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Home My WebLink AboutOpening of Quotes - 2024 Contracted Microsurfacing Proj No. 124-049 - National PavementPROJECT NAME: 2024 Microsurfacing Quote PROJECT NO. 124-049 QUOTES DUE July 9, 2024 at 9:00am Local Time. Quotes are to be submitted electronically to bpwbids@southbendin.gov (Must be completed for all quotes. Please type or print) Date. 7 ? 1 Firm: N ►4 7'1 UIN A L 1�i� �t W.t►c�" iti1� 11'4 "r" tt NC'A Address: City/State/Zip: wr►►� e�,2 1 IN qt- Telephone Number: (3 i 73 Email Address. - z r a 11 1)1" c Lw� Agent of Bidder (if Applicable): Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: 2024 Microsurfacing Quote the City of South Bend. Indiana, in accordance with plans and specifications prepared by: The City of South Bend, Department of Public Works and dated 7 A/d for the sum of (enter the Total Quote as shown on the Proposal) l�vLy.� �.`�;i -k �b�uLWx S �i�ur�af .+ST !Z ($ (Enter Sum of Total Quote plus Alternates shown on Proposal) (Numerical) If alternative quotes apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the City of South Bend. If the quote is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. (Signature) (Printed Name of Person Signing) ACCEPTANCE The above quote is accepted this day of 20 Subject to the following conditions. BOARD OF PUBLIC WORKS President Members When the prospective Contractor is unable to certify to any of the statements below, U shall attach an explanation to this Affidavit CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON-DISCRIDIINATION 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 _P" )1 Atvq ) ) SS: rt*ra21lh COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: I. 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, gi&, 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 Irm- a. For purposes of this Certification, `Iran" means the government of Iran and any agency or instrumentality of Ilan, 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 (S20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit in provides goods and services in the energy sector in Iron; 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 Version 3/15=24 Page -is Public Woks Quote alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has emolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, firms, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of contract or employment, or any matter directly or indirectly related to contracting or employment because of race, sex, religion, color, national origin, ancestry, gender expression, gender identity, sexual orientation, or due to age or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions will consider the Contractor's good faith efforts to obtain participation by those subcontractors certified by the State of Indiana as a Minority Business ("MBE') or as a Women's Business Enterprise ("WBE') a; a factor in determining the lowest, responsible, responsive bidder. Contractors seeking the award of a City contract cannot be required to award a subcontract to an MWBE; however, they may not unlawfully discriminate against said MBE/WBE. On goal -eligible contracts, Contractors are required to either meet both MBE and WBE utilization goals or demonstrate that the Contractor has made good faith efforts to obtain participation from MBE and WBE subcontractors. A finding of noncompliance or a discriminatory practice shall prohibit that Contractor from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact to which the discriminatory practice or noncompliance pertains. 7. The undersigned Contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. Version W152024 Page- 19 Public Works Quote I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16- 8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission ofbid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder may result in forfeiture of contractual payments. 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 day o;!L� 20 Z.V ,National Pavement Maintenance ContractorBidder (Firm) Signature of Contractor/Bidder or Its Agent Garry Newman Printed Name and Title Subscribed and mom to before me this % day of `- 20-L-' My Commission Expires �\-i Il Notary Public County of Residence QM SENHgar11t -SealSp[e of InEiena Ir NPOJJQsaaIrK.Wr 3. 3030 Version 3/152024 Page - 20 Public Works Quote _u QUOTE/PROPOSAL CITY OF SOUTH BEND PROJECT NAME 2024 Micmurtacing Quote PROJECT NO. 124-049 July 9, 2024 at 9:00am Local Time. Quotes are to be QUOTES DUE submitted electronically to bpwbidsCMsouthbendin.gov BASE OUOTE Morn No. Description Quantity Unit Unit Price I Total Amount 1 ASPHALT MICROSURFACING 18,163 SYD S', 5 6 s q 9, 8 4 & ALTERNATE NO. 1 Rom No. Descriabion Quantity Unit Unit Prica Total Amount 1 PATCH, INFRARED, 5 FT. BY 7 FT. BY 2 IN. DEPTH 25 EA '� 3 7 S $ 3 z s 2 PATCH, INFRARED, 5 FT. BY 7 5 EA 4/SO S 5-C FT. ADDITIONAL 2 IN. DEPTH 7 TOTAL AMOUNT OF ALTERNATE NO. 1 $ / / (0 2 Jr BASE QUOTE + ALTERNATE NO. 1: 4( 1 1 1,15 j, I Finn: at(A(14�1:p4ANC? AddressAJ 4 City/Staterzip:Tj��b' Telephone Number: (3tl) 350-rJ39L' Fax Number: t (SigmNe) �she(P Ntm Pwiuur—w (Prinlea Name ason Ssigning) Version 3/1512024 Page -21 Public Works Quote CITY OF SOUTH BEND _'�1111K MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN = _" FORM MBE-2.1 i me compierea corm snoula ce suppuea wrm Ulm that pertain to city of South Bend Public Works Projects requiring Good Faith Efforts m contact MBEs. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the MBE qualifications. Attach additional pages If necessary. PAGE OF Project Number: Prop Bkkk By: MBE Participation Goal N/A MBE Firm Owner or Contact at MBE Finn �£ K j wigf-, / TesPhone:5lq.-rfea-y'/9y Fax: Email: pt2igSt✓�Lem�rtAciiK�.f�� TYPE OF WORK SOLICITED FOR THIS PROJECT: 15g4 -Q. (�(t>c4rvLEF .rart6l t. 6YIN Slt�(iS 9 /,�N Q.2c/o845 RESULTS OF CONTACT WITH THE MBE FIRM: /J�YLffU � USt 'fktS IC2 yw• MBE Firm Owner or Contact at MBE Firm _ �16lfcS K,tr CF+[5 Kr Telephone: S7'/—A7.Jd7(4 Fax: Email:-Sw%,ra5m1ca45 Kt PJ j�M—FktC Cn' TYPE OF WORK SOLICITED FOR THIS PROJECT: (�f� o'F S+TG s oa�49 pcT /3ree2tca 4 s RESULTS OF CONTACT WITH THE MBE FIRM: t2kf-f f l o -� USE M/S �I i1W Version 8/15=24 Page - 28 Public Works Quote CITY OF SOUTH BEND' MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN _ FORM WBE-2.1 WBE CONTACTED Faith Efforts W contact WBEa. It is the bidder's sole responsibility to verily whether any ran business meets the WBE qualifications. Attach additional pages 9 necessary. PAGE — OF - Project Number: 124-049 WBE Participation Goal N/A Pmjl Bidcd By: WBE Finn (.dl'L G�nIi-R • C✓It-� 61C Owner or Contact at WBE Firm itew �[ EAtwtPMrlwG w.Kyr/ Telephone: 3So-yr SI-rJiS'] Fax. Email: 2.)<, wEwnn fyN .SjNn ✓+r( 01— TYPE OF WORK SOLICITED FOR THIS PROJECT: V( 2un iA6ES kO-t QwN cR i- 5e*C �Lz CA "Tiwkh Vdf USED /✓+ tk1� Pn-b�e`C' O-fj,fe T"yGW H2E /� (vr�RkE P 'f'�l7 P(u,�ET RESULTS OF CONTACT WITH THE WBE FIRM: -ff�15 rlf , WBE Firm Owner or Contact at WBE Finn Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE WBE FIRM: Version 3115=24 Page - 29 Public Works Quote CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN' FORM MBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS This completed form should be included as part of Me Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MBE participation. Project Number: 124-049 Date: % )? 2 Project Name: 2024 Microsurtacing quote Bidder 1JA4im At PAIrEWf,7rr MAIN41uAl'16f Contact Person: &4a-q'j µLf W YLtAN Telephone: 3) 7-7SO - S390 Address: tills 14 CNi,, j( L" AVE City: 1/5 State: /N Zip: gy)•fe Email: 0.4 (If'" ®N a ku . U S. L l� 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 codified MWBEs provided by the City; and 3)the Indiana Department of Administration lie[ of Minority and Women Owned Businesses (both certified and non-oerified) found at: htb3ffiwww in v/idoa/. GOOD FAITH EFFORTS TO OBTAIN MBE PARTICIPATION The bidder shall initial each item below, as evidence of its good faith efforts to obtain MBE participation in the awarded contract. I alarm Nat 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 websse (hftx1As%w.in ovldoa. I affmn that I have made good faith efforts to select portions of the contract work to be Performed by MBES, including, where appropriate, breaking out contract work items into O economically feasible units to facilitate MBE participation. I afflrn that I have made good fan efforts to solicit through all reasonable and available means the interest of all MBEs in the scopes of work of the contract. I aMnn that I attended all pre -bid meetings scheduled by the Cry of South Bend to infon n 5� MBEs of contracting and subcontracting opportunities. I affirm that I advertised in general Llrcolar on and/or bade association publican.-. conceming subcontract opportunities and allowed MBEs reasonable time to respond to such advertisements. I ammn that I performed any and all necessary steps to provide wmten notices In a manner reasonably calculated to inform MBEs of subcontracting opportunities and allowed sufficient time for MWBEs to Participate effectively. I affirm that I followed up on initial soliaitations with interested MBEs. I afPom that I negotiated with interested MBEs in good With, including providing such MBEs r with adequate information about the plans, specifications and other requirements of the subcontract. I aRrm that 1 have made good faith eflons to asset interested MBEs in obtaining bonding, /- lines of credit, or insurance as required by the City or the bidder, where appropriate. Version 3/152024 Page - 24 Public Works Quote CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN F\ M E FORM MBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS I affirm that I have made good faith efforts to assist interested MBEs in obtaining necessary �- equipment, supplies, materials, or related assistances or services, where appropnate. I affirm that l did not reject any MBEs as unqualified withoutsaund business masons 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 it not, why not, including any reasons for cone uding that the MBE was unqualified to perform the job. Version 3/152024 Page -25 Public Works Quote p 1, CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN " FORM MBE-1.0 MBE UTILIZATION PLAN This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE participation. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the MBE qualifications. ***Goals should be calculated based on the Base Quote only."* Project Number: 124-049n� Project Name: 2024 Microsurfacino Quote Bidder: NA7/aw4L p4Jtla4NT Total Bid Amount: MBE Goal: N/A Page! of / Noma 8 Merest of MBE Primary contact Person (Neme/Tebphone) PB Sco of Work to be Perfom�e0 cb (Aaeawche pe/s0ub rtyou neetl atltlNonal space) Dollar Amount of MBE Compon Pe.ftlage of Totalent BItlIP oael $7'a7£ 1 2R1CH6/rE*j -Syw4s 6..1c..LSK/ Qk A/.3 /34rcn.,rp.i- I�fN7•<< 64 5 5 ?'f9�3 US �s wcsT $741-2g7-Jc78 561.1�k 13rsrd', zw �toas 'S'FwEL Lau xiRAc'�/n� Qf2i [MASa'1� �iwrt PENT �¢slaq¢ftfi✓v- $c43 5ak'4.13�—J Av'( y(L� �5 i /.a+LArCtw Fi yuKE�trfNT M4 Tll V66,S7 f 5E-f mot' Submitted by: /Vfl, 4{ ,kw 7Jr5�Z7y Pdnt Name Signature Date ***Goals should be calculated based on the Base Quote only.`** Version 3/1512024 Page - 22 Public Works Quate