HomeMy WebLinkAboutOpening of Bids - Demolition of South Bend Medical Foundation Proj No. 123-076 - The MRD Group Inc.CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
RESPONSIBLE BIDDER CHECKLIST
Project Name Demolition of South Bend Medical Foundation
Project No.
For Bids Due
123-076
May 28, 2024
Contractor Name: The MRD Group, 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.
"THIS FORM ONLY APPLIES TO BIDS GREATER THAN $250,000. "
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-
71 of The Responsible Bidding Ordinance No. 10975-23 (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") 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 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 6-71 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 6-71 of the Responsible Bidding Ordinance no later than the date of the public bid
opening.
Version 5/20/2024 General Conditions - 11
POST BID SUBMISSIONS:
Post -bid submissions must be submitted in accordance with Section 6-72 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 two -hundred fifty
thousand dollars ($250,000.00), 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 for projects greater than $250,000 and all subcontractors performing work
greater than $250,000 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 andu
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 5/20/2024 General Conditions - 12
PRE -QUALIFIED BIDDER CHECKLIST
(a) Acknowledgements:
(i) _ By checking this box, I hereby acknowledge that I am a pre -qualified bidder with
the City of South Bend and that I have met the pre -qualification requirements within
the last twelve (12) months. A copy of my Pre -Qualification verification letter
is attached.
(ii) _ 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.
(iii) _ By checking this box, I hereby acknowledge that apprenticeship and training
programs that I participate in have graduated at least five (5) apprentices in each
of the past five (5) years.
(iv) _ By checking this box, I hereby acknowledge that all subcontractors performing
work greater than $250,000 also meet the qualifications of the Responsible Bidder
Ordinance.
(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).
(ii) _ 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) _ 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) _ 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. This includes, but may not be limited
to, letters from apprenticeship coordinators detailing the bidder's association with
the program, and the United States Department of Labor Office of Apprenticeship
Certificates of Registration of Apprenticeship Programs for each type of work to be
performed on the project.
Version 5/20/2024 General Conditions - 13
II. PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED)
(a) Acknowle ements:
(i) By checking this box, I hereby acknowledge that I am not a pre -qualified bidder
with the City of South Bend.
(ii) 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.
(v) 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).
(ii)
List identifying all former business names.
(Iii)
Any determinations by a court or governmental agency any violations of federal
state, or local laws including, but not limited to, violations of contracting or
antitrust laws, tax or licensing laws, environmental laws, Occupational Safety and
Health Act (OSHA), or federal Davis -Bacon and related Acts, within the
preceding five (5) years.
(iv)
Statement about staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work I
am bidding on OR outlines how I intend to meet the staffing needs of the work.
(v)
Statement that individuals who will perform work on the public work project on my
behalf will be properly classified as an employee or as an independent contractor
under all applicable state and federal laws and local ordinances.
(vi)
For every project, submit evidence of participation in apprenticeship and training
programs, applicable to the work to be performed on the project, which are
approved by and registered with the United States Department of Labor's Office
of Apprenticeship, or its successor organization.
(vii)
Copy of a written plan for employee drug testing that covers all of my employees
who will perform work on the public work project and meets or exceeds the
requirements set forth in IC 4-13-18-5 or IC 4-13-18-6.
(viii)
Evidence that I am utilizing a surety company which is on the Bureau of Fiscal
Service "Department of Treasury's Listing of Approved Sureties" as required in
the bid specifications or contract.
Version 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: 05/24/2024
(Sign Here)
Gerald Blomberg
(Print Name Here)
The MRD Group, Inc.
(Name of Company)
4777 W. Lincoln Ave
(Address of Company)
West Milwaukee
(City)
WI
(State)
414-672-4244
(Telephone Number)
Version 07/19/2023 General Conditions - 15
5ou,x a�
f x
CITY OF SOUTH BEND, INDIANA \\ }
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 28 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.
X Proper bid security included. The bidder has the option of providing either a Certified Check
or Bid Bond.
v Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely
/_ executed.
Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments
with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and
X_ Certification of use of United States Steel Products or Foundry Products.
Proof of M/WBE Utilization Plans [MBE-1.0 and WBE-1.0]. Also provide Evidence of Good
Faith Efforts Forms [MBE-2.0 and WBE-2.01 and M/WBE Contacted Forms [MBE-2.1 and
X WBE-2.11.
X Acknowledge Receipt of 4 Addendum(s) included with the bid.
X All required additional information is included with the bid.
X 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: The MRD Group, Inc.
By Authorized Representati
Signature:
Print Name & Title: Gerald Blomberg, President
Date: 05/24/2024
Version 07/19/2023 Contractor's Bid for Public Works - 1
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name Demolition of the South Bend Medical Foundation, 531 N. Main Street, South
Bend, IN
Project No. 123-076
For Bids Due 28 May 2024
PART I
(Must be completed for all bids
Date: May 28,2024 Bidder (Firm):
Address: 4777 W. Lincoln Ave.
Please type or print)
The MRD Group, Inc.
City/State/Zip: West Milwaukee, WI 53219 Telephone Number: ( 414 ) 672-4244
Agent of Bidder (if Applicable): N/A
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 Structureooint. Inc.
and dated 4/12/2024 for the sum of (enter the Total Bid as shown on the Proposal)
One Million, Seven Hundred Sixty -Three Thousand and 00/100 ($ 1,763,000.00
(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 on a separate attac nt.
By �� Z
(Signature)
Gerald Blomberg, President
(Printed Name of Person Signing)
ACCEPTANCE
The above bid is accepted this day of
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Elizabeth A. Maradik, President
Gary A. Gilot, Member
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
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
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.)
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.
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.
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
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 IILAN, 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 Wisconsin )
Milwaukee COUNTY SS:
)
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 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
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 this 10th day of May . 2024
Subscribed and sworn to before me this 10th
My Commission Expires May 16, 2025
The MRD Group, Inc.
Contract rBidder (F
Signature of Contractor/Bidder or Its Agent
Gerald Blomberg, President
Printed Name and Title
day of May .2024
otaAPublictZynthia J Parks
0 IVAIA i p441z ' County of Residence Milwaukee
AV9L1G
titil�
Version 07/19/2023 Contractor's Bid for Public Works - 8
O� 01 B Y\
BID/PROPOSAL
PE. CE
CITY OF SOUTH BEND
Project Name: Demolition of the South Bend Medical Foundation IM5 Y
Project Number: 123-076
For Bids Due: 28 May 2024
Contractor Name: The MRD Group, Inc.
BASE BID
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
Demolition of the South Bend Medical
1,663,000.00
1,663,000.00
1
Foundation building and site as
described in the documents and
1
LSUM
exhibits.
2
Allowance for unforeseen Hazardous
1
LSUM
$100,000
$100,000
Materials not includingAsbestos
BASE BID TOTAL 1,763,000.00
Bidder (Firm): The MRD Group, Inc.
Address: 4777 W. Lincoln Ave
City/State/Zip: West Milwaukee, WI 53219 Telephone Number: (414 ) 672-4244
By
(Signature)
Gerald Blomberg
(Printed Name of Person Signing)
Version 07/19/2023 Contractor's Bid for Public Works - 9
O
CITY OF SOUTH BEND Z
o
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN 4 z
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
The MRD Group, Inc.
Project Name:
Demolition of the South Bend Medical Foundation, 531 N. Main Street, South
Bend, IN
Total Bid Amount: 1,763,000.00 MBE Goal: 1.4%
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
1 st Class Logistic, LLC
South Bend, IN
Bernard Coutee
574-993-0071
Trucking of Recyclable Material and Fill Mate
al
5.2
Submitted by: Gerald Blomberg &,�.jo
Print Name Signature
***Goals should be calculated based on the Base Bid only.***
Version 07/19/2023 Contractor's Bid for Public Works - 10
05/24/2024
Date
/�yoirrHe,o
CITY OF SOUTH BEND �� x
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM WBE-1.0
WBE UTILIZATION PLAN
,ar,�
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving WBE participation. It
is the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications.
***Goals should be calculated based on the Base Bid only.***
Project Number: 123-076 Project Name
Bidder: The MRD Group, Inc.
Demolition of the South Bend Medical Foundation, 531 N. Main Street, South
Bend. IN
Total Bid Amount: 1,763,000.00
WBE Goal: 4.7%
Page 1 of 1
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
Jack Gray Transport, Inc
460 East 15th Ave,
Gary, IN 46403
John
219-938-7020
Trucking Debris
5.2%
Submitted by: Gerald Blomberg
Print Name Sig nTrure
***Goals should be calculated based on the Base Bid only.***
Version 07/19/2023 Contractor's Bid for Public Works - 11
05/24/2024
Date
4 y�UTH eE
O
CITY OF SOUTH BEND 2
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS ��5
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: 05/24/2024
Demolition of the South Bend Medical Foundation, 531 N. Main Street,
Project Name: South Bend, IN
Bidder: The MRD Group, Inc.
Contact Person: Joseph Gozelskl Telephone: 414-399-0377
Address: 4777 W. Lincoln Ave
City:
West Milwaukee State: WI
Zip: 53219
Email: gozelski@themrdgroup.net
To determine whether a bidder has demonstrated good faith efforts to reach the MBE utilization goals set forth in
the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions,
REQUIRE ALL of the following Good Faith Efforts as listed in the table below*:
EVIDENCE OF GOOD FAITH EFFORTS
MBE LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business
Enterprise Inclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the
Indiana Department of Administration list of Minority and Women Owned Businesses (both certified and
non -certified) found at: hftp://www.in.govAdoa/.
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
GB
Enterprise Inclusion Program Plan and the Indiana Department of Administration's
certified list of Indiana Minority and Women Business Enterprises, found on their website
(http://www.in.gov/idoa).
I affirm that I have made good faith efforts to select portions of the contract work to be
performed by MWBEs, including, where appropriate, breaking out contract work items
GB
into economically feasible units to facilitate MBE participation.
I affirm that I have made good faith efforts to solicit through all reasonable and available
GB
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
GB
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
GB
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
GB
allowed sufficient time for MBEs to participate effectively.
I affirm that I followed up on initial solicitations with interested MBEs.
GB
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
GB
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
GB
appropriate.
Version 07/19/2023 Contractor's Bid for Public Works - 12
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
I affirm that I have made good faith efforts to assist interested MBEs in obtaining
GB
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 on a thorough investigation of their capabilities.
GB
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 BENDi
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM WBE-2.0
IN:
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: 05/24/2024
Demolition of the South Bend Medical Foundation, 531 N. Main Street,
Project Name: South Bend, IN
Bidder: The MRD Group, Inc.
Contact Person: Joseph Gozelskl Telephone: 414-399-0377
Address: 4777 W. Lincoln Ave
City:
West Milwaukee State: WI
zip: 53219
Email: gozelski@themrdgroup.net
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: hftp://www.in.govAdoa/.
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.
�GB
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
GB
performed by WBEs, including, where appropriate, breaking out contract work items into
economically feasible units to facilitate WBE participation.
I affirm that I have made good faith efforts to solicit through all reasonable and available
GB
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
GB
inform WBEs of contracting and subcontracting opportunities.
I affirm that I advertised in general circulation and/or trade association publications
GB
concerning subcontract opportunities and allowed WBEs reasonable time to respond to
such advertisements.
I affirm that I performed any and all necessary steps to provide written notices in a
GB
manner reasonably calculated to inform WBEs of subcontracting opportunities and
allowed sufficient time for WBEs to participate effectively.
GB
I affirm that I followed up on initial solicitations with interested WBEs.
I affirm that I negotiated with interested WBEs in good faith, including providing such
GB
WBEs with adequate information about the plans, specifications and other requirements
of the subcontract.
Version 07/19/2023 Contractor's Bid for Public Works - 14
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM WBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
y0
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
GB
appropriate.
I affirm that I have made good faith efforts to assist interested WBEs in obtaining
GB
necessary equipment, supplies, materials, or related assistances or services, where
appropriate.
I affirm that I did not reject any WBEs as unqualified without sound business reasons
GB
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
y�111 H 'D
/ O
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE-2.1 W5
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 OF1
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: The r up, Inc.
By:A_t President 05/24/2024
(Signature) (Title) (Date)
MBE Firm 1 st Class Logistics, LLC
Owner or Contact at MBE Firm Bernard Coutee
Telephone: 574-400-9194 Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Trucking requirements for hauling and recycling
RESULTS OF CONTACT WITH THE MBE FIRM:
Upon review, this firm is an ideal canidate to assist with the trucking needs of this project.
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 07/19/2023 Contractor's Bid for Public Works - 16
A ��ttT71 6E+0
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE-2.1��
WBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring Good Faith Efforts to contact WBEs. It is the bidder's sole responsibility to verify whether any
listed woman -owned business meets the WBE qualifications. Attach additional pages if necessary.
PAGE OF1
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: n The Mp Prpup, Inp.
BY:
e�1���(�- President 05/24/2024
•� D
(Signature) (Title) (Date)
WBE Firm Jack Gray Transport, Inc
Owner or Contact at WBE Firm John
Telephone: 219-938-7020 Fax: Email: infoQackgrey.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Trucking and transportation of fill needed to backfill basement upon completion of
demolition activities.
RESULTS OF CONTACT WITH THE WBE FIRM:
This firm appears to meet all required qualifications needed and has the resources to fulfill the
project needs.
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
1316 COUNTY -CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND, INDIANA46601-1830
PHONE 574/235-9251
FAX 574/ 235-9171
TDD 574/ 235-5567
CITY OF SOUTH BEND, JAWS MUELLER, MAYOR
BOARD OF PUBLIC WORKS
Date: April 26, 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: April 26, 2024
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: The MRD Group, I
Authorized Signature:
Date: April 26, 2024
Version 8/11/2020
1316 COUNTY -CITY BuILL1N(i
227 W. JEFFERsoN BOULEVARD
SOUTH BEND, INDIANA 46601-1830
PHONE 574/235-9251
FAx 574/ 235-9171
TDD 574/ 235-5567
CITY OF SOUTH BEND, JAWS MUELLER, MAYOR
BOARD OF PUBLIC WORKS
Date: May 13, 2024
To: All Planholders
From Theresa Heffner, Clerk, Board of Public Works
Subject Addendum Number: 3
Project Name: Demolition of South Bend Medical Foundation (631 N. Main St.)
Project Number: 123-076
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: May 14, 2024
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:
The MRD Grouo. Inc.
Authorized Signature:
Date: May 14, 2024
Gerald Blomberg
Version 8/11/2020
1316 COUNTY -CITY BUILDING
227 W.JEFFERSON BOULEVARD
SOUTH BEND, INDIANA 46601-1830
Date: May 22, 2024
PHONE 574/235-9251
FAx 574/235-9171
TDD 574/ 235-5567
CITY OF SOUTH BEND, JAWS MUELLER, MAYOR
BOARD OF PUBLIC WORKS
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: May 23, 2024
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:
The MRD Group, Inc.
Authorized Signature:
Date: May, 23, 2024
Gerald Blomberg
Version 8/11/2020
Bond No.: B 1312784
Selective Insurance Company of America
40 Wantage Avenue
Branchville, New Jersey 07890
973-948-3000
AIA Document A310
BID BOND
KNOW ALL MEN BY THESE PRESENTS, that we
The MRD Group, Inc.
4777 W. Lincoln Avenue West Milwaukee, WI 53219 (Here insert full name and address or legal title of contractor)
as Principal, hereinafter called the Principal, and Selective Insurance Company of America
City of South Bend Indiana Board of Public Works
731 S. Lafayette Blvd. South Bend, IN 46601
(Here insert full name and address or legal title of owner)
5'/o Percent of the Total Bid (S 5% Percent)
for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors,
administrators, successors and assigns, jointly and severally, firmly by these presents.
WHEREAS, the Principal has submitted a bid for
Demolition of the South Bend Medical Foundation: 531 Main Street, South Bend, IN 46601, Project Number 123-076
(Here insert full name and address and description of project)
NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in
accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good
and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the
prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall
pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for
which the Obligee 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.
Signed and Sealed this 17th day of May 2024
(Witness)
The MRD Group, Inc.
&,t44
I (Prin ' 1) (Seal)
(Title) YC6l!✓oiif
SELECTIVE INSURANCE COMPANY OF AMERICA
Attomm-Facgq!( "`^`
e
Jason Braata�, ��,,_ 1926
"Printed in cooperation with the American Institute of Architects (AIA) by the Selective Insurance Company
language in this document conforms exactly to the language used in AIA Document A310, February 1970 edition."
AIA DOCUMENT A310•BID BOND-AIA ® • FEBRUARY 1970 ED•TIRE AMERICAN
INSTITUTE OF ARCHITECTS,1735 N.Y. AVE., N.W., WASHINGTON, D.C. 20006
B-203 (12/92)
Selective Insurance Company of America
S E L E C T I V E 40 Wantage Avenue
BE UNIQUELY INSURED Branchville, New Jersey 07890 BondNo.B 1312784
973-948-3000
POWER OF ATTORNEY
SELECTIVE INSURANCE COMPANY OF AMERICA, a New Jersey corporation having its principal office at 40
Wantage Avenue, in Branchville, State of New Jersey ("SICA'), pursuant to Article VII, Section 1 of its By -Laws, which
state in pertinent part:
The Chairman of the Board, President, Chief Executive Officer, any Executive Vice President,
any Senior Vice President or any Corporate Secretary may, from time to time, appoint attorneys
in fact, and agents to act for and on behalf of the Corporation and they may give such appointee
such authority, as his/her certificate of authority may prescribe, to sign with the Corporation's
name and seal with the Corporation's seal, bonds, recognizances, contracts of indemnity and
other writings obligatory in the nature of a bond, recognizance or conditional undertaking, and
any of said Officers may, at any time, remove any such appointee and revoke the power and
authority given him/her.
does hereby appoint Jason A Braatz
, its true and lawful attomey(s)-in-fact, full authority to execute on SICA's behalf fidelity and surety bonds or undertakings
and other documents of a similar character issued by SICA in the course of its business, and to bind SICA thereby as fully
as if such instruments had been duly executed by SICA's regularly elected officers at its principal office, in amounts or
penalties not exceeding the sum of: $15,000,000.00
Signed this 17th day of May 1 2024
SELECTIVE INSURANCE COMPANY OF WE
�r �VI"
SEAL
By: 2s
Brian C. Sarisky
Its SVP, Strategic Business Units, Commerr EF
STATE OF NEW JERSEY :
:ss. Branchville
COUNTY OF SUSSEX
On this 17th day of May 2024 before me, the undersigned officer, personally appeared BWn C,,S*isky, who
acknowledged himself to be the Sr. Vice President of SICA, and that he, as such Sr. Vice President, beir�g�iyeNiJ�tg
do, executed the foregoing instrument for the purposes therein contained, by signing the name of the ction by
as Sr. Vice President and that the same was his free act and deed the free act and deed of SICA. $Cf3 2*TA9y
Charlene Kimble - —' —
NOTARY PUBLIC AVBL�C'
STATE OF NEW JERSEY NotaryP ublic -
S
MY COMMISSION EXPIRES 8Rf26 j10
�jv`•
The power of attorney is signed and sealed by facsimile under and by the authority of the following Resoluttbiiladup;ik by
the Board of Directors of SICA at a meeting duly called and held on the 6th of February 1987, to wit:
"RESOLVED, the Board of Directors of Selective Insurance Company of America authorizes and approves the use of a
facsimile corporate seal, facsimile signatures of corporate officers and notarial acknowledgements thereof on powers of
attorney for the execution of bonds, recognizances, contracts of indemnity and other writing obligatory in the nature of a
bond, recognizance or conditional undertaking."
CERTIFICATIONS,^�Qp�
I do hereby certify as SICA's Corporate Secretary that the foregoing extract of SICA's By -Laws and Reso g{�rj�•
force and effect and this Power of Attorney issued pursuant to and in accordance with the By -Laws is val' SEAL 1
1926 7D
Signed this 17th day of May 2024.
H. Lanza, SICA
Important Notice: If the bond number embedded within the Notary Seal does not match the number in the upper I B91(4-14)
right-hand corner of this Power of Attorney, contact us at 973-948-3000.
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 05/21/2024
Name Zach Hurst Department DPW
BPW Date 05/28/2024 Phone Extension 3057
Review and Approval Required Prior to Submittal to Board
Diversity Compliance ❑
Officer Name
and Inclusion Officer
BPW Attorney
❑ Attorney Name
Dept. Attorney ❑ Attorney Name
Purchasing ❑
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
Purpose/Description
Information
U Yes U If Yes, Approved by Purchasing
❑ No
❑❑ ❑
MBE Completed E-Verify Form Attached ❑ Yes
No
Demolition of South Bend Medical Foundation (531 N. Main St.)
123-076
River West DA TIF
PR-00032530
Lump Sum
Reauest to oven bids to demolish former South Bend Medical Foundation
building at 531 N. Main Street.
For Chance Orders Onl
Amount of ❑ Increase $
❑ Decrease ($ )
Previous Amount $
Increase
Current Percent of Change: Decrease
New Amount $
Increase
Total Percent of Change: Decrease
Time Extension Amount:
New Completion Date: