding three years. (i) _ List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within three (3) years prior to the date on which the bid is due. Date: 7/1112'023 (S=tinP. Hilary rint Name Here) Milestone Contractors North, Inc. (Name of Company) 24358 SR 23 (Address of Company) South Bend (City) Indiana (State) 574-288-4811 (Telephone Number) Version 10/13/2021 General Conditions - 14 Responsible Bidding Practices and Submission Requirements for Pre -Qualified Bidder Checklist (b) Attachments (i) Attached Staffing Capabilities: Milestone Contractors North, Inc. is signatory with the following unions which supply our workforce — Laborers International Union, Teamsters, Operating Engineers and Cement Masons. (iii) See Forms 96 and 96a (iv) All individuals who will perform worn on the public works project on behalf of Milestone Contractors North, Inc. will be properly classified under applicable state and federal laws and local ordinances. Dated: July I Ith, 2023 P. Hilary, Director of Estimating CITY OF SOUTH BEND JAMES MUELLER, MAYOR DEPARTMENT OF PUBLIC WORKS -ERIC HORVATH, DIRECTOR November 18, 2022 Alisha Krueger Milestone Contractors North, Inc. akruegerp,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, ,L� Liz Horvath, Permit Manager RVDIANA LABORERS' TRAINING TR UST FUND David A. Frye Secretary -Treasurer Jerry J. Bolk Ricky Henson, Jr. Ramon Mendoza Jr. Brian Short Danny L. Stubs P.O. Box 758 - Bedford, Indiana 47421 (812)279-9751 November 14, 2022 To Whom It May Concern: �V 4; TOP Sean Coakley, Director John A Brown Chairman Kelly Abel Michael Ferrara Stan Meyer Nick Timmerman Jim Wiseman FAX: (812) 279-5545 Toll Free (800) 742-4086 This letter is to confirm that "Milestone North Inc" is a signatory contractor in good standing with the Indiana Laborers' Training Trust Fund. The above -mentioned company is a participant in the Joint Apprenticeship and Training Committee through this Union and has been an active participant in good standing for each of the past five plus consecutive years, and is currently eligible to use our apprentices on a project. Further, our organization's program is approved by the U.S. Veterans Administration to participate in the GI educational benefits program. A copy of our approval letters are attached along with the collective bargaining agreement stating the ratios of Journey workers to Apprentices; which is one (1) Apprentice for every five (5) Journey workers and thereafter may not employ more that (1) Apprentice for every (3) Journey workers. Sincerely, Sean Coakley, Director SC:ap www.indianalaborerstraining.org two ia1 uru of :wrrs4v -b graining (Builduatt of .."#ton. INDIANA LABORER'S TRAINING TRUST FUND BEDIORD, INDIANA for the trade classification of CONSTRUCTION CRAFT LABORER Reyisfereo( as part of ffie `,x'afionajpprenrcesArp J royram in accoro6ce wAA Ae basic Manv�wo( of apprenlice,sAip esfa6l's.6eof 6y foie cSecrelary of Ba6or December 14, 1995 IN040-0528 'To, ace STATE OF INDIX-4- DEPARTMENT OF VETERANS AFFAIRS STATE APPROVING AGENCY 402 WEST WASHINGTON STREET ROOM W-469 INDIANAPOLIS, INDIANA46204-273B Jeremy Brewer Apprenticeship Coordinator Indiana Laborers Training Trust Fund -Apprenticeship 439 Patton Hill Rd. Bedford, IN 47421 Dear Jeremy Brewer, Eric Holcomb, Govemor James M. Brown, Director January 9, 2019 The Indiana State Approving Agency conducted a supervisory visit on 01/8/2019 at Indiana. Laborers Training Trust Fund Apprenticeship. The purpose of the visit was to provide training to the Certifying Officials and review enrollment certifications, record retention and reporting procedures. The organization demonstrated proper record maintenance and record maintenance and reporting procedures. During the visit, we discussed the importance of reporting hours on a monthly basis, good record keeping techniques, and how to report a leave of absence or completion via VA Form 22-1999b. We also updated the Certifying Officials via VA Form 22-8794, work processes, and wage scale. If you need any assistance or have any questions regarding this technical visit please contact me directly at tgriffin@dva.in.gov or (317) 232-3 916. Thank you for the courtesy extended during my visit. The education and training opportunities that your organization continues to provide veterans and their dependents are appreciated Sincerely, Taniqua GrifSn Program Director Phone (317)-234-6062 Toll Free (800)-400-4520 Fax (317)-234-8744 STATE OF INDIANA DEPARTMENT OF VETERANS AFFAIRS STATE APPROVING AGENCY 402 WEST WASHINGTON STREET ROOM W469 INDIANAPOLIS, INDIANA 462D4-2738 Jeremy Brewer Apprenticeship Coordinator Indiana Laborers Training Trust Find-Appren icesWp 439 Patton Hill Rd. Bedford, IN 47421 Dear Jeremy Brewer, Eric Holcomb, Govemof James M. Brown, Director January 9, 2019 This will acknowledge receipt of your updated Wage Scale for the Construction Craft Laborer program offered by Indiana Laborers Training Trust Find -Apprenticeship. The State Approving Agency has reviewed the document as listed below: Wage Scale: Construction Craft Laborer FACILITY CODE: 30004114 To the best of my knowledge Indiana Laborers Training Trust Fund -Apprenticeship does not utilize erroneous or nusleading advertisement, either by actual statement; omission, brintimation It is understood by Indiana Laborers Training Trust Fund -Apprenticeship that they will maintain a complete record of all advertising utilized by or on behalf of the Indiana. Laborers Training Trust Fund Apprenticeship in regards to their training programs during the preceding 12 months. Indiana Laborers Training Trust Fund-Apprenticesbdp`s advertising will be available for review by any and all future supervisory visits by the SAA, or the U.S. Department of Veteran Affairs. Please Review the entire packet for content and accuracy. Approval is granted pursuant to the provisions of Title 38, U.S. Code 3687, with an effective date of April 1, 2018. If you have any questions, please feel free to give me a call at 317-232-3916 or email me at tgdffin@dva.in.gov. Thank you for what you do for our Veterans, and have a great day! Sincerely, Taniqua Griffin Program Director State Approving Agency Cc: VAROIELR qp��o 165 rNojIN ` 9 ?O9 �A STATE OF INDIANA DEPARTMENT OF VETERANS AFFAIRS STATE APPROVING AGENCY 402 WEST WASHINGTON STREET ROOM W-469 1NDIANAPOLIS, INDIANA46204-2738 Jeremy Brewer Apprenticeship Coordinator Indiana Laborers Training Trust Fund -Apprenticeship 439 Patton Hill Rd. Bedford, IN 47421 Dear Jeremy Brewer, Eric Holcomb, Governor James M. Brown, Directai January 9, 2019 This will acknowledge receipt of your revised Work Processes for the Construction Craft Laborer program offered at Hoosier Energy, located. in Bedford, Indiana. The State Approving Agency has reviewed the document as listed below: '��_ ��,j i ' ; � _.. i� iM � 1. � • _� - Construction Craft Laborer FACILITY CODE: 30004114 4,000-7800 hours 47-2061.00 To the best of nay knowledge Indiana Laborers Training Trust Fund -Apprenticeship does not utilize erroneous or misleading advertisement, either by actual statement, omission, or intimation. It is understood by Indiana Laborers Training Trust Fund -Apprenticeship that they will maintain a complete record` of all advertising utilized by or on behalf of the company in regards to their training programs during the preceding 12 months. The company's advertising will be available for review by any and all future supervisory visits by the SAA, or the U.S. Department of Veteran Affairs. This approval is made pursuant to and under the provisions of Title 38, U. S. Code 3687, with an effective date of January 8, 2019. If you have any questions, please contact me at 317-232-3916. Sincerely, Taniqua Griffin Program Director State Approving Agency Cc:VARO/ELR Phone (317)-234-6062 Toll Free (800)-400-4520 FBX (317)-234-8744 Apprentice Status Report By Indenture Date Apprentices Indentwed Between 1/1/2018 And 7/13/2022 Apprentice Program: IN2 Year Apprentice Status Apprentices Percentage 2018 2019 Active 68 8.05 % ACive Day 2 0.24 % Adv. to laumeyman 89 10.53 % Deceased 5 0.59 % Graduated 71 MO % InactIve 10 1.18 % 3oumeyman 2 0.24 % Med. 5usp. 1 0.12 % Reinstate 6 0.71 % Suspended 7 0.83 % Tertnirtated M5 64.62 % Voluntary withdraw 38 4.50 % Total Indentured 845_ Active 165 17.65 46 Adv. to ]ourneyman 72 7.70 % DeceasW 8 0.86 % Graduated 51 5.45 % Inactive 11 1.18 % ]oumeyman 12 1.28 % Ned. gyp. 2 0.21 % Reinstate 15 1.60 % Suspended 3 0.32 % Terminated 528 56.47 % Voiuntary withdraw CO 7.27 % Total Indentured _ 935 Printed: Wednesday, ady 13. 2022 Page ? of 2 Apprentice Status Report By Indenture Date Apprentices Indentured Between 1/1/2018 And T/13/2022 Apprentice Program; IN2 Year Apprentice Status Apprentices Percentage 2020 2021 2022 Active 242 36.28 % Adv. to Journeyman 33 4.95 % Deceased 2 0.30 % Graduated 3 0.45 % 3oumeyman 1 0.15 % Med. Susp. 4 0.60 % Not Registered 1 0.15 % Reinstate 12 1.80 % Suspended 3 0.45 % Terminated 329 49.33 % Voluntary withdraw 37 5.55 % Total Indentured 667 Active 472 60.90 % Active Duty 1 0.13 % Adv. to Journeyman 23 197 % Deceased 2 0.26 % Med. Susp. 3 0.39 % Reinstate 20 2.58 % suspended 2 0,26 % Terminated 220 28.39 % Voluntary withdraw 32 4.13 % Total Indentured 775 Active 538 86.77 % Adv. to Joumeyman 4 0.65 % Graduated 1 0.16 % Med. Susp. 2 0.32 % Not Registered 5 0.81 % Reinstate 33 5.32 % Terminated 32 5.16 % Voluntary withdraw 51 0.81 % Total Indentured 620 Printed: Wednesday, July 13, 2022 Page 2 of 2 Date: 11-10-2022 To whom it may concern: Countless individuals, businesses, and communities — in the private and public sector, alike — recognize the added value of doing business with contractors who support Workforce Development through their participation in United States Department of Labor (USDOL) approved apprenticeship programs. USDOL-approved apprenticeship programs ensure that the young people of Indiana have the opportunity to develop a portable skill set that remains with them throughout their careers in the construction industry. The training provided by these programs addresses the evolving concerns of communities, businesses and industry for the development of a quality skilled craft workforce that meets their needs, whether the projects are public or private in nature. To that end, please be advised that Milestone Contractors North, Inc. is signatory to a collective bargaining agreement (CBA) with the International Union of Operating Engineers Local 150, This CBA requires the above -referenced employer to participate in Local 150's USDOL- approved Apprenticeship and Skill Improvement Program. It is understood and agreed that the Employer shall be bound by the terms and provisions of the Agreement and Declaration of Trust of the Apprenticeship Fund, and all amendments heretofore or hereafter made thereto, as though the same were fully incorporated herein. The Employer further agrees to be bound by the terms of the Apprenticeship Standards established by Joint Apprenticeship Training Committee of the Northem Illinois and Northern Indiana Apprenticeship and Skill Improvement Program, as approved by the United States Department of Labor, Bureau of Apprenticeship Training. Sincerely, 11 -50 i James Gardner Business Agentl Organizer Operating Engineers Local 150, AFL-CIO District 6 1001 N. Michigan Street Lakeville, Indiana 46536 574/784-3694 office 574/784-8035 fax 574/215-8901 cell 1gardiiealocall. SU:or. artra�nr lsure= ofAmeniiceship culb.&dning LOCAL 150 OPERATING ENGINEERS, NORTHERN ILLINOIS AND NORTHERN INDIANA APPRENTICESHIP AND MALL WROMMENT PROGRAM for the trade classification of OPERATING ENGINEER 3%cral ntmiftec on Ame. of ns hipr Ki -c h 72. 1968 Revised: September 76, 1971 c;e Chac:gg only) SECRETARY OF LAWR ASSISTANY SECRETARY FOR MANPOWER V-ILL-91366 I formerlv_1-ILL-90966.1) REGISTRY No. '� MANP.OWFB A0MU4W,I`/TOR 4:91` BUREAUADMINISTRAI BUREAU OF APPRTHTKUHIP AND TRAINING j.w.w*sser.«orcu � ,wortrwron"'..� IUOE OPERATING ENGINEERS LOCAL 150 APPRENTICESHIP FUND A joint effort Labor and Management to further aim of Industry www.asiplocal150-org James M. Sweeney/Chairman Thursday, November 10a', 2022 To whom It may concern, David M. Snelteri/Secretary Milestone Contractors North, Inc, Is a signatory contractor to the I.U.O.E Local 150, and therefore, also participates In the I.U.O,E Local 150 Apprenticeship and Skill Improvement Program (ASIP), located at 19800 W. South Arsenal Rd, In Wilmington, IL. The Local 150 ASIP Is a DOL Registered Apprenticeship Program overseen by the D0Vs Office of Apprenticeship (OA). Listed below are the number of graduates of its program during the years 2015 — 2019. a 2020 -105 a 2019 - 48 a 2018 - 88 a 2017 - 73 a 2016 - 28 a 2015 - 21 If there are any questions regarding the I.U,O.E Local 150 Apprenticeship, please feel free to contact me directly. Mark Kara Assistant Coordinator Operating Engineers Local 150 Apprenticeship 19800 W. South Arsenal Rd. Wilmington, IL60481 mkara@aS[PIDCa[150.org Tel: 815-722-3201 x6003 Fax: 815-423-5749 Plasterers' & Cement Masons' Apprenticeship Coordinator Local Union #692 To Whom it May Concern: 2022 Phone: (219) 707-7767 Email: bkristoff@plcmiocal692.org November 10, 20221 This letter is to certify that Milestone Contractors North, Inc. is and has been a signatory contractor with OPCMIA Local 692 and has participated in the Plasterers & Cement Masons Apprenticeship Training Program for many years. Milestone Contractors North, Inc. is a valued Contractor in good standing with Local 692 and the JATC. All our apprentices are registered with the United States Department of Labor. I may be reached at (219) 707-7767 if additional information is needed. Further, our organization's program is approved by the U.S. Veterans Administration to participate in the GI Education Benefit Program. Thank you, Brian Kristoff Apprentice Coordinator Plasterers & Cement Masons 9200 Louisiana Street • Merrillville, Indiana 46410 WWW.PLCMLOCAL692.ORG m o. CITY OF SOUTH BEND, INDIANA .- CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name 2023 Contractor Paving Round 2 Project No. 123-024 For Bids Due July 11, 2023 at 9:00am Local Time to bpwbids@southbendin.gov From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. Proper bid security included. The bidder has the option of providing either a Certified Check X or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely X executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and X Certification of use of United States Steel Products or Foundry Products. Proof of M/WBE Utilization Plans [MBE-1.0 and WBE-1.0]. Also provide Evidence of Good Faith Efforts Forms [MBE-2.0 and WBE-2.0] and M/WBE Contacted Forms [MBE-2.1 and X WBE-2.1]. X Acknowledge Receipt of 1 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 jaadj�omply with the specifications. Bidder: By Authorized Represent e: Signature: `- Print Name & Titl Version 09/29/2021 Contractor's Bid for Public Works - 1 Date: 7/11 /2023 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name 2023 Contractor Paving Round 2 Project No. 123-024 For Bids Due July 11, 2023 at 9:00am Local Time to bpwbids@southbendin.gov PART I (Must be completed for all bids. Please type or print) Date: 7/11/2023 Bidder (Firm): Milestone Contractors North, Inc. Address: 24358 SR 23 City/State/Zip: South Bend, IN 46614 Telephone Number: ( 574 ) 288-4811 Agent of Bidder (if Applicable): Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: 2023 Contractor Pavina Round 2 the City of South Bend, Indiana, in accordance with plans and specifications prepared by: The City of South Bend - Dept. of Public Works and dated June 12th 2023 _ for the sum of (enter the Total Bid as shown on the Proposal) Two million twenty four thousand nine hundred fifty dollars and zero cents ($ $2,024.950.00 (Enter sum of Total Base Bid shown on Proposal) (Numerical) The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersign" bmits a proposal for each in accordance with the notice. Any addendums attached will be specifica efe nced at the applicable page. If additional units of material included in the contract are needed, a co f units must be the same as that shown in the original contract if accepted by the City of Sou tdchmed the id is to be av�rarded on a unit basis, the itemization of the units shall be shown on a separate By The above bid is accepted this Subject to the following conditions: BOARD OF PUBLIC WORKS Elizabeth A. Maradik, President Gary A. Gilot, Member Murray L. Miller, Member (,signature) Dustin P. Hila Director of Esimatin (Printed Name of Person Signing) ACCEPTANCE day of 20 Joseph R. Molnar, Vice President Jordan V. Gathers, Member Attest: Theresa Heffner, Clerk Version 09/29/2021 Contractor's Bid for Public Works - 2 PART II (For projects of $100,000 or more — IC 36-1-124) These statements to be submitted under oath by each bidder with and as part of his/her/its bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 1. Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid. 2. Attach a listing of public works projects currently in process of construction by your organization. 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. 4. Attach references from private firms for which you have performed work. SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Attach an explanation of your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the City of South Bend to consider your bid.) 2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. 3. If you intend to sublet any portion of the work, attach the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the City of South Bend in the event that you subsequently determine that you will use a subcontractor on the proposed project. 4. Attach a listing of equipment you have available to use for the proposed project. 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, attach an explanation for the rationale used which would corroborate the prices listed. SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the City of South Bend awarding the contract must be specific enough in detail so that said City of South Bend can make a proper determination of the bidder's capability for completing the project if awarded. Version 09/29/2021 Contractor's Bid for Public Works - 3 When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON- DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF Indiana ) ) SS: St. Joseph COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: I. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Version 09/29/2021 Contractor's Bid for Public Works - 4 Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, firms, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of contract or employment, or any matter directly or indirectly related to contracting or employment because of race, sex, religion, color, national origin, ancestry, gender expression, gender identity, sexual orientation, or due to age or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions will consider the Contractor's good faith efforts to obtain participation by those subcontractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. Contractors seeking the award of a City contract cannot be required to award a subcontract to an MWBE; however, they may not unlawfully discriminate against said MBE/WBE. On goal -eligible contracts, Contractors are required to either meet both MBE and WBE utilization goals or demonstrate that the Contractor has made good faith efforts to obtain participation from MBE and WBE subcontractors. A finding of noncompliance or a discriminatory practice shall prohibit that Contractor from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact to which the discriminatory practice or noncompliance pertains. 7. The undersigned Contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. 1, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder may result in forfeiture of contractual payments. Version 09/29/2021 Contractor's Bid for Public Works - 5 I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this 11th day of July , 2023 �� Milesto Cont to North, Inc. tractors ti�� Co ctorBi er rm) .......... 0. r r.? �ooRATE _ ° i ( _ S' re of Contractor/Bidder or Its Agent Zn: we'�,`z''• 5 �.� Dustin P. Hilary. Director of Estimating Printed Name and Title Subscribed and swornto before me this 11th day of Jul . 20 23 My Commission Expires 6/5/2030 Notary Pu lic Alisha eger County of Residence LaPorte :iTeS SEALC';k/ :s�zion Version 09/29/2021 Contractor's Bid for Public Works - 6 BID/PROPOSAL CITY OF SOUTH BEND ; s; Project Name: 2023 Contractor Paving Round 2 Project Number: 123-024 _ r For Bids Due: July 11. 2023 at 9:00 a.m. Local Time to bowbids0southbendin.cov =_ ` Contractor Name: Milestone Contractors North. Inc. BASE BID Item Line Item Quantity Unit Unit Price Cost No. Maintenance of Traffic 1 1 LS $ 105,000.00 $ 105,000.00 Mobilization and Demobilization 2 1 LS $ 75,361.40 $ 75,361.40 Milling, 3" 3 79458 SY $ 3.75 $ 297,967.50 HMA Surface, 9.5 mm—Type B, PG 64- 4 28P 4008 TONS $ 100.00 $ 400,800.00 5 22 ASurface, 9.5 mm—Type B, PG 70- $ 98.00 $ 2442 TONS 239,316.00 HMA Intermediate, 12.5mm -Type B 6 6450 TONS $ 87.00 $ 561,150.00 Tack Coat 7 26 TONS $ 2,500.00 $ 65,000.00 Joint Adhesive, Surface 8 22683 LF $ 0.50 $ 11,341.50 Adjust Manhole to Grade 9 26 EA $ 250.00 $ 6,500.00 Adjust Water Valve Structure to Grade 10 10 EA $ 50.00 $ 500.00 Adjust Inlet to Grade 11 18 EA $ 250.00 $ 4,500.00 Traffic Detector Loop Replacement 12 2 EA $ 3,200.00 $ 6,400.00 Pedestrian Push Button 13 2 EA $ 3,450.00 $ 6,900.00 Line, Thermoplastic, Solid, White, 4" 14 2000 LF $ 0.61 $ 1,220.00 Line, Thermoplastic, Solid, White, 6" 15 804 LF $ 1.14 $ 916.56 Version 09/29/2021 Contractor's Bid for Public Works -7 BID/PROPOSAL CITY OF SOUTH BEND Project Name: 2023 Contractor Paving Round 2 _Project Number: 123-024 1$, For Bids Due: July 11. 2023 at 9:00 a.m. Local Time to b _wbfdsmsouthbendin.Qov Contractor Name: Milestone Contractors North Inc. BASE BID - CONTINUED Item Line Item Quantity Unit I Unit Price Cost No. Line, Thermoplastic, Solid, Yellow, 4" j1 0.61 $ 6,777.71 16 11111 LF $ 17 Grooving for Pavement Markings, 4" 13111 LF $ 0.58 $ 7,604.38 Pavement Message Markings, 18 Thermoplastic, White, Lane Indication 4 EA $ 205.00 $ 820.00 Transverse Marking, Thermoplastic, Solid, 13.15 $ 2,274.95 19 White, 24" 173 LF $ 20 Concrete Curb Ramp, Removal 630 SY $ 50.00 $ 31,500.00 21 Concrete Curb Ramp, Installation 620 SY $ 165.00 $ 102,300.00 22 Center Island Conversion to Asphalt 30 SY $ 125.00 $ 3,750.00 BASE BID TOTAL $ 1,937,900.00 ALTERNATE #1 Item No. Line Item Quantity Unit Unit Price Cost 1 Maintenance of Traffic 1 LS $ 5,600.00 $ 5,600.00 2 Mobilization and Demobilization 1 LS $ 5,000.00 $ 5,000.00 3 Milling, 4" 2747 SY $ 5.00 $ 13,735.00 4 HMA Surface, 9.5 mm —Type B 227 TONS $ 115.00 $ 26,105.00 5 HMA Intermediate, 12.5mm -Type B 378 TONS $ 95.00 $ 35,910.00 Version 09/29/2021 Contractor's Bid for Public Works - 8 BID/PROPOSAL CITY OF SOUTH BEND-y "? Proiect Name: 2023 Contractor Paving Round 2 5 Project Number: 123-024` =:. For Bids Due: _ July 11, 2023 at 9:00 a.m. Local Time to bpwbids0�5outhbendin.Q4v y- Contractor Name: Milestone Contractors North, Inc. ALTERNATE #1- CONTINUED Item No. Line Item Quantity Unit Unit Price Cost 6 Tack Coat 2 TONS $ 250.00 $ 500.00 7 Joint Adhesive, Surface 200 LF $ 1.00 $ 200.00 ALTERNATE #1 TOTAL $ 87,050.00 Bidder (Firm): Address: City/State/Zip: By Base Total Alternate #1 Total Base + Alternate #1 Total P. Version 09/29/2021 Contractor's Bid for Public Works - 9 1,937,900.00 87,050.00 2,024,950.00 '0 Xrtr l a ctor���te `0RPORAr,, .S! 40 CITY OF SOUTH BEND =i MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-1.0 MBE UTILIZATION PLAN This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE participation. It is the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications. Project Number: 123-024 Project Name: 2023 Contractor Paving Round 2 Bidder: Milestone Contractors North, Inc. Total Bid Amount: $2,024,950.00 MBE Goal: 4.30% Name & Address of MBE C. Lee Construction Services, Inc. 1011 S. Lake Street Gary, IN 46403 Primary Contact Person (Name/Telephone) Frederick "Chip" Lee 219-922-7733 Scope of Work to be Performed (Attach scope/schedule if you need additional space) Hauling r Submitted by: Dustin P. Hilary. Director of Estimating Print Name Version 09/29/2021 Contractor's Bid for Public Works - 9 Page 1 of 1 Dollar Amount of MBE Percentage Component of Total Bid/Pro osaI $87,100.00 1 4.30% 7/11 /2023 Date CITY OF SOUTH BEND f 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: 123-024 . Project Name: 2023 Contractor Paving Round 2 Bidder: Milestone Contractors North, Inc. Total Bid Amount: $2,024,950.00 Name & Address of WBE Primary Contact Person (Name/Telephone) V & R Trucking, Inc. 1845 N. Elmer Street South Bend, IN 46628 State Barricading, Inc. 24963 US Hwy 20 South Bend, IN 46628 Veda Godette 574-234-1268 James Michal 574-287-207E Shoshone Trucking, LLC Ted Peters 3315 W. 300 S. 765-689-89C Peru, IN 46970 Hawk Enterpries, Inc. Greg Neilub 1850 E. North Street 219-662-80E Crown Point, IN 46307 Submitted by: Dustin P. Hilary. Director of E Print Name Scope of Work to be Performed (Attach scope/schedule If you need additional space) Hauling Version 09/29/2021 Contractor's Bid for Public Works - 10 WBE Goal: 6.10% Page of Dollar Amount of WBE Percentage Component of Total $41, 700.00 1 2.06% $27,339.00 1 1.35% $40,000.00 1 1.98% $14,500.00 7/11 /2023 Date 0.72% CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN - FORM WBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MBE participation. Project Number: 123-024 Date: 7/11/2023 Project Name: 2023 Contractor Paving Round 2 Bidder: Milestone Contractors North, Inc. Contact Person: Dustin P. Hilary Telephone: 574-288-4811 Address: 24358 SR 23 City: South Bend State: Indiana zip: 46614 Email: dhilary�d_) 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*: 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 httn•//www in onv/irinn/ 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 h((http://www.in.00v/idoa). I affirm that I have made good faith efforts to select portions of the contract work to be performed by MWBEs, including, where appropriate, breaking out contract work items into economically feasible units to facilitate MBE participation. I affirm that I have made good faith efforts to solicit through all reasonable and available means the interest of all MBEs in the scopes of work of the contract. I affirm that I attended all pre -bid meetings scheduled by the City of South Bend to inform MBEs of contracting and subcontracting opportunities. I affirm that I advertised in general circulation and/or trade association publications concerning subcontract opportunities and allowed MBEs reasonable time to respond to 4. 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 ?L sufficient time for MBEs to participate effectively. I affirm that I followed up on initial solicitations with interested MBEs. 1 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, 62 ; lines of credit, or insurance as required by the City or the bidder, where appropriate. Version 09/29/2021 Contractor's Bid for Public Works -11 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM WBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS I affirm that I have made good faith efforts to assist interested MBEs in obtaining necessary y equipment, supplies, materials, or related assistances or services, where appropriate. I affirm that I did not reject any MBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. CONTRACT RECORDS: The bidder has maintained the following records for each MBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBE was unqualified to perform the job. *Proper demonstration of Good Faith Efforts requires your initials next to all of the above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 09/29/2021 Contractor's Bid for Public Works - 12 a, CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN �I, � S_ FORM MiA BE-2.0 V,� EVIDENCE OF GOOD FAITH EFFORTS This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MBE participation. Project Number: 123-024 Date: 7/11/2023 Project Name: 2023 Contractor_ Paving Round 2 Bidder: Milestone Contractors North, Inc. Contact Person: Dustin P. Hilary Telephone: 574-288-4811 Address: 24358 SR 23 City: South Bend State: Indiana zip: 46614 Email: dhilary.milestonelp.com 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*: 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: hftD://www.in.gov/idoa/. GOOD FAITH EFFORTS TO OBTAIN MBE PARTICIPATION The bidder shall initial each item below, as evidence of its good faith efforts to obtain MBE participation in the awarded contract. I affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise Inclusion Program Plan and the Indiana Department of Administration's certified list of Indiana Minority and Women Business Enterprises, found on their website (http://www.in.gov/idoa). I affirm that I have made good faith efforts to select portions of the contract work to be performed by MWBEs, including, where appropriate, breaking out contract work items into �] economically feasible units to facilitate MBE participation. I affirm that I have made good faith efforts to solicit through all reasonable and available r I 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 i 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 r sufficient time for MBEs to participate effectively. I affirm that I followed up on initial solicitations with interested MBEs. I affirm that I negotiated with interested MBEs in good faith, including providing such MBEs with adequate information about the plans, specifications and other requirements of the subcontract. I affirm that I have made good faith efforts to assist interested MBEs in obtaining bonding, lines of credit, or insurance as required by the City or the bidder, where appropriate. Version 09/29/2021 Contractor's Bid for Public Works - 11 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM WBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS I affirm that I have made good faith efforts to assist interested MBEs in obtaining necessary I� equipment, supplies, materials, or related assistances or services, where appropriate. l I affirm that I did not reject any MBEs as unqualified without sound business reasons based ✓ on a thorough investigation of their capabilities. CONTRACT RECORDS: The bidder has maintained the following records for each MBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBE was unqualified to perform the job. "Proper demonstration of Good Faith Efforts requires your initials next to all of the above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 09/29/2021 Contractor's Bid for Public Works - 12 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-2.1 MBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring Good Faith Efforts to contact MBEs. It is the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications. Attach additional pages if necessary. PAGE 1 OF 1 Project Number: 123-024 MBE Participation Goal 4.30% Project Name: A23 Contractor Paving Round 2 Bidder: Milestone Contractors North, Inc. By: /f f .-," Director of Estimating_ 7/11/2023 i at re) Dustin P. Hilary (Title) (Date) Firm C. Lee Construction Services, Inc. Owner or Contact at MBE Firm Frederick "Chip" Lee Telephone: 219-922-733 Fax: 219-888-9564 Email: chip@cleecsi.com TYPE OF WORK SOLICITED FOR THIS PROJECT: Hauling RESULTS OF CONTACT WITH THE MBE FIRM: If we're awarded the proejct, we'll enter into a Hauling Agreement with C. Lee Construction Services, Inc. MBE Firm Owner or Contact at MBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE FIRM: Version 09/29/2021 Contractor's Bid for Public Works - 13 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-2.1 WBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring Good Faith Efforts to contact WBEs. It is the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications. Attach additional pages if necessary. PAGE 1 OF 2 Project Number: 123-024 WBE Participation Goal 6.10% Project Name: Bidder: By: Contractor Paving Round 2 Contractors North, Inc. Director of Esti Dustin P. Hilary (Title) VVRE Firm Shoshone Trucking, LLC Owner or Contact at WBE Firm Ted Peters Telephone: 765-689-8900 Fax: 765-689-8903 TYPE OF WORK SOLICITED FOR THIS PROJECT: Hauling (Date) Email: tpeters@shoshonetrucking.com RESULTS OF CONTACT WITH THE WBE FIRM: If we're awarded the proejct, we'll enter into a Hauling Agreement with Shoshone Trucking, LLC. WBE Firm State Barricading. Inc. Owner or Contact at WBE Firm James Michalski Telephone: 574-287-2078 Fax: 574-287-1744 Email: statebarricadel@aol.com TYPE OF WORK SOLICITED FOR THIS PROJECT: MOT Signs RESULTS OF CONTACT WITH THE WBE FIRM: If we're awarded the Droeict, we'll enter into a Subcontract with State Barricading, Inc. Version 09/29/2021 Contractor's Bid for Public Works -14 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-2.1 WBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring Good Faith Efforts to contact WBEs. It is the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications. Attach additional pages if necessary. PAGE 2 OF 2 Project Number: 13M24 WBE Participation Goal 6.10% Project Name: Bidder: Mi By: f Contractor Paving Round 2 ;tors North, Inc. Dustin P. Hilary (Title) 7/11 /2023 (Date) V & R Trucking, Inc. caner or Contact at WBE Firm Veda Godette Telephone: 574-234-1268 Fax: 574-234-0748 Email: rfightingirish@aol.com TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE WBE FIRM: If we're awarded the proejct, we'll enter into a Hauling Agreement with V & R Trucking, Inc. WBE Firm Hawk Enterprises, Inc. Owner or Contact at WBE Firm Greg Neilub Telephone: 219-662-8090 Fax: 219-662-8093 Email: greg@hawk-inc.com TYPE OF WORK SOLICITED FOR THIS PROJECT: Electrical RESULTS OF CONTACT WITH THE WBE FIRM: If we're awarded the proe;ct, we'll enter into a Subcontract with Hawk Enterprises, Inc. Version 09/29/2021 Contractor's Bid for Public Works - 14 ►4- VI • •� CONTRACTOR: (Name, legal status and address) Milestone Contractors North, Inc. 24358 State Road 23 South Bend, IN 46614 OWNER: (Name, legal status and address) City of South Bend 227 W. Jefferson Blvd. South Bend, IN 46601 BOND AMOUNT: 5% CNASURETY Bond No. Bid Bond SURETY: Continental Casualty Company (Name, legal status and principal place of business) 151 N. Franklin Street 17th Floor Chicago, IL 60606 Five Percent of the Base Bid Plus Any Alternates PROJECT: (Name, location or address, and Project number, if any) 2023 Contractor Paving Round 2; Project No. 123-024 This document has important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. 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 thzP$; a c for �i� any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrtc� �� s2 provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. W1YeLP4b L04tp 0 RgTF �? furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bona v" Signed and sealed this 11th day of July _ _ SEAL Mileston - racto North, Inc. �r �` (Pnncal (Witness) Alisha Krueger B CA 4 (Title ustin P. Hilary, Director of Estim Goo mental Casualty Compa' ooRF4 uret 1;'lieal) (Wit ) Sarah M. Schill I Q;v (Title) A ge a M. Ri ey, Attorney-in-F t , ti t391 Printed in cooperation with the American Institute of Architects (AIA). The language In this document conforms to the language used In AIA DocumentA310- Bid Bond - 2010 Edition P011ITER OF ATTO&NEY APPOLVTII\G IND117DUAL ATTORNEY-M-FACT Kaow All Mtn By These Presents, That Continental Casualty Company, an Uhnohs insurance company, rational Fire Insurance Company of Hartford, an Illinois insurzace company, and American Casualty Company of Reading, Pennsylvania, a Peaasyhvanu insurance company (herein called "the CNA Companies" j, are duly organized and existing insurance companies having their principal ofPrcfs in the City of Chicago, and State of Illinois, and that they do by %ttue of the signatures and seals herein affixed haeby make. constitute and appoint Angela M. Riley, Indhidually of Indianapolis, IN their true and lawful Attomey(s)-in-Pact with full power and authority hereby conferred to sign., seal and execute for and oa their behal€ bonds, undertakings and other obligatory instruments of similarnature - In Unlimited Amounts - ftWbood*z Bid Bond Wa*k Milestone Contractors North, Inc. 00 City of South Bend and to brad them thereby as fully and to the sa= extent as if such its were sigo,,ed by a duly authorized offices of their insurauce companies and all the acts of said Attorney, pursuant to the authority hereby giro is hereby ratified and confirmed.. This Pourer of Attorney is made and executed pursuant to and by authority of the By -Laws and Resolutions, printed on the revere hereof duly adopted, as indicated, by the Boards of Directors of the ksumme companies. In Witaeess ►Whereof, the CNA Companies leave caused these presents to be signed by their Vice President and their corporate seals to be hereto affixed this 9th day ofMay, 2023. �? qC0#00urr l s to Z Continental Casualty Company National Fier Insurance Company of Hartford American Casualty Company of Reading, Pennsylvania Q�r /41;0�— Kasten Vice President State of South rota, county of Minnehaba, is: On this 9dh day of May, 2023, before me personally cam Larry Kastento me known, who, being by me duly sworn, did depose and say; that he resides in the City of Sioux Falls, State of South Dakota; that he is a Vice President of Continental Casualty Company, an Illinois insurance company, blot orhat Fire lusuraucc Company of Hartford. an Illinois insurance company. and American Casualty Company of Reading, Pennsylvania, a Pennsyhw4 insurance company described in and which executed the abcme instrumait; that he knees the seats of said insurance companies; that the seals affixed to the said instrument are such corporate seals; that they were so affixed pursuant to authority g;Kvn by the Boards of Directors of said rostrum companies and that he signed his name thereto pmsuant to Ue authority, and acknowledges same to be the act and deed of said insurance companies. x x K BENT +eoT►a+rr�.se �erl'� Ikkn �r�kx ... My Commission dies March 2, 2026 U Bw Notary Public CERTMCATE I, D, Johnson. Assistant Secretary of Continental Casualty Company, an Winois insurance company, National Fire Insurance Company of Hartford,. an Illinois insurance company, and American Casualty Company of Reading: Pennsyh aria, a Pennsyhvania insurance company do hereby certify that the Power of Attorney herein above set forth is still in force, and further certify Out the By -Lases and Resolutions of the Board of Directors of the companies printed on V theI�mw%e bvftf is still is force. In testimony whereof I haw hereunto subscn`bed my name and affixed the seal of the said 6 PJ insurance co ei iipts� 'l lth diiy of July , 2023. Nx MY III .� J. � Form F6853-4- 0237;101: Continental Casualty Company National Fire Insurance Company of Hartford American Casualty Company of Reading, Pennsylvania D. Johnson Assistant Secretary Go to www&NWMwtv.cnnn > Owner / Obligee Services > Validate Bond Coverage, if you want to verify bond authenticity. Authorizing By -Laws and Rcsolatioas 7bis Poxes of Attorney is signed by Lary Ka: tm Vice President *£each of the CNA Companies (as defined is & Power of Attorney), srbo has been aadwited purxunt to the below Bylaws and Fmlubm to e ware power of attomeys m behaltof each of the CNA Companies. ADOPTED BY THE BOARD OF DIRECTORS OF CONIFBIFNTAL CASUALTY COMPANY: This Power of Anor oay is made and executed pit to and by zwhotity of the following resolution defy adopted by the Board of Directors of the Company at a meeting held on May 12,1995: RESOLVED: That any Senior or Group Tice President may avthoriae an officer to sun specific documents, agreements and ii�s cc behalf of the Company provided float the name of sorb authorised officer and a descriptiam of the docomaeats, atgraaaaents or kwu nuts that such officer may sign will be prmided in writins by the Smios or Group Vice President to fix Secretary of the Company prior to such aoecutioa becoming eflbctivv.- This Power of Attorney is signed and sealed In- 6csimalc under and by tin authority of the following Resolotion adopted by do Board of Diremrs of the Courpany by tmammous written consent dated the 25o day of Apn7, 2012: "A hma,% doe bylaws of the Company or spredfic resohmion of the Bond ofDireeton has a uthoraad various officers (tire" Authorized OfTioers") to execute v7riom polities. bonds, rmdert logs and other obligatory instruments of hlrenature; and Whereas, fivm time to time, the signature of the Awbormed Odicns, in addition to being prmided is original, hard copy immat. may be pmtmided via besimile or otherwise m an electsome format (eolleetnr}y. "Ekcttomie Swutom"k Now therefore be it nschvi that flee Eketrocx Sigaatu a cfany Anthomed Offices shall be valid acid binding on doe Company." This Power of Attorney may be signed by digital signature and sealed by a digital or otherwise electronic -formatted corporve seal under and by the Botha * of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 27th day of Apr ik 2022: "RESOLVED That it is m the best murest of the Company to periodically ratify- acid cemf ma nay corporate documents signed by digital signatures and to reify and confirm the use of a digital or otherwise dectrooit-formatted corporate seal, each io be considered the mud deed of the Compaaty." ADOPTED BY THE BOARD OF DIRECTORS OFNATM. AL FIRE INSURANCE C'O)JP.Ab1Y OF HARTFORD: This Power of Attorney is made and executed pwrswns to and by zuthatity of the fo kwing resolution duty adopted by the Board of Dir soots of the Company by vaamimous written consent dated may 10,1995: "RESOLVED: that nay Senior or Group Vice President may authorise an officer to sign specific documents, agreements and inshuadieats an behalf of the Company pros-ided that the name of such authorized officer cad a description of the documents, agreements or instruzents brat saeb o$ieer onay sign well be prodded is routing by the Senior or Group Vice President to the Secretary of the Company prior to such a martion becoming e$ectiuv-" This Power of Attemey is signed and sealed by besizorie under and by the antharisy of the following Resolution adopted by the Bond of Directors of den Company by mmammau written consent dated the 25• day of April, 2012: —"eteas, the bylaws of the Company or specific raohdion of tine Board of Directors has authorized various officers (ibe "Authorized Officers') to execute %2rious policies, bonds, undaukings and other obligatory instruments of hire nature, and Whereas, fives time to time, the signature of the Authorized Officers, in addition to being prmided in original, hard copy i=%at, may be pine ided v-ia ficsimilt or oti awise is an electrome format (collecthvty, "Ekctmx Signat+a "y, Now tbetefore be it tesoliYd that the Ekea=x Sips um of any Aathonzod Officer shill be sapid and binding on the Company." This Power of AtkwW may be signed by digital signature and sealed by a digital or otherwise electronic-bamattad corporate seal under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 27th date of April, 2022: "RESOLVED: That it is in the best interest of the Company to periodically ratify and confirm airy corporate doctraatan signed by digkat signatrn,rs and to ratify and confirm the use of a digital or otherwise electrotric formrteed corporate seal, each to be considered the act and deed of the Compmy." ADOPM BY THE BOARD OF DIRECTORS OF AMERICAN CASUALTY CaNWANY OF READING, PENNSYLVANIA- This Power of Attorney is made and esteemed pwsuaat to and by aathodtyr of the fallowing resolution duly adopted by the Band of Direefoss of the Company by umammovs written consent dated )-fay 10,1995: "RESOLVED That any Senior ar Group Vice President may authorise an officer to siga wpedfic documents, agnerments and mstnammts an behalf of $e Company Pro►ided that the aamae of such awhaixed officer and a description of the documents, agreements or inst a ents that such officer may sign will be provided in W I g by the Senior or C cup Vice President to the Secretary of the Connpany prior to such execution becoming *ZwtivY." This Po" er of Attorney is signed and sealed by fxsimik trader and by the autbority of the following Resohttiou adopted by the Board of Directors of the Company by onusimous written coose w dated the 25e day of April, 2012. "Whereas, the bylaws of the Company or specific resolu im of the Board of iiiraetas has authorized %wimrs officers (the "Audmiixed Officers") to trade* uwioms policies, bonds, undertakings and other obligatory instruments of like nature; and Whereas, from time to time, the signature of the Authorized Officers, is addition to bei z pnn idea in original hard copy format, may be pmiided via ficsimile or otherwise in an electronic forma: (colketi%*, "Electronic Sisnanaes p Now therebre be it resohv& that the ELcnonk Signature of any Authorized Officer shall be valid and biadiog on the Corpaaay " This Power of Attomey may be signed by digital signature and sealed by a digital or otherwise eleetrumialoamatted corporate seal under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 27th day of April. 2022: "RESOLVED That it it in the best intaavit of the Company to periodically ratify and confirm any corporate documents signed by digital np*xw and to ratify and confirm the use of a digital or otherwise elcctronk-fcraratoed corporate seal, each to be considered the ad cad deed of the Company." � CONTRACTORS BID FOR PUBLIC WORK - FORM 96 La ` State Form 52414 (R2 / 2-13) / Form 96 (Revised 2013) " Prescribed by State Board of Accounts PART I (To be completed for all bids. Please type or print) Date (month, day, year): July 11th, 2023 1. Governmental Unit (Owner): City of South Bend, Indiana 2. County: St. Joseph 3. Bidder (Firm): Milestone Contractors North, Inc. Address: 24358 SR 23 City/State/ZlPcode: South Bend, IN 46614 4. Telephone Number: (574) 288-4811 5. Agent of Bidder (if applicable): Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of 2023 Contractor Paving Round 2 - Project No. 123-024 (Governmental Unit) in accordance with plans and specifications prepared by City of South Bend - Dept. Public Works and dated June 12th, 2023 for the sum of See Attached $ See Attached The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the governmental unit. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. The contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee, or applicant for employment, to be employed in the performance of this contract, with respect to any matter directly or indirectly related to employment because of race, religion, color, sex, national origin or ancestry. Breach of this covenant may be regarded as a material breach of the contract. CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS (If applicable) I, the undersigned bidder or agent as a contractor on a public works project, understand my statutory obligation to use steel products made in the United States (I.C. 5-16-8-2). 1 hereby certify that I and all subcontractors employed by me for this project will use U.S. steel products on this project if awarded. I understand that violations hereunder may result in forfeiture of contractual payments. The above bid is accepted this following conditions: _ Contracting Authority Members: ACCEPTANCE day of PART II (For projects of $150,000 or more — /C 36-1-12-4) subject to the Governmental Unit: City of South Bend, Indiana Bidder (Firm) Milestone Contractors North, Inc. Date (month, day, year): July 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 Class of Work Date Name and Address of Owner Lake County Hwy Dept INDOT 6,959,600.00 Resurface 5,589,894.00 Resurface November 2022 October 2022 5,457,310.00 Resurface November 2022 Town of Merrillville 2,101,053.00 Resurface October 2022 Town of St. John 2. What public works projects are now in process of construction by your organization? Contract Amount 24, 738,412.00 Class of Work Expected Completion Date September 2023 Sidewalk RemovalfReplacement 15, 394, 787.00 7,020,500.00 Concrete Pavement Restoration Resurface May 2024 October 2023 3,241,287.00 Resurface October 2023 Name and Address of Owner Town of Griffith INDOT Lake County Hwy Dept City of Crown Point 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 ``�����n ��ontractcrs� oo : •` ?,?0RATF •S ���• SEAL . Milesto STATE OF Indiana COUNTY OF St. Joseph j ss day of July 2023 North, Inc. (Name of Organization) n 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 My Commission Expires: June 5, 2030 County of Residence: LaPorte July 2023 Notary Public t,siv'v$ ALISHAKRUEGER V& My commMlon Expires '■ SEAL 1A June 5,2030 �yOF Commission Number NP0653544 �N�.•` La Porte County Part of State Form 52414 (R2 / 2-13) / Form 96 (Revised 2013) Milestone Contractors North, Inc. _ (Contractor) 24358 SR 23 (Address) South Bend, IN 46614 FOR PUBLIC WORKS PROJECTS OF City of South Bend, Indiana 2023 Contractor Paving Round 2 Project No. 123-024 Filed July 11th 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 ex s purpose of inducing the party to whom it is submitted to award the submittor a contract; and that any depository, vendor cy herein named is hereby authorized or oth en to supply such party with any information necessary to verify this statement. -4 NOTE: A co -partnership must give firm name and signatures of all partners. A corporation must give full corporate name, signature of official and affix corporate seal. II 4 �. �QORATE Affidavit for Individual STATE OF + i A�•: { ss: s 1 COUNTY OF being duly sworn, depose srx d sa"hjftW� foregoing financial statement, taken from his books, is a true and accurate statement of his financial condition as of the > klldla6&V nd 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 f ss (Applicant must sign here) Affidavit for Co -Partnership being duly sworn, deposes and says that he is a member of the firm of ; that he is familiar with the books of the said firm showing its financial condition; that the foregoing financial statement, taken from the books of the said firm , is a true and accurate statement of the financial condition of the said firm as of the date thereof and that the answers to the foregoing interrogatories are true. (Member of firm must sign here) Subscribed and sworn to before me this _day of _ 20 Notary Public Affidavit for Corporation STATE OF Indiana { COUNTY OF St. Joseph ss 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 books the financial condition of said corporation as of the date thereof and that the aa� Subscribed and sworn to before me this I1tb day of Jul 023. Alish eger, Notary Public ��gY Pug MSHA KRUEGER My Commission Expires *: SEAL :* June 5,2030 \Pze; Commission Number NP0653544 F9F:"°r La Porte County ilestone Contractors North Inc. , the WW the books of the said corporation showing its sild' corporation, is a true agd-accurate statement of the foregoing int tones are true. sign here) Dustin P. Hilary, �n%v a c to rs I% �•bf Estimafln� n LpRP O RA jF :� S '• SEAL - r '` N 1111V' oN`,````�� 15 State of Indiana Office of the Secretary of State CERTIFICATE OF EXISTENCE To Whom These Presents Come, Greeting: I, DIEGO MORALES, Secretary of State of Indiana, do hereby certify that I am, by virtue of the laws of the State of Indiana, the custodian of the corpAu records and the proper official to execute this certificate. I further certify that records of this'office discloseAhat `a, rf 'M LESTONE CONTRACTORS NORTH;'INC: duly filed the -"requisite documents hc ents to commee business activities under"the'lawsjofahe State of Indiana on Ma arc 29, 1966, and was in existence or -,,authorized to t�ns�cf busines� in the State of Indiana on June 16, 2023.' I further certify this Domestic For -Profit Corpo "n has filed its most recent report required by Indiana law ►klth'the Secretary of State, or is not et required to fill such report, an that no notice of 5.__' j withdrawal, dissolution, or expi',_ n has been filed or taken lace. All fees, taxes; interest, and penalties owed to Indiana by the domestic or,4preign entity and collected by the Secretary of State have been paid. { In &tness�VV�ereof, I have caused to be affixed my signature and the seal of the State of Indiana, at the City of Indianapolis, June 16, 2023 Z)4r W"(Pg� DIEGO MORALES SECRETARY OF STATE 194484-057 / 20233235979 All certificates should be validated here: https://bsd.sos.in.gov/ValidateCertificate Expires on July 16, 2023. Mate of Indiana Office of the Secretary of State Certificate of Amendment of WALSH & KELLY INC I, CONNIE LAWSON, Secretary of State, herebv.,certify that Articles of Amendment of the above Domestic For -Profit Corporation.'have been presbn'ted to me at my office, accompanied by the fees prescribed by laud and that thy. aocumentation presented conforhis to law as prescribed by the provisions of the Indiana Code. The name following said transaction will be: MILESTONE CONTR- TORS NORTH, INC. NOW, 1HEREFORE, with this document I certify that said transaction will become effective Monday, February W, 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, Febi nary 01, 2021 11 dru;� 8 4W.&M CONNIE tAWSON SECRETARY OF STATE 194484-057 / 8878219 To ensure the certificate's validity, go to https://bsd.sos.in.gov/PublicBusitiesssearch i 4 1 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 Rresented to me at my office, accompanied by the fees prescribed by law and that the documentation presented conforms to law as prescribed by the provisions of the Indiana code. Following said transaction, the above named entity will transact business under the assumed business name(s) of: - i WALSH 41CkLLY NOW, THERUORE, 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. iONNIt LAWSON SECRETARY Of STAI E 194484-057/ 8878234 To ensure t1he certificate's validity, go to https://bsd.sos.in-gov/PublicBusinessSearch CERTIFICATE OF QUALIFICATION to provide CONSTRUCTION SERVICES for PUBLIC WORKS PROJECTS to the STATE OF INDIANA This Certification Board, having duly considered application for qualification in terms of apparent experience and financial resources; and under the applicable Indiana Code 4-13.6-4 and adopted rules of this Board, hereby issues a Certificate of Qualification to provide construction services to the State of Indiana for Public Works Projects to: MILESTONE CONTRACTORS NORTH INC 1700 E MAIN ST GRIFFITH IN 46319 Phone 219-924-5900 Fax 219-924-8768 Company Official TODD FAWVER for the twenty-seven month period stated herein, unless revoked by this Board for cause, and in the classifications of services stated below. This certificate supercedes any previous certificate. 1611.01 Concrete Construction of Roads & Curbing 1611.02 Asphalt Construction of Roads and Parking Lots CERTIFICATION DATE 2/1/2023 EXPIRATION DATE 5/1/2026 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. 1 ' .3 CkZA4,) Tracy L. Cross, Exkutive Secretary Certification Board DAPW PQ2 State Form 3983R Rev. 07106 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 PresidenVArea 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. Hoffinan Director of Estimating, Griffith Dustin P. Hilary Director of Estimating, South Bend Mark E. Krachenfels Construction Manager RESOLVED FURTHER that the actions of the Officers of the Corporation taken since the last meeting of the Board of Directors be, and the same hereby are, fully ratified and approved. RESOLVED FURTHER that this consent shall be in lieu of an annual meeting of the Board of Directors of the Corporation and shall be filed in the minute book of the Corporation in place of any such annual minutes. <<SIGNATURES ON THE NEXT PAGE>> EXECUTED this 26th day of August, 2021. ? � MM -Z 4 Fred Fehsenfeld, Jr. Geoffrey C. Dillon Q'I-- Ic James Fehsenfeld NA-1 J&4 P. Vercruysse Milestone DATE: May 24, 2022 TO: All Employees RE: EEO Officer Appointment Margaret Garner has been appointed Equal Employment Opportunity Officer for Milestone Contractors. It is her responsibility to coordinate, advise and assist management and supervisors in their responsibilities of assuring all applicants and employees' equal opportunities in all aspects of their employment. She will review complaints that allege discrimination because of race, religion, color, sex, sexual orientation, gender identity, age, national origin, disability, housing status or veteran status. Employees of Milestone Contractors are to submit any issues or concerns to Margaret. We are committed to comply with the provisions of the Civil Rights Act of 1964 and 1991, plus all Executive Orders issued relating to Equal Employment. Margaret's contact information is listed below. Milestone Contractors 5757 Decatur Blvd, Suite 250 Indianapolis, IN 46241 (317) 616-4937 CJ Potts, Chief Operating Officer Pig Milestone EQUAL EMPLOYMENT OPPORTUNITY/ AFFIRMATIVE ACTION POLICY STATEMENT It is the policy of Milestone Contractors to afford equal opportunity for employment to all individuals regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, housing status, or veterans' status. The corporation is committed to this policy by our status as a federally assisted government contractor. We are far more strongly bound to the policy by the fact that adherence to the principles involved is the only acceptable American way of life. Therefore, it is the policy of this corporation to assure that applicants are employed, and that employees are treated during employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, housing status, or veterans' status. Such action shall include: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship, pre - apprenticeship, and/or on-the-job training. The successful achievement of a nondiscriminatory employment program requires a maximum of cooperation between management and employees. In fulfilling its' part in this cooperative effort, management is obliged to lead the way by establishing and implementing affirmative procedures and practices which will ensure our objective, namely equitable employment opportunity for all. (Minority and female employees are encouraged to participate in all company activities and refer applicants.) I have designated Margaret Garner to direct the establishment of and to monitor the implementation of personnel procedures to guide our affirmative action program. This official is charged with designing and implementing audit and reporting systems that will keep management informed on a regular basis of the status of equal employment opportunity and affirmative action. She can be reached at (317)616-4937. Supervision has been made to understand that their work performance is being evaluated based on their equal employment opportunity efforts and results, as well as other criteria. It shall be a responsibility of the supervision to take actions to prevent harassment of employees placed through affirmative action efforts. We shall comply with the Civic Rights Act of 1964, as amended, the Federal Highway Act of 1968, the Executive Order #11246 and #11375, the Rehabilitation Act of 1973, as amended, the Vietnam Era Veterans Readjustment Assistance Act of 1974, as amended, the Indiana Civil Rights Act and other applicable Federal and State Laws and regulations pertaining to equality of Opportunities and Affirmative Action policies. We have developed an Affirmative Action Program for Veterans and Individuals with Disabilities. G Potts, Chief Operating Officer Margaret Garner, HR Area Partner/EEO Officer January 2023 (gatiro-ate of tf% tan MUEDBY 1tcOf ��rtx INDIANAPOLIS, IN TO MILESTONE CONTRACTORS NORTH, INC. October 20, 2022 GRIFFITH, IN who has filed with the Depart Pent a Contractor's Stak.,.rnert of Experience and Finanaal Condition as required under Indiana Code 8-23-10, is hereby qualified to bid at any Department of Transportation letting in Ciasses of Work and within the amount and other limitation of each classification as fisted bclow, for such period as the uncompleted work on hand from all sources does not exceed the Aggreegale amount Classification references by name or symbol are in accordance with the definitions in the Contractoes Statement of Experience and Financial Condition. This oertificale supersedes any certificate previously issued, but is subject to revision or revocation according to the taw, I and when changes in 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: 327,748,000.00 A(B) CONCRETE PAVEMENT: LIMITED................................................................................... $25,000,000.00 B(A) ASPHALT PAVEMENT: WlINDOT 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 C'-� LJAO�� FREQUALIPICA ON EMGiNEER sm tam 2"M(fa t COIiAIAISMNER