HomeMy WebLinkAboutAward Bid - WWTP CNG Compressor Upgrade Proj No. 119-109R - Koontz Wagner1316 COUNTY -CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND, INDIANA 46601-1830
PHONE 574/235-9251
FAx 574/235-9171
CITY OF SOUTH BEND JAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
July 9, 2024
Mr. Anthony J. Maloney
Koontz Wagner Services, LLC
3801 Voorde Dr., Suite B
South Bend, IN 46628
kwaldschmidtkkwservices. com
RE: Award Bid — Wastewater Treatment Plant CNG Compressor Upgrade
Project No. 119-109R
Dear Mr. Maloney:
At its July 9, 2024 meeting, the Board of Public Works awarded the above referenced
bid to you in the amount of $1,545,000 (Base Bid). Enclosed please find a signed Bid/Proposal
form.
Please forward the following documents in one submittal by July 23, 2024 to my
attention for Board of Public Works approval at lhensleygsouthbendin.gov:
1) One (1) signed original of the Public Works Contract (enclosed)
2) Labor & Material Payment Bond
3) Performance Bond (125% of Bid Amount)
4) Certificate of Insurance naming the City of South Bend as an additional insured
5) Item #4 for all subcontractors that you use
If you have any further questions, please call this office at (574) 235-9251.
Sincerely,
/s/ Theresa Heffner
Theresa Heffner, Clerk
Enclosures
TH/lh
ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT MURRAY L. MILLER BRIANA N. MIcou
INTER -OFFICE MEMORANDUM
DEPARTMENT OF PUBLIC WORKS
DIVISION OF ENVIRONMENTAL SERVICES
TO: Members of the Board of Public Works
Michael Schmidt, Assistant City Attorney Public Works
Theresa Heffner, Clerk of the Board of Public Works
FROM: Jacob M. Klosinski, P.E., Assistant City Engineer
SUBJECT: Agenda Request — Bid Award
119-109R Wastewater CNG Compressor Upgrade
(PROJ00000017 / PR-00027076)
DATE: July 1, 2024
The Board of Public Works opened public bids for Project No. 119-109R WWTP CNG Compressor
Upgrade at its meeting on June 11, 2024. Koontz Wagner Services, LLC submitted the lone,
responsive and responsible bid. The Division of Engineering has reviewed the subject bid and found
the documentation to be complete. All responsible bidder ordinance documentation has been
received and the bidder also met good faith efforts for MBE goals and WBE goals for the subject
project.
The Bid Ranked as follows:
BID SUMMARY — BASE BID
Bidder / Vendor
BASE BID
1. Koontz Wagner Services, LLC South Bend, Indiana
$1,545,000.00
BID SUMMARY — ALTERNATE #1 Existing CNG Hose Replacement
Bidder / Vendor
Qty
Unit
Unit Price
Total Amount
1. Koontz Wagner Services, LLC (South Bend,
Indiana
22
EACH
$3,472.22
$78,388.84
Bid Award Recommendation:
Public Works, Engineering, Wastewater, Solid Water, and Central Services recommend the
Board of Public Works award the BASE BID for Protect No. 119-109R WWTP CNG
Compressor Upgrade to the lowest, responsive, and responsible bidder, Koontz Wagner
Services, LLC (South Bend, Indiana) in the amount of $1,545,000.00.
The review team does not recommend the award for any alternates bid items at this time.
Budget is only available to complete the Base Bid project.
Funding for this project is directed out of the Sewage Works Capital — Wastewater Capital,
Account 642-06-605-514-442005 and Revenue & Expense Account 610-06-603-512-436001.
For questions regarding the award recommendation, contact Jacob M. Klosinski (Ext. 9496) at
the Division of Engineering.
Date:
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name CNG Compressor Upgrade
Project No. 119-109R
For Bids Due June 11, 2024
PART I
(Must be completed for all bids. Please type or print)
6/11/2024 Bidder(Firm) KW Services LLC
Address: 3801 Voorde Drive Suite B
City/State/Zip: South Bend/IN/46628 Telephone Number (800 ) 232-2051
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:
CNG Compressor Upgrade
the City of South Bend, Indiana, in accordance with plans and specifications prepared by
Greenley and Hansen
and dated 2/2/2024
for the sum of (enter the Total Bid as shown on the Proposal)
One Million Five Hundred Forty —Five Thousand ($1,545,000.00 )
(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 sho n a sep ach
By
(Signs re)
Anthony loney
d Name of Person Signing)
The above bid is accepted this
Subject to the following conditions:
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
B�
Elizabeth A. Maradik, President
Gary A. Gilot, Member
Murray L. Miller, Member
I
I
ACCEPTANCE
day of
14--Z7I
Joseph R. Molnar, Vice President
Breana N. Micou, Member
Attest: Laura D. Hensley, Acting Clerk
Date: July 9, 2024
20
BOARD OF PUBLIC WORKS
CITY OF SOUTH BEND, INDIANA
PUBLIC WORKS CONTRACT
This Agreement is made and entered into this 9th Day of July, 2024, by and between Koontz
Wagner Services, LLC, (the "Contractor"), and the Board of Public Works (the 'Board").
The Contractor covenants and agrees to make the following improvement, as fully set out in the
Request for Quotations, Standard Specifications, Special Provisions, Plans, and Bid Proposals, all
of which are set forth as a part of this Contract, for:
PROJECT NO. 119-109R
DESCRIPTION: WASTEWATER TREATMENT PLANT CNG COMPRESSOR
UPGRADE
ADE
COMPLETION DATE: SEE SPECIFICATIONS
AMOUNT: $1,545,000 BASE BID
FT TNDTN(T- PR-000?7076
The unit prices for this improvement were those prices as received and accepted by the Board on
the 1 lth Day of June, 2024.
The Contractor further agrees to notify the assigned Engineer when this improvement is
completed. This notification shall be in the form of a Project Completion Affidavit, signed by the
Contractor. Upon final acceptance of the improvement by the Engineer, the Contractor's final
estimate will be presented to the Board for final Payment with one (1) copy of the Project
Completion Affidavit and one (1) copy of a Waiver of Lien.
Each of the Parties, by signing below, represents and warrants to the other Party that he/she/it has
the authority to bind the named person or entity to this Agreement.
CITY OF SOUTH BEND, INDIANA KOONTZ WAGNER SERVICES,
BOARD OF PUBLIC WORKS LLC
Elizabeth A. Maradik, President
Gary A. Gilot, Member
Murray L. Miller, Member
Joseph R. Molnar, Vice President
Printed Name
Breana N. Micou, Member Signature
Cr—
Attest: Laura D. Hensley, Acting Clerk
Date: July 2024
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS
Project Name CNG Compressor Upgrade
Project No.
For Bids Due
119-109R
June 11. 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
X or Bid Bond.
Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely
X executed.
Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments
with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and
X Certification of use of United States Steel Products or Foundry Products.
Proof of M/WBE Utilization Plans [MBE-1.0 and WBE-1.0]. Also provide Evidence of Good
Faith Efforts Forms [MBE-2.0 and WBE-2.0] and M/WBE Contacted Forms [MBE-2.1 and
X WBE-2.11.
X Acknowledge Receipt of 1 Addendum(s) included with the bid.
X All required additional information is included with the bid.
Proposal statements and other affidavits all signed by the proper party with name either
X printed or typed underneath signature.
X This checklist submitted with the Bid.
This checklist is provided for bidder's use in assuring compliance with required
documentation; however, it does not include all specifications requirements and does not
relieve the bidder of the need to read and comply with the specifications.
Bidder: KW Services LLC
By Authorized
Signature:
Print Name & 1
Date: 6/11/2024
CNG Compressor Upgrade
Project No. 119-109R Contractor's Bid for Public Works - 1 Version 07/19/2023
Document A31OTM - 2010
Conforms with The American Institute of Architects AIA Document 310
Bid Bond
CONTRACTOR:
(Nain, legal slalrcc and addrws.v)
KW Services, LLC
3801 Voorde Drive, Suite B
South Bend, IN 46628
OWNER:
(,vain. h-gal status and address)
City of South Bend
125 South Lafayette Boulevard
South Bend, IN
SURETY:
('Xwne, legal.sralirs mid priiiciprrl place of husinesa)
SiriusPoint America Insurance Company
P.O. Box 3646
Omaha, NE 68103
Mailing Address for Notices
P.O. Box 3646
Omaha, NE 68103
BOND AMOUNT: $ Five Percent Of The Total Amount Bid (5%)
PROJECT:
(,ti'ame, location or addn= and!'rojecr, number, Ijan})
CNG Compressor Upgrade: Project No. 119-109R - Rebid
This document has important
legal consequences. Consultation
with an attorney Is encouraged
with respect to its completion or
modification.
Any singular reference to
Contractor, Surety, Owner or
other party shall be considered
plural where applicable.
The Contractor and Surety are bound to the Owner in the amount sct forts] above. for the payment of which the Contractor and Surety bind
lhamseltos, their heim oneculors, administrators, successors and assigns,iointy and wwrally, as provided herein. The conditions of this
Bond are such that if the Owner accepts the bid of the Contractor within ilie time spcoiiied in the bid documents, or within such fire period
as may be agreed to by the Owner and Cantracior, and the Contractor eiither (1) tutors into a contract Avith tite OWncr in accordance ►eitih
the temtsofsuch bid, mid gives such bond or bonds as may be speaitied in the bidding or Contract Documents, with a surety admitted in
Ilie jurisdiction of the iWiect and othenviso acceptable to the Ouriter, for the faithful performance of such Contract and for Ile prompt
payment of labor and material furnished in die prosecution there of-, or (2) pays to [lie Owner the 4ifference, not to exceed itic amount of
this Bond, between the amount specified in said bid and such larger amount for which tie Owner may in good faith contract with another
party In lxrtimn t)C wore- covered by said bid, then Ihis ohligution %hall he nu11 and void, olhenvise to rein uin in Ville fierce and cliect. The
Surety hereby nui►csany notice ul'ort ugreemerrt bvl%Meen the Own eraiid Cantracieir kl cxtcnd the time in which the Owner may accept the
hid. Waiver al'notice by file Surety %1)011 not aMAy in any exitnsioll exceeding Axty (60)duvs In the ag rcgate bej4lnd the lime 1617
arc cptance of bids sptmi ied 1n the bid documenIs, ail [lit 0, nerand ConImuhir shall [lblain the Surety'N consent roran exten%then beyond
sixty (60) days.
If this Bond is issued in connection with a subcontractoes bid to a Contractor, the term Contractor in this Bond shall be deemed to be
Subcontractor and the terni Owner shall be deemed to be Contractor.
When this Bond has been famisbcd to rr»ttply frith a:daluknyrirrothcr legal requirement in [he loculian of the Pn> tcl, env ptueision in
this Bond conflicting miter Said stutulorti or [eaal requirement shall be deemed delettd lsemrrom and provisionsconrorming to such
stalutnry or other legal rcouirem enI shall bodeemed incurixnrated herein. When so fumisiled, tie intent is Ill at this Bond shall be can%trued
US u slutntnry h;md and not as a common law hhmd.
Sismcd and scaled this 11th day of June, 2024
(ll rrness)
0,.�- �-,nt.-,
(Wilneks)Andreah Moran
S-00541AS 8110
(INI0)
SiriusPoint America Insurance Company
01 Meal)
4
'01
Strava o, Attorney -in -Fact
AMENJOl 0323
POWER OF ATTORNEY
SIRIUSPOINT AMERICA INSURANCE COMPANY
NEW YORK
KNOW ALL RIM BY THESE PRESENTS: Thal SiriusPoini America Insurance Company, a Nnv York corporation, having its principal office in
the City of New York, pursuant to the following Resolution, which was adopted by the Board of Directors of the Company, to wil;
RESOLVED, that the President, Senior Vice President, Chief Financial Officer, Secretary or Assistant Secretary is hereby authorized to execute Powers
of Atlomey appointing as aumneys-in-fact selected employees orcertain surely companies who shall have The power for and an behalf of ibe Company to execute
and affix the seal of the Company to surely contracts as co-s arely.
Does hereby nominate, constitute and appoint:
Marisol Mojica, Jaclyn Thomas, Krystal L. Stravata, Mariya Leonidov
Its true and lawful ow orneydn-fart, to make, rxecase, seal and deliver for and on its behalr and as its set and dead; any and sll hand; cenlracts, Agreements
of indemnity, and odor undertakings in suretyship (NOT INCLODENG bonds without a 0acd pwWIy or ftasncisl guaranl cc ba ads) and to bind the Company thereby
as fully and to the same extent as if same were siencd by Ike duly authorized oBi tens or the Company, provided, however, that the penal sum of any not such
instrument executed hmeunder shag not exceed the sum or:
S50,000,000 single bond limit
All acts of said attorneys -in -fact pursuant to the authorities herein given am hereby ratified and confirmed. The executive officers listed above in the
Resolution may from time to time and at any time remove any such appointee and revoke the power given to him or her.
The execution of Bch bonds or undertakings in pursuance of ilmse pramnts, within one year of the date of issue of ih= pnmmis, shall be hireling upon
said Company, as fully vd amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elecud officers orthe Company
at its office in New York, New York, in theirownproper persons.
1 N WnWESS WHEREOF, SiriusPoint America Insurance Company bas caused its corporate seal to be hereunto affixed, and Ihese presents to he
signed by its Secretary this 17th day of Augusl in the year 2023.
Si:ittsPointAmcrica fnsura Camp�ny
6y:
MCI, . Ralph
SccFctary
StateorNcwJersey }
) ss-
County of Monmouth
On this I?' day of Au put 2023, before me, a Notary Public of the Stale of New Jersey in and fir the County of Monmouth duly eommwoned
and qualified, tame Melissa J. Ralph, Sccrenry, ofSiriusPoint America Insurance Company, to me Persarully known so be the individual and officer descn'hed in,
and who rxecuted The preceding instrument, and acknowledged the execudon of the samR and, bring by me duty swam, dcposclh vA sailh, that she is the
officer orlhe Company aforesaid, and that the sml alrxed to dw preceding irurnrmem as, the empomle real of said Company, and the said corporate scat and her
signature as officer were duly slfixcd and subsuibad to the said initrum ni by the oulhority and direction of the Bald Company, referred to in the preceding
instrument, is now in force.
IN TESTAIONY WHEREOF, I have hereunto so my hand and affixed my official seal.
TNAEJA >~ LPPE
WIS-SCOTT a,aryPub
NOTFtRY PUBLIC My Cot 'oo expires
STATE OF NSW JEf25EY 1 to�W a t , l0z4
myCOMMEES ICON 1ESk1Yei1 31,2028
State of New Jersey
County of Monmouth
1, Melissa J. Ralph, Secretary, ofSiriusPoinl America Insurance Company, a New York corporation, do hereby certify that the above and foregoing is a
full, true correct copy of Power of Attorney, is still in force and effect and has not been revoked.
IN WITNESS WHEREOF, I havehereunto act my hand and affixed the seal of said Company this 1 1 th
day of June, 1111
Scactan
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
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.
CNG Compressor Upgrade
Project No. 119-109R Contractor's Bid for Public Works - 3 Version 07/19/2023
vwp:
►COONrz WAGNER
A66 ROWER • PERFORMANCE • PROGRFS5
Part II Section 1 Experience Questionnaire
1. Projects Completed for the period of one (1) year prior to date of bid:
Gephart Electric — Four Winds Casino Phase II
ERMCO-/Goshen Hospital Towers
Cleveland Cliffs — Maintenance Contract
Doyon — Armory Updates — USACE Armory Vault South Bend
SBN Skywest — Install Misc. Recepts in Avionics
2. List of Public Works Projects Currently in Process
Performance Services - Elkhart County Courthouse, Goshen, Indiana
SBN Install ALCMS and Electrical Vault Improvements
Gibson Lewis — SBN Passenger Boarding Bridges 4 & 8 and Terminal Mod Project
New Lodge and Site Improvements for Potato Creek State Park
Information on Failure to Complete Work Awarded
We have completed all work awarded.
4. References
F.A. Wilhelm Construction, Jeff Litko, 317-359-5411
Ziolkowski Construction, Adam Bradley, 574-287-1811
Performance Services, Glen Smith, 888-390-2700
Gephart Electric, Drew Herman, 218-831-5006
ERMCO, Mike Summers, 317-780-2923
1001 Commerce Pkwy S Dr A 3801 Voorde Dr, Ste B 5330 Distribution Dr
Greenwood, IN 46143 South Bend, IN 46628 Fort Wayne, IN 46825
317-884-0010 800-345-2051 260484-0313
www.koontzwagnerservices.com
1864 N McCullough St
Lima, OH 45801
419-228-1325
:VVP
GQNTZ-WAGNER
A6& POWER • PERFORMANCE . PROGRESS
Section II Plan and Equipment Questionnaire
We will provide a schedule to be completed in 365 days from the contract award. We will provide
lead times on all pretendant materials. We will coordinate all subcontractors into our schedule. We
anticipate 2-3 electricians on and off as necessary until the completion of the project.
2. The subcontractors are as follows.
EJ White 1011 South Michigan St. South Bend, Indiana 46601 (Low -Pressure Piping) EJ White is a
mechanical contractor that has been in business since 1925.
Brown and Brown Contractors Inc. 124 South Elkhart St. Wakarusa Indiana 46573 (Concrete Work)
Brown and Brown is a construction company that has been in business since 1939.
Three Sons Landscaping PO Box 690 New Carlisle Indiana 46552 (Seeding) Three Sons Landscaping is
a landscaping contractor that has been in business for 20+ years. They provide hardscaping, landscaping,
maintenance and irrigation.
Ozinga Energy 2255 South Lumber St. Chicago Illinois 60616 (High Pressure Piping) Ozinga Energy is
a proud member of multiple natural gas associations, including ANGA, Chicago Area Clean Cities, CNG
Now, Illinois Green Fleets, NGV America, South Shore Clean Cities and US Department of Energy.
Core Bore IN LLC 20061 Dice St. South Bend Indiana 46614 (Excavation) Core Bore is underground
utility company that has been in business for 10 years.
3. We will prework all work with our subcontractors.
4. The equipment provided for this project is a mini -excavator and a bobcat.
5. All materials that are provided were quoted and verified through Tradeservices. Materials and
Quotes will expire in 60 days from the date of submission.
1001 Commerce Pkwy S Dr A 3801 Voorde Dr, Ste B 5330 Distribution Dr
Greenwood, IN 46143 South Bend, IN 46628 Fort Wayne, IN 46825
317-884-0010 800-345-2051 260-484-0313
1864 N McCullough St
Lima, OH 45801
419-228-1325
www.koontzwagnerservices.com
vwp
ACOONTZ WAGNER
POWER • PERFORMANCE . PROGRESS
27 February 2024
City of South Bend
Wastewater Treatment Plant
South Bend, IN
RE: SBWWTP CNG Compressor Replacement
TO WHOM IT MAY CONCERN:
Attached please find our internal financial statements for year ending 2023. Our audited financials are
not yet complete and ready for distribution. KW Services, LLC d/b/a Koontz Wagner Services is wholly
owned by MidAm Building Solutions, LLC.
For further questions and requests, please contact Kim Wagley at IcwagleV@kwservices.com.
Sincerely,
r
Kimberley L. Wagley
Controller
1001 Commerce Pkwy S Dr A 3801 Voorde Dr, Ste B 5330 Distribution Dr
Greenwood, IN 46143 South Bend, IN 46628 Fort Wayne, IN 46825
317-884-0010 800-345-2051 260-484-0313
www.koontzwagnerservices.com
1864 N McCullough St
Lima, OH 45801
419-228-1325
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:
St. Joseph 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 (1) 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.
CNG Compressor Upgrade
Project No. 119-109R Contractor's Bid for Public Works - 4 Version 07/19/2023
Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's
newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's
documentation of enrollment and participation in the E-Verify Program is included and attached as part of
this bid/quote; and
5. Contractor shall require his/her/its subcontractors performing work under this public contract to
certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain
any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien,
and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees
to maintain this certification throughout the term of the contract with the City of South Bend, and understands
that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision
no later than thirty (30) days after being notified by the City.
6. Persons, firms, partnerships, corporations, associations, or joint venturers awarded a contract by the
City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee
or applicant for employment in the performance of a City contract with respect to hire, tenure, terms,
conditions, or privileges of contract or employment, or any matter directly or indirectly related to contracting
or employment because of race, sex, religion, color, national origin, ancestry, gender expression, gender
identity, sexual orientation, or due to age or disability that does not affect that person's ability to perform the
work.
In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any
combination of the foregoing including, but not limited to, public works contracts awarded under public
bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards,
or commissions will consider the Contractor's good faith efforts to obtain participation by those
subcontractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business
Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder.
Contractors seeking the award of a City contract cannot be required to award a subcontract to an MWBE;
however, they may not unlawfully discriminate against said MBE/WBE. On goal -eligible contracts,
Contractors are required to either meet both MBE and WBE utilization goals or demonstrate that the
Contractor has made good faith efforts to obtain participation from MBE and WBE subcontractors. A finding
of noncompliance or a discriminatory practice shall prohibit that Contractor from being awarded a City
contract for a period of one (1) year from the date of such determination, and such determination may also
be grounds for terminating the contact to which the discriminatory practice or noncompliance pertains.
7. The undersigned Contractor agrees that the following nondiscrimination commitment shall be made
a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its
agencies, boards or commissions.
Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the
performance of this contract with privileges of employment, or any matter directly or indirectly related to
employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation,
handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of
contract.
I, the undersigned bidder or agent as contractor on a public works project, understand my statutory
obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby
certify that I and all subcontractors employed by me for this project will use steel products or foundry
products made in the United States on this project if awarded. I understand I have an affirmative duty to
notify the City in my bid that my proposal does not include the use of steel products or foundry products
made in the United States. I understand it is my sole obligation and responsibility to provide a justification
to the City, subject to review and approval, why the cost of United States made steel or foundry products is
unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry
products made in the United States, the City, through its director of public works, shall make a determination
if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder
CNG Compressor Upgrade
Project No. 119-109R Contractor's Bid for Public Works - 5 Version 07/19/2023
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 11 t h day of June , 20 2 4
KW Services LLC
(iK
. M)
X,_ C� D
nature of ctorf idder: or I gent
Anthony J. Maloney (VP)
Printed Name and Title
Subscribed and sworn to before me this 5Ah day of SU P- , 20aq
My Commission Expires I 511 �
Notary Public
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CNG Compressor Upgrade
Project No. 119-109R
County of Residence
Contractor's Bid for Public Works - 6 Version 07/19/2023
Project Name:
Project Number:
For Bids Due:
Contractor Name:
BASE BID
BID/PROPOSAL
CITY OF SOUTH BEND
CNG Compressor Upgrade =d'
119-109
June 11, 2024
KW Services LLC
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
CNG Compressor Upgrade
1
(See Specification 01 29 50 for
Lump Sum
1
Lump Sum
1, 445, 000.
detailed description
2
Owner Directed Spare Parts
Lump Sum
1
Lump Sum
$100,000
Allowance
ALTERNATE #1
11
BASE BID TOTAL 1, 5 4 5, 0 0 0. 0 0
Item
Description
Quantity
Unit
Unit Price
Total Amount
No.
1
Existing CNG Hose Replacement and
22
1
3,472.22
78,388.84
Spares
ALTERNATE #1 TOTAL 7 8, 3 8 8. 8 4
Bidder (Firm): KW Services LLC
Address: 3801 Voorde Drive
City/State/Zip: South Bend/ IN/ 4662telephone Number:
574 ] 232-2051
(Signature)
Anthon . Maloney
(Printed Name of Person Signing)
CNG Compressor Upgrade
Project No. 119-109R Contractor's Bid for Public Works - 7 Version 07/19/2023
'i'11!10V
IC00NTZ-WAGNER
POWER • PERFORMANCE • PROGRESS
June 10, 2024
City of South Bend, Indiana
Board of Public Works
Re: CNG Compressor Upgrade
Dear Gentlemen:
Koontz Wagner Services is pleased to submit the following quotation for the electrical work on the
aforementioned project.
Scope of Work based on:
1. All Specified Divisions
2. Drawings:
1. Prepared by: Greeley and Hansen
2. Dated: January 2, 2024
3. Addendums: Addendum 1 is included.
4. Clarifications as noted below
CLARIFICATIONS & INCLUSIONS:
■ All needed permits.
• Threaded, schedule 40, low pressure gas pipe.
■ $5000 allowance for painting.
• The specified $100,000 allowance will go towards the junction box and work needed for the change over of
the existing service to the new service among any other issues that may arise.
• Landscaping is limited to grading and re -seeding roughly 2,800 square feet.
• Three filling station poles are figured in this quote. Our intent is to reuse the pole that the high-pressure gas
line will tie into.
• Controls for the new system are figured as designed by Ozinga Energy and may not be the same as shown on
bid drawings.
• Proposal is valid for 30 days.
• All work to be performed during normal business hours
• All material is based on the electrical drawings.
• Due to the uncertainties of the commodities market, priced quotes herein are those in effect to the expiration
date of this proposal.
5330 Distribution Drive 3801 Voorde Drive 1864 N McCullough Street
Fort Wayne, IN 46825 South Bend, IN 46628 Lima, OH 45801
260-484-0313 800-345-2051 419-228-1325
www. Koontz-Wagner.com
flljj�v
4GNTZ-WAGNER
POWER • PERFORMANCE • PROGRESS
EXCLUSIONS:
■ Utility company charges, fees or deposits
• Temporary power or lighting
• Job overtime to meet accelerated construction schedule
• BIM/CAD coordination drawings
• Seismic requirements beyond normal installation methods
■ Indiana state sales tax
Base bid for electrical as outlined in this proposal ...........................See bid form
Alternate#1.:........................:.......................::.................................See bid form
Our price is based on a mutually acceptable contract. Upon acceptance, this proposal becomes part of the
subcontract.
Ron Dockery
Director of Estimating
KW Construction Services, LLC
(Direct) 574-280-2535
(Cell) 574-993-7772
Rdockery@kwservices.com
5330 Distribution Drive 3801 Voorde Drive 1864 N McCullough Street
Fort Wayne, IN 46825 South Bend, IN 46628 Lima, OH 45801
260-484-0313 800-345-2051 419-228-1325
www.Koontz-Wagner.com
CITY OF SOUTH BEND =
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN k _
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:
119-109R Project Name: CNG Compressor Upgrade
KW Services LLC Total Bid Amount 1, 545, 000. 00 MBE Goal .44 %
Page 1 of 1
Name &Address of MBE
Primary Contact Person
(Namerrelephone)
Scope of Work to be Performed
(Attach scope/schedule if you need additional space)
Dollar Amount of MBE
Component
Percentage
of Total
13prWroposaT
JBL Signals and
Tanner
Supply Electrical
pp Y
17,210.00
Lighting
Leibovirz
Equipment
1.11%
4316 Technology E
r574.855.22
1
Submitted by: Anthony J. Maloney
Print Name signatwe _
***Goals should be calculated based on the Base Bid only.***
CNG Compressor Upgrade
Project No. 119-109R Contractor's Bid for Public Works - 8 Version 07/19/2023
6/11/2024
Date
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM WBE-1.0
WBE UTILIZATION PLAN
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving WBE participation. It is
the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications.
***Goals should be calculated based on the Base Bid only.***
Project Number: 119409R Project Name: CNG Compressor Upgrade
Bidder: KW Services LLC Total Bid Amount 1, 5 4 5 , 0 0 0 . 0 0 WBE Goal 1 . 61 %
Page__I_of k
Name &Address of WBE
Primary Contact Person
(NamefTelephone)
Scope of Work to be Performed
(Attach scope/schedule if you need additional space)
Dollar Amount of WBE
Component
Percentage
of Total
Bidri'ro anal
Core Bore In. LL
20061 Dice St.
South Bend, IN
Dan Connors
269.479.925
Earthwork
3
25,00.00
1.620
Submitted by: Anthony J .
Print Name
Maloney I
5ignat re
***Goals should be calculated based on the Base Bid only.'
CNG Compressor Upgrade
Project No. 119-109R Contractor's Bid for Public Works - 9 Version 07/19/2023
6/11/2024
Date
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 the Bids documents related to City of South Bend Public
Works Projects requiring Good Faith Efforts to obtain MBE participation.
Project Number: 119-109R Date 6 / 11 / 2 0 2 4
Project Name: CNG Compressor Upgrade
Bidder: KW Services LLC
Contact Person: Kevin Waldschmidt Telephone (574) 232-2051
Address: 3801 Voorde Dr. Suite B
City: South Bend State Indiana Zip 46628
Email: kwaldschmidt@kwservices.com
To determine whether a bidder has demonstrated good faith efforts to reach the MBE utilization goals set forth in
the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions,
REQUIRE ALL of the following Good Faith Efforts as listed in the table below*
EVIDENCE OF GOOD FAITH EFFORTS
MBE LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business Enterprise
Inclusion Program Plan; 2) the list of certified MWBEs provided by the City, and 3) the Indiana Department
of Administration list of Minority and Women Owned Businesses (both certified and non -certified) found
at: hftp://www.in ov/idoa/.
GOOD FAITH EFFORTS TO OBTAIN MBE PARTICIPATION
The bidder shall initial each item below, as evidence of its good faith efforts to obtain MBE participation
in the awarded contract.
I affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise
Inclusion Program Plan and the Indiana Department of Administration's certified list of
Y
Indiana Minority and Women Business Enterprises, found on their website
(httpi//www.in.gov/idoa),
I affirm that I have made good faith efforts to select portions of the contract work to be
Y
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
Y
means the interest of all MBEs in the scopes of work of the contract.
Y
I affirm that I attended all pre -bid meetings scheduled by the City of South Bend to inform
MBEs of contracting and subcontracting opportunities.
I affirm that I advertised in general circulation and/or trade association publications
Y
concerning subcontract opportunities and allowed MBEs reasonable time to respond to
such advertisements.
I affirm that I performed any and all necessary steps to provide written notices in a manner
Y
reasonably calculated to inform MBEs of subcontracting opportunities and allowed
sufficient time for MBEs to participate effectively.
Y
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 MBEs
Y
with adequate information about the plans, specifications and other requirements of the
subcontract.
Y
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 appropriate.
CNG Compressor Upgrade
Project No. 119-109R Contractor's Bid for Public Works - 10 Version 07/19/2023
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
Y
I affirm that I have made good faith efforts to assist interested MBEs in obtaining necessary
equipment, supplies, materials, or related assistances or services, where appropriate.
Y
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.
CNG Compressor Upgrade
Project No. 119-109R Contractor's Bid for Public Works - 11 Version 07/19/2023
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM WBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
_t y
fW.j
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: 119-109R Date 6 / 11 / 2 0 2 4
Project Name: CNG Compressor Upgrade
Bidder: KW Services LLC
Contact Person: Kevin Waldschmidt Telephone (574) 232-2051
Address: 3801 Voorde Dr.
City: South Bend State IN Zip 46628
Email: kwaldschmidt@kwservices.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. ov/idoa/.
GOOD FAITH EFFORTS TO OBTAIN WBE PARTICIPATION
The bidder shall initial each item below, as evidence of its good faith efforts to obtain WBE participation
in the awarded contract.
I affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise
Inclusion Program Plan and the Indiana Department of Administration's certified list of
y
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
y
performed by WBEs, including, where appropriate, breaking out contract work items into
economically feasible units to facilitate WBE participation.
y
I affirm that I have made good faith efforts to solicit through all reasonable and available
means the interest of all WBEs in the scopes of work of the contract.
y
I affirm that I attended all pre -bid meetings scheduled by the City of South Bend to inform
WBEs of contracting and subcontracting opportunities.
I affirm that I advertised in general circulation and/or trade association publications
y
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 manner
y
reasonably calculated to inform WBEs of subcontracting opportunities and allowed
sufficient time for WBEs to participate effectively.
y
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 WBEs
y
with adequate information about the plans, specifications and other requirements of the
subcontract.
CNG Compressor Upgrade
Project No. 119-109R Contractor's Bid for Public Works - 12 Version 07/19/2023
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,
Y
lines of credit, or insurance as required by the City or the bidder, where appropriate.
I affirm that I have made good faith efforts to assist interested WBEs in obtaining
Y
necessary equipment, supplies, materials, or related assistances or services, where
appropriate.
Y
I affirm that I did not reject any WBEs as unqualified without sound business reasons
based on a thorough investigation of their capabilities.
CONTRACT RECORDS: The bidder has maintained the following records for each 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.
CNG Compressor Upgrade
Project No. 119-109R Contractor's Bid for Public Works - 13 Version 07/19/2023
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE-2.1
MBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring Good Faith Efforts to contact MBEs. It is the bidder's sole responsibility to verify whether any listed
minority -owned business meets the MBE qualifications. Attach additional pages if necessary.
PAGE 1 OF 1
Project Number: 119-109R MBE Participation Goal 4 4 %
Project Name:
Bidder\ __—
By:
n
CNG Compressor Upgrade
YkW, Service--LLC
MBE Firm JBL Signals
VP 6/11/2024
(Title) (Date)
Owner or Contact at MBE Firm Tanner Leibovit z
Telephone: (5 7 4) 8 5 5— 2 2 51 Fax:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Email tanner@ jblsignalsandlighting-cc
Committed to purchase electrical equipment from JBL Signals to
meet the MBE goals of .440.
RESULTS OF CONTACT WITH THE MBE FIRM:
MBE Firm
Owner or Contact at MBE Firm
Telephone: Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE FIRM:
CNG Compressor Upgrade
Project No. 119-109R Contractor's Bid for Public Works - 14 Version 07/19/2023
4_..
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 1 OF 1
Project Number: 119-109R WBE Participation Goal 1 . 61
Project Name:
CNG Compressor Upgrade
-,d Serva_a�,LLC
VP 6/11/202�
1,Il�i -
WBE Firm Core Bore In. LLC
Owner or Contact at WBE Firm Dan Conners
Telephone: (269)479-9255 Fax: Email DConners@coreborein.com
TYPE OF WORK SOLICITED FOR THIS PROJECT:
Cut and removal off concrete and asphault
Excavation and backfill for trench
RESULTS OF CONTACT WITH THE WBE FIRM:
Committed to hire Core Bore In. LLC for concrete an asphalt
removal as well as excavating and backfilling trench.
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:
CNG Compressor Upgrade
Project No. 119-109R Contractor's Bid for Public Works - 15 Version 07/19/2023
1316 COUNTY -CITY BUILDING
227 W.JEFFERSON BOULEVARD
SOUTH BEND, INDIANA 46601-1 830
Date:
To:
From
Subject
PHONE 574/235-9251
FAX 574/235-9171
TDD 574/ 235-5567
CITY OF SOUTH BEND JAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
June 6, 2024
All Planholders
Theresa Heffner, Clerk, Board of Public Works
Addendum Number: 1
Project Name: WWTP CNG Compressor Upgrade
Project No
119-109R
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: 6/ 7/ 2 0 2 4
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum
by faxing this sheet to the Board of Public Works at (574) 235-9171
within 48 hours of receipt. A copy MUST also be included with your
bid package upon submittal.
THIS ADDENDUM MAY AFFECT YOUR BID.
Notes: Refer to Attachments. Responsible Bidder Ordinance checklist updated, replace with new
checklist forms. Pre -Bid Si n In, Pre -Bid Meeting Agenda, and Responses to Bidder Questions.
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company:
Authorized
Date: 6/i_L/ L. UG'Y
TZT., C' -, .' --- T T
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
RESPONSIBLE BIDDER CHECKLIST
Project Name
Project No.
For Bids Due
CNG Compressor Upgrade
119-109R
June 11, 2024
Contractor Name: KW Services LLC
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 11 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 lob title and craft
for each employee. Certified payrolls shall be submitted electronically.
Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in
the automatic disqualification of the bid.
The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into
account all information in the submission requirements, determine whether a bidder is responsive and
responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to
utilize all information provided in the contractor's submission and any information obtained by the City
through its own independent verification of the information provided by the contractor.
Version 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.
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.
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)
(iv)
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).
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.
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.
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
PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED)
(a) Acknowledgements:
(i) X By checking this box, I hereby acknowledge that I am not a pre -qualified bidder
with the City of South Bend.
(ii) X 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.
X 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) X 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.
(v) X 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.
(vi) X 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) X Indiana Secretary of State's on-line records (ie. Business verification) dated within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State's Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
proprietors or partnerships).
(ii) X 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) X 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) X 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.
(v) X For every project, submit evidence of participation in apprenticeship and training
programs, applicable to the work to be performed on the project, which are
approved by and registered with the United States Department of Labor's Office of
Apprenticeship, or its successor organization. This includes, but may not be limited
to, letters from apprenticeship coordinators detailing the bidder's association with
Version 5/20/2024 General Conditions - 14
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.
(vi) X 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.
(vii) X 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.
(viii) X 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.
(ix) X 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: 6/11/2024
( ign Here)
Anthony J. Maloney
(Print Name Here)
KW Services LLC
(Name of Company)
3801 Voorde Dr.
(Address of Company)
South Bend
(City)
Indiana
(State)
(574) 280-2573
(Telephone Number)
Version 5/20/2024 General Conditions - 15
State of Indiana
Office of the Secretary of State
CERTIFICATE OF EXISTENCE
To Whom These Presents Come, Greeting:
I, DIEGO MORALES, Secretary of State of Indiana, do hereby certify that I am, by virtue of the laws of
the State of Indiana, the custodian of the corporate records and the proper official to execute this
certificate.
I further certify that records of this office disclose that
KW SERVICES, LLC
duly filed the requisite documents to commence business activities under the laws of the State of
Indiana on February 14, 2014, and was in existence or authorized to transact business in the State of
Indiana on June 04, 2024.
I further certify this Foreign Limited Liability Company has filed its most recent report required by
Indiana law with the Secretary of State, or is not yet required to file such report, and that no notice of
withdrawal, dissolution, or expiration has been filed or taken place. All fees, taxes, interest, and
penalties owed to Indiana by the domestic or foreign entity and collected by the Secretary of State
have been paid.
ST►!#rr'
if �i6
In Witness Whereof, I have caused to be affixed my
signature and the seal of the State of Indiana, at the City
of Indianapolis, June 04, 2024
DIEGO MORALES
SECRETARY OF STATE
2014021900145 / 20243800047
All certificates should be validated here: https://bsd.sos.in.gov/ValidateCertificate
Expires on July 04, 2024.
• _
NoenEwN INUMNA CHAPTER SBIATC
,
M6C
South Bend & Vicinity Electrical Joint Apprenticeship and Training Committee
May 22, 2024
Koontz -Wagner Services
3801 Voorde Drive, Suite B
South Bend, IN 46628
To whom it may concern,
Koontz -Wagner Services as a member of the National Electrical Contractors Association is a
training partner with the South Bend and Vicinity Electrical JATC. This contractor employs and
trains electrical apprentices. The South Bend and Vicinity Electrical JATC is a Department of
Labor registered apprenticeship program.
If you have any questions about this program, please contact our office at
j_L"ra1nlaill_�i�;'atc l 53.coin.
Thank you,
Joe cavu.bU L
Joe Gambill
Training Director
SBVJATC153
56365 Peppermint Road • South Bend • IN • 46619
Ph: (574) 233-1721 • Fx: (574) 233-1947 • www.jatcl53.com
ow'AFO",ONTZ- WAGNER
POWER • PERFORMANCE • PROGRESS
May 29, 2024
Part II Attachments
(i) Please see attached copy of our certificate from the Secretary of State's Office
(ii) Koontz -Wagner Electric, Inc, Koontz -Wagner Construction Services, KW Construction
Services
(iii) There have been no determinations of violations of federal, state, or local laws.
(iv) Koontz Wagner is signatory to the labor agreement with IBEW Local Union 153. We
currently employ approximately 200 tradesmen. This project will be staffed by our in-house
field forces.
(v) All of our field staff are classified by the local union as either foremen, journeymen or
apprentices and they are all members of IBEW Local Union 153.
(vi) The electrical scope of work being performed by our field forces will be performed by
members of IBEW Local 153. By being signatory to this union, we are also participating
members of their apprenticeship program. Certificates of compliance are available from our
respective apprenticeship training organization (SBVJATC). We have included a letter from
our JATC stating our participation in their program.
(vii) All field members of our crews participate in the substance abuse program sponsored jointly
by IBEW Local Union 153 and the electrical contractors of the Northern Indiana Electrical
Contractors Association. These programs are in compliance with requirements as spelled out
in the IC regulations.
(viii) The surety that we will use is listed on the Bureau of Fiscal Service "Department of Treasury's
Listing of Approved Sureties".
(ix) We certify that we have no federal, state or local tax liens or tax delinquencies owed to any
federal, state or local taxing body for the preceding three years.
(x) Please see the list below of projects completed:
a. Gephart Electric — Four Winds Casino Phase II
b. ERMCO-/Goshen Hospital Towers
c. Cleveland Cliffs — Maintenance Contract
d. Doyon — Armory Updates — USACE Armory Vault South Bend
e. SBN Skywest — Install Misc. Recepts in Avionics
f. Notre Dame Turbomachinery Lab — New Carrier Test Cell
g. Pactiv Corsicana, Texas — 138KV Substation Upgrade
h. Pactiv Corsicana, Texas — Power Upgrade for Two New Production Lines
i. Pactiv Abilene, Texas — Power Upgrade for Automation Project
KW Services, LLC
Anthony J Maloney III
Vice President & General Manager
1001 Commerce Pkwy S Dr A 3801 Voorde Dr, Ste B 5330 Distribution Dr 1864 N McCullough St
Greenwood, IN 46143 South Bend, IN 46628 Fort Wayne, IN 46825 Lima, OH 45801
317-884-0010 800-345-2051 260-484-0313 419-228-1325
www.koontzwagnerservices.com
NAIL# 38776
Department of Insurance
State of Indiana
OFFICE OF
Insurance Commissioner
CERTIFICATE OF AUTHORITY
Whereas, the SiriusPoint America Insurance Company an insurance company organized under
the laws of New York, having complied with all the requirements of the laws regulating Stock
Property and Casualty insurance companies doing business in the State of Indiana.
Therefore, as Insurance Commissioner of the State of Indiana, by virtue of authority vested in me by
law, I do hereby authorize, empower and license the above named company to transact its appropriate
business of:
Class 2 (a)(b)(c)(d)(e)(f)(g)(h)(k excluding bail bonds)(1)
Class 3 (a)(b)(c)(d)
through its duly authorized agents in the State of Indiana, in accordance with the laws thereof which are
applicable to said Company.
In testimony hereof I subscribe my name
and affix the seal of the State of Indiana
Department of Insurance.
I��` �
SEAL
Amy L. Beard
INSURANCE COMMISSIONER
� � `�•rrrrll�j�
��-�r-' 11 I W "' AW
.September 29, 2021
Dated
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date: 05-28-2024
Name: Jacob M. Klosinski Department of Public Works — Engineering Division
BPW Date: 06-11-2024 Phone Extension: 9496
Required Prior to Submittal to Board
BPW Attorney X Attorney Name Michael Schmidt
Dept. Attorney ® Attorney Name
Michael Schmidt
Purchasing ® Mickey Low / Ron O'Connor
Check the Appropriate Item Type — Required. for All Submissions
❑ Professional Services Agreement ❑ Contract ❑ Proposal
❑ Open Market Contract ❑ Amendment/Addendum ❑ Special Purchase, QPA
® Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet
❑ Quote Opening ❑ Quote Award ❑ Reject Bids/Quotes
❑ Proposal Opening ❑ C/O & PCA No. ❑ PCA
❑ Chg. Order, No. ❑ Traffic Control ❑ Resolution
n Other: n Ease./Encroach
Company or Vendor Name
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Special Contract Provisions
Purpose/Description
Information
❑ Yes❑ If Yes, Approved by Purchasing
❑ No
❑ WBE Completed E-Verify Form Attached ❑❑ Nos
WWTP CNG Compressor Upgrade
119-109R / PROJ00000017
Sewage Works — Wastewater Capital
PR-00027076
Engineering, Wastewater, Central Services and Solid Waste Divisions
requests the Board of Public Works receive and open bids for the subject
project at its 06-11-2024 Regular Board Meeting.
For Change Orders Only
Amount of ❑ Increase $
❑ Decrease ($ )
Previous Amount
Current Percent of Change
New Amount
Total Percent of Change:
Time Extension Amount:
New Completion Date:
Increase %
Decrease ( %)
Increase %
Decrease ( %)
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date: 07-01-2024
Name: Jacob M. Klosinski Department of Public Works — Engineering Division
BPW Date: 07-09-2024 Phone Extension: 9496
Required Prior to Submittal to Board
BPW Attorney X Attorney Name Michael Schmidt
Dept. Attorney ® Attorney Name
Michael Schmidt
Purchasing ® Mickey Low / Ron O'Connor
Check the Appropriate Item Type — Required. for All Submissions
❑ Professional Services Agreement ❑ Contract ❑ Proposal
❑ Open Market Contract ❑ Amendment/Addendum ❑ Special Purchase, QPA
❑ Bid Opening ® Bid Award ❑ Req. to Advertise ❑ Title Sheet
❑ Quote Opening ❑ Quote Award ❑ Reject Bids/Quotes
❑ Proposal Opening ❑ C/O & PCA No. ❑ PCA
❑ Chg. Order, No. ❑ Traffic Control ❑ Resolution
n Other: n Ease./Encroach
Information
Company or Vendor Name Koontz Wagner Services, LLC (South Ben
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Special Contract Provisions
Purpose/Description
Amount of
Previous Amount
U YesU If Yes, Approved by Purchasing
® No
❑❑ WBE Completed E-Verify Form Attached ❑❑ Nos
WWTP CNG Compressor Upgrade
119-109R / PROJ00000017 / PR-00027076
Sewage Works — Wastewater Capital
642-06-605-514-442005 Sewage Works Capital; 610-06-603-512-
436001Revenue & Expense
1,545,000.00
Base Bid
Engineering, Wastewater, Central Services and Solid Waste Divisions
recommend the Board of Public Works award the construction contract for
Project No. I I9-109R WWTP CNG Compressor Upgrade to Koontz Wagner
Services as the lone, responsive, responsible bidder.
❑ Increase
❑ Decrease
Current Percent of Change
New Amount
Total Percent of Change:
Time Extension Amount:
For Change Orders
Increase
Decrease
Increase %
Decrease ( %
New Completion Date: