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HomeMy WebLinkAboutOpening of Bids - Drewry’s Brewery Phase II - Bottling House Demo Proj No. 119-031D - Indiana EarthCITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Drewry's Brewery Cleanup Phase II Bottling House Demolition Project No. For Bids Due 119-031 D July 23, 2024 PART I (Must be completed for all bids. Please type or print) 1' 1 Date: � ,, a Bidder (Firm): Address: City/State/Zip:�fy'/ ,? / L/ �� U r�$-� � �: Telephone Number: Agent of Bidder (if Applicable): Pursuant to notices given, the undersigned offers to furnish public works project of: Demolition of former Drew 's Brewery Bottling House labor and/or material necessary to complete the the City of South Bend, Indiana, in accordance with plans and specifications prepared by: WDi Architecture Inc. and dated June 28, 2024 for the sum of (enter the Total Bid as shown on the Proposal) �Sum i���i ,�-�t� �� �-�sr._.� ern—(Enteof Total Base Bid plu�Alt ates shown on Proposal) 7tc+r� �,� (N merical) 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 ou Bend. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown o pa to att9< e By (Signature). (Printed Name of Person Signing) ACCEPTANCE The above bid is accepted this Subject to the following conditions: BOARD OF PUBLIC WORKS Elizabeth A. Maradik, President Gary A. Gilot, Member Murray L. Miller, Member day of 20 Joseph R. Molnar, Vice President Breana N. Micou, Member Attest: Theresa Heffner, Clerk Version 07/19/2023 Contractor's Bid for Public Works - 2 PART II (For projects of $100,000 or more — IC 36-1-12-4) These statements to be submitted under oath by each bidder with and as part of his/her/its bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 1. Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid. 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. Version 07/19/2023 Contractor's Bid for Public Works - 3 When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affid¢Vit CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON- DISCRIIVIINATION 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-{Iq/Gij]/? ) )SS. 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: 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 - 4 Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently teams 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 orfoundry products made in the United States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder Version 07/19/2023 Contractor's Bid for Public Works - 5 may result in forfeiture of contractual payments. I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this day of %r %��� , 20nj Signature of ContractorBiddeIts Agent Printed Name and Title Subscribed and sworn to before me this c� day of J 20,a�4 My Commission Expires Notary Public Colony of Residence p����ii ROXANNE LAURENE ALFORD o?.• •.�e�' Notary Public, State of Indiana =Z;SEAL,"= St. Joseph County + • . -Commission Number NP0741524 IA1 My Commission 31 2030pires Version 07/19/2023 Contractor's Bid for Public Works - 6 BIDIPROPOSAL CITY OF SOUTH BEND Project Name: Drewry's Brewery Cleanup Phase 11 Bottling House Demolition Project Number: For Bids Due: Contractor Name: BASE BID 119-031D July 23, 2024 -•eft .�' �..�:-�:•'r''r.,: •. JI��u�� Item No. Description Quantity Unit Unit Price Total Amount Provide a Lump Sum price to perform 1 the demolition, backfill, grading, and 1 LSUM seed as intended by these plans and specifications 2 Environmental Allowance 1 LSUM $100,000.00 $100,000.00 BASE BID TOTAL / &x/Y I ALTERNATE ITEMS Item No, Description Quantity Unit Unit Price Total Amount 1 Demolition of Four Silos 1 LSUM 2? Deduct price for reusing pulverized 2 masonry and concrete as backfill 1 LSUM ?��% ooc ��y��oo Bidder (Firm): : ,1-7 1 Address: 310 31 City/State/Zip: !r`'°'' ,J, 'rt . 'jTelephone Ni AV V, 05Lge► g&S19lr'-7t1f, (Printed Name of Person Signing) 'Pnom 5741235-9251 131oC=OLIN1'Y-Crr113liII.DRTG •SAC't,.%s';;�}jy,;;.,,'j,�rt. FAX 5. i 23. 9l 71 SouTEi I3sxu, INDIANA 46601-1830 . ��1Lb+,<�° TDD .5741235-5567 CITY OF SOUTH }FEND, JA.�'IES MUELLER, MAYOR BOARD OF PI BLIC WORKS Date: July 17, 2024 To: All Planholders From Theresa Heffner, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: Drewry's Brewery Cleanup, Phase II — Bottling House Demolition Project Number: 119-031D ACKNOWLEDGEMENT OF RECEIPT OF ADID1EFIJ )`Jh/l Date Received: j This aiidendum is being forwarded to you for the above referenced project. L'Irkdm e gign hehnTv dl ada@L( vgeflg 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: _1— 'll i z nt c 7/V r , Authorized Signature: Date: Version 8/11/2020 Sri"r�1`�4 •, CITY OF SOUTH BEND jam: MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-1.0 MBE UTILIZATION PLAN This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE participation. It is the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications. ***Goals should be calculated based on the Base Bid only.*** Project Number. 119-031D Project Name: Drewry's Brewery Cleanup Phase II Bottling House Demolition Bidder. r'.,' Total Bid Amount: -(o l �'� MBE Goal: 1.36% Page / of 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 y(/j %Cf%jl r7 I! i 4` Af Submitted by: 47/k All-, Print Name / // Signature ***Goals should be calculated based on the Version 07/19/2023 Contractor's Bid for Public Works - 8 Bid only.*** Date _ 6 �L ex L4 gyp_ i/ 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. 119-031D Project Name: Drewry's Brewery Cleanup Phase II Bottling House Demolition Bidder: �y ICTiG� ^rt�? s t %? __,`':� Total Bid Amount: �' (e� (�ja, -� WBE Goal: 4.54% Page of 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 TotalBid/Proposal �a-�3a I �4�s- Submitted by Art', Print Name AignatuTe Date ***Goals should be calculated based on the Ba /eBid only.*** Version 07/19/2023 Contractor's Bid for Public Works - 9 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: 119-031D Date: / -4>' �, —"&Al Project Name: Drewry's Brewery Cleanup Phase 11 Bottling House Demolition Bidder: �%� n in ten, ;`n, ✓'"�.3 :. :. � Contact Person: Address: /03-//- ? Telephone: �� (1 %L City: f ._ P9. State: >, . r f Zi Email: To determine whether a bidder has demonstrated good faith efforts t ro each 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: httL://www.in.g2y/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 I Inclusion Program Plan and the Indiana Department of Administration's certified list of Indiana Minority and Women Business Enterprises, found on their website (http://vwm.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 into economically feasible units to facilitate MBE participation. I affirm that I have made good faith efforts to solicit through all reasonable and available 's means the interest of all MBEs in the scopes of work of the contract. I affirm that I attended all pre -bid meetings scheduled by the City of South Bend to inform MBEs of contracting and subcontracting opportunities. I affirm that I advertised in general circulation and/or trade association publications concerning subcontract opportunities and allowed MBEs reasonable time to respond to such advertisements. �. I affirm that I performed any and all necessary steps to provide written notices in a manner reasonably calculated to inform MBEs of subcontracting opportunities and allowed sufficient time for MBEs to participate effectively. rl I affirm that I followed up on initial solicitations with interested MBEs. P 4: I affirm that I negotiated with interested MBEs in good faith, including providing such MBEs with adequate information about the plans, specifications and other requirements of the subcontract. 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. Version 07/19/2023 Contractor's Bid for Public Works - 10 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS I affirm that I have made good faith efforts to assist interested MBEs in obtaining necessary 1.1 " 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. 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 - 11 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM WBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MWBE participation. Project Number: 119-031D Date: 7� Project Name: Drewry's Brewery Cleanup Phase II Bottling House Demolition Bidder: Contact Person: / p ' — : /! 7 i Telephone: 5 ��l" �� !`__s7 Address: �D �J 7 7 %%�%C�I�T;'- a` i"ij ? j City: CJ , p: 1 4 5 C Email: 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: httr)-://www.in.gov/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 99 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 WBEs, including, where appropriate, breaking out contract work items into economically feasible units to facilitate WBE participation. f 1 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, 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 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 reasonably calculated to inform WBEs of subcontracting opportunities and allowed sufficient time for WBEs to participate effectively. " 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 with adequate information about the plans, specifications and other requirements of the subcontract. \ I affirm that I have made good faith efforts to assist interested WBEs in obtaining bonding, i lines of credit, or insurance as required by the City or the bidder, where 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 WBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS I affirm that I have made good faith efforts to assist interested WBEs in obtaining necessary equipment, supplies, materials, or related assistances or services, where appropriate. I affirm that I did not reject any WBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. CONTRACT RECORDS: The bidder has maintained the following records for each 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 - 13 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. p PAGE / OF_� Project Number: 119-031D MBE Participation Goal 1.36% Project Name: Drewry's Brewery Cleanup Phase II Bottli Bidder: in (Title) MBE Firm e-1t)`Y'Ir i IrU(."1 Owner or Contact at MBE Firm A Telephone: ;::'' :< '"ij Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: t�UL 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: House Demolition (Date) Version 07/19/2023 Contractor's Bid for Public Works - 14 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-2.1 1N1 ✓- 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 OFF Project Number: 119-031D WBE Participation Goal 4.54% Project Name: Drewry's Brewery Cleanun Phase II Bottling House Demolition Bidder. By: (Signature ✓ (Title) WBE Firm Tf'Iif �}d A .�"' i.t/L'.P Owner or Contact at WBE Firm` Telephonem Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: rQ..) RESULTS OF CONTACT WITH THE WBE FIRM: Email: F_ 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: (Date) Version 07/19/2023 Contractor's Bid for Public Works - 15 A.IA Document A310T"" - 2010 Bid Bond CONTRACTOR: SURETY: (Name, legal status and address) (Name, legal status and principal place Indiana Earth, Inc. of business) Swiss Re Corporate Solutions America Insurance Corporation 10343 McKinley Highway 1200 Main Street, Suite 800 This document has important legal Osceola, IN 46561 Kansas City, MO 64105 consequences. Consultation with OWNER' an attorney is encouraged with (Name, legal status and address) respect to its completion or City of South Bend modification. 227 West Jefferson Boulevard South Bend, IN 46601 BOND AMOUNT: ***FIVE PERCENT OF AMOUNT BID*** PROJECT: (Name, location or address, and Project number, if any) Drewry's Brewery Cleanup Phase 2, Project No. 119-031 D 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 set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specked in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond a as m o l w bond. Signed an ealed this day of July 2 Indian 23rd �-- CT2"^— (Pr' cipa) (Seal) (W ss) - — 5111 (Title) UtWjj Swiss Re C to Soluti ns America Insurance Cor c I I Inn (Surety) (Seal) (Witn ss) (Title) Todd Schaap, Attorney -in -Fact 'nit. AIA Document A310- — 2010. Copyright @ 1963, 1970 and 2010 by The American Institute of Architects. All rights reserved. WAINING: 'rhls AIA® Document Is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA' Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal counsel, copyright@aia.org. G;11 1.0 SWISS RE CORPORATE SOLUTIONS SWISS RE CORPORATE SOLUTIONS AMERICA INSURANCE CORPORATION ("SRCSAIC") SWISS RE CORPORATE SOLUTIONS PREMIER INSURANCE CORPORATION ("SRCSPIC") WESTPORT INSURANCE CORPORATION ("WIC") GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, THAT SRCSAIC, a corporation duly organized and existing under laws of the State of Missouri, and having its principal office in the City of Kansas City, Missouri, and SRCSPIC, a corporation organized and existing under the laws of the State of Missouri and having its principal office in the City of Kansas City, Missouri, and WIC, organized under the laws of the State of Missouri, and having its principal office in the City of Kansas City, Missouri, each does hereby make, constitute and appoint: THOMAS O. CHAMBERS, TODD SCHAAP, KIMBERLY S. RASCH, and PAULJACOBSEN JOINTLY OR SEVERALLY Its true and lawful Attomey(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: UNLIMITED This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both SRCSAIC and SRCSPIC at meetings duly called and held on the I8th of November 2021 and WIC by written consent of its Executive Committee dated July 18, 2011. "RESOLVED, that any two of the President, any Managing Director, any Senior Vice President, any Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby is, authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Corporation bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Corporation; and it is FURTHER RESOLVED, that the signature of such officers and the sea] of the Corporation may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorrtey or certificate bearing such facsimile signatures or facsimile seal shall be bindine upon the Corporation when so affixed and in the future with reeard to anv bond, undertaking or contract of surety to which it is attached." 5, pKPORq RPoR 'ek.Bv SEAL�. S E A L P r' Erik Janssens, Senior Vice President or SRCSAIC & Senior Vice President W. r�4 m i O - • m = of SRCSPIC & Senior Vice President orw7C 1973 y�.'!ssoV�,.L'oa•= '�'.5•,lSSOV�`•. By .Clw�aV U,�°,i"�-'+"' •�+'�+.,,rr -., MS No r ovti�, '•a.us*p„a's°s Gerald Jagrawski, Vice President orSRCSAIC&Vice Prgldent oFSRCSP[C t & Vice President of WIC IN WITNESS WHEREOF, SRCSAIC, SRCSPIC, and WIC have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this 10 day of_ NOVEMBER 20 22 Swiss Re Corporate Solutions America Insurance Corporation State of Illinois Swiss Re Corporate Solutions Premier Insurance Corporation County of Cook 0 Westport Insurance Corporation On this 10 day of NOVEMBER 20 22 , before me, a Notary Public personally appeared Erik Janssens , Senior Vice President of SRCSAIC and Senior Vice President of SRCSPIC and Senior Vice President of WIC and Gerald Jagrowski , Vice President of SRCSAIC and Vice President of SPCSPIC and Vice President of WIC, personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OFFlOU1l SEAL CFtlil3 ftt IA t+AANI$CO , 1, Jeffrey Goldberg, the duly elected Senior Vice President and Assistant Secretary of SRCSAIC and SRCSPIC and WIC, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said SRCSAIC and SRCSPIC and WIC, which is still in full force and effect. IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this23rd day of July , 2024. � �l�-v x . ,: is _ _•. Jeffrey Goldberg, Senior Vice President & Assistant Secretary of SRCSAIC and SRCSPIC and WIC 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. (iii) v 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). 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. (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 PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowledgements: (i) _ By checking this box, I hereby acknowledge that I am not a pre -qualified bidder with the City of South Bend. (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. (iv) _ By checking this box, I hereby acknowledge and ensure that I and all sub- contractors, from whom I have accepted a bid and/or intend to hire to perform work on the public work project, are properly licensed. Furthermore, I acknowledge my understanding that it is my responsibility to ensure that all sub -contractors have the necessary licenses to undertake the work called for in this bid. If a sub- contractor loses their license at any point, it is the responsibility of that sub- contractor to notify the City. (v) _ 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) 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). List identifying all former business names. Any determinations by a court or governmental agency any violations of federal state, or local laws including, but not limited to, violations of contracting or antitrust laws, tax or licensing laws, environmental laws, Occupational Safety and Health Act (OSHA), or federal Davis -Bacon and related Acts, within the preceding five (5) years. (iv) — Statement about staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work I 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. (v) _ 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) _ 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) _ 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) _ 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) _ 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: ( gn Here) - � , sue•- `�fg .`,-1 , r (Print Name Here) (Name of Company) (Address of Company) r! (City) 1 G'tYie% (State) r' -� (Telephone Number) Version 5/20/2024 General Conditions - 15 CITY OF SOUTH BEND JAMES MUELLER, MAYOR DEPARTMENT OF PUBLIC WORKS ERIC HORVATH, DIRECTOR June 10, 2024 Kieth Stevens Indiana Earth, Inc Earth92inc@sbcglobal.net RE: Pre -Qualification Verification Dear Mr. Stevens: This letter serves as verification of Pre -Qualification status of your company for bidding with the City of South Bend. This Pre -Qualification status is effective for twelve (12) months from the date of this letter. Thereafter you are required to re -submit a complete application for continuation of pre -qualification status within twelve (12) months from the date of this letter. A copy of this Verification Letter must be included with every bid exceeding $250,000 submitted to the City of South Bend Board of Public Works, along with your Pre -Qualified Bidder Checklist and attachments. If you have any further questions regarding this matter, please call this office at (574) 235- 9251. Sincerely, Tara Bussell, Permit Manager BUSINESS INFORMATION DIEGO MORALES 1 INDIANA SECRETARY OF STATE 07/23/2024 08:14 AM Business Name: INDIANA EARTH, INC. Business ID: 1990031137 Entity Type: Domestic For -Profit Corporation Business Status: Active Creation Date: 03/22/1990 Inactive Date: Principal Office Address: 10343 MCKINLEY HWY., OSCEOLA, IN, Expiration Date: Perpetual 46561- 9756, USA Business Entity Report Due 03/31/2026 Jurisdiction of Formation: Indiana Date: Years Due: Governing Person Information Title Name Address President MARK L OSLER 10343 McKinley Hwy., Osceola, IN, 46561, USA Registered Agent Information Type: Individual Name: MARK OSLER Address: 10343 MCKINLEY HWY., OSCEOLA, IN, 46561 - 9756, USA 1 To Whom It May Concern Indiana Earth, Inc is signatory to the local unions for Operating Engineers 150, Laborers 645 and Teamsters 364. We are able to have suffiecient staff to man our projects by utilizing workers from these local unions as needed. Recent projects: 1) Drewery Brewery -2024 City of South Bend 2) Campus View - 2022 - 2023 in South Bend, IN 3) Goshen Hospital 2021 - 2022 in Goshen, IN 4) LaPorte County Courthouse 2021 5) Mishawaka City Services Building - 2021 10343 McKinley Hwy. • Osceola, IN 46561 • (574) 674-6488 • FAX (574) 674-6480 ;` r1�3+� 'v_�rpio:��'�I� l J'+ilfJ � {�� �f'�f�A��iTtilt3 �1�1L3i17i+�Li� _..._ ^n .• : .. i(iC L UNIvhi ;dc7: SSU,- ❑tiff 150li,-1,l-S""GG,.-f5�f�.S;-T3"iiT[�. 736GI a�� AFF.L.IATED '. 7H THE A.F.L.-C.I.O. ANO 9VILGING TRADE9 DEPARTMENT JAIYIES M. SWEENEY o u _s Ie .7:p5 h. RC+? IC' IL .40AD IL 005253992 Date: 4-1 l -2024 To whorl it may concern: Countless individual_., businesses, and communities — in the private and public sector, alike — recognize the added value of doing business with contractors who support Workforce Development through their participation in United States Department of Labor (USDOL) approved apprenticeship programs. USDOL-approved apprenticeship programs ensure that the young people of Indiana have the opportunity to develop a portable skill set that remains with them throughout their careers in the construction industry. The training provided by these programs addresses the evolving concerns of communities. businesses, and industry for the development of a quality skilled craft workforce that meets their needs, whether the projects are public or private in nature. To L end; please be advised that Indiana Earth, Inc. is signatory to a collective bargaining agreement (CBA) with the International Union of Operating Engineers Local 150. This CBA requires the above -referenced employer to participate in Local 150's USDOL-approved Apprenticeship and Skill Improvement Program. It- is understood and agreed that the Employer shall be bound by the terms and provisions of the Agreement and Declaration of Trust of the Apprenticeship Fund, and all amendments heretofore or hereafter made thereto, as though the same were fully incorporated herein. The Employer further agrees to be bound by the terms of the Apprenticeship Standards established by Joint Apprenticeship Training Committee of the Northern Illinois ar:d N,, orthern Indiana Apprenticeship and Skill Improvement Program, as approved by the United States Department of Labor; Bureau of Apprenticeship Training. Sincerely, James Gardner Business Agent\ Organiz:r Operating- Engineers Local 150, AFL-CIO District 6 1001 '\. Ailichigar Street Lake vr11e. Indiana 46536 574-78—"'.-3694 office 574.`784-80fax 574r`215-8901 celli l ;.`ai��('ll s..etl �eRf W �W'Jnt .wreu. tt.awf M/Jt IUOE OPERATING ENGINEERS LOCAL 150 APPRENTICESHIP FUND A joint effort Labor and Management to further aim of Industry WWW.asiploca11_50.9rg Jaynes A/1- Sweeney/Chairman Wednesday, April 11, 2024 To whom it may concern, David M. Snelten/Secretary Indiana Earth, Inc. is a signatory contractor to the I.U.O.E Local 150, and therefore, also participates in the I.U.O.E Local 150 Apprenticeship and Skill Improvement Program (ASIP), located at 19800 W, South Arsenal Rd, in Wilmington, IL. The Local 150 ASIP is a DOL Registered Apprenticeship Program overseen by the DOL's Office of Apprenticeship (OA). Listed below are the number of graduates of its program during the years 2018 —2022. • 2022 —112 • 2021-100 • 2020 —105 • 2019 — 48 • 2018 — 88 If there are any questions regarding the I.U.O.E Local 150 Apprenticeship, please feel free to contact me directly. ff",W IV ��to Mark Kara Assistant Coordinator Operating Engineers Local 150 Apprenticeship 19800 W. South Arsenal Rd. Wilmington, IL 60481 mkara@asiploca1150.org Tel: 815-722-3201 x6003 Fax: 815-423-5749 ryeW�Yf1.VF�6yF.{( YSRJsi�t�twOSYI M 1� fI j-4 rT IN TI RNA,TIOi12U, UNION OF OPER ATIN(, LIB ("TINEER LOCAL UNION NO. 150, 1508, 150A, ISOC, 150RA, 150D, I50G, 150M AFFILIATED WITH THE A.F.L.-C.I.O. AND BUILDING TRADES DEPARTMENT JAMES M. SWEENEY PRESIDENT-BL:SINESS MANAGER Date: 4-1 l -2024 To whom it may concern: (7081 482-99C0 - FAX.. 1708) 492-7186 6200 �OLIET ROAD COUNITRYSIDE. IL 60525 3992 Countless individuals, businesses, and communities — in the private and public sector, alike — recognize the added value of doing business with contractors who support Workforce Development through their participation in United States Department of Labor (USDOL) approved apprenticeship programs. USDOL-approved apprenticeship programs ensure that the young people of Indiana have the opportunity to develop a portable skill set that remains with them throughout their careers in the construction industry. The training provided by these programs addresses the evolving concerns of communities, businesses, and industry for the development of a quality skilled craft workforce that meets their needs, whether the projects are public or private in nature. To that end, please be advised that Indiana Earth, Inc, is signatory to a collective bargaining agreement (CBA) with the International Union of Operating Engineers Local 150. This CBA requires the above -referenced employer to participate in Local 150's USDOL-approved Apprenticeship and Skill Improvement Program. It is understood and agreed that the Employer shall be bound by the teens and provisions of the Agreement and Declaration of Trust of the Apprenticeship Fund, and all amendments heretofore or hereafter made thereto, as though the same were filly incorporated herein. The Employer further agrees to be bound by the terms of the Apprenticeship Standards established by Joint Apprenticeship Training Committee of the Northern Illinois and Northern Indiana Apprenticeship and Skill Improvement Program, as approved by the United States Department of Labor, Bureau of Apprenticeship Training. Sincerely James Gardner Business Agent\ Organizer Operating Engineers Local 150, AFL-CIO District 6 1001 N. Michigan Street Lakeville, Indiana 46536 574/784-3694 office 574/784-8035 fax 574/215-8901 cell j Jardnerta;loca[ 150.ora mSMflfYeMW Yll .vPL 1N�L/MXAW IUOE OPERATING ENGINEERS LOCAL 150 APPRENTICESHIP FUND A joint effort Labor and Management to further aim of Industry www.asi _ Ioca1150_Ln James M. Sweeney/Chairman Wednesday, April 11, 2024 To whom it may concern, David M. Snelten/Secretary Indiana Earth, Inc. is a signatory contractor to the I.U.O.E Local 150, and therefore, also participates in the I.U.O.E Local 150 Apprenticeship and Skill Improvement Program (ASIP), located at 19800 W. South Arsenal Rd, in Wilmington, IL, The Local 150 ASIP is a DOL Registered Apprenticeship Program overseen by the DOL's Office of Apprenticeship (OA). Listed below are the number of graduates of its program during the years 2018 — 2022. • 2023 - 209 • 2022 - 228 • 2021- 100 • 2020 - 105 • 2019 - 48 If there are any questions regarding the 1.U.O.E Local 150 Apprenticeship, please feel free to contact me directly. %/l ze AV /[.Ir. Mark Kara Assistant Coordinator Operating Engineers Loral 150 Apprenticeship 19800 W. South Arsenal Rd. Wilmington, IL 60481 mkara@asiploc2l150.org Tel: 815-722-3201 x6003 Fax:815-423-5749 N rl ri cl "V M 10 INDIANA LABORERY TRAINING T'R UST FUND David A. Frye Secretary -Treasurer Jerry J. Bolk Chris Brickey Ricky Henson, Jr. Ramon Mendoza, Jr. Brian Short P.O. Box 758 - Bedford, Indiana 47421 (812)279-9751 April 16, 2024 To Whom It May Concern: D �o rnl� '9pril 1g�$ Sean Coaklev, Director John P. Brown Chairman Kelly Abel Michael Ferrara Stan Meyer Nick Timmerman Jim Wiseman FAX: (812) 279-5545 Toll Free (800) 742-4086 This letter is to confirm that "Indiana Earth, Inc." is a signatory contractor in good standing with the Indiana Laborers' Training Trust Fund. The above -mentioned company is a participant in the Joint Apprenticeship and Training Committee through this Union and has been an active participant in good standing for each of the past five plus consecutive years, and is currently eligible to use our apprentices on a project. Further, our organization's program is approved by the U.S. Veterans Administration to participate in the GI educational benefits program. A copy of our approval letters are attached along with the collective bargaining agreement stating the ratios of Journey workers to Apprentices; which is one (1) Apprentice for every five (5) Journey workers and thereafter may not employ more that (1) Apprentice for every (3) Journey workers. Sincerely, cto,4sc� Sean Coakley, Director SC:ap www. indianalaborerstraining. org .Ih O rt .7 (7 rt n n H w w m N- r-:, N- n G rY O 0 n 0 IZ cn 0 n a r a td C" d 0 d 9 OF INDIANA DFP��RTVEM T OF VETERANS AFFAIRS STATE APPROkgNG AGENCY 402 WEST WASHINGTON STREET ROOM W-469 INDIANAPOLIS, INDIANA 46204-2738 Jeremy Brewer Apprenticeship Coordinator Indiana Laborers Training Trust Fund -Apprenticeship 439 Patton Hill Rd. Bedford, IN 47421 Dear Jeremy Brewer, Eric Holcomb, Governor James M. Brown, Director January 9, 2019 The Indiana State Approving Agency conducted a supervisory visit on 01/8/2019 at Indiana Laborers Training Trust Fund -Apprenticeship. The purpose of the visit was to provide training to the Certifying Officials and review enrollment certifications, record retention and reporting procedures. The organization demonstrated proper record maintenance and record maintenance and reporting procedures: During the visit, we discussed the importance of reporting hours on a monthly basis, good record keeping techniques, and how to report a leave of absence or completion via VA Form 22-1999b. We also updated the Certifying Officials via VA Form 22-8794, work processes, and wage scale. If you need any assistance or have any questions regarding this technical visit please contact me directly at tgriffm@dva.in.gov or (317) 232-3916. Thank you for the courtesy extended during my visit. The education and training opportuiiities that your organization continues to provide veterans and their dependents are appreciated. Sincerely, Taniqua Griffin Program Director Phone (317)-234-6062 Toll Free (800)-400-4520 Fax (317)-234-5744 STATE 4F 1NDIANA DEPARTMENT OF VETERANS AFFAIRS STATE APPROVING AGENCY 402 WEST WASHINGTON STREET ROOM W469 INDIANAPOLIS, INDIANA 46204-2738 Jeremy Brewer Apprenticeship Coordinator Indiana Laborers Training Trust Fund -Apprenticeship 439 Patton Hill Rd. Bedford, IN 47421 Dear Jeremy Brewer, Eric Holcomb, Governor James M. Brown, Director January 9, 2019 This will acknowledge receipt of your updated Wage Scale for the Construction Craft Laborer program offered by Indiana Laborers Training Trust Fund -Apprenticeship. The State Approving Agency has reviewed the document as listed below: Wage Scale: Construction Craft Laborer FACILITY CODE: 30004114 To the best of my knowledge Indiana Laborers Training Trust Fund -Apprenticeship does not utilize erroneous or misleading advertisement, either by actual statement, omission, or intimation. It is understood by Indiana Laborers Training Trust Fund -Apprenticeship that they will maintain a complete record of all advertising utilized by or on behalf of the Indiana Laborers Training Trust Fund -Apprenticeship in regards to their training programs during the preceding 12 months. Indiana Laborers Training Trust Fund -Apprenticeship's advertising will be available for review by any and all future supervisory visits by the SAA, or the U.S. Department of Veteran Affairs. Please Review the entire packet for content and accuracy. Approval is granted pursuant to the provisions of Title 38, U.S. Code 3687, with an effective date of April 1, 2018. If you have any questions, please feel free to give me a call at 317-232-3916 or email me at tgrif6n@dva.in.gov. Thank you for what you do for our Veterans, and have a great day! Sincerely, Taniqua Griffin Program Director State Approving Agency Cc: VARO/ELR ?019 ol"ATE OF INDIANA DEPARTMENT OF VETERANS AFFAIRS STATE APPROVING AGENCY 402 WEST WASHINGTON STREET ROOM W-469 INDIANAPOLIS, INDIANA 46204-2738 Jeremy Brewer Apprenticeship Coordinator Indiana Laborers Training Trust Fund -Apprenticeship 439 Patton Hill Rd. Bedford, IN 47421 Dear Jeremy Brewer, Eric Holcomb, Governor James M. Brown, Director January 9, 2019 This will acknowledge receipt of your revised Work Processes for the Construction Craft Laborer program offered at Hoosier Energy, located in Bedford, Indiana. The State Approving Agency has reviewed the document as listed below: TR EgUI G PROGRAM LENGTH DOT CODE Construction Craft Laborer FA C1LITY CODE: : 30004114 4,000-7800 hours 47-2061.00 To the best of my knowledge Indiana Laborers Training Trust Fund -Apprenticeship does not utilize erroneous or misleading advertisement, either by actual statement, omission, or intimation. It is understood by Indiana Laborers Training Trust Fund -Apprenticeship that they will maintain a complete record of all advertising utilized by or on behalf of the company in regards to their training programs during the preceding 12 months. The company's advertising will be available for review by any and all future supervisory visits by the SAA, or the U.S. Department of Veteran Affairs. This approval is made pursuant to and under the provisions of Title 38, U. S. Code 3687, with an effective date of January 8, 2019. If you have any questions, please contact me at 317-232-3916. Sincerely, Taniqua Griffin Program Director State Approving Agency Cc:VARO/ELR Phone (317)-234-6062 Toll Free (800)-400-4520 Fax (317)-234-8744 Apprentice Status Report By Indenture ®ate Apprentices Indentured Between 1/1/2018 And 7/13/2022 Apprentice Program: IN2 Year Apprentice Status Apprentices Percentage 2019 Active 68 8.05 % Active Duty 2 0.24 % Adv. to Journeyman 89 10.53 % Deceased 5 0.59 % Graduated 71 8.40 % Inactive 10 1,18 % Journeyman 2 0.24 % Med. Susp. 1 0.12 % Reinstate 6 0.71 % Suspended 7 0.83 % Terminated 546 64.62 % Voluntary withdraw 38 4.50 Total Indentured 845 Active 165 17.65 % Adv. to Journeyman 72 7,70 % Deceased 8 0.86 % Graduated 51 5.45 % Inactive 11 1.18 % Journeyman 12 1.28 % Med. Susp. 2 0.21 % Reinstate 15 1.60 % Suspended 3 0.32 % Terminated 528 56.47 % Voluntary withdraw 68 7.27 % Total Indentured 935 Printed: Wednesday, July 13. 2022 Page 1 of 2 Apprentice Status Report By Indenture ®ate Apprentices Indentured Between 1/1/2018 And 7/13/2022 Apprentice Program: IN2 Year Apprentice Status Apprentices Percentage 2020 2021 2022 Active 242 36.28 % Adv. to Journeyman 33 4,95 % Deceased 2 0.30 % Graduated 3 0.45 % Journeyman 1 0.15 % Med. Susp. 4 0.60 % Not Registered 1 0.15 % Reinstate 12 1.80 % Suspended 3 0.45 % Terminated 329 49.33 % Voluntary withdraw 37 5.55 % Total Indentured 667 Active 472 60.90 % Active Duty 1 0.13 % Adv. to Journeyman 23 2.97 % Deceased 2 0.26 % Med. Susp. 3 0.39 % Reinstate 20 2.58 % Suspended 2 0.26 % Terminated 220 28.39 % Voluntary withdraw 32 4.13 Total Indentured 775 Active 538 86.77 % Adv. to Journeyman 4 0.65 % Graduated 1 0.16 % Med. Susp. 2 0.32 % Not Registered 5 0.81 % Reinstate 33 5.32 % Terminated 32 5.16 % Voluntary withdraw 5 0.81 % TotalIndentured 620 Printed: Wednesday, July 13, 2022 Page 2 of 2 5/31/24, 7:31 AM AT&T Yahoo Mail - Fw: Apprentice paperwork Fw: Apprentice paperwork Frorn: MURRAY MILLER (millsbi@aol.com) To: earth92inc@sbcglobaI. net Date: Wednesday, May 29, 2024 at 01:W PM EDT Good afternoon Keith I just saw the request for proof of at least 5 graduating apprentices for the last 5 years for the City of South Bend. Local 645 apprentices graduate numbers for those years follow: 2019- 28 2020- 23 2021- 22 2022- 12 2023- 16 Please let us know if you need copies of any DOL grad certificates to verify the numbers. Thank you! On Tue, May 28, 2024 at 7:09AM MURRAY MILLER <millsbi@aol.com> wrote: Good morning Murray, City of South Bend has changed their prequalification form this year and wants us to confirm that apprenticeship program has graduated 5 apprentices in each of the last 5 years. Please confirm. Keith Stevens Operations Manager Indiana Earth, Inc. Indiana Roll -Off Services, Inc. MACO Trucking, Inc. 10343 McKinley Highway Osceola,IN 46561 Ph. 574-674-6488 Fax 574-674-6480 ear-th92inc@sbcglobal.net On Tuesday, April 16, 2024 at 07:58:17 AM EDT, MURRAY MILLER <millsbi@aol.com> wrote: Good morning Keith Apprenticeship paperwork Murray Miller 5/31/24, 7:31 AM AT&T Yahoo Mail - Fw: Apprentice paperwork Laborers Local 645 23698 Western Avenue South Bend Indiana 46619 P 574-287-2967 F 574-287-2968 C 574-850-0874 millsbi@;aol.com aol.com Hi Murray, Following up on this apprenticeship paperwork request. Thanks. Keith Stevens Operations Manager Indiana Earth, Inc. Indiana Roll -Off Services, Inc. MACO Trucking, Inc. 10343 McKinley Highway Osceola, IN 46561 Ph. 574-674-6488 Fax 574-674-6480 earth92inc@sbcglobal.net ----- Forwarded Message ----- From: Indiana Earth Inc <earth92inc@sbcglobal.net> To: millsbi@aol.com <millsbi@aol.com> Sent: Thursday, April 11, 2024 at 12:27:41 PM EDT Subject: Apprentice paperwork Murray, I need paperwork from Laborers union for their US Dept of Labor Apprentice Certificate of Registration and also letter that Indiana Earth is in good standing with Indiana Laborers and their apprenticeship program. City of South Bend requires this. Thanks in advance. Keith Stevens Operations Manager Indiana Earth, Inc. Indiana Roll -Off Services, Inc. MACO Trucking, Inc. 10343 McKinley Highway Osceola,IN 46561 Ph. 574-674-6488 Fax 574-674-6480 earth92inc@sbcgloba1.net /� 5pU7'FI IfL' CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Drewry's Brewery Cleanup Phase II Bottling House Demolition Project No. For Bids Due 119-031 D July 23, 2024 From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. Proper bid security included. The bidder has the option of providing either a Certified Check or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and Certification of use of United States Steel Products or Foundry Products. Proof of M1WBE 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 WBE-2.1 ]. 11�Acknowledge Receipt of Addendum(s) included with the bid. All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either printed or typed underneath signature. 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. �11217a, k1,`,'E Date: r By Authorized Representative: Signature: Print Name & Title Version 07/19/2023 Contractor's Bid for Public Works - 1 STATE OF WISCONSIN ) COUNTY OF Racine ) ON THIS 23rd day of July , 2024 before me, a notary public, within and for said County and State, personally appeared Todd Schaap to me personally known, who being duly sworn, upon oath did say that he is the Attorney -in -Fact of and for the Swiss Re Corporate Solutions America Insurance Corporation , a corporation of Missouri by virtue of the laws of the State of Missouri created, organized and existing under and that the corporate seal affixed to the foregoing within instrument is the seal of the said Company; that the seal was affixed and the said instrument was executed by authority of its Board of Directors; and the said Todd Schaap did acknowledge that he/she executed the said instrument as the free act and deed of said Company. Mario Criplean Notary Public, Racine County, Wisconsin My Commission Expires 6/13/2028 N� TA g N'• p(/8L\G H ` /1111111 oO