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HomeMy WebLinkAboutOpening of Bids - Fellows Booster Pump Station Improvements - Contract B Proj No. 121-070B - Selge ContructionCITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Fellows Street Booster Station Contract B — Station Installation and Site Work Project No. 121-070B For Bids Due April 9, 2024 From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. Proper bid security included. The bidder has the option of providing either a Certified Check or Bid X Bond. X City of South Bend Responsible Bidder Checklist. X Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and Certification of use of United X 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 X Forms [MBE-2.0 and WBE-2.0] and M/WBE Contacted Forms [MBE-2.1 and WBE-2.1]. X Acknowledge Receipt of 1 Addendum(s) included with the bid. All required additional information is included with the bid, required SRF Forms (including OEE-1, OEE- X 2, MWE/WBE Good Faith Effort Worksheet, American Iron and Steel Certificate, etc.) Proposal statements and other affidavits all signed by the proper party with name either printed or typed X 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: Selge Construction Co., Inc. By Authorized Representati Signature: 1 � -- Print Name & Title: Robert Kuhns, Project Engineer Version 09/29/2021 Contractor's Bid for Public Works - 1 Date: April 9, 2024 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Fellows Street Booster Station Contract B — Station Installation and Site Work Project No. For Bids Due 121-070B April 9, 2024 PART I (Must be completed for all bids Date: April 9, 2024 Address: City/State/Zip: Bidder (Firm): 2833 South 11th Street Please type or print) Selge Construction Co., Inc. Niles, MI 49120 Telephone Number: ( 269 ) 684-0842 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: Fellows Street Booster Station - Contract B - Station Installation and Site Work the City of South Bend, Indiana, in accordance with plans and specifications prepared by: Donahue & Associates and dated April 9, 2024 for the sum of (enter the Total Bid as shown on the Proposal) Three Million Six Hundred Fifty Four Thousand Dollars and Zero Cents (s 3,654, 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 an a separate attachment. By (Signature) Robert Kuhns, Project Engineer (Printed Name of Person Signing) 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 ACCEPTANCE day of 20 Joseph R. Molnar, Vice President Breana N. Micou, 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. SEE ATTACHED 2. Attach a listing of public works projects currently in process of construction by your organization. SEE ATTACHED 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. None 4. Attach references from private firms for which you have performed work. SEE ATTACHED 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.) Work will be completed in an orderly manner, according to specifications and as best suits the Owner and its Engineer. 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. Subcontracts list to be determined. Bond not required 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 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 Michigan ) ) SS: Berrien COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Version 09/29/2021 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 tern of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, firms, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of contract or employment, or any matter directly or indirectly related to contracting or employment because of race, sex, religion, color, national origin, ancestry, gender expression, gender identity, sexual orientation, or due to age or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions will consider the Contractor's good faith efforts to obtain participation by those subcontractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. Contractors seeking the award of a City contract cannot be required to award a subcontract to an MWBE; however, they may not unlawfully discriminate against said MBE/WBE. On goal -eligible contracts, Contractors are required to either meet both MBE and WBE utilization goals or demonstrate that the Contractor has made good faith efforts to obtain participation from MBE and WBE subcontractors. A finding of noncompliance or a discriminatory practice shall prohibit that Contractor from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact to which the discriminatory practice or noncompliance pertains. 7. The undersigned Contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder Version 09/29/2021 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 9th day of April , 2024 Selge Construction Co., Inc. Contractor/Bidder (Firm) 1�P 1 Signature of Contractor/Bidder or Its Agent tis►snsterr+r� Robert Kuhns, Project Engineer ��a.�'` Sy��r►..,, Printed Name and Title , �5 -11 •''r COL3NrYOFecW�iEN •� � My Commisslon E)Vres s S s October 27, 2027 Subscribed and sworn to before me this 91h da f April 20 24 Acting in ti,e county of. My Commission Expires 10/27/2027 ,� •�y�E ''" `G�,Q��, 41, oiary Public Frrlllllltiti�' County of Residence Berrien Version 09/29/2021 Contractor's Bid for Public Works - 6 BID/PROPOSAL CITY OF SOUTH BEND Project Name: Fellows Street Booster Station Contract B — Station Installation and Site Work Project Number: 121-070B For Bids Due: April 9, 2024 Contractor Name: Seloe Construction Co.. Inc. ROSF Rln Item Description Quantity Unit Unit Price Total Amount No. I TIION INSTALLATION AND SITE STAR I LS $ 3,377,000.00 $ 3,377,000.00 WO BOOSTER STATION CONCRETE 2 FOUNDATION AND SLAB 1 LS $75,000.00 $75,000.00 ALLOWANCE 3 BOOSTER STATION EXTERIOR I LS $85,000.00 $85,000.00 BRICK (ALLOWANCE) 4 BOOSTER STATION SLATE ROOFING I LS $50,000.00 $50,000.00 (ALLOWANCE) 5 BOOSTER STATION GUTTERS AND I LS $7,000.00 $7,000.00 DOWNSPOUTS (ALLOWANCE) EXISTING RESERVOIR INSPECTION, 6 SEDIMENT REMOVAL, AND MISC. I LS $100,000.00 $100,000.00 MAINTENANCE REPAIRS (ALLOWANCE) NON-DESTRUCTIVE POWER 7 WASHING OF EXISTING 1 LS $15,000.00 $15,000.00 STRUCTURES (ALLOWANCE) 8 MINOR REPAIRS OF EXISTING PUMP I LS $15,000.00 $15,000.00 STATION BUILDINGS ALLOWANCE BASE BID TOTAL $ 3,724,000.00 UANInATnOV Pin el TFRNATFS Item Description Quantity Unit Unit Price Total Amount No. I BOOSTER STATION EXTERIOR STEEL I LS $(50,000.00) $ (50,000.00) SIDING (DEDUCT) 2 BOOSTER STATION METAL ROOFING I LS $(20,000.00) 20,000.00 $ ( ) (DEDUCT) MANDATORY BID ALTERNATES (DEDUCT) TOTAL s (70,000.00) Version 09/29/2021 Contractor's Bid for Public Works - 7 5 BID/PROPOSAL i CITY OF SOUTH BEND Project Name: Fellows Street Booster Station Contract B — Station Installation and Site + r Work Project Number: 121-070B For Bids Due: April 9, 2024 Contractor Name: Selge Construction Co., Inc. Bidder (Firm): Address: City/State/Zip: Selge Construction Co., Inc. 7R33 gnirth 11th gtrppt Niles, MI 49120 Telephone Number: By 269 ) 684-0842 (Signature) Robert Kuhns, Project Engineer (Printed Name of Person Signing) Version 09/29/2021 Contractor's Bid for Public Works - 8 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN ~ FORM MBE-1.0 MBE UTILIZATION PLAN This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE participation. It is the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications. Project Number: Bidder: 121-070B Project Name: Fellows Booster Station Contract B-Station Installation and Site Work Selge Construction Co., Inc. Total Bid Amount: $3,654,000.00 MBE Goal: 7% Page 1 of-1 Name &Address of MBE Primary Contact Person (Name/Telephone) Scope of Work to be Performed (Attach scope/schedule if you need additional space) Dollar Amount of MBE Component Percentage of Total Bid/Proposal 1st Class Logistics Bernard Coutee Trucking $ 27,330.00 0.75% 574-993-0071 2213 St. Charles Ave South Bend, IN 46614 Master Filter Corp Bryce Orr Supply of generator $501,119.00 13.7% DBA Master Enterprises 317-545-3335 4195 Millersville Rd Indianapolis, IN 46205 Submitted by: Robert Kuhns, Project Engineer Print Name Signature Version 09/29/2021 Contractor's Bid for Public Works - 9 April 9, 2024 Date CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN .� FORM WBE-1.0 WBE UTILIZATION PLAN This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects Involving WBE participation. It Is the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications. Project Number. Bidder. 121-070B Project Name: Fellows Booster Station Contract B-Station Installation and Site Work Selge Construction Co., Inc. Total Bid Amount: $3,654,000.00 Goal: 5% Page 1 of 1 Primary Contact Person Scope of Work to be Performed Dollar Amount of MBE Percentage of Total Name & Address of MBE (Namerrelephone) (Attach scope/sohedule If you need additional space) Component Bkl/ProoPosal . BUC Construction Supply Teresa Butler Pipe & Fittings $437,803.00 12.00% P.O. Box 4153 Lafayette, IN 47903 765-412-3484 Traffic Control Specialists, Inc. Tracey Maintenance of Traffic $4,500.00 0.12% 1810 W. Pacific Ave. 574-772-7001 Knox, IN 46534 Submitted by: Robert Kuhns, Project Engineer April 9, 2024 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 s� 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: 121-070B Date: April 9, 2024 Project Name: Fellows Booster Station Contract B — Station Installation and Site Work Bidder: Selge Construction Co., Inc. Contact Person: Robert Kuhns, Project Engineer Telephone: 269-684-0842 Address: 2833 South 11 th Street City. Niles State: Michigan Zip: 49120 Email: bkuhns@selgeconstruction.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: htt ://www.in. ov/idaa/. 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 ��77��77__ Indiana Minority and Women Business Enterprises, found on their website w_ htt://www.in. ov/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 �L 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 reasonably calculated to inform MBEs of subcontracting opportunities and allowed sufficient time for MBEs to participate effectively. I affirm that I followed up on initial solicitations with interested MBEs. Q �'L I affirm that I negotiated with interested MBEs in good faith, including providing such MBEs with adequate information about the plans, specifications and other requirements of the subcontract. Version 09/29/2021 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 bonding, insurance by the City or the bidder, where appropriate. lines of credit, or as required 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. I affirm that I did not reject any MBEs as unqualified without sound business reasons based �Cj► L 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 aii or the a❑owe ovxes...ny 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 - 11 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM VVBE-2.0 ._ EVIDENCE OF GOOD FAITH EFFORTS This Wanks Projects requiring Good Faith Efforts so m obtainMwBl=pariicip � rt of the Bids documents related to City of South Bend Publk Data: April 9, 2024 Project Number. 121-070B Project Name: Fellows Booster Station Cortthact B — Station lnstalEatinn and Site Work Bidder: Selge Constriction Co., Inc. Contact Person: Robert Kuhns, Project Engineer Telephone: 269-684-0842 Address: 2833 South 11th Street City: Niles state: Michigan Mr. 49120 Email: tskuhns@selgeconstruction.com To determine whether a bidder has demonstrated good faith affons to reach the MIDI= util¢ation goals set forth in the City of South Henn Public Works Project Specifications, the City and Its agencies, boards, or commissions, REQUIRE ALL ofthe following Good Faith Efforts as 11sted in the table below": EVIDENCE OF GOOD FAITH EFFORTS MBE t_lST�Sj: The bidderreviewed i) the City of South Bend's Minority and Women business Enterprise Inclusion Program Plan; 2) the list of certified MlEs provided by the City; and 3) the Indiana Department of Administration list of Minority and Women Owned Businesses (bath certified and nom-c~ doll at h :Ilwww.i ylidW. GOOD FAITH EFFORTS TO OBTAIN PARTICIPATION The bidder shall initial each item below, as evidence of its good faith efforts to obtain "BE participation In the awarded contract. I affirm that I reviewer ti+e Ciiy of 5ouTi Bend's Minority and Women Business Enterpfte Inclusion Program Plan and the Indiana Department of Admkhisti- fion's certified list of Indiana Minority and Women Business Enterprises, found on their websb h :Il Avw.ln, Illoa . I affirm that I have made good faith efforts to select portions of the contract work to be perfoml by MWBEs, including, whom aporopriate, breaking out contract Work Items Into economically feasible units to facilitate WBE Participation. I affirm that i have made goad faith efforts to solicit through all reasonable and available means the Interest of all WBEs in the scopes of work of the contract aPrinm that I attended all pre bid meetings scheduled by the City of South Bend to inform WBEs of cont-acting and: subcontracting opportunities. ublill 1 odium that i advertised 'n gerieral and alltion arill trade association powed WBEs reasonable ti e to respond to conc�enhing subcontract opportunities C 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 QQeE�- sufficient time forWBE s to participate effectively. I affirm that I followed up on initial solicitations with interested' S. EPIC — I affirm that I negotiated with Interested Wa1rs in good faith, Including providing such s with adequate Information about the plans, spepfications and other requirements of the p_ Subcontract version O 29=1 Contractor's Bid for Public Works -10 rr lrrx�- . J CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN 1 N, FORM wE�E -2.0 EVIDENCE OF GOOD FAITH EFFORTS 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. ' I affirm that I have made good faith efforts to assist interested WBE s in obtaining necessary L 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 based on a thorough investigation of their capabilities. CONTRACT RECORDS: The bidder has maintained the following records for each IIVBE 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 -11 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 responslblllty to verify whether any listed minority -owned business meets the MBE qualifications. Attach additional pages if necessary. AGE ary.1 OF L Project Number: 121-070B MBE Participation Goal 7% Project Name: Fellows Street Booster Station and Site Work Bidder: Selge Construction Co., Inc. By. Robert Kuhns, Project Engineer A ri1 9 202e1 (Signature) (Title) (Date) MBE Firm Owner or Contact at MBE Firm Telephone: Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: Email: "Please see attached list of the South Bend Certified Directory" RESULTS OF CONTACT WITH THE MBE FIRM: MBE Firm Owner or Contact at MBE Finn 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 -12 CITY OF SOUTH BEND fir: MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN 01 r R 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 MBEs. It is the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications. Attach additional pages if necessary. PAGE OF Project Number: 121-070B MBE Participation Goal 5% Project Name: Fellows Street Booster Station and Site Work Bidder: Selge Construction Co., Inc. gy ,� Robert Kuhns, Project Engineer April 9 2024 (Signature) (Title) (Date) MBE Firm Owner or Contact at MBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: "Please see attached list of the South Bend Certified Directory" RESULTS OF CONTACT WITH THE MBE FIRM: MBE Firm Owner or Contact at MBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE FIRM: Version 09/29/2021 Contractor's Bid for Public Works -12 U.S. ENVIRONMENTAL PROTECTION AGENCY CERTIFICATION OF NONSEGREGATED FACILITIES (Applicable to federally assisted construction contracts and related subcontracts exceeding $10,000 which are not exempt from the Equal Opportunity clause.) The federally assisted construction contractor certifies that he does not maintain or provide for his employees any segregated facilities at any of his establishments, and that he does not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. The federally assisted construction contractor certifies further that he will not maintain or provide for his employees any segregated facilities at any of his establishments, and that he will not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. The federally assisted construction contractor agrees that a breach of this certification is a violation of the Equal Opportunity clause in this contract. As used in this certification, the term segregated facilities means any waiting rooms, work areas, rest rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race, creed, color, or nation origin, because of habit, local custom, or otherwise. The federally assisted construction contractor agrees that (except where he has obtained identical certifications from proposed subcontractors for specific time periods) he will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding $10,000 which are not exempt from the provisions of the Equal Opportunity clause, and that he will retain such certification in his files. VIP %- Aril 9, 2024 Signature Date Robert Kuhns, Project Engineer Name and Title of Signer (Please type) Selge Construction Co., Inc. Firm Name NOTE: The penalty for making false statements in offers is prescribed in 18 U.S.C. 1001. OEE-1 (11 /79) NOTICE TO LABOR UNIONS OR OTHER ORGANIZATIONS OF WORKERS NONDISCRIMINATION IN EMPLOYMENT TO: United Construction Workers Local #10 C.L.A. (Name of union or organization of workers) The undersigned currently holds contract(s)with Selge Construction Co., Inc. (Name of Applicant) involving funds or credit of the U.S. Government or (a) subcontract(s) with a prime contractor holding such contract(s). You are advised that under the provisions of the above contract(s) or subcontract(s) and in accordancewith Executive Order 11246, asamended, dated September 24, 1965, as amended, the undersigned is obliged not to discriminate against any employee or applicant for employment because of race, color, creed, or national origin. This obligation not to discriminate in employment includes, but is not limited to, the following: HIRING, PLACEMENT, UPGRADING, TRANSFER, OR DEMOTION, RECRUITMENT, ADVERTISING, OR SOLICITATION FOR EMPLOYMENT, TRAINING DURING EMPLOYMENT, RATES OF PAY OR OTHER FORMS OF COMPENSATION, SELECTION FOR TRAINING INCLUDING APPRENTICESHIP, LAYOFF OR TERMINATION. This notice is furnished you pursuant to the provisions of the above contract(s) or subcontract(s) and Executive Order 11246, as amended. Copies of this notice will be posed by the undersigned in conspicuous places available to employees or applicantsfor employment. (Contractor or Subcontractor) Robert Kuhns, Project Engineer April 9, 2024 (Date) OEE-2 (11/79) Attachment J Required Certification from Contractor Related to American Iron and Steel A certification substantially like the below will be obtained in advance of entering each procurement contract when such contract involves the procurement of iron and steel products to be used in the Project. The SRF Applicant shall remain responsible for compliance with applicable law (including American Iron and Steel). Such SRF Applicant has been encouraged to consult with its advisors and counsel regarding such matters and, in any event, understands that the use of the following does not relieve the SRF Applicant from its obligation to comply with applicable law (including American Iron and Steel) and related provisions of any financial assistance agreement entered into with the Indiana Finance Authority, nor will the State Revolving Fund Loan Programs, the Indiana Finance Authority or the State of Indiana be responsible for or limited by any SRFApplicant's use of the following certification. CERTIFICATION I RobertKuhns , of Sel a Construction Co., Inc. (Name and Title of Certifying Officer) (Successful Bidder) hereby certify and agree on behalf of the Successful Bidder as its duly authorized representative (and under penalties of perjury) that the Successful Bidder understands and agrees a material term and consideration applicable to the award and entry into a contract with the Successful Bidder by the City of South Bend related to its Fellows Street Booster Station Contract B - Station Installation & (SRF Applicant) (Project Name) Site o fF- involves the procurement and provision of work, goods and services under a procurement contract to be entered into with the SRF Applicant is the Successful Bidder's compliance with the provisions of Section 608 of the Clean Water Act and Section 1452(a)(4)(A) of Safe Drinking Water Act commonly known as "American Iron and Steel" provisions as contained therein requiring that all of the iron and steel products used in the Project be produced in the United States ("American Iron and Steel Requirements"). The Successful Bidder hereby represents and warrants to and for the benefit of the SRF Applicant and the Indiana Finance Authority, as a lender to the SRF Applicant for the funding of its Project, and agrees, that (a) the Successful Bidder has reviewed and understands the American Iron and Steel Requirements, (b) all of the iron and steel products used in the Project as provided by the Successful Bidder under its agreement related to the Project will be produced in the United States in a manner that complies with the American Iron and Steel Requirements and (c) the procurement contract will include a provision substantially like Attachment 1. I SWEAR OR AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE ABOVE STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE. Robert Kuhns, Project Engineer April 9, 2024 (Signature) (Date) STATE OF Michigan ) SS: COUNTY OF Berrien ) Before me, a Notary Public in and for said County and State, personally appeared Robert Kuhns . the Project Engineer of Selge Construction Co., Inwho, being first duly sworn, acknowledged the execution of the above and foregoing instrument for and on behalf of said entity. Dated this 9th day of April , My commission expires: 10/27/2027 County of Residence: Berrien Allison Swinehart (Printed) R IF � E 4- k co im w & LU z LLI z d co ui � z � 0 « tA a � 0 � x � « 0 0 0 w 0 � 2 Cl) � § � k 3 � 0 k m I m 2 2 0 U d 0 � 7 0 m U / 0 0 ' o 2 � 2 r_ 2 0 U 7 0 § 3 LL 2 : L: r � co E v a m 0 � 0 k » � E $ 2 e 0 0 � \ E E S � 0 FA 0 u o / cr D ■ ■ - o < k 16 / / / 16 z a)z 3 $ z ■ � � 2 2 cn ƒ ƒ ƒ z 0 J 0 S 0 § CL m LLU & ± I 20 / / 2 a & @ ¥ ® tA c a 0 o §LL E § © 7 $ § CL ) � / \ � � a 2 � 2 e 2 E z >. k d E C v m 7 f 3 / § q E e 2 n 2 m § 2 � ® o r c o ) cu 2 o 0 ¥ (D m k % U d $ \ m ƒ a k % e / m a « z 2 >- g E E & w E m Public Works and Indiana Finance Authority GOOD FAITH EFFORTS WORKSHEET BIDDER BID/PROJECT NUMBER CONTRACT GOALS 7% MBE 5% WBE See Attached List the M/WBEs contacted and complete the following infonnat ion for each. Copies of all communications to and from each vendor should be maintained. * GF/ 1 Company Name and Address Type of Contact Date of Contact Date Response Due Goods Or Services Requested i Result (Include PriceQuote) El 11:1 ❑❑ I Indicate Good Faith Efforts made to utilize MWBEs. Check and explain all that apply or should be considered. Please provide evidence of the efforts that you want to be considered. A complete description of each criteria may be found in the Indiana Department of Administration Public Works and State Office Building Commission MWBE Participation Policy. 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J r, H N N ri V N Ln Y H �••� Y N �•'� J N N (A Lf1 — mum ILE I I Ill N 1111 IN, 111111 1 . . . . . ........... Crissy Frickson From: South Bend Legals <legals@sbtinfo.com> Sent: Friday, March 29, 2024 12:05 PM To: Crissy Frickson Subject: Thank you for placing your order with us. CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. THANK YOU for your ad submission! This is your confirmation that your order has been submitted. Below are the details of your transaction. Please save this confirmation for your records. We appreciate you using our online self-service ads portal, available 24/7. Please continue to visit South Bend Tribune's online Classifieds HERE to place your legal notices in the future. Changes and/or cancellations may not be honored up to 2 business days prior to your first publication date. Job Details Order Number: LSBNO081333 Classification: Public Notices Package: General Package Base amount: $74.78 Service fee: $2.98 Cash/Check/ACH A Discount: -$0.00 Total payment: $77.76 As an incentive for customers, we provide a discount off the total order cost equal to the 3.99% service fee if you pay with Cash/Check/ACH. Pay by Cash/Check/ACH and save! In no event are service fees refundable. Payment Type: visa Account Details Crissy Frickson 2833 S 11th St, Niles, Michigan 49120 NILES, MI A 49120 269-684-0842 cfrickson@selgeconstruction.com Selge Construction Co., Inc. Credit Card - visa'`'"`--* *" 1267 Schedule for ad number LSBNO0813330 Tue Apr 2, 2024 South Bend Tribune All Zones Wed Apr 3, 2024 South Bend Tribune All Zones REQUEST FOR QUOTES Sel ge Construction Co., Inc is requesting subcontractor bids from qualified MBE/ ' B E/VB E subcontractors, suppliers, manufactur- ers, and truckers for the SOUTH BEND — FELLOWS STREET BOOSTER STATION CONTRACT B. Interested businesses please contact our main office at (269) 684-0842. Proposals will be accepted until noon, Monday, April 8, 2024. HSPALP Publication Dates 60L Crissy Frickson From: Teresa Butler <tc@bucconstructionsupply.com> Sent: Friday, March 29, 2024 1:15 PM To: Crissy Frickson Subject: Re: RFQ: South Bend Fellows St. Booster Station Contract B CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Hello Crissy, Hope all is well. Yes, we're quoting that project and will send it on Monday-4/8. Thank you & Happy Easter, Teresa Butler BUC Construction Supply, Inc. DBEW c: 765-412-3484 e: tc@bucconstructionsupply.com From: Crissy Frickson <cfrickson@selgeconstruction.com> Sent: Friday, March 29, 20241:10 PM To: Higher Ground Tree Care, LLC <matt@hgtreecare.com>; Ruben Alvarado <rIva rado@rieth-riley.com>; richard.kujawa@customfencemichiana.com <richard.kujawa@customfencemichiana.com>; statebarricadel@aol.com <statebarricadel@aol.com>; James Michalski <jamesrmichalski@gmail.com>; benderelec@gmail.com <benderelec@gmail.com>; John Montgomery <john@kuert.com>; quotes@midwesttile.net <quotes@midwesttile.net>; Jamie Denlinger <Jamie@fuerbringerlandscaping.com>; jbarnes@jprlsource.com <jbarnes@jprlsource.com>; Teresa Butler <tc@bucconstructionsupply.com> Subject: RFQ: South Bend Fellows St. Booster Station Contract B Good Afternoon, We are bidding the South Bend Fellows St. Booster Station Contract B project. We would like you to quote us on this project. Please forward your quote to ingrase. , by noon, Monday, April 8, 2024. This project is also requiring AIS Certification and Davis Bacon Wage Determination. Please see links below for the plans, specs, wage scale, etc. Plans: PO 12---47—Oa.Felo.wS-BoQstef-NtP-Station Contract B - Plans odf Specs: ®-1.2.1070 Fellow_5 =tef-.P_lJmp-StatL0J3-- otltra � eSlfl�ation5. R Davis Bacon Wages: 0 Davis Baron-WageRa=,P- f Thankyou, Crissy Frickson CEL Office Manager E,� Project Management Administrator Selge Construction s + 2833 S. 11th St. Niles, MI 49120 (w) 269-684-0842 Crissy Erickson � From: Crissy Frickson Sent: Friday, March 29, 2024 1:16 PM To: kannon@kctree.com; Josh Schierbeek; Caylee Carlson; jacobwood@smithreadymix.com; mvanderstar@etnasupply.com Subject: RFQ: South Bend Fellows St. Booster Station B Good Afternoon, We are bidding the South Bend Fellows St. Booster Station Contract B project. We would like you to quote us on this project. Please forward your quote to estim tg@s_elgecontructiQn _Gczm by noon, Monday, April 8, 2024. This project is also requiring AIS Certification and Davis Bacon Wage Determination. Please see links below for the plans, specs, wage scale, etc. Plans: A IZ17070B.Fe l�$-BaasteLP-UMP.SSation - Comet[ -Pls1.S.4& Specs: P°F 1 L-Q70PzF�LI�wS ��.0 Pimp Station — C _6 - S�a�c�fica#ions:Of IT Davis Bacon Wages: PP°F ❑ AS Bacon Wage Rates• Thank you, CONSTRUCTION Crissy Frickson Office Manager Project Management Administrator Selge Construction 2833 S. 11th St. Niles, MI 49120 (w)269-684-0842 www.selgeconstruction.com 5�� Crissy Frickson —TL✓ From: Crissy Frickson Sent: Friday, March 29, 2024 1:12 PM To: rickwadsworth67@gmail.com; payneservices@gmail.com; Pilipow, P.E. , Ed; Chris@milestonefence.com; estimating; tannerl@jblsignalsandlighting.com; Sherk, Allen; Dan Schierbeek; John Williamson; Fred Carlson; Hallam, John Subject: RFQ: South Bend Fe Tows St. Booster Station B Good Afternoon, We are bidding the South Bend Fellows St. Booster Station Contract B project. We would like you to quote us on this project. Please forward your quote to asSimating(a)se - construct on_.co by noon, Monday, April 8, 2024. This project is also requiring AIS Certification and Davis Bacon Wage Determination. Please see links below for the plans, specs, wage scale, etc. ►.- 1 1 is r l :as ' ll* a1 ■� : .- .� as r,. Davis Bacon Wages: UDavis Bacon Wade Rates.= Thank you, Crissy Frickson Office Manager Project Management Administrator ILa a I2833 Selge Construction S. 11th St. Niles, MI 49120 (w)269-684-0842 www.selgeconstruction.com Crissv Frickson [ AL L l I LJU+ From: Crissy Frickson Sent: Friday, March 29, 2024 1:10 PM To: Higher Ground Tree Care, LLC; Ruben Alvarado; richard.kujawa@customfencemichiana.com; James Michalski; James Michalski; benderelec@gmail.com; John Montgomery; quotes@midwesttile.net; Jamie Denlinger; jbarnes@jpr1 source.com; Teresa Butler Subject: RFQ: South Bend Fellows St. Booster Station Contract B Good Afternoon, We are bidding the South Bend Fellows St. Booster Station Contract B project. We would like you to quote us on this project. Please forward your quote tostimatin@selgecan r i .n_com by noon, Monday, April 8, 2024. This project is also requiring AIS Certification and Davis Bacon Wage Determination. Please see links below for the plans, specs, wage scale, etc. Plans: ° -127SoZQB.Feuox&ao9� a nip-Statim.�a[aot I t p f Specs:1-E�l�i Ls_QeLP_um taian - Corn#r��t �rLti9as.pdf R Davis Bacon Wages: ® Day -Ls aaw Wage Ratos,P-df Thankyou, f-fi- pl-LGs Crissy Frickson Office Manager Project Management Administrator Selge Construction 2833 S. 11th St. Niles, MI 49120 (w)269-684-0842 www. selgeco nstruction. com Crissv Frickson From: Sent: To: Subject: Good Afternoon, Bernard. Crissy Frickson Monday, April 8, 2024 11:06 AM lstclasslogistics20l3@gmail.com RFQ: South Bend Fellows St. Booster Station Contract B I Im "5� �7 I'm sorry I'm sending this so late. Bob wanted to know your hourly rates & how much 500 tons of Borrow (fill sand) would be. We are bidding the South Bend Fellows St. Booster Station Contract B project. We would like you to quote us on the Watermain layout for this project. Please forward your quote to estimating@ se1gecona1nxAj n1=, as soon as you are able. This project is also requiring AIS Certification and Davis Bacon Wage Determination. Please see links below for the plans, specs, wage scale, etc. Plans: Pam*_ -= RanB-p-dJ Specs: P°F 1-QZQB Fellows_ Bier Purl to ioD - Contract B --Spai i a-tn 1z-zf Addendum 1: P°F 121-OMB-E-eLLMUSJ-�o.uteC_P-U-mn Station - ContmQ B - Addenum-N0.1 date 2024.04.03.pdf T Davis Bacon Wages: P 5-Davis BacoaWa4e Rates gdf Thankyou, no Crissy Frickson Office Manager Project Management Administrator Selge Construction 2833 S. 11th St. Niles, MI 49120 (w)269-684-0842 www.selgeconstruction.com Traffic Bid Proposal 1WControl Special istsm-c ISndx _ Von la - crawrordsvnte Letting Date Date Sent 1 4/9/2024 4/8/2024 :Project Location Attn: Estimating -City of South Bend. Ewing St BT Michic an Stand Miami St. St Joseph Co REP I Quote Valid Start Date Completion Date Intermediate Completion Date Closure/Restriction Days Calendar Days SDRI 30 Days Line Item Number Description Quantity Unit Price I Total 801-06775 Maintaining Traffic Daily Rental As Needed 801-06775 Maintaining Traffic - Non -Fixed Construction Sin $2.67 EA,..per Calendar Da 801-06775 Maintaining Traffic - Barrel $1.04 EA per Calendar Da 801-06775 Maintaining Traffic - Barrel w/Li ht $1.37 EA per Calendar Day 801-06775 Maintaining Traffic - Sand Sags $0,09 EA, per Calendar Da 801-06775 Maintaining Traffic - Delivery Char a Drop off Onl S154.00 EA 801-06775 Maintaining Traffic - Pick up Charge Pick up Onl $154.00 EA 801-06775 Ma Intai n i Ing Traffic- Del ive ry and Setup $98.00 EA, Laborer per Hr. 801-06775 Maintaining Traffic -Take Down and Removal $98.00 EA, Laborer per Hr. 801-06775 Maintaining Traffic - Truck $31.68 EA, per Hr. 801-06775 Mai ntaini Traffic -T a I0 Barricade S3.66 EA, per Calendar Da 801-06775 Maintaining Traffic - IXpe III Barricade w/ 2 Flash HDs S4.33 EA, 22r Calendar Da 801-06775 M ai nta in ing Traffic - Type III Barricade wl 1 S ig n $4.69 EA. per Calendar Da 801-06775 M ai nta in ing Traffic - Type III Barricade 2 Flash HDs and 1 Sin $5.37 EA, per Calendar Da 801-06775 Maintaining Traffic - Arrowboard (Flashing Arrow Sign) $24.53 Ea, Per Calendar Day $154.00 Ea, Per Week $317-00 Ea, Per Month 801-06775 Maintaining Traffic - Flagging Operation (Up to 8 hrs) (Includes: 2 Flaggers, Truck & Equipment) $222.80 Per Hr. Includes Travel 801-06775 Maintaining Traffic - Flagging Operation (Over 8 hrs & SAT) (Includes: 2 Flaggers, Truck & Equipment) $277.98 Per Hr. Includes Travel 801-06775 Maintaining Traffic- Flagging Operation (Holiday & SUN) (Includes: 2 Flaggers, Truck & Equipment) $327.04 Per Hr. Includes Travel 801-06775 Maintaining Traffic - Flagging Operation (Up to 8 hrs) (Includes: 3 Flaggers, Truck & Equipment) $361 79 Per Hr. Includes Travel 801-06775 Maintaining Traffic - Flagging Operation (Over 8 hrs & SAT) (Includes: 3 Flaggers, Truck & Equipment) $435.38 Per Hr. Includes Travel 801-06775 Maintaining Traffic - Flagging Operation (Holiday & SUN) (Includes: 3 Flaggers, Truck & Equipment) $560.06 Per Hr. Includes Travel 801-06775 Maintaining Traffic - Flagging Operation (Up to 8 hrs) (Includes: 4 Flaggers, Truck & Equipment) $445.59 Per Hr. Includes Travel 801-06775 Maintaining Traffic - Flagging Operation (Over 8 hrs & SAT) (Includes: 4 Flaggers, Truck & Equipment) $548.81 Per Hr. Includes Travel 801-06775 Maintaining Traffic - Flagging Operation (Holiday & SUN) (Includes: 4 Flaggers, Truck & Equipment) $647.95 Per Hr. Includes Travel 801-06775 Each Additional Flagger - (Up to 8 hrs) $99.13/HR 801-06775 Each Additional Flagger - (Over 8 hrs & SAT) $147.68/HR 801-06775 Each Additional Flagger- (Holiday & SUN) $198.27/HR TOTAL GENERAL NOTES, 1. Above quote is based on plans and specifications at the time of bid. Calendar days may be adjusted upon request. 2. Quote valid for 30 calendar days ONLY, contracts awarded after 30 days may require a requote. 3. Contact TCS, LLC if the proposal is NOT ACCEPTED IN WHOLE. 4. Items not paid by owner will be invoiced to the contractor at a daily rate, based on adjusted item unit price. 5. Changes by Engineer/Contractor require approved and signed change order, PRIOR to commencing work. 6. Retention will only be agreed to if Owner requires retention from Contractor. 7. All quantities are estimates only and actual installed quantities will be billed. 8. Proposal is subject to applicable state sales tax if a valid sales tax exemption certificate is not provided by the customer. 9. TCS, LLC must have at least 7-days notice prior to scheduled work. 10. Move -ins will be billed as quoted. All additional mobilizations will be billed. 11, Any Mobilization performed outside the hours of 7:00 am to 5:00 pm, Monday through Thursday, will incur additional costs. Permanent Pavement Markings: 1. Weather conditions must meet INDOT/ Manufacturer specifications at 7:00 AM on the day of installation or TCS, LLC shall not be held responsible for warranty 2. Any pavement marking warranty responsibility by TCS, LLC will be void on markings installed between November 1st and March 31st. 3. Warranty on retroreflectivity voided if marking is installed between November 1st and March 31st. 4. All surface preparation (i. e., fog seal, curing compound, removal) and pavement cleanup shall be performed by others or at additional cost. 5. Documentation of pavement markings will be quoted individually or will be billed as an additional mobilization. 6. Layout or placement of guide lined markings for grooving shall not be used in place of temporary tape to delineate traffic and will be billed as temporary paint if temporary tape is not applied to final surface. Members of Laborers International Union of North America, ATSSA and BBB Page 1 of 2 %7. prime contractor will not hold TCS, LLC liable for any liquidated damages not caused by TCS, LLC and if not informed in a timely manner. 8. Prime contractor must provide a cleanout area for TCS, LLC pavement marking equipment on or near the jobsite, as needed. Contacts: For questions regarding the quote: Estimating Manager: Rik Ritzler, Office 574-772.7001 Ext. 122 Cell: 574-806.7139 Esbmatingrt hiahstartraff:c.CQM To accept the quote, please contact Contract Administration: Traffic Control Specialists, LLC 1810 W. Pacific Ave, Knox, IN 46534 contracta d mi n@hi ghsiartraffiC. Cam 574-772-7001 Office Fxd. 129 Approved By: Brian A. Triska 574-772-7002 Fax Accepted By: Customer Signature Date: Members of Laborers International Union of North America, ATSSA and BBB Page 2 of 2 ,III, Page 1 BUC Quote Date: 4/8/2024 Expiration Date: 5/8/2024 BUC Construction Supply Quote BUC Terms and Conditions - See Bottom of Page 2 Project: REVISED City of South Bend Project No. 121-070B Fellows Street Booster Station Contract B — Station Installation and Site Work Quote Valid: 30 Days Line item Material QTY Unit Price QTY Price 1 24" Line stop No Bid 2 16" line stop No Bid 3 24" Cap w/ Mega Lugs 2 $ 1,653.00 $ 3,306.00 4 16" Cap w/ Mega Lugs 3 $ 735.00 $ 2,205.00 5 24" TAPPING SLEEVE, Valve, & Box 2 $ 39,966.00 $ 79,932.00 6 16" TAPPING SLEEVE, Valve, & Box 3 $ 15,372.00 $ 46,116.00 7 24" MJ 90 Bend w/ Mega Lugs 6 $ 6,683.00 $ 40,098.00 8 24" x 6" MJ Tee w/ Mega Lugs 3 $ 3,573.00 $ 10,719.00 9 24" MJ 22.5 Bend w/ Mega Lugs 2 $ 3,214.00 $ 6,428.00 10 Hydrant Assembly 3 $ 5,036.00 $ 15,108.00 11 24" MJ Tee w/ Mega Lugs 3 $ 6,202.00 $ 18,606.00 12 24" Butterfly Valve w/ Box & Mega Lugs 3 $ 8,097.00 $ 24,291.00 13 24" x 16" MJ Reducer w/ Mega Lugs 3 $ 2,588.00 $ 7,764.00 14 16" MJ 45 Bend w/ Mega Lugs 2 $ 1,469.00 $ 2,938.00 15 16" x 1" Tapping Saddle 1 $ 230.00 $ 230.00 16 1" Corp/Curb/Box 1 $ 420.00 $ 420.00 17 24" x 10' FLG x PE 4 $ 6,579.00 $ 26,316.00 18 24" FLG X FLG Coupler 1 $ 4,927.00 $ 4,927.00 19 24" SS Bolt Kits 4 $ 1,510.00 $ 6,040.00 20 6'x6'x12.5' Valve Vault 1 $ 28,700.00 $ 28,700.00 21 8'x12'x13' Pitot Vault 1 $ 38,056.00 $ 38,056.00 22 72" Dia. X 66" Drywell 1 $ 4,343.00 $ 4,343.00 23 4" PVC SDR 35 70 $ 2.34 $ 163.80 24 4" PVC WYE w/ CO & Cap 1 $ 33.00 $ 33.00 25 48" Dia Sanitary Structure over Existing 1 $ 1,305.00 $ 1,305.00 26 24" DIP Cl50 Tyton Joint 370 $ 138.58 $ 51,274.60 27 16" DIP Cl 50 Tyton Joint 75 $ 84.99 $ 6,374.25 28 24" MJ LSS w/ Mega Lugs 1 $ 2,964.00 $ 2,964.00 29 16" MJ LSS w/ Mega Lugs 1 $ 1,375.00 $ 1,375.00 31 24" Marco Coupling No Bid 32 16" Marco Coupling 1 $ 1,760.00 $ 1,760.00 Misc. 36" x 36" Aluminium Hatch w/ Safety Grate 3 $ 1,675.00 $ 5,025.00 Misc. Neenah R-2561-A Casting 1 $ 590.00 $ 590.00 Misc. Neenah R-1642 Casting 1 $ 395.00 $ 395.00 Total $ 437,802.65 *BUC Terms & Conditions: WBE Spend Goal (60% Supplier): $ 262,681.59 1.Materials purchased after expired quote date of 5/8/2024 are subject to price increases. Full truckload freight included with purchase of entire quote. Materials ship by 8/1/24. Quote is based on BUC's interpretation of plans/specs-contractor to determine final materials and/or quantities. 2. If materials are used for WBE goal, contact BUC ASAP. Additional materials purchased after 5/8/24 are at market price. All materials are non-refundable. If any materials need to be returned due to a product change, a 25% restocking fee will be accessed. 3. BUC shall not be held liable or responsible to the other party nor be deemed to have defaulted under or breached this quote for failure or delay in fulfilling or performing any term of this quote to the extent and for so long as, such failure or delays caused by or results from causes beyond the reasonable control of BUC, including supply chain delays, pandemics, quarantines & weather. Bid Memo *State of Indiana Certified MBE -DBE* FIN 46-3085979 Date: 4/8/2024 Project: Fellows St. Booster Stn Contract B Project location: Fellows Street... South Bend Project Number: 121-070B Quote prepared for: Selge Construction 2024 Tri-axle hourly rates Regular rate $123.00 Overtime rate $141.00 2024 Quad -axle hourly rates Regular rate $125.00 Overtime rate $143.00 2024 Flatbed hourly rates Regular rate $125.00 Overtime rate $143.00 ■ Overtime consists of anything over 8 hrs daily and all day Saturday • Travel time added at regular rate to each truck daily timesheet when necessary Y 2, 4 and 8 hour rule applies for daily hourly minimums ■ 4 and 8 hour daily minimums for flatbed hauling, local hauling, legal loads only Night rates add $12.00 per hour, per truck. 8 hour minimum per truck i Sunday and holiday, add $36.00 per hour, per truck to overtime rates. 8 hr. Minimum i Trucks will be upon availability, 1st Class does not have control of project schedule ■ To avoid 2 hour show up time please call our office 2 hours before start times for any job cancellations or delays 1 st Class shall be compensated for all time spent on the jobsite a Truck orders requires 48 to 72 hour notice if possible Fuel surcharge will be applied if diesel cost rise above $4.25 a gallon, based on Midwest PADD 2 Invoices due NET 30, Invoices not paid in 30 days will have a late fee off $100 added Signatory to Teamsters Local 364 Union 2024 Aggregate Prices #53 Crushed Concrete... $14.50 a ton #2 Crushed Concrete... $21.84 a ton Unscreened Topsoil ... $11.84 a ton Screened Topsoil ... $18.84 a ton #8 Gravel... $23.84 a ton 23 Natural Sand... $13.84 *** Aggregate pricing includes trucking*** Quotation H )4 Michiana Contracting, Inc. 1 7843 Lilac Road C� Plymouth, IN 46563 Contact: Ted Redinger C Phone: Office: 574/936-8613 Fax: uote To: Prime Contractors Job Name: Date: Phone: Revision: Fax: Fellows Street Booster Station B 04/08/2024 1 Addendum ITEM DESCRIPTION QUANTITY UNIT 1 MOBILIZATION 1.00 LS 2 DEMOLITION 1.00 LS 3 4 DUCT BANKS, CONDUIT, HANDHOLE ELECTRICAL 1.00 1.00 LS LS 5 GENERATOR 1.00 LS GRAND TOTAL 1,282,598.00 NOTES: Pricing is based on two (2) Mobilizations. Additional Mobilizations will be billed at $1,500.00/ea. Pricing is based on the completion date set forth in the contract specifications. Quote includes $501,118.80 supplier DBE credit on generator & generator freight from Master Enterprises, 4195 Millersville Road, Indianapolis, IN 46205. All workmanship and materials to follow project specifications. Pricing includes disconnecting power to lower level pump motors only. Removal of motors by others. Generator pricing valid for 30 days. All concrete equipment pads by others. Construction Engineering, Layout, Permits, Dues, Bonds, Testing, Allowances, Inspection and Maintenance of Traffic is not included unless otherwise noted. All costs associated with utility company fees to bring power to a site are not included & will be billed to the owner at cost. This quotation is to be incorporated into any subcontract agreement. Sales Tax is NOT included. No Retainage to be held unless required by owner. Service and Finance Charges are applicable on past due accounts at the rate of 1 '/2 percent per month on amounts thirty (30) days past due, which is equal to an annual percentage rate of 18 percent. Such charges are shown as "service charge". Page 1 of 1 ARTICLE 1 — BID RECIPIENT THIS BID IS SUBMITTED TO: City of South Bend Department of Public Works County -City Building Room 1316 227 West Jefferson Street South Bed, Indiana 46601 1.01 The undersigned Bidder proposes and agrees, if this Bid is accepted, to enter into an Agreement with Owner in the form included in the Bidding Documents to perform all Work as specified or indicated in the Bidding Documents for the prices and within the tines indicated in this Bid and in accordance with the other terms and conditions of the Bidding Documents. ARTICLE 2 — BIDDER'S ACKNOWLEDGEMENTS 2.01 Bidder accepts all of the terms and conditions of the Notice to Bidders and Instructions to Bidders, including without limitation those dealing with the disposition of Bid security. Bidder has not added any conditions or qualifying statements to the Bid. The Bid will remain subject to acceptance for the bid withdrawal time stated in the Notice to Bidders, or for such longer period of time that Bidder may agree to in writing upon request of Owner. Bidder will sign and deliver the required number of counterparts of the Agreement with the Bonds, evidence of insurance coverage, and other documents required by the Bidding Requirements within 15 days after the date of Owner's Notice of Award. ARTICLE 3 — BIDDER'S REPRESENTATIONS 3.01 In submitting this Bid, Bidder represents, as set forth in the Agreement, that: A. Bidder has examined and carefully studied the Bidding Documents, the other related data identified in the Bidding Documents, and the following Addenda, receipt of all which is hereby acknowledged. Addendum No. Addendum Date 1 4.3.24 B. Bidder has visited the Site and become familiar with and is satisfied as to the general, local and Site conditions that may affect cost, progress, and performance of the Work. C. Bidder is familiar with and is satisfied as to all federal, state and local Laws and Regulations that may affect cost, progress and performance of the Work. D. Bidder has carefully studied all: (1) reports of explorations and test of subsurface conditions at or contiguous to the Site and all drawings of physical conditions in or relating to existing surface or subsurface structures at or contiguous to the site (except Underground Facilities), Donohue & Associates, Inc. SUPPLEMENTAL BID FORM Project No. 13985-B 0041 13-1 if any, that have been identified in Paragraph 5.03 of the Supplementary Conditions as containing reliable Technical Data, and (2) reports and drawings of Hazardous Environmental Conditions, if any, at the Site that have been identified in Paragraph 5.06 of the Supplementary Conditions as containing reliable Technical Data. E. Bidder has considered and correlated the information known to the Bidder; information commonly known to bidders doing business in the locality of the Site; information and observations obtained from visits to the Site; the Contract Documents; an all additional or supplementary examinations, investigations, explorations, tests, studies, and data with respect to the effect of such information, observations, and documents on (1) the cost, progress, and performance of the Work; (2) the means, methods, techniques, sequences, and procedures of construction to be employed by Bidder, including any specific means, methods, techniques, sequences, and procedures of construction expressly required by the Contract Documents; and (3) Bidder's safety precautions and programs. F. Bidder does not consider that any further examinations, investigations, explorations, tests, studies, or data are necessary for the determination of this Bid for performance of the Work at the price(s) bid and within the times and in accordance with the other terms and conditions of the Bidding Documents. G. Bidder is aware of the general nature of work to be performed by Owner and others at the Site that relates to the Work as indicated in the Bidding Documents. H. Bidder has given Engineer written notice of all conflicts, errors, ambiguities, or discrepancies that Bidder has discovered in the Bidding Documents, and confirms that the written resolution thereof by Engineer is acceptable to Bidder. I. The Bidding Documents are generally sufficient to indicate and convey understanding of all terms and conditions for the performance of the Work for which this Bid is submitted. J. The submission of this Bid constitutes an incontrovertible representation by Bidder that Bidder has complied with every requirement of this Article, and that without exception the Bid and all prices in the Bid are premised upon performing and furnishing the Work required by the Bidding Documents. K. In accordance with Section 215 of the Clean Water Act (33 U.S.C. 1251 et seq.) and implementing EPA regulations, Bidder agrees that the Contractor, Subcontractors, and suppliers in the performance of this Contract will give preference to domestic construction materials. L. Contractor has reviewed and understands the Use of American Iron and Steel requirements of the Drinking Water State Revolving Fund. Contractor's bid reflects their best, good faith effort to identify domestic sources of iron and steel, where such American -made products were available to meet the contract times. All iron and steel products contained in the Contractor's bid will be produced in the United States in a manner that complies with the Use of American Iron and Steel requirements, unless a waiver is approved. Contractor will provide further verification, certification or assurance of compliance, or information necessary to support a waiver of the Use of American Iron and Steel requirements. Contractor understands that any failure to comply with the Use of American Iron and Steel requirement shall permit the Owner or the State to recover as damages against the Contractor any loss, expense, or cost (including without limitation to engineering or attorney's fees) incurred by the Owner or the State resulting from any such failure. ARTICLE 4 — BIDDER'S CERTIFICATION 4.01 Bidder further represents that: A. This Bid is genuine and not made in the interest of or on behalf of any undisclosed individual or entity and is not submitted in conformity with any collusive agreement or rules of any group, association, organization or corporation; B. Bidder has not directly or indirectly induced or solicited any other Bidder to submit a false or sham bid; C. Bidder has not solicited or induced any individual or entity to refrain from bidding; and D. Bidder has not engaged in corrupt, fraudulent, collusive, or coercive practices in competing for the Contract. For the purposes of this Paragraph 4.01.D: 1. "corrupt practice" means the offering, giving, receiving, or soliciting of any thing of value likely to influence the action of a public official in the bidding process; 2. "fraudulent practice" means an intentional misrepresentation of facts made (a) to influence the bidding process to the detriment of Owner, (b) to establish bid prices at artificial non-competitive levels, or (c) to deprive Owner of the benefits of free and open competition; 3. "collusive practice" means a scheme or arrangement between two or more Bidders, with or without the knowledge of Owner, purposes of which is to establish bid prices at artificial, non-competitive levels; and 4. "coercive practice" means harming or threatening to harm, directly or indirectly, persons or their property to influence their participation in the bidding process or affect the execution of the Contract. ARTICLE 5 — BASIS OF BID 5.01 Bidder will complete the Work in accordance with the Contract Document at the price shown on the bid form. A. Base Bid (Type 1) Material and Equipment: 1. Bidder has included in the Bid price, the installed cost of material and equipment furnished by the circled Supplier as named in the Base Bid (Type 1) Material and Equipment Schedule, which is included at the end of this Bid Form. 2. The circled Supplier has been selected from Supplier A, B, or C as named in the Base Bid (Type 1) Material and Equipment Schedule in accordance with the Instructions to Bidders. 3. If a substitute is offered, Bidder has included the name of the Supplier and the amount to be deducted from the Bid price for the proposed substitute in the Base Bid (Type 1) Material and Equipment Schedule in accordance with the Instructions to Bidders. Bidder agrees that the procedures for submission and consideration by Engineer for determining the acceptability of substitutes will be as set forth in the General Conditions and the Supplementary Conditions. Donohue & Associates, Inc. SUPPLEMENTAL BID FORM Project No. 13985-B 0041 13-3 ARTICLE 6 — TIME OF COMPLETION 6.01 Bidder agrees that the Work will be substantially completed and will be completed and ready for final payment in accordance with Paragraph 15.06 of the General Conditions on or before the dates or within the number of calendar days indicated in the Agreement. 6.02 Bidder accepts the provisions of the Agreement as to liquidated damages in the event of failure to complete the Work within the Contract Times. ARTICLE 7 —ATTACHMENTS TO THIS BID 7.01 The following documents are attached to and made a condition of this Bid: A. Items listed in the City of South Bend's Checklist for Bidders. B. List of proposed Subcontractors having a direct contract with the Contractor. The Subcontractor listing is included at the end of this Bid Form. C. All other forms as indicated elsewhere. ARTICLE 8 — DEFINED TERMS 8.01 The terms used in this Bid with initial capital letters have the meanings stated in the Instructions to Bidders, the General Conditions, and the Supplementary Conditions. SUBCONTRACTOR LISTING The following is a listing of proposed Subcontractors having a direct contract with the Contractor. Custom Fence 2. !st Class Logistics 3. Traffic Control Specialists, Inc. 4. Rieth Riley 5. Abonmarche Consultants 6. Fuerbringer Landscape & Design 7. KC Tree, Inc. 8. a 10. 11. 12. 13. Donohue & Associates, Inc. SUPPLEMENTAL BID FORM Project No. 13985-B 0041 13-5 BID BOND (PENAL SUM FORM) Bidder Surety Name: Selge Construction Co., Inc. Name: The Cincinnati Insurance Company Address (principal place of business): Address (principal place of business): 2833 South 11th Street P.O. Box 145496 Niles, MI 49120 Cincinnati, OH 45250-5496 Owner Bid Name: City of South Bend Board of Public Works Project (name and location): Address (principal place of business): 227 West Jefferson Boulevard Fellows Street Booster Station - Contract B -Station South Bend, IN 46601 Installation and Site Work - Project No. 121-070B Bid Due Date: April 9, 2024 Bond Penal Sum: 5% Five Percent of Amount Bid Date of Bond: April 9, 2024 Surety and Bidder, intending to be legally bound hereby, subject to the terms set forth in this Bid Bond, do each cause this Bid Bond to be duly executed by an authorized officer, agent, or representative. Bidder Surety Sel a Construction Co., Inc. The Cincinnati Insurance Company ( rmaf name of Bidder) (Full jar al name ofSu ty1 (corporate seaf7 cos c r �[u(! By: By: I (Signature) (Signature) (Attach Power ofAttome Name: Robert Kuhns Name: Tracie House (Printed or typed) (Printed or typed) Title: Pr ject Engineer Title: Attorney -In -Fact Ia6 /, Attest: Attest,-,,,�► P (Signature) (Signature) Name: Allison Swinehart Name: Tracey Heiss (Printed or typed) (Printed or typed) Title: Secretary Title: Witness Notes. (1) Nate: Addresses are to be used for giving any required notice. (2) Provide execution by any additional parties, such as joint venturers, if necessary. EJCDC® C-430, Bid Bond (Penal Sum Form). Copyright® 2018 National Society of Professional Engineers, American Council of Engineering Companies, and American society of Civil Engineers. All rights reserved. Page 1 of 2 1. Bidder and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors, and assigns to pay to Owner upon default of Bidder the penal sum set forth on the face of this Bond. Payment of the penal sum is the extent of Bidder's and Surety's liability. Recovery of such penal sum under the terms of this Bond will be Owner's sole and exclusive remedy upon default of Bidder. 2. Default of Bidder occurs upon the failure of Bidder to deliver within the time required by the Bidding Documents (or any extension thereof agreed to in writing by Owner) the executed Agreement required by the Bidding Documents and any performance and payment bonds required by the Bidding Documents. 3. This obligation will be null and void if: 3.1. Owner accepts Bidder's Bid and Bidder delivers within the time required by the Bidding Documents (or any extension thereof agreed to in writing by Owner) the executed Agreement required by the Bidding Documents and any performance and payment bonds required by the Bidding Documents, or 3.2. All Bids are rejected by Owner, or 3.3. Owner fails to issue a Notice of Award to Bidder within the time specified in the Bidding Documents (or any extension thereof agreed to in writing by Bidder and, if applicable, consented to by Surety when required by Paragraph 5 hereof). 4. Payment under this Bond will be due and payable upon default of Bidder and within 30 calendar days after receipt by Bidder and Surety of written notice of default from Owner, which notice will be given with reasonable promptness, identifying this Bond and the Project and including a statement of the amount due. 5. Surety waives notice of any and all defenses based on or arising out of any time extension to issue Notice of Award agreed to in writing by Owner and Bidder, provided that the total time for issuing Notice of Award including extensions does not in the aggregate exceed 120 days from the Bid due date without Surety's written consent. 6. No suit or action will be commenced under this Bond' prior to 30 calendar days after the notice of default required in Paragraph 4 above is received by Bidder and Surety, and in no case later than one year after the Bid due date. 7. Any suit or action under this Bond will be commenced only in a court of competent jurisdiction located in the state in which the Project is located. 8. Notices required hereunder must be in writing and sent to Bidder and Surety at their respective addresses shown on the face of this Bond. Such notices may be sent by personal delivery, commercial courier, or by United States Postal Service registered or certified mail, return receipt requested, postage pre -paid, and will be deemed to be effective upon receipt by the party concerned. 9. Surety shall cause to be attached to this Bond a current and effective Power of Attorney evidencing the authority of the officer, agent, or representative who executed this Bond on behalf of Surety to execute, seal, and deliver such Bond and bind the Suretythereby. 10. This Bond is intended to conform to all applicable statutory requirements. Any applicable requirement of any applicable statute that has been omitted from this Bond will be deemed to be included herein as if set forth at length. If any provision of this Bond conflicts with any applicable statute, then the provision of said statute governs and the remainder of this Bond that is not in conflict therewith continues in full force and effect. 11. The term "Bid" as used herein includes a Bid, offer, or proposal as applicable. MCDC° C-430, Bid Bond (Penal Sum Form). Copyright® 2018 National Society of Professional Engineers, American Council of Engineering Companies, and American Society of Civil Engineers. All rights reserved. Page 2 of 2 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 Tracie House its true and legal Attorney -in -Fact to sign and deliver on behalf of the Companies as Surety, at any place within the United States, the following surety bond: Surety Bond Number: Bid Bond Principal: Selge Construction Co., Inc. Obligee: City of South Bend Board of Public Works 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 Senior 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 Attomey-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 any Senior 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 or Assistant Vice -President 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 any Senior Vice President this 16th day of March, 2021. (9(0 THE CINCINNATI INSURANCE COMPANY THE CINCINNATI CASUALTY COMPANY STATE OF OHIO )SS:y�, COUNTY OF BUTLER ) On this 16th day of March, 2021 before me came the above -named President or Senior Vice President of The Cincinnati Insurance Company 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 authorlty and direction of said corporations. saga` N Keith C*Itt. Attorney at Law Notary ublic — State of Ohio My commission has no expiration date. Section 147.03 O.R.C. 1, the undersigned Secretary or Assistant Vice -President 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 9th day of April , 2024 . OIF? BN-1457-S (3121) 1316 Courm-CmrBun.niNr, 227 W. JEFFERsoN BOULEVARD SourH BEND, INDIANA 46601-1830 Date: 04-03-2024 PHONE 574/235-9251 FAX 574/ 235-9171 TDD 574/ 235-5567 CrrY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS To: All Planholders From Theresa Heffner, Clerk, Board of Public Works Subject Addendum Number: 1 Fellows Booster Pump Station — Contract B — Station Installation and Site Project Name: Work Project No.: 121-070B ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 04/03/2024 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by fazing 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. TI3IS ADDENDUM MAY AFFECT YOUR BID. Notes: My apologies, we did receive the addendem last week but I was not here so it was inadvertantly missed getting faxed to you. The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Authorized Signature: Date: 04/03/2024 Construction Co_, Inc. it Part II, 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 WHEN NAME AND ADDRESS AMOUNT CLASS OF WORK COMPLETED OF OWNER $449,065.00 COLFAX LIFT STATION 2022 CITY OF SOUTH BEND / 227 W. JEFFERSON BLVD., SOUTH BEND, IN 46601 -574-235-9216 $731.154.00 PARK SHORE DR & EAST ST ROAD IMPR 2022 THE VILLAGE DEVELOPMENT LLC / 52127 FALL CREEK DR, GRANGER, IN 46530-574-315-9668 $4,554,745.00 CONTRACT 3 NE SECTION SS IMPR 2022 CITY OF BENTON HARBOR / 200 E WALL ST, BENTON HARBOR, MI 49022 $4,031,520.00 CRAWFORD PARK CONNECTOR SEWER 2022 CITY OF MISHAWAKA / 600 E 3RD ST., MISHAWAKA, IN 46545 - 574-258-1618 $2,452,855.12 CONCRETE PAVEMENT 2022 INDOT R41066A -LOCATION: ELKHART, IN $1,637,111.00 LAKESIDE SEWER RELOCATION 2022 CITY OF LAPORTE / 801 MICHIGAN AVE, LAPORTE, IN 46350 $1,928,235.00 LIFT STATION REPLACEMENT & IMPROVEMENT 2022 COLOMA CHARTER TOWNSHIP / 4919 PAW PAW LAKE ROAD, COLOMA, MI 49038 $944,657.00 YELLOW LAKE PROJECT 2022 BUCHANAN LAND LLC / 540 W. MADISON, SUITE 2500, CHICAGO, IL 60661 $2.785,222.00 SOUTH MAIN ST STREETSCAPES PROJECT 2022 CITY OF ELKHART 1229 S. 2ND ST., ELKHART, IN 46516 574-294-5471 $246,810.00 DRAINAGE IMPR - KALEY & MARION ST 2022 CITY OF SOUTH BEND / 227 W. JEFFERSON BLVD., SOUTH BEND, IN 46601 -574-235-9216 $17,200.00 CR 17 METER PIT INSTALLATION 2022 CITY OF ELKHART / 229 S 2ND ST., ELKHART, IN 46516 574-2945471 $73,750.00 GRAVITY SEWER & GRINDER RELOCATION 2022 MARY FRANK SCHOOL / 13111 ADAMS RD, GRANGER IN 46530 $159,850,00 PARKING LOT & ADA COMPLIANT TRAIL 2022 IDNR / 402 W WASHINGTON ST, INDIANAPOLIS IN 46204 $159,880.00 JA DRIVE NODE REPAIL 2022 CITY OF ELKHART / 229 S. 2ND ST., ELKHART, IN 46516 574-294-5471 $1,393,847.00 JOHNSTON ST SEWER EXTENSION 2022 CITY OF ELKHART / 229 S. 2ND ST., ELKHART, IN 46516 574-294-5471 $150,913.00 STUDEBAKER FOUNTAIN WATER IMPROVEMEN 2022 CITY OF SOUTH BEND 1227 W. JEFFERSON BLVD., SOUTH BEND, IN 46601 -574-235-9216 $3,298,976,00 WWTP REGION B, PH II, CONTR B LIFT STATION 2023 LaGRANGE COUNTY REGIONAL UTILITY DISTRICT, LAGRANGE, IN $1,712,876.00 WWTP REGION B, PHASE II CONTRACT A 2023 LaGRANGE COUNTY REGIONAL UTILITY DISTRICT, LAGRANGE, IN $4.106,202.00 SW QUADRANT ROADWAY, SEWER & WM EXT 2023 TOWN OF MIDDLEBURY / 418 N MAIN ST, MIDDLEBURY, IN 46540 $1,115,879.00 WWTP CONTRACT A 2023 ST JOSEPH COUNTY BOARD OF PUBLIC WORKS / 612 E MAIN ST, CENTERVILLE, MI 49032 $1,294,195.00 LIFT STATION IMPROVEMENTS CONTRACT B 2023 ST JOSEPH COUNTY BOARD OF PUBLIC WORKS / 612 E MAIN ST, CENTERVILLE, MI 49032 $960,541.00 LIFT STATION 51, 52,53 2023 NEW BUFFALO TWP / 17425 RED ARROW HIGHWAY, NEW BUFFALO MI 49117 $124,980.00 CSO 18 BACKWATER VALVE REPLACEMENT 2023 CITY OF SOUTH BEND / 227 W. JEFFERSON BLVD., SOUTH BEND, IN 46601 -574-235-9216 $4,966,945.00 NORTHSHORE/EASTSHORE COLLECTION SYSTI 2023 TURKEY CREEK REG. SEWER DISTRICT / 4852 N. 1200 W, CROMWELL, IN 46732 $2,826,901.00 CITYWIDE WATER SERVICE REPLACE -ZONE V 2023 CITY OF BENTON HARBOR / 200 E WALL ST, BENTON HARBOR, MI 49022 $149,225.00 AUTEN RD WATER MAIN REPLACEMENT 2023 CITY OF SOUTH BEND / 227 W. JEFFERSON BLVD., SOUTH BEND, IN 46601 -574-235-9216 $71,043.00 BIG & TALL SEWER EXTENSION 2023 CITY OF ELKHART / 229 S. 2ND ST., ELKHART, IN 46516 574-294-5471 $123.264.00 ENTRANCE DRAINAGE IMPR (POTAWATOMI ZO( 2023 JONES PETRIE RAFINSKI / 325 S. LAFAYETTE BLVD., SOUTH BEND, IN 46601 $384,624.00 LIFT STATION 13 REPLACEMENT 2024 CITY OF ELKHART / 229 S. 2ND ST,, ELKHART, IN 46516 574-294-5471 $224,090.00 NADEL AVE. GROUNDWATER LS IMPROVEMENI 2024 CITY OF ELKHART / 229 S. 2ND ST., ELKHART, IN 46516 574-294-5471 2. Attach a listing of public works projects currently in process of construction by your organization. Contract Amount $1,623JOI 2.693 83 8 Class of Work Expected Completion Date INDOT Bike & Ped. Facilities Spring 2023 Front Main Church Sts. hn rov Summer 2023 Name and Address of Owner MOT R-38064 689 Cily of Mishawaka, IN 703 290 120 Elkhart Cn Courthouse Pro' Summer 2023 Elkhart ColD IN 710 $30 456 5 797 216 INDOT Bike & Ped Facilities Conrail LS & Interceptor Im r Fall 2023 Summer 2023 INDOT R-37502 714 Benton Charter T MI 720 5 455 897 Sewer Improvements Summer 2023 City of Mishawaka 1N 723 1.667 547 Lift Station Summer 2023 Cily of Mishawaka, IN 725 15 44$ 283 WW Collection Systems - A Winter 2024 TCRSD—N.Webster IN 731 11 253 814 WW Collection Systems — C Winter 2024 TCRSD — N.Webster. IN 732 1 696 461 INDOT Coal Line Trail Ph II Spring 2024 INDOT R-38065C 734 12 756 924 Smart Park Develo ment Spring 2024 MEC — Cass MI 735 3 79Q 495.00 Pump Stations 1 2 &9 Im r -A Summer 2024 Angola, IN 738 355 QQQ Sewer Point Re airs Summer 2023 VisuSewer--Down lac MI 740 1 701 749 Parking Improvements Winter 2023 Cily of Mishawaka, IN 741 1 750 570 2023 Traffic Calminsz Fall 2023 Ci1y of South Bend rN 748 242 458 Johnson/Fellows Inters Drain Fall 2023 City of South Bend IN 750 293 925 Ontario Trailhead Improve Spring 2024 Niles Charter TW,MI 75I 5 152 096 CSO 39 Sewer Separation Fall 2024 CiIX of Elkhart IN 754 2 427 759 Contract 3: Booster Station Spring 2025 Town of N. Libe IN 755 1.465 715 Contr 4: LS Rehab/ME Lining Fall 2024 Town of N. Libe IN 756 1 257 275 Contract 5: F4ualization Tank Spring 2025 Town of N. Libe IN 757 532 150 Contr 6: Decomm/Well Closure Summer 2024 Town of N. Libe IN 758 7 549 72.75 Contr C — East Service Area Spring 2027 An of IN 759 GOVERNMENTAL REFERENCES Selge Construction Eric Horvath, Director of Public Works 574-235-9251 City of South Bend 227 W. Jefferson Blvd., Ste 1300 South Bend, IN 46601 Toy Villa, Construction Manager 574-235-9251 City of South Bend 227 W. Jefferson Blvd. 1316 County -City Building South Bend, IN 46601 Sky Medors, Engineer 574-235-9626 St. Joseph County 227 W. Jefferson Blvd. South Bend, IN 46601 Tim Woodward 260-856-4341 Turkey Creek Regional Sewer District 4852 N. 1200 W Cromwell, IN 46732 Steve Haversperger, Area Engineer 219-362-6125 INDOT, LaPorte District PO Box 429 LaPorte, IN 46352 Brigid Forlenza 269-663-2347 Ontwa Township PO Box 209 Edwardsburg, MI 49112 Mike Koch, Area Engineer 260-484-9541 INDOT, Fort Wayne District 5333 Hatfield Road Fort Wayne, IN 46805 OVER Chris Jamrose, Director of Engineering 574-258-1619 City of Mishawaka 600 East Third Street Mishawaka, IN 46546-0363 Tory Irwin, Engineering Service Mgr. 574-293-2572 City of Elkhart Municipal Building 229 S. Second Street Elkhart, IN 46516 Dustin Sailor, Engineer 574-534-2201 City of Goshen 204 E. Jefferson St., Suite 1 Goshen, IN 46526 Mary Cripe, Town Manager 574-825-1499 Town of Middlebury 418 N. Main Street Middlebury, IN 46540 Joe Ray, Director Public Works 269-683-4100 City of Niles 333 N. Second Street Niles, MI 49120 Paul Warnke, Board President 574-586-7249 Koontz Lake Regional Sewer District 10870 Cherokee Rd. PO Box 204 Walkerton, IN 46574 James Emans, P.E. 574-267-6885 City of Warsaw 102 S. Buffalo Street Warsaw, IN 46580 ENGINEERING REFERENCES Selge Construction Rich Zielinski 317-547-5580 American Structurepoint 7260 Shadeland Station, Suite 100 Indianapolis, IN 46256 Jeremy Roschyk 574-288-4580 Donahue & Associates 100 N. Michigan, Ste 510 South Bend, IN 46601 Andy Lemberis 574-236-4400 DLZ Indiana, LLC 2211 East Jefferson Blvd. South Bend, IN 46615 Paul Hummel 574-234-3167 Lawson Fisher Associates, P.C. 525 West Washington Avenue South Bend, IN 46601 David Harvey Fleis & Vanderbrink Engineering, Inc. 2960 Lucerne Drive, S.E. Grand Rapids, MI 49546 Kenneth Jones 574-293-7762 Jones, Petrie, Rafinski, Inc. 200 Nibco Parkway Dr Elkhart, IN 46516 Matt Davis 269-927-0100 Wightman and Associates, Inc. 2303 Pipestone Road Benton Harbor, MI 49022 Jason Durr 574-282-8001 Christopher B. Burke Engineering, LLC 220 West Colfax Avenue, Suite 500 South Bend, IN 46601 Daryl Knip 574-232-8700 Abonmarche Consultants of IN, Inc. 750 Lincolnway East South Bend, IN 46601 "Attachment Section 1 No. 4 List references of private firms for which you have performed work. South Bend Orthopedics Pokagon Gaming Authority Elm Road Medical Campus 1111 Wilson Road 53880 Carmichael Drive New Buffalo, MI 49117 South Bend, IN 46635 AM General Precision Wall Systems Rolland Miller Jim Mroz 13200 McKinley Highway 3801 S. Main St Mishawaka, IN 46545 South Bend, IN 46601 South Bend Ethanol M.A.A.C. 3201 W. Calvert Street PO Box 262 South Bend, IN 46613 Niles, MI 49120 Notre Dame Federal Credit Union AEP Niles Service Center Bob Green 2603 Walton Rd PO Box 7818 Niles, MI 49120 Notre Dame, IN 46556 Flaherty & Collins Gospel City Church Art Smith 52277 Hickory Road One Indiana Square, Suite 3000 Granger, IN 46530 Indianapolis, IN 46204 Aeroplex Syracuse & Wawasee Park Foundation FM Stone Real Estate Jerry Wright 421 S. Second St. 1013 N. Long Drive Elkhart, IN 46516 Syracuse, IN 46567 DJ Landscaping C&S Machine 4436 Broadmoor Ave 2929 Sarratore Dr Grand Rapids, MI 49512 Niles, MI 49120 Altera David Kline 600-888 Dunsmuir Street Vancouver, BC 6C3K4 SECTION II - PLAN AND EQUIPMENT QUESTIONNAIRE 2. SUBCONTRACTORS LIST WORK PERFORMED: Bailey Aggregates Aggregate Trucking 12609 Indianapolis Rd Yoder, IN 46798-9733 Brusky Construction Aggregate Trucking 70569 Elizabeth St Niles, MI 49120 V & R Trucking Aggregate Trucking 1845 Elmer St South Bend, IN46628 Niblock Excavating, Inc. Asphalt Construction PO Box 211 Bristol, IN 46507 Rieth-Riley Construction Co., Inc. Asphalt Construction PO Box 477 Goshen, IN 46527-0477 Milestone Contractors North Asphalt Construction 1700 E. Main St. Griffith, IN 46319-2999 Michigan Paving & Materials Co. Asphalt Construction 2300 Gendenning Kalamazoo, MI 49003 Abonmarche Consultants, LLC. Construction Engineering 750 Lincolnway East South Bend, IN 46601 Jones Petrie Rafinski, Inc. Construction Engineering 412 S. Lafayette Blvd South Bend, IN 46601 1 SUBCONTRACTOR LIST continued WORK PERFORMED Wightman & Associates Construction Engineering 2303 Pipestone Rd Benton Harbor, MI 49022 Deversified Dewatering Dewatering 9150 96t` Ave. Zeeland, MI 49464 Bender Electric Electrical Wiring PO Box 143 Cassopolis, MI 49031 Hawk Enterprises, Inc. Electrical/Signal/Signage 1850 E. North Street Crown Point, IN 46307 Custom Fence Co Fencing PO Box 526 Niles, MI 49120 Mike's Fencing Fencing 68021 SR 19 North Nappanee, IN 46550 Milestone Fence Fencing 13399 McKinley Hwy Mishawaka, IN 46545 C-Tech Corporation Guard Rails 5300 W. 100 N. Boggstown, IN 46110-9706 Lowe Construction Jack and Bore 2535 Bader Road Horton, MI 49246 Weaver Consultants, LLC Laboratory Testing 7121 Grape Rd Granger, IN 46530 2 SUBCONTRACTOR LIST continued WORK PERFORMED Acorn Landscaping, LLC Landscape/Restoration 24930 Kern Rd. South Bend, IN 46614-9787 Fuerbringer Landscaping & Design, Inc. Landscape/Restoration 25530 Brick Road South Bend, IN 46628 Slussers Green Thumb, Inc. Landscape/Restoration PO Box 33 Logansport, IN 46947-0033 Turf Services Landscape/Restoration 57780 Sink Road Dowagiac, MI 49047 Ferguson Waterworks #1934 Lift Station Installation 1077 Oliver Plow Ct South Bend, IN 46601 Best Sweeping Specialists, Inc. Road Sweeping/Dust Control 632 S. Sixth Street Goshen, IN 46526 A-1 Striping Service, Inc. Road Striping 56825 Spirea Rd. New Carlisle, IN 46552 The Airmarking Co., Inc. Road Striping 1544 North State Road 25 Rochester, IN 46975 Michiana Contracting, Inc. Traffic Signal Work PO Box 929 Plymouth, IN 46563 Rathco Traffic Control 6742 Lovers Lane Portage, MI 49002 3 SUBCONTRACTOR LIST [continual] WORK PERFORMED Give `Em A Brake Traffic Control 2610 Sanford Ave Grandville, MI 49418 State Barricading, Inc. Traffic Control 24963 U.S. 20 West South Bend, IN 46628 KC Tree Tree Removal 1320 Third Street Osceola, IN 46561 Payne's Services Tree Removal 30296 Redfield St Niles, MI 49120 Construction Video Media Video Taping 111 E. Newberry St. Romeo, MI 48065 Watson Tree Service, Inc. Tree Removal 2953 E. Detroit Road Niles, MI 49120 S/T Bancroft Electric Electrical 25020 SR 2 South Bend, IN 46619 2022 El Selge Construction Co., Inc. Equipment List QUANTITY DESCRIPTION AND CAPACITY OF ITEMS YEAR 2 CAT 930M 2024 1 D20X22111 DIR DRILL 2024 1 VERMEER MX125 MIX 2024 1 VERMEER BEHNKE 12T 2024 2 KUBOTA RTV 1100CRL-A 2023 1 YANMAR V1O100 2023 1 GODWIN WELL POINT PUMP 2023 1 JOHN DEERE GATOR 2023 1 CAT 374 EXCAVATOR 2023 1 US CARGO 7X12 ENCLOSED TRAILER 2023 1 JOHN DEERE 470G LC FT4 EXCAVATOR 2022 1 YANMAR SV100-2A EXCAVATOR 2022 2 JOHN DEERE 544L WHEEL LOADER 2021 1 VOLVO EWR170E WHEELED EXCAVATOR 2021 1 TRAIL KING TKT16 TILT 2021 1 TOWMASTER T16T DECKOVER TRAILER 2021 1 JOHN DEERE 245G LC EXCAVATOR 2020 1 VOLVO ECR355E EXCAVATOR 2020 1 IMPACT CONSTRUCTION TRAILER 2020 1 JOHN DEERE 345G LC EXCAVATOR 2020 1 2020 JOHN DEERE 650K 11 CRAWLER DOZER W/GPS 2020 1 VOLVO ECR145E EXCAVATOR 2020 1 DUAL SOCK TRACKER FOR JD EXCAVATOR 2019 1 YANMAR V1035 MINI EXCAVATOR 2019 2 JOHN DEERE 544K 114WD LOADERS 2018 2 JOHN DEERE 624K 114WD LOADERS 2018 2 MACK GU813 SEMI 2018 1 KENWORTH T880 DUMP 2018 1 2"-8" DIP BUTT FUSION MACHINE 2018 1 DCI FS FALCON LOATING SYSTEM 2018 1 VERMEER D40X55 S3 DIRECTIONAL DRILL 2018 2 HAMM H101 SMOOTH DRUM COMPACTOR/ ROLLER 2018 1 2018 BOMAD BW 120 COMPACTOR / ROLLER 2018 1 GODWIN CD150M TRASH/BY-PASS PUMP 2018 1 YANMAR V1055 MINI EXCAVATOR 2018 1 PETERBILT 567 DUMP 2017 1 ROFHDR ROADWIDENER 2017 1 JOHN DEERE 344K LOADER 2017 1 MULTIQUIP CONCRETE MIXER 2017 5 ARTIC HD 17 SNOW PLOWS 2017 1 ARTIC HD14 SNOW BOX 2017 1 ROAD WIDENER W/DUAL REMOVE 2017 1 VS 63-20-D Grout Machine 2016 2 VOLVO A30G ARTICULATING DUMP TRUCK 2016 1 YANMAR V1080 MINI EXCAVATOR 2016 1 KENWORTH T-800 CUMMINS TRACTOR 2016 1 DITCH WITCH TRACKER WITH BEACON/DISPLAY 2016 9 CATERPILLAR COMPACT TRACK LOADERS 2016 1 McLAUGHLIN VX30-500 VACUUM EXCAVATOR 2016 QUANTITY DESCRIPTION AND CAPACITY OF ITEMS YANMAR Vio35-6 MINI EXCAVATORS YEAR 2 2016 1 YANMAR Vio45 MINI EXCAVATOR 2016 1 MACK DUMP TRUCK MODEL GU813 2015 1 ETNYRE TRAILER WITH 4TH FLIP AXLE 2015 1 JOHN DEERE 245 LC EXCAVATOR 2015 3 ARTIC SNOW PUSHER PLOWS W/QUICK COUPLERS 2015 2 YANMAR V1055 MINI EXCAVATOR 2015 QUANTITY DESCRIPTION AND CAPACITY OF ITEMS WESTERN PLOWS YEAR 3 2015 1 ISCO FUSION MACHINE 2014 2 JOHN DEERE 245 LC EXCAVATOR 2014 1 JOHN DEERE 544K 4WD LOADER 2014 2 MOVAX-SP60 HAMMERS 2013 1 JOHN DEERE 700K DOZER 2012 1 JOHN DEERE 650K DOZER 2012 3 JOHN DEERE 544K LOADERS 2012 1 ICATERPILLAR CH 85E TRACTOR 2010 2 ROME SCRAPER PANS 2010 1 12" - 36" BUTT FUSION MACHINE 2009 1 VERMEER D100 X 120 NAVIGATOR W. ATTACHMENTS 2009 1 YANMAR V1075 EXCAVATOR 2008 1 MR MANHOLE CUTTER EXTRACTOR & AUGER 2008 1 CATERPILLAR 321CLCR EXCAVATOR 2007 1 CATERPILLAR 314 CLCR EXCAVATOR 2007 1 D36X50 NAVIGATOR 2006 1 DUAL ELECTRIC MAST SYSTEM (LAZER FOR DOZER 2006 2 DITCH WITCH VAC SYSTEM W/TRAILER 2006 1 ROADTEC RX700-4 MILLING MACHINE 2006 1 IHI IC30-2 CRAWLER CARRIER 2006 1 JOHN DEERE 450D EXCAVATOR 2006 1 KENWORTH DUMP TRUCK 2006 1 DITCH WITCH JT27T2 WITH ATTACH./PIPE 2005 1 DITCH WITCH JT2020 WITH ATTACH./PIPE 2005 3 JOHN DEERE LOADERS MODEL 544J 2005 1 FELCO MINI CONVEYOR 2005 1 DITCH WITCH SK500 UNIT W/AUGER & TRENCHER 2004 2 FELCO COMPACTION BUCKETS 2004 1 SCISSOR LIFT 2004 1 CATERPILLAR CH85 CHALLENGER TRACTOR 2003 2 MISKIN SP-C17 SCRAPERS 2003 1 DYNA-PACK MODEL CC122 VIBRATORY ROLLER 2003 1 AMERICAN AUGER BORING MACHINE 2003 1 HEIL TANKER TRAILER 2002 1 KUBOTA L3010HST TRACTOR 2002 1 TRAILER EXPESS 18' FLATBED TANDEM AXLE TRAILER 2002 1 TC-600 TEXTURE/CURE MACHINE & ACCESSORIES 2002 1 CURB FORM C55629 2002 1 FELCO 30 X 60 COMPACTOR BUCKET 2002 1 KOMATSU WA120-3 WHEEL LOADER 2001 1 EASI-POUR COMPACT 880 SLIPFORM TRIMMER/PAVER 2001 1 BOBCAT SKID STEER LOADER, MODEL 773K 2001 1 TREMIX COMPACTOR MODEL MV80 2001 3 JOHN DEERE 1-650H, 2-550H CRAWLER DOZERS 2001 1 KENWORTH DUMP TRUCK 2001 1 FREIGHTLINER FL80 DUMP TRUCK 2000 1 FREIGHTLINER FL112 DUMP TRUCK 2000 1 PMD 800 VAC-TRON VACUUM 2000 1 VERMEER T-555 TRACK TRENCHER 2000 1 DITCH WITCH JT7020 BORING UNIT 2000 1 MCS-325 PORTABLE BENTONITE MIXING & RECYCLING SYSTEM 2000 1 IVOLVO L70D WHEEL LOADER 3 1 2000 QUANTITY DESCRIPTION AND CAPACITY OF ITEMS CATERPILLAR 930 WHEEL LOADER YEAR 1 2000 1 DITCH WITCH JET TRAC MODEL 920L W/ MUD MIXER, SUBSITE ATT. 1999 1 ROSCO RB48 SWEEPER, WITH SNOW PLOW 1999 1 920L DITCH WITCH DIRECTION BORE SYSTEM 1999 1 CHAMPION 730A VHP MOTOR GRADER 1999 1 CMI SF3002 SLIPFORM PAVER 1999 1 TEREX TA30 ARTICULATED DUMP TRUCK 1998 1 FORD F800 DUMP TRUCK 1998 1 CLEAN EARTH SFE-JET-VAC 1998 1 MCELROY #412 HYDRAULIC FUSION UNIT 1998 1 BELSHE T9 TRAILER 1998 1 NPK 8XA HYDRAULIC HAMMER 1998 1 FELCO VIBRATORY COMPACTOR BUCKET 1998 1 JCB 411 TOOL CARRIER, WITH FORKS 1998 1 INTERNATIONAL 4900 6 X 6 WATER TRUCK 1998 1 MACK CL713 TRACTOR 1997 1 VERMEER D-24x40 NAVIGATOR DIRECTIONAL BORE SYSTEM 1997 1 FINN HYDROSEEDER W/ ATTACH., GROUNDHOG 1997 1 MACK CL713 DUMP TRUCK 1996 1 MACK RD68 TRACTOR 1996 1 MACK TRACTOR MODEL CL713 1996 1 CATERPILLAR MODEL CS433 COMPACTOR 1996 1 PEMBERTON 72" DITCH CL. BUCKET FOR CAT 300LE 1996 1 PC200-6 KOMATSU EXCAVATOR 1996 1 MACK TRACTOR, MODEL CL713 1995 1 VERMEER 4" LW HAMMERHEAD MOLE 1995 1 VERMEER 3" HAMMERHEAD MOLE 1995 1 DITCH WITCH DIRECTIONAL BORE SYSTEM 1995 1 MELROE 853C BOBCAT 1995 1 ICATERPILLAR HYD. EXCAVATOR MODEL 325L 1994 1 CATERPILLAR HYD EXCAVATOR MODEL 330L 3CY 1994 1 JOHN DEERE 624G LOADER 3 1/2 YD. 1994 1 JOHN DEERE 955 4WD TRACTOR W/TILLER AND BROOM 1994 1 FELCO BEDDING CONVEYOR, STAND. SLIDER, W/2' EXTENSION 1994 1 FORD TRACTOR MODEL LN 8000 1993 1 GMC WHITE TRACTOR TRUCK 1993 1 CATERPILLAR D5C DOZER 1992 1 JOHN DEERE 955 TRACTOR W/TILLER, BOX SCRAPER, BROOM 1991 1 FELCO ROLLER BEDDING CONVEYOR W/6 CY HOPPER 1991 1 JOHN DEERE 544 RUBBER TIRE LOADERS 1990 1 JOHN DEERE 455G CRAWLER LOADER 1989 1 KOEHRING 6644 HYD. EXCAVATOR 3 1/2 YD. 1988 1 FORD F800 UTILITY TRAILER WITH HI RANGER 1985 1 JOHN DEERE 570A ROAD GRADER 1980 1 KOEHRING 866 HYD. BACK HOE 4 YD_ 1979 1 CATERPILLAR D4C DOZER SERIES 3 1979 1 FERGUSON TANDEM DRUM VIBRATOR ROLLER 1979 1 HARTMAN FABCO CONVEYOR 1979 1 EARTH BORING MACHINE 48" AND ACCESSORIES 1975 QUANTIT:YT DESCRIPTION AND CAPACITY OF ITEMS YEAR 1 INTERNATIONAL T.D. DOZER 1972 1 BLAW-KNOX RW 195 ROAD WIDNER 1970 2 KOEHRING 505 HYD. BACK HOE 2 1/2 YD. 1969 & 70 WITH 6 CYLINDER HOPPER 150 KW CAT. GENERATOR, ELECTRIC PUMPS, DEEP WELLS, HYDRAULIC CLAM, ETC., COMPLETE ONAN 30 KW STANDBY POWER ENGINE GENERATOR, TRAILER MOUNTED, W/CABLE & DIESEL FUEL TANKS, SUBMERSIBLE SEWER PUMP CEMENT SAWS, AIR COMPRESSORS, WELL POINT PUMPS, WELL POINTING EQUIPMENT, 4000 GAL. WATER TANKER & JET PUMP, BROOMS, SHOP TRAILERS, 3 FIELD OFFICE TRAILERS, COMPACTORS, POWER MORTAR MIXERS, TAMPERS, LASER BEAMS, SMALL TOOLS, 3 TANDEM DUMP TRUCKS, 1 SEMI - DUMP TRAILER, 4 LOWBOY TRAILERS, 3 TRUCK TRACTORS, PORTABLE TRAFFIC LIGHTS, PORTABLE FLASHING SIGN, STEEL SHEETS, GENERATORS, PAVING BREAKERS, ROCK DRILLS, TRENCH BOXES, WELLS CARGO PUMP TRAILER, 3 WELLS CARGO TOOL TRAILERS, WELLS CARGO CYCLE WAGON, 1 FRUEHAUF TRAILER, HENDERSON BLADE RAKE, PROSSER PUMPS, VIBRATORY ASPHALT PLATE, 1255HP DIALGRADE LASERS, INGERSOLL-RAND LIGHT TOWER, TAG TRAILER, ROSCO SWEEPER, FORKLIFT, CURB FORMS, DITCH WITCH SUB SITES, GENERATORS, VARIOUS BUCKETS, DUAL ELECTRIC MAST SYSTEM (LAZER FOR DOZER), VARIOUS TRAILERS, TEREX PAVING KIT, REROUND TOOL, SCRAPER TOOL, ELECTRIC PROCESSOR, 24" DIPS INSERT SET, HEATER ASSEMBLY FOR FUSION MACHINE, AUGER VERMEER DIRECTIONAL DRILL, LOCATORS 5 Selge Construction Company, Inc. Financial Report February 28, 2023 Contents Independent auditor's report 1-2 Financial statements Balance sheets 3 Statements of income 4 Statements of stockholders' equity 5 Statements of cash flows 6 Notes to financial statements 7-17 Supplementary information Schedules of construction and general and administrative expenses 18 RSM Independent Auditor's Report RSM US LLP Board of Directors Selge Construction Company, Inc. Opinion We have audited the financial statements of Selge Construction Company, Inc. (the Company), which comprise the balance sheets as of February 28, 2023 and 2022, the related statements of income, stockholders' equity, and cash flows for the years then ended, and the related notes to the financial statements. In our opinion, the accompanying financial statements present fairly, in all material respects, the financial position of the Company as of February 28, 2023 and 2022, and the results of its operations and its cash flows for the years then ended in accordance with accounting principles generally accepted in the United States of America. Basis for Opinion We conducted our audits in accordance with auditing standards generally accepted in the United States of America (GARS). Our responsibilities under those standards are further described in the Auditor's Responsibilities for the Audit of the Financial Statements section of our report. We are required to be independent of the Company and to meet our other ethical responsibilities, in accordance with the relevant ethical requirements relating to our audits. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion. Responsibilities of Management for the Financial Statements Management is responsible for the preparation and fair presentation of the financial statements in accordance with accounting principles generally accepted in the United States of America, and for the design, implementation, and maintenance of internal control relevant to the preparation and fair presentation of financial statements that are free from material misstatement, whether due to fraud or error. In preparing the financial statements, management is required to evaluate whether there are conditions or events, considered in the aggregate, that raise substantial doubt about the Company's ability to continue as a going concern within one year after the date that the financial statements are issued or available to be issued. Auditor's Responsibilities for the Audit of the Financial Statements Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor's report that includes our opinion. Reasonable assurance is a high level of assurance but is not absolute assurance and therefore is not a guarantee that an audit conducted in accordance with GAAS will always detect a material misstatement when it exists. The risk of not detecting a material misstatement resulting from fraud is higher than for one resulting from error, as fraud may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal control. Misstatements are considered material if there is a substantial likelihood that, individually or in the aggregate, they would influence the judgment made by a reasonable user based on the financial statements. THE POWER OF BEING UNDERSTOOD AUDIT I TAX I CONSULTING RSM US LLRis the US men,Ler ti-mof RSM lnterrotionnl, a gloialneiv.-ark of lndependentaud it, ta, and conall(Mg firms Ysilr;muscom`3bouWS l;,rnrueiafu,nlauon regai ding RSF.1 USLLF and RSM Intel national In performing an audit in accordance with GAAS, we. • Exercise professional judgment and maintain professional skepticism throughout the audit. • Identify and assess the risks of material misstatement of the financial statements, whether due to fraud or error, and design and perform audit procedures responsive to those risks. Such procedures include examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements. • Obtain an understanding of internal control relevant to the audit in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Company's internal control. Accordingly, no such opinion is expressed. • Evaluate the appropriateness of accounting policies used and the reasonableness of significant accounting estimates made by management, as well as evaluate the overall presentation of the financial statements. • Conclude whether, in our judgment, there are conditions or events, considered in the aggregate, that raise substantial doubt about the Company's ability to continue as a going concern for a reasonable period of time. We are required to communicate with those charged with governance regarding, among other matters, the planned scope and tinning of the audit, significant audit findings, and certain internal control --related matters that we identified during the audit. Other Matters Our audit was conducted for the purpose of forming an opinion on the financial statements as a whole. The accompanying supplementary schedule of construction and general and administrative expenses is presented for purposes of additional analysis is not a required part of the financial statements. Such information is the responsibility of management and was derived from and relates directly to the underlying accounting and other records used to prepare the financial statements. The information has been subjected to the auditing procedures applied in the audit of the financial statements and certain additional procedures, including comparing and reconciling such information directly to the underlying accounting and other records used to prepare the financial statements or to the financial statements themselves, and other additional procedures in accordance with auditing standards generally accepted in the United States of America. In our opinion, the information is fairly stated in all material respects in relation to the financial statements as a whole. �s vs 44P South Bend, Indiana May 25, 2023 2 Selge Construction Company, Inc. Notes to Financial Statements Note 9. Leases and Related Party Transactions (Continued) The Company has advanced funds to Selge Properties, LLC, a company related through common ownership, to purchase land near the Company's corporate office. The balance due from Selge Properties, LLC is $169,945 at February 28, 2023 and 2022, and has no stated date of repayment. The Company had also advanced $7,242 at February 28, 2022 to a stockholder that was repaid during the year ended February 28, 2023. As a result of these terms and the nature of the relationship, these amounts due are reflected as a reduction of stockholders' equity in the accompanying balance sheets at February 28, 2023 and 2022. In addition, the Company has an unsecured note payable due to a stockholder at February 28, 2023 and 2022, in the amount of approximately $594,000 and $877,000, respectively, bearing interest at 5%. The payable is reflected as a long-term liability as the stockholder has waived the right to demand payment prior to March 1, 2024. Note 10. Stockholders' Equity The Company has 92,366 shares of common stock outstanding at February 28, 2023 and 2022. During the year ended February 28, 2023, the Company retired 7,634 shares of common stock valued at $420,028 that was previously classified as treasury stock on the balance sheet as of February 28, 2022. Note 11. Employee Benefit Plans The Company has adopted a profit sharing plan, more commonly known as a 401(k) plan, for the benefit of all eligible nonunion employees. The plan allows for discretionary contributions by the Company to be determined on an annual basis. For the years ended February 28, 2023 and 2022, total Company contributions associated with the plan were approximately $165,000 and $135,000, respectively. The Company has also adopted a 401(k) plan, for the benefit of all eligible union and nonunion employees. The plan does not require Company contributions but allows for salary deferrals on the part of the eligible participants. The Company did not make any contributions to the plan for the years ended February 28, 2023 and 2022. Note 12. Variable Interest Entity Selge Leasing, Inc. owns and leases machinery and equipment to the Company as described in Note 9. Selge Leasing, Inc. is related to the Company through common ownership. The Company is Selge Leasing, Inc.'s only customer. The Company and Selge Leasing, Inc. entered into a cross collateralization agreement with a local bank. The Company can be required to perform on the guarantee in the event of nonpayment of a bank debt by Selge Leasing, Inc. As of February 28, 2023 and 2022, Selge Leasing, Inc. did not have any outstanding debt that is guaranteed by the Company. Pursuant to the policy to apply the accounting alternative to certain entities under common control, Selge Construction Company, Inc. did not apply the VIE guidance to ASC 810 to consolidate this entity under common control into the Company's financial statements for the years ended February 28, 2023 and 2022. 16 SUBSTANCE ABUSE POLICY SELGE recognizes the employees off -the job as well as on -the job -involvement with illegal drugs can have a negative impact on the workplace, fellow employees and customers. Employees are expected to report for work with no illegal drugs in their bodies and free of all adverse effects of alcohol misuse. SELGE encourages employees to seek professional assistance any time for personal problems, including alcohol or drug dependency that adversely affects their ability to perform their assigned duties. The purpose of this policy is to comply with Department of Transportation Regulations ("DOT") 49 CFR Part 40, Procedures for Transportation Workplace Drug Testing Programs, 49 CFR Part 382, Controlled Substances and Alcohol use and Testing -Federal Motor Carrier Safety Administration, and 49 CFR Part 29, Drug -Free Workplace Act of 1988, and requirements of government contracts. This policy incorporates these regulations for safety sensitive employees and establishes these requirements for drug and alcohol testing along with their specific cut-off levels for all employees. SELGE has adopted this policy and compliance with this substance abuse policy is a condition of employment with SELGE. This policy applies to all employees that are required to have a Commercial Driver's License ("CDL"), or are considered by DOT to be in a safety -sensitive position, full or part-time, contract employees and contractors when they are on SELGE property or when performing any safety - sensitive functions for SELGE. Performing a safety -sensitive function means all time from the time an employee is ready to work, begins work, and until the employee is relieved from all responsibility for performing work. Safety -sensitive function may include, however are not limited to the following items: All time on SELGE property, or Customer's property or facility, or other property, or on any public property, waiting to be dispatched, unless the driver has been relieved from duty by SELGE. • All time inspecting equipment as required by 49 CFR Part 392 (392.7 & 392.8) or otherwise inspecting, servicing or conditioning any Commercial Motor Vehicle ("CMV") at any time. • All time spent at the driving controls of a CMV. All time, other than driving time, in or upon any CMV. All time loading or unloading, attending a CMV being loaded or unloaded, remaining in readiness to operate the CMV or in giving or receiving receipts for shipments loaded or unloaded. • All time repairing, obtaining assistance or remaining in the attendance of a disabled CMV. Additionally, this policy applies to all employees of SELGE from the time an employee is ready to work, begins work, and until the employee is relieved from all responsibility for performing work. Le ate. See "Use of Medication". Prohibited Substances. Any substance or illegal drug identified in the Controlled Substance Act (21 U.S.C. 812) is prohibited at all times. This includes, but not limited to marijuana, amphetamines, opiates, phencyclidine (PCP), and cocaine, as well as any drug not approved for medical use by the U.S. Drug Enforcement Administration or the U.S. Food and Drug Administration. Illegal use includes, but not limited to, any illegal drug, misuse of legally prescribed drugs, and the use of illegally obtained prescription drugs. Prohibited Conduct. Engaging in unlawful manufacture, distribution, dispensing, possession, or use of prohibited substances is prohibited by any employee of SELGE. Employees who violate this provision will be terminated. All employees of SELGE are required to notify their supervisor within five (5) days of any criminal drug statute conviction that is work -related. Failure to comply with this provision shall result in termination. Cam liance with Testing Requirements. All employees will be subject to urine drug testing and breath alcohol testing. A refusal to test is considered a positive test result and will lead to immediate removal from duty, referral to a Substance Abuse Professional ("SAP") and termination of employment. Testiiig Procedures. Federal regulations require analytical urine drug testing and breath alcohol testing to be conducted when circumstances warrant or as outlined in the regulations. SELGE applies these same requirements to Non -DOT employees and affirms the need to protect individual dignity, privacy, and confidentiality throughout the testing process. If at any time the integrity of the testing procedures or the validity of the tests results are compromised, the test will be cancelled. All testing shall be performed by a certified laboratory selected by SELGE. Laboratories are certified by the Substance Abuse and Mental Health Services Administration, which is part of the Department of Health and Human Services. Shy Bladder Procedure. If the employee cannot provide a specimen at the initial attempt, the employee will be urged to drink up to 40 oz. of water. The amount of water is to be spaced out over a three hour period. The employee is not required to drink the water by 49 CFR Part 40 regulations. If the employee does not provide a specimen, or refuses to provide a specimen, the test will be marked as a "Refusal to Test" and considered a positive test result. The employee will be sent to a physician with expertise in the field, within five (5) days for an evaluation as to why the individual was not able to provide a specimen. If there is a valid medical reason, the test result will be changed to "Cancelled." Breath Alcohol Test. All tests for breath alcohol will be conducted using a National Highway Traffic Safety Administration -approved Evidential Breath Testing Device ("EBT"). The EBT must be operated by certified trained Breath Alcohol Technician ("BAT"). The certified training must meet the qualification as defined in 49 CFR Part 40. A blank air test will be administered on the EBT prior to the initial test and the confirmation test if required. This indicates the EBT chamber is clear. An initial breath test will be given, if the results are less than a concentration of 0.02, the test result is negative. No additional tests will be required. If the initial test result has a concentration of 0.02 or higher, a second confirmation test will be conducted. A waiting period of at least 15 minutes but no longer than 30 minutes after completion of the initial test must be completed before the confirmation test is started. If the results of the confirmation test are less than 0.020, the confirmation test will be considered negative. If the result is between 0.020-0.039, the employee must be removed from the work position for at least 24 hours. If the result is 0.040 or higher, the employee is considered under the influence of alcohol and the test result is positive. The confirmation test will be completed using the same EBT. Each test will have its own unique sequential number. A printout of each test will be provided and attached to the Alcohol Test Form. The printout will also include the time the test was taken, and EBT identification number. The test will be performed in a private, confidential manner as required by 49 CFR Part 40. Positive Test Results. Any employee of SELGE that has a confirmed positive drug or alcohol test will be terminated from his/her position, informed of the educational and rehabilitation programs available, and referred to a SAP for assessment. Cam liance with the Treatment Pro am Requirements. Employees are encouraged to make use of the available resources for treatment of alcohol misuse and/or illegal drug use problems. Under certain circumstances, employees may be required to undergo treatment for substance abuse or alcohol misuse. Any employee of SELGE who refuses or fails to comply with a SAP's requirements for treatment, after care or return -to -duty, shall be ineligible for rehire. The cost of treatment will be paid by the employee or their insurance provider. Types of Testing Pre -Employment Testing. Any individual that seeks employment with or transfers into DOT safety sensitive position at SELGE will be required to take and pass a urine drug test. The receipt of a negative urine drug test is required. If the test was cancelled, SELGE requires the applicant to take and pass a second urine drug test. Anytime an employee of SELGE is off work for 30 consecutive days or more, the employee will be required to remain in the random drug testing pool or pass another pre -employment urine drug test. Hiring or rehiring will be denied to any applicant or employee who refuses to consent to a drug test or who tests positive. Reasonable Suspicion Testing. If SELGE suspects that an employee has violated the Substance Abuse Policy or concludes that the employee is impaired in his/her work performance, such employee will be required to submit to an appropriate drug and/or alcohol test. Post Incident Testing. All employees of SELGE are required to undergo urine drug testing and breath alcohol testing if they are involved in an accident with a vehicle owned or leased by SELGE if one or all of the following conditions are met: The accident resulted in a fatality. The employee of SELGE was issued a citation and a vehicle was towed from the scene of the accident. The employee of SELGE was issued a citation and bodily injury with immediate medical treatment away from the scene of the accident was provided to anyone involved in the accident. The surviving employee that operated the vehicle or any other employee whose performance cannot be completely discounted as contributing to the accident must be tested. Following the accident, the employee(s) must be tested as soon as possible, but not to exceed eight (8) hours for alcohol testing and thirty-two (32) hours for urine drug testing. Any employee of SELGE involved in an accident must refrain from alcohol use for eight (8) hours following the accident or until he/she has completed an alcohol test or released from duty. Any employee of SELGE who voluntarily leaves the scene of an accident prior to submission to drug and alcohol testing will be considered to have refused the test and the employee will be terminated. An alcohol test should be administered within two (2) hours of the accident. If this has not been done, SELGE will document the reason the test was not completed within two (2) hours of the accident and will continue to attempt to obtain a test and document their attempts within the eight (8) hour period. At the end of the eight (8) hours, SELGE will cease the attempt to administer the test and document why the test was not completed. The employee must remain readily available for testing until they are released from the scene of the accident. If the employee is required to leave the scene under the authority of medical or police personnel, they must notify SELGE as to their whereabouts. If SELGE is unable to perform a urine drug test and a breath alcohol test, (i.e., employee is unconscious, employee is detained by a police agency), SELGE may use drug and alcohol post - accident test results administered by the State and/or Local law enforcement officials if they were completed. SELGE must obtain the results in conformance with State and Local law. Post Testing for Non DOT Circumstances. SELGE requires an employee to submit to drug testing (and alcohol testing if there is reasonable suspicion) following a motor vehicle accident or property damage accident involving injury to any individual involved in the accident requiring immediate medical treatment away from the scene, serious damage to any motor vehicle or equipment involved in the accident, a fatality from the accident or serious property damage even if the employee did not receive a citation. SELGE requires an employee to submit to drug testing (and alcohol testing if there is reasonable suspicion) following a work -related incident or on-the-job accident that requires immediate medical attention away from the work site. Tests will not be required if the supervisor in charge determines, using the best information available at the time of the decision, that the employee's performance can be completely discounted as a contributing factor to the accident. Random Drug and Alcohol Testing. All employees of SELGE will be subject to random unannounced testing. The selection of these employees for random testing of drug and alcohol will be made using a scientifically valid method that ensures each covered employee will have an equal chance of being selected each time selections are made. The random test will spread throughout the year. Tests can be conducted at any time during an employee's shift. Employees are required to proceed immediately to the collection site upon notification of their random selection. There is no discretion on the part of management in the selection and notification of employees who are to be tested. The percentages of the number of DOT safety -sensitive employees in the random program are established by 49 CFR Part 40 on an annual basis. Currently the rates are 50% for drug testing and 10% for alcohol testing. The percentages of the number of Non -DOT employees in the random program are established at 50% for drug testing and 10% for alcohol testing. Return -to -Duty Testing. Employees of SELGE that previously tested positive on a drug and/or alcohol test must, under certain circumstances, be evaluated and released by a SAP before returning to work. A SAP is a licensed physician, certified psychologist, social worker, employee assistance professional, or addiction counselor. The SAP must also have clinical experience in the diagnosis and treatment of drug and alcohol related diseases. The SAP must have completed the required qualification training and completed the continuing education trainings as detailed in 49 CFR Part 40. Before scheduling the return -to -duty test, the SAP must assess the employee and determine if the required treatment has been completed. Follow -Up Testing. Under certain circumstances, employees of SELGE will be required to undergo frequent unannounced random urine and/or breath testing following their Return -to -Duty Testing. Follow-up testing on an employee will be performed for a period of one (1) to five (5) years with a minimum number of six tests performed the first year. The employee will remain in the random testing program. A qualified SAP will determine the frequency and duration of the follow-up tests, beyond the minimum number. Confidential Result Record Keeping. The results of all drug and alcohol testing will be maintained in a secure confidential manner by the employer, laboratory, collection site, MRO, SAP, and the Consortium/Third Parry Administrator (C/TPA). Information can only be released in the following circumstances and with the employee being notified in writing of the release. To a third parry only as directed by specific written instructions of the employee. ■ To the decision -maker in a lawsuit, grievance, or other proceeding initiated by or on behalf of the employed tested. To a subsequent DOT employer upon receipt of a written request from the employee as required by 49 CFR Part 40 of the DOT regulations. To the National Transportation Safety Board during an accident investigation. To the DOT or any DOT agency with regulatory authority over the employer or any of its employees, or to a State agency with oversight. To the employee upon written request. Employee/Supervisor Training. All employees of SELGE must be made aware of the company's policy on substance abuse, given educational material covering substance abuse, expected employee conduct, dangers of drug abuse in the workplace, employee assistance programs, and consequences for not following the policy. Supervisors of SELGE will undergo a minimum of 60 minutes of training on the signs and symptoms of drug use including the effects and consequences of drug use on personal health, safety, and the work environment. The training must include manifestations and behavioral cues that may indicate prohibited drug use. In addition, supervisors will also receive a minimum of 60 minutes of training on the signs and symptoms of alcohol misuse including the effects and consequences on personal health, safety, and work environment. Employee Contract for Policy Violations. Under certain circumstances, employees of SELGE who re-enter the workforce must agree to a re-entry contract (Last Chance Agreement). The contract may include, but is not limited, to the following items: A release to return to work statement from the SAP. A negative test result for drugs and/or alcohol. ■ An agreement to unannounced frequent follow-up testing for a period of one (1) to five (5) years with at least six (6) tests performed the first year. + A statement of expected work -related behaviors expected of the employee. An agreement to follow specified after care requirements with the understanding that a violation of the re-entry contract (will result in termination) is grounds for termination. System Contacts Contact: Bruce Dickie Designated Employee Representative Telephone: 269.684.0842 Fax: 269.684.0846 [Fle1d]SBDS01 JSB 410776v2 Dated: March 1, 2015 STATE OF INDIANA OFFICE OF THE SECRETARY OF STATE CERTIFICATE OF AUTHORIZATION To Whom These Presents Come, Greetings: I, TODD ROKITA, 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 proper official to execute this certificate. I further certify that records of this office disclose that SELGE CONSTRUCTION CO INC duly filed the requisite documents to commence business activities under the laws of State of Indiana on March 15, 1972, and was in existence or authorized to transact business in the State of Indiana on February 10, 2010. I further certify this For -Profit Foreign 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. 1tE In Witness Whereof, I have hereunto set my hand and affixed the seal of the State of Indiana, at the city of Indianapolis, this Tenth Day of February, 2010. TODD ROKITA, Secretary of State 197203-307 / 2010021072953 CONSENT RESOLUTIONS OF THE SHAREHOLDERS AND DIRECTORS OF SELGE CONSTRUCTION CO., INC. The Shareholders and Board of Directors of Selge Construction Co., Inc., a Michigan corporation, take the following actions pursuant to Section 407 and Section 525 of the Michigan Business Corporation Act: Financial Statement The financial statements have been reviewed by all shareholders and officers and approved as presented. 2. Board of Directors The following persons were elected to serve as directors of the Corporation until the next annual shareholders meeting or until their successors are elected and take office: Marvin L. Selge, Jr. 3. Officers The following person shall hold the offices set forth opposite their names until their successors are elected and shall qualify: Name James Boyles Justin E. Butler Allison Swinehart Marvin L. Selge, Jr. Office President Vice President Secretary Treasurer 4. Authorization to Sign Construction Documents The President, James Boyles, the Vice President, Justin E. Butler, the Treasurer, Marvin L. Selge, Jr., the Secretary, Allison Swinehart, and the Project Managers, Robert P. Kuhns, Robert S. Riley, Christian Baybutt, Ronald J. White, Jr., Thomas A. Lentz, Mathew Huss, Andrew Boyles and Kyle Silveus are all authorized to sign construction documents on behalf of the Corporation. The signature of the President, the Vice President, the Treasurer, the Secretary, or the Project Manager shall be sufficient to bind the Corporation as to any construction documents submitted. 5. Ratification of Past Acts The Shareholders and Directors hereby ratify and reaffirm all corporate actions of the officers and directors of the Corporation taken between the date of the last meeting and the date of this Resolution. 6. Authorization The officers of the Corporation are authorized and empowered for and on behalf of the Corporation to do any and all acts and things and execute any and all additional instruments, papers or documents that may be or become necessary, desirable, or appropriate to carry out, put into effect, and make operative any portion of portions of these Resolutions. DATED: September 1. 2021 "Shareholders" MAR�qN L. SOCGE, JR. 44 it . A §,tkPhANIE ANN BUTLER "Director" 2 { 7 BARBARA S. ELGE STIN E. BUTLER CERTIFIED RESOLUTION I, ALLISON SWINEHART, hereby certify that I am the duly elected and acting Secretary of SELGE CONSTRUCTION CO., INC., a Michigan corporation, and that the following resolution was duly adopted by unanimous consent of the Shareholders and Directors of said Corporation, on September 1, 2021, and that said resolution is in full force and effect: Board of Directors. The following person was elected to serve as director of the Corporation until the next annual shareholders meeting or until their successors are elected and take office: Marvin L. Selge, Jr. 2. Officers. The following persons shall hold the offices set forth opposite their names until their successors are elected and shall qualify: Name James Boyles Justin E. Butler Allison Swinehart Marvin L. Selge, Jr. Office President Vice President Secretary Treasurer IN WITNESS WHEREOF, I have signed this Certified Resolution this 1 st day of September, 2021. S-U �i 1 ALLISON SWINEHART M T.Arrfirtrate of QuatirwaRim VWUED BY INDIANAPOLIS, IN August 25, 2023 TO SELGE CONSTRUCTION CO., INC. NILES, MI who has filed with the Department a Contractor's Statement of Experience and Financial Condition as required under Indiana Code 8-23-10, Is hereby quaIIhed to bid at any Department of Transportation letting in Classes of Work and within the amount and other limitation of each classification as listed below, for such period as the uncompletedwork on hand from all sources does not exceed theAggregate amount Classification references by name or symbol are in accordance with the definitions In the Contractor's Statement of Experience and Financial Condition. This certificate supersedes any certificate Previously issued_ but is subject to revision or revocation according to the law if and when changes in the financial condition of the contracting firm or other facts justify such revision or revocation_ Valid August 23, 2023 Thru June 30, 2024 Aggregate Bidding Capacity: 98,465,000.0 0112 TRENCHLESS PIPE INSTALLATION................................................................................ $90,000,000.00 0188 FORCE MAINS AND LIFT STATIONS............................................................................... $90,000,000.00 0290 SEWER AND PIPE CLEANING AND LINING .................................................... I.............. $90,000,000.00 A(B) CONCRETE PAVEMENT: LIMITED................................................................................... $20,000,000.00 C(A) HEAVY GRADING.............................................................................................................. $90,000,000.00 E(E) SMALL STRUCTURES AND DRAINAGE ITEMS ....... ............ :.......................................... $90,000,000.00 E(F) SURFACE MASONRYAND MISCELLANEOUS CONCRETE ........................................... $20,000,000.00 E(H) DEEP SEWER AND/OR EXCAVATION-... .... __.— .... _ ................................................ __. $90,000,000.00 E(T) DEMOLITION ........................ .................._..........................:...._..................................... $20,000,000.00 PREQUALIFICATION ENGINEER Sat Farm 205W .tN31 &05) COMMISSIONER CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name Fellows Street Booster Station — Contract B — Station Installation and Site Work Project No. 121-070B For Bids Due April 9, 2024 Contractor Name: Selae Construction Co.. 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 02/23/2022 South Bend General Conditions - 10 POST BID SUBMISSIONS: Post -bid submissions must be submitted in accordance with Section 6-64 of the Responsible Bidding Ordinance. The post -bid submission requirements are as follows: 1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses the name, address, licensing status, and type of work for any subcontractor from whom the bidder has accepted a bid and/or intends to hire on any part of the public work project, including individuals performing work as independent contractors. 2. Each subcontractor, whose portion of the project is estimated to be at least one -hundred fifty thousand dollars ($150,000.00), shall be required to adhere to the requirements of Section I of the Responsible Bidder Ordinance as though it were bidding directly to the City, except that the subcontractor shall submit the required information (including the name, address, and type of work) to the successful bidder prior to the commencement of work. 3. Failure of a subcontractor to submit the required information shall not disqualify the successful bidder from performing work on the project and shall not constitute a contractual default and/or breach by the successful bidder. However, the City may withhold all payment otherwise due for work performed by a subcontractor, until the subcontractor submits the required information and the City approves such information. 4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the name, address, licensing status, and type of work of the substitute subcontractor. 5. The successful bidder and all subcontractors on a public works project are required to submit certified payroll utilizing the federal form known as WH-347 or a similar form on a bi-weekly basis, submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall identify the job title and craft for each employee. Certified payrolls shall be submitted electronically. Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in the automatic disqualification of the bid. The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into account all information in the submission requirements, determine whether a bidder is responsive and responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to utilize all information provided in the contractor's submission and any information obtained by the City through its own independent verification of the information provided by the contractor. Version 02/23/2022 South Bend 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. By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided by me, and may also conduct random inquiries of my current and prior customers. (b) Attachments: (i) X Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). (ii) X Statement on staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work. It outlines how I intend to meet the staffing needs of the work. (iii) X List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within the last three (3) years. (iv) X For every project, submit evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. Version 02/23/2022 South Bend 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 (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). 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 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 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 Labors Office of Apprenticeship, or its successor organization. (vii) Copy of a written plan for employee drug testing that covers all of my employees ^ who will perform work on the public work project and meets or exceeds the requirements set forth in IC 4-13-18-5 or IC 4-13-18-6. (viii) Evidence that I am utilizing a surety company which is on the Bureau of Fiscal Service "Department of Treasury's Listing of Approved Sureties" as required in the bid specifications or contract. Version 02/23/2022 South Bend General Conditions -13 (ix) Written statement of any federal, state or local tax liens or tax delinquencies owed to any federal, state or local taxing body in the preceding three years. (i) List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within three (3) years prior to the date on which the bid is due. Date: April 9, 2024 (Sign Here) Robert Kuhns, Project Engineer (Print Name Here) Selge Construction Co., Inc. (Name of Company) 2833 South 11 th Street (Address of Company) Niles (City) Michigan (State) 269-684-0842 (Telephone Number) Version 02/23/2022 South Bend General Conditions - 14 CTTY OF SOUTH BEND TAMES MUELLER, MAYOR DEPARTMENT OF PUBLIC WORKS ERIC HORVATH, DIRECTOR December 14, 2023 Allison Swinehart Selge Construction Company aswinehart@selgeconstruction.com RE: Pre -Qualification Verification Dear Ms. Swinehart: 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, Tara Bussell, Permit Manager State of Indiana Office of the Secretary of State Certified Copies 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 this is a true and complete copy of this 2 page document consisting of the following records filed in this office: Certification Date: Business Name: Business ID: Transaction Business Entity Report March 29, 2024 SELGE CONSTRUCTION CO INC 197203-307 _ Date Filed No. of pages 01/31/2024 2 Total No. of pages 2 In Witness Whereof, I have caused to be affixed my signature and the seal of the State of Indiana, at the City of Indianapolis, March 29, 2024 DIEGO MORALES SECRETARY OF STATE All certificates should be validated here 197203-307 / 16556128 https://bsd.sos.in.gov/ValidateCertificate Expires on April 28, 2024. Page 1 Of 3 CertificatelD:16556128 BUSINESS ENTITY REPORT 1. NAME AND PRINCIPAL OFFICE ADDRESS BUSINESS ID BUSINESS TYPE BUSINESS NAME ENTITY CREATION DATE JURISDICTION OF FORMATION PRINCIPAL OFFICE ADDRESS YEAR'S FILED YEARS EFFF.C'TIVE DATE EFFECTIVE DATE EFFECTIVE TIME REGISTERED OFFICE AND ADDRESS APPROVED AND FILED DIEGO MORALES INDIANA SECRETARY OF STATE 01/31/2024 01:28 PM 197203-307 Foreign For -Profit Corporation SELGE CONSTRUCTION CO INC 03/15/1972 Michigan 2833 S. I lth Street, NILES, MI, 49120, USA 2024/2025 01/31/2024 1:28 PM REGISTERED AGENT TYPE Individual NAME BRENT E. INABNIT ADDRESS 210 S. MICHIGAN AVE, SOUTH BEND, IN, 46624, USA Page 2 Of 3 CertificateID:16556128, ,_ APPROVED AND FILED DIEGO MORALES INDIANA SECRETARY OF STATE 01/31/2024 01:28 PM — 'ER V G PER50N INFORMATION — — - TITLE President NAME Jim Boyles ADDRESS 2833 S 11TH ST., NILES, MI, 49120, USA TITLE Secretary NAME Allison Swinehart ADDRESS 2833 S. 1lth Street, Niles, MI, 49120, USA TITLE CEO NAME Marvin L Selge JR. ADDRESS 2833 S. I Ith Street, Niles, MI, 49120, USA TITLE Vice President NAME Justin Butler ADDRESS 2833 S. I lth Street, Niles, MI, 49120, USA SIGNATURE IN WITNESS WHEREOF, THE UNDERSIGNED HEREBY VERIFIES, SUBJECT TO THE PENALTIES OF PERJURY, THAT THE STATEMENTS CONTAINED HEREIN ARE TRUE, THIS DAY January 31, 2024. THE UNDERSIGNED ACKNOWLEDGES THAT A PERSON COMMITS A CLASS A MISDEMEANOR BY SIGNING A DOCUMENT THAT THE PERSON KNOWS IS FALSE IN A MATERIAL RESPECT WITH THE INTENT THAT THE DOCUMENT BE DELIVERED TO THE SECRETARY OF STATE FOR FILING. SIGNATURE TITLE Allison Swinehart Secretary Business ID: 197203-307 Filing No.: 10197995 Page 3 Of 3 CertificateID:16556128_ Sop Conamx dm - a Capabffitics Md EMOOYW 5'21' At 5elge Coostinrctian we amp? ud co bepm of the Gbxi dw l abwAssom (CIA) Loral Union xa' Emopert of & CLA mm IDWU edc=r6arce drat tM gasre d=* WMS tra=g and pmvs& Pe°m lq tnd beefs m evuywc on fte ()w tla is com*cd of 75 iadVsdssds 0s adxa ==ben And (D bald paocm]} The teams is M&up o€taale, female, aadz imo&y memo The mmmv =P layw It Selge Cons9mfioa bat been %j& the =pg al fm 14 yeam . Each Pam' oa youxpaojectwk be p=p* dassi6 d as = employes Mau a8 VpUmble sftle- I fe 'll im gird lacer aadusm lbete wM gmt be any mpDcaty labosets om tu, projem sap isas never dekulad as a e wma tad we do not bid say wak dart we emnot comp cm BLu d as m mnwt setae&& and apbl des, ve VM utilw IVA Sege =pkyees sad cqu4mea fat Tm pnojat We do alit &=, at say in= btg stile to ooarzplete the pmlwt vWn die ed a Let dm ae be no doubt that S* CW& Wxdw tag n i dew C*opeet and taonaoea to camPlete dad vatic we on bidtding. SELGE CONSTRUCTION CO., INC. COMPLETED PROJECT DESCRIPTIONS Description: Gravity Sanitary Sewer Connection — Rolling Prairie Elementary School (749) — Owner: Rolling Prairie United School District. Installation of 8" Gravity Sewer for 40OLF and associated structures. $89,612.00. Completed: 2023. Description: Entrance Drainage Improvements (Potawatomi Zoo) (743) — Owner: Jones Petrie Rafmski. Retention Pond excavation for storm water runoff. $123,264.00. Completed: 2023. Description: Big & Tall Sewer Extension (736) — Owner: City of Elkhart. Installation of new grinder tank and 60OLF of 2" Low Pressure Sewer. $71,043.00. Completed: 2023. Description: Auten Road Watermain Replacement (733) — Owner: City of South Bend. Installation of new 12" Watermain 1,0001,17. $149,225.00. Completed: 2023. Description: Citywide Water Service Replacement — Zone 10 (718) — Owner: City of Benton Harbor. Complete replacement of approximately 400 new water services. Including 12000LF of Trenchless installation. All Landscape and Restoration. $2,825,901.00. Completed: 2023. Description: Northshore/Eastshore Collection System (708) — Owner: Turkey Creek Regional Sewer District. Installation of new gravity sewer system around lake. Installation of 10,000LF of 8" Gravity sewer and associated structures. 280OLF of 4-8-inch Force main. Installation of new pump stations and piping. All hard surface and restoration. $4,966,945.00. Completed: 2023. Description: CSO 18 Backwater Valve Replacement (707) — Owner: City of South Bend. Installation of new back water check valve in existing structure. $124,980.00. Completed: 2023. Description: Lift Station 51, 52, 53 (699) — Owner: New Buffalo Township. Complete replacement and installation of 3 new lift stations including wet well, valve vault, process and controls and all restoration. $960,541.00. Completed: 2023. Description: Lift Station Improvements, Contract B (698) — Owner: St. Joseph County Board of Public Works. Replacement of two lift stations complete. Including new wet wells, valve vaults and controls. 24 EA ARV replacements at misc. locations. $1,294,195.00. Completed: 2023. Description: WWTP, Contract A (697) — Owner: St. Joseph County Board of Public Works. Improvements to the Existing Wastewater Treatment Plant including Sludge Transfer Pump Replacement, Clarifier Improvements and Upgrades. $1,115,879.00. Completed: 2023. Description: SW Quadrant Roadway, Sewer & Watermain Extension (687) — Owner: Town of Middlebury. New Sanitary Sewer System and Lift Station including: 6300 LF of 8" Gravity Sewer, 78 EA Lateral Connections at the main. New Lift Station and Valve Vault and all appurtenances. Installation of approximately 3000 LF 6"-12" Watermain. Installation of 4000 LF of 12" -18" Storm Sewer and structures. 12,000 LF of Curb. All restoration and paving. $4,106,203.00. Completed: 2023. Description: LCRUD Lift Station Regional B Phase II, Contract B (683) — Owner: LaGrange County Regional Utility District. Complete Installation of 4 new lift stations. Including: Wet Wells, Valve Vaults, Generators, process piping and Controls. All Restoration and Hard surface included. $1,712,876.00. Completed: 2023. Description: LCRUD WWTP Region B Phase II, Contract A (682) — Owner: LaGrange County Regional Utility District. Wastewater Treatment Plant Improvement. Installation of Sludge dewatering Pad, Clarifier Equipment, UV Disinfection System, Aerobic Digesters, and all associated Piping. Included new treatment plant buildings. $3,298,975.00. Completed: 2023. Description: Studebaker Fountain Water Improvement (722) - Owner: City of South Bend. Installation of Water Service and Sanitary Lateral. Installation of new water softener and injection system for pump house. All Restoration and Hard surface. $150,913.00. Completed: 2022. Description: Johnson St Sewer Extension (721) - Owner: City of Elkhart. Installation of 1400LF +/- of 12" sanitary sewer and associated laterals. Including all grading, concrete flatwork, and complete restoration. $1,393,846.00. Completed: 2022. Description: JA Drive Node Repair (719) — Owner: City of Elkhart. Installation of new Riprap diversion in Elkhart River. $159,880.00. Completed: 2022. Description: Parking Lot & ADA Compliant Trail (717) — Owner: Indiana Dept. of Natural Resources. Installation of approximately 1,400LF of gravel pathway. $159,850.00. Completed: 2022. Description: 2021 Drainage Improvements - Kaley & Marion St (706) — Owner: City of South Bend. Installation of new drainage structures, new concrete curb, and asphalt re -surfacing. $246,810.00. Completed: 2022. Description: Laurel Woods Drainage Improvements (702) — Owner: City of South Bend. Excavation of existing retention pond and site storm system. $125,142.00. Completed: 2022. Description: South Main Streetscapes Project (694) — Owner: City of Elkhart. Installation of 2700 LF of 24" perforated storm sewer and all appurtenances. Installation of 36" sanitary sewer. Complete construction of new concrete sidewalks, driveways, and asphalt paving. $2,785,222.00. Completed: 2022. Description: Buchanan - Yellow Lake Project (692) — Owner: Buchanan Land, LLC. Complete construction of approximately 5 miles of gravel pathway through woods. $944,657.00. Completed: 2022. Description: Lift Station Replacement & Improvements (688) — Owner: Coloma Charter Township. Installation of 6 new lift stations, including SCADA system upgrades. $1,928,234.00. Completed: 2022. Description: Lakeside Sewer Relocation (674) — Owner: City of Laporte. Installation of 4500 LF of Low- pressure sewer and 38 grinder pumps. One complete lift station replacement. $1,637,111.00. Completed: 2022. Description: INDOT R41066A — Elkhart SR 19 Concrete Pavement (672) — Owner: Indiana Department of Transportation. 12" Concrete paving patching on State Highway. $2,172,788.00. Completed: 2022 Description: Contract 3 NE Section SS Improvements (669) — Owner: City of Benton Harbor. Complete Construction of new Roadways including Sanitary Sewer, Storm Sewer, Water Main, Concrete Curbs and Driveways. $4,554,745.00. Completed: 2022. Description: Park Shore Drive & East Street Improvements (668) — Owner: Village of Cassopolis. Drainage improvements and new road reconstruction. $731,154.00. Completed: 2022. Description: Colfax Lift Station (665) — Owner: City of South Bend. Installation of new Lift Station and all appurtenances. $449,064.00. Completed: 2022. Description: Crawford Park Connector Sewer (630) — Owner: City of Mishawaka. Complete Construction of new combined sewer overflow structures and river outflow. $4,031,520.00 Completed: 2022 Description: Cass Stone Lake Beach (659) — Owner: Village of Cassopolis. Complete Construction of new public beach, pier, and pavilion. Brick Paving and Concrete Walls. $2,487,844.00. Completed: 2021 Description: Cass Downtown Streetscapes (658) — Owner: Village of Cassopolis. Complete Reconstruction of Roadway. Including: Storm Sewer and Water Main, Brick Paving, and all appurtenances. $4,115,879.00. Completed: 2021 Description: Steuben Lakes — NED Phase 1 WW Collection System (610) — Owner: LaGrange County Regional Utility District. Installation of 120,000 LF of low-pressure sewer, 290 grinder pump units, 3 new lift stations and one upgrade to existing lift station. $10,144,631.00. Completed: 2021 Description: Buffalo Street Plaza (643) — Owner: City of Warsaw. Installation of helical piles to support deck, retaining walls, decorative concrete, site lighting, pavilion, and an interactive fountain. $2,129,833.00 Completed: 2021 Description: AEP Service Center (628) — Owner: E&L Construction. All site work, underground utilities, site concrete and asphalt pavement for new 35-acre AEP facility. $4,847,000.00 Completed 2021 Description: C-1 Lift Station (670) — Owner: Ontwa Township. Equipment upgrade & to existing lift station. $253,390.00 Completed: 2021 Description: Hills at St. Joe Farm & Curb (676) — Owner: The Village Development LLC. Complete construction of 2,000 LF of new roadway including sanitary sewer, storm sewer and water main. $855,000.00 Completed: 2021 Description: Lift Station & Manhole Improvements (677) — Owner: Village of Martin. Rehabilitation of 2 existing sanitary lift stations. $398,008.00 Completed: 2021 Description: Hills Residential Development Lift Station (681) — Owner: The Village Development LLC. Installation of new sanitary lift station and 9,200 LF of forcemain. $758,650.00 Completed: 2021 Description: Goshen Pond Dam Improvements (701) — Owner: Elkhart County Park & Recreation Board. Removal and replacement of existing toe drain at the base of dam. $162,750.00 Completed: 2021 Description: Ironworks Dev Utilities Phase II (589) — Owner: City of Mishawaka. New sanitary sewer, water main and storm sewer for development at the Ironworks site. $536,041.00 Completed: 2021 Description: Home Street Lift Station (617) — Owner: City of Mishawaka. Removal and replacement of sanitary lift station. $319,952.00 Completed: 2021 Description: Burns Building Utility Extension (632) — Owner: City of South Bend. Extension of sanitary sewer and water main to a new convenience store. $548,626.00 Completed: 2021 Description: St. Joe River Backwater Valve Replacement (642) — Owner: City of South Bend. Installation of 2 new 36" backwater valve and 1 new 42" backwater valve. $105,063.00 Completed: 2021 Description: LCRUD Contract C Regional B Wastewater Treatment Plant Improvements (645) — Owner: LaGrange County Regional Utility District. Construction of two new buildings, installation of new blowers and all associated yard piping to connect to existing equipment. $1,230,212.00 Completed: 2021 Description: CS03 Backwater Valve Repair (652) — Owner: City of South Bend. Removal and replacement of existing sanitary lift station. $109,925.00 Completed: 2021 Description: Dawn Estates Lift Station Replacement (662) — Owner: Town of Middlebury. Removal and replacement of existing sanitary lift station. $288,491.00 Completed: 2021 Description: Lift Station 12 Replacement (667) — Owner: City of Elkhart. Removal and replacement of existing sanitary lift station. $219,474.00 Completed: 2021 Description: Water System Improvements Colfax & Messner (693) — Owner: Benton Charter Township. Installation of 1,600 LF of water main and restoration including concrete pavement. $486,924.00 Completed: 2021 Description: Rock Run Sewer Improvement C (649) — Owner: City of Goshen. Installation of 2,500 LF of 24" & 42" sanitary sewer, concrete siphon chambers and associated restoration. $1,746,290.00 Completed: 2021 Description: East Goshen Water Main Replacement (664) — Owner: City of Goshen. Installation of 4,000 LF of water main, 50 water services and associated street repairs. $1,148,484.00 Completed: 2021 Description: JA Drive & Lexington Streetscapes (629) — Owner: City of Elkhart. Complete reconstruction of the streets including new underground utilities, decorative sidewalk and new streetlights. $1,987,254.00 Completed: 2020 Description: Wawasee Conklin Bay Trail (633) — Owner: Syracuse-Wawasee Park Foundation. Installation of 1,700 LF of boardwalk and 2,500 LF of 10 concrete pathways. $2,254,710.00 Completed: 2020 Description: CR 46 RR Crossing SS Repair (638) — Owner: New Paris Conservancy District. Installation of sanitary sewer beneath the railroad crossing. $248,929.00 Completed: 2020 Description: Laurel Road Trail Construction (639) — Owner: City of South Bend. Installation of concrete pathway. $120,352.75 Completed: 2020 Description: 2020 Concrete Repair (640) — Owner: City of Goshen. Removal and replacement of concrete pavement patches at various locations in Goshen. $905,050.00 Completed: 2020 Description: Brandywine High School Tennis Courts (646) — Owner: Brandywine Community Schools. Installation of new tennis courts including all site work. $500,000.00 Completed: 2020 Description: Press Ganey Concrete Replacement (647) — Owner: PAI Properties, LLC. Removal of existing parking lot and replacement with concrete pavement. $223,000.00 Completed: 2020 Description: Hydrant Replacement (648) — Owner: City of South Bend. Removal and relocation of 6 fire hydrants. $62,727.00 Completed: 2020 Description: Prairie Creek Run Phase II Water Services (656) — Owner: Elkhart Highway Dept. Installation of 13 new water services. $173,678.00 Completed: 2020 Description: Steuben Lakes Pump 1 (660) — Owner: Steuben Lakes Regional Waste District. Installation of new lift station and associated bypass pumping. $185,550.00 Completed: 2020 Description: Zigler/Filbert Street Improvements (663) — Owner: Town of New Carlisle. Installation of new water main, storm sewers and road reconstruction. $753,811.00 Completed: 2020 Description: 117 Jackson Avenue (671) — Owner: City of Elkhart. Remove and replace existing manhole. $38,174.00 Completed: 2020 Description: Jackson Boulevard Streetscapes (587) — Owner: City of Elkhart. Remove and reconstruct the entire area including sewers, concrete, curbs, brick work. $5,237,724.00 Completed: 2020 Description: Region C — Wastewater Project — Contract A -Wastewater Treatment Plant (598) — Owner: LaGrange County Regional Utility District. Erection of 1800 square foot maintenance building and 1800 square foot blower/headworks building. Installation of 0.200 MGD extended aeration activated sludge process with aerobic sludge digestion. Main pump station, cast in place concrete tankage, UV disinfection, post aeration and effluent meter. $4,644,845.00 Completed: 2020 Description: Carriage Hills Sanitary Sewer Extension (625) — Owner: St. Joseph County Regional Water and Sewer District. Installation of 15,500 LF of sanitary sewer main and laterals for the Carriage Hills Subdivision. $2,188,635 Completed: 2020 Description: The Mill At Ironworks, Mishawaka, IN (571) — Owner: F&H Mishawaka Development, LLC. Subcontracted by Flaherty & Collins to complete demolition and removal of paving, site clearing and rough grading. Installation of Water, Sanitary Sewer and Storm Drainage. $1,413,067.00 Completed: 2019 Description: Ironworks Development Area Utility Design — Phase II (589) — Owner: City of Mishawaka. Installation of approximately 700 feet of storm sewer and structures, 825 feet of sanitary sewer 7 On -The -job Training MENU e HOME HELP CONTACT Welcome ALLISON SWINEHART Home / Partnership Agreements Partnership Agreements Finn Name: Selge Construction Co., Inc. Year: 2024 Training Program: OJT Program & Partnership-6greement•pd Step 1: Determine Total Number of Hours worked in High way construction trades on INDOT federal -aid contracts(either as prime contractor or sub contractor during the past three years. Do not include hours worked on state -funded and private work.) Hours Worked During 2021 Hours 2022 Hours 2023 Hours Total 403 12 12 Step 2: Add the total number of hours from each year and divide it by three (3): 403 12 12 427 142 + + - 13 = 2021 2022 2023 Average Hours Step 3: Multiply the "Average Hours" by five percent (5% 142 5% 7 2024 Training Average Hours Goal Approved Training Program: 1 hereby agree all the terms and conditions contained herein and affirm ` under penalty and the prejury that the information srwcd aoove is true and accurate. Prepared on 1/15/2024 11:28:43 AM by SWINEHART, ALLISON Approved on 1/31/2024 9:15:52 AM by Daniels, Kathryn " Fields with this color background are required Indiana Department of Transportation Version:1.0.0 1/1 U. S. Department of Labor Office of Apprenticeship Emolovment & Training Administrath Date: March 29, 2024 From: Michiko D. Alvarenga Apprenticeship Training Representative Office of Apprenticeship Subject: Program Verification To: Bruce Dickie Selge Construction Company, Inc. 2833 South 11 th Street Niles, MI 49120 9 Thank you for participating in the National Apprenticeship Program. You have been registered with the US Department of Labor, Office of Apprenticeship since 2009. Your program has two occupations registered, Construction Craft Laborer and Heavy Construction Equipment Operator. Only one occupation has active apprentices registered with the US DOL and utilize NCCER as the RTI Provider. Thank you again for your participation in Registered Apprenticeship with the US Department of Labor, Office of Apprenticeship. If I can provide additional information or service, please feel free to contact me. Sincerely, Michiko D. Alvarenga Apprenticeship Training Representative U.S. Department of Labor Office of Apprenticeship 517-302-6398 — Cell Alvarenga.michiko.d@dol.gov US DOL/ OA APPRENTICESHIPUSA I I N Cell: (517) 302-6398 315 W. Allegan St. RM 210 T�M- i�Mr~o Alvarenga.michiko.d@dol.gov Lansing, MI 48933 �k 40 i�--►66 CONSENT RESOLUTIONS OF THE SHAREHOLDERS AND DIRECTORS OF SELGE CONSTRUCTION CO., INC. The Shareholders and Board of Directors of Selge Construction Co., Inc., a Michigan corporation, take the following actions pursuant to Section 407 and Section 525 of the Michigan Business Corporation Act: Financial Statement The financial statements have been reviewed by all shareholders and officers and approved as presented. 2. Board of Directors The following persons were elected to serve as directors of the Corporation until the next annual shareholders meeting or until their successors are elected and take office: Marvin L. Selge, Jr. 3. Officers The following person shall hold the offices set forth opposite their names until their successors are elected and shall qualify: Name James Boyles Justin E. Butler Allison Swinehart Marvin L. Selge, Jr. Office President Vice President Secretary Treasurer 4. Authorization to Sign Construction Documents The President, James Boyles, the Vice President, Justin E. Butler, the Treasurer, Marvin L. Selge, Jr., the Secretary, Allison Swinehart, and the Project Managers, Robert P. Kuhns, Robert S. Riley, Christian Baybutt, Ronald J. White, Jr., Thomas A. Lentz, Mathew Huss, Andrew Boyles and Kyle Silveus are all authorized to sign construction documents on behalf of the Corporation. The signature of the President, the Vice President, the Treasurer, the Secretary, or the Project Manager shall be sufficient to bind the Corporation as to any construction documents submitted. Ratification of Past Acts The Shareholders and Directors hereby ratify and reaffirm all corporate actions of the officers and directors of the Corporation taken between the date of the last meeting and the date of this Resolution. 6. Authorization The officers of the Corporation are authorized and empowered for and on behalf of the Corporation to do any and all acts and things and execute any and all additional instruments, papers or documents that may be or become necessary, desirable, or appropriate to carry out, put into effect, and make operative any portion of portions of these Resolutions. DATED: September 1, 2021 "Shareholders" MA4qN L. SIMGE, JR-44 WqL' . fj - j ,n §ftPhANIE ANN BUTLER ., IM--leo n' "Director" 2 f 9 BARBARA S. ELGE ST1N E. BUTLER CERTE IED RESOLUTION I, ALLISON SWINEHART, hereby cextit that I am the duly elected and acting Secretary of SELGE CONSTRUCTION CO., INC., a Michigan corporation, and that the following resolution was duly adopted by unanimous consent of the Shareholders and Directors of said Corporation, on September 1, 2021, and that said resolution is in full force and effect: Board of Directors. The following person was elected to serve as director of the Corporation until the next annual shareholders meeting or until their successors are elected and take office: Marvin L. Selge, Jr. 2. Officers. The following persons shall hold the offices set forth opposite their names until their successors are elected and shall qualify: Name James Boyles Justin E. Butler Allison Swinehart Marvin L. Selge, Jr. Office President Vice President Secretary Treasurer IN WITNESS WHEREOF, I have signed this Certified Resolution this 1 st day of September, 2021. on) f.A+ ALLISON SWINEHART 3 STATE OF INDIANA OFFICE OF THE SECRETARY OF STATE CERTIFICATE OF AUTHORIZATION To Whom These Presents Come, Greetings: I, TODD ROKITA, 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 proper official to execute this certificate. I further certify that records of this office disclose that SELGE CONSTRUCTION CO INC duly filed the requisite documents to commence business activities under the laws of State of Indiana on March 15, 1972, and was in existence or authorized to transact business in the State of Indiana on February 10, 2010. I further certify this For -Profit Foreign 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. 10- ;P 14R � 1a4$ In Witness Whereof, I have hereunto set my hand and affixed the seal of the State of Indiana, at the city of Indianapolis, this Tenth Day of February, 2010. TODD ROKITA, Secretary of State 197203-307 / 2010021072953 OW "Nt II+i � f114 e1 `' Terfirwate of lQuatirumfilm ISSUED BY X owl nbtana Befrahnnd Jar Tr=S;T=rWivn INDIANAPOLIS, IN August 25, 2023 TO SELGE CONSTRUCTION CO., INC. NILES, MI who has Filed with the Gepartment a Contractor's Statement of Experience and Financial Condition as required under Indiana Code 8-23-10, is hereby qualified to laid at any Department of Transportation letting In Classes of Work and within the amount and other limitation of each classification as listed below. For such period as the uncompleted work on hand from all sources does not exceed theAggregate amount Classification references by name or symbol are in accordance with the definitions In the Contractor's Statement of Experienceand Financial Condition_ This certificate supersedes any certificate previously issued_ but is subject to revision or revocation according to the law, if and when changes in the financial condition of the contracting firm or other facts justify such revision or revocation. Valid August 23, 2023 Thru June 30, 2024 Aggregate Bidding Capacity: 98,465,000.( 0112 TRENCHLESS PIPE INSTALLATION ........... 1—................. ---- --------- — ..................... —........ $90,000,000.00 0188 FORCE MAINS AND LIFT STATIONS ....... ................. ..............----- ............. ....................... $90,000,000.00 0290 SEWER AND PIPE CLEANING AND LINING .......... --- ...... —.......... ......-1...................... . $90,000,000.00 A(B) CONCRETE PAVEMENT: LIMITED................................................................................... $20,000,000.00 C(A) HEAVY GRADING.............................................................................................................. $90,000,000.00 E(E) SMALL STRUCTURES AND DRAINAGE ITEMS .................. —.......................................... $90,000,000.00 E(F) SURFACE MASONRY AND MISCELLANEOUS CONCRETE ................. — ...... :....:........... $20,000,000.00 E(H) DEEP SEWER AND/OR EXCAVATION............................................................................. $90,000,000.00 E(T) DEMOLITION ...................... $20,000,000.00 '�4 PRECIUALIFICATION ENGINEER COMMISWONER •,';I S1M. Form 2DSW (R3 !' S-tv) fie 1i+1li +itI I00Y OHIO +ilill HtNr ifl t4 l+llil (Irin �I{113 li+l+l 'II�IN l+r1ll 1111j+ +11111 1+r=-r- Iii1+N II�pH Iflill4 +.IFI{I +lil+il lu+ ij{{IN IF+IrlI iulll+ Iflsil+ 4141U +IIIHI HH�II IIH?H Milli• +IIiV++ 14• 'fl4{• Il�j I�H �3 IIY I►I •1114• ■ .F+I�• N.{II 411.11 y lilt' ■ 'iHli n•,Rj H11• �'j .In ��+ yYN ��� �I><I� t�j ,lil, �� IH1� ��� ,hlr, ���. r�+f;.I. HI�'��7�.-�il. ,�� I�f�. ��� 1.fn �■� :�I. a�'j i���i yi■�,y. �f�%v BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date: 03-29-2024 Name: Jacob M. Klosinski Department of Public Works — Engineering Division BPW Date: 04-09-2024 Phone Extension: 9496 Required Prior to Submittal to Board BPW Attorney X Attorney Name Michael Schmidt Dept. Attorney ® Attorney Name Michael Schmidt Purchasing ® Mickey Low / Ron O'Connor 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 n Other: n Ease./Encroach Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Information ❑ Yes❑ If Yes, Approved by Purchasing ❑ No ❑❑ WBE Completed E-Verify Form Attached ❑❑ Nos Fellows Booster Pump Station — Contract B (Yard Piping and Installation) 121-070B / PROJ00000032 State Revolving Fund & Water Capital Fund 622 PR/PO # Special Contract Provisions Indiana Finance Authority Special Provisions and MWBE Goals Purpose/Description Public Works, the Division of Engineering and Division of Water Works requests the Board of Public Works receive and open Public Bids for the Project 121-070B Fellows Booster Pump Station — Contract B (Yard Piping and Installation) at its regular meeting on 04/09/2024. Amount of Previous Amount ❑ Increase ❑ Decrease Current Percent of Change New Amount Total Percent of Change: Time Extension Amount: New Comnletion Date: For Change Orders Increase % Decrease ( %) Increase % Decrease ( %)