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HomeMy WebLinkAboutAward Quote - 2024 Contracted Microsurfacing Proj No. 124-049 - Asphalt Restoration Srvs.1316 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 23, 2024 Mr. Sean Evans Asphalt Restoration Services, LLC PO Box 2484 South Bend, IN 46680 andrea.brown2kcomcast.net RE: Quotation Award — 2024 Contracted Microsurfacing — Project No. 124-049 Dear Mr. Evans: At its July 23, 2024 meeting, the Board of Public Works awarded the above referenced quotation to you in the amount of $106,804.65; Base Quote Plus Alternate 1. Please forward the following documents in one submittal by August 13, 2024 to my attention for Board of Public Works approval at lhensley&southbendin.gov : 1) One (1) signed original of the Contract (enclosed); and 2) Certificate of Insurance naming the City of South Bend as an additional insured. If you have any further questions, please call this office at (574) 235-9251. Sincerely, Is/ Theresa Heffner Theresa Heffner, Clerk Enclosures TH/lh ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT MURRAY L. MILLER BRIANA N. MIcou 1316 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 23, 2024 Mr. Garry Newman National Pavement Maintenance 1928 N. Campbell Ave. Indianapolis, IN 46218 gnewman 12345kgmail.com RE: Quotation Award — 2024 Contracted Microsurfacing — Project No. 124-049 Dear Mr. Newman: At its July 23, 2024 meeting, the Board of Public Works awarded the above referenced quotation to Asphalt Restoration Services, LLC in the amount of $106,804.65; Base Quote Plus Alternate 1. We thank you for quoting and hope you will quote with us again in the future. 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 a� 'Ifs CITY OF SOUTH BEND, INDIANA W Pr L I C LIC _WKMt" IH;S PROJECT NAME: 2024 Microsurfacing Quote PROJECT NO. 124-049 QUOTES DUE July 9, 2024 at 9:00am Local Time. Quotes are to be submitted electronically to bpwbids@south bond in.gov (Must be completed for all quotes. Please type or print) Date: 7 S Jf)J_' Firm: PW �rrx �011- - fir ULC e S Address:-�7-U-� d1� 7LH KY City/State/Zip: L [�J0(ao Telephone Number: 657 f_L $9le Email Address: a r S L L C� @ f_arY1�Qi I-. Yi 9 Agent of Bidder (if Applicable): N 1 Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: 2024 Microsurfacina Quote the City of South Bend, Indiana, in accordance with plans and specifications prepared by: The City of South Bend Department of Public Works and dated gj��at for the sum of (enter the Total Quote as shown on the Proposal) {Enter Sum of Total C�uote plus A errs Shawn on Propo )((Numerical) If alternative quotes apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the City of South Bend. If the quo b ded on a unit basis, the itemization of the units shall be shown on a separate attachment. By (Signature) ._ QP_Y1 � . V 4n _ (Printed Name of Person'S g ing) ACCEPTANCE The above quote is accepted this Subject to the following conditions: CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS tat�4 Elizabeth A. Maradik, President E. Gary A. Gilot, Member Version 311512024 pg,, t- day of r/ M Joseph R. Molnar, Vice President Briana,(MMiicou, Member % Murray L. Miller, Member Attest: Theresa M. Heffner, Clerk Date: July 23, 2024 20 Public Works Quote armed with CamScarrer BOARD OF PUBLIC WORKS CITY OF SOUTH BEND, INDIANA PUBLIC WORKS CONTRACT This Agreement is made and entered into this 23rd Day of July, 2024, by and between Asphalt Restoration 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. 124-049 DESCRIPTION: 2024 CONTRACTED MICROSURFACING COMPLETION DATE: SEE SPECIFICATIONS AMOUNT: $106,804.65; BASE QUOTE PLUS ALTERNATE 1 FUNDING: PR-00034558 The unit prices for this improvement were those prices as received and accepted by the Board on the 9th Day of July, 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 BOARD OF PUBLIC WORKS Elizabeth A. Maradik, President Gary A. Gilot, Member Murray L. Miller, Member Joseph R. Molnar, Vice President ASPHALT RESTORATION SERVICES, LLC Printed Name Briana Micou, Member Signature 414 Attest: Theresa M. Heffner, Clerk Date: July 23, 2024 INTER -OFFICE MEMORANDUM DEPARTMENT OF PUBLIC WORKS DIVISION OF ENGINEERING TO: Theresa Heffner, Clerk Board of Public Works FROM: Scott Kreeger Project Engineer, Division of Engineering SUBJECT: Award: 124-049 2024 Microsurfacing Quote DATE: July 9, 2024 On July 9, 2024, the Board of Public Works opened and read quotes for the above project. The Division of Engineering has reviewed the submitted documents and listed the quoters as follows: Asphalt Restoration Services, LLC National Pavement Maintenance Base Quote $100,804.65 $99,896 Alternate No. 1 $6,000 $11,625 Base Quote + Alt. No. 1 Total $106,804.65 $111,521 This project has been deemed non -goal eligible with respect to MWBE subcontracting following review by the Office of Diversity and Inclusion, the Legal Department, and Engineering. The project cannot reasonably be subdivided as required by the Minority and Women Business Enterprise Inclusion Program Plan §8.B.2: §8.B.2 Non -Goal -Eligible Contracts If a contract is not goal -eligible, either because it is not able to be subdivided into commercially useful functions or because it does not contain any work described in the NAICS Codes in Attachment A, the Program Administrator will not set goals for that contract. For this project, the crews are small and are performing only one task (roadway microsurfacing). There are no specialized sub -tasks like electrical or planting work that can be separated out as commercially useful functions. Engineering recommends award of the base quote plus alternate number 1 to the lowest responsive and responsible bidder, Asphalt Restoration Services, LLC, in the amount of $106,804.65. The Department of Public Works has appropriated sufficient funds from Local Road & Street fund (Funding #251-431000; PR-34558) Please respond with any questions (EXT 9245). Enc. Quote Tabulation QUOTE TABULATION 124-049 2024 Microsurfacing Quote BASE QUOTE Engineer's Estimate Asphalt Restoration Services, LLC National Pavement Maintenance Item No. Line Item Quantity Unit Unit Price Cost Unit Price Cost Unit Price Cost 1 ASPHALT MICROSURFACING 18,163 SYD $ 6.10 $ 110,794.30 $ 5.55 $ 100,804.65 $ 5.50 $ 99,896.00 Total Base Quote $ 110,794.30 1 1 $ 100,804.65 1 $99,896* *National Pavement Maintanence base quote does not match calculated amount of $99,896.50 ALTERNATE NO. 1 Engineer's Estimate Asphalt Restoration Services, LLC National Pavement Maintenance Item No. Line Item Quantity Unit Unit Price Cost Unit Price Cost Unit Price Cost 1 PATCH, INFRARED, 5 FT. BY 7 FT. BY 2 IN. DEPTH 25 EA $ 200.00 $ 5,000.00 $ 200.00 $ 5,000.00 $ 375.00 $ 9,375.00 2 PATCH, INFRARED, 5 FT. ADDITIONAL 2 IN. DEPTH 5 EA $ 250.00 $ 1,250.00 $ 200.00 $ 1,000.00 $ 450.00 $ 2,250.00 Total Alternate No. 1 $ 6,250.00 $ 6,000.00 $ 11,625.00 BASE QUOTE + ALTERNATE NO. 1 TOTAL $ 117,044.30 1 $ 106,804.65 1 $ 111,521.00 Non -Collusion Affadavit - Y Y I hereby certify that the above truly and accurately represents bids received for this project on July 9, 2024 Scott Kreeger, Senior Project Engineer S:\Public Works\Projects\Projects by Year\2024 Projects\124-049 2024 Microsurfacing Quote\1 - Admin\1- BPW Documents\124-049 Quote Tab 4 QUOTE/PROPOSAL CITY OF SOUTH BEND PROJECT NAME 2024 Microsurfacing Quote PROJECT NO. 124-049 July 9, 2024 at 9:00am Local Time. Quotes are to be QUOTES DUE submitted electronically to bpwbids@southbendin.gov BASE QUOTE Item No. Description Quantity Unit Unit Price Total Amount 1 ASPHALT MICROSURFACING 18,163 SYD 's s-55 $ 16 $C4. ALTERNATE NO. 1 Item No. Description Quantity Unit Unit Price Total Amount 1 PATCH, INFRARED, 5 FT. BY 7 25 EA 5 0-0 FT. BY 2 IN. DEPTH � DOS Jr Q 0, PATCH, INFRARED, 5 FT, BY 7 2 FT. ADDITIONAL 2 IN. DEPTH 5 EA tt l t $ 1 00, TOTAL AMOUNT OF ALTERNATE NO. 1 $ .� 006, BASE QUOTE _+ ALTERNATE NO. 1: Firm: Address: P.O �&y AL4 gL City/State/Zip: ��. tr7 Telephone Number: (L�'1 Fax Number: By (Si nature) S emT�i, C Ywo (Printed Name of Person Signing) Version 3/15/2024 Page - 21 Public Works Quote Scanned with CamScanner IV. V. �4��ti'rFf 4F,�0 SCOPE OF WORK ° a' �pA.ACE CITY OF SOUTH BEND --'�= Y 1865 PROJECT NAME: 2024 Microsurfacing Quote PROJECT NO. 124-049 QUOTES DUE July 9, 2024 at 9:00am Local Time. Quotes are to be submitted electronically to bpwbids@southbendin.gov PROJECT DESCRIPTION A. The project includes the furnishing of all equipment, material, insurance, and labor to perform approximately 18,163 square yards of asphalt microsurfacing at various locations within the City of South Bend. An alternate is included in this quote for the additional work of infrared roadway patching. The Contractor does not need to supply a price for the Alternate to be eligible for award. PREVAILING SPECIFICATIONS AND CONSTRUCTION STANDARDS AND SPECIFICATIONS A. The City of South Bend's PREVAILING SPECIFICATIONS, most recent version, and CONSTRUCTION STANDARDS AND SPECIFICATIONS, most recent version, are to be used on this project. B. Each Quote provider is specifically instructed to become completely familiar with the most recent version of the PREVAILING SPECIFICATIONS and the CONSTRUCTION STANDARDS AND SPECIFICATIONS prior to submitting a quote. C. Wherever the PREVAILING SPECIFICATIONS refer to "State Specifications," it shall mean the 2024 INDOT Standard Specifications for the letting effective after September 1, 2023. D. These SPECIAL PROVISIONS will list only "Additions" or "Deletions" to the PREVAILING SPECIFICATIONS and are to be used only in conjunction with the PREVAILING SPECIFICATIONS. E. In the event of conflict between the SPECIAL PROVISIONS and the PREVAILING SPECIFICATIONS, the SPECIAL PROVISIONS will govern. TERM "OR EQUAL" A. Prevailing Specifications: None B. Additions 1. Where the term "or equal" is used in these specifications, the Quote provider deviating from specified item shall file with his/herlits Quote a letter fully explaining and justifying his/her/its proposed article or equal. The City of South Bend shall be the sole judge in determining if the "or equal" offered meets the specification. TAX EXEMPT A. Prevailing Specifications: None B. Additions 1. Materials and properties purchased under contract with the Owner that becomes a permanent part of the structure or facilities constructed are not subject to the Indiana Gross Retail Tax (Sales Tax). The exemption number will be furnished to the Contractor upon award. INDEMNIFICATION A. Prevailing Specifications: None B. Additions 1. Contractor agrees to indemnify, defend and hold harmless the City of South Bend, its agents, officers and employees, from all costs, losses, claims and suits, including court costs, attorney fees, and other expenses, arising from or out of the negligent performance of this Contract by Contractor, Version 3/1512024 Page - 1 Public Works Quote Scanned with CamScanner or because of arising out of any defect in the goods, materials or equipment supplied by the Quote provider. VI. INSURANCE A. Prevailing Specifications: 2024, INDOT Standard Specifications Section 103 B. Additions: All Contractors and subcontractors doing business with the City of South Bend shall present a Certificate of Insurance showing coverage in the following minimum amount: a. General Liability: Premises -Completed Operations or Products, Bodily Injury and Property Damage Combined Single Limit - $5,000,000. b. There shall be no exclusion for explosion, collapse or underground hazard. c. Workmen's Compensation: Statutory State of Indiana Employer's Liability - $100,000. d. Auto Liability: Bodily Injury and Property Damage Combined Single limit - $1,000,000. e. The City of South Bend shall be named as additional insured on the Certificate of Insurance. VII. CONTROL OF WORK A. Prevailing Specifications: 2024, INDOT Standard Specifications Section 105 B. Additions: 1. The complete responsibility for this project lies with the Director of Public Works of the City of South Bend, Indiana acting through his authorized representatives. 2. Construction Engineering - The Contractor shall provide all the necessary, qualified personnel, equipment and supplies to perform all work required under this item. There will be no direct payment for this item. 3. The contractor is responsible to maintain the site which includes but is not limited to; dust control, site security, erosion control, and protecting adjacent properties. 4. Work hours for the Project shall be from 7:00 a.m. through 6:00 p.m., Monday through Friday. No work shall be permitted on weekends, Holidays, or after hours unless approved by the City of South Bend Department of Public Works. Vill. LEGAL RELATIONS A. Prevailing Specifications: 2024, INDOT Standard Specifications Section 107 B. Additions: 1, The Owner, where mentioned in these documents, is the City of South Bend. The Engineer, where mentioned in these documents, is the City of South Bend Department of Public Works, Engineering Division. 2. The Contractor shall apply for and obtain any and all required permits for the work from local, state, and federal agencies and shall comply with permit requirements, including the St. Joseph County City of South Bend Building Department. 3. If the Contractor awarded this contract is not a resident of Indiana, within thirty days, the Contractor shall provide the Owner with proof that the Contractor is duly licensed, qualified and registered with the Secretary of State of Indiana to engage in business within the State of Indiana. 4. The Contractor shall comply with all provisions of Indiana Code 5-16-13, as amended, The Owner reserves the right to immediately terminate the public work project awarded should the Contractor be found to be in violation of any provision of Indiana Code 5-16-13 and such violation shall result in the forfeiture of Contractor's performance bond to the Owner. IX. PROSECUTION AND PROGRESS A. Prevailing Specifications: 2024, INDOT Standard Specifications Sec. 108 B. Additions: Version 3/15/2024 Page - 2 Public Works Quote Scanned with CamScanner upon the City's request. In the case of such assignment, unless otherwise agreed in writing, The Contractor remains liability to subcontractors for any payment already involved, and for any claim, suit or cause of action based upon or resulting from any error, omission, negligence or other breach of contract by the Contractor, its officers, employees, or agents arising prior to the date of assignment to the City. XII. LIQUIDATED DAMAGES A. Prevailing Specifications: 2024, INDOT Standard Specifications Section 108 B. Additions: 1. The contractor shall proceed with the work at such rate of progress to insure full completion within the Contract Time. It is expressly understood and agreed, by and between the Contractor and the Owner, that the Contract Time for completion of the work described herein is a reasonable time, taking into consideration the average climatic and economic conditions and other factors prevailing in the locality of the work, and excludes the time for unavoidable delays which were beyond the control and without the fault of the Contractor. 2. If the Contractor shall fail to complete the work within the Contract Time, or extension of time granted by the Owner, then the Contractor will pay to the Owner the amount for liquidated damages a sum of five hundred dollars ($500.00) for each calendar day that the Contractor shall remain in default after the time of completion stipulated in the Contract Documents. 3, The Contractor shall not be charged with liquidated damages or any excess cost when the delay in completion of the work is due to the following and the Contractor has promptly given written notice of such delay to the Owner and Engineer/Architect. a. To any preference, priority, or allocation order duly issued by the Owner. b. To unforeseeable causes beyond the control and without the fault or negligence of the Contractor, including but not restricted to acts of God, acts of public enemy, acts of the Owner, acts of another Contractor in the performance of a Contract with the Owner, fires, floods, epidemics, quarantine restrictions, strikes, freight embargoes, and abnormal and unforeseeable weather. XIII. RETAINAGE AND FINAL PAYMENT A. Prevailing Specifications: 2024, INDOT Standard Specifications Section 109 B. Additions: 1. Payments will be made every thirty (30) calendar days 2. Consistent with provisions of 1C 36-1-12-14, the Board of Public Works shall retain a percentage of payments throughout the duration of the project. 3. Before final payment and retainage are released the Contractor must satisfy the following: a. Provide proof that all subcontractors have been paid promptly, including fully documenting payments in the City's Minority and Women Owned Business utilization tracking software B2G Now. See www.southbend.diversitycompliance.com. b. All parts and labor meet requirements stated in the specifications. c. Provide copies of test reports or cut sheets on all materials supplied. d. Provide As -Built drawings in accordance with the City of South Bend Prevailing Specifications for Public Works. e. One (1) copy of the City of South Bend Completion Affidavit and one (1) copy of a Final Waiver of Lien. XIV. WARRANTY A. Prevailing Specifications: None B. Additions 1. All Parts shall include the following: Version 3115/2024 Page - 4 Public Works Quote Scanned with CamScanner 3. The Contractor shall preserve and protect all surrounding property, structures, tenants, visitors and their property from damage caused by the Contractor's operations. XVIII. ASPHALT MICROSURFACING A. Prevailing Specifications: 2024, INDOT Standard Specifications Sections 411, 902 B. Additions: 1. Asphalt micro -surface material shall meet the standard specifications of ASTM D8099/D8099M-17. 2, The Contractor shall be responsible for all surface preparation necessary to meet the performance requirements for warranted micro -surfacing. All castings and detector housings shall be protected prior to the application of material in accordance with I NDOT 404.07, except that raised pavement markers shall be removed. There will be no direct payment for this work. 3. Cracks in the pavement in excess of 114 in. width shall be filled in accordance with INDOT 408 prior to placement of warranted micro -surfacing. There will be no direct payment for this work. 4. Existing curb faces, approaches, stormwater inlets, grass, and other features subject to coordination with the Engineer shall be protected from and kept clean of all asphalt micro -surface material. 5. Squeegees, brushes, and truck -mounted applicators shall be permitted for this work. Only application by hand squeegee or brush shall be used in the vicinity of sensitive features as identified in XVIIIA to prevent contamination. 6. Asphalt micro -surface shall not be applied when ambient temperature is below 50°F nor when ambient temperature is expected to drop below 50°F within 24 hours of application. 7. Asphalt micro -surface shall be applied in two coats. The application rate of each coat shall be between 30 to 40 square feet per gallon. B. The first coat of micro -surface shall be dry prior to application of the second coat. 9. Existing pavement markings, including but not limited to painted crosswalks and stop lines, where paved over by asphalt micro -surface, shall be reapplied with traffic paint. There will be no direct payment for this work. 10. All incidental work, including but not limited to surface preparation, inlet and casting protection, and pavement markings, shall be included in the cost of the asphalt microsurfacing pay item: ASPHALT MICROSURFACING..........................................................................SYD XIX. INFRARED PAVEMENT PATCHING A. Prevailing Specifications: None B. Additions: 1. Equipment: a. Pavement Restoration Vehicle (PRV): PRV shall be a truck mounted, self-contained pavement maintenance heating system equipped with a fuel system and a heated chamber capable of maintaining the fresh asphalt at a temperature of 300 degrees or higher. b. The adjustable height infrared heating unit may be a truck mounted (preferred) or trailer mounted to the PRV. The unit shall be equipped with a chamber or chambers capable of heating the existing bituminous pavement to a workable condition without oxidation or burning. There shall be no flame in direct contact with the existing bituminous surface. c. Compaction shall be achieved with a self-propelled steel drum vibratory roller of sufficient size to provide complete compaction to the full heated depth of the patched area (3000 psi to a depth of 10 inches). d. Contractor shall not place old, removed material into the container on the PRV holding new bituminous material, or into any other container holding new bituminous material. 2. Materials: a. New bituminous material for patching shall be HMA Surface PG 64-28, with up to 25% recycled asphalt pavement (RAP), no recycled shingles (RS) materials and incorporating only limestone aggregate, or equal as approved by the Engineer. b. New material shall be added to all patched areas. c. Rejuvenating agent shall be an asphaltenelmaltene restorative agent such as Reclamite Asphalt Rejuvenating Agent or equal as approved by the Engineer. Version 3/152024 Page - 6 Public Works Quote Scanned with CamScanner placing any asphalt. 3. The contractor shall hire an outside approved independent laboratory to take the sample and perform the testing. Test results shall be given to the city representative within 48 hours. The contractor shall contact the city representative in order to coordinate the sample locations and schedule prior to any sampling. The City reserves the right to choose the sample locations if onsite during the sampling. XXI. PLANS A. Prevailing Specifications: City of South Bend Design and Construction Standards B. Additions: 1. The plans consist of 3 Sheets. 2. The work shall conform to the plans. 3. The drawings are schematic in nature. 4. The CONTRACTOR is responsible for estimating dimensions and quantities of materials. 5. In the event that the Special Provisions and the Plans conflict, the Special Provisions shall govern. XXI1. MlWBE GOALS A. Prevailing Specifications: City of South Bend Ordinance No. 10761-21, Minority and Women Business Enterprise Inclusion Program Plan B. Additions: 1. No MIWBE Goals are required for this Project. The City encourages Contractors to participate in good faith efforts from MWBEs for this project. 2. Complete FORMS MBE-1.0 MBE Utilization Plan and WBE-1.0 WBE Utilization Plan, and submit with Bid Proposal 3. Complete FORMS MBE-2.0 Evidence of Good Faith Efforts and WBE-2.0 Evidence of Good Faith Efforts and submit with Bid Proposal. 4. Complete FORMS MBE-2.1 MBE Contacted and WBE-2.1 WBE Contacted and submit with Bid Proposal. 5. ***Goals should be calculated based on the Base Quote only*** Version 3/15/2024 Page _ g Public Works Quote Scanned with CamScanner CITY OF SOUTH BEND EQUAL EMPLOYMENT OPPORTUNITY CONTRACTING PROVISIONS DIVERSITY UTILIZATION !t is the policy of the City of South Bend to provide equal employment and business opportunity for all persons, partnerships, companies, and corporations in accordance with the rules, regulations and guidelines of the applicable federal, state and local laws. This policy of equal employment and business opportunity shall apply to every contractor or subcontractor bidding or holding a public contract with the City of South Bend. In furtherance of this policy, the following Equal Opportunity Clauses are hereby made a part of every construction contract entered into by the City of South Bend and all subcontractors entered into pursuant to any such contract and the bidder hereby certifies that it/he/she will abide by these provisions. The contractor will not discriminate against any applicant or employee because of race, color, religion, sex, national origin, or handicap. The contractor will take affirmative action to ensure that all applicants or employees are treated fairly and equitably. Such action shall include but not be limited to the following: hiring, up -grading, demotion or transfer, recruitment, advertising, lay-offs or termination, rates of pay or other forms of compensation and selection for training including apprenticeship programs. The contractor shall agree to post in conspicuous places available to employees and applicants, notices to be provided setting forth the provisions of the Non -Discrimination Clause. The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. The contractor will send to each labor union or representative of workers with which it/he/she has a bargaining agreement or other contract or understanding, a notice to be provided, advising the labor union or worker's representatives of the contractor's commitment under this section, and shall post copies of the notices in conspicuous places available to applicants and employees. The contractor will comply with all provisions of Executive Order 11246 (as amended by 11375) and of the rules, regulations and relevant orders of the Department of Labor. Subpart B —Contractors' Agreements Sec. 202. Except in contracts exempted in accordance with Section 204 of this Order, all Government contracting agencies shall include in every Government contract hereinafter entered into the following provisions: -During the performance of this contract, the contractor agrees as follows:" ^(1) The contractor will not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. The contractor will take affirmative action to ensure that applicants are employed, and that employees are treated equally during employment, without regard to their race, color, religion, sex or national origin. Such action will include, but not be limited to the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the contracting officer setting forth the provisions of this nondiscrimination clause." "(2) The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex or national origin." Version 3/15/2024 Page - 10 Public Works Quote Scanned with CamScanner may take any or all of the following actions: Cancel, terminate, or suspend in whole or in part this grant (contract, loan, insurance, guarantee); refrain from extending any further assistance to the applicant under the program with respect to which the failure or refund occurred until satisfactory assurance of future compliance has been received from such applicant; and refer the case to the Department of Justice for appropriate legal proceedings. Corrected to read invoked". In the original text the word "involved" was printed in error. Version 3/1512024 Page - 12 Public Works Quote Scanned with CamScanner CITY OF SOUTH BEND'S GUIDELINES FOR GOOD FAITH EFFORTS BY CONTRACTORS IN MEETING MWBE CONTRACT GOALS :nderthe City of South Bend's Minority and Women's Business Enterprise (MWBE) Inclusion Program Plan (COSB Inclusion Plan), the City of South Bend (the City) is authorized to set "contract specific" goals to increase MWBE participation in City contracts and procurements. MWBE participation goals are set based on availability of MWBE contractors within the City's geographic market area identified in the City's Disparity Study. For contractors bidding on a construction, services, supplies or equipment contract where goals have been set for all or parts of the project, below is information relevant to "good faith efforts" to meet the contract goal. Aien the City sets a contract goal, that means MWBE's are in fact available to perform work on the contract. Project bidders must try diligently to meet the goal. Failure to make a good faith effort may result in rejection of your bid as non -responsive to the contract. poop faith efforts means actions undertaken by a contractor to achieve a contract goal which, by their scope, intensity, and appropriateness to the objective, can be reasonably expected to fulfill the Program's goals (City's Inclusion Plan, Section 4.B., No. 21). A goon faith effort is fully reviewable by the City. Where a contract goal is not met, contractors must provide as much information as possible to help the City assess the contractor's good faith efforts to achieve the goal. Inadequate proof of good faith efforts may result in a finding that the contractor was non -responsive, causing its bid to be rejected even if it is the lowest. Good faith efforts require active, aggressive efforts by the prime contractor to obtain the contract MWBE participation goal. Mere pro forma efforts are not good faith efforts. To satisfy the good faith efforts test: A prime contractor may not reject a MWBE's bid solely because it is not the lowest bid received from subcontractors. If the MWBE's costs are reasonable and not excessive, the MWBE's quote or bid presumptively should be accepted on a contract requiring goals even if the MWBE's bid is not the lowest one received. However, if an MWBE's bid or quote is unreasonable or excessive, the prime contractor may reject the bid on that basis. The contractor has the burden of demonstrating the excessiveness or unreasonableness of the MWBE's bid or quote. Because the City must determine whether a MWBE quote was unreasonable or excessive, Contractors must provide the City with copies of each MWBE and non MWBE quote submitted to the bidder when a non-MWBE was selected over an MWBE. A contractor may not reject a MWBE as being unqualified without sound reasons based on a thorough investigation of the MWBE's capabilities. If a prime contractor rejects a MWBE as unqualified, the Contractor must provide the City with good reasons for this. The MWBE's industry standing or membership in a specific group, organization, political or social affiliation (example: union v. non -union) is not a basis to reject the MWBE for lack of qualification. Yers n �%h5/2a��1 'Page - 14 LPWbIiC%VVQ $ Quote Scanned with CamScanner 300D FAITH EFFORTS MATERIALS TO BE INCLUDED WITH BID 'f a contractor's bid does not meet the goal set for the contract, the contractor must submit evidence of good faith efforts with its bid so the City can determine whether the contractor is a responsive bidder. If the contractor's bid meets the MWBE goal, evidence of good faith effort is not required, but it would be prudent to include some evidence in case an error was made. The information required of a contractor who has not achieved the contract goal to show good faith efforts can be found in the South Bend Inclusion Program Plan at Section 8.13.3.d. as follows: (b) Where the bidder cannot achieve the contract goal, the bidder must provide proof of having made good faith efforts to meet the goal. In making this determination of whether to issue a goal waiver, the City will consider, at a minimum, the bidder's efforts to: ,1) Solicit through alt reasonable and available means (e.g., attendance at pre -bid meetings, advertising and written notices) the interest of all MWBES in the scopes of work of the contract. The contractor shall provide interested MWBEs with timely, adequate information about the plans, specifications, and requirements of the contract to allow such firms to respond to the solicitation. The bidder must follow up initial solicitations with interested MWBEs. ;2) Select portions of the work to be performed by MWBEs in order to increase the likelihood that the contract goal will be achieved. This includes, where appropriate, breaking out contract work items into economically feasible units to facilitate participation, even when the bidder would otherwise prefer to perform these work items with its own forces. It is the bidder's responsibility to make a portion of the work available to MWBEs and to select those portions of the work or material needs consistent with the availability of such firms to facilitate their participation. ;3) Negotiate in good faith with interested MWBEs. Evidence of such negotiation includes the names, addresses, and telephone numbers of firms that were contacted; a description of the information provided regarding the plans and specifications for the work selected for subcontracting; and why agreements could not be reached. The bidder may not reject MWBEs as being unqualified without sound reasons based on a thorough investigation of their capabilities. That there may be some additional costs involved in finding and using MWBEs is not in itself sufficient reason for a bidder's failure to meet the contract goal, as long as such costs are reasonable. The ability or desire of a bidder to perform the work of a Contract with its own organization does not relieve it of the responsibility to make good faith efforts on all scopes of work within which subcontracting opportunities are available. (4) Make efforts to assist interested MWBEs in obtaining bonding, lines of credit, or insurance as required by the City or the bidder, where appropriate. ;5) Make efforts to assist interested MWBEs in obtaining necessary equipment, supplies, materials, or related assistance or services, where appropriate. Materials that should be submitted to support a contractor's good faith efforts include: • Copies of advertisements, notices, or solicitations from contractor to MWBE's-- to include date and time of issuance; • A list of all locations where advertisements or notices to MWBE's were placed or solicitations sent; • Copies of communication between contractor and MWBE's in response to contractor's advertisements, notices, or solicitations; Proof of contractor's break-out of contract items into units feasible for performance by WMBE's; Proof of communications between the contractor and MWBE regarding negotiations for agreements, and why agreement could not be reached, as stated more specifically in above Subsection (b) (3); Proof of bids or quotes from MWBE's and those from non MWBE's when non MWBE's bid or quote is used; • Proof of efforts made by contractor to assist MWBE to participate in contract, where appropriate; and 'Jersion 3/15/2024 Page - 16 Public Works Quote Scanned with CamScanner alien. Contractor agrees that he/she/it shall enroll in and verify the wort: eligibility status of all of Contractors newly hired employees through the E-Verify Program as defined by LC. 22-5-1.7-3. Contractors documentation of enrollment and participation in the E-Verify Proggram is included and attached as part of this bid/quote-, and �. 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-Verif}' Program. The Contractor agrees to maintain this certification throughout the term of the contract %%ith 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 cornrnissions shall not discriminate against any employee or applicant for employment in the performance of a City contract «ith 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 cork. In aNvarding contracts for the purchase of work., labor. sen ices. supplies. equipment. ma—Teri.als. or anv combinarion of the foregoing including. but not limited to. Public works contrarLs aWarded under public bidding laws or other contracts in which public bids are not required by lain. the City. its agencies. boards, or commissions %%ill consider the Contractor's wood faith efforts to obtain participation by those subcontractors certified by the State of Indiana as a Mirhority Business (-MBE") or as a Women's Business Enterprise (--RBE-) as a f2rsar Ln de _�irirr_g the lowest_ rLsmnsible, responsive bidder - Contractors ontractors seeking the award of a City contract cannot be required to award a subcontract to an M B E: however. they' may not unla«fully discriminate against said MBF, WBE. On goal -eligible contract,, Contractor, a-e recL red to ei-dier rn-_�_ beth MBE and ' BE iTTIEr--r;on goals or detnons-trate the the Corv.racwr has mad` good faith efforts to ob' dcipa ion from A4BE and VIBE subcontrac or=. A finding- of noncompliance or a discrimirawry practice shall prohibit that Contractor fi-cm being w- yarded a Cirn' contract for a period of one (I) year from the date of such determination. and such deterrninazion may also be Bounds for terminaling he contact to %k ich the discrimina ory practice or noncotttnliance pertains. The undersigned. Caritractar agrees thaE Ehe follo%4ing rwMisc6minatioo c.3r mitment 'Hall be made a part of any con rac.t v.,hich it may henceforth enter into with the City of South Bend. Indiana or any of its agencies beg- t.� or commissions. Contramr auees not to &scriminaze again or inti �y erraproye~ or applicant for emplo«tent in tl;e performance of thds conEract vi:h prMI-zee of erttployrr3enL or anY rnatter directly or h-tdi*ectly related to erripIOVM,cst.. 10�2­aU_SZ of race. religion. color. sex_ gender expression, ¢ender identm. sexual orientation, hasnd=.':.ap., narcnaal origin or ancesin-. Breach of this provision may be regarded as rn__erWa breach of contact. #£+5ion 3MSr"4 F-doe- is ?a G� Y,�ics Q:iYe Scanned with CamScanner CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-1.0 M5 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 lister{ minority or woman business meets the MBE qualifications. '*Goals should be calculated based on the Base Quote only.*** Project Number: 124-049 Project Name: 2024 Microsurfaci Bidder: q } Q&tO►" Total Bid Amount: LLC Quote MBE Goal: NIA Page of Name & Address of MBE Primary Contact Person (Name/Telephone) Scope of Work to be Performed (Attach scopelschedule if you need additional space) Dollar Amount of MBE Component Percentace of Tatar -Bid/Proposal 4 Submitted by: Vern+on 3/152024 I Print Name Signature ***Goals should be calculated based on the Base Quote only."*" Page - 22 Public Works Quote Date Scanned wish CamScanner CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS 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. I affirm that I did not reject any MBEs as unqualified without sound business reasons based t on a thorough investigation of their capabilities. — I CONTRACT RECORDS: The bidder has maintained the following records for each MBE that has bid an 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. ll of tha afaave-taoxes= ,° Ayr omisslons-shall-be-aonsidere"roun&-for-rejection of the-bid-by-the-Board-o€Pubtle-WorA&. T4w�-6l" soWh-13e-nd Fe6eFwva6 V ehPo4equos"dditiorial-information: Version 311 512024 Page - 25 Public Works Quote Scanned with CamScanner 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 V1BEs 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 WBE was unqualified to perform the job. ed graunds-tof re}ection-oMe-bid-by--the Board-oILPAjbRo-Words �faa City-ef fienz Version 3/15/2024 Page - 27 Public Works Quote Scanned with CamScanner ay'u��i nF� 4 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM WBE-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 minority orwoman business meets the WBE qualifications. Attach additlonal pages If necessary. PAGE OF Project Number: 124-049 WBE participation Goal NIA Project Name: Bidder: 2024 Microsu ■Ilotl11L'g. MAP --(Signature) (Title) l��� s. WBE Firm Owner or Contact at WBE Firm Telephone: Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT 1N1 ,�RJHE WBE FIRM: Email: WBE Firm Owner or Contact at WBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICI ED FOR TH PROJE T: RESULTS OF CONTACT WITH THE WBE FIRM: Version 3/16/2024 Page - 29 Public Works Quote Scanned with CamScanner 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 Prolects reaulrina Good Faith Efforts to obtain WBE participatlon. Project Number: 124-049 Project Name Bidder: Contact Person: 2024 Microsurfacing Quote Telephone: �(o of 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: htt:1 vww in ovhdoat 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 Indiana Minority and Women Business Enterprises, found on their website tt:/Avw w.in. ovtdoa . 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 MWBE participation. 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. 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, lines of credit, or insurance as required by the City or the bidder, where appropriate. Version 3/152024 Page - 26 Public Works Quota Scanned with CamScanner 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: 124-049 Date: Project dame: A2024 Mic+rosurfacing Quote Bidder: /i hAl ��i�-t7ra+l'nn .Szy I/t`C!e 5_i LLB 1' Contact Person: Ise Telephonei519— 32 b to cp� Address: P.O. 7)d'jl$Y City: 6yi-h Slate: :-z- N Zip: LO �t? Email: arS L L v) To �#etere wt�atkaer� bidder #gas derr�r�strated gaol #ait#3 etfr�rtt5 to react► tt�e MBC- t�tilizafior� g©a;'# ie the Gity of South Rend PubliG Warks sificatie , le-f3elQ; EVIDENCE OF GOOD FAITH EFFORTS MBE LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business Enterprise OO 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:LAMLY.In.gov/idoa/. GOOD FAITH EFFORTS TO OBTAIN MBE PARTICIPATION The bidder shall initial each item below, as evidence of its good faith efforts to obtain MBE participation in the awarded contract. I affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise inclusion Program Plan and the Indiana Department of Administration's certified list of Indiana Minority and Women Business Enterprises, found on their website htt :1/ wvw.in, ovhdoa . I affirm that I have made good faith efforts to select portions of the contract work to be performed by MBEs, including, where appropriate, breaking out contract work items into economically feasible units to facilitate MBE participation. I affirm that I have made good faith efforts to solicit through all reasonable and available 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 MWBEs to participate effectively. 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 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 3/15/2024 Page - 24 Public Works Quote Scanned with CamScanner �ywlra, - 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 minority or woman business meets the WBE qualifications. ***Goals should be calculated based on the Base Quote only.*** Project Number: 124-049 Project Name: 2024 Microsurfacing Quote Total Bid Bidder: Asp bgj+- Q-e 4►1 S VtC�SI Amount: WBE Goal: NIA Lr~C Page of Name & Address of WBE Primary Contacl Person (Namelrelephone) Scope of Work to be Performed (Attach scopelschedule if you need additional space) gollar Amount of WBE Component Percentage of Total BidlProposa I Submitted by: Print Name Signature Date ***Goals should be calculated based on the Base Quote only.' Version 3/15/2024 Page - 23 Public Works Quote Scanned wish CamScanner 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. 5-1 G- 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 may result in forfeiture of contractual payments. I hereby affirm under the penalties of peeju y that the facts and information contained in the foregoing bid for public works are true and correct Dated this _ day of ` L 2tl t`� " DANA TROWBRMGE y�`�p.•••., B` Notary public. Stale Of Indiana ==st .fosepnCounly SEA * ..Commiss�onNumber NP0717fi86 ,�� �'•r,:� My Cammission Expires a Janum 02,2©27 cont)-actor/Bidder (Firm Signature of C ' or Its Agent van K_ E tLn5 - awnp-r Printed Name and Title Subscribed and sw nm before me this day of At , a0�`� My Commission Expires � 1 - Nota&-PAlic County of Residence It Version 3/15/2024 Page - 20 Public Works Quote Scanned with CamScanner :7'Iteu the Prospective Ca►rtrt►cctor is rmable fa certify to a►j, of the statements helow, it.vhaH attach tut twf)lematin►r 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) w 1'ATE OF ) SS: COUNTY ) -die undersigned Contractor, being duly sworn upon hisllicrlits oath, affirms under the penalties of perjury that: 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 _. -ontractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. 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 dine -to -time. �. 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 ($20,000,000) or more in value in the energy sector of Iran; or i. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($Z0,000,000) 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 Version 3/15/2024 Page - 18 Public Works Quote Scanned with CamScanner • Any other information tending to show that Contractor made active, aggressive efforts to meet the MWBE participation goal but despite good faith efforts was unable to do so, lcrsion 3/15/2024 Page - 17 Public Works Quote Scanned with CamScanner • The ability or desire of a prime contractor to perform the work of the contract with its own organization team does not relieve the prime contractor of the need to make good faith efforts to use MWBE sub contractors to meet the contract goal. EXAMPLE: Total Project Estimate is $500,000. An MWBE goal of 10% is set for a specific part of the project, i.e., 550.000. Only one MWBE submits a quote to the prime contractor, and it is $50,000. A non MWBE submits a quote of 545,000. Rejecting the MWBE bid may not meet the requirement of making a good faith effort to meet the contract goal because: 1) the MWBE quote is within the goal percentage and dollar amount set for MWBE participation on the project, 2) selection of the MWBE quote guarantees that the contractor meets the set goal and that its bid will be deemed responsive, and 3) the difference between the MWBE and non MWBE quotes is not significant in terms of the overall contract amount (i.e., 1% of total contract). f the MWBE's quote is 553,000 and the non-MWBE bid is 550,000, it may yet not be demonstrative of a good faith effort to reject the MWBE solely because the MWBE's quote is not the lowest The excess is not greatly significant to the total contract cost. and it could reasonably be expected to be made up elsewhere in the contract while guaranteeing full goal compliance The above examples are illustrative only. The City will make a fair and reasonable judgment as to good faith efforts based on all information and documentation provided by bidders and taking into account the Quality, Quantity, and Intensity of the efforts made by a contractor to meet the contract goal. Jersion 311512D24 Page - 15 Public Works Quote Scanned with CamScanner MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN The City of South Bend, Indiana has shown its commitment to addressing Minority and Women's Business Enterprise ("MWBE") participation in public contracting through the adoption of the City of South Bend Ordinance No. 10761-21. Persons, partnerships, corporations, associations, or joint ventures 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 employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry, age or disability that does not affect that person's ability to perform work. Minority and Women's Business Enterprises are described in the Ordinance. A list of MBEs and WBEs (both certified and non -certified) can be found on the Indiana Department of Administration website: htti):Ilwww.in.gov/idoa/. Documentation shall be provided with the bid that states the MBEs and WBEs that will be contracted, the dollar amount of the work that will be performed by the MBEs and WBEs on the project and the percentage of the dollar amount as it relates to the total bid amount by using Farm MBE-1.0, MBE Utilization Plan, and Form WBE-1.0, WBE Utilization Plan. The City, its agencies, boards, or commissions requires the Contractor's good faith efforts to obtain participation by those Contractors classified as MBEs and WBEs. Failure to either meet the MBE and WBE goals or to provide evidence of good faith efforts for the bid will be grounds for rejecting a bid as non -responsive. Bidders shall demonstrate good faith efforts to have active participation from MWBEs on this Project and supply written documentation evidencing such efforts by using Forms MBE-2.0, Evidence of Good Faith Efforts and WBE- 2.0, Evidence of Good Faith Efforts and Forms MBE-2.1, MBE Contacted and VIBE-2.1, WBE Contacted. Such documentation shall include, but is not limited to, the following items: a. A listing of all MAIVBEs contacted including: (1) the name and address of the M/WBE; (2) the date of contact; (3) the type of contact (i.e., phone call, written solicitation, etc.); (4) the nature or type services or goods requested; and (5) the result of the contact. b. Written evidence of outreach and copies of email exchanges inviting and receiving bids, quotes or other responses from M/ BEs or other documentation of efforts to encourage and secure competitive responses from M/WBE and local businesses to be included in the benefits of building this Project. c. Written documentation of letters of introduction, invitations to forging majority/minority strategic alliances for capacity building, including but not limited to, mentoring, extensions of assistance on payroll, insurance, bonding, line of credit, technical skills or business skills. d. From time to time, projects will undergo a scope change prior to completion. This scope change will inevitably impact the Contractor's usage of MWBE's and the originally submitted Utilization Plan. It is the request of the City that when a project scope change occurs, the applicable Contractor shall utilize its best efforts to contract with M and W Subcontractors in a proportional manner as required by the scope change. All bidders are actively encouraged to reach out to the M[WBEs in St. Joseph County, Indiana, other Indiana counties, and Berrien County, Michigan to utilize a good faith effort to forge constructive and lasting business partnerships. Notwithstanding the foregoing, the award and performance of all City contracts shall comply with applicable federal, state, and local laws. The City reserves the right to request verification of goal implementation throughout the course of the project. If a goal exists, the winning respondent is contractually obligated to utilize the M/ME's firms in a manner consistent with what was represented in its quote submission to the City. Deviations to the utilization plan must be requested in writing and approved by the City. The City reserves the right to initiate a change order in the amount equal to the difference in any subcontractor utilization if the utilization plan change is not approved. Version 3115=4 Page -13 Pubrxc Works Ou*W Scanned with CamScanner "(3) The contractor will send to each labor union or representative of workers with which 1 t / he/she has a collective bargaining agreement or other contract of understanding, a notice, to be provided by the agency contracting officer, advising the labor union or workers' representative of the contractor's commitments under Section 202 of Executive Order No. 11246 of September 24, 1965, and shall post copies of the notice in conspicuous places available to employees and applicants for employment." " (4) The contractor will comply with all provisions of Executive Order No. 11246 of September 24, 1965, and of the rules and regulations, and relevant orders of the Secretary of Labor." "(5) The contractor will furnish all information and reports required by Executive Order No. 11246 of September 24, 1965, and by the rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his books, records, and accounts by the contracting agency and the Secretary of Labor for purposes of investigation to ascertain compliance with such rules, regulations, and orders." "(6) In the event of the contractor's noncompliance with the nondiscrimination clauses of this contract or with any of such rules, regulations, or orders, in this contract may be cancelled, terminated or suspended in whole or in part and the contractor may be declared ineligible for further Government contracts in accordance with procedures authorized in Executive Order No. 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked* as provided in Executive Order No 11246 of September 24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided by law." "(7) The contractor will include the portion of the sentence immediately preceding paragraph (1) and the provisions of paragraphs (1) through (7) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontractor or vendor. The contractor will take such action with respect to any subcontract or purchase order as the administering agency may direct as a means of enforcing such provisions including sanctions for noncompliance: Provided, however, that in the event a contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such direction by the administering agency the contractor may request the United States to enter into such litigation to protect the interests of the United States." The applicant further agrees that it will be bound by the above equal opportunity clause with respect to its own employment practices when it participates in federally assisted construction work: Provided, that if the applicant so participating is a State or local government, the above equal opportunity clause is not applicable to any agency, instrumentality or subdivision of such government which does not participate in work on or under the contract. The applicant agrees that it will assist and cooperate actively with the administering agency and the Secretary of Labor in obtaining the compliance of contractors and subcontractors with the equal opportunity clause and the rules, regulations, and relevant orders of the Secretary of Labor, that it will furnish the administering agency and the Secretary of Labor such information as they may require for the supervision of such compliance, and that it will otherwise assist the administering agency in the discharge of the agency's primary responsibility for securing compliance. The applicant further agrees that it will refrain from entering into any contract or contract modification subject to Executive Order 11246 of September 24, 1965, with a contractor debarred from, or who has not demonstrated eligibility for, Government contracts and federally assisted construction contracts pursuant to the Executive Order and will carry out such sanctions and penalties for violation of the equal opportunity clause as may be imposed upon contractors and subcontractors by the administering agency or the Secretary of Labor pursuant to Part II, Subpart D of the Executive Order. In addition, the applicant agrees that if it fails or refuses to comply with these undertakings, the administering agency Version 3/15/2024 Page - 11 Public Works Quote Scanned with CamScanner Construction: a. Area shall be swept clean prior to setting infrared heating unit. b. Work shall only be performed when the ambient and surface temperatures are 45°F or above. c. The infrared heating unit shall be lowered to within six to nine inches of the existing pavement. The heated area must extend at least six inches outside of the area of repair. Apply heat to the area continuously until the surface is heated to a depth of approximately two inches. When the existing bituminous surface can be worked with a rake, proper heat penetration has been achieved. d. Under windy conditions, metal shields will be placed on three sides to block the wind and provide for an even heated surface. e. Etch an outline of the repair area with the back of a rake at least three inches beyond the edges of the repair area. Scarify the existing bituminous surface within the repair area to the full heated depth. Ensure that a vertical surface around the edge of the repair area is achieved by rake. f. Remove existing bituminous material (as required by adjacent grades) to allow for the placement of new bituminous mix within the area of the patch. Rejuvenating agent shall be applied at a rate of 0.10 to 0.20 gal 1 syd prior to placement of new bituminous material. g. Reshape patched area by hand with rake and lute to match grade of existing adjacent pavement. After reshaping, reapply rejuvenating agent at a rate of 0.10 to 0.20 gal / syd. h. Outside perimeter shall be compacted as soon as possible to ensure thermal bonding. Compact new paving with the specified roller to the full depth of the heated patch. Compacted surface shall be smooth in texture and shall have positive drainage matching the slope of the existing adjacent pavement. i. Any potholes within the patched area shall be cleaned, sides dressed to vertical, overfilled with new bituminous material, and compacted to match existing surface prior to application of infrared heat. j. Locations for infrared patches will be determined after award by the Owner. k. For a four inch patch depth: i. Heat pavement to a two inch depth and etch the repair area outline as detailed above. Remove all old bituminous material to a depth of two inches. ii. Heat and patch an additional two inch depth as detailed above. Do not compact. Add new bituminous material to fill the patch area. iii. Reshape patched area by hand with rake and lute to match grade of existing adjacent pavement. After reshaping, reapply rejuvenating agent at a rate of 0.10 to 0.20 gal I syd. iv. Outside perimeter shall be compacted as soon as possible to ensure thermal bonding. Compact new paving with the specified roller to the full depth of the heated patch. Compacted surface shall be smooth in texture and shall have positive drainage matching the slope of the existing adjacent pavement. 4. Method of Measurement & Basis of Payment: a. Payment for infrared patching shall be made at the unit price set forth in the proposal for the specified depth of patch. b. Contractor is to provide unit price for an additional 2 inch depth of patching per 5 ft. x 7 ft. patch. 5. The item(s) will be paid for as specified in the proposal as follows: Patch, Infrared, 5 ft. by 7 ft. by 2 in. depth ...................EA Patch, Infrared, 5 ft, by 7 ft. additional 2 in. depth .......... EA XX. COMPOSITION OF BITUMINOUS MIXTURES A. Prevailing Specifications: 2024, INDOT Standard Specifications Section 402 B. Additions: 1. All material used shall be HMA Surface PG 64-28, with up to 25% RAP, no RAS and incorporating only limestone aggregate, at no additional cost to the owner. 2. The contractor shall submit a job mix formula for approval five (5) working days prior to the first patch being placed. The contractor will not be allowed to proceed with the placement of asphalt without an approved job mix formula- The contractor shall notify the city 46 hours prior to Version 311 5/2024 Page - 7 Public Works Quote Scanned with CamScanner a. Performance specifications b. Bill of Materials c. Warranties on all parts d. Installation and safety requirements XV. OTHER UTILITIES A. Prevailing Specifications: None B. Additions: 1. The Contractor shall verity the locations of all utilities by contacting Indiana811 by calling 811 (in Indiana) or 1-800-382-5544 (outside of Indiana), or via wwwJndiana811.or , at least two (2) working days, not counting Saturdays, Sundays or federal and state holidays before proceeding with construction. It shall also be the Contractor's responsibility to contact any other utility that is not contacted by Indiana811 and verify the utility locations. 2. The Contractor shall be responsible for working with the other utilities, i.e., gas electric, telephone, etc. in order to assure that all utilities that need to be replaced or relocated can be done with a minimum disturbance to service. The Contractor shall also be responsible for coordinating schedules with the various utilities such that they can proceed with their relocation work as efficiently as possible. 3. If the odor of natural gas is detected in a work area at any time during the course of work, the Contractor shall immediately notify NIPSCO at 1-800-634-3524. The Contractor shall also immediately notify the residents of adjacent properties. The Contractor shall advise the residents to evacuate their homes immediately if the odor is present within the dwelling. 4. Restoration of sprinkler systems damaged by the Contractor's operations shall be repaired by the Contractor at no additional cost to the City or the Owner of the system. XVI. MAINTENANCE OF TRAFFIC A. Prevailing Specifications: 2024, INDOT Standard Specifications Sections 105 & 801 B. Additions: 1. Maintenance of traffic during construction shall conform to the 'Indiana Manual on Uniform Traffic Control Devices' and the City of South Bend Design and Construction Standards. 2. The attached 'Traffic Closure Request" form is to be used for any lane restrictions or closures and required to be filled out and sent to the Department of Public Works 3. The Contractor shall arrange and prosecute the work specified for this contract in such a manner that traffic on existing streets is unrestricted throughout the Project. The Engineer shall approve the method of traffic control. No construction equipment, vehicles, materials, supplies or temporary facilities shall be left unattended in the right-of-way of any street or left parked ovemight without proper marking and lighting. 4. After the award of the contract and before beginning the work, the Contractor shall submit his/her/its proposed schedule of operations for the review of the Engineer. The schedule of operations as reviewed by the Engineer shall be maintained at all times. 5. There will be no direct payment for this work. XVIL DESCRIPTION OF WORK A. Prevailing Specifications: None B. Additions 1. Work to be performed shall include furnishing all labor, services, materials, insurance and equipment to perform asphalt microsurfacing within the City of South Bend. 2. The streets segments for the base and both alternates are summarized below: Scenic Drive from Ford Street to Mayflower Road Mayfair Place from Clearview Place to Summit Drive Edison Avenue from Sample Street to Ford Street Edison Avenue from Ford Street to Huron Street Edison Avenue from Huron Street to Western Avenue Version 3/15/2024 Page - 5 Public Works Quote Scanned with CamScanner I . The project will have a completion date of September 20, 2024, The contract time will start when the Notice to Proceed is delivered and signed. 2. The City, Engineer, and Contractor will hold a pre -construction meeting following award of the contract. The date of the Notice to Proceed will be agreed at that meeting. 3. Contractor shall provide a schedule to the Owner prior to beginning any work on the site. 4. The Contractor shall utilize the City of South Bend selected project management software for reporting of all activities related to the contracted work. X. CHANGE OF CONTRACT TIME A. Prevailing Specifications: 2024, INDOT Standard Specifications Section 108 13. Additions 1. The Contract Time may only be changed by Change Order. Any Claim for an extension in the Contract Time shall be based on written notice delivered to the Department of Public Works within seven (7) calendar days of the occurrence of the event giving rise to the claim. Notice of the extent of the claim with supporting data shall be delivered within fourteen (14) calendar days after such occurrence unless an official of the Public Works Department allows an additional period of time to ascertain more accurate data. The Contract Time will be extended in an amount equal to time lost to delays beyond the control of the Contractor if a claim is made in accordance with this provision. Such delays shall include acts of neglect by the Public Works employees, or to fires, flood, labor disputes, epidemics, abnormal weather conditions, governmental procedures, or acts of God. 2. Unless otherwise provided, the Contract time is based upon normal weather conditions. An extension is granted for weather conditions significantly more severe than normal if the Contractor demonstrates to the satisfaction of the City that the delay in the progress of the work was due to such weather. The basis to define normal weather with be the data compiled by the United States Department of Commerce, National Oceanic and Atmospheric Administration (NOAA). 3. No extension of time will be granted if the Contractor, by his/her/its own action or inaction, including fault or negligence of Contractor's subcontractors, caused the delay, or for which any remedies are provided under any other provision of this agreement. 4. The grant of an extension of time under this Section in no way constitutes a waiver by the City of any rights or remedies existing under this contract at law or in equity. XI. DEFAULT AND TERMINATION A. Prevailing Specifications: 2024, INDOT Standard Specifications Section 108 B_ Additions: 1. Events of Default shall include Contractor's failure to perform any of its obligations under this contract including failure to commence work at the time specified, failure to perform the work in accordance with these specifications, unauthorized discontinuation of the work, failure to carry out the work in a manner acceptable to the City, failure to observe Federal, State, or local laws or regulations, and failure to comply with any other term of this contract. 2. if an Event of Default occurs, the City shall provide Contractor written notice and may permit Contractor ten (10) calendar days after the date of the notice to cure the default. If the default is not cured within the ten (10) day cure period, the City may at any time thereafter terminate this contract in which case the termination shall be final and effective. 3. Upon an Event of Default, the City may invoke the following remedies in addition to those remedies provided under separate provisions of this contract, the right of set-off against any payments due or to become due to the Contractor against the retainage, the right to take over and complete the Work. If the City notifies Contractor that City is invoking its right to complete the Work, all rights that the Contractor has in order under Contractor's subcontracts are assigned to the City, subject to the City's right to take assignment of all or only selected subcontracts at the City's discretion. The sole obligation accepted by the City under such subcontracts is to pay for Work satisfactorily performed after the date of the assignment. In the event a conditional assignment has not been executed, the Contractor shall execute or cause to be executed any assignment, agreement, or other document that may be necessary in the sole opinion of legal counsel to the City's Board of Public Works to evidence compliance with this provision. The Contractor shall promptly deliver such docurttents Version 3/1512024 Page - 3 Public Works Quote Scanned with CamScanner or because of arising out of any defect in the goods, materials or equipment supplied by the Quote provider. VI. INSURANCE A. Prevailing Specifications: 2024, INDOT Standard Specifications Section 103 B. Additions: 1. All Contractors and subcontractors doing business with the City of South Bend shall present a Certificate of Insurance showing coverage in the following minimum amount: a. General Liability: Premises -Completed Operations or Products, Bodily Injury and Property Damage Combined Single Limit - $5,000,000. b. There shall be no exclusion for explosion, collapse or underground hazard. c. Workmen's Compensation: Statutory State of Indiana Employer's Liability - $100,000. d. Auto Liability: Bodily Injury and Property Damage Combined Single limit - $1,000,000. e. The City of South Bend shall be named as additional insured on the Certificate of Insurance. VII. CONTROL OF WORK A. Prevailing Specifications: 2024, INDOT Standard Specifications Section 105 B. Additions: 1. The complete responsibility for this project lies with the Director of Public Works of the City of South Bend, Indiana acting through his authorized representatives. 2. Construction Engineering - The Contractor shall provide all the necessary, qualified personnel, equipment and supplies to perform all work required under this item. There will be no direct payment for this item. 3. The contractor is responsible to maintain the site which includes but is not limited to; dust control, site security, erosion control, and protecting adjacent properties. 4. Work hours for the Project shall be from 7:00 a.m. through 6:00 p.m., Monday through Friday. No work shall be permitted on weekends, Holidays, or after hours unless approved by the City of South Bend Department of Public Works. VIII. LEGAL RELATIONS A. Prevailing Specifications: 2024, INDOT Standard Specifications Section 107 B. Additions: 1. The Owner, where mentioned in these documents, is the City of South Bend. The Engineer, where mentioned in these documents, is the City of South Bend Department of Public Works, Engineering Division. 2. The Contractor shall apply for and obtain any and all required permits for the work from local, state, and federal agencies and shall comply with permit requirements, including the St. Joseph County / City of South Bend Building Department. 3. If the Contractor awarded this contract is not a resident of Indiana, within thirty days, the Contractor shall provide the Owner with proof that the Contractor is duly licensed, qualified and registered with the Secretary of State of Indiana to engage in business within the State of Indiana. 4. The Contractor shall comply with all provisions of Indiana Code 5-16-13, as amended. The Owner reserves the right to immediately terminate the public work project awarded should the Contractor be found to be in violation of any provision of Indiana Code 5-16-13 and such violation shall result in the forfeiture of Contractor's performance bond to the Owner. iX. PROSECUTION AND PROGRESS A. Prevailing Specifications: 2024, INDOT Standard Specifications Sec. 108 B. Additions: Version 3/15/2024 Page - 2 Public Works Quote Scanned with CamScanner BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 7/2/2024 Department Public Name Scott BPW Date 7/9/2024 Phone Extension 9245 Required Prior to Submittal to Board BPW Attorney ® Attorney Name Michael Schmidt Dept. Attorney ❑ Attorney Name Purchasing ❑ Mickey Low 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 ❑ Other: ❑ Ease./Encroach Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Information ❑ Yes ❑ If Yes, Approved by Purchasing ❑ No E] MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Nos 2024 Microsurfacing Quote (PR-34558) 124-049 Local Road & Street 251-06-600-506-431000 For Change Orders Only Amount of ❑ Increase $ ❑ Decrease ($ ) Previous Amount Current Percent of Change: New Amount Increase Decrease Increase Total Percent of Change: Decrease Time Extension Amount: New Completion Date: BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 7/9/2024 Department Public Name Scott BPW Date 7/23/2024 Phone Extension 9245 Required Prior to Submittal to Board BPW Attorney ® Attorney Name Michael Schmidt Dept. Attorney ❑ Attorney Name Purchasing ❑ Mickey Low 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 ❑ Other: ❑ Ease./Encroach Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Information Restoration Services, LLC Yes ❑ If Yes, Approved by Purchasing No El MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Nos 2024 Microsurfacing Quote 124-049 (DFO #543) Local Roads & Streets 251-431000 106,804.65 Base Quote + Alternate No. 1 It —For Change Orders Only Amount of ❑ Increase $ ❑ Decrease ($ ) Previous Amount Current Percent of Change: New Amount Increase Decrease Increase Total Percent of Change: Decrease Time Extension Amount: New Completion Date: