HomeMy WebLinkAboutOpening of Bids - Demolition of South Bend Medical Foundation Proj No. 123-076 - Green DemolitionCCU d y«.
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CITY OF SOUTH BEND, INDIANA gig-
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS
Project Name Demolition of the South Bend Medical Foundation, 531 N. Main Street,
South Bend, IN
Project No. 123-076
For Bids Due 14 May 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 Bond.
Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely
executed.
Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments
with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and
Certification of use of United States Steel Products or Foundry Products.
Proof of M/WBE Utilization Plans [MBE-1.0 and WBE-1.0]. Also provide Evidence of Good
Faith Efforts Forms [MBE-2.0 and WBE-2.0] and M/WBE Contacted Forms [MBE-2.1 and
X_ WBE-2.1 ].
X Acknowledge Receipt of 4 Addendum(s) included with the bid.
All required additional information is included with the bid.
Proposal statements and other affidavits all signed by the proper party with name either
printed or typed underneath signature.
X This checklist submitted with the Bid.
This checklist is provided for bidder's use in assuring compliance with required
documentation; however, it does not include all specifications requirements and does not
relieve the bidder of the need to read and comply with the specifications.
Bidder: Green Demolition Contractors, Inc. Date: 5/28/2024
By Authorized Representative:
Signature:
Print Name & Title: Michael Brough, President
Version 07/19/2023 Contractor's Bid for Public Works - 1
THE CINCINNATI INSURANCE COMPANY
CONTRACTOR (Name, legal status and address):
Green Demolition Contractors, Inc.
315 Brighton St, Suite 1
La Porte, IN 46350
SURETY (Name, legal status and principal place of business):
THE CINCINNATI INSURANCE COMPANY
6200 S. GILMORE ROAD
FAIRFIELD, OHIO 45014-5141
OWNER (Name, legal status and address):
This document has important legal
City of South Bend Indiana - Board of Public Works
consequences, Consultation with
227 Jefferson Blvd - County -City Building Room 1316
an attorney is encouraged with
respect to its completion or
South Bend, IN 46601
modification.
BOND AMOUNT:
Any singular reference to
5% of Total Bid Amount
Contractor, Surety, Owner or
other party shalt be considered
plural where applicable.
PROJECT (Name, location or address, and Project number, if any):
Demolition. Demolition of the South Bend Medical Foundation
Project Number, if any
531 N. Main Street, South Bend, IN
123-076
The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the
Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and
severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the
Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the
Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the
terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with
a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful
performance of such Contract and for the prompt payment of labor and material furnished in the prosecution
thereof; or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount
specified in said bid and such larger amount for which the Owner may in good faith contract with another party
to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full
force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to
extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any
extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid
documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond the sixty (60)
days.
If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond
shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor.
When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the
Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted
herefrom and provision$ conforming to such statutory or other legal requirements shall be deemed incorporated
herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a
common law bond.
Signed and sealed this �� day of 0.4yt, ,lax c�
(Witness)
Green Demolition Contractors, Inc.
'n ipal) (Seal)
chael Brough - President
THE C NCINNATI INSURANCE COMPANY.
David S. Parrilli - Attorney-in-F-�ct =
The Company executing this bond vouches that this document conforms to American Institute of Architects Document A310, 201Q-Hdiiinn.
S-2000-AIA (11110) PUBLIC
THE CINCINNATI INSURANCE COMPANY
THE CINCINNATI CASUALTY COMPANY
Fairfield, Ohio
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That THE CINCINNATI INSURANCE COMPANY and THE CINCINNATI CASUALTY
COMPANY, corporations organized under the laws of the State of Ohio, and having their principal offices In the City of Fairfield, Ohio
(herein collectively called the 'Companies'), do hereby constitute and appoint
David L. Jennings; Amy C. Homer; Donald Petterson; Philip C. Reimer; Susan M. Preissing; Robert H. Walker; Doug O'Neill;
George F. Manikas, Jr. and/or David S. Parrilli
of Chicago, Illinois their true and legal Attorney(s)-in-Fact, each in their separate capacity if more than one is named
above, to sign, execute, seal and deliver on behalf of the Companies as Surety, any and all bonds, policies, undertakings or other like
instruments, as follows: Any such obligations in the United States, up to
Twenty, Million and No/100 Dollars ($20,000,000.00).
This appointment is made under and by authonty of the following resolutions adopted by the Boards of Directors of The Cincinnati
Insurance Company and The Cincinnati Casualty Company, which resolutions are now in full force and effect, reading as follows:
RESOLVED, that the President or any Vice President be hereby authorized, and empowered to appointAttomeys-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 Attomeys-in-Fact shall be binding upon the
Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company.
RESOLVED, that the signature of the President or a Vice President and the seal of the Company may be affixed by facsimile on
any power of attorney granted, and the signature of the Secretary and the Seal -of the Company may be affixed by facsimile to
any certificate of any such power and any such power of certificate bearing such facsimile signature and seal shall be valid and
binding on the Company. Any such power so executed and sealed and certified by -certificate so executed and sealed shall, with
respect to any bond or undertaking to which it is attached, continue to be valid and binding on the Company.
IN WITNESS WHEREOF, the Companies have caused these presents to be sealed with their corporate seals, duly attested by their
President or a Senior Vice President this 19th day of December, 2018.
�aW.r., e
rSEAL" vOHIO
STATE OF OHIO )SS:
COUNTY OF BUTLER }
THE CINCINNATI INSURANCE COMPANY
THE CINCINNATI CASUALTY COMPANY
On this 19th day of December, 2018 before me came the above -named President or Vice President of The Cincinnati insurance Com-
pany and The Cincinnati Casualty Company, to me personally known to be the officer described herein, and acknowledged that the seals
affixed to the preceding instrument are the corporate seals of said Companies and the corporate seals and the signature of the officer
were duly affixed and subscribed to said instrument by the authority and direction of sa* corporations.
A
''�„su6t044'.
°0"" 1& 1 A L s.'••.
Keith Co*, Attorney at Law
Notary,Public — State of Ohio
My commission has no expiration date.
Section 147.03 O.R.C.
I, the undersigned Secretary or Assistant Secretary of The Cincinnati Insurance Company and The Cincinnati Casualty Company, hereby
certify that the above is the Original Power of Attorney issued by said Companies, and do hereby further certlfy_tfiat'the said -Power 6f-
Attorney is still in full force and effect. _
Given under my hand and seal of said Companies at Fairfield, Ohio, this ..,17day of
��1N4rVr e
CORPORATE OHIO
BN-1457 (4/19)
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name Demolition -of the South Bend Medical Foundation, 631 N. Main Street, South
Bend, IN
Project No. 123-076
For Bids Due 14 May 2024
PART I
(Must be completed for all bids. Please type or print)
Date: May 13, 2024 Bidder (Firm): Green Demolition Contractors, Inc.
Address:
City/State/Zip: LaPorte, IN 46350 Telephone Number: ( 219 ) 879-5311
Agent of Bidder (if Applicable): Michael Brough
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
Demolition of the South Bend Medical Foundation building and site as described in the documents
and exhibits.
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
American Structurepoint, Inc.
and dated 4/12/2024
for the sum of (enter the Total Bid as shown on the Proposal)
Two Million, Three Hundred Ninety Eight Thousand, Eight Hundred Eighty and 80/100 ($ 2,398,880.80 )
(Enter sum of Total Base Bid plus Alternates shown on Proposal) (Numerical)
The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified
in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in
accordance with the notice. Any addendums attached will be specifically referenced at the applicable
page.
If additional units of material included in the contract are needed, the cost of units must be the same as
that shown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a
unit basis, the itemization of the units shall be shown on a separate attachment.
The above bid is accepted this
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Elizabeth A. Maradik, President
Gary A. Gilot, Member
By 9�
(Signature)
Michael Brough
(Printed Name of Person Signing)
ACCEPTANCE
day of May 20
Joseph R. Molnar, Vice President
Briana N. Micou, Member
Version 07/19/2023 Contractor's Bid for Public Works - 3
Murray L. Miller, Member Attest: Theresa Heffner, Clerk
PART II
(For projects of $100,000 or more — IC 36-1-12-4)
These statements to be submitted under oath by each bidder with and as part of his/her/its bid.
Attach additional pages for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
1. Attach information regarding projects your organization has completed for the period of one
(1) year prior to the date of the current bid.
2. Attach a listing of public works projects currently in process of construction by your
organization.
3. Attach information regarding any failure to complete any work awarded to you and the
location thereof.
4. Attach references from private firms for which you have performed work.
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
1. Attach an explanation of your plan or layout for performing proposed work. (Examples could
include a narrative of when you could begin work, complete the project, number of workers,
etc. and any other information which you believe would enable the City of South Bend to
consider your bid.)
2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms
outside your own firm who have performed part of the work) that you have used on public
works projects during the past five (5) years along with a brief description of the work done
by each subcontractor.
3. If you intend to sublet any portion of the work, attach the name and address of each
subcontractor, equipment to be used by the subcontractor, and whether you will require a
bond. However, if you are unable to currently provide a listing, please understand a listing
must be provided prior to contract approval. Until the completion of the proposed project,
you are under a continuing obligation to immediately notify the City of South Bend in the
event that you subsequently determine that you will use a subcontractor on the proposed
project.
4. Attach a listing of equipment you have available to use for the proposed project.
5. Have you entered into contracts or received offers for all materials which substantiate the
prices used in preparing your proposal? If not, attach an explanation for the rationale used
which would corroborate the prices listed.
SECTION III CONTRACTOR'S FINANCIAL STATEMENT
Attachment of bidder's financial statement is mandatory. Any bid submitted without said
financial statement as required by statute shall thereby be rendered invalid. The financial
Version 07/19/2023 Contractor's Bid for Public Works - 4
statement provided hereunder to the City of South Bend awarding the contract must be specific
enough in detail so that said City of South Bend can make a proper determination of the
bidder's capability for completing the project if awarded.
Version 07/19/2023 Contractor's Bid for Public Works - 5
Project Name:
Project Number.
For Bids Cue:
Contractor Now
BASE BID
Demolition of the South Bend Medical Foundation ....................
123476
Slay 2024
Green Demolition Contractors Inc.
Item
Description
Quantity
Unit
Unit Price
Total Amount
Demolition of the South Bend Medical
1
Foundation building and site as
1
LSUM
$2,298,880.80
described In the documents and
exhibits.
2
Allowance tor- unforeseen Hazardous
1
LSUM
$100,000
$100,000
Materials not including Asbestos
BASE BID TOTAL $2,398,880.80
Bidder (Firm): Green Demolition Contractors Inc.
Address: 315 Brighton Street
CitY tatPRip: LaPorte, IN 46350 Telephone Number: (219 ) 379-5311
tic
(stnature)
Michael Brough, President
(Printed Name of Person 8ignin8)
When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit.
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION
REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON-
DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL
PRODUCTS OR FOUNDRY PRODUCTS
(Must be completed for all quotes and bids. Please type or print)
STATE OF Indiana )
) SS:
LaPorte COUNTY )
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury
that:
1. Contractor has not, nor has any other member, representative, or agent of the firm, company,
corporation or partnership represented by him, entered into any combination, collusion or agreement with
any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding
nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid
and without any agreement, understanding or combination with any other person in reference to such
bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive
directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and
2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals
are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded
from participation in this transaction by any Federal department or agency; and
3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in
investment activities in Iran.
a. For purposes of this Certification, "Iran" means the government of Iran and any
agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5,
as amended from time -to -time.
b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor
is engaged in investment activities in Iran if either:
i. Contractor, its successor or its affiliate, provides goods or services of twenty
million dollars ($20,000,000) or more in value in the energy sector of Iran;
or
ii. Contractor, its successor or its affiliate, is a financial institution that extends
twenty million dollars ($20,000,000) or more in credit to another person for
forty-five (45) days or more, if that person will (i) use the credit to provides
goods and services in the energy sector in Iran; and (ii) at the time the
financial institution extends credit, is a person identified on list published by
the Indiana Department of Administration.
4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any
employee or contract with a person that the Contractor subsequently learns is an unauthorized alien.
Version 07/19/2023 Contractor's Bid for Public Works - 6
Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's
newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's
documentation of enrollment and participation in the E-Verify Program is included and attached as part of
this bid/quote; and
5. Contractor shall require his/her/its subcontractors performing work under this public contract to
certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain
any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien,
and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor
agrees to maintain this certification throughout the term of the contract with the City of South Bend, and
understands that the City may terminate the contract for default if the Contractor fails to cure a breach of
this provision no later than thirty (30) days after being notified by the City.
6. Persons, firms, partnerships, corporations, associations, or joint venturers awarded a contract by
the City of South Bend through its agencies, boards, or commissions shall not discriminate against any
employee or applicant for employment in the performance of a City contract with respect to hire, tenure,
terns, 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
Version 07/19/2023 Contractor's Bid for Public Works - 7
violations hereunder may result in forfeiture of contractual payments.
I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid
for public works are true and correct.
Dated thistwe� iahtiglay of May , 2024
Subscribed and sworn to before me this 28th
My Commission Expires
County of Residence
Green Demolition Contractors, Inc.
Contractor/Bidder (Firm)
Signature of Contractor/Bidder or Its Agent
Michael Brough, President
Printed Name and Title
day of 1
r
• • ,
s��ryiY ore,, IQmberly Martin
Notary Pubic. SWe of h►c�e
SEAL o LaPorte County
.r� commission Number k 4470190
s�p�p CtAN�o+'� ml Commission Exiires
.�.,M •01/1812028
Version 07/19/2023 Contractor's Bid for Public Works - 8
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.
***Goals should be calculated based on the Base Bid only.***
Project Number:
Bidder:
123-076
Demolition of the South Bend Medical Foundation, 531 N. Main Street, South
Project Name: Bend, IN
Green Demolition Contractors, Inc. Total Bid Amount:
WBE Goal: 4.7%
Page 2 of 2
Name & Address of WBE
Primary Contact Person
(Name/Telephone)
Scope of Work to be Performed
(Attach scope/schedule if you need additional space)
Dollar Amount of WBE
Component
Percentage
of Total
Bid/Proposal
San Corporation
1112 East Summit St
Crown Point, Indiana
46307
Sandra Smith
219-299-6830
Trucking & Hauling
$119,944.04
5%
Submitted by: Michael Brough May 28, 2024
Print Name Signature Date
***Goals should be calculated based on the Base Bid only.***
Version 07/19/2023 Contractor's Bid for Public Works -11
CITY OF SOUTH BEND
f
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE-1.0
MBE UTILIZATION PLAN
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE participation. It is
the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications.
***Goals should be calculated based on the Base Bid only.***
Project Number:
Bidder:
123-076
Demolition of the South Bend Medical Foundation, 531 N. Main Street, South
Project Name: Bend, IN
Green Demolition Contractors, Inc. Total Bid Amount:
MBE Goal: 1.4%
Page 1 of 2
Name & Address of MBE
Primary Contact Person
(Name/relephone)
Scope of Work to be Performed
(Attach scope/schedule if you need additional space)
Dollar Amount of MBE
Component
Percentage
of Total
Bid/Proposal]
1 st Class Logistics
2213 Saint Charles
South Bend, IN
Bernard Coutee
574-993-0071
Trucking & Hauling
$59,972.02
2.5%
Submitted by: Michael Brough 5/28/2024
Print Name Signature Date
***Goals should be calculated based on the Base Bid only.***
Version 07/19/2023 Contractor's Bid for Public Works -10
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS _..W_.
This completed form should be included as part of the Bids documents related to City of South Bend Public
Works Projects requiring Good Faith Efforts to obtain MBE participation.
Project Number: 123-076 Date:
Project Name:
Bidder:
Contact Person:
Demolition of the South Bend Medical Foundation, 631 N. Main Street,
South Bend, IN
Green Demolition Contractors Inc.
Telephone: (219) 379-5311
Address: 315 Brighton Street
City. LaPorte State: IN Zip: 46350
Email: mike@greendemolitioninc.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*:
Michael Brough
EVIDENCE OF GOOD FAITH EFFORTS
MBE LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business
Enterprise Inclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the
Indiana Department of Administration list of Minority and Women Owned Businesses (both certified and
non -certified) found at: hftp://www.in.gov/idoa/.
GOOD FAITH EFFORTS TO OBTAIN MBE PARTICIPATION
The bidder shall initial each item below, as evidence of its good faith efforts to obtain MBE
participation in the awarded contract.
MB
I affirm that I reviewed the City of South Bend's Minority and Women Business
Enterprise Inclusion Program Plan and the Indiana Department of Administration's
certified list of Indiana Minority and Women Business Enterprises, found on their website
(hftp://www.in.gov/idoa).
I affirm that I have made good faith efforts to select portions of the contract work to be
MB
performed by MWBEs, including, where appropriate, breaking out contract work items
into economically feasible units to facilitate MBE participation.
I affirm that I have made good faith efforts to solicit through all reasonable and available
MB
means the interest of all MBEs in the scopes of work of the contract.
I affirm that I attended all pre -bid meetings scheduled by the City of South Bend to
MB
inform MBEs of contracting and subcontracting opportunities.
I affirm that I advertised in general circulation and/or trade association publications
MB
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
MB
manner reasonably calculated to inform MBEs of subcontracting opportunities and
allowed sufficient time for MBEs to participate effectively.
MB
I affirm that I followed up on initial solicitations with interested MBEs.
I affirm that I negotiated with interested MBEs in good faith, including providing such
MB
MBEs with adequate information about the plans, specifications and other requirements
of the subcontract.
I affirm that I have made good faith efforts to assist interested MBEs in obtaining
bonding, lines of credit, or insurance as required by the City or the bidder, where
MB
appropriate.
Version 07/19/2023 Contractor's Bid for Public Works - 12
UTH "
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
MB
necessary equipment, supplies, materials, or related assistances or services, where
appropriate.
MB
I affirm that I did not reject any MBEs as unqualified without sound business reasons
based on a thorough investigation of their capabilities.
CONTRACT RECORDS: The bidder has maintained the following records for each MBE that has bid
on the subcontracting opportunity:
1. Name, address, and telephone number;
2. A description of information provided by the bidder or subcontractor; and
3. A statement of whether an agreement was reached, and if not, why not, including any reasons for
concluding that the MBE was unqualified to perform the job.
*Proper demonstration of Good Faith Efforts requires your initials next to all of the above boxes. Any
omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of
South Bend reserves the right to request additional information.
Version 07/19/2023 Contractor's Bid for Public Works - 13
CITY OF SOUTH BEND n
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE-2.1 r
WBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring Good Faith Efforts to contact WBEs. It is the bidder's sole responsibility to verify whether any
listed woman -owned business meets the WBE qualifications. Attach additional pages if necessary.
PAGE OF
Project Number: 123-076 WBE Participation Goal 4.7%
Demolition of the South Bend Medical Foundation, 531 N. Main Street, South
Project Name: Bend, IN
Bidder: Green Demolition Contractors Inc.
By. President May 28, 2024
(Signat (Title) (Date)
WBE Firm San Corporation
Owner or Contact at WBE Firm Sandra Smith
Telephone: (219) 299-6830 Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Trucking and Hauling
RESULTS OF CONTACT WITH THE WBE FIRM:
Agree to Participate in the Project
WBE Firm
Owner or Contact at WBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE WBE FIRM:
Version 07/19/2023 Contractor's Bid for Public Works - 17
Tit
4 N
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN rR; tom:
FORM MBE-2.1
MBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring Good Faith Efforts to contact MBEs. It is the bidder's sole responsibility to verify whether any listed
minority -owned business meets the MBE qualifications. Attach additional pages if necessary.
PAGE OF
Project Number: 123-076 MBE Participation Goal 1.4%
Demolition of the South Bend Medical Foundation, 531 N. Main Street, South
Project Name: Bend, IN
Bidder: Green Demolition Contractors, Inc.
By: President 5/13/2024
(Signature) (Title) (Date)
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:
MBE Firm 1st Class Logistics
Owner or Contact at MBE Firm Bernard Coutee
Telephone: 574-933-0071 Fax: N/A Email: 1 stclasslogistics2013 0-gmail.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Trucking & Hauling
RESULTS OF CONTACT WITH THE MBE FIRM:
Agreed to Participate in Project
Version 07/19/2023 Contractor's Bid for Public Works - 16
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM WBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
This completed form should be included as part of the Bids documents related to City of South Bend Public
Works Projects requiring Good Faith Efforts to obtain MWBE participation.
Project Number: 123-076 Date:
Demolition of the South Bend Medical Foundation, 531 N. Main Street,
Project Name: South Bend, IN
Bidder: Green Demolition Contractors, Inc.
Contact Person: Michael Brough Telephone: 219-379-5311
Address: 315 Brighton St. Suite 1
City: LaPorte State: IN Zip: 46350
Email: estimating(Mgreendemolitioninc.com
To determine whether a bidder has demonstrated good faith efforts to reach the WBE utilization goals set forth in
the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions,
REQUIRE ALL of the following Good Faith Efforts as listed in the table below*:
EVIDENCE OF GOOD FAITH EFFORTS
WBE LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business
Enterprise Inclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the
Indiana Department of Administration list of Minority and Women Owned Businesses (both certified and
non -certified) found at: http://www.in.2ov/idoa/.
GOOD FAITH EFFORTS TO OBTAIN WBE PARTICIPATION
The bidder shall initial each item below, as evidence of its good faith efforts to obtain WBE
participation in the awarded contract.
I affirm that I reviewed the City of South Bend's Minority and Women Business
Enterprise Inclusion Program Plan and the Indiana Department of Administration's
MB
certified list of Indiana Minority and Women Business Enterprises, found on their website
(http://www.in.govfidoa).
I affirm that I have made good faith efforts to select portions of the contract work to be
performed by WBEs, including, where appropriate, breaking out contract work items into
ME
I economically feasible units to facilitate WBE participation.
I affirm that I have made good faith efforts to solicit through all reasonable and available
MB
means the interest of all WBEs in the scopes of work of the contract.
I affirm that I attended all pre -bid meetings scheduled by the City of South Bend to
MB
inform WBEs of contracting and subcontracting opportunities.
I affirm that I advertised in general circulation and/or trade association publications
concerning subcontract opportunities and allowed WBEs reasonable time to respond to
MB
such advertisements.
I affirm that I performed any and all necessary steps to provide written notices in a
manner reasonably calculated to inform WBEs of subcontracting opportunities and
MB
allowed sufficient time for WBEs to participate effectively.
I affirm that I followed up on initial solicitations with interested WBEs.
MB
I affirm that I negotiated with interested WBEs in good faith, including providing such
WBEs with adequate information about the plans, specifications and other requirements
MB
I of the subcontract.
Version 07/19/2023 Contractor's Bid for Public Works - 14
ISM
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM WBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
I affirm that I have made good faith efforts to assist interested WBEs in obtaining
bonding, lines of credit, or insurance as required by the City or the bidder, where
MB
appropriate.
I affirm that I have made good faith efforts to assist interested WBEs in obtaining
necessary equipment, supplies, materials, or related assistances or services, where
MB
appropriate.
I affirm that I did not reject any WBEs as unqualified without sound business reasons
MB
based on a thorough investigation of their capabilities.
CONTRACT RECORDS: The bidder has maintained the following records for each WBE that has bid
on the subcontracting opportunity:
1. Name, address, and telephone number;
2. A description of information provided by the bidder or subcontractor; and
3. A statement of whether an agreement was reached, and if not, why not, including any reasons for
concluding that the MWBE was unqualified to perform the job.
*Proper demonstration of Good Faith Efforts requires your initials next to all of the above boxes. Any
omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of
South Bend reserves the right to request additional information.
Version 07/19/2023 Contractor's Bid for Public Works - 15
1316 Covr=-CnY Beaearo
.:27 W. bnE�t v Boum vm
So= Hml. IHDtANA 466014830
PROX3 574/235-9251
FAX 5741235 9171
TAD 574/ 235-5567
CITY OF SOUTH BEND, DAMES MUELLER, MAYOR
BoARD OF PITBLIC WORKS
Date: Agil 269 2024
To: All Planholders
From Theresa Heffner, Clerk, Board of Public Works
Subject Addendum Number: 1
Project Name: Demolition of South Bend Medical Foundation (531 N. Main St)
Project Number. 123.076
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received:
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum
by including with your electronic bid submission.
THIS ADDENDUM MAY AFFECT YOUR BID,
Notes:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
' -' -a szMWX 'WEIR i WWR-MAE rATA- N
Authorized Signature:
1316 Cottrrzsr-CUT I3mwo
227 W. JEEFEW.q BOMEVAM
Some Bn% INDmNA 46601-1830
Pnmm 574/235 9251
FAX 574/ 235-9171
TDD 374/ 235-5567
CITY OF SOUTH BEND, JAMS MUELLE14 MAYOR
BOARD OF PU BLIC WORDS
Date: May 69 2024
To: All Planholders
From Theresa Heffner, Clerk, Board of Public Works
Subject Addendum Number: 2
Project Name: Dmnoliaon of South Bend Medical Foundation (531 N. Main St)
Project Number: 123.076
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received:
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum
by including with your electronic bid submission.
THIS ADDENDUM MAY AFFECT YOUR BID,
Notes:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Authorized Signature:
Date:
1316 Comm -Cm Bzmmo
227 W. J1? rmom Bcuummw
SnUTU BF.NA, INDIANA 46601-1830
Pnon 574/ 235-9251
FAx 574/ 235-9171
TDD 5 74/ 235-5567
CITY OF SOUTH BEND, JAMES MUELLER, MAYOR
BOARD OF PITHLIC WORKS
Date: May 13, 2024
To: All Planholders
From Theresa Heffner, Clerk, Board of Public Works
Subj ect Addendum Number: 3
Project Name: Demolition of South Bend Medical Foundation (531 N. Main St)
Project Number: 123-076
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received:
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum
by including with your electronic bid submission.
THIS ADDENDUM MAY AFFECT YOUR BID.
Notes:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company: P-Ireen C)cmnllm Ca� 6c.
Authorized Signature:
Date:
1316 Comm -Cm 13mwo
227 W. hFmwq Bt1tTi8'vARD
Scum Bmmo, hmmNA 46601-1830
Pit= 574/ 235-9251
FAX 5741235-9171
TDD 574/ 235-5567
CITY OF SOUTH BEND, JAMS MUELLER, MAYOR
BOARD OF PUBLIC WORDS
Date: May 22, 2024
To: All Planholders
From Theresa Heffner, Clerk, Board of Public Works
Subject Addendum Number: 4
Project Name: Demolition of South Bend Medical Foundation (531 N. Main St)
Project Number: 123.076
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received:
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum
by including with your electronic bid submission.
THIS ADDENDUM MAY AFFECT YOUR BID,
Notes:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Authorized Signature:
Date:
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.
(iii),
By checking this box, I hereby acknowledge that copies of all Applicable
apprenticeship certificates or standards for training programs applicable to the
work performed on the project may be requested at any time and shall be
furnished upon request.
(iv)
By checking this box, I hereby acknowledge and ensure that I and all sub-
contractors, from whom I have accepted a bid and/or intend to hire to perform
work on the public work project, are properly licensed. Furthermore, I
acknowledge my understanding that it is my responsibility to ensure that all sub-
contractors have the necessary licenses to undertake the work called for in this
bid. If a sub -contractor loses their license at any point, it is the responsibility of
that sub -contractor to notify the City.
(b) Attachme ts:
(1)
Indiana Secretary
,7
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 I
(v)
am bidding on OR outlines how I intend to meet the staffing needs of the work.
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
(vi)
under all applicable state and federal laws and local ordinances.
For every
project, submit evidence of participation in apprenticeship and training
programs, applicable to the work to be performed on the project, which are
approved by and registered with the United States Department of Labor's Office
(vii)
of Apprenticeship, or its successor organization.
Copy of a for
written plan employee drug testing that covers all of my employees
who will perform work on the public work project and meets or exceeds the
(viii)
requirements set forth in IC 4-13-18-5 or IC 4-13-18-6.
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 07/19/2023
General Conditions - 14
(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: S 1,2 R IZ4
(Sign Here)
(Print Name ere)
C�y Ckaml 4 Liun-- cc rS -inG
(Name of Company)
(Address of Com-panW
Lo'� �C_
(City)
(State)
r.21q) 3-1- ea" k i
( elephone Number)
Version 07/19/2023 General Conditions -15
(6) (1 )
Business Name: GREEN DEMOLITION CONTRACTORS
INCORPORATED
Entity Type: Domestic Limited Liability Company
Creation Date: 06/11/2015
Principal Office Address: USBrighton St Suite 1, LaPorte, IN, 46360,
Jurisdiction of Formation: Indiana
t
BUSINESS INFORMATION
DIEGO MORALES
INDIANA SECRETARY OF STATE
05/28/2024 08:I0 AM
Business ID: 2015061100177
Business Status: Active
Inactive Date:
Expiration Date: Perpetual
Business Entity Report Due 06/30/2025
Date:
Years Due:
Governing Person Information `I
Title Name Address
President A4chad Brouth 3 U Bri_hton St Suite L La Porte.JK, 463S0, USA
Registered Ageut,Information
Type: lndicidual
Name: MICHAEL BROUGH
Address: 315 Brighton St Suite 1, La Porte, IN, 46350, USA
(b) (ii): List of identifying all former business names.
None
Michael J Boo gh
Green Demolition Contractors, Inc.
315 Brighton St, Suite 1, LaPorte IN 46350 1 219-379-5311 1 greendemohtioninc.com
(b) (iii): Determinations by a court or governmental agency any violations of federal or state... . .
None
. I/ �A 4 t f!!! � � - �-
Michael rough
Green Demolition Contractors, Inc.
315 Brighton St, Suite 1, LaPorte IN 46350 1 219-379-5311 1 greendetnolitioninc.com
Green Demolition Contractors, Inc.
315 Brighton Street Suite I
LaPorte, IN 46350
Demolition of the South Bend
Medical Foundation
531 N. Main Street
South Bend, IN
Kerr Personnel:
• Michael Brough-President & Project Superintendent
• Carlos Venegas-Job Foreman
Responsibilities, Durations and Commitment Percentages
• Mike Brough — Project Superintendent-100% Commitment
• Carlos Venegas —job Foreman-100% Commitment
• Local 645 Union Laborers
• Local 150 NIICG
Project Completion Schedule
• 120 Days from Notice to Proceed
GREEN DEMOLITION CONTRACTORS, INC
315 Brighton St, Suite I, LaPorte IN 46350
312-409-4771
(b) (v): All individuals performing work on behalf of Green Demolition Contractors will by an employee
of our company.
Michael J ough
Green Demolition Contractors, Inc.
315 Brighton St, Suite 1, LaPorte IN 46350 1 219-379-5311 1 greendemohtioninc.com
INTERNATIONAL UNION OF OPERATING ENGINEERtS
LOCAL UNION NO. 150, 1509, IWA, 13=, 150", 1500, tZOG, 100M
APRUATRO WR" TN! A.PA C.IA. AMO SUIU UG "AMM DOWATURuT
JAMES M. SWEENEY
PRffSnXM4U6tNM MAKMM
January 5, 2024
Green Demolition Contractors
315 Brighton St, Suite 1
LaPorte, IN 46350
Re: Proof of Compliance with 30 ILCS 500/30-22(6)
Our File No. MI-00321
Dear Sir or Madam:
62M JCLWT ROAD
COUNTRYQ ML IL 605254M
At the request of Green Demolition Contractors, I am providing you with evidence of the
Company's compliance with the apprenticeship requirements in 30 IL.CS 500/30-22(6) of
the Illinois Procurement Code. I am submitting this letter along with apprenticeship
certificates (Nos.IL012020003 and IL008780173)_
As a signatory contractor with the International Union of Operating Engineers, Local
150, AFL-CIO, Green Demolition Contractors, is required by Collective Bargaining
Agreement to participate in an applicable apprenticeship and training program approved
by and registered with the United States Department of Labor's Bureau of Apprenticeship
and Training. The attached certificates are evidence of compliance with the U.S.
Department of Labor's apprenticeship requirements.
Thank you for your cooperation in this matter. If you have any questions or concerns,
please do not hesitate to contact me.
Very truly yours,
IUOE, Local 150, AFL-CIO
District 1 dispatph office
Maribe Hernandez
Enclosures: Certificates
I
IP
Operating EngineersLocal150Apprenticeship fund
Z irmington, llu ois
Fortfie Tin& — Operating Engineer
9&yisfereoras part of ge 9Gz&ona19pprenficeszip c3yr sleet
in accororance mif6f18 basic sfandards ofApprenfrcewlo
esfa6.l.,rsSW6y fire cSeerdfary of Ba&r
Decem6er 31. 1J78 .
PMised yune 23, 2011
IL008780173
T o, `� 0�5
a�
oe os S�✓y.fL+.�
GG� 4
UNA!
January4, 2024
Green Demolition Contractors, LLC
4940 S St. Louis
Chicago, IL 60632
To Whom It May Concern;
is
Cod
lii rF:r�i��f 1. NMv.(4L h.V�"
Enclosed you will please find a copy of the Department of Labor certification that you requested
recently.
You may also use this letter as verification that Green Demolition Contractors, LLC is indeed
signatory to the to the Chicago Laborers District Council and contributes to the Laborers
Apprenticeship Fund.
Should you require anything fiuther, please do not hesitate to contact me.
Yours very truly,
f�- ,
Assistant Office Manager
tabortUssrar EaICaEMIb!/s0tag
A(snig�rMnr.Th "
James P. Connolly, Chairman
Keith Vitale
bawd Ldrig; sacismry
Michael Blvins
Seth Gudeman
Shawn Fitzgerald
Shane Higgins
Carol Stream
Martin Flanagan
LIU�it
Joseph Koppers
Chicago
1200 Old Gary Avenue
Joseph V. Healy
Robert G. Krug
5700 West Homer St,
Carol Stream, IL60168
Loyd'Cudy' Vaughn
fegg
William Vignocchi
Chicago, IL 60639
INUAleb gotatel i� epartment., Zfla�o
Offire offtprPntim%b'� p
Certattate of Reigiaratw'n of prentireo
bip i0roaram
April 12, 1999
"17990001
9piyial,0140 If.,
Chicagoland Laborers
Carol Stream, II,
For the occupation of CONSTRUCTION CRAFT LABORER
J'Fey.t.sle-reda.sparl of fie Xalrona,[✓pprenlrces,,4!�rp cSyslem
in accorrWance wrZSISe 6asrc slandatrds of apprenlrcesSiP
esfa6lsf2edWy Ike cSecrelary of2a6or
ada►ini�/ro/ar �i" c%�P/siagli�ralf/p
- *,t*%we GREEN DEMOLITION CONTRACTORS, INC.
0 315 RRIGHTON ST. SUITE 1
��11��'► LAPORTE, IN 463SO
312-4094771
Employee Drug/ Alcohol Policy:
The past success and future growth of Green Demolition Contractors are a direct result of our
most important asset: Our people. Consequently, Green Demolition Contractors is concerned
about the use of alcohol, illegal drugs, or controlled substances as it affects the workplace. Use
of these substances, whether on or off the job, can adversely affect an employee's work
performance, efficiency, safety and health, and may therefore seriously impair his or her value
to the Company.
In addition, the use or possession of these substances on the job constitutes a potential danger to
the welfare and safety of other employees and exposes the company to risks of property loss or
damage, or Injury to other people. Green Demolition Contractors has a vital interest in
maintaining safe and efficient working conditions for its employees and ensuring that all the
company vehicles are properly maintained and operated in a safe manner.
Furthermore, the use of prescription drugs and/or over-the-counter drugs may affect an
employee's job performance and seriously impair the employee's value to the company. Any
employee who is using prescription and/or over-the-counter drugs that may impair the employee's
ability to safely perform the job, or affect the safety or well-being of others, should not report
for work during the time the employee is using the medication. You may be required to provide
a doctor's note validating your need for time off due to the use of medication which Interferes
with your ability to safely perform your duties. The employee should use any accrued vacation or
sick leave during this time period. If the employee does not have accrued leave, the employee
should discuss their need for time off with their supervisor or Human Resources to determine if
alternative accommodation can be provided.
Proper use of prescription drugs directly prescribed to the employee is exempt from these
restrictions so long as the employee is complying with physician orders and does not create a
safety hazard for the employee or his/her co-workers. Contact Green Demolition Contractors
Human Resources Department when an employee has been prescribed drugs from a complying
physician.
The following rules and standards of conduct apply to all employees either on the company
property (owned or leased or off premises job site) or during the workday (including meals and
rest periods). The following are strictly prohibited by the company; however, this section does
not apply to the JWW use of prescription drugs.
I. Possession or use of alcohol or being under the influence of alcohol while on the job.
Recycling Today For A Greener Tomorrow
2. Driving a company vehicle while under the Influence of alcohol or a controlled substance.
3. Distribution, sale, or purchase of an illegal or controlled substance.
4. Possession or use of an illegal or controlled substance or being under the influence of an
illegal or controlled substance while on the job.
The following items at a minimum shall always be applicable and enforceable.
I . Drug Testing:
a. Each employee, as a condition of employment, may be required to participate In
pre -employment, reasonable suspicion, project specific and follow-up testing upon
selection or request of management. Any employee who refuses to submit to drug or
alcohol testing requested by management will be subject to disciplinary action, up to
and Including immediate termination. Altered samples, substituted samples and
negative dilutes constitute employee failure to cooperate with a management
investigation in violation of Green Demolition Contractors business conduct policy.
Any employee submitting such a sample will be subject to disciplinary action, up to
and Including immediate termination.
b. Drug or alcohol testing required or requested by the company will be conducted at
the company expense. Testing for the presence of alcohol will be conducted by
analysis of breath and or cognitive function. Testing for the presence of the
metabolites of drugs will be conducted by the analysis of urine.
c. To ensure the accuracy and fairness of our testing program, all testing will be
conducted according to DHHS/SAMHSA guidelines where applicable and will
include a screening test; a confirmation test; the opportunity for a split sample;
review by a Medical Review Officer, including the opportunity for employees who
test positive to provide a legitimate medical explanation, such as a physician's
prescription, for the positive result; and a documented chain of custody.
2. Testing Based on Reasonable Suspicion:
a. Employees may be referred by a supervisor to a company -approved physician or
medical group for evaluation when a supervisor has reason to believe that the
employee is Intoxicated or using controlled substances or other Illegal drugs during
work hours or at a time which may affect job performance or safety. Evidence of
such behavior may Include, but is not limited to:
I. Slurred speech
2. Uneven gait
3. Mood swings
4. Violent temper
5. Excessive absenteeism/ tardiness
3. Employee Consent to Release Chemical Analysis:
a. When the Company requires an employee to submit body fluids for chemical
analysis, the employee must sign an employee consent form authorizing the results
to be forwarded to Green Demolition Contractors HR Representative. An
employee who refuses to submit body fluid samples upon request of the company
or who refuses to execute the employee consent form has failed to cooperate
with a management investigation in violation of the company business conduct
policy. Such conduct will subject the employee to disciplinary action, up to and
including immediate termination of employment.
4. Confidentiality of Test Results:
a. Test results of the chemical analysis of body fluids for substance abuse will be kept
confidential in the same manner that all other confidential personnel records and
confidential medical records are kept.. Upon written request, the employee will be
furnished with a copy of his or her substance abuse test results.
. Analysis of Test Results
a. Being under the influence of drugs or alcohol on the job or during work hours will
be presumed by Green Demolition Contractors to pose a serious safety and health
risk. Additionally, any use of alcohol or drugs during non -work time which results
in a positive test of the employee during work hours may result in a similar
presumption that the use of the drugs or alcohol poses serious safety and health risks.
E . Positive Test
a. Green Demolition Contractors reserves the right to impose discipline, up to and
including immediate termination of employment, upon any employee who tests
positive. Green Demolition Contractors reserves the right to require, as a condition
of reinstatement and continued employment, completion of an approved
rehabilitation program, at the employee's expense, which shall include but not be
limited to:
1. A period of inpatient care
2. A return -to -work test prior to reinstatement
3. Follow-up testing at intervals as specked by Green Demolition Contractors HR
Representative
**Any employee testing positive during or after a rehabilitation program will be subject
to immediate termination.
Violation of the above rules and standards of conduct will not be tolerated and may
result in immediate termination of employment.
Green Demolition Contractors reserves the right to bring the matter to the
attention of appropriate law enforcement authorities.
Employee Signature Supervisor/ Witness Signature
Date Date
The Cincinnati insurance Company • The Cincinnati Indemnity Company
The Cincinnati Casualty Company ■ The Cincinnati Specialty Underwriters Insurance Company
THE CINCINNATI The Cincinnati Life Insurance Company
INSURANCE COMPANIES
February 5, 2024
RE: Green Demolition Contractors Inc. — Bonding Capacity
To Whom It May Concern:
The Cincinnati Insurance Company (AM Best Rating of A+XV) provides surety bonding credit to Green
Demolition Contractors Inc. They are one of our finest accounts and we highly recommend them.
We currently have $5,000,000 single job/$10,000,000 aggregate bond program available for this firm.
Should a situation merit, we would consider requests beyond these parameters as well.
Any specific request for bonds will be underwritten on its own merits and any arrangement for bonds
required by any contract is a matter between Green Demolition Contractors Inc. and the surety and we
assume no liability to you or your third parties, if for any reason we do not execute these bonds.
Feel free to contact us with any questions you may have.
Sincerely,
Natalie Koster
Attorney -in -Fact
Field Director Surety
Natalie_Koster@cinfin.com
Mailing Address: P.O. Box 145496 • Cincinnati, Ohio 45250-5496 ■ Headquarters: 6200 S. Gilmore Road • Fairfield, Ohio 45014-5141
cinfin.com ■ 513-870-2000
(b) Ox): Written statement of any federal, state or local tax liens ...
None
Michael J By ugh
5-(;zv-(z4
Green Demolition Contractors, Inc.
315 Brighton St, Suite 1, LaPorte IN 46350 1 219-379-5311 1 greendemolitioninc.com
Csl G
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}Jj.oh' s
Esti rat`or
._, _- ,lob'Nam� __ .. =
►/State of_Pro�ect
Contract>VaZu -
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66,800.0
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O'Shea @ Lanphier High School
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1,388,000.0
2023-0100
JB
Vissering Construction @ Crest Hill Waste Water Treatment Plant
Crest Hill, IL
395,000.00
2023-0101
MB
City of Peoria @ McKinley School Peoria
Peoria, IL
943,700.00
2023-0102
MB
Gilbane Building Co @ Niles School District 71 addition to Culvers Elem
Niles, IL
393,600.00
2023-0103
MB
Pepper Construction @ SD214 Forest View Education Center (PHASE 4)
Arlington Heights, IL
95,800.00
2023-0104
MB
The Chicago Zoological Society @ Brookfield Zoo
Brookfield, IL
67,900.00
2023-0105
MB
315 Brighton LLC (Fire Building)
LaPorte, IN
400,000.00
2023-0106
MB
Pepper Construction @ SD214 Forest View Education Center (PHASE 3)
Arlington Heights, IL
89,800.00
2023-0107
MB
Tonn & Blank @ FHMC N-BH Water Damage
Michigan City, IN
15,226.40
2023-0108
MB
Pepper Construction @ SD214 Wheeling High School
Wheeling, IL
150,300.00
2023-0109
MB
Pepper Construction @ SD227 Rich Township Campus
Matteson, IL
272,000.00
2023-0110
MB
City of Peoria @ Harrison School Demolition
Peoria, IL
1,156,600.00
2023-0111
MB
City of Springfield - Railroad Relocation
Springfield, IL
399,640.00
2023-0112
MB
Vision Construction @ Morton East High School
Cicero, IL
1,128,800.00
2023-0113
MB
Pepper Construction @ Barrington "Early Learning Center"
Barrington, II
12,800.00
2023-0114
MB
Pepper Construction @ SD 36 Winnetka November 2022 Referendum
Winnetka, II
272,800.00
2023-0115
MB
Pepper Construction @ SD 227 Rich Township BOE Door 5 Project
Matteson, IL
262,800.00
2023-0116
MB
AGAE Contractors @ CPS Parkside Community Academy
Chicago, IL
38,800.00
2023-0117
MB
City of South Bend - Monroe Circle Demolition
South Bend, IN
851,600.00
2023-0118
MB
Wolford Construction @ OMEGA Chicago Westin Hotel
Chicago, IL
55,800.00
2023-0119
MB
MG Mechanical Contracting Inc @ SD 227 Rich Twp STEM Door 5
Matteson, IL
1,500.00
2023-0120
MB
Natola Concrete @ Otis Elementary CPS
Chicago, IL
32,000.00
2023-0121
CE
Village of Lyons - Building Demolitions
Lyons, IL
102,500.00
2023-0122
MB
Great Lakes Property Service @ Pheasant Run Resort
St Charles, IL
2,268,000.00
2023-0123
CE
Village of Lisle - single family home demolition services
Lisle, IL
97,500.00
2023-0124
CE
Frederick Quinn Corp @ Helen Plum Library Demolition
Lombard, IL
323,500.00
2023-0125
MB
Natola Concrete @ DuPage Court Revitalization Project
66,000.00
2023-0126
MB
JS Rlemer Inc @ Niles Culver School
Niles, IL
8,500.00
2023-0127
CE
Village of Bellwood - multi building demolition
Bellwood, IL
242,500.00
2023-0128
MB
Current Midwest - Pheasant Run Resort
St Charles, IL
15,000.00
2023-0130
MB
MG Mechanical Contracting Inc @ Olympia Fields Door Project
Olympia Fields, IL
12,000.00
2024-0131
MB
Aspen Group @ Liberty Bible Church - LaPorte
LaPorte, IN
225,000.00
2024-0132
CE
Pepper Construction @ SD 214 - EGHS Student Services - Summer 2024
Elk Grove Village, IL
95,000.00
2024-0133
CE
City of Joliet - Fairmont Tower Demolition
Joliet, IL
48,500.00
2024-0134
CE
Osman Construction @ Tinley Park Plaza
Tinley Park, IL
197,464.00
2024-0135
BB
Village of Evergreen - 2649 W 93rd Place
Evergreen Park, IL
36,915.00
2024-0136
CE
R.C. Wegan @ Harmony Square Demolition #2
Tinley Park, IL
51,500.00
2024-0137
CE
Clay Inc @ 2 Property Demolition
New Carlisle, IN
57,500.00
2024-0138
MB
Aspen Group @ Liberty Bible Church -Valparaiso
Valparaiso, IN
64,500.00
2024-0139
CE
K.R. Miller Contractors @ 2023 Add & Renov Oak Elementary School
Hinsdale, IL
62,000.00
2024-0140
CE
K.R. Miller Contractors @ Madison Elementary School
Hinsdale, IL
27,500.00
2024-0141
BB
Tonn &Blank @ Olympia Fields
Olympia Fields, IL
68,500.00
2024-0142
MB
Spectrum Orleans
Chicago, IL
22,000.00
2024-0143
MB
City of South Bend -1000 W Sample St
South Bend, IN
528,800.00
2024-0144
BB
Village of Evergreen - 9524 South California
Evergreen Park, IL
30,200.00
13,142,145.40