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HomeMy WebLinkAboutOpening of Bids - Cleveland Rd. & Ameritech Dr. Imprvmnts. Proj No. 122-049 - Milestone ContractorsCITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Cleveland Road and Ameritech Drive Intersection Improvements Project No. 122-049 For Bids Due August 22, 2023 PART I (Must be completed for all bids. Please type or print) Date: 8/22/2023 Bidder (Firm): Milestone Contractors North, I Address: 24358 SR 23 City/State/Zip: South Bend, IN 46614 Telephone Number: i 574 } 288-4811 Agent of Bidder (if Applicable): Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: City of South Bend - Cleveland Rd & Ameritech Dr Intersection Improvements the City of South Bend, Indiana, in accordance with plans and specifications prepared by: A & Z Engineerin _ and dated June 28th, 2023 for the sum of (enter the Total Bid as shown on the Proposal) One million two hundred eighty one thousand dollars and zero cents 1:$ 1,281,000.00 (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 n a sep ate attachment. By (Si , gnature) L nn . auer, VP/Area Manager, South Bend (Printed Name of Person Signing) ACCEPTANCE The above bid is accepted this Subject to the following conditions: BOARD OF PUBLIC WORKS Elizabeth A. Maradik, President Gary A. Gilot, Member Murray L. Miller, Member day of Joseph R. Molnar, Member Jordan V. Gathers, Member Attest: Theresa Heffner, Clerk Version 09/29/2021 Contractor's Bid for Public Works - 2 PART II (For projects of $100,000 or more — IC 36-1-12-4) These statements to be submitted under oath by each bidder with and as part of his/her/its bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 1. Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid. 2. Attach a listing of public works projects currently in process of construction by your organization. 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. 4. Attach references from private firms for which you have performed work. SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Attach an explanation of your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the City of South Bend to consider your bid.) 2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. 3. If you intend to sublet any portion of the work, attach the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the City of South Bend in the event that you subsequently determine that you will use a subcontractor on the proposed project. 4. Attach a listing of equipment you have available to use for the proposed project. 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, attach an explanation for the rationale used which would corroborate the prices listed. SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the City of South Bend awarding the contract must be specific enough in detail so that said City of South Bend can make a proper determination of the bidder's capability for completing the project if awarded. Version 09/29/2021 Contractor's Bid for Public Works - 3 When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON- DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF Indiana ) ) SS: St. Joseph_ COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (I) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the Version 09/29/2021 Contractor's Bid for Public Works - 4 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. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, firms, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of contract or employment, or any matter directly or indirectly related to contracting or employment because of race, sex, religion, color, national origin, ancestry, gender expression, gender identity, sexual orientation, or due to age or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions will consider the Contractor's good faith efforts to obtain participation by those subcontractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. Contractors seeking the award of a City contract cannot be required to award a subcontract to an MWBE; however, they may not unlawfully discriminate against said MBE/WBE. On goal -eligible contracts, Contractors are required to either meet both MBE and WBE utilization goals or demonstrate that the Contractor has made good faith efforts to obtain participation from MBE and WBE subcontractors. A finding of noncompliance or a discriminatory practice shall prohibit that Contractor from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact to which the discriminatory practice or noncompliance pertains. 7. The undersigned Contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender Version 09/29/2021 Contractor's Bid for Public Works - 5 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 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 22nd day of August , 2023 `.101,,\ r aIc to, ��*A el 0 Lo?,?ORArF is SEAL • ^ S. 4f'f/o1i n 1110\ Subscribed and sworn to before me this 22nd My Commission Expires 6/5/2030 Milestone Contractors North. Inc. Contr tor/ 'ddeg rm) NJ Signatur f 1-1 ntractor/Bidder or Its Agent Lynn J. Bar, VP/Area Manager, South Bend Printed Name and Title day of uq ust 2023 Notary-- blic Alis Krueger County of Residence LaPorte_ ALISHA I(RUEGER : NN Commission Expires 2J :t; `* SEAL z, N'rFO.... June 5, 2030 Commission Number NP0653544 La Porte County Version 09/29/2021 Contractor's Bid for Public Works - 6 Project Name: Cleveland Road and Ameritech Drive Intersection Improvements Project Number: 122-049 For Bids Due: August 22, 2023 ITEM NO.1 ITEM DESCRIPTION QUANTITY UNIT UNIT PRICE TOTAL AMOUNT Construction Engineering 1 LS 18,300.00 $18,300.00 2 Mobilization and Demobilization 1 LS 141,687.98 $141,687.98 3 Clearing Right of Way 1 LS 24,800.00 $24,800.00 4 Excavation, Common 2462 CYS 46.30 $113,990.60 5 Linear Grading 340 LFT 19.50 $6,630.00 6 B-Borrow 2100 CYS 9.00 $18,900.00 7 Subgrade Treatment, Type II 2452 SYS 29.00 $71,108.00 8 Compacted Aggregate, No. 53 817 TON 56.00 $45,752.00 9 HMA Surface, PG70-22P, 9.5 mm, Type C 63 TON 320.00 $20,160.00 10 HMA Intermediate, PG64-22, 12.5 mm, Type C 105 TON 192.00 $20,160.00 11 HMA Base, PG64-22, 25.Omm, Type C 336 TON 144.00 $48,384.00 12 Joint Adhesive, Surface 216 LFT 0.10 $21.60 13 Joint Adhesive, Intermediate 216 LFT 0.10 $21.60 14 Liquid Asphalt Sealant 216 LFT 0.10 $21.60 15 Asphalt for Tack Coat 1526 SYS 0.10 $152.60 16 PCCP, 11.5" 1305 SYS 124.20 $162,081.00 17 PCCP, For Patching 384 SYS 142.70 $54,796.80 18 D-1 Contraction Joint 891 LFT 18.00 $16,038.00 19 Type A Expansion Joint W/Dowels 168 LFT 28.00 $4,704.00 20 Type E Longitudinal Construction Joints 672 LFT 14.00 $9,408.00 21 Center Curb, Concrete 3 SYS 600.00 $1,800.00 22 Curb, Integral, Concrete, 6 in. 56 LFT 56.00 $3,136.00 23 Curb, Concrete 130 LFT 98.00 $12,740.00 24 Sodding, Nursery 509 SYS 21.60 $10,994.40 25 Topsoil 3 CYS 470.00 $1,410.00 26 Pipe, Type 2, Circular, 12 in. 2 LFT 1,630.00 $3,260.00 27 Pipe, Type 2, Circular w/Slotted Vane Drain, 12 in. 40 LFT 505.00 $20,200.00 28 Pipe, Type 1, Field Verified 20 LFT 215.00 $4,300.00 29 Pipe, End Section, Field Verified 2 EA 660.00 $1,320.00 30 Casting, Inlet, Adjust to Grade 2 EA 700.00 $1,400.00 31 Casting, Manhole, Adjust to Grade 1 EA 1,900.00 $1,900.00 32 Line, Multi -Component, Broken, White, 4 in. 683 LFT 3.00 $2,049.00 33 Line, Multi -Component, Solid, White, 4 in. 1999 LFT 3.00 $5,997.00 34 Line, Multi -Component, Solid, Yellow, 4 in. 1368 LFT 3.00 $4,104.00 35 Line, Multi -Component, Solid, White, 10 in. 2060 LFT 5.00 $10,300.00 36 Grooving for Pavement Markings 6110 LFT 1.60 $9,776.00 Version 09/29/2021 Contractor's Bid for Public Works - 7 Addendum no. 3 Project Name: Cleveland Road and Ameritech Drive Intersection Improvements Project Number: 122-049 For Bids Due: August 22, 2023 37 Transverse Marking, Multi -Component, Crosshatch Line, White, 12 in. 145 LFT 10.00 $1,450.00 38 Transverse Marking, Multi -Component, Stop Line, White, 24 in. _ 207 LFT 17.00 $3,519.00 39 Pavement Message Marking, Multi- Component, Lane Indication Arrow 3 EA 1 200.00 $600.00 40 Signal Head, 3-Section, 12", Red, Amber, Green, Amber Arrow, Green Arrow 6 EA 1,400.00 $8,400.00 41 Signal Head, 5-Section, 12", Red, Amber, Green 4 EA 2,100.00 $8,400.00 42 Signal Cable, 5C/14 363 LFT 5.00 $1,815.00 43 Signal Cable, 7C/14 242 LFT 6.00 $1,452.00 44 Signal Cable, 9C/14 286 LFT 7.00 $2,002.00 45 Existing Signal Equipment, Remove 1 EA 1,600.00 $1,600.00 46 Temporary Pavement Marking, Removable, 4 in. 15731 LFT 1.85 $29,102.35 47 Temporary Pavement Marking, Removable, 24 in. 181 LFT 11.10 $2,009.10 48 Temporary Pavement Marking, Removable, Lane Indication Arrow 16 EA 145.00 $2,320.00 49 Line, Remove 1785 LFT 1.35 $2,409.75 50 Sign, Remove and Relocate 4 EA 400.00 $1,600.00 51 Concrete Pavement Remove 1305 SYS 37.10 $48,415.50 52 Center Curb, Concrete, Remove 78 SYS 20.00 $1,560.00 53 Curb Remove 70 LFT 50.00 $3,500.00 54 Maintenance of Traffic 1 LS 288,000.00 $288,000.00 55 Erosion Control 1 LS 1,041.12 $1,041.12 BID TOTAL $1,281,000.00 Bidder(Firm): Address: City/State/Zip Telephone Number: Milestone Contractors North, Inc. 24358 SR 23 South Bend,IN 46614 574-288-4811 By (Signature) L nn a er VP/Area Manager, South Bend NJ (Printed Name of Person Signing) Version 09/29/2021 Contractor's Bid for Public Works - 8 Addendum no. 3 r U '�� CITY OF SOUTH BEND w .''1 MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-1.0 f MBE UTILIZATION PLAN 1 WO 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: 122-049 Project Name: Cleveland Road and Ameritech Drive Intersection Improvements Milestone Contractors North, Inc. Total Bid Amount: $1.281,000.00 Name & Address of MBE i C. Lee Construction Services, Inc. 1011 S. Lake Street Gary, IN 46403 Primary Contact Person (Name/Telephone) Scope of Work to be Performed (Attach scope/schedule if you need additional space) Frederick "Chip" Lee I Hauling 219-922-7733 MBE Goal: 3.53% Page 1 of 1 Dollar Amount of MBE Percentage Component of Total Bid/Proposal $46,000.00 1 3.59% Submitted by: Lynn J. Bauer, VP/Area Manager, South Bend 8/22/2023 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 MBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS 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: 122-049 Project Name: Cleveland Road and Ameritech Drive Intersection Improvements Bidder: Milestone Contractors North, Inc. Total Bid Amount: $1,281,000.00 WBE Goal: 5.64% Page 1 of 1 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 State Barricading, Inc. James Michalski Maintainingof Traffic o 24963 US 20 W. 574-287-2078 $73,000.00 5.70 /o South Bend, IN 46628 I Submitted by: Lynn J. Bauer, VP/Area Manager, South Bend Ca. � A q 1.a� Print Name Signature Q U Version 09/29/2021 Contractor's Bid for Public Works - 10 8/22/2023 Date CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MBE participation. Project Number: 122-049 Date: 8/22/2023 Project Name: Cleveland Road and Ameritech Drive Intersection Improvements Bidder: Milestone Contractors North, Inc. Contact Person: Ed Pili ow Telephone: 574-288-4811 Address: 24358 SR 23 City: South Bend State: Indiana zip: 46614 Email: a ili ow(5milestone) .com To determine whether a bidder has demonstrated good faith efforts to reach the MBE utilization goals set forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below": EVIDENCE OF GOOD FAITH EFFORTS MBE LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business Enterprise Inclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the Indiana Department of Administration list of Minority and Women Owned Businesses (both certified and non -certified) found at: hftp://www.in.gov/ido� 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 j Inclusion Program Plan and the Indiana Department of Administration's certified list of Indiana Minority and Women Business Enterprises, found on their website (hftp://www.in.gov/idoa). I affirm that I have made good faith efforts to select portions of the contract work to be performed by MWBEs, including, where appropriate, breaking out contract work items into economically feasible units to facilitate MBE participation. I affirm that I have made good faith efforts to solicit through all reasonable and available means the interest of all MBEs in the scopes of work of the contract. I affirm that I attended all pre -bid meetings scheduled by the City of South Bend to inform MBEs of contracting and subcontracting opportunities. I affirm that I advertised in general circulation and/or trade association publications concerning subcontract opportunities and allowed MBEs reasonable time to respond to such advertisements. I affirm that I performed any and all necessary steps to provide written notices in a manner L" reasonably calculated to inform MBEs of subcontracting opportunities and allowed �j� sufficient time for MBEs to participate effectively. I affirm that I followed up on initial solicitations with interested MBEs. I affirm that I negotiated with interested MBEs in good faith, including providing such MBEs with adequate information about the plans, specifications and other requirements of the L�•J� subcontract. I affirm that I have made good faith efforts to assist interested MBEs in obtaining bonding, lines of credit, or insurance as required by the City or the bidder, where appropriate. Version 09/29/2021 Contractor's Bid for Public Works -11 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN . ., $Y1a FORM M12E-2.0 . • � =-t EVIDENCE OF GOOD FAITH EFFORTS a, I affirm that I have made good faith efforts to assist interested MBEs in obtaining necessary equipment, supplies, materials, or related assistances or services, where appropriate. L I affirm that I did not reject any MBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. CONTRACT RECORDS: The bidder has maintained the following records for each MBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBE was unqualified to perform the job. "Proper demonstration of Good Faith Efforts requires your initials next to all of the above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 09/29/2021 Contractor's Bid for Public Works - 12 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM 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. Project Number: 122-049 Project Name Bidder: Date: 8/18/2023 Cleveland Road and Ameritech Drive Intersection Improvements Milestone Contractors North, Inc. Contact Person: Ed Pllipow Telephone Address: 24358 SR 23 City: Email: South Bend state: Indiana epilipow@milestonelp.com 574-288-4811 zip: 46614 To determine whether a bidder has demonstrated good faith efforts to reach the WBE utilization goals set forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below*: EVIDENCE OF GOOD FAITH EFFORTS WBE LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business Enterprise Inclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the Indiana Department of Administration list of Minority and Women Owned Businesses (both certified and non -certified) found at: [ if.in.gov/idoa/. GOOD FAITH EFFORTS TO OBTAIN WBE PARTICIPATION The bidder shall initial each item below, as evidence of its good faith efforts to obtain WBE participation in 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 thftp://Www.in.gov/idoa,,,. I affirm that I have made good faith efforts to select portions of the contract work to be performed by WBEs, including, where appropriate, breaking out contract work items into 4� economically feasible units to facilitate WBE participation. I affirm that I have made good faith efforts to solicit through all reasonable and available means the interest of all WBEs in the scopes of work of the contract. I affirm that I attended all pre -bid meetings scheduled by the City of South Bend to inform WBEs of contracting and subcontracting opportunities. I affirm that I advertised in general circulation and/or trade association publications concerning subcontract opportunities and allowed WBEs reasonable time to respond to such advertisements. I affirm that I performed any and all necessary steps to provide written notices in a manner reasonably calculated to inform WBEs of subcontracting opportunities and allowed sufficient time for WBEs to participate effectively. I affirm that I followed up on initial solicitations with interested WBEs. I affirm that I negotiated with interested WBEs in good faith, including providing such WBEs 1 with adequate information about the plans, specifications and other requirements of the �p 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 EVIDENCE OF GOOD FAITH EFFORTS I affirm that I have made good faith efforts to assist interested WBEs in obtaining necessary equipment, supplies, materials, or related assistances or services, where appropriate. }-Y I affirm that I did not reject any WBEs as unqualified without sound business reasons ze 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 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN` FORM MBE-2.1 MBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring Good Faith Efforts to contact MBEs. It is the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications. Attach additional pages if necessary. PAGE 1 OF 1 Project Number: 122-049 MBE Participation Goal 3.53% Project Name: Cleveland Road and Ameritech Drive Intersection Improvements Bidder: MjlestAne Contractors North Inc. By: 4lrll�8/22/2023 (Signature)Sauer (Title) VP/Area Manager, South Bend (Date) MBE Firm C. Lee Construction Services Inc. Owner or Contact at MBE Firm Frederick "Chip" Lee Telephone: 219-922-7733 Fax: 219-888-9564 Email: chip(Mcleecsi.com TYPE OF WORK SOLICITED FOR THIS PROJECT: Haulin RESULTS OF CONTACT WITH THE MBE FIRM: If we're awarded the proejct, we'll enter into a Hauling Agreement C. Lee Construction Services, Inc. MBE Firm Owner or Contact at MBE Firm Telephone: Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT. RESULTS OF CONTACT WITH THE MBE FIRM: Email: Version 09/29/2021 Contractor's Bid for Public Works - 15 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN ka Via" .z1 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 WBEs. It is the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications. Attach additional pages if necessary. PAGE 1 OF 1 Project Number: 122-049 WBE Participation Goal 5.64% Project Name: Cleveland Road and Ameritech Drive Intersection Improvements Bidder: Milastone Contractors North, Inc. By: 9r1,4 C^-&&/1_ VP/Area Manager, South Bend 8/22/2023 (Signatu n J. Bauer (Title) (Date) WBE Firm State Barricading, Inc. Owner or Contact at WBE Firm James Michalski Telephone: 574-287-2078 Fax: 574-287-1744 Email: statebarricadel@aol.com TYPE OF WORK SOLICITED FOR THIS PROJECT: Maintaining of Traffic RESULTS OF CONTACT WITH THE WBE FIRM: If we're awarded the project, we'll enter into a Subcontract with State Barricading, Inc. WBE Firm Owner or Contact at WBE Firm Telephone: Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT RESULTS OF CONTACT WITH THE WBE FIRM: Email: Version 09/29/2021 Contractor's Bid for Public Works - 16 CONTRACTOR: (Name, legal status and address) Milestone Contractors North, Inc. 24358 State Road 23 South Bend, IN 46614 OWNER: (Name, legal status and address) City of South Bend 227 W. Jefferson Blvd. South Bend, IN 46601 BOND AMOUNT: 5% CNA S UR E ! 1 ]Bond No. Bid Bond SURETY: Continental Casualty Company (Name, legal status and principal place of business) 151 N. Franklin Street 17th Floor Chicago, IL 60606 Five Percent of the Base Bid PROJECT: (Name, location or address, and Project number, if any) Cleveland Rd and Ameritech Dr Intersection Improvements; Project No. 122-049 This document has important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted he*�vncd °rs provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.�3'so :°���.� furnished, the intent is that this Bond shall be construed as a statutory bond and not a ommon law : �Q,v 0 RA re 22nd August 20 a v• ` .,, Signed and sealed this . _ — _ day of '' V, Milestone ' tra ors Inc. �i� •'• 5 (Princip . (Witness) Alisha Krueger By: e) D Director of EstimqW on ental Casualty Compa ooeav�r, re O T"Seal) (Witness arah M. Schill gWVkW -_� (Title) An e M. Riley, Attorney -in -Fa - e97 Printed in cooperation with the American Institute of Architects (AIA). The language In this document conforms to the language used In AIA DocumentA310 - Bid Bond - 2010 Edition. 1'� a ' osoE� POWER OF ATWRN£Y APPOD1'MG INDIVIDUAL ATTORNEY -IN FACT Know All Men By These Presents, That Continental Carnally may, au Ul imois bsur&= company, National Fire lamance Company of Hwdo d, an Illinois insurance company, and American Casualty Company of Reaal & Pemtsylvaaia, a Penaayh ann uxurawe company (bm m called "the t; RA Companies'), are duly organized urd existing insurmwe companies having their principal offices in the City of Chicago, and State of Illinois, tad that they do by virtue of the signatures and seats herein affixed hereby make, constitute and appoint Angela M. Riley, Indhidudly of Indianapolis, IN their true and law f d Atto sj-in-Fact vrith full power and authority hereby confentd to sign, seal and execrate for and on area behalf boards, undertakings sad other obligatory instruments of similar natue - In Unlimited Amounts - $x v$800dtea; Bid Bond i?r3 d* Milestone Contractors North, Inc. Clinic City of South Bend and to bind them thereby as fully and to the same ante as if sucb its were signed by a duly m6orixed offwu of their km ame companies and all the acts of said Attorney, pursuant to the authority hereby gum is hereby ratified and confirmed. This Pourer of Attorney is made and executed pursuant to and by authority of the lay -Laura and Resolutions, printed on the reverse hsrawt duly adopted, as indicated, by the Boards of Ditre wn of the insurance companies. In Witaaess Whereof, the CNA Companies lane caused these pests to be signed by their Vice President and their corporate seats to be hereto affixed on this 9th day of May, 2023. S ream MARrf Contiamtal Casualty Cry National Fire ins rn" Company of Hartford American Casualty Company of Reading, Pertrisylvania Larry di:asttcn k7—z4eVita president State of South Dakota, County of Minuebaba, ss: On this 9th day of May, 2023, before me personally came Larry Kasten to me known, Wba, being by me duly swom, did depose and say; that he resides in the City of Sioux Falls, State of South Dakota; that he is a Viet President of Continental Casualty Company, an Illinois insrraxe company, National Fire Insurance Cou4uaay of Hactfard, an Illinois i company, nand Amataricatt Carnally Company of It,eadimg, Pemunsylva. a, a Pennsylvania insurance company described in and which executed the ab(n-e instrument; that he knom the seals of said marine companies, that the seals aiixed to the said instrument are such corporate seals; that they wm so affixed pursuant to authority Shen by the Boards of Directors ofsaid inwnance companies and that he signed his name thereto purvaut to like authority, and Wwoakdget same to be the act and deed of said inauance Co baF.�r roramr • My Commission Expires March 2, 202b M. Beat CERTIFICATE V. L U I. D. Johnson, AWstaw Secretary of CondnezW Casualty Compaw, an Illinois insurance company. National fire Insurance Company of Hartford, an Illinois msmance company. and American Casualty Company of R:ading Pennsylvania, a Pennsylvania insurance company do hereby certify that the Power of Attorney herein above set forth is still in forge. nerd fwther certi# r *at the By --Laws and Resolutions of the Board of Directors of the insurance companies printed om the reverse hereof is still in four. in testimony whereof I have hereunto subscribed my name and affixed the seal of the said insurance companies this 22nd day of August , 2023. !S44?aw'x'110 ,a �. MY ra. rani Q` H�� e Four F6W-4-iU23-- Continental Casualty Company National Fire Insuaance Company of Hartford American Casualty Company of Reading, Pemsylva m I D_ Johanson AssisW Secretary Go to tNww, ��mi > Owner J Obligee Services > Val$date Bond Coverage, if you want to verify bond aut h*ntichy. Authorizing By -Laws and Resobttions This Power of Attorney is sipped by Larry Kasten, Vice Presid" of each of** CNA Companies (as defined in tbt Powa of Attamayl wbo has beaa amsboria:eed ps ram to the below Bylaws and Fmohrtioas to eoteeate power of attorneys m babalfof each ofthe CNA Campamin. ADOPTED BY THE BOARD OF DMECTORS OF Cffi+1T NENLAL CASUALTY COMPANY: This Power of Attorney is made and eseasted pmwant to pad by adhority ofthe EpHaving resolution dolt' adopted by toe Board of DitmC of the Company at a meeting bold on May 12,1995: `RESOLVED: lbat any Stdpr or Group Vita Pre dent may audmixe an odScar to sips specific doccaseab, agna nmb and oa behalf of the Campmy Prvtjled that the ssamte Ofsac)► aatUWiMd Q%M pad a 6e=46oa of the 4ocmpe4% aFM0W its OF itpstromeats that svah oif'irer may sips WM be prmided in �p by the Senior or Group Vice President to the Smrbry of the Company prior to sorb execution beeomitg alfecti%*e ' This Power of Ahoraey is signed and sealed by fatsiur trades and by the authority of the Wowing Rtwh6oc adopted by do Board of Dbvcwn of tot CompanW by tmamm m wattro eoasmt clamed the 2S6 day of Apn7, 2011 "Whereas, the bylaws of due Company or specific resohs im of d w Board of Directors has madmiaed --minim of cm (dr "Adlaained OBieen") to variaas pobraes, bonds, undertakings and other oblipasory iapamneob of Moxxons, ad Whams, from time to lima, the sipaatm of tht Audrarimed Offnars, in addition to being prmided is origiml, hard copy format, may be providd via fitsimik at otherwise in ores fottsat (colkc#in�ely,' Cbonic Sim_ Now tbrssfors be it aesah�rd drat dw Ekct=x of a�y Au&onnd Ofiaoer shall be valid and bio&v on the Ccmpany.' This Poway of Attorney may bo sipped by digital sipoatsre and sealed by a digital at otherwise eleetreaic-fomutted Corporate seal +antler and by tie authority of dw £olkwmg Raokitim adoptedby the Board of Directors of the Cmapaay by manimons winumeonswt dated the 27th day of April, 2022: "RESOLVED That it is in the bolt ktaed of the Company to pasiodioaAy ratify and confer= m7 corporate doctrmmh Aped by digital 4sannts and to ratify and confer= the use of a digital or odaerwisr 41ectmeckimmumad Caeporcam seal, eaca to be emsidered the an and deed of** Canipn y." ADOPTED BY THE BOARD OF DMECPORS OF NAI)ONAL FIRE IIMF AME COMPANY OF HARTFORD- This Power of Attorney is made and a m=W pursuant to and by attbooty of the Mowing rewhiim duty adopted by dbe Bond of Directors of the C-q-v by ttrnatemoes written consent dated May 10,1995: `RESOLVED: That nay Senior or Group Vice President may autimrm an odfica to sipa ipocifrc dotcmedb, atro moms and i L*vmmb net babalf of the Company prov*;&d that dot roomy of wcb avibmima officer and a dexr4do m of tie doeom t% arrom m or i mstrwamiah &at s+o& oflieer may sign waa be p mv;ad in irsiting by the Seamy or Group Vice President to the Secretary of the Company prior to inch a motiou becoming effecthv m This Porno of Ata uoy is signed and sealed by b e i=ik vamia and by the attaarsty of the following Resobrtion adopted by the Board of Directors of the Company by mmimorn writers co nsW dated tat 25- day of Apn7, 2012: 'Wbem% the bylaws of tat Company or specific reschdim of dw Board of i bectoes has matLoriced ►wimp offiem (d* "An d Officrts') to =Kmw vmious policies, boots, mdtrtalcmps and otter obligatory imsta=ents of Me asters; and Whams, Sour time to time, tot sipaatmn of the Autbotmd Officals" in addition to being provided in original, bard copy format. may be provided via fiesin=k or otherwise in m electronic format (eollettively, "Eleetitnie Sipaathaas'x Now therefore be it resoir rd that tba Ek b=o c $ipatmt of nay AadwgimW Of kw shall be valid and bbAing an the Company.' This Power of Abomty may be sigard by digital signatmw and sealed by a digital at otherwise eleet:oaic-fomraaed corporate seal under pad by tint adhority of d* following Reu4udm adopted by the Board of Diacoars of toe Company by vnmkwm wrtitlen consent dated de 27th dry of Apra, 2022: "RESOLVED: ?hat it is in the best iaterost of tint Cmspany to pesiodicaily ratify and conform airy corporate doemamb sipped by digital sipoahm and to ratify and emir=the rue eta digital or otherwiso electron-Ewmattad Corporate seal, oath so be eonsidentd tbo act and deed of the Coc*aaay. ADOPTED BY THE BOARD 07 DIRECTORS OF AD1FRWAN CASUALTY COMPANY OF READING, PENNSYLVANIA: This Power of Attanty is made and cLocuttd pmwmt to and by authority of the fallowing mAution duly adopted by the Board of Direeton of the Company by unanimous wrium eoosext dated May 10.1995: "RESOLVED: Tbat any Senior or Cora* Vice President may audmi= an officer oo sign specific dock ageemarts nand nasnvments on behalf of the Congasay protidad that flat erase of such aataoriaed of m and a doiwm4cion of tat doeomauts, apsements at imstruments that SUB officer may sip Will be prosidtd in I .. g by d w Senior err Gmm Vice President to the Secretary of tba Cocepaoy p6or to so& earn ion becammp of imcthv: ' This Power of Ateomy u signed and sealed by facsiam')e rmder and by the authority of the following Rewb*iota adopted by the Board of Directors of the Company by vna�ooas writtw conseW dated dlw 2P day of April, 2012: 'Whereas, tine bylaws of doe Company or speeifie ZMkb a of the Bored of Directors has mAlaoriaed visions officers (iht "Audwaixed Offmm") to ercauto various Poheirs. bonds, %adartaioags and otbrr obligamay inslammests of hit aar>me; and Whereas, from time to time, the signature of the At6orimtd Officers, is addition to ban; pmvided in otigiaal, bard copy &cumt, may be provided via facsimile or otlxrwim in an rkcbmk forma (collectively, "Pleeb—k Si=aatz-*Y Now tberrfore be it mahvd: that the Flectrmic S p utms of nay Andum :ed Officer sW be valid and binding oa doe Company.' This Power of Attorney may be signed by digital sigourtre and sealed by a digital cr o6emise electzmic-fomratted coeporm seal vendor and by toe authority of tbt following Rrrohe,ion adopted by the Board of Dir:ttws of the Company by written consrot dated the 27th day of April, 2022. 'RESOLVED: That it is in the best interest of she Company to periodically ratify and Cosir= any corporate documents signed by digital igaa tries and to ratify and emirai the use eta digital or otherwise ehctronit:-fomoatted corporate seal, each io be considered the act and deed of &A Company " I reAC6 ..p. 1� 1316 CouNrv-CITr BUILDING '' a� PHONE 574/ 235-9251 227 W. JEFFERSON BOULEVARD FAX 574/ 235-9171 SOUTH BEND, INDIANA 46601-1830 1865 . TDD 574/ 235-5567 CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS Date: August 18, 2023 To: All Planholders From Theresa Heffner, Cle Subject Addendum Number: Project Name: Board of Public Works 3 Cleveland Rd & Ameritech Dr Intersection Improvements Project Number: 122-049 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 8/18/2023 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Milestone Con ractors Wrth, Inc. Authorized Signature: Lynn a er, VP/Area Manager, South Bend Date: 8/22/2023 Version 4/2/2015 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: August 18, 2023 To: All Planholders From Theresa Heffner, Clerk, Board of Public Works Subject Addendum Number: 2 Project Name: Cleveland Rd & Ameritech Dr Intersection Improvements Project Number: 122-049 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 8/18/2023 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Milestone Contr Authorized Signature: Lynn J Date: 8/22/2023 Version 4/2/2015 Inc. Manager, South Bend 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: August 2, 2023 To: All Planholders From Theresa Heffner, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: Cleveland Rd & Ameritech Dr Intersection Improvements Project Number: 122-049 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 8/2/2023 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Milestone Authorized Signature: Lynn J Date: 8/22/2023 Version 4/2/2015 Inc. , \IP/Area Manager, South Bend CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name Cleveland Rd & Ameritech Dr Intersection Improvements Project No. 122-049 For Bids Due August 8, 2023 Contractor Name: Milestone Contractors North, Inc. The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works projects by institution of comprehensive submission requirements in compliance with State law. Quality workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet certain minimum requirements to be responsive and responsible bidders. THIS FORM MUST BE SUBMITTED WITH YOUR BID. INSTRUCTIONS: If you are a pre -qualified bidder, complete Section I only. If you are not a pre -qualified bidder, complete Section II only. Section II acts as an application for pre -qualification. Submission of Section II will allow the bidder to be considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre - qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6- 63 of The Responsible Bidding Ordinance No. 10594-18 (hereinafter, "Responsible Bidding Ordinance") for a period of twelve (12) months. Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre - qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified Bidders") by December 3151 for the upcoming calendar year, or within twelve (12) months of obtaining pre - qualified standing. If the status of any item changes within the twelve (12) months, it is the responsibility of the contractor to notify the City. Failure by any pre -qualified contractor to submit its complete application for continuation of "pre -qualified" standing within the time prescribed above shall result in automatic removal of the designation, effective January 1 of the following year, or immediately following the twelve (12) months of pre -qualified standing. However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works projects, though the contractor must submit all required documents under 6-63 until "pre -qualified" status is re-established. Please Note: The City reserves the right to request supplemental information from the bidder, additional verification of any information provided by the bidder, and may also conduct random inquiries of the bidder's current and previous customers regardless of pre -qualified standing. It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the date of the public bid opening. Version 10/13/2021 General Conditions - 10 POST BID SUBMISSIONS: Post -bid submissions must be submitted in accordance with Section 6-64 of the Responsible Bidding Ordinance. The post -bid submission requirements are as follows: 1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses the name, address, licensing status, and type of work for any subcontractor from whom the bidder has accepted a bid and/or intends to hire on any part of the public work project, including individuals performing work as independent contractors. 2. Each subcontractor, whose portion of the project is estimated to be at least one -hundred fifty thousand dollars ($150,000.00), shall be required to adhere to the requirements of Section I of the Responsible Bidder Ordinance as though it were bidding directly to the City, except that the subcontractor shall submit the required information (including the name, address, and type of work) to the successful bidder prior to the commencement of work. 3. Failure of a subcontractor to submit the required information shall not disqualify the successful bidder from performing work on the project and shall not constitute a contractual default and/or breach by the successful bidder. However, the City may withhold all payment otherwise due for work performed by a subcontractor, until the subcontractor submits the required information and the City approves such information. 4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the name, address, licensing status, and type of work of the substitute subcontractor. 5. The successful bidder and all subcontractors on a public works project are required to submit certified payroll utilizing the federal form known as WH-347 or a similar form on a bi-weekly basis, submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall identify the job title and craft for each employee. Certified payrolls shall be submitted electronically. Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in the automatic disqualification of the bid. The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into account all information in the submission requirements, determine whether a bidder is responsive and responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to utilize all information provided in the contractor's submission and any information obtained by the City through its own independent verification of the information provided by the contractor. Version 10/13/2021 General Conditions -11 PRE -QUALIFIED BIDDER CHECKLIST (a) Acknowledgements: (i) X By checking this box, I hereby acknowledge that I am a pre -qualified bidder with the City of South Bend and that I have met the pre -qualification requirements within the last twelve (12) months. A copy of my Pre -Qualification verification letter is attached. (ii) X By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided by me, and may also conduct random inquiries of my current and prior customers. (b) Attachments: (i) X Indiana Secretary of State's on-line records (i.e.. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). (ii) X Statement on staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work. It outlines how I intend to meet the staffing needs of the work. (iii) X List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within the last three (3) years. (iv) X For every project, submit evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. Version 10/13/2021 General Conditions -12 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. By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided, and may also conduct random inquiries of my current and prior customers. The City reserved the right to utilize all information provided in this submission and all information obtained in inquiries or requests to determine if a bidder is responsive and responsible. Additionally, I acknowledge that all information provided to the City shall be regarded as public records. By checking this box, I hereby acknowledge that copies of all Applicable apprenticeship certificates or standards for training programs applicable to the work performed on the project may be requested at any time and shall be furnished upon request. (iv) _ By checking this box, I hereby acknowledge and ensure that I and all sub- contractors, from whom I have accepted a bid and/or intend to hire to perform work on the public work project, are properly licensed. Furthermore, I acknowledge my understanding that it is my responsibility to ensure that all sub -contractors have the necessary licenses to undertake the work called for in this bid. If a sub- contractor loses their license at any point, it is the responsibility of that sub- contractor to notify the City. (b) Attachments: (i) _ Indiana Secretary of State's on-line records (i.e.. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). (ii) _ List identifying all former business names. (iii) _ Any determinations by a court or governmental agency any violations of federal state, or local laws including, but not limited to, violations of contracting or antitrust laws, tax or licensing laws, environmental laws, Occupational Safety and Health Act (OSHA), or federal Davis -Bacon and related Acts, within the preceding five (5) years. (iv) _ Statement about staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work I am bidding on OR outlines how I intend to meet the staffing needs of the work. (v) _ Statement that individuals who will perform work on the public work project on my behalf will be properly classified as an employee or as an independent contractor under all applicable state and federal laws and local ordinances. (vi) _ For every project, submit evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. (vii) _ Copy of a written plan for employee drug testing that covers all of my employees who will perform work on the public work project and meets or exceeds the requirements set forth in IC 4-13-18-5 or IC 4-13-18-6. (viii) _ Evidence that I am utilizing a surety company which is on the Bureau of Fiscal Service "Department of Treasury's Listing of Approved Sureties" as required in the bid specifications or contract. Version 10/13/2021 General Conditions -13 (ix) _ Written statement of any federal, state or local tax liens or tax delinquencies owed to any federal, state or local taxing body in the preceding three years. (i) _ List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within three (3) years prior to the date on which the bid is due. (Print Name Here) Milestone Contractors North, Inc. (Name of Company) 24358 SR 23 (Address of Company) South Bend (City) Indiana (State) 574-288-4811 (Telephone Number) Version 10/13/2021 General Conditions - 14 Responsible Bidding Practices and Submission Requirements for Pre -Qualified Bidder Checklist (b) Attachments (i) Attached (ii) Staffing Capabilities: Milestone Contractors North, Inc. is signatory with the following unions which supply our workforce — Laborers International Union, Teamsters, Operating Engineers and Cement Masons. (iii) See Forms 96 and 96a (iv) All individuals who will perform worn on the public works project on behalf of Milestone Contractors North, Inc. will be properly classified under applicable state and federal laws and local ordinances. By: Y __ Dated: August 22"d. 2023 Lynn J. B r, V rea Manager, South Bend CITY OF SOUTH BEND JAMES MUELLER, MAYOR DEPARTMENT OF PUBLIC WORKS ERIC HORVATH, DIRECTOR November 18, 2022 Alisha Krueger Milestone Contractors North, Inc. akrueger(&,milestonelp.com RE: Pre -Qualification Verification Dear Ms. Krueger: This letter serves as verification of Pre -Qualification status of your company for bidding with the City of South Bend. This Pre -Qualification status is effective for twelve (12) months from the date of this letter. Thereafter you are required to re -submit a complete application for continuation of pre -qualification status prior to December 31 for the upcoming calendar year. A copy of this Verification Letter must be included with every bid exceeding $150,000 submitted to the City of South Bend Board of Public Works, along with your Pre -Qualified Bidder Checklist and attachments. If you have any further questions regarding this matter, please call this office at (574) 235- 9251. Sincerely, Liz Horvath, Permit Manager INDLINA LABORERSn TRAINING TR UST FUND Secr "'Treasurer JerryJ. Bolk Ridly Henson, Jr. Ramon Mendoza, Jr. Brian Short Danny L. Stults P.O. Box 758 - Bedford, Indiana 47421 (812) 279-9751 November 14, 2022 To Whom It May Concern: Sean Coakley, Director John A Brown Chakman KdIyAbel Michael Ferrara Stan Meyer Nick Timmerman Jim Wiseman FAX: (812) 279-SUS Toll Free (800) 742-4086 This letter is to confirm that "Milestone North Ina" is a signatory contractor in good standing with the Indiana Laborers' Training Trust Fund. The above -mentioned company is a participant in the Joint Apprenticeship and Training Committee through this Union and has been an active participant in good standing for each of the past five plus consecutive years, and is currently eligible to use our apprentices on a project, Further, our organization's program is approved by the U.S. Veterans Administration to participate in the GI educational benefits program. A copy of our approval letters are attached along with the collective bargaining agreement stating the ratios of Journey workers to Apprentices; which is one (1) Apprentice for every five (5) Journey workers and thereafter may not employ more that (1) Apprentice for every (3) Journey workers. Sincerely, Sean Coakley, Director SC:ap www. indianalaborerstraining org v :7' of IBDIANA LABORR' S TBA?1= TRUST MM BEDIM, MUM for the trade classification of CONSTRUCTIN CBAn LABORER ge9►isfereo( as park o,f Ae Xafional 2ppreahcesrp Yroyram in accordance arifft Ae basic slandard of apprenlicejAO esfa6lrjAed' 6y Aa cSecrelary of Ba6or December 14. 1995 &. 3:5040-0528 sreffluftsw WA V" 2crlor,'�.maafd�ai���imd�J,amr.9 - STATE OF INDIX,A DEPARTMENT OF VETERANS AFFAIRS STATE APPROVING AGENCY Q2 WEST WASHINGTON STREET ROOM W-089 INDIANAPOUS, INDLANA46204-2738 Jeremy Brewer Apprenticeship Coordinator Indiana Laborers Training Trust Fund -Apprenticeship 439 Patton Hill Rd. Bedford, IN 47421 Dear Jeremy Brewer, Eric Holcomb, Governor James M. Brown, Director January 9, 2019 The Indiana. State Approving Agency conducted a supervisory visit on 01l812019 at Indiana Laborers Training Trust Fund Apprenticeship. The purpose of the visit was to provide training to the Certifying Officials and review enrollment certifiications, record retention and reporting procedures. The organization demonstrated proper record maintenance and record maintenance and reporting procedures: During the visit, we discussed the importance of repordug hours on amouthly basis, good record keeping techniques, and how to report a leave of absence or completion via VA FOM 22-1999b. We also updated the Certifying Officials via VA Form 22-8794, work processes, and wage scale. If you need any assistance or have any questions regarding this technical visit please contact me directly at tgdffm a@dva.in.gov or (317) 232-3916. Thank you for the courtesy extended during my visit. The education and training opportunities that your organization. continues to provide veterans and their dependents are appreciated. Sincerely, f Taniqua Uniffin Program Director Phone (317)-234-6062 Toll Free (800)-400-4520 Fax (317)-234-8744 'fA STATE OF INDIANA MPARTMENT OF VETERANS AFFAIRS STATE APPROVING AGENCY 402 WEST WASHINGTON STREET ROOM W459 INDIANAPOUS, INDIANA 46204 2738 Jeremy Brewer Apprenticeship Coordinator Indiana Labours Training Trust Fimd Apprenticesbip 439 Patton Bill Rd. Bedford, IN 47421 Dear Jeremy Brewer, Eric Holcomb,, Govemo� James M. Brown, 01motcr January 9, 2019 This will acknowledge receipt of your updated Wage Scale for the Construction Craft Laborer program offered by l udia n Laborers Training Trust kind Apprenticeship. The State Approving Agency has reviewed the document as Estes below: Wage Scale: Construction Craft Laborer FACILITY CODE: 30004114 To the best of my knowledge Iudiana Laborers Training Trust Fund -Apprenticeship does not utilize erroneous or misleading advertisement, either by actual statement; omission, or intimation. It is understood by iu hana Laboreers Training Trust Fund-Agprenticesbip that they will maintain a complete record of all advertising utilized by or on behalf of the Indiana Laborers Training Trust Fund -Apprenticeship in regards to their training programs during the preceding 12 months. Indiana Laborers Training Trust Fund Apprenticeship`s advertising will be available for review by any and all future supervisory visits by the SAA, or the U.S. Deparhnent of Veteran Affairs. Please Review the entire packet for content and accuracy. Approval is granted pursuant to the provisions of Title 38, U,S. Code 3687, with an effective date of April 1, 2018. If you have any questions, please feel free to give me a call at 317-232-3916 or email me at tgriffin@dva_in.gov. Tbank you for what you do for our Veterans, and have a great day! sincerely, Taniqua Griffin Program Director State Approving Agency Cc_ VARO/ELR dqAp� Ot/pD `f441 Obt, 9 CV/9 STq� ,q f I .. STATE OF INoI N DEPARTMENT OF VETERANS AFFAIRS k O STATE APPROVING AGENCY � 402 WEST WASHINGTON STREET ROOM W-459 cs - INDIANAPOLIS, INDIANA46204-2TZS t, r Jeremy Brewer Apprenticeship Coordinator Indiana Laborers Training Trust Fund -Apprenticeship 439 Patton Hill Rd. Bedford,IN 47421 Dear Jeremy Brewer, Eric Holcomb, Governor James M. Brown. Directui January 9, 2019 This will acknowledge receipt of your revised Work Processes for the Constraction Craft Laborer program offered at Hoosier Energy, located in Bedford, Indiana. The State Approving Agency has reviewed the document as listed below: Contraction Craft Laborer FACILIW CODE: 30004114 4,000-7800 hours 47-2061.00 To the best ofray knowledge Indiana Laborers Training Trust Fund -Apprenticeship does not utilize erroneous or misleading advertisement, either by actual statement, omission, or intimation. It is understood by Indiana Laborers Training Trust Fund -Apprenticeship that they will maintain a complete record of all advertising utilized by or on behalf of the company in regards to their training programs during the preceding 12 months. Tlae company's advertising will be available for review by any and all future supervisory visits by the SAA, or the U.S. Department of Veteran Affairs. This approval is made pursuant to and under the provisions of Title 38, U. S. Code 3687, with an effective date of January 8, 2019. if you have any questions, please contact me at 317-232-3916. Sincerely, Taniqua Griffin Program Director State Approving Agency Cc:VAROIELR .110 ne 46 04 9� Phone (31*234 4M Toll Free (800>400-4524 F8K (317)-234-8744 Year 2018 Apprentice Status Report By Indenture Date ApprmtjGes Indeftnd Between 1/1,2018 And 7113/2022 Apprentlas Program: IN2 A.. rentice Status Apprentices Percentage ACM Active D* w to ]ourne"M Deceased _r Inactive Med. Susp. Reinstate Suspended — Voluntary withdraw Total Indentured 38 88 2019Active __-- Adv. to Journeyman 74 _ 7.70 % p Deceased, 8 0.86 95 :Graduated 51 5.45 % Inactive 11 1.18 96 ]oumeyman _ 12 1.28 % Med.5usp. _ - - 2 0.214fa Reinstate 15 1.60 % 3 0.32 %1 rTeaminated 5281 56.47 i"Vdu uWthdraw - - 681 _ 7.27 % - Total Indentured 935 Printed: Wadneaday, July 0. 2022 Pegs 1 of 2 Apprentice Status Report By Indenture Date Apprentices Indentured Between 111/2018 And 7/13/2022 Apprentice Program: IN2 Year Aipprentice Status Apprentices P reentage 2020 E rn242 36.28v. to Joueyman 33 4.95 %il Decemd _ -2 0.30 9�0 Graduated 3Y �0.45 %4 )ourneyman _l,q 0.15 46 Ned, Susp. --1 41 0,60 %, Not Registered 1 0.15 96`; Reinstate 121 1.80 %'i Suspended 3j, 0.45 % Terminated 329 49.33 % Voluntary wilfidraw _ _�— _ y �� 5.55 %! Total indentured 667 2021 Active 472� AdiVe Duty 1 0.13 % Adv. to Journeyman 231 ., s 2.97_% Deceased_ 2:1 0.26 % Mad. Susp, 31'� 0.39 % Reinstate 201y 2,56 % Suspended 21 0.26 %1 Terminated 220! 28�39% Alun_tary w"draw 322 _ 4.13 %� Total Indentured _ 773 2022 Active - Adv. to Joumeyman 5381 i 4 86.77 % n. :Graduated 1 a 0.65 % 0.16 W Med, Susp,� 2 0.32 Not "Istered 5 0.8196h `Reinstate _. 33 5.32_ % , Terminated ted 3 2 � 5.16 % ntarywithdraw 0.81 FUTotal.i ')td 620 1 Printed: Wednesday, July 13, 2022 Page 2 of 2 Date: 11-10-2022 To whom it may concern: Countless individuals, businesses, and commmmities — in the private and public sector, aMw — recognize the added value of doing business with contractors who support Worldorce Development through their participation in United States Department of Labor (USDOL) approved apprenticeship programs. USDOL-approved apprenticeship programs exsure that the young people of Indiana have the opportunity to develop a portable skill set that remains with ahem tbroughout their careers in the eonstm etion industry. The training provided by these programs addresses the evolving concerns of communities, businesses and industry for the development of a quality skilled craii workforce that meets their needs, whether the projects are public or private in nature. To that end, please be advised that Milestone Contractors North, Inc. is signatory to a collective bargaining agreement (CBA) with the International Union of Operating Engineers Local 150, This CBA requires the above -referenced employe' to participate in Local 15Ws USDOL- approved Apprenticeship and Skill Improvement Program. It is understood and agreed that the Employer shall be bound by the terms and provisions of the Agreement and Declaration of Trust of the Apprenticeship Fund, and all amendments heretofore or hereafter made thereto, as though the same were fully incorporated herein. The Employer fu rdw agrees to be bound by the terms of the Apprenticeship Standards established by Joint Apprenticeship Training Committee of the Northern Illinois and Northern Indiana Apprenticeship and Skill Improvement Program, as approved by the United States Department of Labor, Bureau of Apprenticeship Training. Sirlty3 James Gardner Business Agents Organizer Operating Engineers Local 150, AFL-CIO District 6 1001 N. Michigan Stt d Lakeville, Indiana 46536 574/784-3694 office SM84-8035 fax 574/215-8901 cell jamm"ca110.r; ,I] Vur= of, watficeshiv aub-&aiuing LOCAL 150 OPMATING ENGINEERS, NORTHERN ILLINOIS AND NORTHERN INDIANA APPRENTICESHIP AND MLL neROVEKINT -PROGRAM for 016 trade classification of OPERATING ENGINEER ,Yebeml &Mmittw- M,AMjMtiw--Shi;Y 68 Revised: September 2,31971 ;'e Chan only) UZWAMI;�Of LAWR A=FrAW ==AM F" MAWMIM.. a 0 ti vot" h*4 4� V-ILL-91366 I formerl V-ILL-90966.1) MANMWFA Aamwwfo, TM � 1 IUOE OPERATING ENGINEERS LOCAL 150 APPRENTICESHIP FUND A Joint effort Labor and Management to further alm of Industry www.asialflta1150.0� James M. Sweeney/Chairman Thursday, November 10ei, 2022 To whom It may concern, David M. Snelten/Secretary Milestone Contractors North, Inc. is a signatory contractor to the I.U.O.E Local 150, and therefore, also participates In the i.U.O.E Local 150 Apprenticeship and Skill Improvement Program (ASIP), located at 19800 W. South Arsenal Rd, In Wilmington, IL. The local 150 ASI P Is a DOL Registered Apprenticeship Program overseen by the DOVs Office of Apprenticeship (0A). Listed below are the number of graduates of Its program during the years 2015 — 2019. • 2020 -105 • 2019 - 48 • 2018-88 • 2017 - 73 • 2016 - 28 • 2015 - 21 If there are any questions regarding the I.U.O.E Local 150 Apprenticeship, please feel free to contact me directly. Mark Kara Assistant Coordinator Operating Engineers Local 150 Apprenticeship 29800 W. South Arsenal Rd. Wilmington, I L 60481 mkara@aslplDcallSO.org Tel: 815-722-3201 x6D03 Fax:815-423-5749 ww,mc�-..,.ow• Plasterers` & Cement Masons, Apprenticsship Coordinator Local Union #692 To Whom it May Concern: 2022 Phone. (219) 707-7767 Emall: bknstof QpNxniccal892.org November 10, 2022, This letter is to certify that Milestone Contractors North, Inc. is and has been a signatory contractor with OPCMIA Local 692 and has participated in the Plasterers & Cement Masons Apprenticeship Training Program for many years. Milestone Contractors North, Inc. is a valued Contractor in good standing with Local 692 and the JATC. All our apprentices are registered with the United States Department of Labor. I may be reached at (219) 707-7767 if additional information Is needed. Further, our organization's program is approved by the U.S. Veterans Administration to participate in the GI Education Benefit Program. Thank you, Brian Kristoff Apprentice Coordinator Plasterers & Cement Masons 9200 Louisiana Street - Merrillville, Indiana 46410 WWW.PLCMLOCAL.692.0R0 rL��M C71'fI ACT a CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Cleveland Road and Ameritech Drive Intersection Improvements Project No. 122-049 For Bids Due August 22, 2023 From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. Proper bid security included. The bidder has the option of providing either a Certified Check X or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely X executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and X Certification of use of United States Steel Products or Foundry Products. Proof of MNIBE Utilization Plans [MBE-1.0 and WBE-1.0]. Also provide Evidence of Good Faith Efforts Forms [MBE-2.0 and WBE-2.0] and M/WBE Contacted Forms [MBE-2.1 and X WBE-2.1]. X Acknowledge Receipt of1, 2 & 3Addendum(s) included with the bid. X All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either X printed or typed underneath signature. X This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. Bidder: Milestone Contractors North, Inc. Date: 8/22/2023 By Authorized Represen tive: Signature: . M , 4 14^-' Print Name & Title: Lynn J. er, VP/Area Manager, South Bend Version 09/29/2021 Contractor's Bid for Public Works - 1 ... CONTRACTOR'S BID FOR PUBLIC WORK - FORM 96 State Form 52414 (R2 / 2-13) / Form 96 (Revised 2013) a Prescribed by State Board of Accounts PART (To be completed for all bids. Please type or print) Date (month, day, year): August 22nd, 2023 1. Governmental Unit (Owner): City of South Bend, Indiana 2. County:_ St. Joseph 3. Bidder (Firm): Milestone Contractors North, Inc. Address: 24358 SR 23 City/State/ZlPcode: South Bend, IN 46614 4. Telephone Number: (574) 288-4811 5. Agent of Bidder (if applicable): Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of Cleveland Road & Ameritech Drive Intersection Improvements Project No. 122-049 (Governmental Unit) in accordance with plans and specifications prepared by -A & Z Engineering See Attached and dated June 28th, 2023 for the sum of $ See Attached The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the governmental unit. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. The contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee, or applicant for employment, to be employed in the performance of this contract, with respect to any matter directly or indirectly related to employment because of race, religion, color, sex, national origin or ancestry. Breach of this covenant may be regarded as a material breach of the contract. CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS (If applicable) I, the undersigned bidder or agent as a contractor on a public works project, understand my statutory obligation to use steel products made in the United States (I.C. 5-16-8-2). 1 hereby certify that I and all subcontractors employed by me for this project will use U.S. steel products on this project if awarded. I understand that violations hereunder may result in forfeiture of contractual payments. ACCEPTANCE The above bid is accepted this._ day of I , subject to the following conditions: Contracting Authority Members: PART II (For projects of $150,000 or more — IC 36-1-12-4) Governmental Unit: City of South Bend, Indiana Bidder (Firm) Milestone Contractors North, Inc. Date (month, day, year): August 22nd, 2023 These statements to be submitted under oath by each bidder with and as a part of his bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 1. What public works projects has your organization completed for the period of one (1) year prior to the date of the current bid? Contract Amount Class of Work 6,959,600.00 Resurface Completion Date November 2022 Name and Address of Owner Lake County Hwy Dept INDOT 5,589,894.00 Resurface October 2022 5,457,310.00 Resurface November 2022 Town of Merrillville 2,101,053.00 Resurface October 2022 Town of St. John 2. What public works projects are now in process of construction by your organization? Contract Amount Class of Work Expected Completion Name and Address of Owner Date 24,738,412.00 Sidewalk Removal/Replacement September 2023 Town of Griffith 15,394,787.00 Concrete Pavement Restoration May 2024 INDOT Lake County Hwy Dept 7,020,500.00 Resurface October 2023 3,241,287.00 Resurface October 2023 City of Crown Point 3. Have you ever failed to complete any work awarded to you? No If so, where and why? 4. List references from private firms for which you have performed work. Gatlin Plumbing & Heating, Inc. 1111 E. Main St., Griffith, IN Ms. Patti Centrowski Gough, Inc. 2200 E. 88th Dr., Merrillville, IN Mr. Raymond Gough Dyer Construction Co., 1716 Sheffield Avenue, Dyer, IN Ms. Janet Furman Grimmer Construction Co., Inc. 2619 Main St., Highland, IN Mr. Greg Grimmer SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the governmental unit to consider your bid.) As required by owner 2. Please list the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. See attached list 3. If you intend to sublet any portion of the work, state the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the governmental unit in the event that you subsequently determine that you will use a subcontractor on the proposed project. Will supply upon award of contract 4. What equipment do you have available to use for the proposed project? Any equipment to be used by subcontractors may also be required to be listed by the governmental unit. See attached list 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, please explain the rationale used which would corroborate the prices listed. Yes, we received quotes from potential subcontractors and suppliers SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the governing body awarding the contract must be specific enough in detail so that said governing body can make a proper determination of the bidder's capability for completing the project if awarded. SECTION IV CONTRACTOR'S NON — COLLUSION AFFIDAVIT The undersigned bidder or agent, being duly sworn on oath, says that he has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to include anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. He further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale. SECTION V OATH AND AFFIRMATION I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION CONTAINED IN THE FOREGOING BID FOR PUBLIC WORKS ARE TRUE AND CORRECT. Dated at South Bend this 22nd day of August , 2023 Milestonf Contractors North, Inc. (Name of Organization) By Atel C'/ An n J. Baue#, SIP/Area Manager, South Bend %'i (Title of Person Signing) ACKNOWLEDGEMENT STATE OF. Indiana ) ) ss COUNTY OF St. Joseph Before me, a Notary Public, personally appeared the above -named Lynn J. Bauer and swore that the statements contained in the foregoing document are true and correct. Subscribed and sworn to before me this 22nd day of August 2023 Notary Pubric My Commission Expires: June 5, 2030 County of Residence: LaPorte Part of State Form 52414 (R2 / 2-13) / Form 96 (Revised 2013) Milestone Contractors North, Inc. (Contractor) 24358 SR 23 (Address) South Bend, IN 46614 FOR PUBLIC WORKS PROJECTS OF City of South Bend, Indiana Cleveland Road & Ameritech Drive Intersection Improvements Project No. 122-049 Filed August 22nd , 2023 Action taken The undersigned hereby declares that the foregoing is a true statement of the financial condition of the individual, co -partnership or corporation herein first named, as of the date herein first given; that this statement is for the express purpose of inducing the party to whom it is submitted to award the submittor a contract; and that any depository, vendor or other agency herein named is hereby authorized to supply such party with any information necessary to verify this statement. NOTE: A co -partnership must give firm name and signatures of all X%1111111 partners. A corporation must give full corporate name, signature of official X and affix corporate seal. Lynn J._Fkijkr. VP/Area Marr sSiAw0 cN �Q RATE Affidavit for Individual STATE OF ley 4 I �1� COUNTY OF ,.. �\` tio�� being duly sworn, deposg$ pnd s"gyp e� foregoing financial statement, taken from his books, is a true and accurate statement of his financial condition as of the d0gth ,�' and that the answers to the foregoing interrogatories are true. (Applicant must sign here) Subscribed and sworn to before me this day of 20 Notary Public STATE OF COUNTY OF t ss Affidavit for Co -Partnership being duly sworn, deposes and says that he is a member of the firm of ; that he is familiar with the books of the said firm showing its financial condition; that the foregoing financial statement, taken from the books of the said firm , is a true and accurate statement of the financial condition of the said firm as of the date thereof and that the answers to the foregoing interrogatories are true. (Member of firm must sign here) Subscribed and sworn to before me this _day of 21 Notary Public Affidavit for Corporation STATE OF Indiana { COUNTY OF �St. Joseph ss Lynn J. Bauer being duly sworn, deposes and says that he is VP/Area Manager, South Bend of Milestone Contractors North. Inc. , the corporation described in and which executed the foregoing statement; that he is familiar with the books of the said corporation showing its financial condition; that the foregoing financial statement, taken from thelLooks of the said corporation, is a true and accurate statement of the financial condition of said corporation as of the date thereof and that a sw foregoing interrogatories are true. oRI (Officer in s si e) Lynn J. Bauer, VP/Area Manager, Sout-10"ild 11 /I/i CNN ontr a c torsi �i�� Subscribed and sworn to before me this c :' •, •' ' 0RAre 'tS o; 22°a day of August, 2023. S Alisha Krueger, Notary Public a���, N VJ C \\N�, ALISHAKRUEGER , My Commission Expires .=ot B`:o SEAL :*= June5,2030 N P= Canroission Number NP0653544 'FyFio�, La Porte County 15 State of Indiana Office of the Secretary of State CERTIFICATE OF EXISTENCE To Whom These Presents Come, Greeting: I, DIEGO MORALES, Secretary of State of Indiana, do hereby certify that I am, by virtue of the laws of the State of Indiana, the custodian of the corporate records and the proper official to execute this certificate. I further certify that records of this office disclose that MILESTONE CONTRACTORS NORTH, INC. duly filed the requisite documents to commence business activities under the laws of the State of Indiana on March 29, 1966, and was in existence or authorized to transact business in the State of Indiana on August 17, 2023. further certify this Domestic 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. In Witness Whereof, I have caused to be affixed my signature and the seal of the State of Indiana, at the City of Indianapolis, August 17, 2023 FA F4 id I W&A ❑IEGO MORALES SECRETARY OF STATE 194484-057 / 20233330192 All certificates should be validated here: https://bsd.sos.in.gov/ValidateCer-tificate Expires on September 16, 2023. State of Indiana Office of the Secretary of State Certificate of Amendment of WALSH & KELLY INC ertify that •:s rlis Of Al Tit of the above I'• , ` at my office, accompanied by the tees I t , r,:] that the r,;. ;::, . _ : t t: conforms as I i , the of the Indiana : r ; I-. r-, ri,n.r following said will MILESTONE CONTRACTORS NORTH, INC. . ; I , with February 01, - . ; Crm .1•-, ,' 1 + r -tify that said itrn7ai tioi- will L!t-c 7rI r4 L 1t, t.:( Mk I. tra-y, In-'Yarlr�s WhErt-Ili- I It.-,4f cau•t0 to be affixed . urtatbrt- and thoe sril of the Stite of kt:trar a at the City , }ohluary l)I, 2021 6&� C%V "7%. S7A F r. - • 17 lr.rtrfi[ntN'S Vr{1rCfr1-; go to tailp5 !itssn sas rn �O�yPubii[Ctusrr�!�ssSrarrlr State of Indiana Office of the Secretary of State Certificate of Assumed Business Name of MILESTONE CONTRACTORS NORTH, INC. CONNIE LAWSON, Secretary of State, hereby certify that.• r:i,irfri,•tr [ t 3•—imirc7 bo riir-,. r;-..r„. of the i o-r,,• 'm has been presented to nor- ,.i lily ofili r '-'Ci I'. rr;l•.:r , 1—'. 'wr,r! that th., documentation presented rcoQ-r+r,, to lnv. ; i+ i i i by •r•• of the 1»:11, ' C. o o t Following ic, transaction, the -i o. i.•ri entity will transact r,r,,r+,k•>,, under the a� •urr 1 0 ! 1 n: I1-' [':1 of: WALSH & KELLY THEREFORE, with this document+ certify that -ovr 1r,:+ t : + will ti :[oirir: t'•.,:tl� Monday, February 01, 2021. -I d to u, affixed my of ,. '.;-.r. Ir•;Y.,r .:r 'r , .,r I FrbivarV 01,2021. e4� 8 am"-h- CUNNIt I AvYSUN CERTIFICATE OF QUALIFICATION to provide CONSTRUCTION SERVICES for PUBLIC WORKS PROJECTS to the STATE OF INDIANA This Certification Board, having duly considered application for qualification in terms of apparent experience and financial resources; and under the applicable Indiana Code 4-13.6-4 and adopted rules of this Board, hereby issues a Certificate of Qualification to provide construction services to the State of Indiana for Public Works Projects to: MILESTONE CONTRACTORS NORTH INC 1700 E MAIN ST GRIFFITH IN 46319 Phone 219-924-5900 Fax 219-924-8768 Company Official TODD FAWVER for the twenty-seven month period stated herein, unless revoked by this Board for cause, and in the classifications of services stated below. This certificate supercedes any previous certificate. 1611.01 Concrete Construction of Roads & Curbing 1611.02 Asphalt Construction of Roads and Parking Lots CERTIFICATION DATE 2/112023 EXPIRATION DATE 5/1/2026 THIS CERTIFICATE ISSUED BY THE STATE OF INDIANA, PUBLIC WORKS DIVISION CERTIFICATION BOARD, 402 WEST WASHINGTON STREET, ROOM W467, INDIANAPOLIS, INDIANA 46204, ALSO ACTS AS THE OFFICIAL NOTICE OF EXPIRATION. Tracy L. Cross, Ex tive Secretary Certification Board DAPW PQ2 State Forth 3983R Rev. 07/06 WRITTEN CONSENT TO RESOLUTIONS of the BOARD OF DIRECTORS of MILESTONE CONTRACTORS NORTH, INC. The undersigned, being all of the Directors of MILESTONE CONTRACTORS NORTH, INC., an Indiana Corporation, hereby consent to the following actions to be taken by the Corporation without a meeting of the Board of Directors under the applicable provisions of the Indiana Business Corporation Law, as amended: RESOLVED that the following be, and hereby are, elected officers of the Corporation, to hold the office until the next regular meeting of the Board of Directors and until their successors are duly elected and have qualified: Todd A. Fawver President Charles Potts Jr. Chief Operating Officer, Construction John P. Vercruysse Executive Vice President Mark Andrews Executive Vice President David L. Franz Vice President John M. Peisker Vice President, Production Patrick J. Walters Vice President, Finance Brad McCall Vice President, Estimating Derek Merida Vice President, Bridge Operations David M. Kozyra Vice President/Area Manager Griffith Lynn J. Bauer Vice President/Area Manager South Bend Danielle Payne Assistant Controller, Secretary and Treasurer RESOLVED FURTHER that the above officers be, and they hereby are, authorized to execute all contracts or similar documents on behalf of the Corporation. In addition to the above officers the following are hereby appointed as authorized signers on behalf of the Corporation: David J. Misirly Senior Estimator Gregory A. Hoffman Director of Estimating, Griffith Dustin P. Hilary Director of Estimating, South Bend Mark E. Krachenfels Construction Manager RESOLVED FURTHER that the actions of the Officers of the Corporation taken since the last meeting of the Board of Directors be, and the same hereby are, fully ratified and approved. RESOLVED FURTHER that this consent shall be in lieu of an annual meeting of the Board of Directors of the Corporation and shall be filed in the minute book of the Corporation in place of any such annual minutes. <<SIGNATURES ON THE NEXT PAGE>> EXECUTED this 26`h day of August, 2021. Z11-A r -6LMno (� Fred Fehsenfeld, Jr. l Geoffrey C. Dillon James QNhsenfeId r. Adi P. Vercruysse Milestone DATE: May 24, 2022 TO: All Employees RE: EEO Officer Appointment Margaret Garner has been appointed Equal Employment Opportunity Officer for Milestone Contractors. It is her responsibility to coordinate, advise and assist management and supervisors in their responsibilities of assuring all applicants and employees' equal opportunities in all aspects of their employment. She will review complaints that allege discrimination because of race, religion, color, sex, sexual orientation, gender identity, age, national origin, disability, housing status or veteran status. Employees of Milestone Contractors are to submit any issues or concerns to Margaret. We are committed to comply with the provisions of the Civil Rights Act of 1964 and 1991, plus all Executive Orders issued relating to Equal Employment. Margaret's contact information is listed below. Milestone Contractors 5757 Decatur Blvd, Suite 250 Indianapolis, IN 46241 mgarner(LDmilestonelp.cor (317) 616-4937 2-d4i�� CJ Potts, Chief Operating Officer Milestone EQUAL EMPLOYMENT OPPORTUNITY/ AFFIRMATIVE ACTION POLICY STATEMENT It is the policy of Milestone Contractors to afford equal opportunity for employment to all individuals regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, housing status, or veterans' status. The corporation is committed to this policy by our status as a federally assisted government contractor. We are far more strongly bound to the policy by the fact that adherence to the principles involved is the only acceptable American way of life. Therefore, it is the policy of this corporation to assure that applicants are employed, and that employees are treated during employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, housing status, or veterans' status. Such action shall include: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship, pre - apprenticeship, and/or on-the-job training. The successful achievement of a nondiscriminatory employment program requires a maximum of cooperation between management and employees. In fulfilling its' part in this cooperative effort, management is obliged to lead the way by establishing and implementing affirmative procedures and practices which will ensure our objective, namely equitable employment opportunity for all. (Minority and female employees are encouraged to participate in all company activities and refer applicants.) I have designated Margaret Garner to direct the establishment of and to monitor the implementation of personnel procedures to guide our affirmative action program. This official is charged with designing and implementing audit and reporting systems that will keep management informed on a regular basis of the status of equal employment opportunity and affirmative action. She can be reached at (317)616-4937. Supervision has been made to understand that their work performance is being evaluated based on their equal employment opportunity efforts and results, as well as other criteria. It shall be a responsibility of the supervision to take actions to prevent harassment of employees placed through affirmative action efforts. We shall comply with the Civic Rights Act of 1964, as amended, the Federal Highway Act of 1968, the Executive Order #11246 and #11375, the Rehabilitation Act of 1973, as amended, the Vietnam Era Veterans Readjustment Assistance Act of 1974, as amended, the Indiana Civil Rights Act and other applicable Federal and State Laws and regulations pertaining to equality of Opportunities and Affirmative Action policies. We have developed an Affirmative Action Program for Veterans and Individuals with Disabilities. CJ Potts, Chief Operating Officer Margaret Garner, HR Area Partner/EEO Officer January 2023 Tntifluute a Qutdificarwn LSSURD SY Inbimm 39rPa&aetdranspartewn INDIANAPOLIS, IN October 20, 2022 TO MILESTONE CONTRACTORS NORTH, INC. GRIFFITH, IN wfio has Abed vAth the Department a Dontradoes Statement of Experience and Financial Condition as required under trrdiana Code 8-23-10, is hereby qualified to bid at any Department of Tianspwtallion letting in Classes of Work and within the amount and other irmtation of each dassificatkm as listed blow, for such period as the unompletad worts on hand from all sources does not exceed the Aggregate amount Ctassi%catim references by harm or symbol are in accordance w1h the definitions in the Cortraetor's Statement of Experience and Financial Gondbon. This certificate superb any certificate previously issued, but is subject to revision or revocation according to the law, I and when changes in the financial condition of the contracting firm or other facts justly such revision or reevocabon. Valid October 20, 2022 Thru September 30, 2023 Aggregate Bidding Capacity: 327,748,000.1 A(B) CONCRETE PAVEMENT: LIMITED................................................................................... $25,000,000.00 B(A) ASPHALT PAVEMENT: W/INDOT CERTIFIED HMA PLANT ............................................. $99,999,999.00 C(B) LIGHT GRADING............................................................................................................... $99,999,999.00 E(E) SMALL STRUCTURES AND DRAINAGE ITEMS.............................................................. $25,000,000.00 E(F) SURFACE MASONRYAND MISCELLANEOUS CONCRETE ........................................... $50,000,000.00 E(G) TRAFFIC CONTROL: PAVEMENT MARKINGS................................................................ $25,000,000.00 E(H) DEEP SEWER AND/OR EXCAVATION.............................................................................. $25,000,000.00 E(Q) CONCRETE PAVEMENT: REPAIRS.................................................................................. $25,000,000.00 E(R) ASPHALT PAVEMENT MILLING....................................................................................... $50,000,000.00 0V4-&3f111 tj-e�� RREQUALIFICAWIM EMGINEE R sm b mt 2M (fa 0 5v, BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 08/14/2023 Department Public Name Scott BPW Date 08/22/2023 Phone Extension 9245 Required Prior to Submittal to Board BPW Attorney ® Attorney Name Michael Schmidt Dept. Attorney ❑ Attorney Name Purchasing ® Mikey Low Check the Appropriate Item Type — Required. for All Submissions ❑ Professional Services Agreement ❑ Contract ❑ Proposal ❑ Open Market Contract ❑ Amendment/Addendum ❑ Special Purchase, QPA ® Bid Opening ❑ Bid Award Req. to Advertise Title Sheet ❑ Quote Opening ❑ Quote Award ❑ Reject Bids/Quotes ❑ Proposal Opening ❑ C/O & PCA No. ❑ PCA ❑ Chg. Order, No. ❑ Traffic Control ❑ Resolution ❑ Other: ❑ Ease./Encroach Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Information ❑ Yes ❑ If Yes, Approved by Purchasing ❑ No E] MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Nos Cleveland Rd and Ameritech Dr Intersection Improvements 122-049 River West TIF, MVH-R (PR-26179) 324-10-102-121-442001, 266-436008 For Change Orders Only Amount of ❑ Increase $ ❑ Decrease ($ ) Previous Amount Current Percent of Change: New Amount Total Percent of Change: Time Extension Amount: New Completion Date: Increase Decrease Increase Decrease