HomeMy WebLinkAboutOpening of Quotes- Century Center Water Softener System - Edward J. White Inc.0F`OU'r
CITY OF SOUTH BEND, INDIANA €� l
CONTRACTOR'S QUOTE FOR PUBLIC WORK ".R
rays
PROJECT NAME: Century Center Water Softener Replacement
PROJECT NO. 123-041
QUOTES DUE 9:OOAM EST, September 26, 2023 to bpwbids(fsouthbendin.gov
(Must be completed for all quotes. Please type or print)
Date: c�j ZS/Z3 Firm: Cc1wc-rai J. %h.¢tr 7�c-
Address: 1011 S. M"G.:� St.
City/State/Zip: 5o t(., /3�{r Z J Telephone Number: (57`t) 289 (03 S
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:
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
The City of South
of Public Works
and dated 9/5-/L3 for the sum of (enter the Total Quote as shown on the Proposal)
IGk7Y TLtcn/SAao 5iyCm 14v, DrZEd EIC-Nrr-EN AoLLA2s s 006 1I S •00
(Enter Sum of Total Quote plus Alternates shown on Proposal) Numerical)
If alternative quotes apply, the undersigned submits a proposal for each in accordance with the notice. Any
addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed, the cost of units must be the same as that
shown in the original contract if accepted by the City of South Bend. If the quote is to be awarded on a unit basis,
the itemization of the units shall be shown on a separate attachment.
The above quote is accepted this
Subject to the following conditions:
-10717DZS]22"4111ATiTH77:69
Elizabeth A. Maradik, President
Gary A. Gilot, Member
Murray L. Miller, Member
By
(Signs re)
JC-" A Ikcr, J,-.
(Printed Name of Person Signing)
ACCEPTANCE
day of
20
Joseph R. Molnar, Vice President
Jordan V. Gathers, Member
Attest: Theresa Heffner, Clerk
Version 04/21/2023 Page - 7 Public Works Quote
QUOTE/PROPOSAL
CITY OF SOUTH BEND
PROJECT NAME Century Center Water Softener Replacement
PROJECT NO. 123-041
QUOTES DUE 9:OOAM EST, September 26, 2023 to bpwbids@southbendin.gov
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
1
SOFTENER REPLACEMENT
1
FS
So,—? 1 % 00
$ � p -1( $.OU
Total Amount of Quote
$ go 1 t 9,00
Firm:
Address:
City/State/Zip: S ,4A Ae-d Z+J 16601 Telephone Number: 't
Fax Number: (S'M ) Zb9 -3755
By
/� (Signatu
OU
Jr/�
C /_)c+C,40 jr ,
(Printed Na(na of Person Signing)
Version 04/21/2023 Page - 19 Public Works Quote
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)
STATEOF
SS:
+. Jos It COUNTY )
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that:
1. Contractor has not, nor has any other member, representative, or agent of the firm,
company, corporation or partnership represented by him, entered into any combination, collusion
or agreement with any person relative to the price to be bid by anyone at such letting nor to
prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid
is made without reference to any other bid and without any agreement, understanding or
combination with any other person in reference to such bidding. Contractor further says that no
person or persons, firms, or corporation has, have or will receive directly or indirectly, any
rebate, fee, gift, commission or thing of value on account of such sale; and
2. Contractor certifies by submission of this proposal that neither contractor nor any of its
principals are presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from participation in this transaction by any Federal department or agency;
and
3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in
investment activities in Iran.
a. For purposes of this Certification, "Iran" means the government of Iran and any agency or
instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from
time -to -time.
b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is
engaged in investment activities in Iran if either:
i. Contractor, its successor or its affiliate, provides goods or services of twenty million
dollars ($20,000,000) or more in value in the energy sector of Iran; or
ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty
million dollars ($20,000,000) or more in credit to another person for forty-five (45)
days or more, if that person will (i) use the credit to provides goods and services in
the energy sector in Iran; and (ii) at the time the financial institution extends credit, is
a person identified on list published by the Indiana Department of Administration.
4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain
any employee or contract with a person that the Contractor subsequently learns is an
Version 04/21/2023 Page -16 Public Works Quote
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
expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of
this provision may be regarded as material breach of contract.
Version 04/21/2023 Page - 17 Public Works Quote
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.
x*�
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 Z S day of -';t{- , 20 Z 3
Edw',�) J. L✓A --<e -K
Contractor/Bidder (Firm)
Signature of Contractor/BhNer or Its Agent
Printed Name and Title
Subscribed and swom to before me this Z� day of S°J_�, 20 Z3
My Commission Expires 09/ta/Z030
i1
County of Residence
E. -::Je
Notify Public LJ
'St. JOswti
,,.•riY'a�- M""I .EL E 1'HYLOR
Notary Wblk, State of Imllana
St. Joseph Cuunly
. s Canmissian Number NPOfiS5C05
C,ommissbn F�gri�es
4.,NOIANo;.+ (Vj911St
Version 04/21/2023 Page - 18 Public Works Quote