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HomeMy WebLinkAboutOpening of Bids - Demo 1000 W. Sample St. (Fun FX Building) Proj No. 123-014R - Green DemolitionTH A[t CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Demolition of 1000 West Sample Street Project No. 123-014R For Bids Due Tuesday, March 26, 2024 @ 9:00 A.M. (E.D.T.) 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. X Proper bid security included. The bidder has the option of providing either a Certified Check or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and X Certification of use of United States Steel Products or Foundry Products. Proof of M/WBE Utilization Plans [MBE-1.0 and WBE-1.0]. Also provide Evidence of Good Faith Efforts Forms [MBE-2.0 and WBE-2.0] and M/WBE Contacted Forms [MBE-2.1 and X WBE-2.1]. X Acknowledge Receipt of Addendum(s) included with the bid. X All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either X printed or typed underneath signature. X This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. Bidder: Green Demolition Contractors, Inc. Date: _ _ 4 By Authorized Represe i Signature: Print Name & Title: Michael Brough. President Version 07/19/2023 Contractor's Bid for Public Works -1 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Demolition of 1000 West Sample Street Project No. 123-014R For Bids Due Tuesday, March 26, 2024 @ 8:00 A.M. (E.D.T.) PART (Must be completed for all bids. Please type or print) Date: 3-25-24 Bidder (Firm): Green Demolition ontractorS, Inc Address: 315 Brighton St. Suite 1 City/State/Zip: LaPorte, IN46350 Telephone Number: ( 219) $79_5311 Agent of Bidder (if Applicable): Michael BrOuoh Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: Demolition of 1000 West Sample Street — Former Fun FIX Building the City of South Bend, Indiana, in accordance with plans and specifications prepared by: City of South Bend, Engineering Division and dated 03/0112024 for the sum of (enter the Total Bid as shown on the Proposal) Five Hundred twenty-eight thousand Eight Hundred Dollars ($ 528,800.00 ) (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 ep t attachment. By (Signature) 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 Michael Brou h (Printed Name of Person Signing) ACCEPTANCE day of 20 Joseph R. Molnar, Vice President Breana N. Micou, Member Attest: Theresa Heffner, Clerk Version 07/19/2023 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.) See Attached 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. See Attached 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. See Attached 4. Attach a listing of equipment you have available to use for the proposed project. See Attached 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, attach an explanation for the rationale used which would corroborate the prices listed. Yes 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. See Attached Version 07/19/2023 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: LaPorte COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran.. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran, or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Version 07/19/2023 Contractor's Bid for Public Works - 4 Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, firms, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of contract or employment, or any matter directly or indirectly related to contracting or employment because of race, sex, religion, color, national origin, ancestry, gender expression, gender identity, sexual orientation, or due to age or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions will consider the Contractor's good faith efforts to obtain participation by those subcontractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. Contractors seeking the award of a City contract cannot be required to award a subcontract to an MWBE; however, they may not unlawfully discriminate against said MBE/WBE. On goal -eligible contracts, Contractors are required to either meet both MBE and WBE utilization goals or demonstrate that the Contractor has made good faith efforts to obtain participation from MBE and WBE subcontractors. A finding of noncompliance or a discriminatory practice shall prohibit that Contractor from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact to which the discriminatory practice or noncompliance pertains. 7. The undersigned Contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder Version 07/19/2023 Contractor's Bid for Public Works - 5 may result in forfeiture of contractual payments. I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this 25th day of March , 2024 Green Demolition Contractors, Inc. Co 1 de Firm) Signature of Contractor/Bidder or Its Agent Michael Brough, President Printed Name and Title Subscribed and sworn to before me this 25th day of March , 2024 My Commission Expires 1118ha No ary Publi County of Residence LaPorte ,spa"r'P�B�, Kimberly Martin Notary Public, State of Indiana = SEAL LaPorte county Commission Number NP0470193 MyCon uri,slonF_xpires Version 07/19/2023 Contractor's Bid for Public Works - 6 =" 4F ktj( BID/PROPOSAL _ CITY OF SOUTH BEND Project Name: Demolition of 1000 West Sample Street r Project Number: 123-014R For Bids Due: Tuesday, March 26, 2024 @ 9:00 A.M. (E.D.T.) Contractor Name: Green Demolition Contractors Inc. Item No. Description Quantity Unit Unit Price Total Amount Provide a Lump Sum price to 1 perform the demolition, backfill, 1 LSUM $ 528,800.00 $ 528,800.00 grading and seeding as intended by these Specifications Total Amount of Bid $ 528,800.00 Bidder (Firm): Green Demolition Contractors, Inc. Address: 315 Brliahton St Spite 1 City/State/Zip: LaPorte, IN 46350 Telephone Number: (219 ) 37cl-fi, By (Signature) Michael Brough (Printed Name of Person Signing) Version 07/19/2023 Contractor's Bid for Public Works - 7 x n CITY OF SOUTH BEND 19 MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-1.0 �..\�;✓ MBE UTILIZATION PLAN This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE participation. It is the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications. ***Goals should be calculated based on the Base Bid only.*" Project Number: 123-"4R Project Name: Demolition of 1000 West Sample Street Bidder: Green Demolition Contractors. Inc. _ Base Bid Amount: 152&000.00 MBE Goal: 1.39% Page 1 off Name &Address of MBE Primary Contact Person (Name/Telephone) Scope of Work to be Performed (Attach soope/schedute'rf you need additional space) Mar Amount of MBE Component Percentage Of Total B' I 1 st Class Logistics 2213 Saint Charles South Bend, IN 46601 Bernard Coutee Trucking & Hauling (Dump Truck) $7,392.00 1.4% Submitted by: Michael Bro h _ 3-25-2024 Print Name ignature Date ***Goals should be calculated based on the Base Bid only.*** Version 07/19/2023 Contractors Bid for Public Works - 8 ?4//�,umi CITY OF SOUTH BEND Ilk MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN ;= FORM WBE-1.0 WBE UTILIZATION PLAN This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving WBE participation. It is the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications. ***Goals should be calculated based on the Base Bid only.*** Project Number: 123-014R Project Name: Demolition of 1000 West Sample Street Bidder: Green Demolition Contractors. Inc. Base Bid Amount: $528,800.00 WBE Goal: 4.65% Page 2 of 2 Name & Address of WBE Printery Contact Person (Namelfelephone) Scope of Work to be Performed (Attach scope/schedule if you need additional space) Trucking & Hauling DalmAmount of WBE C-4-namt $23,780.00 Percentage of Total Bid/Proposal San Corporation 1112 East Summit St Crown Point, Indiana 46307 Sandra Smith 219-299-6830 4.5% Submitted by: Michael Brough Print Name 3-25-2024 'Signature Date *"Goals should be calculated based on the Base Bid only.*'* Version 07/19/2023 Contractor's Bid for Public Works - 9 CITY OF SOUTH BEND 4 MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <' r 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: 123-014R Date: 3/25/2024 Project Name: Demolition of 1000 West Sample Street Bidder: Green Demolition Contractors, Inc. Contact Person: Bernard Coutee Telephone: 574-993-0071 Address: 2213 Saint Charles Ave City: South Bend State: Indiana zip: 46614 Email: lstclasslogistics2013i2amail.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: htto://www.in.gov/idoa/. GOOD FAITH EFFORTS TO OBTAIN MBE PARTICIPATION The bidder shall initial each item below, as evidence of its good faith efforts to obtain MBE participation in the awarded contract. I affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise Inclusion Program Plan and the Indiana Department of Administration's certified list of Indiana Minority and Women Business Enterprises, found on their website MB (http:/Avww.in.gov/idoa). I affirm that I have made good faith efforts to select portions of the contract work to be performed by MWBEs, including, where appropriate, breaking out contract work items into MB economically feasible units to facilitate MBE participation. I affirm that I have made good faith efforts to solicit through all reasonable and available MB 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 MB 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 MB such advertisements. I affirm that I performed any and all necessary steps to provide written notices in a manner reasonably calculated to inform MBEs of subcontracting opportunities and allowed MB sufficient time for MBEs to participate effectively. I affirm that I followed up on initial solicitations with interested MBEs. MB 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 MB subcontract. I affirm that I have made good faith efforts to assist interested MBEs in obtaining bonding, MB lines of credit, or insurance as required by the City or the bidder, where appropriate. Version 07/19/2023 Contractor's Bid for Public Works -10 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS I affirm that I have made good faith efforts to assist interested MBEs in obtaining necessary MB equipment, supplies, materials, or related assistances or services, where appropriate. I affirm that I did not reject any MBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. MB 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 07/19/2023 Contractor's Bid for Public Works -11 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLANS 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: Project Name: Bidder: Contact Person: Address: City: Email: 123-014R Demolition of 1000 West Sample Street Date: 3/25/2024 Green Demolition Contractors, Inc. Sandra Smith Telephone: 219-299-6830 1112 East Summit St Crown Point State: Indiana zip: 46307 sandy0sancorptruckina.com To determine whether a bidder has demonstrated good faith efforts to reach the WBE utilization goals set forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below`: EVIDENCE OF GOOD FAITH EFFORTS WBE LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business Enterprise Inclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3)the Indiana Department of Administration list of Minority and Women Owned Businesses (both certified and non -certified) found at: htt ://www.in. ov/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 MB lhttp:/twww.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 MB economically feasible units to facilitate WBE participation. I affirm that I have made good faith efforts to solicit through all reasonable and available MB 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 MB 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 MB 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 MB sufficient time for WBEs to participate effectively. I affirm that I followed up on initial solicitations with interested WBEs. MB I affirm that I negotiated with interested WBEs in good faith, including providing such WBEs with adequate information about the plans, specifications and other requirements of the MB subcontract. I I affirm that I have made good faith efforts to assist interested WBEs in obtaining bonding, MB lines of credit, or insurance as required by the City or the bidder, where appropriate. Version 07/19/2023 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 :fi oM ti MB 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. I affirm that I did not reject any WBEs as unqualified without sound business reasons MB 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 07/19/2023 Contractor's Bid for Public Works -13 CITY OF SOUTH BEND t 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__L_OF 2 Project Number: 123-014R MBE Participation Goal 1.39% Project Name: Demolition of 1000 West Sample Street By: (Signature) (Title) (Date) MBE Firm 1st Class Logistics Owner or Contact at MBE Firm Bernard Coutee Telephone: 574-993-0071 Fax: N/A Email: 1stcl sl istics2013 mail.com TYPE OF WORK SOLICITED FOR THIS PROJECT: Trucking & Hauling Dum Truck RESULTS OF CONTACT WITH THE MBE FIRM: Agreed to Participate in Project MBE Finn Owner or Contact at MBE Firm Telephone: Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE FIRM: Email: Version 07/19/2023 Contractor's Bid for Public Works -14 4x TN +: l CITY OF SOUTH BEND r�� MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN F FORM MBE-2.1 =' WBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring Good Faith Efforts to contact WBEs. It is the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications. Attach additional pages if necessary. PAGE__2_OF 2 Project Number: 123-014R WBE Participation Goal 4.65% Project Name: Demolition of 1000 West Sample Street Bidder: Green Demolition Contractors Inc. By: President 3/25/2024 (Signature) (Title) (Date) WBE Firm San Corporation Owner or Contact at WBE Firm Telephone: 219-299-6630 Sandra Smith Fax: N/A Email: sand sancor truckin .com TYPE OF WORK SOLICITED FOR THIS PROJECT: Trucking & Hauling RESULTS OF CONTACT WITH THE WBE FIRM: Agreed to Participate in Project _ ffi *8rmi, Owner or Contact at WBE Firm Telephone: Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE WBE FIRM: Email: Version 07/19/2023 Contractor's Bid for Public Works -15 THE CINCINNATI INSURANCE COMPANY CONTRACTOR (Name, legal status and address): Green Demolition Contractors, Inc. 315 Brighton St, Suite 1 La Porte, IN 46350 OWNER (Name, legal status and address): City of South Bend Indiana - Board of Public Works 227 Jefferson Blvd - County -City Building Room 1316 South Bend, IN 46601 BOND AMOUNT: 5% of Total Bid Amount SURETY (Name, legal status and principal place of business): THE CINCINNATI INSURANCE COMPANY 6200 S. GILMORE ROAD FAIRFIELD, OHIO 45014-5141 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. PROJECT (Name, location or address, and Project number, if any): Demolition & Site Restoration - Demolition of 1000 West Sample Project Number, if any: Street - 1000 W. Sample Street, South Bend, IN 46601 123-014R 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 the sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirements shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. 41 Signed and sealed this y17 day of hfe*re11 .zp.L -v ("Witness) (Witness) Green Demolition Contractors, Inc (Seal) — (Title Michael Brough - President THE CINCINNATI INSURA: 'CE COMPANY 6suret v y � eat) (Title) David S. Parrilli - Attorney -in -Fact The Company executing this bond vouches that this document conforms to American Institute of Architects Document A310, 20 lC Edition. S 2000 AIA (11/10) PUBLIC THE CINCINNATI INSURANCE COMPANY THE CINCINNATI CASUALTY COMPANY Fairfield, Ohio POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That THE CINCINNATI INSURANCE COMPANY and THE CINCINNATI CASUALTY COMPANY, corporations organized under the laws of the State of Ohio, and having their principal offices in the City of Fairfield, Ohio (herein collectively called the "Companies"), do hereby constitute and appoint David L. Jennings; Amy C. Homer; Donald Petterson; Philip C. Reimer; Susan M. Preissing; Robert H. Walker; Doug O'Neill; George F. Manikas, Jr. and/or David S. Parrilli of Chicago, Illinois their true and legal Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign, execute, seal and deliver on behalf of the Companies as Surety, any and all bonds, policies, undertakings or other like instruments, as follows: Any such obligations in the United States, up to Twenty Million and No/100 Dollars ($20,000,000.00). This appointment is made under and by authority of the following resolutions adopted by the Boards of Directors of The Cincinnati Insurance Company and The Cincinnati Casualty Company, which resolutions are now in full force and effect, reading as follows: RESOLVED, that the President or any Vice President be hereby authorized, and empowered to appoint Attorneys -in -Fact of the Company to execute any and all bonds, policies, undertakings, or other like instruments on behalf of the Corporation, and may authorize any officer or any such Attorney -in -Fact to affix the corporate seal; and may with or without cause modify or revoke any such appointment or authority. Any such writings so executed by such Attorneys -in -Fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company. RESOLVED, that the signature of the President or a Vice President and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the signature of the Secretary and the Seal of the Company may be affixed by facsimile to any certificate of any such power and any such power of certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certified by certificate so executed and sealed shall, with respect to any bond or undertaking to which it is attached, continue to be valid and binding on the Company. IN WITNESS WHEREOF, the Companies have caused these presents to be sealed with their corporate seals, duly attested by their President or a Senior Vice President this 19th day of December, 2018. �l\Inf Yidq�a pall (af41/ 5 , :`CORPORATE y`CORPORATE �SEALY "SEAL` oHlo oxla STATE OF OHIO )SS: COUNTY OF BUTLER ) THE CINCINNATI INSURANCE COMPANY THE CINCINNATI CASUALTY COMPANY On this 19th day of December, 2018 before me came the above -named President or Vice President of The Cincinnati Insurance Com- pany and The Cincinnati Casualty Company, to me personally known to be the officer described herein, and acknowledged that the seals affixed to the preceding instrument are the corporate seals of said Companies and the corporate seals and the signature of the officer were duly affixed and subscribed to said instrument by the authority and direction of sajo corporations. Keith Co tt, Attorney at Law Notary Public— State of Ohio My commission has no expiration date. Section 147.03 O.R.C. I, the undersigned Secretary or Assistant Secretary of The Cincinnati Insurance Company and The Cincinnati Casualty Company, hereby certify that the above is the Original Power of Attorney issued by said Companies, and do hereby further certify that the said Power of Attorney is still in full force and effect. Given under my hand and seal of said Companies at Fairfield, Ohio, this ,y day of .110-4Oek/ 20-a Y a�y69ATE(ee L` BN-1457 (4/19) CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name Demolition of 1000 West Sample Street Project No. 123-014R For Bids Due Tuesday, March 26, 2024 @ 9:00 A.M. (E.D.T.) Contractor Name: Green Demolition Contractors, 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 31 st 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 07/19/2023 General Conditions -11 II. PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowledgements: (►) 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, -,Av 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 (fir) X 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 shelf be furnished (id) X upon request 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 ensue; 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 States on-line records Qa. 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 X proprietors or partnerships). Ci) List identifying all former business names. 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 Ads, within the preceding five (5) (Iv) years. Statement about staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work I Xam 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. 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 (vii) Apprenticeship, or its successor organization. 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 (vfii) requirements set Barth in IC 4-13-18-5 or IC 4-13-18-6. Evidence that f 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 07/19/2023 General Conditions -14 (IJA) 5 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. M X List of projects of similar size and scope of wodc performed In all areas, including the State of Indiana, within three (3) years prior to the date on which the bid is due. —Date: March 25 2024 "..(Sign Here) Michael Brou h (Print Name Here) De molition Contractors Inc. (Name of Company) 315 Brighton St. Suite 1 (Address of Company) ` LaPorte (City) Indiana, 46350 (State) ? 19-379-5311 (Telephone Number) Version 07/1912023 General Conditions -15 INTERNATIONAL UNION OF OPERATING RXGjN BRB IACAL UN'" NO. 1Do, 111006 MCA, 150C, son", IS=, Isar., Isom AMRJAT[O IATH THE 4L11A-{J.&-AN02UtldWC 7RA6" 0"ML"uf " JAMES M. SWEENEY �fi661DENf-bIISpESS MNVK${I 1^ COUNTIIYl1=J*Xr ROAD L 80"S m January 5, 2024 Green Demolition Contmctors 315 Brighton St, SlAte 1 LaP0rte,1N 46350 Re: Proof of Compliance with 30 ILCS 500/30-22(6) Our File No. MI-00321 Dear Sir or Madam: At the request of Green Demolition Contractors, I am providing you yyi� ence of the Company's compliance with the apprenticeship requirements in 30 ILCS 500/30-22(6) of the Illinois Procu=ent Code. I am submitting this letter along with appmnticesldp certificates (NOs.IL012020003 and ILOWS0173). As a signatory contractor with the Lot0n1GdOnel Union of Operating Fierce 150, AFL-CIO, Green Demolition Contractors, is required by Collective $��ng Agreement to participate in an applicable apPaentic W ip and training program approved by and registered with the United States Department of I,abor's Btu of Apprenticeship and Training. The attached certificates am evidence of'compliancc with the U.S. Dcpartment of Labor's apprenticeship requirmart, Thank you for your cooperation in this matter. If you have any questions or corncerns, please do not hesitate to contact me. Very truly yours, IUOK Local 150, AFL-CIO District 1 dispatch office Maribe(Heanandez Enciosures: Certificates . 0f sficl Illom", M�l �8� IARM A TorT" — o r lwvoras part of ge �a ppr�enfrces�'ip c�ys�fern h2 aacord=Ce mif1i fie AMic daMdWV�J- o/ap� tp esfa�Is edGy,fie c�iecxeiar of Ba6or Decem6er31.1978 ftv&ed,9une 23, 2011 - ,►,� v W. a F 10087801 T3 a Me,qisler*oras parf 0t6e �alron��PP-�f�•"��P c5yafem to accarorance mift�f�te basic s,fa„�o�ar� °f aPPrenfices�rp es,fal1. SLR rfiy ge t3earefay of,' 4-ar lct .5, 2002 ott".r. oo ICQ1202 aUD3 `e?ans CA �' �� LIUA! Chicagoland Y January 4, 202r4 Gmw Demolition Contractors, LLC 4W S St. Louis Chicago, IL 60652 To Whom It May C".onaem: Encdosad you will please find a copy of the Deem of Leber c Teountly. ertification that you requesW You may also use this letter as verification that Greer, Demolition Contractors, LLC is indmd slgnstory to the to the Chic ap Laborers District Council and contributes to the Labour Apprentic aWp Fund. Should you rbquire anything further, please do not hesitate to contact me. Yours very truly, �, 0 . Felicity Ruiz Assistant Office Manager rats �tariia aYA I - James P. Connoliy, Chefm n ICehti Vifdia` j� Michad BlAns Shmvn Fugeratd Shane High Cell azy Am Martin Aanagen Joseph Koppers 1200 Old Gary Avenue Joseph V. HaaV L���A Z ppe� CNN" Carol Stream,lL8(7188 Loyd 't r1y" Vaughn � ah.ft " Robert G. Krug 5700 West Hamer St WIINam Mpnccchi Chloago, IL 60839 eO)Ie *tatrg 0epartment" ,fib office of �prerttice��jiP al tprtificate of Reg%otration of appreriticegbip program April 12,1999 -5.11 H..017990001 F.k, & - %. CWcagoland Laborers Carol Stream, IL For the occupation of CONSTRUCTION CRAFT LABORER ,Weyislerred a s earl of lh-e XalionaP' 9, renlice rSip c$ys/em in accordance w-rY ISe {asic slan&zros of appr�n f ceS�;� esfaSfrsre0(Sy lre c5ecrelary oj-,'a&.r 4 ✓-4dmui+/ro/er:• 4r�PP^'nhi'r.�fy, RUSI'NESS INFORMATION DIP-01) MORALES UQDIANA SECRETARY OF STATE 1111612023 11:16 AM LW 1, r,t, Business Name, GREEN DEMOLITION CONTRACTORS INCORPORATED BLWMS ID: 2015061100177 Entity Type- Domestic Limited Liability Company Business Status: Active Creation Date: 06111120i5 Inactive Date; Principal Office Address: 315 Br%bton St Suite 1, LgPorle, IN, 46360, USA Expiration Date: Perpetual Jurisdiction OfFomation: Indiana Business Entity Report Due Date: 06G0/2025 Years Due: Titk Name Address 2L J Fresidmi Micheal Brough 315 Brighton St Suite 1, L9 Pon-, IN, 46350, USA Type: Individual Name: MICHAEL BROUGH Address: 315 Brighton St Suite 1, La Porte, IN, 46350, USA State of Indims Office of the Semtei-y of State CERTIFICATE OF ORGANIZATION Of GREEN DEMOLITION CONTRACTORS INC`OR ORATLD I. Connie La%sm Secretary of .State of Lidia a' hereby certify that Articlog of 0t gtioa oI the above Domestic Limited LiabiliN Company (LLC) has been presented to we at 1riy office. accompanied fees prescrAvd by law and that the documentation presented conknins to laty as pnescribc d bs by the provisions of the Indiana Business Flaw Act. NOW. THEREFORE. vkith this document I certify that said transaction .Tune 11. ,2015. ;gill become effective Thursday. In Witness Whereof, I have caused to be a ed my signature and the seal of the State of Indiana, at the City of Indianapolis. June 11.2015 CONNIE LAWSON, SECRETARY OF STATE 220150611061-17 12015061100177 7MVwLa RMxON $ idaLLVmmDn smu on -at tunu03 S _ _o�x T pis Kau saE ftovW=nTmjr ;5' IIdXtI HOUVxtspym SILL 4u°O uomouna "am Mao$ SO LM OF pas Ajxnon HdMOp 'J S ,;o sears paw use GMMZSIM st nna4 �Z Ptm MPG � Aua,� e'N ul opmo o; ftWH di ptsd Sup s ►sq �HI ` ,ZL.W lMZOZti .MZa Q Saoa `cc Aqq r zvrar� `erg HlaoSaOIM AMnoo xa�rsor :ts oo•s�$ AIDI.LnUSI )aR W-MIF ` N Business Name: GREEN DEMOLITION CONTRACTORS INCORPORATED Entity Type; Domestic Limited Liability Company Creation Date: 06/11/2015 Principal Oficc Address: 315 USA Brighton St Suite 1, LaPorte, IN, 46360, Iurisdietica of Formation: Indiana BUSINESS INFORMATION DIEGO MORALES INDIANA SECRETARY OF STATE 11/16/2023 l 1:16 AM Business ID: 2015061100277 Business Status: Active Inactive Date: E.upiration Date: Perpetual Business Entity Report Due 06/30/2025 Date; Years Due: Title Name Address President Michael Bmugh 315 Brighton St Suite 1, La Porte, JN, 46350, USA 'type: Indlvtduai Name: MICHAEL BROUGH Address: 315 Brighton St Suite 1, La Porte, IN, 45350, USA State of Indiana Office of the Seeretsq of State CERTIFICATE OF ORGANIZATION Of GREEN DEMOLITION CONTRACTORS INOORPORATRID I. Connie Lawson. Secretary of State of Indiana, herby cert6 that Articles of Organization of the above Domestic Limited Liability Company (LLC) has been presented to me at my office. accompanied by the fees prescribed by lam' and that the documentation presented conforms to law as ptvwribed by the pros isions of the Indiana Business Flev bility Act. NOW. THEREFORE. Mth this document I certify that said transaction will .rune 11.2015 become effective Thursday In Witness Whereof. I have caused to be off -ed my sigaature and the seal of the State of Indiana, at the City of Indianapolis. June 11, 2015 COIF NIE LAW SON, SECRETARY OF STATE 201-406110017712015MI 100177 Na. 48918-24 REGISTRATION Sr- JOSEpH CO �us.�: UNWAND CITY OF SOUTH BEND, INDLUVA MaY 22. 2023 QHFBN D�Qj•1TtQN OOP T�oxs, 01C, having this day paid to the. t the sum of One I'mWb,ad TWMW Pm Doft. and Za+o Buddtgg ats to in 'he unk areas Of ST. JOSUH COMP and the Cr1Y OF SOUM BENIX TM RLGISMATION EMU=: Ja,," s, 111,14 3s etrtoa sr sLgm 1 ,T . BQdb* Commis ma tee. rn 4050 �TION 18 NOT TLUMU M -%Ioe GREEN DEMOLITION CONTRACTORS, INC. green !� iJ � � 315 INUGHTON ST. SUITE I Arlf%1 IAPOM, IN 463SO 312-409-4771 f rnpipm§ Drug/ Aitohol Potli ,• The past success and future growth of Green Demolition Contractors are a direct result of our most important asset, Our people. Consequently, Green Demolition Contractors is concerned about the use of alcohol, illegal drugs, or controlled substances as it affects the workplace. Use of these substances, whether on or off the job, can adversely affect an employee's work performance, efficiency, safety and health, and may therefore seriously impair his or her value to the Company. In addition, the use or possession of these substances on the job constitutes a potential danger to the vvelfare and safety of other employees and exposes the company to risks of property loss or damage, or injury to other people. Green Demolition Contractors has a viral interest In maintaining safe and efficient working conditions for its employees and ensuring that all the company vehicles are properly maintained and operated in a safe manner. Furthermore, the use of prescription drugs andlor over-the-counter drugs may affect an employee's job performance and seriously impair the employee's value to the company. Any employee who is using prescription andlor over-the-counter drugs that may impair the employee's ability to safely perform the job, or affect the safety or well-being of others, should not report for work during the time the employee is using the medication. You may be required to provide a doctor's note validating your need for time off due to the use of medication which Interferes with your ability to safety perform your duties. The employee should use any accrued vacation or sick leave during this time period. if the employee does not have accrued leave, the employee should discuss their need for time off with their supervisor or Human Resources to determine if alternative accommodation can be provided. Proper use of prescription drugs directly prescribed to the employee is exempt from these restrictions so long as the employee Is complying with physician orders and does not create a safety hazard for the employee or his/her coworkers. Contact Green Demolition Contractors Human Resources Department when an employee has been prescribed drugs from a complying physician. The following rules and standards of conduct apply to all employees either on the company property (owned or leased or off premises job site) or during the wor1kday (including meals and rest periods). The following are strictly prohibited by the company; however, this section does not apply to the jUW use of prescription drugs. I. Possession or use of alcohol or being under the influence of alcohol while on the job. Recycling Today For A Greener Tomorrow 2. Driving a company vehicle while under the influence of alcohol or a controlled substance. I Distribution, sale, or purchase of an illegal or controlled substance, 4. Possession or use of an illegal or controlled substance or being under the influence of an illegal or controlled substance while on the job. The following items at a minimum shall always be applicable and enforceable. L Drug Testing; a. Each employee, as a condition of employment, may be required to participate in pre -employment; reasonable suspicion, project specific and follow-up testing upon selection or request of management: Any employee who refuses to submit to drug or alcohol testing requested by management will be subject to disciplinary action, up to and Including immediate termination. Altered samples, substituted Samples and negative dilutes constitute employee failure to cooperate with a rraWement investigation in violation of Green Demolition Contractors business conduct policy. Any employee submitting such a sample will be subject to disciplinary action, up to and including Immediate termination, b. Drug or alcohol testing required or requested by the company will be conducted at the company expense. Testing for the presence of alcohol will be conducted by analysis of breath and or cognitive function. Testing for the presence of the metabolites of drugs will be conducted by the analysis of urine. c. To ensure the accuracy and fairness of our testing program, all testing will be conducted according to DHHS/SAMHSA guidelines where applicable and will include a screening test; a confirmation test; the opportunity for a split sample; review by a Medical Review Officer, Including the opportunity for employees who test positive to provide a legitimate medical explanation, such as a physician's prescription, for the positive result; and a documented chain of custody. .2. Testing Based on Reasonable Suspicions a. Employees may be referred by a supervisor to a company approved physician or medical group for evaluation when a supervisor has reason to believe that the employee is intoxicated or using controlled substances or other Illegal drugs during work hours or at a time which may affect job performance or safety. Evidence of such behavior may include, but is not limited to: 1. Slurred speech 2. Uneven gait 3. Mood swings 4. Violent temper S. Excessive absenteeism/ tardiness 3• Employee Consent to Release Chemical Analysis: a. When the Company requires an employee to submit body fluids for chemical analysis, the employee must sign an employee consent form authorizing the results to be forwarded to Green Demolition Contractors HR Representative. An employee who refuses to submit body fluid samples upon request of the company or who refuses to execute the employee consent farrn has failed to cooperate with a management investigation in violation of the company business conduct policy. Such conduct will subject the employee to disciplinary action, up to and including immediate termination of employment. 4. Confidentiality of Test Results: a. Test results of the chemical analysis of body fluids for substance abuse will be kept confidential in the same manner that all other confidential personnel records and confidential medical records are kept, Upon written request, the employee wiH be furnished with a copy of his or her substance abuse test results. Analysis e f Test Results a. Being under the influence of drugs or alcohol on the job or during work hours will be presumed by Green Demolition Contractors to pose a serious safety and health risk. Additionally, any use of alcohol or drugs during non -work time which results in a positive test of the employee during work hours may result in a similar presumption that the use of the drugs or alcohol poses serious safety and health risks. Positive Test a. Green Demolition Contractors reserves the right to irnpose discipline, up to and including immediate termination of employment, upon any employee who tests positive. Green Demolition Contractors reserves the right to require, as acondition of reinstatement and continued employment, completion of an approved rehabilitation program, at the employee's expense, which shall include but not be limited to: 1. A period of inpatient care 2. A return -to -work test prior to reinstatement 3. Follow-up testing at intervals as specked by Green Demolition Contractors HP, Representative '14Any employee testing positive during or after a rehabilitation program will be subject to immediate termination. *° Violation of the above rules and standards of conduct will not be tolerated and may result in Immediate termination of employment. Green Demolition Contractors reserves the right to bring the matter to the attention of appropriate law enforcement authorities. Employee Signature Supewlsor/ Witness Signature Date ' Date ti%irij GREEN DEMOLITION CONTRACTOR% INC. ` ` # 315 BRIG14TON ST. SUITE I ll I %1' L.APORTF IN 46350 312- M-4n 1 fiction I urnent Lpt QtY Descrotean 2 Link Belt 145 Excavamrs 2 Link Belt 350 Excavators I Link Bch nigh -Reach Ev2vatar I Cat 963 Track Loader 2 Cat 950 End Loaders I Cat D-5 Dozer 2 330 Excavators Caterpillar 2 320 Excavatort Caterpillar 2 Mini Excavators 28 Skid steer Bobcats 8 Fatcahrator Hamm m 8 &Ovator Grapples 8 Overseer Contalners Converted far Roll Off Trucks 4 65 Yard Roll Off Boxes 4 40 Yard Roil Off Boxes 8 30 Yard Roll Off Boxes 6 20 YAM Roll Off Boxes I Flat Deck for Roll Off w/ Built In Wench 1 20 Ton flat Deck Trailer I 10 Ton Flat Deck Trailer I Bobcat Tag Trailer I Tilt Deck Trailer I flat Deck Single Axel I Ingersoll Rand Mason Lull 2 Lull Conversion BradcM 1 350 Imvator Wreclong Pete 8 Wreeld"s Pales 2 2018 K"worth Tractor Trailers 2 2020 Ford Ono Ton Dually Dump Trucks 2 2005 Mw* Tractors 2 2W6 Math Six Wheeler Roll Off Truft Bobcat Hammers, buckets and various attachments for Eccavatona and Bobcats 1 Lour Boy Trailer 2 2011 Galbreath Semi Ml Off Trallem 2 Terminators 3 Atlas Capw 105 Air Compressors 2 Ingersoll Rand 2S0 Air Compressors 10 Cargo Trailers 1 Water Tmllem EquipmenWnd.ka a Jisted-above are free of encumbrances, none of the above listed Items are (eased, all equipment is owned by Michael. Bra, President Green Demolidon Contractors, Inc Michael Br Qo-kh, PresMent Recycling Today For A Greener Tomorrow The Urrtr "tr krwrance Corrbp my • the C1nLrrrrtaU IndernrrCCCum Tt,r CWKIrlrQV Casualty CoMpany • The Cwinrwli Spr-a Vty Undetwnreri msur4nCC Lamp" 1 A If' A 1 A 1 Q TI Tnc C1rxJnnan Lift. +n urarwr f nrrpany INSURANCE ICOMVP♦AN' IES January 31, 2024 RE: Gram Denrolrilar Contractors Inc. — Bonding Capacity To Whom It May Concern: The Cinckwoll Insurance Company (AM Best Rating of A+XV) provides surety bonding credit to Green Demolition Contractors Inc. They are one of our finest accounts and we highly recommend them. We currently have $5,000,000 single job/$10,000,000 aggregate bond program available for this firm. Should a situation merit, we would consider requests beyond these parameters as well. Any specific request for bonds will be underwritten on its own melba and any arr9ement for bonds required by any contract Is a matter between Green Demolition Contractors Inc. and the surety and we assume no Iisbli ty to you or your third parties, if for any reason we do not execute these bonds. Feel free to contact us with any questions you may have. since". r Natalie Koster Attomey-in-l=act Field Director Surety NaWie—Koster@dnnn.com 1454% a rrr;,,-t 0r rii]-s9e • HtdIgwa Iets-f,laus C sr. Faittieid, Ohio 45U14-519 REVIEW REPORT FOR THE YEAR ENDED DECEMBER 31, 2022 Se1de:n .Fox A a—umirm for your future Green Demolition Contrucioce, Inc, Review Report For the Year Ended December 31, 2022 -�= TEtblg of Canbents Independent Acwuntm, Review Report 1-2 Financial t umunera: Beunw Shea! a Statement of Opennllons A Statement of $tockholdees Equity Statement of Cash Rows Notes to the Financial StatPa m is 7 -17 Supplementary rnformd1oe: Schedule of Co$t of Contract Revenues Eamed is Schedule of Operating Expenses 19 Selden Fox Accounting for your future 619 Emef wise Odue I Oik Brack. 10446M I wwwseldanbx.= p =954.1400 I h 630.854.1317 I emaMl UWenfbccom INDEPENDENT ACCGUNTANT'S REVIEW REPORT Mr, Michael 8nwgh Green Demolition Contractors, Inc. Chicago, Illinois We have reviewed the s000mpanying financial statements of Green Demolition Co"&aclaors, Inc.. which comprise the balance sheet as of Decernber, 31. 2=. and the related statsml 6 of operation, stockholders equity and cash flows for the !rear then ended, and the related notes to the financial statements. A review Includes primarily applying analytical procedures m managemenrs financial data and making Inquiries of Company management A review Is substantially less In scope than an audit, the objective of which Is the mcpression of an opinion regarding the financial statements as a whole. Accordingly, we do not Sues such on opinion. flFarfrallerrren!'s Reepwalblifly for the Financial t nents Management Is responslNe for the preparation and fair presentation of these flnandal StMernents In accordance with accounting principles genemly accepted in the United States of America; fits Includes the design, implementation, and maintenance of internal cor*ol relevant to the Preparation and fair presentation of financial statements that are free from material mtsstatanwd whether due to *mud or error. Accountant's Responsibility Our responsibility is to conduct the review engagement in accordance with 8ta4arnents on tSUmlards for Accounting stud ReyIOw Bandon promulliated by the Amounting and Review 8er0ces Corrlmltbm of the AiCPA, Thom standards require us to parkm procedures to obtain Ilinbad assurance as a basis of reporting whether we are aware of any material modifications that should be made to the financial Stabemanils for tfhern to be In accordance wfth accounting Principles ganeraYY accepted In the United S" of America. We bsl that the results of our prooedunas provide a reasonable basis for our conclusion. We are required to be independent of Green Demolition Contractors, Inc. and to ff"W our; other ethical nesponsUfftles, in accordance with the relevant ethical requirements related to our review. Accountant's Conclusion Based on our review. we we not swats of any material mociftetions that should be made to the accampanying financial stWAMWlts In order for them to be In accordance with accountng principles generally aompied In the United Steles of America. Am,n.h,.W mgiworldwide . Supplernentary Information The accOrroarWirvi schedule of cost of contract revenues samed and eahedule of qmn tn8 eapmses are presented for purposes of additional analysis and are not a regtdmd part of the basic flnencial statements. The Sui)PWMWTWY irfionnatbn Is the neaponsMiny of management and was derived from, end relsiea directly ta, the underlying accoundtng and o0m records used to preparo the financial sidffl rrtr;. ?he supplementary information has been subjected to the review prorredures applied In our review of the basic financial statements. M are not ewers of any material modifioatlons that should be made to the supplementary informdon. We have not audited the supplementary tnfonnat<on and do not expnem an opinion on such infommtion. S662 Pl Z49, Wk. September 27, 21D23 -2- March 25, 2024 City of South Bend Re: 1000 W Saarple St RFP 123-014R Green Demolition Contractors has a team of over 50 personnel who have vast demolition expedise in a variety of areas. Green Demolitions Equipment Operators ace bdemational Union of Operating Engineers Local 150 Trained person nd with countless hours of machinery seat time ranging from Demolition Operations associated with the removals of Commercial Buildings, High Rise Towers, Bridge Removals, Structural Dismantling, Emergency Regmw e, Bli& Elimination, Environmental Clean Up, and Decommissioning Work. Green Demolitions Field Personnel on a daily basis perform a variety of tasks from Complete Wreck and Removals to including but not limited to; Interior Demolition, Dism&-Ming, Struab ral Openings, Mechanical Removals, Elevator Decoanm uioning, Torch Work, Water Tower Removals, Steple Removals, Concrete Breaking and Crushing, to Selective Demolition i.e. Clean Removals. Green Demolitions Office and field Personnel possesses over one hundred years of combined experience in the ConstructioWDeindition Industry and are committed to providing for a safe and environmentally clean work piece. Green Demolition Contractors would be honored to take on this project as well as meet and exceed all schedules, goals and expectations set for in the specifications. Respectfully: Michael J. Bough, President Green Demolition Contractors °'Recycling Today For A Grasper Totnnorrowr"