HomeMy WebLinkAboutOpening of Bids - Pure Green Farms Site Improvements Proj No. 121-056 - C&E Excavating, Inc.CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
RESPONSIBLE BIDDER CHECKLIST
Project Name Pure Green Farms Site Improvements
Project No. 121-056
For Bids Due July 11, 2023 @ 9:00 A.M. [local time]
Contractor Name: C&E Excavating, 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 315l 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 02/23/2022 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 02/23/2022 General Conditions - 11
I. PRE -QUALIFIED BIDDER CHECKLIST
(a) Acknowledgements:
(i) _ 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.
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) _ 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).
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) f 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) _ 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 02/23/2022 General Conditions - 12
II. PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED)
(a) Acknowledgements:
(i) _� By checking this box, I hereby acknowledge that I am not a pre -qualified bidder
with the City of South Bend.
(ii) '� By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided, and may also conduct random inquiries of my current and prior
customers. The City reserved the right to utilize all information provided in this
submission and all information obtained in inquiries or requests to determine if a
bidder is responsive and responsible. Additionally, I acknowledge that all
information provided to the City shall be regarded as public records.
(iii) By checking this box, I hereby acknowledge that copies of all Applicable
apprenticeship certificates or standards for training programs applicable to the
work performed on the project may be requested at any time and shall be furnished
upon request.
(iv) By checking this box, I hereby acknowledge and ensure that I and all sub-
contractors, from whom I have accepted a bid and/or intend to hire to perform work
on the public work project, are properly licensed. Furthermore, I acknowledge my
understanding that it is my responsibility to ensure that all sub -contractors have
the necessary licenses to undertake the work called for in this bid. If a sub-
contractor loses their license at any point, it is the responsibility of that sub-
contractor to notify the City.
(b) Attachments:
✓
(i)
Indiana Secretary of State's on-line records (ie. Business verification) dated within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State's Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
✓
proprietors or partnerships).
(ii)
7z
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 02/23/2022 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:
J C�
(Sign Here)
•�Ak
(Print Name Here)
G� 7--t-
(Name of Company)
53-7& -7 0-
(Address of Company)
0 94--%a/:�
(City)
(State) V
5-7q- 2-& 2 -Lf3 LfL.
(Telephone Number)
Version 02/23/2022 General Conditions -14
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EXCAVATING
C & E Excavating, Inc. RBO Detail July 2023
1. Copy attached
2. No former business names.
3. No determinations by a court or governmental agency for violations of federal, state, or local
laws within the preceding five years
4. We currently have 45 field staff; 6 foremen with 5+ year's experience, and three temporary
foremen. Our current staff is more than enough to complete the enclosed bid according to the
specifications.
5. Individuals who will perform work on the public works attached will be properly classified as an
employee or as an independent contractor under all applicable state and federal laws and local
ordinances.
6. We have been members of the Associated Builders and Contractors, Inc. Apprenticeship
Program, which is approved by the Department of Labor, since 2017.
7. Written drug plan attached.
8. C&E Excavating, Inc. is the bidder and intends to perform the work as specified, and all
subcontractors and bidder are properly licensed.
9. C&E Excavating, Inc. uses Employer's Mutual Casualty Company for bonding purposes and said
surety is listed on the US Department of Treasury's Listing of Approved Sureties.
10. No federal, state or local tax liens or delinquencies exist.
11. List of similar size and scope work previous 3 years: this list is just several
a. City of Mishawaka — City Campus Improvements
b. City of Elkhart — Riverwalk District Improvements
c. City of Elkhart —Arlington Improvements
d. Anchor Construction — North Elkhart
e. Anchor Construction — Shah 200 Building
f. UMH — Parke Place I (complete) & Parke Place II (in progress)
g. City of Mishawaka — Niles Ave
h. Weigand — Goshen Intermediate School
i. Cadet Construction — Toyo South Bend
j. City of Elkhart — Central Green Improvements
C & E Excavating, Inc.
53767 CR 9
Elkhart, IN 46514
Office (574) 262-4346 Fax (574) 262-9251
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 corporate records and the proper official to execute this
certificate.
I further certify that records of this office disclose that
C & E EXCAVATING, INC.
duly filed the requisite documents to commence business activities under the laws of the State of
Indiana on October 16, 1990, and was in existence or authorized to transact business in the State of
Indiana on July 09, 2023.
I further certify this Foreign For -Profit Corporation has filed its most recent report required by Indiana
law with the Secretary of State, or is not yet required to file such report, and that no notice of
withdrawal, dissolution, or expiration has been filed or taken place. All fees, taxes, interest, and
penalties owed to Indiana by the domestic or foreign entity and collected by the Secretary of State
have been paid.
l CTATjii
In Witness Whereof, I have caused to be affixed my
signature and the seal of the State of Indiana, at the City
of Indianapolis, July 09, 2023
DIEGO MORALES
SECRETARY OF STATE
1990100696/20233268189
All certificates should be validated here: https://bsd.sos.in.gov/ValidateCertificate
Expires on August 08, 2023.
.tom ... ,• �S
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CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS
Project Name Pure Green Farms Site Improvements
Project No. 121-066
For Bids Due July 11, 2023 @ 9:00 A.M. [local time]
From time to time the South Bend Board of Public Works finds it necessary to reject a bid because
it does not comply with statutory requirements. In preparing your bid, please use the following
checklist in order to make sure that your bid is done in the proper manner.
Proper bid security included. The bidder has the option of providing either a Certified Check
or Bid Bond.
Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely
executed.
Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments
with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and
Certification of use of United States Steel Products or Foundry Products.
Proof of M/WBE Utilization Plans [MBE-1.0 and WBE-1.0]. Also provide Evidence of Good
Faith Efforts Forms [MBE-2.0 and WBE-2.0] and M/WBE Contacted Forms [MBE-2.1 and
WBE-2.1 ].
Acknowledge Receipt of 7'� Addendum(s) included with the bid.
All required additional information is included with the bid.
Proposal statements and other affidavits all signed by the proper party with name either
printed or typed underneath signature.
This checklist submitted with the Bid.
This checklist is provided for bidder's use in assuring compliance with required
documentation; however, it does not include all specifications requirements and does not
relieve the bidder of the need to read and comply with the specifications. �I
Bidder: A-l�Q�l v� • Date:
By Authorized Repr(
Signature:
Print Name & Title:
Version 09/29/2021 Contractors Bid for Public Works - 1
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name Pure Green Farms Site Improvements
Project No.
121-056
For Bids Due July 11, 2023 @ 9:00 A.M. [local time] to BPWbids@southbendin.gov
Date:
Address:
City/State/Zip:
PART
(Must be completed for all bids. Please. type or print)
7, Bidder (Firm): l �► >ExC�L�%a�t nq �1�G
53-71.,, -1
Telephone Number: (574 ) 2-i02-"t,34(o
Agent of Bidder (if Applicable): I I1LCd rrJC�SI�
Pursuant to notices given, the undersigned offers to furn
public works project of:
Pure Green Farms Site Improvements
material necessary to complete
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
Enqineerinq Resources; Inc.
and dated 6/23/2023
for the sum of (enter the Total Bid as shown on the Proposal)
Three hundred seventy eight thousand eight hundred and one dollars and zero cents. (s 378,801.00
(Enter sum of Total Base Bid plus Alternates shown on Proposal) (Numerical)
The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in
the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance
with the notice. Any addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed, the cost of units must be the same as that
shown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a unit
basis, the itemization of the units shall be shown on a s ate attachment.
By r
:Sad -SS1 n(Sig t
(Printed Nanid of Pe on Signing)
The above bid is accepted this
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Elizabeth A. Maradik, President
ary A. Gilot, Member
ACCEPTANCE
day of
20
Joseph R. Molnar, Vice President
Jordan V. Gathers, Member
Murray L. Miller, Member Attest: Theresa Heffner, Clerk
Version 09/29/2021 Contractors Bid for Public Works - 2
PART II
(For projects of $100,000 or more — IC 36-1-12-4)
These statements to be submitted under oath by each bidder with and as part of his/her/its bid.
Attach additional pages for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
1. Attach information regarding projects your organization has completed for the period of one
(1) year prior to the date of the current bid.
2. Attach a listing of public works projects currently in process of construction by your
organization.
3. Attach information regarding any failure to complete any work awarded to you and the
location thereof.
4. Attach references from private firms for which you have performed work.
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
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 Contractors Bid for Public Works - 3
P�zl" I No
Ilik
GaF-
EXCAVATING
Section 1 Experience Questionnaire
1. Major projects completed within one year prior
a. City of Mishawaka —City Campus Improvements
b. O'Harrow Construction — Alro Steel Niles, MI Site & Utility Work
c. City of Elkhart — River District Improvements
d. City of Mishawaka — Niles Ave Improvements
e. DJ Construction —Grand Design Plant 14 & 15
f. Silver Oak Estates
g. Anchor Construction —North Elkhart
h. City of Elkhart —Arlington Area Improvements
L Elkhart County Commissioners — Demo Old US 20
j. City of Elkhart — Fifth St Water & Sewer Extension
k. UMH — Parke Place I
I. GRV —Ship Lot Improvements
m. Nuway Construction — Kopf RV Storage
n. KZRV — Parking Lot Expansion
o. Nuway Construction — Grand Design Plant 11
p. Nuway Construction — Grand Design FIR Building
2. Public Works Project Currently in Progress
a. Elkhart County Commissioners — Landfill Piggyback 1 & 2
b. Nuway Construction — Goshen City Parks (Sub)
c. City of Mishawaka — 209-211 E. Mishawaka Ave Demolition
d. Elkhart County Commissioners — CR38 -35 to SR 13
e. City of Elkhart — Oakland Ave
f. Robert Henry Corporation — Battell Park Veterans Walk (Sub)
g. John Boettcher Sewer & Excavating — City of Mishawka's West Street (Sub)
h. Town of Middlebury— CR 20 SR 13 Project
3. No failure to complete work awarded to us
4. References attached.
C & E Excavating, Inc.
53767 CR 9
Elkhart, IN 46514
Office (574) 262-4346 Fax (574) 262-9251
HARMAN CONSTRUCTION, INC.
1633 Rogers Road • Fort Worth, Texas 76107
(817) 336-5780 • Fax (817) 336-5797
www.harmanconstructioninc.net
March 8, 2019
Mr. Jeff Bonadies
C & E Excavating, Inc.
53767 CR9
Elkhart, IN 46514
RE: Love's #729
Elkhart, IN
Dear Jeff,
I wanted to take a moment to thank you and C & E Excavating for the excellent job
performance on the referenced project.
Leon Smith and I enjoyed working with you and all of your employees. Your attention
to detail and schedule were much appreciated. It is a pleasure to work with quality
contractors and I hope we can work together on another project soon.
Feel free to use me as a reference.
Sincerely,
��/f; 4, <
Harman Construction, Inc.
Bill Wilson
Project Manager
Office: (817)336-5780 Ext. 314
Cell: (817)366-5184
bil1@)harmanconstructioninc.net
4PRJorr ES PEME RAFINSK! Surveying • Engineering -Planning -Architecture -Utility Management
your one single source GiS • Environmental • Rene,.vable Energy . LandscapeAlchftecture
May 10, 2018
RE: LETTER OF RECOMMENDATION FOR C&E EXCAVATING, INC. ELKHART, INDIANA
To Whom It May Concern:
After having personally served as consultant project engineer for the City of Elkhart Building Code and
Enforcement Department for the planning, designing, bidding, awarding, and construction inspection of the
612 S. Main Street Demolition Project, I am compelled to give recommendation for C&E Excavating
regarding their successful completion of the project.
I personally observed that C&E Excavating used very highly commendable expertise in planning and
selecting the equipment for the demolition, as well as very skillfully operating that equipment in a safe and
effective way. The demolition work was extremely complicated and sensitive, due to not only the existing
condition of the building debris following the fire at the building, requiring extremely careful demolition and
backfill operations, but also due to the concerns involving the existing adjacent buildings to remain protected
against damage from the demolition and backfill work. Also, this project had undergone very long and
frustrating delay due to discussions between the City and adjacent property owners and their
representatives, as well as negotiations with another demolition contractor who eventually became
unresponsive and dropped out of the project which had to be re -bid.
Being a local contractor in Elkhart with the expertise and resources C&E Excavating can provide, including
but not limited to their ample crushed concrete stockpiling, C&E Excavating has proven themselves to be
a top-notch, go -to contractor for demolition as well as other work, including complicated work, such the 612
S. Main Street Demolition Project.
The successful completion of the 612 S. Main Street Demolition Project has been a tremendous relief to
the City of Elkhart, during which C&E Excavating provided not only the technical expertise that has finally
resolved the demolition of the project in excellent fashion, but C&E Excavating also performed extremely
well in the sensitive & critical direct coordination with the adjacent property owners at the site during the
demolition work on behalf of the City of Elkhart.
It is my pleasure to provide this letter of recommendation for C&E Excavating, and I would gladly discuss
further on request, by office phone at (574) 232-4388.
ncerely,
t
Mark E. Wilson, P.E.
Senior Staff Engineer
G %2017 Ra edvQG17MW,2o1a.0& 10 Lefler d Remnm""Oon does
jpr1 source. com 200 Nibco Parkway 325 S Lafayette Blvd 108 W Columbia St
Suite 200 South Bend IN 46601 Fort Wayne IN 46802
Elkhart IN 46516 574,232.4388 260,422.2522
574.293.7762
ACCEPTANCE
The above bid is accepted this day of , subject to the
following conditions:
Contracting Authority Members:
PART II
(For projects of $150,000 or more — /C 36-1-12-4)
Governmental Unit: City of South Bend
Bidder (Firm) C & E Excavating, Inc.
Date (month, day, year):
7/10/23
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
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
Completion
Date
Name and Address of Owner
136,000.00
Demo
5/2022
City of Elkhart / Richmond St. Demo
1,338,303.27
Site/Utility
12/2022
City of Mishawaka / Niles Ave
1,602,696.44
Site/Utility
12/2022
City of Elkhart / River District Dr
35,100.00
Demo
5/2023
Elkhart County / Demo 30723 Old US20
2. What public works projects are now in process of construction by your organization?
Contract Amount
Class of Work
Expected
Completion
Date
Name and Address of Owner
5,463,316.18
Site/Utility
5/2023
City of Mishawaka / City Hall Campus
2,644,543.00
Sitework
5/2023
Elkhart County/Landfill Piggyback 1&2
1,373,135.00
Site/Utility
5/2023
City of Elkhart / Arlington Rd
548,490.00
Demo
6/2023
City of Mishawaka/209-211 Mish Ave Demo
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.
Power Construction Turner Construction
Homrich Inc. Harman Construction
Paric Construction W.A. Randolph Construction
DJ Construction Nuway Construction
Weiland-Davco Corporation Shiel-Sexton Construction
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.)
Work would begin within a reasonable time of the notice of award and within 5 days of
the notice to proceed. Work would be completed within time frame as stated in specifications.
We currently employ 35 field staff and operate a total of 5 crews in addition to subcontract labor
if necessary. A fully detailed schedule will be provided at pre -construction meeting.
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.
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.
List provided upon award of project.
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.
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.
Bidded projects are quoted by several suppliers and all quotes are used in preparation
of the bid, however, the low, most responsive quote is the one used to prepare the
final numbers.
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 8am
this 10th day of July 2023
C&E Excavating, Inc.
(Name
By_
Thad Bessinger, President
(Title of Person Signing)
ACKNOWLEDGEMENT
STATE OF Indiana
ss
COUNTY OF Elkhart )
Before me, a Notary Public, personally appeared the above -named
Thad Bessinger and
swore that the statements contained in the foregoing document are true and correct.
Subscribed and sworn to before me this 10th day of July 1 2023
My Commission Expires: 2/20/25
County of Residence: Elkhart
CRISTOL MELODY VALDEZ
�,Rr*'p'++.,�
.+a►'.�••@�%_
Notary Public. State of Indiana
v n-
;;SEAL•, 5
Elkhart County
r
Commissiank696906
My Commisslon Expires
F9bruBrY 20. 2025
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 thAAA V--A )
1'^, ) SS:
lt[44 i COUNTY )
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury
that:
1. Contractor has not, nor has any other member, representative, or agent of the firm, company,
corporation or partnership represented by him, entered into any combination, collusion or agreement with
any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding
nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and
without any agreement, understanding or combination with any other person in reference to such bidding.
Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or
indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and
2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals
are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from
participation in this transaction by any Federal department or agency; and
3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in
investment activities in Iran.
a. For purposes of this Certification, "Iran" means the government of Iran and any agency
or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as
amended from time -to -time.
b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor
is engaged in investment activities in Iran if either:
i. Contractor, its successor or its affiliate, provides goods or services of twenty
million dollars ($20,000,000) or more in value in the energy sector of Iran;
or
ii. Contractor, its successor or its affiliate, is a financial institution that extends
twenty million dollars ($20,000,000) or more in credit to another person for
forty-five (45) days or more, if that person will (i) use the credit to provides
goods and services in the energy sector in Iran; and (ii) at the time the
financial institution extends credit, is a person identified on list published by
the Indiana Department of Administration.
4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any
employee or contract with a person that the Contractor subsequently learns is an unauthorized alien.
Version 09/29/2021 Contractors 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 leams is an unauthorized alien,
and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees
to maintain this certification throughout the term of the contract with the City of South Bend, and understands
that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision
no later than thirty (30) days after being notified by the City.
6. Persons, firms, partnerships, corporations, associations, or joint venturers awarded a contract by the
City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee
or applicant for employment in the performance of a City contract with respect to hire, tenure, terms,
conditions, or privileges of contract or employment, or any matter directly or indirectly related to contracting
or employment because of race, sex, religion, color, national origin, ancestry, gender expression, gender
identity, sexual orientation, or due to age or disability that does not affect that person's ability to perform the
work.
In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any
combination of the foregoing including, but not limited to, public works contracts awarded under public
bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards,
or commissions will consider the Contractor's good faith efforts to obtain participation by those
subcontractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business
Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder.
Contractors seeking the award of a City contract cannot be required to award a subcontract to an MWBE;
however, they may not unlawfully discriminate against said MBE/WBE. On goal -eligible contracts,
Contractors are required to either meet both MBE and WBE utilization goals or demonstrate that the
Contractor has made good faith efforts to obtain participation from MBE and WBE subcontractors. A finding
of noncompliance or a discriminatory practice shall prohibit that Contractor from being awarded a City
contract for a period of one (1) year from the date of such determination, and such determination may also
be grounds for terminating the contact to which the discriminatory practice or noncompliance pertains.
7. The undersigned Contractor agrees that the following nondiscrimination commitment shall be made
a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its
agencies, boards or commissions.
Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the
performance of this contract with privileges of employment, or any matter directly or indirectly related to
employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation,
handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of
contract.
I, the undersigned bidder or agent as contractor on a public works project, understand my statutory
obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby
certify that I and all subcontractors employed by me for this project will use steel products or foundry
products made in the United States on this project if awarded. I understand I have an affirmative duty to
notify the City in my bid that my proposal does not include the use of steel products or foundry products
made in the United States. I understand it is my sole obligation and responsibility to provide a justification
to the City, subject to review and approval, why the cost of United States made steel or foundry products is
unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry
products made in the United States, the City, through its director of public works, shall make a determination
if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder
Version 09/29/2021 Contractors Bid for Public Works - 5
may result in forfeiture of contractual payments.
I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid
for public works are true and correct.
Dated this IU"- day of 2023 ,
CI L t--XC&j6-h Kr I rc .
Contractor/B' (Firm)
Sign ure of Contractor/Bidder or Its Agent
fS! �rc�r dam'
Printed Name and Title
Subscribed and sworn to before me this �V _ y of C L , 2023
My Commission Expires ZD 2
Notary Public
County of Residence 13 UYAY+
�a"Y r CRISTOL MELODY VALDEZ
bEAR... �p`'.� Notary Public, State of Indiana
'o' Elkhart County
=z SEAL;" Commission # 696906
,� , .. •y,1�: My Commission 5
'n,Mp ��`'�•� February 2 0 2025
Version 09/29/2021 Contractors Bid for Public Works - 6
'TH
1
BID/PROPOSAL
CITY OF SOUTH BEND
Project Name: Pure Green Farms Site Improvements
Project Number: 121-056
For Bids Due: July 11, 2023 @ 9:00 A.M. [local time]
Contractor Name: C&E Excavating, Inc.
Item Description Quantity Unit Unit Price Total Amount
No.
1 Construction Engineering 1 LS $10,418.50 $10,418.50
2 Mobilization / Demobilization 1 LS $16,500.00 $16,500.00
3 Temporary Erosion Control 1 LS $1,150.00 $1,150.00
4 Remove Asphalt Pavement 670 SY $7.00 $4,690,00
5 Remove Stone 565 CY $10.00 $5,650.00
6 Remove Concrete Curb & Gutter 85 LF $11.00 $935.00
7 Remove Modular Retaining Wall 45 LF $9,00 $405.00
8 Remove Sign 2 EA $215.00 $430.00
9 Remove Water Line 405 LF $10.00 $4,050.00
11 1 1/2" HMA Surface 575 TN $137.00 $78,775.00
12 HMA Intermediate 305 TN $150.00 $45,750.00
13 4" Compacted Aggregate #73 or #53 160 TN $31.50 $5,040.00
14 6" Compacted Aggregate #73 or #53 205 TN $31.50 $6,457.50
15 6" Compacted Aggregate #2 445 TN $23.00 $10,235.00
16 8" Concrete Approach 160 SY $93.50 $14,960.00
17 6" Vertical Curb 200 LF $59.00 $11.800.00
18 Concrete Gutter 85 LF $64.00 $5,440.00
19 Concrete Parking Bumper 36 EA $157.00 $5,652M
20 Curb Face Walk 70 SY $197.00 $13,790.00
21 4" Concrete Sidewalk 35 SY $127.00 $4,445.00
22 Curb Ramp Type "IV' 4 SY $331.00 $1,324.00
23 Curb Ramp Type "V' 4 SY $331.00 $1,324.00
24 Detectable Traffic Warning 1 EA $500.00 $500.00
25 Pavement Marking — 4" Yellow 1,060 LF $0.50 $530.00
Waterborne Paint
26 Handicap Pavement Marking - 4" Blue 70 LF $0.50 $35.00
Waterborne Paint
27 Handicap Symbol 2 EA $1s.00 $30.00
28 8" Water Line 20 LF $145.00 $2,900.00
Version 09/29/2021 Contractors Bid for Public Works - 7
Relocated Hydrant Type "V"
1
EA
$5,000,00
$5,000.00
29
30
Brandywine Red Maple
12
EA
$725.00
$8,700.00
31
Coral Burst Crabapple
5
EA
$610.00
$3,050.00
32
Ivory Silk Tree Lilac
13
EA
$745.00
$9,685.00
33
Hetz Midget Arborvitae
42
EA
$94.00
$3,sae.00
34
Neon Flash Spirea
36
EA
$94.00
$3,384.00
35
Hardwood Mulch
11
CY
$233.00
$2,563.00
36
River Rock Mulch
65
SY
$28.00
$1,820.00
37
Trench Edge
665
LF
$4.00
$2,660.00
Metal Edge
10
LF
$110.00
$1,100.00
38
39
Hydroseeding
5,110
SY
$2.50
$12,775.00
40
Common Excavation
1
LS
$40,900.00
$4o,soo.00
41
Allowance
1
LS
$30,000.00
$30,000.00
BASE BID TOTAL:
$378,801.00
Bidder (Firm): C&E Excavating, Inc.
Address: 53767 CR 9
City/State/Zip: Elkhart, IN 46514 Telephone Number: ( 574 ) 262-4346
BY
(Signature)
Thad Bessinger
(Printed Name of Person Signing)
Version 09/29/2021 Contractors Bid for Public Works - 8
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE-1.0
MBE UTILIZATION PLAN
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving) MBE participation. It is
the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications.
Project Number:
Bidder:
121-066
Project Name: Pure Green Farms Site Improvements
Total Bid Amount: 3
��
MBE Goal: 2.7%
Page of
Name &Address of MBE
Primary Contact Person
(Name/Telephone)
Scope of Work to be Performed
(Attach scope/schedule if you need additional space)
Dollar Amount of MBE
Component
Percentage
of Total
Bid/Proposal
'[+j'•�z.r�J��,�y- E//�r�'�fsl,•�,
f"'+u...�r.+sf Flo^��,.,�
-'(r��tcr'� � i-l�.�l�;�.
J
Sohn dL^3 IN tf(d�t�
� -f+t i� �" J►wi (.G.�� ^�
�t`-�h.t 3 M�` G�(� I f �fY
-fr ,• . /� f� 'C- �^� I
P r� � �
q 6 �
d a 14k /A 1_4I4/
Submitted by:
Print Name Signature Date
Version 09/29/2021 Contractor's Bid for Public Works - 9
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN .
FORM WBE-1.0
WBE UTILIZATION PLAN
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving WBE participation. It is
the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications.
Project Number: 121-056 Project Name: Pure Green Farms Site Improvements
Bidder: f Total Bid Amount: WBE Goal: 5.1%
Page of
Primary Contact Person Scope of Work to be Performed Dollar Amount of WBE Percentage
Name & Address of WBE (Name/Telephone) (Attach scope/schedule if you need additional space) Component of Total
Bid/Proposal
It�� fo-� '9'It �G����Cc-Pt. �-Ii�S� {vt�� O(.cy�¢c„!r � • CJ
see L�1 i,
w; A`
4 d,Z-
Submitted by: J � -Y'�-� � / ✓2,3
Print Name Signature Date
Version 09/29/2021 Contractor's Bid for Public Works - 10
CITY OF SOUTH BEND
�I
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE-2.0 :z
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:
121-056
Date: � a
Project Name: Pure Green Farms Site Improvements
Bidder: -j" iz
Contact Person: Telephone:.57�
Address: S37G 7 99
City: State: /V Zip: 46
Email: 5 bon
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: htt ://wwW.in. ovfidoa/.
GOOD FAITH EFFORTS TO OBTAIN MBE PARTICIPATION
The bidder shall initial each item below, as evidence of its good faith efforts to obtain MBE participation
in the awarded contract.
I affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise
Inclusion Program Plan and the Indiana Department of Administration's certified list of
�! Indiana Minority and Women Business Enterprises, found on their website
htt ://www.in. ov/idoa .
1 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.
1 affirm that I attended all pre -bid meetings scheduled by the City of South Bend to inform
(� MBEs of contracting and subcontracting opportunities.
I affirm that I advertised in general circulation and/or trade association publications
concerning subcontract opportunities and allowed MBEs reasonable time to respond to
such advertisements.
I affirm that I performed any and all necessary steps to provide written notices in a manner
reasonably calculated to inform MBEs of subcontracting opportunities and allowed
sufficient time for MBEs to participate effectively.
1 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
�b 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,
J lines of credit, or insurance as required by the City or the bidder, where appropriate.
Version 09/29/2021 Contractors Bid for Public Works - 11
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN _
FORM MBE-2.0;'."
EVIDENCE OF GOOD FAITH EFFORTS
I affirm that I have made good faith efforts to assist interested MBEs in obtaining necessary
J t� equipment, supplies, materials, or related assistances or services, where appropriate.
I affirm that I did not reject any MBEs as unqualified without sound business reasons based
on a thorough investigation of their capabilities.
CONTRACT RECORDS: The bidder has maintained the following records for each MBE that has bid on
the subcontracting opportunity:
1. Name, address, and telephone number;
2. A description of information provided by the bidder or subcontractor; and
3. A statement of whether an agreement was reached, and if not, why not, including any reasons for
concluding that the MBE was unqualified to perform the job.
*Proper demonstration of Good Faith Efforts requires your initials next to all of the above boxes. Any
omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of
South Bend reserves the right to request additional information.
Version 09/29/2021 Contractor's Bid for Public Works - 12
CITY OF SOUTH BEND '
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM WBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
This completed form should be included as part of the Bids documents related to City of South Bend Public
Works Projects requiring Good Faith Efforts to obtain MWBE participation. 22
Project Number: 121-056 Date:
Project Name: Pure Green Farms Site Improvements
Bidder: G +- 6
Contact Person: v • >b ` Telephone:
Address: S' 3 74.7 Lk q
City: State: j Zip:
Email: ; f
To determine whether a bidder has demonstrated good faith efforts to reach the WB 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
WISE LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business Enterprise
Inclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the Indiana Department
of Administration list of Minority and Women Owned Businesses (both certified and non -certified) found
at: htt ://www. in. ov/ldoat.
GOOD FAITH EFFORTS TO OBTAIN WBE PARTICIPATION
The bidder shall initial each item below, as evidence of its good faith efforts to obtain WBE participation
in the awarded contract.
I affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise
Inclusion Program Plan and the Indiana Department of Administration's certified list of
Indiana Minority and Women Business Enterprises, found on their website
htt:JJwww.in. ovJidoa .
I affirm that I have made good faith efforts to select portions of the contract work to be
J g performed by WBEs, including, where appropriate, breaking out contract work items into
economically feasible units to facilitate WBE participation.
I affirm that I have made good faith efforts to solicit through all reasonable and available
J means the interest of all WBEs in the scopes of work of the contract.
I affirm that I attended all pre -bid meetings scheduled by the City of South Bend to inform
WBEs of contracting and subcontracting opportunities.
I affirm that I advertised in general circulation and/or trade association publications
concerning subcontract opportunities and allowed WBEs reasonable time to respond to
such advertisements.
I affirm that I performed any and all necessary steps to provide written notices in a manner
`3 t3 reasonably calculated to inform WBEs of subcontracting opportunities and allowed
sufficient time for WBEs to participate effectively.
1 affirm that I followed up on initial solicitations with interested WBEs.
I affirm that I negotiated with interested WBEs in good faith, including providing such WBEs
with adequate information about the plans, specifications and other requirements of the
subcontract.
I affirm that I have made good faith efforts to assist interested WBEs in obtaining bonding,
lines of credit, or insurance as required by the City or the bidder, where appropriate.
Version 09/29/2021 Contractor's Bid for Public Works - 13
CITY OF SOUTH BEND !
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM WBE-2.0 r
EVIDENCE OF GOOD FAITH EFFORTS
I affirm that I have made good faith efforts to assist interested WBEs in obtaining
-(7 necessary equipment, supplies, materials, or related assistances or services, where
appropriate.
_ I I affirm that I did not reject any WBEs as unqualified without sound business reasons
based on a thorough investigation of their capabilities.
CONTRACT RECORDS: The bidder has maintained the following records for each WBE that has bid on
the subcontracting opportunity:
1. Name, address, and telephone number,
2. A description of information provided by the bidder or subcontractor; and
3. A statement of whether an agreement was reached, and if not, why not, including any reasons for
concluding that the MWBE was unqualified to perform the job.
'Proper demonstration of Good Faith Efforts requires your initials next to all of the above boxes. Any
omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of
South Bend reserves the right to request additional information.
Version 09/29/2021 Contractor's Bid for Public Works - 14
G
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 OF
Project Number:
121-056
MBE Participation Goal 2.7%
Project Name: Pure Green Farms Site Improvements
Bidder:
(Signatu (Title) (Date)
MBE Firm S 4t
Owner or Contact at MBE Firm j t iNl c I. r, f ►.t-
Telephone: 7, 7g Fax: 5 4J/ Email: S 40-,4t_
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE FIRM:
MBE Firm �e,,11 I',ge-
Owner or Contact at MBE Firm
Telephone: }7q_y7l - 1 Fax: y7�/-Z7dl- �3u Email: kp-, c =,P� �11.-W Yrc • Gy,-�..
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE FIRM:
Version 09/29/2021 Contractors Bid for Public Works - 15
CITY OF SOUTH BEND r r.
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN 4t
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 OF
Project Number:
121-056
WBE Participation Goal 5.1 %
Project Name: Pure Green Farms Site Improvements
Bidder: G -r-[= C I
(Signature) (Title) (Date)
WBE Firm
Owner or Contact at WBE Firm
Telephone: 5��-�}3-_S317 Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
fr
RESULTS OF CONTACT WITH THE WBE FIRM:
`t) _1 1)1 / / V�J
+ k
� r 1
WBE Firm
Owner or Contact at WBE Firm
Telephone: 7y- 7Z� - 3/04 Fax: ,7q- 7d a - �9 y 3 Email: j D w C 1,. �fe. 1. c•e
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE WBE FIRM:
12'e-c"t-ed—v
Version 09/29/2021 Contractors Bid for Public Works - 16
/EMCInsurance Companies Document A310 - 2010
Bid Bond
CONTRACTOR: SURETY:
(Name, legal status and address) (Name, legal status and principal place
C & E Excavating, Inc. of business)
53767 County Road 9 N Employers Mutual Casualty Company This document has important legal
Elkhart, IN 46514 P.O. BOX 712 consequences. Consultation with an attorney is
OWNER: encouraged with respect to its completion or
• Des Moines, IA 50306-0712 modification.
City O,flSouthSendndaddress)
Any singular reference to Contractor, Surety,
227 W Jefferson Blvd owner or other party shall be considered plural
South Bend, IN 46601 where applicable.
BOND AMOUNT:
5% Five Percent of Amount Bid
PROJECT:
(Name, location or address, and Project number, if any)
Pure Green Farms Site Improvements PN: 121-056
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 Conbactor
within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and
Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid,
and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the
jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for
the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the difference,
not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the
Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall
be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement
between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the
Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids
specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond
sixty (60) days.
If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be
deemed to be Subcontractor and the term Owner shall be deemed to be Contractor.
When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project,
any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and
provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so
furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond.
Signed and sealed this 11th day of July, 2023
C & E Excavatin , c.
(Prin ipal) (Seal)
By:
(Title)
_ Employers Mutual Casualty Company
(Surety) y' .;qs ,
(Witness) David J. Roth
(Title) Tracie House Attorney-ihTV
�, �•rn,r;Es.�
Init. 061110
This document conforms to the wording and provisions of the AIA A310-2010 bond form.
ArEMC
P.O. Box 712 • Des Moines, Iowa 50306-0712 INSURANCE
CERTIFICATE OF AUTHORITY INDIVIDUAL ATTORNEY -IN -FACT
KNOW ALL MEN BY THESE PRESENTS, that:
1. Employers Mutual Casualty Company, an Iowa Corporation
2. EMCASCO Insurance Company, an Iowa Corporation
3. Union Insurance Company of Providence, an Iowa Corporation
4, Illinois EMCASCO Insurance Company, an Iowa Corporation
5. Dakota Fire Insurance Company, a North Dakota Corporation
6. EMC Property & Casualty Company, an Iowa Corporation
hereinafter referred to severally as "Company" and collectively as "Companies', each does, by these presents, make, constitute and appoint:
Tracie House
its true and lawful attomey-in-fact, with full power and authority conferred to sign, seal, and execute the following Surety Bond:
Surety Bond Number: Bid Bond
Principal : C & E Excavating, Inc.
Obligee : City Of South Bend
and to bind each Company thereby as fully and to the same extent as if such instruments were signed by the duly authorized officers of each such Company, and all
of the acts of Said attorney pursuant to the authority hereby given are hereby ratifiEid and confirmed.
AUTHORITY FOR POWER OF ATTORNEY
This Power-o I -Attorney is made and executed pursuant to and by the authority of the following resolution of the Boards of Directors of each of the Companies at the
first regularly scheduled meeting of each company duly called and held in 1399:
RESOLVED: The President and Chief Executive Officer, any Vice President, the Treasurer and the Secretary of Employers Mutual Casualty Company shall have
power and authority to it j appoint allomeys•in-fact and authorize them to execute on behalf of each Company and attach the seal of the Company thereto, bonds
and undertakings, recognizances, oontracts of indemnity and other writings obligatory in the nature thereof; and (2) to remove any such attorneyIn-fact at any time
and revoke the power and authority given to him or her. Attorneys -in -fact shall have power and authority, subject to the terms and limitations of the power-of-afomey
issued to them. to execute and deliver on behalf of the Company, and to attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of
indemnity and other writings obligatory in the nature thereof, and any such instrument executed by any such attorney -in -fact shalt be fully and in al[ respects binding upon
the Company. Certification as to the validity of any power•of•attomey authorized herein made by an officer of Employers Mutual Casualty Company shall be fully and in all
respects binding upon this Company. The facsimile or mechanically reproduced signature of such officer, whether made heretofore or hereafter, wherever appearing upon
a certified copy of any power -of -attorney of the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed.
IN WITNESS THEREOF, the Companies have caused these presents to be signed for each by their officers as shown, and the Corporate seals to be hereto affixed this
1911 day of September, 2022.
Seals �• u T
colt R. Jean, r sident & CEO Todd Strother, Executive Vice President
o ;'' •., tirA aa;; ., ; 'a+t .... of Company I C airman, President Chief Legal Off ioer & Secretary of
c : dr0 • s a : *;p '• ;'o t °"+era K CEO of Co ames 2, 3, 4, 5 & 6 Companies 1, 2, 3, 4, 5 & 6
oh- SEAL - _ 1863 ; 19536 `s?
Sg
a SEAL_, SEAL -D
KATHY LOVEAIDGE
�[4bnrrr*W Nurndr 7de764
On this 19" day of September, 2022 before me a Notary Pubtic in and for the State of Iowa,
personally appeared Scott R. ,lean and Todd Strofher, who, being by me duly sworn, did
say that they are. and are known io me to be the CEO, Chairman, President, Executive Vice
President, Chief Legal Officer andfor Secretary, respectively, of each of the Companies
above, that the seals affixed to this inslrument are the seals of said corporations; that said
inslrument was signed and sealed on behalf of each of the Companies by authority of their
respective Boards of Directors: and that the said Scott R. Jean and Todd Sirother, as such
officers, acknowledged the execution of said instrument to be their vol umary act and deed,
and the voluntary act and deed of each of the Companies.
My Commission Expires October 10, 2025.
"Iwylic in and for the State Iowa
CERTIFICATE
I, Ryan J. Springer, Vice President of the Companies, do hereby certify that the foregoing resolution of the Boards of Directors by each of the Companies, and
this Power of Attorney issued pursuant thereto on 19t1 day of September, 2022, are true and correct and are still in full force and effect.
In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this 11th day of July 2023
Vice President
7853 (9-22) 0000000-NA 00000 000 SSS 000000 " r•or venncation or me aumenncny or we rower ul huonroy yvu -ay can k-1) o+r-,—
Subcontractor
Address
Phone
Type of Work
A-1 Striping Service Inc.
56825 Spirea Road New Carlisle, IN 46552
574-654-8626
Thermoplastic Striping
A & G Environmental Solutions LLC
12191 N Woodland Acres Dr, Syracuse, IN 46567
574-780-7402
Asbestos Inspection/Abatement
A & R Wastewater Management
3611 Cassopolis St. Elkhart, IN 46514
574-674-5779
Jetting/Camera
A. G. Sports Services, LLC
2498 Cobb Rd, Jackson, MI 49203
517-214-9307
Sports Equip
Abonmarche Consultants
750 Uncolnway East, South Bend, IN 46601
574-232-8700
Consultants
All American Tracks Corporation
8105 Leavitt Rd. Amherst, OH 44001
440-986-8729
Sports Equip
All Terrain Construction
66803 Conrad Rd. Edwardsbur& MI 49112
574-274-9238
Small Concrete
Anchor Concrete & Construction, Inc.
116 Alfred St., Elkhart, IN 46516
574-370-6552
Small Concrete
Asphalt Restoration Services
P.O. Box 2484, South Bend, IN 46680
574-247-0800
Asphalt Patching
Badger Daylighting Corp
75 Remittance Dr. Chicago, IL 60675-3185
877-322-3437
Vac Work/Locating
Bail Asphalt, LLC
2605 Detroit Road Niles, MI 49120
574-596-7126
Asphalt
Bertsch Frank & Associates
811 Lawrence Or Ft. Wayne, IN 46804
260-459-9393
Consultants
Best Sweeping Specialist
632 S. Sixth Street, Goshen, IN 46526
574-534-8024
Sweeping
Blood Hound, Inc.
750 Patricks Place, Suite B, Brownsbur& IN 46112
888-858-9830
Locating.
Bob Frame Plumbing & Heating
2442 Jaclyn Ct. South Bend, IN 46614
574-291-7511
HVAC
Bontrager Excavating
59285 CR 33 Middlebury, IN 46540
574-825-3807
Trucking
Brooks Construction Company, Inc.
2711 Banks Ave Ft. -Wayne, IN 46899
260-432-8888
Concrete/Asphalt
Brite Electric
51285 Bittersweet Rd. Granger, IN 46530
574-272-2615
Electrical
Brusky Construction
70569 Elizabeth St. Niles, MI 49120
574-298-5417
Hauling
C & M Associates, LLC
P.O. Box 1889, Brighton, MI 48116
810-220-5335
Sports Equip
CES, LLC
18038 Belgium St., Leopold, IN 47551 T
618-214-0212
GPS Model
Charlie's Lawn Service Inc.
P.O. Box 132 Granger, IN 46530
269-663-5115
Landscaping
Chupp Plumbing & Heating
23409 US 33 E, Elkhart, IN 46517
574-875-5243
HVAC
Conco Spray Solutions
P.O. Box 36726, Indianapolis, IN 46236
317-428-6543
Manhole Lining
Concrete Cutting & Breaking
4500 Airwest Dr. Grand Raplds, MI 49512
616-554-4876
Concrete Removal
Concrete Sawing & Coring, LLC
P.O. Box 907, Niles, MI 49120
574-272-2673
Concrete Removal
Condon Trucking
18245 Amberley Ave South Bend, IN 46637
574-271-8984
Hauling
CT Electrical Services, Inc.
2535 Said -la Rd. Kalamazoo, MI 49001 269-342-5016
1730 Dodd Rd. Niles, MI 49120 269-683-2892
1811 N. Clover Rd. Mishawaka, IN 46545 574-968-2028
9150 96th Ave, Zeeland, MI 49464 616-875-7580
552 S. 8th St. Kalamazoo, MI 49009 269-544-1455
7770 West New York St. Indianapolis, IN 46214 574-233-6820
Electrical
Custom Fence Co
Fencing
DBL Services Inc.
Striping/Landscaping
Dewind Dewatering
Dewatering
Driesenga & Associates, Inc.
Consultants
Earth Exploration
Radar Imaging
Fuerbringer Landscaping
22530 Brick Road South Bend, IN 46628
574-271-9714
Landscaping
Geissinger Trucking, LLC
10399 Shively Rd. Nappanee, IN 46550
574-633-4720
Hauling
Grand River Construction Inc.
5025 40th Ave Hudsonville, MI 49426
616-669-5611..
Sheeting
Hawk Enterprises Inc.
1850 E. North St. Crown Point, IN 46307
219-662-8090
Electrical
Hunter Transit, LLC
12111 SR 17, Plymouth, IN 46563
f 574-936-9217
Directional Drilling
HydroSeed Inc.
1320 3rd St., Osceola, IN 46561
800-468-5296
Landscaping
Jettline Electric, Inc.
60388 CR 101 Elkhart, IN 46517
574-320-0985
Electrical
JL Milling, Inc.
15262 Industrial Dr Schoolcraft, MI 49087
269-679-5769
Asphalt
John Boettcher Sewer & Excavating
3305 N. Home St. Mishawaka, IN 46545
574-259-1418
Trucking
Jones Petrie Rafinski
200 NIBCO Parkway Elkhart, IN 46516
574-293-7762
Consultants
J & J Contracting, LLC
573 Shoreview Park Rd., Shoreview, MN 55126
651-379-2791
Abate Contractor
K.C. Tree, Inc.
1320 3rd St., Osceola, IN 46561
S74-674-77221
Clearing
Klink Trucking
P.O. Box 428 Ashley, IN 46705
574-287-9000
Trucking
Landmark/Solliday Landscaping
10882 McKinley Hwy Osceola, IN 46561
574-674-8196
Landscaping
Lowe Construction
2535 Bader Road, Horton, MI 49246
517-529-9406
Case Boring
Martell Electric
P.O. Box 3865 South Bend, IN 46619
574-245-4640
Electrical
Martin & Associates Environmental
8135 Cox Drive, Ste 108, Portage, MI 49002
269-226-0707
Abatement Contractor
Michiana Contracting, Inc.
P.O. Box 929 Plymouth, IN 46563
574-936-8613
Electrical
Michiana Tree Works, Inc.
15596 CR 26, Middlebury, IN 46540
574 533-5651
Tree Removal
Mike's Fencing
68021 SR 19N Nappanee, IN 46550
574-862-2006
Fencing
Milestone Contractors North, Inc.
1700 E Main St. Griffith, IN 46319
317-616-4876
Asphalt
Milestone Fence LLC
13399 McKinley Hwy, Mishawaka, IN 46545
574-259-3101
Fencing
N.I. Spanos Painting, Inc.
P.O. Box 10908, Merrillville, IN 46411
219-662-9092
Painting
Niblock Excavating, Inc.
P.O. Box 211 Bristol, IN 46507
574-848-4437
Asphalt
Northern Indiana Construction
P.O. Box 1333 Mishawaka, IN 46546
574-256-1811
Sheeting
Norway Septic, Inc.
53076 Old Farm Rd, Elkhart, IN 46514
574-206-1234
Septic Pumping
Peerless Midwest Inc.
55860 Russell Industrial Pkwy Mishawaka, IN 46545
574-254-9050
Plumbing,
Pemberton Davis Electric, Inc.
P.O. Box 1034, Mishawaka, IN 46546
574-277-7001
Electrical
Performance Paving
I P.O. Box 1552 Elkhart, IN 46514
574-327-2070
Asphalt
Phend & Brown
I P.O. Box 150, Milford, IN 46542
574-658-4166
Concrete/Asphalt
C E Excavating, Inc. Subcontractor Listing Prior 5 Years
Premium Concrete Services
712 Richmond St. Elkhart, IN 46516
574-264-01961
Concrete
R & C Fence, Inc.
3326 Engle Rd., Ft. Wayne, IN 46809
260-478-7667
Fencing
R & R Visual, Inc.
1828 W. Olson Rd, Rochester, IN 46975
574-224-5455
Consultants
Racquet Sports, Inc.
5850 Comstock Park Dr., Comstock, MI 49321
616-785-8003
Sports Equip
Rieth-Riley Construction Co., Inc.
P.O. Box 1775 South Bend, IN 46614
574-288-8321
Asphalt
_
S/T Bancroft
25020 SR 2 South Bend, IN 46619
574-968-2040
Electrical
Schrock Masonry & Insulation, LLC
6143 W 1300 N, Nappanee, IN 46550
800-896-5538
TuckPointing
Schumacher Brothers Inc. 152051
Falcon Chase Granger, IN 46530
574-274-2913
Concrete
Slusser's Green Thumb Inc.
_
P.O. Box 33 Logansport, IN 46947
219-326-8010
Landscaping
Specialtoes Company LLC
9350 E. 30th St., Indianapolis, IN 46229
317-594-0291
Surveying
Sports Edge
P.O. Box 837, Troutman, NC 28166
800-334-6057
Sports Equip
State Barricading, Inc.
P.O. Box 3751 South Bend, IN 46619
574-287-2078
Traffic Control
Taber's Pump & Well Service, Inc.
10100 Harrison Rd., Osceola, IN 46561
574-674-8746
Wells
Techsery Environmental Inc.
1911 Clover Rd Ste 10, Mishawaka, IN 46545
574-259-4022
Asbestos Inspections
The Airmarking Company, Inc.
1544 N SR 25 Rochester, IN 46975
574-223-5817
Striping
The Robert Henry Corporation
P.O. Box 1407, South Bend, IN 46624
574-232-2091
Concrete
Traffic Control Specialists, Inc.
1810 W. Pacific Ave, Knox, IN 46534
574-772-7001
Traffic Control _
Weaver Consultants Group
18203 Solution Center, Chicago, IL 60677
574-271-3447
Consultants
Wissco irrigation
1820 South Bend Ave, South Bend, IN 46637
574-273-66451
Landscaping
C E Excavating, Inc. Subcontractor Listing Prior 5 Years
BULLDOZERS
MISCELLANEOUS
HAULING TRUCKS
8104
JOHN DEERE 850 Bulldozer
7202
SK15 KAESER COMPRESSOR
8804
VOLVO DUMP TRUCK--Triaxle #4 DO
8106
JOHN DEERE 550 Bulldozer
8900
CHIEFTAIN 1400 SCREEN PLANT BENDDC
8812
KENWORTH T800 #12
8107
2006 CAT D5G LGP Bulldozer
8901
M100 Chieftan Stacker
8813N
INT'L UTILITY--4400 SERVICE TRUCK DO DAN
8110
2015 JOHN DEERE 700K XLT
8905
KUBOTA L2900 Tractor
8824
Concrete Pumper Truck #24
8113
2016 JOHN DEERE 750K DOZER
8909
INGERSOL 185CFM Compressor
8825
86 AM GEN WATER TRUCK #25 DO
8115
2019 KOMATSU D51PXi-24 w To con
8912
X 60 Generator
8837
05 INT 7000 5 CY DUMP #37 DO
8116
2021 JD 7001L LGP SMARTGRADE
8917
TARGET -FLOOR SAW
8839
2018 WESTERN STAR 4700 QUAD DUMP
8117
2022 JD 7001E Dozer
8918
SCISSOR LIFT
8840
19134 AM GENERAL WATER TRUCK
LOADERS
8926
Thompson 6" Dewatering Pump
8844
2007 PETERBILT 5 YD DUMP
8411 1
VOLVO L90F Loader
8929
Small Tools - Plate Compactors - Saws
8846
2007 PETERBILT 5 YD DUMP
8413
JOHN DEER 1524K Loader
8930
Digging Boxes - Sheeting - Shoring
8848
2019 VOLVO QUAD DUMP
8414
JD 544II LOADER (Pipe)
8931
Misc Dewatering Equipment
8855
2006 FREIGHTLINER MECHANICS TRUCK
8415
VOLVO L250G (Bendix)
8933
HATZ Thompson Quiet Pump
8858
567 Peterbilt 2023 Semi
8416
JO 644K Hybrid
8934
BOBCAT Light Plant
PICKUPS
8417
VOLVO L150H
8935
VERMEER Hydraulic Power Pack
8805N
FORD 350 -- 5th CREW DO AD
8418
2015 KOMATSU WA500-7
8940
M100 Stacker
8806
FORD 550--ALLEN 6th Crew DO
8419
JOHN DEERE 544P
8942
WATER WAGON
8815N
2013 F350 Jason Minne
8420
KOMATSU VVA-500-8
8953
NPKH 108XB HAMMER
8816
FORD -- DO Josh Turnbow
8421
VOLVO L250
8954
2014 TRAMAC HAMMER
8827
FORD F450 4x4-- DO
BOBCATS
8955
BOBCAT 250 PORTABLE WELDER
8831
F550 DO Dump Bed
8922N
Bobcat 650
8956
PZ27 STELLE SHEETING
8834
FORD F3SD JEFF
8958
08 TAKEUCHII TL140C SKID STEER
8957
HP-51 VIB PLATE COMPACTOR 60G
8835
2015 Ford 550 SC Bender's New Truck
8968
JOHN DEERE: 333G SKID STEER
8959
TRAMAC CONCRETE PULVERIZER
8836
FORD F550 SUPERCAB Matt Beck
8970
JD 333G SKID STEER
8960
MONROE SALT SPREADER
8842
2018 FORD F550 CREW CAB
8750
CASE TV620B
8961
Bobcat Quick Mill Cold Planer 24" Model CP24
8845
2019 FORD F550 CREW CAB ODD
EXCAVATORS
8962
KOHLER HDI5000K GENERATOR
8847
2013 CHEVY TAHOE - JEN
8313
VOLVO 360 (Excavator
8964
NPK 06 HAMMER
8849
2019 JOSH W F550
8317
HITACHI 3510 HD Excavator
8965
NPK GH-10 HAMMER
8850
201.9 FORD F550 FLATBED COR
8318
KOMATSU PC 228
8967
JD SALT SPREADER
8851
2019 FORD F350 - BRYAN
8319
JD 60G MIN[ EXCAVATOR
8974
ALLMAND NIGHT LIGHT PRO
8852
2003 FORD F450 SUPER DUTY White flatbed
8320
JD 350G EXCAVATOR
8975
BOBCAT DAYLIGHT 6KW
8853
201.5 TOYOTA TRUNDRA TRUCK (ADAM
8322
JD 60G MIN[ EXCAVATOR
8976
ALLMAND NIGHT LIGHT PRO
8856
FORD F550 SD W/ DUMP BED
8322PC
HYDRAULIC PLATE COMPACTOR
8991
NPK GH12 HAMMER
8857
2022 FORD F550 RECYCLE
8323
JD 135G Excavator
8996
NPK HOE COMPACTOR
8859
FORD F150 XL Red JEFF - Red
8324
JD 470G Excavator
8997
jmph200 PROCESSOR?
8860
FORD F150 XL Red (ADAM) - Red
8325
JD 50G Mini Excavator
7201
SEFAC 15K HOISTS
8861
FORD F550 SUPER DUTY DRW - Red
8326
JD 350G EXCAVATOR
8330PC
HOE PAC FOR THE 135G EXCAVATOR
8862
FORD F350 XLT - Jason Minne -Red
8327
JD 135G Excavator 2017
81-01
Telescopic Forklift
COMPACTORS
8328
JD 135G Excavator w/thumb
CRUSHING & SCREENING
8703
INGERSOL SD115 Compactor
8329
JD 60 Lona with Thumb 2018
8650
2021 KEESTRACK R5 DESTROY IMPACT CRUSF
8704
INGERSOL SD70D Roller
8330
JD 135G Excavator 2018
8651
2021 BRILLIANT 50' STACKER
8707
DD30 ROLLER
8331
JD 350GLC [Excavator
8652
210OX PWRSCRN CHIEFTAIN 3 DECK WSHPLN7
8709
VOLVO SD115B Roller
8332
JD 350G Excavator
8653
2018 EDGE TS100-48 TRACKED CONVEYOR
8710
2019 HAMM 1-17i Roller
8333
.2016 HITATCHI ZX350 LC-6
8654
MCCLOSKEY MDC ST100V STACKER
8711
2017 HAMM H12i Roller
8334
2015 HITATCHI 2X350 LC-8
8655 MCCLOSKEY ST100 STACKER
8712
12019 Hamm H18i Roller
EQUIPMENT NUMBERS - REVISED 7/9/2023
EARTHMOVERS
ATTACHMENTS -SHOP ONLY
8713
2021 HAMM H7i
8501
JOHN DEERE 862 Scraper
8919
NI13BLER SHEAR Attachment
ADDITIONAL EQUIPMENT
8503N
Case 550 quadtrac
8920
CLAM Attachment
8409SB
SNOW BOX FOR 624 LOADER
8510
A40F - Volvo Off Road Truck
8921
CAT HAMMER MODEL 120 Attachment
8412SB
SNOW BOX OFR 180 LOADER
8511
9630 - JD Tactor
8924
BOBCAT Attachments
8965
HPX GATOR
8512
12112E - JD Bowl
8928
Buckets
8950
12012 JOHN DEERE XUV 855D GATOR
8513
2112E - JD Bowl
8938
FELCO Hoe Pac-220
8951
2007 JOHN DEERE XUV 850D DIESEL GATOR
8516
JD Disk Ripper 24`
8943
KENT Hoe Pac
8989
1 JD GATOR
8517
R-Tec NDK SCRAPER 28 CY
8944
MISKIN 20YD SCRAPER BOWL
8518
A40F - Volvo Off Road Truck
8944D
TACTOR DISK
8519
JD 460E OFF ROAD TRUCK
894$
MP 20 FOR 330EX
8601
JOHN DEERE 570 Grader
8949
MP 30 FOR 400 EX
8650
KEESTRACK R5 IMPACT CRUSHER
8966
JID 330 SPADE
8969
1 FELCO Hoe Pac 135
EQUIPMENT NUMBERS - REVISED 7/9/2023
C & E EXCAVATING, INC. & AFFILIATE
FINANCIAL REPORT
December 31, 2022 and 2021
INSIGHT
ACCOUNTING
GROUP
ACCOUNTANT'S COMPILATION REPORT
To Management
C & E Excavating, Inc. & Affiliate
Elkhart, IN
Management is responsible for the accompanying combined financial statements of C & E Excavating,
Inc. (an S corporation) & Affiliate, which comprise the combined balance sheets as of December 31, 2022
and 2021, and the related combined statements of income and retained earnings and cash flows for the
years then ended in accordance with accounting principles generally accepted in the United States of
America. We have performed the compilation engagement in accordance with Statements on Standards
for Accounting and Review Services promulgated by the Accounting and Review Services Committee of
the AICPA. We did not audit or review the combined financial statements nor were we required to
perform any procedures to verify the accuracy or completeness of the information provided by
management. We do not express an opinion, a conclusion, nor provide any assurance on these combined
financial statements.
Management has elected to omit substantially all the disclosures required by accounting principles
generally accepted in the United States of America. If the omitted disclosures were included in the
combined financial statements, they might influence the user's conclusions about the Company's
financial position, results of operations, and cash flows. Accordingly, the combined financial statements
are not designed for those who are not informed about such matters.
%dit Aeeac awf �60I ;V• el
Insight Accounting Group, P.C.
Mishawaka, IN
March 22, 2023
1316 COUNTY -CITY BUILDING
227 W.JEFFERSON BOULEVARD
SOUTH BEND, INDIANA 46601-1830
PHONE 574/235-9251
FAX 574/235-9171
TDD 574/ 235-5567
CITY OF SOUTH BEND, JAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
Date: July 6, 2023
To: All Planholders
From Theresa Heffner, Clerk,_ Board of Public Works
Subject Addendum Number: 1
Project Name: Pure Green Farms Site Improvements
Project Number: 121-056
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: — 2-
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum
by including with your electronic bid submission.
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: C� �k C� �I�i [ y►•c_
Authorized Signature:
Date: -7I D 23
Version 8/11/2020
1 �
x- x
reu5
PROJECT NAME: PURE GREEN FARMS SITE IMPROVEMENTS
ADDENDUM NO.1
Date: July 6, 2023
To: All Plan Holders
From: Theresa Heffner, Clerk of the Board of Public Works
• Addendum 1 for the subject project clarifies questions asked during the
bidding period.
o See enclosed list of questions, and responses.
• Pre -Bid Meeting Sign -In is attached.
■ The following pages have been revised:
o Contractor's Bid for Public Work — 7
A FULL AND COMPLETE COPY OF EACH CORRECTED PAGE IS
ATTACHED TO THIS ADDENDUM.
You must acknowledge receipt of this addendum by signing the first page, and
including with your electronic bid submission.
— This addendum consists of a total of 5 pages —
Version 8/11/2020
Responses to Questions received July 6, 2023:
1. Pay item #10 is "Remove Water Structure."
a. Can you clarify what this is referring to? The plans show to remove and relocate
1 EA fire hydrant, and remove and dispose of existing water main, assumed to be paid
under pay items #29 and #9, respectively.
ANSWER: Item 10 is a duplicate and has been removed from the Bid/Proposal form.
Attached please find revised form.
Is pressure and bac-t testing required on the water main/hydrant relocation portion of
the project?
ANSWER: Yes.
3. If there is a poured thrust block at the back of the existing hydrant that is to be
relocated, are we to remove and dispose of this, or leave in place and bury?
ANSWER: Remove and dispose.
4. It is not anticipated that dewatering will be necessary, if so it will be paid under the bid
allowance, correct?
ANSWER: Correct.
The existing aggregate at the sidewalk area in front of the building can be reused as the
agg base as shown on the plan details 12/C3.0 and 11/0.0.
ANSWER: This is correct. The Contractor must still ensure that compaction
requirements from Specifications are met.
Version 8/11/2020
Pre -Bid Meeting: 121-056 Pure Green Farms Site Improvements
Sign In Sheet
NAME
Zach Hurst
COMPANY
City of South Bend
L t
C �c
R1.4 4E 1PY C froth"
PHONE
574.235,5888 x3057
- OL 5
6
97.7 ,26',2
1 zw-!�I Y5 i
(57�) Z88-83Z1
EMAIL
zhurst@southbendin.gov
O'ros /c
S ke aW.,/ �P1h cam
1 ac4,hc 5109
BID/PROPOSAL
CITY OF SOUTH BEND
Project Name: Pure Green Farms
Site Improvements
Project Number: 121-056
For Bids Due: July 11, 2023 @ 9:00 A.M. [local time]
Contractor Name:
Item
Description
Quantity
Unit
Unit Price Total Amount
No.
1
Construction Engineering
1
LS
2
Mobilization / Demobilization
1
LS
3
Temporary Erosion Control
1
LS
4
Remove Asphalt Pavement
670
SY
5
Remove Stone
565
CY
6
Remove Concrete Curb & Gutter
85
LF
7
Remove Modular Retaining Wall
45
LF
8
Remove Sign
2
EA
9
Remove Water Line
405
LF
11
1 1/2" HMA Surface
575
TN
12
HMA Intermediate
305
TN
13
4" Compacted Aggregate #73 or #53
160
TN
14
6" Compacted Aggregate #73 or #53
205
TN
15
6" Compacted Aggregate #2
445
TN
16
8" Concrete Approach
160
SY
17
6" Vertical Curb
200
LF
18
Concrete Gutter
85
LF
19
Concrete Parking Bumper
36
EA
20
Curb Face Walk
70
SY
21
4" Concrete Sidewalk
35
SY
22
Curb Ramp Type "IV"
4
SY
23
Curb Ramp Type "V"
4
SY
24
Detectable Traffic Warning
1
EA
25
Pavement Marking — 4" Yellow
1,060
LF
Waterborne Paint
Handicap Pavement Marking - 4" Blue
70
LF
26
Waterborne Paint
27
Handicap Symbol
2
EA
28
8" Water Line
20
LF
Version 09/29/2021 Contractors Bid for Public Works - 7
1316 COUNTY -CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND, INDIANA 46601-1830
PHONE 574/235-9251
FAX 574/235-9171
TDD 574/ 235-5567
CITY OF SOUTH BEND, JAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
Date: July 7, 2023
To: All Planholders
From Theresa Heffner, Clerk, Board of Public Works
Subject Addendum Number: 2
Project Name: Pure Green Farms Site Improvements
Project Number:
121-056
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: -�
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum
by including with your electronic bid submission.
THIS ADDENDUM MAY AFFECT YOUR BID.
Notes:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company:
Authorized Signature:
Date: 7—to -�-3
Iw(-
Version 8/11/2020
PROJECT NAME: PURE GREEN FARMS SITE IMPROVEMENTS
ADDENDUM NO.2
Date: July 7, 2023
To: All Plan Holders
From: Theresa Heffner, Clerk of the Board of Public Works
Addendum 2 for the subject project clarifies questions asked during the
bidding period.
o See enclosed list of questions, and responses.
A FULL AND COMPLETE COPY OF EACH CORRECTED PAGE IS
ATTACHED TO THIS ADDENDUM.
You must acknowledge receipt of this addendum by signing the first page, and
including with your electronic bid submission.
— This addendum consists of a total of 3 pages —
Version 8/11/2020
Responses to Questions received July 6, 2023:
We noticed 3 separate seed mixes in the specifications. Please confirm what mix is
desired for the hydroseeding pay item.
ANSWER: Hydroseedine seed mixture shall be 50% Perennial Ryeerass and 5096
Kentucky Bluerass.
2. For the transition between the existing finished HMA lot and the existing asphalt to be
surfaced, please confirm if transition milling will be required and if so, how that will be
paid for.
ANSWER: If transition milling is required to produce a quality finished product, it
should be considered incidental to the HMA pay items.
Please confirm that cleaning and tacking of the existing asphalt is included and
incidental to the HMA surface item for the overlay areas.
ANSWER: This is confirmed.
4. Can recycled crushed concrete be utilized for the #2 and #53 (or #73) aggregates on the
project? If this answer is no, please provide a list of acceptable materials.
ANSWER: This is acceptable.
Version 8/11/2020
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 06/29/2023
Name Zach Hurst Department DPW
BPW Date 07/11/2023 Phone Extension 3057
Review and Approval Required Prior to Submittal to Board
Diversity Compliance ❑
Officer Name
and Inclusion Officer
BPW Attorney
❑ Attorney Name
Dept. Attorney ❑ Attorney Name
Purchasing ❑
Check the Appropriate Item I
Professional Services Agreement ❑ Contract
❑ Open Market Contract
® Bid Opening
❑ Quote Opening
❑ Proposal Opening
❑ Chg. Order, No.
I-1 Other:
❑ Amendment/Addendum
❑ Bid Award
❑ Quote Award
❑ C/O & PCA No.
❑ Traffic Control
Information
All Submissions
U Proposal
❑ Special Purchase, QPA
❑ Req. to Advertise ❑ Title Sheet
❑ Reject Bids/Quotes
❑ PCA
❑ Resolution
Ease./Encroach
Company or Vendor Name
❑ Yes[] If Yes, Approved by Purchasing
New Vendor
❑ No
Yes
MBE
MBE/WBE Contractor
Completed E-Verify Form Attached
❑ ❑ No
Project Name
Pure Green Farms Site Improvements
Project Number
121-056
Funding Source
River West DA TIF
Account No.
PR-00021363
Amount
Terms of Contract
Purpose/Description
Request to open bids for TIF-funded site improvements at the Pure Green
Farms greenhouse
For Change Orders Only
Amount of ❑ Increase $
❑ Decrease ($ )
Previous Amount
Current Percent of Change
New Amount
Increase %
Decrease ( %
Increase %
Total Percent of Change: Decrease %
Time Extension Amount:
New Completion Date:
Responses to Questions received July 6, 2023:
We noticed 3 separate seed mixes in the specifications. Please confirm what mix is
desired for the hydroseeding pay item.
ANSWER: Hydroseedine seed mixture shall be 50% Perennial Ryeerass and 5096
Kentucky Bluerass.
2. For the transition between the existing finished HMA lot and the existing asphalt to be
surfaced, please confirm if transition milling will be required and if so, how that will be
paid for.
ANSWER: If transition milling is required to produce a quality finished product, it
should be considered incidental to the HMA pay items.
Please confirm that cleaning and tacking of the existing asphalt is included and
incidental to the HMA surface item for the overlay areas.
ANSWER: This is confirmed.
4. Can recycled crushed concrete be utilized for the #2 and #53 (or #73) aggregates on the
project? If this answer is no, please provide a list of acceptable materials.
ANSWER: This is acceptable.
Version 8/11/2020
4WA 50
Associated Builders and Contractors YEA A
ANNIVERSARY
Indiana/Kentucky 1973-2023
MEMORANDUM
Date: July 10, 2023
To: Whom it may concern
From: JR Gaylor, President, ABC of Indiana/Kentucky
RE: ABC Membership and Apprenticeship Verification
Please accept this memo as verification that C & E Excavating, Inc. has been a member in good
standing of Associated Builders & Contractors of Indianan/Kentucky, Inc, since April 2016.
Members of ABC have access to ABC's Apprenticeship Program which is certified by the Federal
Department of Labor, Office of Apprenticeship and Training through the National Center of
Construction Education and Research. In addition to apprenticeship, ABC offers safety, project
management, and journeyman upgrade training opportunities.
ABC of Indiana/Kentucky Apprenticeship is accredited through and uses the National Center of
Construction Education and Research (NCCER) curriculum.
Feel free to contact me with any questions regarding our apprenticeship and/or other training
programs.
WC9
1
C & E Excavating,, Inc.
Health and Safety Manual
(Revised 9/29/2020)
Table of Contents
Pg. 2
Table of Contents
Pg. 3
Corporate Policy Statement
Pg. 4
Code of Safe Practices
Pg. 5
Drug and Alcohol Policy
Pg. 7
Disciplinary Action for Policy Violation
Pg. 9
Disciplinary Policy
Pg. 11
Accident Investigation and Reporting
Pg. 12
Accident Procedure
Pg. 13
Access to Employee Exposure and Medical Records
Pg. 15
Release of Employee Medical Records
Pg. 16
First Aid Policy
Pg. 24
First Aid Kit Inventory Checklist
Pg. 25
Designated Medical Treatment Facility
Pg. 26
Emergency Action Plan
Pg. 27
Job Hazard Analysis
Pg.28
General Instructions
Pg. 29
Site Safety Plan Form
Pg. 31
Personal Protective Equipment Policy
Pg. 34
Ladder Safety Policy
Pg. 36
Fire Prevention Policy
2
Corporate Policy Statement
Management, staff, and hourly employees of C& E Excavating, Inc. must have a common objective to be
successful. Our objective is the healthy, safe, environmentally sound, and productive operation of all C& E
Excavatines activities. We have an obligation to preserve the human, physical, and financial resources of our
company. In satisfying this obligation, worker safety and health will always be our #1 priority. As such, this basic
policy must be considered in every phase of our business including acquisition, job planning, job setup, and
performance. Accordingly, our principal objectives are to:
• Provide a work environment that is free of unmitigated recognized hazards.
• Comply with all laws that regulate employee safety, health, and our environment.
• Recognize the priority of safety and health factors over purely economic considerations.
• Hold each employee accountable for the safe execution of all jobs assigned and full compliance with all
environmental, safety, and health related procedures and training.
• Train our employees in safe and proper job procedures and required compliance with established
procedures, policies and practices.
• Provide comprehensive New Employee Safety Training to all new hires.
• Hire only those persons who demonstrate the capacity to comprehend and execute all jobs in a safe and
healthful manner consistent with the policies and procedures of the company and the training and job
instruction provided.
• Promote worker health and safety both on and off the job.
• Maintain leadership in safety and accident/incident prevention by continuously improving safety
performance and work methods and procedures.
First -line supervision has the greatest impact and thus the greatest opportunity to influence and promote safe
work practices among our work force in the field. The prevention of accidents/incidents requires everyone's
concerted effort and daily attention. Everyone has equal authority and responsibility to take appropriate
action to correct unsafe acts/or conditions.
A properly planned and executed job will eliminate the chance for losses and return benefits that satisfy needs
in each of these areas:
• Health, Safety, & Environment • Morale
• Cost • Production
• Quality • Customer Satisfaction
All employees will contribute to the company environmental, health, and safety program by following all policies
and procedures, bringing unsafe conditions/acts to the attention of management, and recommending actions to
improve the effectiveness of the program. Supervisors shall insist that employees observe and obey every rule
and regulation necessary for the safe conduct of work, and shall take such action necessary to obtain
Compliance.
Thad Bessinger
President
Code of Safe Practices
General
All persons shall follow these safe practice rules, render every possible aid to safe operations, and report all
unsafe conditions or practices to the foreman or superintendent.
• Foremen shall insist on employees observing and obeying every rule, regulation, and order as is
necessary to the safe conduct of the work, and shall take such action as is necessary to obtain
observance.
• All employees shall be given frequent accident prevention instructions. Instructions shall be given at least
weekly at Safety Meetings. If an employee is not available to attend the Monday Safety Meeting, then
that employee should review the discussed topic upon return to work/premises.
• Anyone known to be under the influence of drugs or intoxicating substances that impair the employee's
ability to safely perform the assigned duties shall not be allowed on the job while in that condition.
Suspicion of such influence should be immediately reported to a superior and that employee should
cease operation of machinery of any kind.
• Horseplay, scuffling, and other acts that tend to have an adverse influence on the safety or well-being of
the employees shall be discouraged.
■ Work shall be well planned and supervised to prevent injuries in the handling of materials and in working
together with equipment.
• No one shall knowingly be permitted or required to work while the employee's ability or alertness is so
impaired by fatigue, illness, or other causes that it might unnecessarily expose the employee or others to
injury.
• Employees shall not enter manholes, underground vaults, chambers, tanks, silos, or other similar places
that receive little ventilation, unless it has been determined that is safe to enter.
• Employees shall be instructed to ensure that all guards and other protective devices are in proper places
and adjusted, and shall report deficiencies promptly to the foreman or superintendent.
• Crowding or pushing when boarding or leaving any vehicle or other conveyance shall be prohibited.
• Workers shall not handle or tamper with any electrical equipment, machinery, or air or water lines in a
manner not within the scope of their duties, unless they have received instructions from their foreman.
• All injuries shall be reported promptly to the foreman or superintendent so that arrangements can be
made for medical or first aid treatment. All employees are required to fill out an incident report when
injuries occur and submit to the office.
• When lifting heavy objects, the large muscles of the leg instead of the smaller muscles of the back shall
be used.
• Inappropriate footwear or shoes with thin or badly worn soles shall not be worn.
■ Materials, tools, or other objects shall not be thrown from buildings or structures until proper
precautions are taken to protect others from the falling objects.
4
Drug and Alcohol Polk
The company's safety sensitive work, the widespread availability and use of unauthorized, prohibited, illegal or
controlled substances, and the company's commitment to maintain a drug free work force, requires the pre-
employment, post -accident and unannounced periodic or random drug and alcohol testing of all employees.
Additionally, all employees will be subject to searches and inspections of their person, vehicle and personal
effects for the presence of illegal or controlled drugs, chemicals or substances, alcohol, explosives, contraband
or firearms.
Administration
Prohibited Activit
The Use, bringing onto company property or job site, possession, concealment, transportation, promotion or
sale of the following substances or items, by any employee, contractor, subcontractor, their employees and
invitees is strictly prohibited, to wit:
+ Illegal drugs, unauthorized controlled substances, look -a -likes, designer, synthetic or any other drug
Which may affect an employee's motor functions or alter a person's perception
Prescription drugs/over the counter medication except under the following conditions:
The prescription vial shall be labeled by the dispensing pharmacy and the label shall show the
employees name, physician, prescription number, date the prescription was filled and the dosage
rate. Prescriptions more than 30 days old will not be allowed.
• The over the counter medication will be in its original package or container.
• Alcoholic beverages.
• Firearms, weapons, explosives, and ammunition
+ Unauthorized items such as stolen property or drug paraphernalia
Enforcement
As a condition of employment or continued employment, all employees shall be deemed to have and agreed
to cooperate with the implementation of this policy and abide by its terms. In addition, as a condition of
employment or continued employment, all employees shall be deemed to have agreed to the following
enforcement procedures.
• Searches and Inspections — An individual's entry into, or presence at, company property, or project
work sites, is conditioned upon such persons to consent to the right of the company, its authorized
representative, or appropriate law enforcement personnel to search the person, his vehicle and personal
effects for the presence of unauthorized, prohibited, illegal, or controlled drugs, chemicals or substances,
alcohol, explosives, contraband, or firearms.
• Drug and Alcohol Testing — A pre -employment drug will be required of all persons, prior to being
approved for work on the premises of any customer. A post -accident drug and alcohol screen will be
required of any employee involved in an on-the-job accident resulting in injury, to himself or others; a
serious or potentially serious accident or incident in which safety rules and precautions were
5
violated; issuing unsafe orders or instructions, damaging equipment or property of the company or
others, usually careless acts, or where the cause was employee's failure to wear required personal
protective equipment. A "for cause" drug and alcohol screen will be required of all persons who show
signs of possible intoxication or using or being under the influence of drugs or alcohol, or when such
other circumstances exist that would lead a prudent supervisor to be concerned about the
employee's safety and the safety of others.
• All employees will be subject to unannounced drug and alcohol testing, unless prohibited by law or
regulation. Random or periodic testing will be conducted, as permitted by statute or regulation. These
tests will be without cause, suspicion, detectable performance problems, or the occurrence of an
accident, incident or safety violation. Failure to pass a drug screen will result in immediate termination.
All searches, inspections and drug screens will be performed in a professional manner, with concern
for the privacy and confidentiality of all individuals.
Testing Procedures
Laboratory Testi_nit
The company will designate the laboratories to perform substance testing on blood or urine specimens in
accordance with standards set for the by the National Institute for Drug Abuse. The substances and detection
levels covered by this testing program are set forth below. Employees may be asked by collection site personnel
to indicate whether there is the potential that they will test positive for prescription or other substances. A
consent form and information sheet will be provided. If the employee fails to provide and acceptable urine
specimen the company may take the following steps:
■ Extend the stay of the employee at the designated collection site, if feasible, until an acceptable
specimen can be collected.
• Reschedule the test due to unusual circumstances, i.e. post -operative situations.
• Discipline the employee, up to and including termination, on the first offense for failing to cooperate or
refusing to provide an acceptable specimen.
0
Disciplinary Action for Policy Violation
Applicants
If the final result of a pre -employment drug screen is positive, the applicant will not be employed.
Reemployment of an employee who has previously failed a drug screen is at the discretion of the employer.
Contractors, Subcontractors, Vendors, Their Employees' Agents, Servants or Representatives.
• No search, inspection or drug test will be conducted without written consent. However, anyone who
refuses to provide such written consent and does not fully cooperate with this policy will be subject to
disciplinary action up to and including removal from the job or job site, as may be appropriate.
Preliminary findings of a policy violation may require that the individual involved be suspended from
the job pending the results of the company investigation.
• If the final result of a "random", "for cause" or "post -accident" drug screen is positive, the individual
will be permanently barred from job.
Administrative Guidelines
All employees will be informed regarding this policy at the time of employment. Additionally it will
be discussed periodically at "tail gate" safety meetings.
■ In the even an employee or terminated employee requests a review be conducted regarding his/her
positive test result, the laboratory will conduct a retest of a portion of the same sample previously
tested and will
make the results of the retest available to the employee or terminated employee provided the request is
made within 12 months following the initial test. The employee who requests a retest will be responsible for
all costs involved.
• A good faith effort will be made to advise any employee who receives a positive test result via a
meeting
with the employee's Supervisor.
Target Substances
As a minimum, the following substances and detection levels shall be tested for:
Alcohol .04 BAIL
Opiates 2000 NG/ML
Cocaine 300 NG/ML
Amphetamines 1000 NG/ML
Cannabinoids 50 NG/ML
Phencyclidine 25 NG/ML
"Concentrations at or in excess of the above levels shall be conclusive proof of unacceptable levels
of unauthorized, prohibited, illegal or controlled substances.
iFA
Client Requirements
In the event that an Operator/Client has Drug Testing Guidelines that are more stringent than those outlined
above, the client's guidelines will be followed for all work done with that client. Examples of more stringent
guidelines include but are not limited to:
• A greater number of substances (panels) to be tested for
■ A lower detection/cut off levels
• Specified number or percent of employees to be tested on site
■ DOT or similar mandated programs.
8
Disciplinary Policy_
Purpose
PROGRESSIVE DISCIPLINARY PROGRAM
The purpose of the company's disciplinary system is to provide a means of addressing misconduct in a just and
equitable manner. A proper disciplinary system also contributes to improving employee morale and the working
environment. The first disciplinary action to be taken will vary from a documented verbal warning to immediate
termination, depending on the circumstances. The normal procedure will be to progress to the next step in the
disciplinary system for subsequent violations of the Company policy procedures.
In our disciplinary programs, rules and regulations have been divided into two categories according to the type of
infraction and penalty. Category I offenses typically pertain to work performance, conduct and general Company rules.
Category II offenses are generally more severe and can result in immediate termination.
The following steps are normally followed for Category I violations (Category II violations typically start at the third
step) each of which is documented on paper and placed in the employees file:
1. Documented Verbal Warning
2. Written Warning
3. Disciplinary Probation
4. Termination
Disciplinary probation is defined as the step before termination. In addition the standard disciplinary action form, the
employee will also receive a Certified Letter from the Company advising him/her of the seriousness of the matter.
The following work rules are outlined to promote the understanding of what is considered unacceptable conduct and
to encourage consistent action in the event of violations. You are asked to cooperate in the observance of these rules
and regulations which are designed for common protection and benefit of all employees. The disciplinary action form
will remain active in your personnel file. The listed violations are to be used as examples and do not include all
violations that may occur.
CATEGORY I WORK VIOLATIONS
1. Overstaying rest or lunch breaks.
2. Failure to wear appropriate work clothing and use safety gear. If the disregard of safety gear is extensive or
habitual, the employee may be sent home without pay in addition to disciplinary action.
3. Inconsiderate behavior or rude with customers or co-workers.
4. Defacing record keeping documents.
5. Disregarding the health, safety, and sanitation rules and practices.
6. Poor or careless work performance or use of Company equipment.
7. Unauthorized use of Company equipment.
8. Leaving the work area during work hours without permission.
9. Unprofessional conduct or inappropriate behavior.
10. Creating discord in the workplace.
11. Repeated and continued time sheet errors including those such as failure to put time on time sheet or
inaccurate time.
0
CATEGORY II WORK VIOLATIONS
1. Theft, misappropriation or removal of property belonging to the Company or other individuals.
2. Violations of narcotic laws and/or violation of Company policy regarding the possession, use or dispensing of
drugs.
3. Immoral or indecent conduct.
4. Verbally or physically abusive with customers or co-workers.
5. Falsification of payroll records, employment application, misrepresentation of leave of absence, false
statement on medical reports or intentionally giving false information relating to employment or Company
records.
6. Unauthorized possession or use of weapons on Company premises or locker.
7. Two (2) consecutive scheduled work days off with No Call or No Show or habitual No Call No Show. This
includes habitual tardiness.
8. Sleeping or assuming the posture or appearance of sleeping at any time during the shift including breaks and
lunch period.
9. Subordination, which shall include, but not be limited to the refusal to work scheduled hours, or refusal or
failure to accept and perform job assignments or carry out instructions as directed by the foreman or Project
Manager. Unless such compliance clearly exposes the employee to an immediate health or safety hazard, or
is beyond the limits of his/her professional licensure, the employee must perform the assigned task. Any
complaint can be taken up later with management. If appropriate the employee may be sent home without
pay.
10. Damaging or abusing Company property (equipment), jobsite, valuables, or any person through carelessness
or negligence.
A. The policy of the company will be that the violator will compensate either by personal check or
through payroll deduction the value of the damage.
11. Negligent conduct or work performance.
B. The policy of the company will be that the violator will correct the work performance without
reimbursement through payroll for the time to rectify the work.
12. Impaired ability to perform the job safely and completely due to alcohol or drugs or the unauthorized
possession or consumption on company or customer's premises.
13. A total of three (3) written warnings and/or disciplinary probation in any combination in Category I or II issued
in a two (2) year period.
C & E EXCAVATING, INC. RESERVES THE RIGHT TO TERMINATE EMPLOYMENT AT
THEIR DISCRETION.
10
Accident Investigation and Reporting
Policy
C & E Excavating, Inc. requires all employees to immediately report to their supervisor all accidents and incidents that
result in injury or property damage, and all near misses with the potential for serious injury or property damage.
Supervisors will report the accident promptly to management. Each incident will be analyzed to determine causes and
contributing factors and the analysis will be used to reduce or eliminate the risk of further incident.
Definitions:
An Accident is defined as an unplanned event that causes harm to people or damage to property. Accidents are
categorized as one of the following:
Lost Time Injury (LTI) refers to any injury that prevents a worker from coming to work on the day following the day of
the injury.
Medical Aid refers to any injury not severe enough to warrant more than the day of injury off, but where medical
treatment by a doctor is given.
First Aid refers only to injuries that can be treated on the job without any days lost.
An Incident is defined as property damage but with no injury to workers.
A Near Miss is a situation in which no injury or damage occurred but might have if conditions had been slightly
different.
Occupational Illness is defined as a condition resulting from a worker's exposure to chemical, biological or physical
agents in the workplace to the extent that the health of the worker is impaired.
Critical Injury is defined as an injury of a serious nature that:
• Places life in jeopardy;
• Produces unconsciousness;
■ Results in substantial loss of blood;
• Involves the fracture of a leg or arm but not a finger or toe;
Involves the amputation of a leg, arm, hand or foot but not a finger or toe;
• Consists of burns to a major portion of the body; or
• Causes the loss of sight to an eye.
Role of Supervisor in an Accident Investigation
The Supervisor and the Safety Officer must investigate all accidents and incidents that involve workers. This includes
completing the Accident Investigation Report (See Accident Report, Attachment 4-1), taking statements from
witnesses (See Witness Statement Form, Attachment 4-2) and collecting any other pertinent information and ensuring
the injured worker has received the necessary medical assistance.
11
The supervisor is responsible for ensuring that all accident reports are transmitted to the Safety Department as
described below. If a worker sustaining a First Aid later seeks medical aid, the supervisor must advise the Safety
Department and have the treating practitioner complete a Functional Abilities Form.
The supervisor should contact the injured worker as frequently as the injury deems, or at least once a week. If you
require assistance, contact the Safety Officer.
Accident Procedure
■ The employee reports a work related accident
■ Administer first aid as required
■ Arrange for transportation for injured employee to medical treatment if required
■ Eliminate the hazard if possible or guard the accident scene if worker is critically injured
• Investigate the cause of the accident and report findings in the Accident Incident Report form. Ensure all
areas of the form are completed.
+ Send copy of the form to Safety Officer
+ Report all accidents/incidents as follows:
• Lost Time Injuries
• Medical Aid
• First Aid
• Incidents and Near Misses
12
Access to Employee Exposure and Medical Records
Purpose
The purpose of this section is to provide employees and their designated representatives a right of access to
relevant exposure and medical records in order to fulfill responsibilities under the Occupational Safety and
Health Act. Access by employees and their representatives, is necessary to yield both direct and indirect
improvements in the detection, treatment, and prevention of occupational disease.
Scope
This section applies to all employee exposure and medical records, and analyses thereof, made or
maintained in any manner, including an in-house or contractual basis. C & E Excavating, Inc. shall assure
that the preservation and access requirements of this section are complied with regardless of the
manner in which records are made or maintained.
Notification
Upon initial employment employees will be briefed and at least annually thereafter, informed via a
bulletin board posting of the following:
• The existence, location and availability of employee records for exposure to toxic substances or
harmful physical agents.
• The person responsible for maintaining and providing access to the records. Contact your
Resources
Manager or Safety Representative to initiate this request.
• The employee right of access to those records.
• The entire section pertaining to the Access to Employee Exposure and Medical Records is available for
employee review by contacting the Safety Representative.
Record Keeping
• The Human Resources Manager is responsible for maintaining and providing access to employees'
medical
records. These records are kept separately from other employee records.
• The medical records of employees who have worked for less than (1) year for the employer need
not be retained beyond the term of employment if they are provided to the employee upon the
termination of employment.
• Employee exposure records shall be maintained for the duration of employment and for 30 years
thereafter and should include the following:
• Environmental (workplace) monitoring including personal, area, grab, swipe (wipe over a
designated area), etc. type samples.
• Biological monitoring —level of chemical in the blood, urine, hair, fingernails, etc.
13
• Safety data sheets or a chemical inventory or any other record which reveals where and when used
and the identity (e.g., chemical, common, or trade name) of a toxic substance or harmful physical
agent.
Access
• Each employee or designated representative has the right to request access to his/her records. The
company shall assure that access is provided in a reasonable time, place, and manner.
• The employee may access his/her records by making a request to the Human Resources
Manager. The company will release an employee's medical records only if the employee has given
specific, written consent (see Attachment 6-1).
• If the company cannot reasonably provide access to the record within fifteen (15) working days, the
company shall within the fifteen (15) working days apprise the employee or designated representative
requesting the record of the reason for the delay and the earliest date when the record can be made
available.
■ In the case of an original X-ray, the employer may restrict access to on -site examination or make other
suitable arrangements for the temporary loan of the X-ray.
• Records or copies will be provided at no cost to the employee.
• Whenever a record has been previously provided without cost to an employee or
designated representative, the company may charge reasonable, non-discriminatory administrative
costs (i.e., search and copying expenses but not including overhead expenses) for a request by the
employee or designated representative for additional copies of the record.
• No charge for an initial request for a copy of new information that has been added to a record which
was previously provided.
• No charge for an initial request by a recognized or certified collective bargaining agent for a copy of
an employee exposure record or an analysis using exposure or medical records.
Transfer of records
• Whenever ceasing to do business, the company shall transfer all records subject to this
section to the successor employer. The successor employer shall receive and maintain these records.
• Whenever ceasing to do business and there is no successor employer to receive and maintain the
records subject to this standard, the company shall notify affected employees of their rights of
access to records at least three (3) months prior to the cessation of business.
References
Code of Federal Regulation, Title 29, Part 1910.1020
14
Release of Employee Medical Records
Attachment 6-1
Sample Authorization letter for the release of employee medical record information to a designated
representative
I, _ , (full name of worker/patient) hereby authorize
(individual or organization holding the medical records) to release to
(individual or organization authorized to receive the medical information), the following medical information
from my personal medical records:
(Describe below: In general words, the information desired to be released).
I give my permission for this medical information to be used for the following purpose:
But I do not give permission for any other use or re -disclosure of this information.
(Note: Several extra lines are provided below so that you can place additional restrictions on this
authorization letter if you want to. You may, however, leave these lines blank. On the other
hand, you may want to (1) specify a particular expiration date for this letter (if less than one year); (2)
describe medical information to be created in the future that you intend to be covered by this authorization
letter; or (3) describe portions of the medical information in your records which you do not intend to be
released as a result of this letter.)
Full (printed) name of Employee or Legal Representative:
Signature of Employee or Legal Representative & Date:
15
First Aid Policy
This policy is to insure that prompt and effective medical assistance is provided to the employees of C& E
Excavating, Inc. in case of workplace injury or illness, the following first aid and medical services procedure is
provided.
It is the responsibility of each manager / supervisor to assure that compliance to the First Aid & Medical
Services Procedure is provided.
This policy covers minimum performance standards applicable to all C & E Excavating's employees and locations.
Local practices requiring more detailed or stringent rules, or local, state or other federal requirements regarding
this subject can and should be added as an addendum to this procedure as applicable.
Purpose
This First Aid & Medical Services Procedure is designed to establish specific common guidelines for C & E
Excavating, Inc. to follow in assuring that prompt medical attention is provided to employees suffering from
either a work related or non -work related injury or illness.
C & E Excavating, Inc. facility and jobsites must ensure that readily available medical personnel and first aid
supplies are available to all employees to provide advice and consultation within reason, regarding matters of
employee occupational health and to respond in case of accident. This includes identifying and posting the
location of a designated medical treatment facility and/or emergency care center in a conspicuous location at
each fixed location or fixed jobsite. Should outside medical services be unable to respond in a reasonable
amount of time as defined by OSHA (3 to 4 minutes), C & E Excavating, Inc. facility and jobsites may use
various strategies to provide access within this time frame, such as training internal personnel who will be
capable of acting as voluntary first responders.
Scope
Applies to all C & E Excavating, Inc. work sites, i.e., offices, client job sites, etc., and includes visitors, vendors,
and subcontractors.
16
Definitions
Established Medical Treatment Facility means the occupational medical treatment provider and/or
emergency care center identified as being capable of, and established by an C & E Excavating, Inc.
location to initially treat employee injuries and illnesses.
First Aid means the following types of treatment:
• Using non-prescription medications at non-prescription strength
Cleaning, flushing, or soaking wounds on the skin surface
• Using wound coverings, such as bandages, 'BandAids', gauze pads, etc., or using 'SteriStrips' or
butterfly
bandages
■ Using hot or cold therapy
■ Using any totally non -rigid means of support, such as elastic bandages, wraps, etc.
• Using temporary immobilization devices while transporting an employee, such as splints, slings,
neck collars, or back boards
■ Drilling a fingernail or toenail to relieve pressure, or draining fluids from blisters
■ Using eye patches
■ Using simple irrigation or a cotton swab to remove foreign bodies not embedded in or adhered to the
eye
• Using irrigation, tweezers, cotton swab or other simple means to remove splinters or foreign material
from areas OTHER than the eye
■ Using finger guards
■ Using massages
• Drinking fluids to relieve heat stress
Illness can be classified as a skin disease/disorder, respiratory condition, poisoning, or other illnesses resulting
from an event in the work environment. Examples include, but are not limited to:
■ Contact dermatitis
■ Eczema
■ Silicosis
■ Asbestosis
■ Toxic inhalation
• Poisonings by lead, mercury, or other metals
■ Poisonings by carbon monoxide, hydrogen sulfide, or other gases
■ Poisonings by organic solvents or by other chemicals
• Heatstroke, sunstroke, heat exhaustion, or other heat -related factors
* Freezing, frostbite, or other cold -related factors
17
• Effects of Non -ionizing radiation (welder's flash or lasers)
• Bloodborne Pathenogenic diseases
• Microbial Exposure
• Ionizing Radiation
Injury means any wound or damage to the body resulting from an event in the work environment. Examples
include:
• Cut/laceration
• Puncture
• Abrasion
• Contusion/bruise
■ Fracture
• Chipped tooth
+ Amputation
• Insect bite
• Electrocution
• Thermal, chemical, electrical or radiation burn and, sprain/strain injuries to muscles, joints and
connective tissues when the result from a slip, trip, fall or other similar accident
Medical Treatment means the managing and caring for a patient for the purpose of combating disease or
disorder. The following activities are NOT medical treatment:
• First aid
• Visits to a doctor solely for observation or counseling
• Diagnostic procedures, including the administering prescription medications that are used solely
for diagnostic procedures
Work -related Injury or Illness means an injury or illness resulting from an event or exposure in the work
environment causing or contributing to the condition or significantly aggravating a preexisting condition.
Work Environment means includes work sites where one or more employees are present as a condition of
their employment.
Requirements
Designated Medical Treatment Facilit
C & E Excavating, Inc. will ensure that readily available medical personnel are available to employees to provide
advice and consultation within reason regarding matters of employee occupational health.
18
Requirements Continued
The facility and jobsite must identify and post the location of a designated medical treatment facility and/or
emergency care center including name, address, telephone number, and hours of operation. This information
should be posted in a conspicuous location at the facility or job site. The designated medical treatment facility
or emergency care center should maintain similar hours of operation as the facility and be able to respond to a
workplace emergency within a reasonable amount of time.
First Aid
ALL INJURIES, REGARDLESS OF HOW SMALL, MUST BE REPORTED TO THE EMPLOYEE'S IMMEDIATE
SUPERVISOR AND TREATED AS SOON AS POSSIBLE AFTER AN ACCIDENT.
If an employee becomes injured or ill anywhere due to a work -related or non -work related problem and needs
immediate medical aid, it must be reported to his/her Supervisor or the Safety Officer. Failure to report minor
injuries or to receive supervised medical treatment may result in serious infections or complications to the
employee's health.
In the absence of a clinic or hospital near the workplace, OSHA regulations require that a person or persons be
trained to render first aid and that first aid supplies be readily available. Although the term "readily available"
has not been defined in the regulations, OSHA has indicated that 3-4 minutes is acceptable as the time frame
within which to begin first aid.
OSHA's interpretation presents a challenge to a service company like C & E Excavating, Inc. because our
"workplace" is not always in a fixed location -- it is a changing environment that follows the employee wherever
they may be working. Accordingly, C & E Excavating, Inc. will use various strategies to provide employees with
access to First Aid. These may include training C & E Excavating, Inc. personnel to self-administer First Aid;
training C & E Excavating, Inc. personnel who are willing to serve as "first responders" and render First Aid/CPR
to others on a voluntary basis; providing access to trained individuals from other companies who work alongside
C & E Excavating, Inc. at job sites; providing access to client medical clinics; or calling 9-1-1 or local emergency
phone numbers as indicated in the Health and Safety Plan.
Because of the potential for exposure to blood borne pathogens and significant liability concerns, there is no job
in the Company that requires an employee to render First Aid or cardiopulmonary resuscitation (CPR) in the
course and scope of their employment, unless such a requirement becomes necessary due to local, State or
Federal Safety and Health Regulations.
Transportation of injured persons will be by ambulance unless a volunteer chooses to assist by driving the
injured employee to a medical facility. If there is any question as to the best method of transportation an
ambulance should be utilized.
When C & E Excavating, Inc.'s strategy for providing access to First Aid/CPR involves the use of "first
responders", a First Responders Program should be established and administered at the local level. The Safety
Officer is responsible for monitoring and maintaining this program, if implemented.
19
Elements of the First Responder Program should include:
• Safety Officer must be certified in basic First Aid & CPR per a recognized certification source such as
the Red Cross, local hospital, etc. The Red Cross first aid course and CPR course are approximately 8
hours in duration. CPR requires annual refreshers. First Aid requires refreshers everythree (3) years.
• Safety Officer will seek employees who wish to volunteer to be trained and certified in basic First Aid &
CPR per a recognized certification source as defined by local or State requirements. These employees
must maintain "current" First Aid and CPR certification, appropriately documented, in their personnel
file.
• Basic First Aid & CPR will be administered by First Responders only to stabilize the employee until
professional medical attention can be provided.
Employee First Aid / CPR
Employee training in basic First Aid and cardiopulmonary resuscitation (CPR) is encouraged because of its value
and benefit to individuals, their families and the community.
The company also supports any employee who, while on the job, chooses to act as a "Good Samaritan" to assist
a fellow employee or another person with First Aid or CPR. It is C & E Excavating's intent that first Aid supplies
and basic personal protective equipment against blood borne pathogens be accessible to employees at every
work site during all shifts.
If an employee makes the decision to provide first aid to someone, universal precautions shall be followed and it
should be assumed that all blood and bodily fluids are contaminated with blood borne pathogens. In addition,
they should wear protective medical gloves found in the First Aid Kit and use any other personal protective
equipment (such as protective glasses with side shields or a full face shield) to help avoid exposure to
blood in the eyes or on the face.
First Aid providers should follow the example of emergency medical personnel, doctors and nurses who
wear personal protective equipment to prevent exposure to blood borne pathogens.
If blood or potentially contaminated material gets on the skin, it must be washed off immediately using
water and a non-abrasive soap. If available, an antiseptic soap or rinse must be used. If blood ever gets in
the eyes, lips, mouth or nose, the employee must go to a sink, water fountain, eye wash or body wash station
and flush the area with running water as quickly as he/she can.
The supervisor must always be aware of the potential exposure to a blood borne pathogen after the employee
has washed or flushed the exposed area. Decontamination of the exposed surfaces, tools and equipment should
be conducted. This must be done immediately, and no later than the end of the shift or work period. Remember
that there is a vaccine for Hepatitis B. This must be discussed with a physician as soon as possible after a
potential exposure.
20
First Aid Stations / First Aid Kits
A First Aid Station or First Aid Kit is to be readily available to employees as described previously. For employees
working off -premises, a first aid kit should be provided in each company vehicle, signed -out for use when
traveling in personal vehicles and rental vehicles, or provided on the jobsite.
Whether within the facility or in a vehicle, each First Aid Kit must be stored in a properly labeled weather- proof
container, stocked with the basic supplies specified in the inventory in Attachment 7-1. The physician's
approval of the inventory list is not required, but may be needed to address unusual exposure situations.
IMPORTANT: If an employee declines First Aid and/or medical treatment for a reported on-the-job injury after
the Supervisor recommends it, that employee should NOT be allowed to continue work. Supervisors should
discuss each situation with the Safety Officer or Project Manager before allowing that employee to return to
duty.
The Safety Officer, or someone he/she may designate, is responsible for checking and maintaining the First Aid
Cabinets. Supervisors on jobsites are responsible for assuring suitable supplies are provided in the first aid kits
on -site or in their vehicles. This person will take a weekly inventory of supplies and make sure the station or kit
remains adequately stocked. A basic inventory list for First Aid Kits is provided on Attachment
7-1.
Because of the variety of operations that the Company is involved in, it is suggested that consultation with the
Facility's designated medical treatment facility be arranged to determine if the First Aid Kits are adequate for the
operational exposures of your particular workplace. Attachment 7-1 can be photocopied and used as a guide for
re -ordering supplies.
Emergency Eye / Body Wash Stations
Where the eyes and/or body of any employee may be exposed to injurious chemical / corrosive materials,
suitable eye and/or body drenching and/or flushing facilities shall be provided at the C & E Excavating Inc.
facility. Emergency eye and/or body wash stations can be either of temporary or permanent installation.
In areas where the extent of possible exposure to injurious chemical / corrosive materials is very low, a specially
designated pressure controlled and identified water hose can be used when proper personal protective
equipment also is used (e.g. full face shield). The hose system must be equipped with a proper face and body
wash nozzle and provide copious amounts of low velocity potable water. An appropriate portable eye wash
device containing not less than one gallon of potable water, would also be acceptable under these conditions.
At locations where hazardous chemical / corrosive materials are handled by employees (e.g. battery
servicing facility), proper eyewash and body drenching equipment must be available. Although OSHA has not
adopted specific requirements regarding flow rates for drenching/flushing facilities, ANSI Z358.1 provides
detailed information regarding the installation and operation of emergency eyewash and shower equipment,
including the requirements for flow rate.
21
Section 4.1 of ANSI Z358.1 specifies that emergency shower heads shall be capable of delivering a
minimum of 20 gallons per minute (gpm) of flushing fluid at a velocity low enough to be non -injurious to the
user. A sufficient volume of flushing fluid shall be available to supply the flow rate for a minimum fifteen
minute period. As such, both temporary and permanently installed eye / body wash stations must provide at
least 20 gpm for 15 mins.
Inspection and maintenance of eye wash systems should be provided at least weekly by assuring sanitary
conditions and /or following the manufacturer's requirements for maintenance. Plumbed systems should
also be provided a water flow test to minimize contaminants in the line. Inspection and maintenance should be
properly documented.
22
Blood borne Pathogens (Universal) Precautions Training
When an employee comes into direct contact with blood, bodily fluids or body tissues of another person,
they are at risk of becoming infected with diseases that may be carried in the other person's body fluids.
Accidental exposures can happen on or off the work site, in any number of day-to-day situations.
This is why the Company believes that each employee should have a basic understanding and awareness of the
dangers of contracting a potentially deadly disease through such exposures. Communicating basic
information about these hazards, including information contained in this policy, is part of the Company's safety
and health program.
Therefore, employees should receive a basic awareness level training concerning "Universal Precautions" such
that employees may follow Universal Precautions in the event of potential exposure to blood or other body
fluids.
Training Requirements
Training records must be maintained by the Safety Officer containing the date of the training, a
summary of the training session, names and qualifications of the instructors conducting the training and the
names and job titles of the persons attending the training.
Training records must be maintained for a minimum of three (3) years from the date the training was conducted.
Training must be conducted by a qualified and competent person knowledgeable in the subject matter.
First Responder IEx osure
If an employee is a First Responder or decides to be a "Good Samaritan" and provides first aid on an injured
victim involving blood or bodily fluids, personal protective equipment must be used and Universal Precautions
followed treating all bodilyfluids as infectious. Referto OSHA 29CFR
1910.1030 - Blood borne Pathogens Standard and Policy Section 9 — Blood borne Pathogens for specific
information.
In addition to those items listed in Attachment 7-1 and/or possibly required by a consulting physician, First
Aid Stations must at least include the following supplies:
■ latex gloves
■ one-way valve CPR mask
• biohazard bags
• plastic baggies
• tongs
References
OSHA 29 CFR 1926.50
OSHA 29 CFR 19
23
First Aid Kit Inventory Checklist
Attachment 7-1
The First Aid Kit should contain the following or similar items but commercially available Kits vary widely and
need not be identical in every respect.
Item Name
Protective Rubber Gloves (Surgical Type)
Protective CPR Mask w/One-Way Valve
Protective eyeware and face covering
Antiseptic Soap
Absorbent guaze, 24"x72"
Spool of absorbent gauze
Large adhesive bandages, 1"
Small adhesive bandages,1/2"
Bandage compresses, 4" (1 per pkg.)
Eye dressing
Bandage scissors
Tweezers
Triangular bandages (1 per pkg.)
Antiseptic pads (3 per pack)
Medical adhesive tape
Self -activating cool packs
Burn ointment
Sterile eye wash, in bottle
Heavy-duty sealable plastic bags
Disposable splints
Approved biohazard bags, red in color
Large Baggies
Tongs
American Red Cross Pocket First Aid Guide
First Aid Kit Inventory Checklist forms/ First Aid Reports
Quantity on Quant. Need
Hand to order
2 Pair
1 each
1 each
1 each
1 pkg.
1 spool
1 pkg.
1 pkg.
1 pkg.
1 pkg.
1 pair
1 pair
3 pkgs.
2 pkgs.
1 roll
2 each
4 pkgs.
1 each
3 each
1 set
4 each
4 each
2 each
1 each
5 each
24
First Aid Report Form
Date of Report:
Location of report:
Consulting Physician (If Applicable):
Address of person reporting:
Telephone Number:
Name of Person taking report:
Designated Medical Treatment Facility
Attachment 7-2
Cell:
IN CASE OF EMPLOYEE ACCIDENT OR INJURY, THE FOLLOWING DESIGNATED MEDICAL TREATMENT FACILITY
HAS BEEN IDENTIFIED TO DIRECT THE INJURED EMPLOYEE FOR IMMEDIATE TREATMENT:
NAME OF MEDICAL TREATMENT FACILITY
ADDRESS:
TELEPHONE NUMBER:
EMERGENCY TELEPHONE NUMBER:
HOURS OF OPERATION:
SUPERVISOR OR SAFETY OFFICER:
SUPERVISOR OR SAFETY OFFICER CELL / PAGER NUMBER:
ALL WORK -RELATED INJURIES OR ILLNESSES MUST BE IMMEDIATELY REPORTED TO THE SUPERVISOR.
25
Emergency Action Plan
Purpose
To provide a systematic method of implementing an Emergency Action Plan for a mobile and seasonal
workforce, so as to ensure a minimum of confusion and injury in an emergency.
Policy
Because our employees work in a variety of client facilities and in multiple locations within a location, an
Emergency Action Plan needs to be adaptable to any situation. The project superintendent on a job is
responsible for coordinating with the client on the evacuation route and emergency procedures for the job, and
thereafter advising all employees of that information.
Procedures
The emergency evacuation plan for a temporary job trailers or office areas shall identify the safest most direct
route to the client's gate.
Due to the dispersion of our personnel around a plant it is not practical to attempt to draw evacuation maps for
every unit in the facility. In lieu of evacuation plans, all personnel have been instructed to have the senior
representative on their job coordinate with the client contact person to ascertain the evacuation route to be
taken by client's personnel in the unit being worked at the beginning of the project. Employees will follow the
individual evacuation plans to be used by client in the various jobsites. After the safe rally point has been
reached, the senior employee will ask a client's representative to call the Company's site supervisor on the radio
with an accurate head count and location.
In the event that an employee is the first person to spot a fire or other emergency he/she is authorized to
sound an alarm. Employees shall vacate the area as soon as an alarm is sounded. The most important function of
all employees is to report to the senior representative on site. Employees are not employed to fight fires.
All employees are informed of their responsibilities under this plan upon initial assignment to the plant. All
employees have their emergency duties reinforced in regular safety meetings.
The Company will continue to provide a detailed emergency evacuation plan and map during all jobs and
projects.
Purpose
The purpose of the Hazard Analysis is to provide a method for a supervisor and his/her crew to inspect an
upcoming job, identify potential hazards related to that job, and to arrive at agreement on the development of
a Safe Work Plan for completing their assignment.
26
Job Hazard Analysis
Policy
Once the client/owner has issued a permit, it is each C & E Excavating, Inc. employee's responsibility to ensure
that the Safe Work Plan for the work he/she is about to do is properly developed. After receiving a valid work
permit from the client/owner and before starting a job, each crew shall review the permit requirements and
perform a thorough Hazard Analysis. The Hazard Analysis process serves as C & E Excavating, Inc. Safe Work
Plan. As such, by completing the process and signing on the back of the form, employees are indicating that
they are prepared to accomplish the assigned task efficiently and safely.
In the event conditions change, the Hazard Analysis Form must be updated. Potential hazards, including those
specific to the task and those general to the work area, must be discussed and a plan formulated to eliminate or
minimize identified hazards. Each person on the crew must understand his/her role relating to the tasks at hand.
When a new worker is assigned to a job in progress, the Hazard Analysis must be reviewed with this person and
he/she must sign the form before beginning work.
Procedure
Once the client/owner work permit has been issued, the assigned crew shall conduct a thorough Hazard
Analysis session at the job site, which includes, but is not limited to:
• Walking the job and reviewing all elements of the assignment. The supervisor shall identify all
equipment that is to be worked on.
• Identifying existing and/or potential hazards and take appropriate action to eliminate or minimize
identified hazards; reaching agreement on the safest plan to complete the assigned task. Each person on
the crew must thoroughly understand their role in the upcoming tasks.
• Evaluating PPE requirements and upgrading permit required PPE or providing additional PPE
whenever necessary to provide maximum level of employee protection.
• Ensuring that all workers know and are properly trained for their assignment(s).
• Posting the completed form(s) along with the work permit in a conspicuous place in the work area. In
the event it is not possible to post the form(s), they shall be kept readily available at the job site. The
forms shall be kept in a manner that protects them from weather damage.
Whenever possible the supervisor shall be involved in the Hazard Analysis Session. However, there are times
when this is not possible. Should the supervisor find that he/she will not be available, he/she shall assign a
competent person to lead the session. As soon as practical following the beginning of a job, the supervisor shall
review all Hazard Analysis Forms of crews assigned to him/her and sign the back of the form in the section
provided.
27
General Instructions
• Print and make sure the form is legible/readable. The only place you do not print required
information is when you place your signature on the back of the form.
+ Involve the entire crew in the process. The more eyes and experience used to identify hazards, the better.
+ Whenever possible, the completed Site Safety Plan should be reviewed for proper completion and
signed by the designated lead person, foreman, supervisor or Safety dept. representative before the
work is started. If this is not possible, the form should be reviewed as soon as practical.
• When the form (s) is completed, it must be posted & readily available at the job site.
28
Site Safety Plan Form
Date - Enter the date the work will be performed and the time you started the Hazard Analysis process.
Emergency Communication - Enter the phone number(s) for reporting emergencies at that location
Site Name — Enter the name of site where work will be performed.
Location - Enter the city/state where the work will be performed.
Tech. Team Leader - Enter the name of the immediate foreman or supervisor.
Support Technicians - Clearly print the name(s) of each person that will be working on the job. This may include
employees not associated with C & E Excavating, Inc., such as other contractors or client personnel working with
you.
Yes No N/A Questions - Each one of these questions requires an answer. Carefully consider each question and
how it will affect or apply to the work being performed. If the question doesn't apply to the job, mark it "N/A"
(Not applicable). Each question is important.
Departure Time —Time the crew completed work on site.
Arrival Time — Time the crew arrived on site.
Site Contact - Enter the name of the client contact person for that job.
Tech. Team Leader Signature - Now that you have filled in the blanks and answered the questions, review the
Site Safety form with all crewmembers and any other contractor client personnel working on the job. Tech.
Team Leader will sign form ONLY after all technicians have reviewed the site safety form.
Additional Special Instructions/Comments — Include any additional special instructions or comments
Now you can start the job! Remember, the form is complete, but the process continues. Always remain
alert for changing conditions. The Site Safety Plan must be modified/updated if conditions change or new
hazards are found. Any modifications must be communicated with all crewmembers. *Remember to review the
Site Safety Plan with any new crewmembers that are added while the job is in progress. Their name(s) must
also be added to the Hazard Analysis form. Post all completed forms in a conspicuous and readily available
location
W
Site Safety Plan
Attachment 9-1
C & E Excavating, Inc. SITE SAFETY PLAN
Date:
Site Name:
Company Representative
*(This person is responsible for keeping attendance at the
site and for filling out all paperwork/permits that may be required)
Other Employees:
Emergency Communication:
Location:
DESCRIPTIONS YES — NO - N/A - COMMENTS
• Is the scope of work fully understood?
Has the Job Duties been reviewed? Has the site manager been contacted?
• Are employees are aware of communication systems? Have site hazards been reviewed?
■ Are all employees aware of the materials required?
■ Are all employees aware of the hazards that may be encountered? Is a vehicle being used to perform the
Job Duties?
• Is Fire Extinguisher on board the vehicle, if required? Has Fire Extinguisher been charged, if required?
• Is the First Aid Kit on board vehicle and has it been re -stocked? Has a Vehicle inspection been conducted?
• Has the proper personal protective equipment (PPE) been issued? Have Employees been trained on
proper use, maintenance and storage of PPE?
■ Are employees aware of emergency procedures associated with the location?
(Add other Descriptions as needed below)
Arrival Time: Site Contact:
Departure Time:
C&E Excavating Representative (Signature):
Additional Special Instructions/Comments:
REMEMBER: SMOKING IS PROHIBITED AT ALL JOB SITES
30
Personal Protective Equipment Policy
Protective equipment, including personal protective equipment for eyes, face, head, and extremities,
protective clothing, respiratory devices, and protective shields and barriers, shall be provided, used, and
maintained in a sanitary and reliable condition if necessary because of hazards of processes or environment,
chemical hazards, radiological hazards, or mechanical irritants encountered in a manner capable of causing
injury or impairment in the function of any part of the body through absorption, inhalation, or physical
contact.
Personal Protective Equipment Training
Employees expected to wear Personal Protective Equipment (PPE) will be trained as follows:
• Exposures and how to identify them
• Types of PPE to wear as protection from each exposure
• When to wear them
■ How to wear PPE properly
• How to care for, clean and properly store PPE.
An employer shall verify that each affected employee has received and understood the required training
through a written certification that contains all of the following information:
• The name of each employee trained.
• The date of training.
• The subject of certification.
Personal Protective Equipment Use
Head Protection
Approved hard hats must be worn if employees could be struck by falling objects, are in danger of striking
their heads on fixed objects, or there is a shock hazard from working near exposed electrical conductors.
Do not drill holes in the hard hat for ventilation; it destroys the integrity to protect you from blows to the
head.
Hard hats shall comply with ANSI Z89.1-1986, Class A or B. Class B is required for exposure to high voltage
shocks, above 600 volts.
Where there is risk of injury from hair entanglements in moving parts of machinery, combustibles, or toxic
contaminants, employees shall confine their hair with nets, or other suitable restrictive devices to eliminate
the hazard.
31
Eve and Face Protection
Employees working in locations where there is a risk of receiving eye injuries such as punctures, abrasions,
contusions, or burns as a result of coming in contact with flying particles, hazardous substances,
projections, or injurious light rays which are inherent to the work or environment shall be safeguarded by
means of face or eye protection.
Suitable screens or shields isolating the hazardous exposure may be considered adequate safeguarding for
nearby employees, i.e. welding screens.
Where eye protection is required and the employee requires vision correction, the following eye protection
shall be provided:
Safety glasses with suitable corrected lenses, or
Safety goggles designed to fit over glasses, or
Protective goggles with corrective lenses mounted behind the protective lenses.
The wearing of contact lenses is prohibited in working environments having harmful exposure to materials,
or light flashes, except with medically approved devices.
Side shields shall be worn whenever the hazard of flying objects is angular as well as frontal.
Body Protection
Protection such as rubber aprons or sleeves may be necessary in certain environments where splashing of
Hazardous materials or other common substances such as water would pose a risk to the employee. Flying
metal particles or molten metal are examples of hazards that could penetrate normal clothing and injure
the employee, requiring leather protective sleeves and/or vests.
In all cases, clothing appropriate for the work being done shall be worn. Loose sleeves, tails, ties, lapels,
cuffs, or other loose clothing which can become entangled in moving machinery will not be worn.
Clothing containing flammable liquids, corrosive substances, pesticides, irritants, or oxidizing agents shall
be removed and not worn until properly laundered.
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Hand Protection
There are many types of gloves and made of many different types of materials, each with a specific
application. Gloves will be worn as precaution from the following exposures:
• Chemicals - check the Safety Data Sheets (SDS) for listed PPE required for safe handling
• Cuts
• Hot work
No glove can protect against all hazards so select the appropriate glove for the job.
Where there is risk of injury from glove entanglement in moving parts of machinery, employees shall not
wear gloves and use other methods to protect their hands from injury exposure.
Jewelry, such as rings has caused the loss of many fingers. Be aware that wrist watches, and other jewelry
can be caught in moving machinery, or caught on a protruding hook or nail. Never wear metallic jewelry or
other objects when working around electrically energized equipment.
Foot Protection
For work in areas where feet are in danger of:
• Being struck by falling or heavy rolling objects and crushed or penetrated, steel -toed shoes, or
steel covers are recommended.
• Working around boards with nails, or scrap metal, you need protection from punctures.
Hearing Protection
Hearing protection will be made available to all employees exposed to sources of noise 85 dB or greater, as
measured by a sound level meter or identified by the contracting company. In general, anytime someone
must elevate their voice to be heard, hearing protection will be worn.
Hearing protector equipment consists of earplugs (various NRR) or muffs (industrial).
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Ladder Safety Policy
The Ladder Safety Policy is intended to provide employees with safe guidelines for the use of portable ladders,
while complying with applicable OSHA and other Regulatory Compliance Standards. This policy is designed to
meet or exceed ANSI requirements.
Policy
Except where either permanent or temporary stairways or suitable ramps or runways are provided,
employees are to only use manufactured portable ladders that are labeled as being designed and
manufactured in accordance with the provisions of the American National Standards Institute. Under no
circumstances are portable ladders to be used unless conditions are considered safe, secure and in compliance
with OSHA and company procedures and safe work practices.
Procedures
• The use of ladders with broken or missing rungs or steps, broken or split side rails, or other faulty
or defective construction is prohibited. All rungs, cleats, and steps will be parallel, level and uniformly
spaced when the ladder is being used. All ladders will be inspected prior to use by a competent
person. When ladders with such defects are discovered they must be immediately removed from
service and tagged as such.
■ Employees will face the ladder and will not carry material or tools in their hands while ascending
or descending.
• Ladders will not be loaded beyond the maximum intended load for which they were built or beyond
the
manufacturer's rated capacity.
• All ladders shall be placed on secure footing, and the area around the top and bottom will be kept
clear of work materials, tools and debris.
■ Planks will not be used on the top step of stepladders.
• Portable ladders will be placed and used at a pitch that places the horizontal distance, from the top
support to the foot of the ladder, at about one -quarter of the working length of the ladder. Ladders will
not be used in a horizontal position as a platform, runway or scaffold.
■ Ladders shall not be placed in front of doors, unless door is blocked open, and/or a barricade or
guard is provided.
• Ladders shall not be placed on scaffold, boxes, boards, barrels, or other unstable bases.
Ladders shall not be spliced together.
• Employees will not stand on the top cap or the step below the top cap of a stepladder.
■ Any ladder splashed with caustic or acid shall not be used until thoroughly cleaned and inspected
for possible corrosive damage.
• There shall be ample clearance and clear access at the top and bottom of portable ladders.
• Portable rung ladders shall only be used with the metal supports on the underside.
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• No ladder shall be used to gain access to a roof unless it extends at least 3 feet above the point of
highest support with the building. Side rails must extend not less than 36" above any landing. When this
is not practical, grab rails will be provided to facilitate employee movement to and from the point of
access.
• Portable metal ladders will not be used for electrical work or where they may contact electrical
conductors.
• All ladders shall be equipped with non -slip bases when a hazard of slipping exists.
• All ladders will be tied off on top, blocked or otherwise secured to prevent movement before
work is performed from them.
• All ladders must have a minimum width of 12 inches. All ladders must have a distance of 12"
between rungs.
• The company prefers not to use or issue chain ladders, however if a client provides or mandates chain
ladder usage, a thorough pre -use inspection of the ladder(s) must be performed. When there is a need
for this type of ladder, wire rope ladders are preferred.
• Stepladders shall not exceed 20 feet in length.
• Extension ladders shall be equipped with positive stops.
• Ladders shall be maintained in good condition.
• Only one employee is to work on or climb a ladder at the same time.
• All work done from a ladder shall be within an individual's normal reach and with no
overextending allowed.
All work done from a ladder that exposes a worker to a fall potential of 6 feet or more requires the
worker to wear a harness and be tied off per the Fall Protection Policy. Employees are not permitted to
stand or work off of the top three rungs or cleats of a ladder unless there are members of the structure
that provide a firm handhold, or the employee is protected by personal fall protection.
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Fire Prevention Policy
Purpose
Fire Prevention/Protection Policy is intended to provide compliance with all related OSHA regulation and
standard safe work practice. The purpose of the policy is to prevent fires and to provide guidelines for action in
the event that a fire does occur.
Fire prevention program combines the following policies:
■ PPE Policy
■ Emergency Action Plan
■ Other programs or policies as necessary
These policies encompass methods used for incidence avoidance, incident response and specialized training
required in the event of a fire.
Policy
Employees shall be informed of the proper actions to take in the event of a fire. This includes, but is not limited to;
notification and evacuation procedures. It is STRESSED that at no time does the task of fighting fire supersede an
employee's primary duties of:
• Ensuring their own personal safety and the safety of others.
• Reporting the incident to the proper authority and ensuring personnel accountability for yourself
and all subordinates at the jobsite, in accordance with company and client policy.
Procedure
All employees are responsible for good housekeeping practices to enhance fire prevention methods.
Supervisors will be held accountable for the housekeeping of their job sites.
• If applicable, welding machine mufflers will be equipped with an approved spark arresting muffler.
• Only approved containers will be used during fueling operations. These shall be of the self -closing type.
• Flammable material shall be kept under the control. It shall be stored in compliance with applicable OSHA
and client regulations. The quantity of flammable/combustible material shall be kept to a minimum on the job
site.
• Welding, cutting and grinding sparks shall be contained.
r Hot work areas shall be kept wetted down, and a fire extinguisher and hose maintained on each jobsite.
• Oily rags shall be immediately disposed of in designated hazardous waste containers.
■ No hot work is to be performed without a Hot Work Permit.
• All vehicle entry into process areas requires a permit or permission from the operator.
• Use bonding straps to discharge and prevent static charges during transfer of flammable liquids from
one container to another.
■ Report all spills or suspicious odors immediately.
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• Fire extinguishers are to be kept in areas easily accessible to employees. Only approved fire extinguishers
are to be used. They must have an inspection tag attached. Extinguishers are to be maintained in a fully
charged, ready to operate state. Extinguishers are to be inspected before each use and documented annually.
Training is provided to all employees who use or may use fire extinguishers.
• NEVER put yourself or others a risk while attempting to extinguish an incipient fire.
• DO NOT USE any fire hoses larger than 1-3/4", unless fully trained as an industrial firefighter.
• NEVER attempt to extinguish a pressurized -fuel fed fire.
• DO NOT direct a fire nozzle with a straight stream at any type of LPG fire. This action could extinguish the fire,
producing an LPG vapor cloud capable of detonation.
• DO NOT USE fire monitors as the force can damage small equipment and certain high chrome alloy
equipment cannot have water applied as cracking could occur.
• DO NOT APPLY water to any acid or caustic release as it can cause a violent reaction. Additionally, low
concentration acids or caustics become extremely corrosive, causing an increasing leak condition.
In the Event of a Fire:
• Remain calm
• Only extinguish a fire when it is clearly within your abilities and the equipment available
• Know the location of the nearest alarm and how to activate the emergency system
• Know the evacuation routes and collection points
• If the fire cannot be extinguished, leave the area immediately and report to your evacuation area
• Await further instructions from the Incident Commander, or designated responsible personnel
Basic Fire Science:
• The combination of fuel, heat, oxygen equals the well-known fire triangle. To understand fire better,
a fourth factor is added, a molecular chain reaction. This is due to the fact that fire results from a series
of reactions in which complicated molecules "crack" into easily oxidized fragments. Disruption of this
chain, along with the removal of fuel, heat or oxygen, is recognized as a method of fire extinguishment
through the use of dry chemical extinguishers.
Fuel
Fuel Heat Molecular Chain Reaction
Oxygen
Oxygen
Heat
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• Heat Energy - Can be produced by building up molecules (composition) or breaking apart
(decomposition) by heat or a solution when materials are dissolved in a liquid, or by combustion.
• Heat Transfer - A law of physics states that heat tends to flow up from a hot substance or place to a
cold substance or place. This is through conduction (transfer of heat through a medium such as metals)
or through convection (transfer of heat with a medium -usually circulatory).
• Fuels - Those substances that will burn when heat is applied. The most common fuels are not pure
elements such as carbon, but compounds and mixtures such as paper and wood.
• Oxygen - Makes up a major portion of the oceans and earth's crust and one -fifth of our atmosphere.
Atmospheric oxygen is the major source of oxygen that supports combustion. Oxygen itself does not
burn, however, without it, combustion is impossible. Normal burning is the combination of fuels with
oxygen under the influence of heat.
Combustion - A rapid oxidation or chemical combination accompanied by heat.
• Oxidation - The ability of materials to produce oxygen during a chemical reaction.
• Spontaneous Combustion - When oxidation is allowed to occur, enough oxygen is available, heat is
produced, molecules become more energetic and combine with oxygen at an increasing rate,
temperatures rise and visible heat (flames) are produced.
Classes of Fires:
• Class A - Ordinary combustibles (wood/paper/textiles)
• Class B - Flammable liquids (gasoline/oils/grease)
■ Class C - Live electric (wiring/generators/motors)
■ Class D - Combustible metals (finely divided form/chips, turnings)
Types of Fire Extinguishers:
• Water - extinguisher for ordinary combustible fires
• Dry Chemical or CO2 - extinguisher for electrical equipment fires and for flammable liquid fires
• Multipurpose Dry Chemical - extinguisher for ordinary combustible fires, liquid fires, and electrical
equipment fires
■ Foam - extinguishing agent for hydrocarbon
M