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HomeMy WebLinkAboutOpening of Bids - SB City Hall Renovations Proj No. 124-001 - Larson-DanielsonCITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Project No. For Bids Due Date: Address: South Bend - SBCSC City Hall Renovation 124-001 22 October 2024 PART I (Must be completed for all bids. Please type or print) 10/22/24 Bidder (Firm): Larson -Danielson Const . 302 Tyler Street City/State/Zip: LaPorte, Email Address: IN 46350 Telephone Number: ( 219 ) 3 6 2- 212 7 btl@ldconstruction.com Co., Inc. Agent of Bidder (if Applicable): Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: South Bend-SBCSC City Hall Renovation, Project No. 124-001 the City of South Bend, Indiana, in accordance with plans and specifications prepared by: American Structurepoint and dated 9 / 6 / 2 4 for the sum of (enter the Total Bid as shown on the Proposal) Nine Million, Three Hundred Seventy Three ($9,373,750 (Enter sum of Total Base Bid plus Alternates shown on Proposal) (Numerical) Thousand, Seven Hundred Fifty The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separa a attachme t. 'By X ` LARSON-DANIELSON (Si natur CONSTRUCTION CO, INC. es Brian T. Larson, resident N� (Printed Name of Person Signing) ACCEPTANCE The above bid is accepted this Subject to the following conditions: day of BOARD OF PUBLIC WORKS President Members 20 Version 03/15/2024 Contractor's Bid for Public Works - 2 BID/PROPOSAL CITY OF SOUTH BEND Project Name: South Bend - SBCSC City Hall Renovation Project Number For Bids Due Contractor Name BASE BID 124-001 22 October 2024 Larson -Danielson Construction Company, Inc. Item No. Description Quantity Unit Unit Price Total Amount Furnishing all labor, services, materials, insurance and $ 7, 2 8 2, 0 0 0 equipment to necessary to demolish 1 existing construction and create a new 1 LS $ 7, 2 8 2, 0 0 City Hall - SBCSC Administration Building in South Bend according to the intent of the plans and specifications. BASE BID TOTAL $7, 2 8 2.,n n n ALTERNATE #1 Item No. Description Quantity Unit Unit Price Total Amount 1 Replace all act ceiling tile and grid with new per reflected ceiling drawings $ 91, 5 0 0 ALTERNATE #1 TOTAL ALTERNATE #2 $91,500 Item No. Description Quantity Unit Unit Price Total Amount 1 Replace all interior lighting with new per Electrical Drawings $ 6 41 000 ALTERNATE #2 TOTAL ALTERNATE #3 Item No. Description Quantity Unit Unit Price Total Amount 1 Paint exterior per exterior elevations $ 2 0 3, 0 0 0 ALTERNATE #3 TOTAL $203,000 Version 03/15/2024 Contractor's Bid for Public Works - 7 4 411pUT11 BF�d � 2 U Ci BID/PROPOSAL CITY OF SOUTH BEND Project Name: South Bend - SBCSC City Hall Renovation 1865 x Project Number: 124-001 For Bids Due: 22 October 2024 Contractor Name: Larson -Danielson Construction Company, Inc. ALTERNATE #4 Item No. Description Quantity Unit Unit Price Total Amount 1 Replace vav boxes per Mechanical Drawings $l, 073, 250 ALTERNATE #4 TOTAL ALTERNATE #5 $1,073,250 Item No. Description Quantity Unit Unit Price Total Amount 1 Replace all exterior lighting with new per Electrical Drawings $ 3 8 000 ALTERNATE #5 TOTAL ALTERNATE #6 $38,000 Item No. Description Quantity Unit Unit Price Total Amount 1 Replace existing council chambers podium casework with new per floor plans and interior elevations $ 4 5 0 0 0 Bidder (Firm): Address: City/State/Zip: ALTERNATE #6 TOTAL 45,000 Larson -Danielson Construction Company, Inc. 302 Tyler Street LaPorte, IN Telephone Number: ( 219 ) 362 - 212 7 46350 //'�LARSON-DANIELSON By X CONSTRUCTION CO., INC. (Signature) Brian T. Larson, President (Printed Name of Person Signing) Version 03/15/2024 Contractor's Bid for Public Works - 8 AMERICAN STRUCTUREPOINT, INC. 09.30.2024 Addendum No. 1 SECTION 00 43 22 - UNIT PRICES FORM PARTICULARS 2022.00343 SOUTH BEND - CITY HALL RENOVATION 1.1 THE FOLLOWING IS THE LIST OF UNIT PRICES REFERENCED IN THE BID SUBMITTED BY: 1.2 (BIDDER) Larson -Danielson Construction Company, Inc. 1.3 TO (OWNER): CITY OF SOUTH BEND 1.4 DATED 10/22/24 AND WHICH IS AN INTEGRAL PART OF THE BID FORM. 1.5 THE FOLLOWING ARE UNIT PRICES FOR SPECIFIC PORTIONS OF THE WORK AS LISTED, AND ARE APPLICABLE TO AUTHORIZED VARIATIONS FROM THE CONTRACT DOCUMENTS. REFER TO SECTION 01 22 00 UNIT PRICES FOR LIST. UNIT PRICE LIST 2.1 ITEM DESCRIPTION UNIT QUANTITY UNIT VALUE QTY . $ A Missing Door Lever Sets 1 ea $475 B. Missing Existing Door Hardware 1 A -a $475 C. 2x2 Acoustical Ceiling Tile 4 sf $8.95 D. Missing 4x8 Window Shades 1 ea $320 END OF SECTION 00 43 22 UNIT PRICES FORM 00 43 22 - 1 � SpUTH 8�� � _ d U C CITY OF SOUTH BEND, INDIANA t�e5 CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name South Bend - SBCSC City Hall Renovation Project No. For Bids Due 124-001 22 October 2024 From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. X Proper bid security included. The bidder has the option of providing either a Certified Check or Bid Bond. X 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 X with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and Certification of use of United States Steel Products or Foundry Products. Proof of M/WBE Utilization Plans [MBE-1.0 and WBE-1.0]. Also provide Evidence of Good Faith Efforts Forms [MBE-2.0 and WBE-2.0] and M/WBE Contacted Forms [MBE-2.1 and X WBE-2.1]. X Acknowledge Receipt of 1 , 2 hdendum(s) included with the bid. X All required additional information is included with the bid. X Proposal statements and other affidavits all signed by the proper party with name either printed or typed underneath signature. X This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. Bidder: Larson -Danielson Construction Co., Inc -Date: By Authorized Representative: Signature: X Print Name & Title: Brian T . Larson, President 10/22/24 LARSON-DANIELSON CONSTRUCTION CO., INC. Version 03/15/2024 Contractor's Bid for Public Works - 1 QT 1316 CouN•rv-Crry Butwf rc, ` .' � PPONG 5741235-9251 227 W. JEFFERSON BOULEVARD � :N..;, FAX 574/ 235-9171 SOUTH BEND,1NDTANA 46601-1830 TIDD 574/ 235-5567 CITY OF SOUTH BEND, TAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS Date: October 1, 2024 To: All Planholders From Theresa Heffner, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: South Bend City Hail Renovation Project Number: 124-001 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 10 / 1 / 2 4 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Larson -Danielson Construction Company, Tnc. Authorized Signature: x Michele Date: 10/1/24 Dzielinski, Est RYf�y„sy FaICilF.L6CECEWtliicLEFiafi ?O� •"�'c MI'Comssi�"crlu'u6 .. +t ��= " ix= SePlembr&2V61 ��µ Cam�ixsVmNumter NPC67277j J��,_,.aR� EnE'aio County . ting Versiou 4/2/2015 1316 COUNTY -CITY BUILDING 227 W.JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PH.oNL 574/235-9261 FAX 574/ 235-9171 °TDT) 574J235-5567 CITY OF SOUTH B"FND, JAWS MUF.,L LFSR, MAYOR BOARD OF PUBLIC WORKS Date: October 1.4, 2024 To: All Planholders From Theresa Heffner, Clerk, Board of Public Works Subject Addendum Number: 2 Project Name: South Bend City Hall Renovation Project Number, 124-001 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 10 / 15 / 2 4 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet.to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid pacli age.; upon submittal. 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: Larson -Danielson Construction Company, Inc. Authorized Signature:" Date: Version 4/2/2015 10/15/24 Michele C. Dzielinski, Estimating k iv MICHELE CECELIA DZIELINSKI My Commission Expires E•i SEAL ik; :akti� Septembor8, 2031 Cornm18si0nNumber NP0672713 0 Porto County 1316 COUNTY -CITY BUILDING 227 W.JEFFERSON BOULEVARD 5ou'ni BEND, INDIANA 46601-1830 PHONE 574/235-9251 FAX 5741235-917t TDD 574/235.5567 CITY OF SOUTH BEND, JAMES MUFLLFR, MAYOR BOARD OF PUBLIC WORKS Date: October 16, 2024 To: All Planholders From Theresa Heffner, Clerk, Board of Public Works Subject Addendum Number: 3 Project Name: South Bend City Hail Renovation Project Number: 124-001 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 10 / 17 / 2 4. This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and-become--a-part-ofherein.— --- -- - -------------- ------ ___. Company: Larson -Danielson Construction Company, Inc, Authorized Signature; - Michele C . Dzielinski, Fstimatii Date: Version 4/2/2015 10/17/24 r p'GP mmisslon �xpKes S pkembw 8, 2031 N?, o�: I;ommissianfilumberNPD072�i3 LaPoriLCAunIY OHIO FARMERS INSURANCE COMPANY Westfield Groupol Park Circle, P O Box 5001, Westfield Center, Ohio 44251-5001 Conforms to Document A310TM - 2010 Bid Bond CONTRACTOR: SURETY: (Name, legal status and address) (Name, legal status and principal place of business) Larson -Danielson Construction Co., Inc, OHIO FARMERS INSURANCE COMPANY 302 Tyler St. 1 Park Circle, PO Box 5001 La Porte, IN 46350 Westfield Center, OH 44251-5001 OWNER: (Name, legal status and address) South Bend, City of 227 W. Jefferson Blvd. South Bend, IN 46601 BOND AMOUNT: Five Percent (5%) of the attached bid PROJECT: (Name, location or address, and Project number, if any) City Hall Renovation 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 specified 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 and not as a common law bond. Signed and sealed this 22nd day of October n,.,�l R Jeff R. JVJ ensen, ecretary-Treasurer (Witness) 6f Lk Kathy Henrich v (Witness) , 2024 Larson -Danielson Construction Co., Inc. (Principal) LARSON-DANIELSON I�tl°) SE" CONSTRUCTION CO., INC. Brian T. Larson, President OHIO FARMERS INSURANCE COMPANY (Surety) _ (Steal) By: to Lisa Ebert, orney-in-Fact (Title) Printed with permission from The American Institute of Architects (AIA) and the Surety & Fidelity Association of America (SFAA) by Westfield Group®. Westfield Group vouches that the language in the document conforms exactly to the language used in AIA Document A310Tm 2010 BD5084 OFWWN-(1-0/201-0) — - - General POWER NO. 1304762 18 Power Westfield Insurance Co. of Attorney Westfield National Insurance Co. CERTIFIED COPY Ohio Farmers Insurance Co. Westfield Center, Ohio Know All Men by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, corporations, hereinafter referred to Individually as a "Com any" and collectively as "Companies," duly organized and existing under the laws of the State of Ohio, and having its principal office In Westfield Center, Medlna County, Ohio, do by these presents make, constitute and appoint RONALD L. ROSENBAUM, CATHERINE E. MYERS, KATHY D. HENRICH, JENNIFER S. SALAT, LISA EBERT, RICHARD CARLSON, KILEA GIRTEN, MARISSA HAEMKER, KYLE ROSENBAUM, STACY RUTKOWSKI, JOINTLY OR SEVERALLY of LA PORTE and State of IN Its true and lawful Attorney(s)-In-Fact, with full power and authority hereby conferred in Its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings, or other Instruments or contracts of suretyship in any penal limit, and to bind any of the Companies thereby as fully and to the same extent as if such bonds were signed by the President, sealed with the corporate seal of the applicable Company and duly attested by Its Secretary, hereby ratifying and confirming all that the said Attorney(s)-In-Fact may do In the premises. Said appointment is made under and by authority of the following resolution adopted by the Board of Directors of each of the WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY: "Be It Resolved, that the President, any Senior Executive, any Secretary or any Fidelity & Surety Operations Executive or other Executive shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorneys) -In -Fact to represent and act for and on behalf of the Company sub ect to the toIlowing provisions: The Attorney -in -Fact may be gtn full power and authorlty for and In the name of and on behalf of the Company, to execute, acknowledge and deliver, any and all bands, recognizances, contracts, agreements of Indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such Instruments so executed by any such Attorney -In -Fact shall be as binding upon the Company as If signed by the President and sealed and attested by the Corporate Secretary." "Be It Further Resolved, that the signature of any such designated person and the seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signatures or facsimile seas shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached." (Each adopted at a meeting held on February S, 2000). In Witness Whereof, WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY have caused these presents to be signed by their National Surety Leader and Senior Executive and their corporate seals to be hereto affixed this 01st day of MAY A,D„ 2024 , Corporate pl.+•+++++Nlp„„f +1,11lff, ,,,«+•+.u//,,,,, WESTFIELD INSURANCE COMPANY seals � �: pdkc"s ,,••''PKIONAC�N l,. `" 1Wks WESTFIELD NATIONAL INSURANCE COMPANY Affixedd1r•' �,"•'0�� `;a?••'' ����"'••.,Giy.,• ✓{ ••''+ OHIO FARMERS INSURANCE COMPANY h"•7,�1 ;i SEAL ?m-N. 1848 `'~' State of Ohio�NN4���iii w+wlwe�"p�" •••�'",,,ra nl,,+r+```^ •�„illrnwa�+By: County of Medina ss.: Gary W. tumper, Natlona urety Leader and Senior Executive On this 01st day of MAY A.D., 2024 , before me personally came Gary W. Stumper to me known, who, being by me duly sworn, did depose and say, that he resides In Medina, OR that he is National Surety Leader and Senior Executive of WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, the companies described In and which executed the above instrument; that he knows the seals of said Companies; that the seals affixed to said Instrument are such corporate seals; that they were so affixed by order of the Boards of Directors of said Companies; and that he signed his name thereto by like order. Notarial aYY'OdIllgl+ Seal �1 A L 'ati Affixed ,(?;• ` ���`� State of Ohio % �+' � David A. Kotnik, Attorney at Law, Notary Public ii. County of Medina ss.: s hq My Commission Does Not Expire (sec, 147.03 Ohio Revised Code) I, Frank A. Carrino, Secretary of WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Companies, which Is still In full force and effect; and furthermore, the resolutions of the Boards of Directors, set out In the Power of Attorney are In full farce and effect. In Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this 22nd day of October A•D.,2024 \\\I,NI/11111NLy1,� ,Y\fY11+51/l1llf,,,lfrf �YANN/1VflJfllfr -+ gg ♦♦ •Its �F r �e rrti - ,�• r • .Pip � � LLa � • ����•,.•1�IAIITERf�� z � S`ecr�atary ►' SEA ro -�-; + ' =4a• _ Frank A. Carrino, Secretary fI1NAM•. ff'r•f111111*11\411++`l`\``, F•FjllfiHSHiYN1N\� \N BPOAC2 (combined) (05-24) 04 SOUTH BE�O F' r CITY OF SOUTH BEND d MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-1.0 ia6s MBE UTILIZATION PLAN This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE participation. It is the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications. ***Goals should be calculated based on the Base Bid only.*** Project Number: Bidder: 124-001 Project Name: South Bend - SBCSC Larson -Danielson Total Bid Amount: Construction Company, Inc. Hall Renovation MBE Goal: 0.82 Page 1 of 1 Name & Address of MBE Primary Contact Person Scope of Work to be Performed Dollar Amount of MBE Percentage of Total (Name/Telephone) (Attach scope/schedule if you need additional space) Component Bid/Proposal Aorbis, Inc. Jalpa Thaker Doors, Frames & Hardware $205,141 2.8% 1111 Main St. 860-317-7100 East Hartford, CT 06108 NOTE: Supplier Diversity Program/State of Connecticut (1st Tier) Submitted by: Brian T. Larson, President X t/, Print Name Signature CARBON-DANI ELSON \E "1 CONSTRUCTION CO., INC. ***Goals should be calculated based on t e ase i on v.' Version 03/15/2024 Contractor's Bid for Public Works - 10 10/22/24 Date 04 SOUTH BE�O r.� r CITY OF SOUTH BEND d MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM WBE-1.0 ia65 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: Bidder: 124-001 Project Name: South Bend - SBCSC Larson -Danielson Total Bid Amount: Construction Company, Inc. Hall Renovation WBE Goal: 3.30 Page 1 of Name & Address of WBE Primary Contact Person Scope of Work to be Performed Dollar Amount of WBE Percentage of Total (Name/Telephone) (Attach scope/schedule if you need additional space) Component Bid/Proposal The Hill Group Charles Van Fire Suppression 950 Wabash Ave. Senus $119,000 1.6% Chesterton, IN 219-728-2997 46304 Olee Creative Melody Reese Signage 58740 Executive Dr. 574-256-0901 $55,074 .76% Mishawaka, IN 46544 Brighton Specialties WBENC Division 10 $17,549 .240-8 1825 W. Barry Ave. Ken Spoor Chicago, Il 60657 312-720-6049 Submitted by: Brian T. Larson, President X Print Name Signature :/CONSTRUCTION CO., INC. ***Goals should be calculated based on the Base Bid only.*** Version 03/15/2024 Contractor's Bid for Public Works - 11 10/22/24 Date CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS � 4SpUTH B��O 2 U CJ ce Y 1865 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: 124-001 Date: 10 / 2 2 / 2 4 Project Name: South Bend - SBCSC City Hall Renovation Bidder: Larson -Danielson Construction Company, Inc. Contact Person: Brian T. Larson, President Telephone: 219-362-2127 Address: 302 Tyler Street City: LaPorte State: IN Zip: 46350 Email: btlCldconstruction.com To determine whether a bidder has demonstrated good faith efforts to reach the MBE utilization goals set forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below*: EVIDENCE OF GOOD FAITH EFFORTS MBE LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business Enterprise Inclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the Indiana Department of Administration list of Minority and Women Owned Businesses (both certified and non -certified) found at: htt ://www.in. ov/idoa/. GOOD FAITH EFFORTS TO OBTAIN MBE PARTICIPATION The bidder shall initial each item below, as evidence of its good faith efforts to obtain MBE participation in the awarded contract. I affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise �f Inclusion Program Plan and the Indiana Department of Administration's certified list of (�V Indiana Minority and Women Business Enterprises, found on their website (http://www.in.gov/idoa). I affirm that I have made good faith efforts to select portions of the contract work to be performed by MWBEs, including, where appropriate, breaking out contract work items into economically feasible units to facilitate MBE participation. n I affirm that I have made good faith efforts to solicit through all reasonable and available GQ�L^ 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. n 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. �f I affirm that I have made good faith efforts to assist interested MBEs in obtaining bonding, (�V lines of credit, or insurance as required by the City or the bidder, where appropriate. Version 03/15/2024 Contractor's Bid for Public Works - 12 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS 4 SOUTH y 2 U CJ W 9 x x 1865 I affirm that I have made good faith efforts to assist interested MBEs in obtaining necessary GQ�L equipment, supplies, materials, or related assistances or services, where appropriate. �f I affirm that I did not reject any MBEs as unqualified without sound business reasons based (�V 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 03/15/2024 Contractor's Bid for Public Works - 13 p4SpUTH B��O CITY OF SOUTH BEND �d MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN x FORM WBE-2.0 x 1865 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: 124-001 Date: 10 / 2 2 / 2 4 Project Name: South Bend - SBCSC City Hall Renovation Bidder: Larson -Danielson Construction Company, Inc. Contact Person: Brian T. Larson, President Telephone: 219-362-2127 Address: 302 Tyler Street City: LaPorte State: IN Zip: 46350 Email: btl@ldconstruction.com To determine whether a bidder has demonstrated good faith efforts to reach the WBE utilization goals set forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below*: EVIDENCE OF GOOD FAITH EFFORTS WBE LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business Enterprise Inclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the Indiana Department of Administration list of Minority and Women Owned Businesses (both certified and non -certified) found at: htt ://www.in. ov/idoa/. GOOD FAITH EFFORTS TO OBTAIN WBE PARTICIPATION The bidder shall initial each item below, as evidence of its good faith efforts to obtain WBE participation in the awarded contract. I affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise Inclusion Program Plan and the Indiana Department of Administration's certified list of GQ�L Indiana Minority and Women Business Enterprises, found on their website (http://www.in.gov/idoa). n 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. 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. n 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. n /�V1! 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 03/15/2024 Contractor's Bid for Public Works - 14 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM WBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS 4 SOUTH y 2 U CJ W 9 x x 1865 1 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. ,f n 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 03/15/2024 Contractor's Bid for Public Works - 15 � 4SpUTHBE�� CITY OF SOUTH BEND o' PI.ACFl MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN w a mt FORM MBE-2.1 x_ 865 x` 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 necessar . PAGE OF 1 Project Number: 124-001 MBE Participation Goal • 82 0 Project Name: South Bend - SBCSC City Hall Renovation Bidder: Larso -Danielson Construction Company, Inc. By: X �, Brian T. Larson, President 10/22/24 (Signature) (Title) (Date) LARSON-DANIELSON MBE Firm CONSTRUCTION CO., INC. (See attached Good Faith Effort) Owner or Contact at MBE Firm Telephone: Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: Email: 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: Version 03/15/2024 Contractor's Bid for Public Works - 16 � 4SpUTHBE�� CITY OF SOUTH BEND o' PI:ACFl MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN w a mt FORM MBE-2.1 x_ 865 x` WBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring Good Faith Efforts to contact WBEs. It is the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications. Attach additional pages if necessary. PAGE 1 OF 1 Project Number: 124-001 WBE Participation Goal 3 . 3 0 o Project Name: South Bend - SBCSC City Hall Renovation Bidder: Lars -Danielson Construction By: X oovt/ (Signature) LARSON-DANIELSON ''seA� CONSTRUCTION CO NC Brian T. Larson, President (Title) WBE Firm ee attached Good Faith Effort) Owner or Contact at WBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE WBE FIRM: WBE Firm Owner or Contact at WBE Firm Telephone: Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE WBE FIRM: Email: Inc. 10/22/24 (Date) Version 03/15/2024 Contractor's Bid for Public Works - 17 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 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 03/15/2024 Contractor's Bid for Public Works - 3 ACCEPTANCE The above bid is accepted this day of , subject to the following conditions: Contracting Authority Members: PART II (For projects of $150,000 or more — IC 36-1-12-4) Governmental Unit: City of South Bend Bidder (Firm) LARSON-DANIELSON CONSTRUCTION CO., INC. Date (month, day, year): 10/22/24 These statements to be submitted under oath by each bidder with and as a part of his bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE What public works projects has your organization completed for the period of one (1) year prior to the date of the current bid? Contract Amount Class of Work Completion Date Name and Address of Owner 7,391,000.00 GC 2023 LaPorte CSC -Transportation Bldg 5,823,850.00 GC 2024 Hanover CSC -New Resource Ctr. 3,960,546.00 GC 2024 Mishawaka, City of-Riverwalk Extension 5,971,326.00 GC 2024 E. Porter Cty SC -Washington TS 2. What public works projects are now in process of construction by your organization? Contract Amount Class of Work Expected Completion Date Name and Address of Owner 5,340,002.00 GC 2025 South Bend, City of-MLK Dream Center 15,202,000.00 GC 2025 South Bend -Raclin Murphy Encore 6,011,988.00 GC 2025 Build Westville -WV Corr Fac, 02B-Masonry 5,779,538.00 GC 2025 Build Westville -WV Corr Fac, 03A-Gen Trades 3. Have you ever failed to complete any work awarded to you? NO If so, where and why? 4. List references from private firms for which you have performed work. Wal-Mart Stores, Inc. 2001 SE 10th St. Bentonville, AR 72712 University of Notre Dame 200 Facilities Building Notre Dame, IN 46556 Northwest Health P. O. Box 250 LaPorte, IN 46352 Task Force Tips 2351 Industrial Drive Valparaiso, IN 46383 The Boeing Company 100 N. Riverside Chicago, IL 60606 SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Explain 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 governmental unit to consider your bid.) Larson -Danielson anticipates commencing project coordination upon receipt of a Contract, Notice to Proceed, or Letter of Intent. We will then begin awarding subcontracts and purchase orders based on sequence of work to be performed. Work will be performed in common sequence of tasks as generally accepted throughout the construction industry and as it pertains to this project. Average crew sizes range from 5-6 skilled tradespeople, although is subject to change based on schedule and the specific task(s) being performed. 2. Please list 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. Please see attached list of subcontractors we have worked with on public works projects in the last five (5) years. If you intend to sublet any portion of the work, state 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 governmental unit in the event that you subsequently determine that you will use a subcontractor on the proposed project. Larson -Danielson does plan to utilize subcontractors. Subcontractor information will be provided as required in the relevant bidding documents. 4. What equipment do you have available to use for the proposed project? Any equipment to be used by subcontractors may also be required to be listed by the governmental unit. Larson -Danielson owns a wide variety of heavy equipment and mid to small sized equipment/tools, including but not limited to equipment for earthwork, masonry, concrete, carpentry, access equipment and transportation equipment. Specific lists of equipment will be provided as required by the relevant bidding documents. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, please explain the rationale used which would corroborate the prices listed. YES 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 governing body awarding the contract must be specific enough in detail so that said governing body can make a proper determination of the bidder's capability for completing the project if awarded. SECTION IV CONTRACTOR'S NON — COLLUSION AFFIDAVIT The undersigned bidder or agent, being duly sworn on oath, says that he 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 include 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. He 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. SECTION V OATH AND AFFIRMATION I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION CONTAINED IN THE FOREGOING BID FOR PUBLIC WORKS ARE TRUE AND CORRECT. Dated at LaPorte, IN this 22nd day of October 2024 Larson -Danielson Construction Co., Inc. me of Organization) LARSON-DANIELSON By X F CONSTRUCTION CO., INC. Brian T. Larson, President (Title of Person Signing) ACKNOWLEDGEMENT STATE OF Indiana ss COUNTY OF LaPorte Before me, a Notary Public, personally appeared the above -named Brian T. Larson and swore that the statements contained in the foregoing document are true and correct. Subscribed and sworn to before me this 22nd day of October 2024 Digitally signed by Michele Dzielinski DN: C=US, E="nncd@ldconstruction,. nn", x Michele Dzielinski Date Michele Dzielinski 2024.10.22 753:32-05'00' Notary Public "Pv„ �., MN:NFLE LECELMD2IELINSNI ' 'x= MYCmmise0 2031 Michele C. Dzielinski = SegeMa . 2J3, Carvn'� NumperNP06 2713 "„e�iH to vam county My Commission Expires: September 8, 2031 County of Residence: LaPorte 1.35 "SECTION II, ITEM 2 — BELOW IS A LIST OF SUBCONTRACTORS THAT WE HAVE USED ON PUBLIC WORKS PROJECTS DURING THE PAST FIVE (5) YEARS" Earthwork/Sitework T & J Landscape Service D&M Excavating 12615 Wicker Ave. 9896 W. 300 N. Cedar Lake, IN 46303 Michigan City, IN 46360 Hubinger Landscaping G. E. Marshall 210 E. 113th Ave. 1351 Joliet Rd. Crown Point, IN 46307 Valparaiso, IN 46384 Gypsum/Metal Studs/Acoustical Pavey Excavating Huggett-Betten 2020 Ohio St. 3470 Little Castle Rd. LaPorte, IN 46350 Stevensville, MI 49127 McAllister, Inc. Kleckner Interior Systems 12600 Maple St. 1176 Damon Lane Cedar Lake, IN 46303 Chesterton, IN 46304 Asphalt Paving & Striping Flooring Rieth-Riley Construction Midwest Tile & Interiors 7500 W. 5th Ave. 1805 N. Cedar Street Gary, IN 46406 Mishawaka, IN 46545 Site Services Interior Finishes 10117 Kennedy Ave. 3601 McGill St. Highland, IN 46322 South Bend, IN 46628 Olson Construction Art Mosaic & Tile 2239 Summer St. 844 Rush St. Hammond, IN 46320 South Bend, IN 46601 Fencinq Paintinq Milestone Fence Stan's Painting & Decorating 3723 N. Home St. 440 Sullivan St. Mishawaka, IN 46545 Hobart, IN 46342 Northwest Indiana Fence Prism Painting 1758 W. Lincolnway 368 Kennedy Ave. Valparaiso, IN 46383 Schererville, IN 46375 Landscaping Elevators Fuerbringer Landscaping & Design Otis Elevator 22530 Brick Rd. 1010 E. Jefferson Blvd. South Bend, IN 46628 Mishawaka, IN 46545 C:\Users\michele\Desktop\BLANK FOLDER\96 96A revised 7.1.24\96 Subcontractor List Attachment 1_35.docx 1/10/24 1.35 Schindler Elevator J.W. Werntz Supply 500 Park Blvd. 1002 Kerr St. Itasca, IL 60143 South Bend, IN 46601 TK Elevator Lazzaro Co. 940 W. Adams 5880 Broadway Chicago, IL 60607 Merrillville, IN 46410 Concrete Fire Protection Milestone Contractors Ryan Fire Protection 24358 SR23 3715 Bowman Dr. South Bend, IN 46614 Valparaiso, IN 46383 C & S Concrete F. E. Moran Fire Protection 7353 McConnell Rd. 1454 3rd St. Lowell, IN 46356 Osceola, IN 46561 Structural Steel Hill Mechanical Omega Structural Steel 950 Wabash Ave. 1640 Main Street Chesterton, IN 46304 Griffith, IN 46319 Mechanical C & C Iron Circle R Mechanical 6409 Hendricks St. 6620 Shepherd Ave. Merrillville, IN 46410 Portage, IN 46368 Stevens Iron Works D. A. Dodd, Inc. 733 W. 500 N. 14 E. Michigan Ave. Valparaiso, IN 46383 Rolling Prairie, IN 46371 Evans Metal Products BC Mechanical 2400 Johnson St. 882 Anderson Rd. Elkhart, IN 46514 Niles, MI 49120 Roofing Bloomfield Mechanical E. C. Babilla, Inc. 6636 Melton Rd. 3974 Harrison St. Portage, IN 46368 Gary, IN 46408 Electrical Korellis Roofing, Inc. Continental Electric Co., Inc. 1333 169th St. 9501 E. 51h Ave. Hammond, IN 46324 Gary, IN 46403 Midland Engineering EMCOR/Hyre Electric Co. 52369 US 933 North 2655 Garfield Ave. South Bend, IN 46637 Highland, IN 46322 Storefront & Entrances & Glazing Circle R Electric Trout Glass & Mirror 5740 Central Ave. 3602 Enterprise Ave. Valparaiso, IN 46383 Portage, IN 46368 C:\Users\michele\Desktop\BLANK FOLDER\96 96A revised 7.1.24\96 Subcontractor List Attachment 1_35.docx 1/10/24 The name of the partnership firm under which the above partners are operating is ......................................... Give names and titles of all persons having authority to execute and receipt estimate vouchers and to conduct other business for the partnership, the signatures of whom are legally binding. The undersigned hereby declares that the foregoing is a true statement of the financial condition of the individual, co -partnership of corporation herein first named, as of the date herein first given; that this statement is for the express purpose of inducing the parry to whom it is submitted to award the submitter a contract; and that any depository, vendor or other agency herein named is reby authorized to supply such party with any information necessary to verify this statement. ........... ................. .......... ......................... NOTE: A co -partnership must give firm name and signatures of all partners. Brian T. Larson, President A corporation must give full corporate name, signature of official and affix corporate Larson -Danielson Construction Co., Inc. LgRSON-DANIELSON Seal. ( j STATEOF ...................................... SS: COUNTY OF .................................. Affidavit for Individual ...................................................................................... being duly sworn, deposes and says that the foregoing financial statement, taken from his books, is a true and accurate statement of his financial condition as of the date thereof and that the answers to the foregoing interrogatories are true. Subscribed and sworn to before me this............................................................ (Applicant must sign here) ....................day of ............................ 20 ...... .................................................................... Notary Public Affidavit for Co -Partnership STATE OF ...................................... SS: COUNTY OF .................................. ...................................................................................... being duly sworn, deposes and says that that he is a member of the firm of...............................................................................: that he is familiar with the books of the said firm showing its financial condition; that the foregoing financial statement, taken from the books of the said firm, is a true and accurate statement of his financial condition of the said firm as of the date thereof and that the answers to the foregoing interrogatories are true. Subscribed and sworn to before me this............................................................ (Member of firm must sign here) ....................day of ............................ 20 ...... ................................................. Notary Public STATE OF ......... INDIANA........... SS: COUNTY OF ......LA PORTE................ Affidavit for Corporation ............Brian T. Larson ........ being duly sworn, deposes and says that that he is a member of the firm of ...... President..........; of the .............Larson -Danielson Construction Co., Inc.............., the corporation described in and which executed the foregoing statement; that he is familiar with the books of the said corporation showing its financial condition; that the foregoing financial stateme t, taken from the books of the said firm, is a true and accurate statement of the financial condition of the said corporation da ere nd that the answers to the foregoing interrogatories are true. Subscribed and sworn to before me this ........... ................ r.. .......... ...... 2 2 n October 2024 (Officer must sign here) S LARSON-DANIELSON ......... y of ........... ....... Brian T. Larson, President CONSTRUCTION Digitally signed by Michele Dzielinski Michele Dzielinski DN:C=hel?Dzmcnski nsWction, min', CN=Michele Dzielinski .............................. . .Date' 2024',022b7:51:37-05'00.......................... Michele C. Dzielinski, LaPorte County Resident My Commission Expires: September 8, 2031 -LE CEC kawELM, •�fi ANCmm®eim Fxprec - ' X0f SepYv M.NPf �P,Fd f n„3 15 When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON- DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF Indiana ) LaPorte ) 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: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Version 03/15/2024 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 learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, firms, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of contract or employment, or any matter directly or indirectly related to contracting or employment because of race, sex, religion, color, national origin, ancestry, gender expression, gender identity, sexual orientation, or due to age or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions will consider the Contractor's good faith efforts to obtain participation by those subcontractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. Contractors seeking the award of a City contract cannot be required to award a subcontract to an MWBE; however, they may not unlawfully discriminate against said MBE/WBE. On goal -eligible contracts, Contractors are required to either meet both MBE and WBE utilization goals or demonstrate that the Contractor has made good faith efforts to obtain participation from MBE and WBE subcontractors. A finding of noncompliance or a discriminatory practice shall prohibit that Contractor from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact to which the discriminatory practice or noncompliance pertains. 7. The undersigned Contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder Version 03/15/2024 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 22nd day ofOctobe,rZp 24 Larson -Danielson Construction Company, Inc. Contractor/Bidder (Fi ) LARSON-DANIELSON IS CONSTRUCTION CO., INC. X Signature of Contractor Bidder or Its Agent Brian T. Larson, President Printed Name and Title Subscribed and sworn to before me this 2 2 nd day of October 52024 Ily g Eby MCH D ak Michele Dzielins INN -US, E='mctl�ldcons4udbn,. om CN=Mk ele My Commission Expires 9 / 8 / 31 X 20 4,g�g„� Notary Public Michele C. Dzielinski County of Residence LaPorte MICHELE CECELM OZIF3NSKI C_ 2WI SpWriar8,Wf �'., �+; �= Camisml� HPo6iN13 Version 03/15/2024 Contractor's Bid for Public Works - 6 UANIEL 302 Tyler Street • LaPorte, Indiana 46350 COMIr & +�:ompt nye' .1w, (219) 362-2 I z7 Fax (219) 362-2$48 GOOD FAITH EFFORT PROJECT: South.Bend, City of -City Hall Renovations BID DATE: IO122124 CERTIFICATION REQUIREMENT: MWBE Building Connected Correspondence: 911 b124-Invitations to Bid seat 9120124-PreBi d ..Reminder 1011124-Add #I Issued 1014124-Are you Quoting? Request l 0115124-Are you Quoting? Request 10115124 -Ad d #2 Issued 1011712.4-Add #3 Issued 10121124-Quotes Due Reminder Various Dates: Phone Calls (see attached Call Sheet) 9110124-Posted to several a.n-L ne_W-ebs.ites.:(see- attached)-- __ _----------- -- -- - -- - --_ . 9130124-Published Legal .Notice in The South Bend Tribune (see attached) 10117124-Posted 'on in.gov Business Opportunity Website (see attached) www.ldconstruction.com Equal Opportunity Employer BUILDING CONNECTED MWBE CALL SHEET Bid Package Company Enterprise Rough Carpentry J.P. Phillips Inc. MBE Rough Carpentry Sergeant Construction Inc MBE Rough Carpentry Commercial Construction Solutions Inc MBE Rough Carpentry S&TConstruction Remodeling and Const WBE MBE Rough Carpentry REAP Construction Group MBE Rough Carpentry MVC Most Valuable Construction Corp MBE Rough Carpentry Langston &Associates MBE WBE Rough Carpentry Caasi Construction MBE Finish Carpentry Chisholm Architectural Millwork MBE Finish Carpentry MET Construction LLC WBE MBE Finished Carpentry Morningside Group Inc. MBE Finished Carpentry Apnewala MBE Finished Carpentry SRC[ Corp WBE MBE Finish Carpentry Trim'A Door WBE Finished Carpentry Colby Woodworking WBE Finished Carpentry Vaughn Interior Concepts WBE Finished Carpentry Commercial Carpentry Resources LLC WBE Finished Carpentry Allied Millwork Installers WBE Finished Carpentry Mshower LLC WBE Finished Carpentry Premier Wholesale Cabinets LLC WBE Architectural Woodwork BC Countertops MBE Architectural Woodwork 3V Company MBE Architectural Woodwork Volcan Trimworks Inc MBE Arch itectural Woodwork Ka nsas Gran ite M a rt I nc MBE Architectural Woodwork Restoration Works Inc. WBE Architectural Woodwork Skelton & Coleman Inc. WBE Joint Sealants BOFO Waterproofing Systems MBE Joint Sealants Robert Haines Co. MBE Joint Sealants Show Me Industriat Services Inc. MBE Joint Sealants Sage Construction Solutions LLC MBE Doors Frames & Hardware Davis & Associates Inc. MBE Doors Frames & Hardware AORBIS Inc MBE Doors Frames & Hardware Doors Frames & Hardware Doors Frames & Hardware Doors -Access Coping Panel Doors -Access Coiling Panel Doors -Access Coiling Panel PC350 WBE Lanai Doors - Coast Innovation Products WBE Capital Door Solutions WBE NGG Ltd, Inc. MBE Beta Group WBE Door Services Of Indiana Inc. WBE Status Undecided Undecided Undecided Undecided Undecided Undecided Undecided Undecided Undecided Bidding Undecided Undecided Undecided Not Bidding Not Bidding Undecided Undecided Undecided Undecided Undecided Undecided Undecided Undecided Undecided Undecided Undecided Undecided Not Bidding Undecided Not Bidding Undecided Undecided Bidding - Undecided Not Bidding Undecided Undecided Undecided Undecided Activity 10/9-VM 10/9-Tonic Sub -BC Sub -BC 10/9-VM, Julio Sub -BC 1ottl Sub -BC 10/9-Jalpa, to look at 10/14-BC 10/15-Bid rec'd Sub -BC Gypsum & Acoustical Ceiling: quality Interiors Inc. MBE Undecided Gypsum & Acoustical Ceiling, Christian DeCapria MBE undecided Gypsum & Acoustical Ceiling, Mack Construction Services MBE Undecided Non -Structural Metal Framinh Escarpita Construction MBE Undecided Nan -Structural Metal FraminE Kleckner Interior Systems WBE Bidding Tiling Bourbon Tile & Marble Inc. WBE Undecided Flooring E.F. Marbu rger & Son inc. WBE Undecided Flooring TSI Commercial Floor Covering/Advances WBE Undecided Carpeting Precision Industrial Services Inc MBE Undecided Painting MVGeneral Construction Services MBE WBE Undecided Painting Innovative Concepts Painting LLC WBE Undecided Visual Display Units Sue -Win Inc. WBE Undecided Visual Display Units Claridge WBE Undecided Visual Display Units Lafayette Materials Management Compai WBE Undecided Signage Essential Architectural Signs Inc. WBE Undecided Signage Region Signs Inc. WBE Undecided Signage Olee Creative WBE Bidding Signage Midwest Specialties LLC WBE Undecided Toilet Compartments The Larson Equipment and Furniture Corr MBE Not Bidding Toilet Compartments International Building Products Inc. WBE Undecided Toilet Compartments HDW Commercial interiors WBE Undecided Casework Cornerstone Interior Woodworking Inc. WBE MBE Not Bidding Casework Calumet Lumber Inc. WBE MBE Undecided Casework & Countertops Armstrong LLC/Pivotal Group LLC MBE Undecided Casework & Countertops Interior installations LLC MBE WBE Undecided Casework K.B.I Custom Case WBE Undecided Casework K.& B Wonderland inc, WBE Undecided Casework & Countertops IBC WBE Undecided Casework & Countertops San Francisco Millwork WBE Not Bidding Casework & Countertops Sires Solutions Of Charleston LLC WBE Undecided Casework & Countertops Professional Carpentry INC WBE Undecided Casework & Countertops CS Humphrey & Co LLC WBE Undecided Plumbing L.A. Dodd LLC MBE Not Bidding Plumbing Watt Mechanical MBE, WBE Undecided Plumbing Salyer Plumbing WBE Undecided HVAC Lanham & Sons Mechanical MBE WBE Undecided HVAC STI Heating Air Conditioning WBE MBE Undecided HVAC Reliance Engineering WBE Undecided HVAC The KCompany WBE Undecided Electrical UveWire Construction Inc. MBE Undecided Electrical Giesler Electric Inc. MBE Undecided 10/9-JR, to look at Sub -BC 10/9-Phone Disc. 10/9-VM, Roger Sub -BC 10/18-Bid Rec'd 10/9-VM, Zach 10/9-VM, Eric Sub -BC 10/9-VM, Jacob 10/10-Jacob, yet to decide 10/15-Jacob, schedule Electrical Azure Electrical MBE Undecided Electrical ATEC INC. MBE Undecided Electrical Great Lakes Electrical Maintenance Inc. MBE Undecided Electrical Fox Contractors Corp. MBE Not Bidding Sub -BC Electrical TK Electric LLC MBE Not Bidding Sub -BC Electrical McMann Electric Inc. WBE Undecided 10/9-VM Electrical Cable Communications Inc. WBE Undecided Electrical SETCO Electric Llc WBE Undecided Electrical Jutte Electric Enterprises LLC WBE Not Bidding Sub -BC Electrical Gordon Electric Supply WBE Undecided Electrical TC Electric WBE Undecided Planting Slusser's Green Thumb Inc. WBE Not Bidding Sub -BC Painting Central Painting WBE Undecided 10114 @ 9:50 Spoke with Frank. Building painting is outside his scope of work but he may be interested In the Bridge sandblasting. I sent an emailwith photos and more information following our phonecall. Fire Suppression Hill Group WBE Bidding Div 10 Brighton Specialties WBENC Rec'd quote Demolition Alpine Demolition WBE(Illinois) Quoted. Requested a revised bid as their number was high. Revised, but could not match number used. .......... tC to Ck Li j,. x x 48JIYY - 6.2 so ?fir0 South Bend Tribune I The Herald Times JWARXA, 263-0485 The Times -Mail I Evening World The Reporter Times AFFIDAVIT OF PUBLICATION N6TICE TO MINORITY/WOMEN Michele Dzielinski BUSINESSES Larson Danielson Construction Co Inc 302 Tyler ST La Porte IN 46350-3268 Larson -Danielson Construction STATE OF INDIANA, COUNTY OF ST JOSEPH The South Bend Tribune, a newspaper printed and published in the county of St Joseph, in the State of Indiana, and personal knowledge of the facts herein state and that the notice hereto annexed was Published in said newspaper in the Issue dated: 0913012024 and that the fees charged are legal. Sworn to and subscribed before on 09/3012024 Legal Cleric WAA4- V Notary, State of WI, County of Brown My commission expires Publication Cost: $44.36 Tax Amount: $0.00 Payment Cost; $44.36 Order No: 10607829 # of Copies: Customer No: 1486795 1 PO #: THIS IS NOT AN INVOICE! Please do not use this, form for payment remittance. M ARIAH VERHAGL-N Notary Public ls�' State '0 ns 0,[ Wisconsin o.f W Co., Inc. is actively seeking bids from certified AAWBE businesses in many construc- tion trades for South Bend, City of -City Hall Renova- tions Our bid is due 10/22/24 at 3:00 Pm (EDT). Plans/Specs/Addenda are avail- able at www.ldconstruction.com Or by phone at 219-362-2127 for further information. HSPAXLP Page 1 of 2 Form Prescribed by State Board of Accounts (Government Unit) County, Indiana Acct #: 1486795 Ad #: 10607829 DATA FOR COMPUTING COST Width of single column 1.53 in Number of insertions 1 Size of type 7 point Claim No. Warrant No. IN FAVOR OF South Bend Tribune 635 S Lafayette Blvd, Ste 138 South Bend, IN 46601. On Account of Appropriation For FED ID 83-2810977 Allowed In the sum of 20 General Form No. 99P (Rev. 2002) To: SBN South Bend Tribune 18 lines, 1.0000 columns wide which equals 18 equivalent $44.36 lines at $2.46 per line @ 1 days Website Publication $0.00 Charge for proof(s) of publication $0.00 TOTAL AMOUNT OF CLAIM $44.36 I have examined the within claim and hereby certify as follows: That it is in proper form. That it is duly authenticated as required by law. That is is based upon statutory authority. That it is apparently (correct) (incorrect) I certify that the within claim is true and correct, that the services there -in itemized and for which charge is made were ordered by me and were necessary to the public business. Page 2 of 2 ow Em \ :\ 7 a E § CD/ L: .. t t .. F {i / \ k E § E 2 \ \ � .5 / u u / / \\ E /k k S u u m § a c to \ { S 2 G e 2 ± c I %e2 § 4 ® 2 0 oq_ o O c § m e / § § / } ƒ / & ® co-1 u m u -/� \ / � Q E . § a c .. - ' \ { 3 ., ƒ 2 c § E R k k - 2 k .0 u u u U LL q 7 \ \ q / 7 a Z,; /qo k� \� I m m & k \ \ - 2 / § \ \ & 06 06 $ / / \ 0 E E _ \ $ < 4 © \ a,\ \ E x / * a » § \ $ u d / $ g \ \ 7 I 7 f \ 2 S a $ f\ » A . �§_.. u ±±� I Gu « �\ 2 � / / \ $ ' «®2 / \ \f/ § o / E aj . \emu [A± � / /§u te\ 4-2 0 ) . k/3 f o z z q. q \ XF I c 0) w 4 (d) , � � � _-- 4. w c u W 0 �z 0 000ftN"0 �.r d si wr�r z� .0 0 E 0 V) � wa � �IMI"m U 0 L. 0 c 1 E 0 ry N L, q� f LARSN DAMELSON Gonstruefion Compaw, Inc, QUALITY CONSMUCTION MWM 302 Tyler Street - Laporte, Indiana 46350 (219) 362-2127 • Fax (219) 362-2848 Bidding Oppor°tunii Larson -Danielson Construction Company, Inc. is actively seeking Certified MWBE contractors to bid and work on the following Project: City of South Bend -City Hal.l Renovation Bid Gate: Quotes are due on or before Tuesday 10/22/24 by 3:00 prn (EDT), and can be e-mailed to _ ids �t71, e rr. or faxed to 219-3b2- 2848. All trades re uired: Concrete Metal Fabrication Car entr loint Sealants G sum1A►coustical Tilin /Resfflent Flooring/Carpeting, Painting. Staecialties, Fire Suppression, Plumbing, HVAC,. & Earthwork. Additional information: Subcontractors are responsible to review all plans, plan sets & specifications and are to bid per the Plans & Specifications. Contact: tact: General: questions and how to obtain Plans & Specifications — Michele Dzielinski, rncd@ldcoristruction.com or 219-575-6047. www.ldconstruction,com Equal Opportunity Employer CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name South Bend - SBCSC City Hall Renovation Project No. For Bids Due 124-001 22 October 2024 Contractor Name: Larson -Danielson Construction Company, Inc. The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works projects by institution of comprehensive submission requirements in compliance with State law. Quality workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet certain minimum requirements to be responsive and responsible bidders. THIS FORM MUST BE SUBMITTED WITH YOUR BID. **THIS FORM ONLY APPLIES TO BIDS GREATER THAN $250,000. ** INSTRUCTIONS: If you are a pre -qualified bidder, complete Section I only. If you are not a pre -qualified bidder, complete Section II only. Section II acts as an application for pre -qualification. Submission of Section II will allow the bidder to be considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre - qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6- 71 of The Responsible Bidding Ordinance No. 10975-23 (hereinafter, "Responsible Bidding Ordinance") for a period of twelve (12) months. Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre - qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified Bidders") within twelve (12) months of obtaining pre -qualified standing. If the status of any item changes within the twelve (12) months, it is the responsibility of the contractor to notify the City. Failure by any pre - qualified contractor to submit its complete application for continuation of "pre -qualified" standing within the time prescribed above shall result in automatic removal of the designation, effective immediately following the twelve (12) months of pre -qualified standing. However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works projects, though the contractor must submit all required documents under 6-71 until "pre -qualified" status is re-established. Please Note: The City reserves the right to request supplemental information from the bidder, additional verification of any information provided by the bidder, and may also conduct random inquiries of the bidder's current and previous customers regardless of pre -qualified standing. It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to the bidder in Section 6-71 of the Responsible Bidding Ordinance no later than the date of the public bid opening. Version 07/19/2023 General Conditions - 11 POST BID SUBMISSIONS: Post -bid submissions must be submitted in accordance with Section 6-72 of the Responsible Bidding Ordinance. The post -bid submission requirements are as follows: 1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses the name, address, licensing status, and type of work for any subcontractor from whom the bidder has accepted a bid and/or intends to hire on any part of the public work project, including individuals performing work as independent contractors. 2. Each subcontractor, whose portion of the project is estimated to be at least two -hundred fifty thousand dollars ($250,000.00), shall be required to adhere to the requirements of Section I of the Responsible Bidder Ordinance as though it were bidding directly to the City, except that the subcontractor shall submit the required information (including the name, address, and type of work) to the successful bidder prior to the commencement of work. 3. Failure of a subcontractor to submit the required information shall not disqualify the successful bidder from performing work on the project and shall not constitute a contractual default and/or breach by the successful bidder. However, the City may withhold all payment otherwise due for work performed by a subcontractor, until the subcontractor submits the required information and the City approves such information. 4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the name, address, licensing status, and type of work of the substitute subcontractor. 5. The successful bidder for projects greater than $250,000 and all subcontractors performing work greater than $250,000 on a public works project are required to submit certified payroll utilizing the federal form known as WH-347 or a similar form on a bi-weekly basis, submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall identify the job title and craft for each employee. Certified payrolls shall be submitted electronically. Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in the automatic disqualification of the bid. The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into account all information in the submission requirements, determine whether a bidder is responsive and responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to utilize all information provided in the contractor's submission and any information obtained by the City through its own independent verification of the information provided by the contractor. Version 07/19/2023 General Conditions - 12 Pre -Qualification Verification Letter was requested from the City of SB. Was not PRE -QUALIFIED BIDDER CHECKLISI supplied. We are working on Project #123-056 which warrants our Pre -Qualification Status. (a) Acknowledgements: (i) X By checking this box, I hereby acknowledge that I am a pre -qualified bidder with the City of South Bend and that I have met the pre -qualification requirements within the last twelve (12) months. A copy of my Pre -Qualification verification letter is attached. (ii) X 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) X By checking this box, I hereby acknowledge that apprenticeship and training programs that I participate in have graduated at least five (5) apprentices in each of the past five (5) years. (iv) X By checking this box, I hereby acknowledge that all subcontractors performing work greater than $250,000 also meet the qualifications of the Responsible Bidder Ordinance. (b) Attachments: (i) X Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). (ii) X Statement on staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work. It outlines how I intend to meet the staffing needs of the work. (iii) X 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) X For every project, submit evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. This includes, but may not be limited to, letters from apprenticeship coordinators detailing the bidder's association with 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 07/19/2023 General Conditions - 13 II. 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) (iv) (v) (v) 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. 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. 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. 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 07/19/2023 General Conditions - 14 (vi) (vii) (viii) (ix) Date: 10/22/24 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. 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. 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. 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. 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. LARSON-DANIELSON X ... )CONSTRUCTION CO., (Sign Here) Brian T. Larson, President (Print Name Here) Larson -Danielson Construction Company, Inc. (Name of Company) 302 Tyler Street (Address of Company) LaPorte (City) INS 46350 (State) 219-352-2127 (Telephone Number) Version 07/19/2023 General Conditions - 15 BUSINESS INFORMATION DIEGO MORALES INDIANA SECRETARY OF STATE 10/08/2024 02:59 PM Business Name: LARSON-DANIELSON CONSTRUCTION Business ID: 193082-053 COMPANY INC Entity Type: Domestic For -Profit Corporation Business Status: Active Creation Date: 01/07/1937 Inactive Date: Principal Office Address: 302 TYLER STREET, LAPORTE, IN, Expiration Date: Perpetual 46350, USA Jurisdiction of Formation: Indiana Business Entity Report Due 01/31/2025 Date: Years Due: rson Information Title Name Address Chairman Timothy F Larson 1102 S. Fieldstone, LAPORTE, IN, 46350, USA Vice President Terry A Larson 220 Glencoe Dr, VALPARAISO, IN, 46383, USA Vice President Thomas A. Walter 302 Tyler Street, LaPorte, IN, 46350, USA Vice President Mark A. Danielson 302 Tyler Street, LaPorte, IN, 46350, USA President Brian T Larson 20 Greenacres, LaPorte, IN, 46350, USA Secretary Jeffrey R Jensen 74 Braemar Dr, Valparaiso, IN, 46385, USA Vice President Patrick S Lockwood 13845 Ranier Dr, Middlebury, IN, 46540, USA Vice President David J Merkel 1603 Indiana Ave, La Porte, IN, 46350, USA Vice President Nick D Larson 2558 Calavieras Dr, Valparaiso, IN, 46385, USA Type: Individual Name: Brian T. Larson Address: 302 Tyler St, La Porte, IN, 46350, USA LARSON DANIELSON Construction Company, Inc. QUALITY CONSTRUCTION SINCE 1908 PROJECT: South Bend -City Hall Renos Bid Date: 10/22/24 RE: Responsible Bidding Practices Submittal D. All Larson Danielson labor is provided through local trade unions. m �1 LARSON-DANIELSON %� [/ /l : CONSTRUCTION CO., INC. Jed R.Jensen Secretary -Treasurer 302 Tyler Street • LaPorte, Indiana 46350 (219) 362-2127 • Fax (219) 362-2848 PROJECT EXPERIENCE LIST Customer Name MAAC FOUNDATION BOSAK NISSAN AMELING PROPERTIES SANDBERG TOWING & RECOVERY NEW YORK BLOWER AMKUS RESCUE SYSTEMS MAAC FOUNDATION HEALTHLINC IBEW LOCAL #531 B.C. WOOD PROPERTIES IMMANUEL LUTHERAN CHURCH IMMANUEL LUTHERAN CHURCH LAPORTE, CITY OF BLUE CHIP CASINO PALADIN, INC AMELING PROPERTIES LARSON-DANIELSON CONST. CO INC AVIENT CORPORATION BLUE CHIP CASINO PORTER-STARKE SERVICES HEALTHLINC EDWARD.S ENGINEERING, MECHANICAL CONCEPTS. CIRCLE R MECHANICAL HANOVER COMMUNITY SCHOOL CORP MECHANICAL CONCEPTS EAST PORTER COUNTY SCHOOL CORP CONTINENTAL ELECTRIC CO. BOSAK NISSAN PORTER COUNTY BD OF COMM GATLIN PLUMBING & HEATING PORTER-STARKE SERVICES MAAC FOUNDATION CONTINENTAL ELECTRIC CO. ALEXANDER CHEMICAL BULLEY AND ANDREWS DARRIN & JENNIE RIDDLE IMMANUEL LUTHERAN CHURCH SPENCER INC. SERVPRO OF W ST JOE CITY & SB DEVEAUX ENTERPRISES, LLC VALPARAISO COMMUNITY SCHOOLS POWERS AND SONS LAPORTE, CITY OF _- CENTER TWNSHP,LP CNTY, IN Description MAAC FND-BEDFORD FALLS DESIGN BOSAK NISSAN-DESIGN FOR RENO AMELING-USA LOGISTICS SANDBERGS TOWING -CONSULTING NYB-PLANT 3 OFFICE REMODEL AMKUS-INT OFFICE RENOVATIONS MAAC-BURN BUILDING HEALTH LINC-VALPARAISO ADDITION IBEW-ADDITIONS & RENO TO HALL BC WOOD -PINE LAKE SHOPPING CTR IMMANUEL CH-ADD&RENO IMMANUEL CH-R/R RENO LP,CITYOF-SLDRS MP R/R DSGN BLUE CHIP -THE GAME RENOVATIONS PALADIN-INFNT & TDLR RM REMDL AMELING-2ND FLOOR PRELIM DSGN HOWMET-BC2 MEZZANINE DESIGN AVIENT CORP-PRELIM ADD DESIGN BLUE CHIP -PLAYER CLUB RELOCATE PORTER-STARKE-CC DESIGN HEALTHLINC-MISHAWAKA MOB RENO EDWARDS ENG-CORE DRILL HOLES MECH CONCEPTS-YOST EQ PAD CIRC R MECH-LIS MECHANICL PADS HANOVER CSC-VSTR BLEACHER PAD MECH CONCEPTS -PATCH PLMBG WALL E PORTER SCHCRP-HS LOCKER RM CONTNTL ELEC-LES SIDEWALK RPLC BOSAK NISSAN-CMU WALL DEMO PORTER CO -SUNSET HILL AMPHITH GATLIN PLMB-HVAC SLAB@WINFIELD PORTER-STARKE-WATERLINE@MARRAM MAAC-VILLAGE MOBILE HOME CONTNTL ELEC-LIBERTY IS PADS ALEX CHEM-WINDOW TREATMENTS UND-NEW SOUTHQUAD DORM CONCRET RIDDLE, DARRIN-MASONRY REPAIRS IMMANUEL CH-SCH RESTROOM ADD SPENCER INC-WALL PANEL SERVPRO-NORTH LIBERTY POST OFF DEVEAUX ENT -CELL PHONE REPAIR VCS-PORTER CO CTR POWERS&SONS CONC ITR ADM BLDG LP,CITYOF-BEECHWOOD RENO CENTER TWP-NEW FIRE STATION Estimated Contract Completion Amount Date 18,400 8-01-2022 49,500 12-31-2022 198,570 12-31-2023 2,500 12-31-2022 49,000 6-30-2023 10,400 10-31-2023 18,000 12-31-2023 65,900 6-30-2025 18,000 12-31-2024 3,600 1-15-2024 8,500 1-15-2024 1,000 7-31-2024. 11,000 7-01-2024 5,100 6-28-2024 1,980 5-31-2024 3,520 7-31-2024 2,000 7-31-2024 7,500 10-04-2024 6,500 8-09-2024 8,750 10-31-2024 76,000 1-01-2025 3,264 5-06-2022 34,350 4-12-2024 46,640 7-31-2024 131,800 10-31-2023 1,404 9-25-2023 84,612 2-23-2024 966 7-28-2024 5,500 2-16-2024 183.,943 11-01-2024 6,552 4-02-2024 3,379 2-094024 94,994 6-14-2024 6,250 6-30-202.4 23,673 3-01-2025 5,000 5-15-2024 66,370 8-07-2024 121,000 8-09-ZO24 7,288 7-24-2024 13,055 9-02-2024 9,800 9-02-2024 2,013,761 10-15-2018 291,837 11-30-2018 540,000 7-31-2018 2,682,420 4-30-2019 UNIVERSITY OF NOIRE DAME UND-MEN'S RESIDENCE HALL 2,948,000 4-01-2020 ST. MICHAEL CATHOLIC CHURCH ST. MICHAEL CH-RPR/RE-ROOF 3,167,267 4-30-2020 VALPARAISO UNIVERSITY VALPO U-CAMPUS.IMPRV PHS 1 1,030,905 10-19-2018 LAPORTE COUNTY SOLID WASTE DISTRICT LP CNTY SWD-GREEN WASTE FACILI 1,063,983 6-21-2019 HOBART, SCHOOL CITY HOBART SCH-NEW ES 8,156,476 10-09-2020 TRI COUNTY SCH60L CORP TRI CO SCH-HS PL IMPROV 2,316,116 7-31-2019 GAF MATERIALS CORP GAF-DIST CNTR & STORAGE YARD 99,300 10-31-2020 KEN ALLEN KEN ALLEN-MULTI-TENANT BLDG 13,306,303 1-31-2024 KNOX COMMUNITY SCHOOL COR KNOX SCH-REND/ADDITION 16,600,000 5-01-2022 CISSELL MUELLER COMPANY, LLC DG PTRS-DG ROSELAWN 885,419 10-30-2020 IN ALPHA'CHAPTER-SPE"ALUMNI IN SPE ALUMNI- RENO #2022.03 212,367 8-01-2025 HANOVER COMMUNITY SCHOOL CORP. HANOVER CSC-GEN TRD ADD & RENO 3,137,966 1-31-2024 BLUEJAY II; LLC BARLEY PROPERTIES -SPEC WRHS-BJ 87,800 12-31-2024 LO.GANSPORT COMMUNITY SCHO CORP LCSC-BP #2 1,616,774 3-20-2024 HANOVER COMMUNITY 5CHOOL CORP. HANOVER CSC -NEW RESOURCE CTR. 5,823,850 1-31-2024 CROWN POINT COMM. SCHOOL CORP. CPCSC-BLDG CONC NEW MS 2,863,000 7-31-2023 PEPPER CONSTRUCTION COMPANY PEPPER -IN STATE POLICE POST 2,796,014 6-01-2023 KNOX COMMUNITY SCHOOL COR KNOX SCH-KNOX HS CAREER CENTER 3,580,000 6-05-2023 TRAILYARD, LLC TRAILYARD-EXTER/INTER IMPROV 2,446,240. 9-16-2022 HEALTHLINC HEALTHLINC-MOBILE WAREHOUSE 915,375 5-26-2023 CROWN POINT COMM. SCHOOL CORP. CPCSC-HS ADD & RENO BC #01 12,246,000 8-09-2024 LP COMMUNITY SCHOOL CORPORATION LPCSC-TRANSPORTATION 7,391,000 12-15-2023 GRIEGERS MOTOR SALES GRIEGER MTRS-INTERIOR REMODEL 387,257 4-19-2024 CROWN POINT COMM. SCHOOL CORP. CPCSC-BP1 GENERAL MACARTHUR ES 6,005,000 7-31-2024 CROWN POINT COMM. SCHOOL CORP. 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HAMMOND GROUP -REP EXT STAIRWAY 11,300 7-26-2024 NORTHWEST HEALTH/PORTER HEALTH NW HEALTH PTR-SIDEWALK IMPROVE 12,700 9-01-2024 1STAMERICAN MANAGEMENT 1STAMERMGMT-REP MASONRY PIER 2,750 7-19-2024 IRONWORKERS LOCAL 292 IW LOCAL 292-WINDOW REPLACEMNT 18,215 8-16-2024 UNIVERSITY OF NOTRE DAME UND-ND STAD GOALPOST 2024 PRES 3,285 9-16-2024 1STAM.ERICAN MANAGEMENT 1STAMERMGMT-INVEST DAM SIDING 7,000 8-02-2024 EC LIGHTHOUSE CHARTER SCHOOL ECLCS-R/R FLOORING ON STAIRS 3,800 8-02-2024 D.A. DODD DA DODD-ARDAGH RESTROOM REPAIR 2,375 8-01-2024 NORTHWEST HEALTH/PORTER HEALTH NW HEALTH PRTR-3RD QTR DOOR IN 5,500 8-31-2024 NORTHWEST HEALTH/PORTER HEALTH NW HEALTH PRTR-4TH QTR DOOR IN 5,500 11-30-2024 PURDUE TCA/CPM ACCTS PAY PURDUE-PHASE 2 CONCRTE SIDEWLK 7,708 7-28-2024 LP COMMUNITY SCHOOL. CORPORATION LPCSC-LPHS-FITNESS ROOM 108,460 9-12-2024 FOOTLIGHTTHEATRE FOOTLIG HT TH EATR E-CEI LI NG TILE 2,350 8-09-2024 CARNEGIE MANAGEMENT CARNEGIE MGMT-CABINETS LAB 121 8,975 8-16-2024 CARNEGIE MANAGEMENT CARNEGIE MGMT-DENTAL AREA REP 8,500 8-16-2024 CARNEGIE MANAGEMENT CARNEGIE MGMT-PHLEBOTOMY FRP 8,500 8-16-2024 SANLO MANUFACTURING COMPANY SANLO-EXTERIOR WALL REPAIRS 111,500 11-29-2024 D.A. DODD DA DODD-FLAGSTAR - SCREEN WALL 39,915 UNIVERSITY OF NOTRE DAME UND-HESBURGH CTR BARRIER REMVL 251,985 2-14-2025 HEALTHLINC HEALTHLINC-FLOOR REPLACE @ SIB 28,125 10-25-2024 1STAMERICAN MANAGEMENT 1STAMERMGMT-INSTALL DEC COLUMN 29,500 8-30-2024 PURDUE TCA/CPM ACCTS PAY PURDUE-BELL TOWER PLINTH 1ST SOURCE BANK 1STSOURCE-SIDEWALK @ BOYD BLVD 1STAMERICAN MANAGEMENT 1STAMERMGMT-PAINT ELEVATR SHFT D.A. DODD DA DODD-FOUR WINDS RTU REPLACE MORRIS PERFORMING ARTS CENTER MORRIS PAC -KITCHEN RENO CARNEGIE MANAGEMENT CARNEGIE MGMT-R/R RMS 120&293 CARNEGIE MANAGEMENT CARNEGIE MGMT-NEW INFUSION RM CARNEGIE MANAGEMENT CARNEGIE MGMT-REMOVE CABINET COMMUNITY FOUNDATION OF NW INDIANA POWERS HEALTH-PHC II REG DESK BOEING COMPANY BOEING-OFFICE 291K3 UPGRADES NISOURCE CORPORATE SERVICES NISOURCE-STORAGE STRUCTURES TOYOTA MATERIAL HANDLING TOYOTA MH-BREAK & REST RENOS SANLO MANUFACTURING COMPANY SANLO-R/R EXIT DOOR HARDWARE PNC BANK PNC BANK-TELLR LINE SCREEN WAL T&B TUBE COMPANY, T&B TUBE -TRENCH DRAIN @ DRYER T&BTUBE COMPANY; T&BTUBE-TRENCH DRAIN @ 6 MILL SAINT PATRICK CHURCH -SB ST PATCH URCH-ALUM RAMP @ SB RIVER FOREST COMM SCHOOL CORP RIVER FOREST CSC -BUS BARN RENO SAINT PATRICK CHURCH - SB ST PAT CHURCH-NRTH&SOUTH DOORS BEER CHURCH BREWERY BEER CHURCH BREWERY -FLOOR REPS HIGHLAND PARK & REC, TOWN OF HIGHLAND PARK&REC-CONCESSIONS NORTHWEST HEALTH-LAPORTE NW HLTH LP-R/R FIRE PANEL DOOR 2,000 8-04-2024 5,100 10-31-2024 4,975 9-13-2024 94,455 10-04-2024 63,690 1.0-25-2024 19,950 9-27-20244 23,500 9-27-2024 4,250 9-27-2024 68,250 11-01-2024 37,550 10-04-2024 46,455 11-01-2024 199,500 11-03-2024 8,300 11-30-2024 7,000 10-31-2024 19,300 12-31-2024 52,800 12-31-2024 48,820 11-01-2024 23,750 10-11-2024 7,030 11-12-2024 23,430 1-17-2025 314,150 12-31-2024 5,075 11-29-2024 BAC 4 IN/KY Apprenticeship & Training Program www.bac4train'mg.com bac4apprenticesliip@gniail.com gniail.com 219-525-4443 Roger Jones - Managing Director December 7, 2023 C/O Larson Danielson To Whom It May Concern, This is a letter of recommendation on behalf of Larson Danielson. The BAC 4 INKY Apprenticeship & Training Program is a statewide program that was established in I994 and is recognized by the U. S. Department of Labor and is considered in good standing. Larson Danielson has been a "signatory union contractor" since I996 and at the present time employ enrolled apprentices. Larson Danielson has continued to follow the guidelines set forth in Collective Bargaining Agreement with BAC Local #4 INKY meeting the required Journeyman/Apprentice ratio on their jobs. Should you have any further questions please feel free to contact the State office at (2I9) 525-4443. Sincerely, Roger Jones Managing Director BAC 4 INKY Apprenticeship & Training Program �ite� �'tate� Department Offirt of 2fpprrntl"rr'5btp certificate of 'Regighation of appuntirobip program BRICKLAYERS AND ALLIED CRAFTWORKERS LOCAL 4 IN/KY APPRENTICE FUND VALPARAISO, INDIANA FOR THE TRADE CLASSIFICATIONS: BRICKLAYER; BRICKLAYER, FIREBRICK & REFRACTORY; TILE SETTER; TUCKPOINTER, CLEANER, CAULKER A eytVereol-ds pdri of lice Xal onaf, X�vvprenik7es,&;o 6ysfem In Qccoro(¢nce wl%l 1,6e blclslc sfarlofdrofs ofdpprenfrcesirp es%at:si&o(by fie 6ecre%lry of ca&r MAY 24, 1996� -�, • �&ecrela,--y q 2a6or Revised: February 2, 2007 N 001960012 r; _ 2eyislralion Yo. � 1 �'"�✓ �timinlslralor, (off ce pprenlices�ip BAC 4 IN/KY Apprenticeship & Training Program YEARLY APPRENTICE ACTIVITY REPORT Date: 2022 A 1st year 2nd Year 3rd year 4th year COMPLETED Minorities Females LOCATION dSCHOOL 2CL o 0 ¢u w-0 a a d c .1u ww a m c > u CL CL d c u ° o wo a . od c > u a Bloomington 2 0 0 6 0 0 3 0 0 3 0 0 3 0 0 2 0 Evansville 1 2 01 0 1 41 0 0 41 0 01 1 4 01 0 4 0 0 3 0 Fort Wayne 3 0 0 9 01 0 3 0 0 5 0 0 2 01 01 1 0 Indianapolis 4 0 0 6 0 0 11 0 0 13 0 0 10 0 0 12 3 Lafayette 2 01 0 2 0 0 31 0 01 1 3 01 0 4 0 0 4 0 Louisville 3 0 0 7 01 0 0 10 0 0 5 0 0 1 5 01 01 4 1 Merrillville 8 0 0 13 0 0 6 0 0 4 0 0 10 0 0 12 1 Muncie 1 3 01 01 1 3 0 0 31 0 01 1 7 01 0 4 0 0 0 0 South Bend 2 0 01 1 5 01 0 3 0 0 11 0 0 1 2 01 01 4 0 Terre Haute 1 0 0 2 0 0 2 0 0 2 0 0 1 0 0 0 0 Totals 1 301 0 0 57 0 0 1 481 01 01 1 571 01 0 45 0 0 66 42 5 Date: 2021 A 1st year 2nd Year 3rd year 4th year COMPLETED Minorities Females SCHOOL d o CLm CL 0 o a a c ° o a c 2 a c c 2' c. a c d � ID 0 w d u w o m > � CD 0 w-o o du ¢ w o > uoLOCATION ¢ Bloomington 2 0 0 1 0 0 4 0 0 5 0 0 5 0 0 2 0 NEEMEMENEEMENEENEEME s ..... EMENEEMEEMENEEMENEEN EMENEEMENEENEEMEEMEN s NEEMEEMEEMENEEMEEMEN s EMENEEMEEMENEEMEEMEN �EMENEEMEEMENEEMENEEN a NEENEEMEEMENEEMENEEN s , NEENEEMEEMENEEMENEEN a .�■■■■■E■■ ..■■■■■■■■■E■ � Date: 2020 A 1st year 2nd Year 3rd year 4th year COMPLETED Minorities Females SCHOOL 2a w2 a0 m ¢ o w -ao a ro u ¢ w -co CL v° m ¢ o w M Q a o m c ¢ u w a Q CL om> 0 c m v ¢LOCATION u Bloomington 4 0 0 2 0 0 2 0 0 9 0 0 2 0 0 1 0 Evansville 2 0 0 1 0 0 2 0 0 5 0 0 1 0 0 1 0 Fort Wayne 21 0 01 1 1 01 0 1 11 0 01 61 01 0 3 01 01 1 0 Indianapolis 5 0 0 16 0 0 27 0 0 32 0 0 4 0 0 13 2 Lafayette 1 0 0 8 0 0 3 0 0 1 0 0 1 0 0 3 0 Louisville 6 0 01 1 91 01 01 01 21 01 01 1 8 0 0 9 01 01 7 0 Merrillville 3 0 0 6 0 0 10 0 0 101 01 01 1 7 0 0 8 1 • : - • NEENEEMENEENEEMEEME Date: 2019 A 1st year 2nd Year 3rd year 4th year • • • • • • NEENEEMEEMENEEMENEEN NEEMEMENEEMEMEEMEEN �EEMEEMENEEMEEMENEEME • . • • EMENEEMEEMENEEMEEMEN �EEMENEEMEMENEEMENEEN NEENEEMEEMENEEMENEEN a , EMEEMEENEEMEMEENEEME s �EMENEEMEEMENEEMENEEN © , NEENEEMEEMENEEMEEMEN s . NEENEEMEEMENEEMENEEN a , �®■■■■■■■■■■■E■■■®■E■ ., .. Date: 2018 A 1st year 2nd Year 3rd year 4th year COMPLETED Minorities Females SCHOOL " Omo a " a o o> LOCATION W� 02 a� w`J=�W od w-c ov >W ad w`J od W� od �=d : .. .. M 1 M � M , M�MEM ' MEEMEMEMEEMMEMEMEMEM ' �MMMMMEMMMEMMMMMMMMIMM • •.. MEMEMEMEEMEMEMEMEMEN HIM ME MEMEEMENEEMEMEM MEEMEMEMEMEMEMEMEMEM a EMEMEEMEMEMEME I MEN e EMEMEMEMEEMMEMEMEMEM MEEMEMEMEEMENE I MEN EMEMMEMENEEMEMEMEMEM s .A .:MMMEMMMEMMMEMMM®MEM Date: 2017 A 1st year 2nd Year 3rd year 4th year COMPLETED Minorities Females SCHOOL od co m -0.00 0 m w CL o O c Q u ° w a 0. o v " o w c 0LOCATION O i v u 2 oo w -0 a a c ia v Bloomington 1 0 0 4 0 0 1 0 0 3 0 0 0 0 0 0 1 Evansville j 0 0 1 2 0 0 2 0 0 01 01 0 1 4 0 0 1 0 Fort Wayne 4 0 0 8 0 0 9 0 0 8 0 0 6 0 0 1 1 Indianapolis 2 0 0 11 0 0 14 0 0 4 0 0 2 01 0 5 0 Lafayette 21 0 0 1 4 01 0 21 0 01 11 01 0 1 0 0 2 0 Merrillville 6 0 0 3 0 0 7 0 0 6 0 0 6 0 0 2 1 Muncie 1 3 01 01 5 0 0 3 0 0 1 3 0 01 01 01 01 1 1 0 1 0 • :- E 1 1 © 1 1 E 1 S� 1 •��■ 1 NEENEEMENEENNEENEEME.�EEEEEEEEEEEEEEEEEEEE��� 1 Date: 2016 A 1st year 2nd Year 3rd year 4th year COMPLETED Minorities Females SCHOOL LOCATION m .02 w 0 a a o 0 d c m > v ¢ c0i m o w -a a a o 6 0 c . > a Q U " o w -c a a o 0 0 c m > v Q c0i m o w 'a a 0- 0 d c > v ¢ U m o w .0 a c 0 6 d c > -a Q U Bloomington 3 0 0 2 0 0 4 0 0 1 0 0 0 0 0 0 1 Evansville 21 0 01 1 2 01 0 01 0 01 61 01 0 1 1 01 01 0 0 Fort Wayne 3 0 0 6 0 0 4 0 0 7 0 0 2 0 0 1 1 Indianapolis 5 0 0 8 0 0 10 0 0 6 0 0 3 0 0 6 1 Lafayette 0 0 01 1 3 01 0 1 21 0 01 11 01 0 1 1 01 01 1 0 Merrillville 6 0 0 3 0 0 7 0 0 6 0 0 7 0 0 1 0 Muncie 1 0 0 5 0 0 3 0 0 1 0 0 0 0 0 1 4 0 South Bend 3 01 0 1 51 0 01 11 0 0 7 0 0 6 0 0 0 0 Terre Haute 1 0 0 1 0 0 2 0 0 2 0 0 0 0 0 0 0 Totals 24 0 0 35 0 0 43 0 0 37 0 0 20 0 0 1 35 1 13 1 3 YEARLY APPRENTICE ACTIVITY REPORT Date: 2015 A 1st year 2nd Year 3rd year 4th year COMPLETED Minorities Females d ° v a c ° a a d c a ° CLSCHOOL a c LOCATION > 0 � 0 "° wo 00 �U MEMENEMENEEMENEENEME Lafayette Merrillville �■■■■©■m■©■■■■■m■■■m■ a ■■■■■■■■E■■■EE■■■■■ e , ■■■■■■■■■■■■■E■■■■■ e .�Emmmmmm■mmm■mmm■mmm■ YEARLY APPRENTICE ACTIVITY REPORT Date: 2014 A 1st year 2nd Year 3rd year 4th year COMPLETED Minorities Females dSCHOOL .0 a od > ¢v w-0 a a c u -0 a om c � 0 wa od c ° LLOCATION o°d c ¢�°od¢ � Bloomington 0 0 0 3 0 0 1 0 0 0 0 0 1 0 0 1 0 Evansville 1 0 01 0 1 21 0 01 21 0 01 1 3 01 0 1 1 0 01 1 2 0 Fort Wayne 1 0 0 3 0 0 4 0 0 3 0 0 1 0 0 0 0 Indianapolis 0 0 0 2 0 0 13 0 0 6 0 0 6 0 0 2 1 Lafayette 1 0 01 1 3 01 0 1 41 0 01 31 01 0 1 1 01 0 0 0 Merrillville 1 10 0 0 10 0 0 9 0 0 4 0 0 2 0 01 0 1 Muncie 0 0 0 2 0 0 2 0 0 2 0 0 2 0 0 0 0 EMENEEMENEENEEMENEEN .�EEEEEEE■EEE■EEE■EEE■ YEARLY APPRENTICE ACTIVITY REPORT Date: 2013 A 1st year 2nd Year 3rd year 4th year COMPLETED Minorities Females SCHOOL LOCATION d o a CL 0 @ � d o w-0 a a ,<u > ' m w-0 a a 0> v <Q d wo °- a o> d c ' <u ° o w a c. c >o ° u Bloomington 2 0 0 2 0 0 1 0 0 2 0 0 2 0 0 1 0 Evansville 1 0 01 0 1 21 0 01 21 0 01 1 2 01 0 1 21 0 0 1 1 0 Fort Wayne 1 0 0 2 0 0 0 0 0 3 0 0 0 0 0 0 0 Indianapolis 1 0 0 7 01 0 9 0 0 3 0 0 2 0 0 2 1 Lafayette 1 0 0 3 0 0 3 0 0 1 0 0 4 0 0 0 0 Merrillville 1 10 01 0 1 10 0 01 71 0 01 1 4 01 0 1 51 0 01 0 1 Muncie 2 0 0 2 0 0 2 0 0 0 0 0 1 0 0 0 0 South Bend 1 0 0 3 0 0 7 0 0 4 0 0 3 0 0 0 0 Terre Haute 0 0 0 2 0 0t 0 2 0 0 4 0 0 0 0 Totals 18 0 0 33 0 0 j 0 21 0 0 23 0 0 28 4 2 INDIANA/KENTUCKY/OHIO REGIONAL COUNCIL OF CARPENTERS JOINT APPRENTICESHIP AND TRAINING FUND 1095 MARINERS DRIVE Q WARSAW, IN 46582 ADMINISTRATION OFFICE 711 Greenwood Springs Drive Greenwood, IN 46143 Phone:317-807-1112 Fax:317-807-1115 Ashland Campus December 14, 2022 574 Carpenters Way Grayson, KY 41143 Phone:606-929-1378 Fax:502-996-8108 Larson -Danielson Construction Indianapolis Campus 302 Tyler Street 711 Greenwood Springs Drive LaPorte, IN 46350 Greenwood, IN 46143 Phone:317-807-1116 Fax:317-807-1131 Lafayette Campus 2953 South creasy Lane To Whom It May Concern: Lafayette, IN 47905 Phone: 765-447-5959 This letter is in response to a request for verification needed by Larson -Danielson for Fax: 765-447-7676 work to be performed in Northeast Indiana. Louisville Campus 1245 Durrett Lane Larson -Danielson regularly employs a number of apprentices affiliated with our Louisville, KY 40213 Phone: 502-366-8668 apprenticeship program and has done so for more than three years. We are Fax: 502-366-8678 registered with the United States Department of Labor, Bureau of Apprenticeship and Merrillville Campus Training and our registration number is 020 0537. Our program also participates 1565 Fast 70th Court in the Building Trades Associate Degree Program with Ivy Tech Community College and Merrillville, IN 46410 has done so since 1996. Phone: 219-947-3348 Fax:219-947-1889 Larson -Danielson is a bona fide contractor in good standing with the IKORCC JATF and Muncie Campus Is eligible to employee apprentice carpenters in the future. I have enclosed copies of 4121 Fast Centennial Avenue our certificates from the United States Department of Labor and from the Indiana p Muncie, IN 47303 Phone: 765-288-9015 Department of Veterans Affairs for GI educational benefits. Fax: 765-288-9298 Newburgh Campus If I can be of further assistance, please do not hesitate to give me a call 5400 Covert Court Newburgh, IN 47630 Best regards, Phone:812-853-9312 Fax:812-853-9316 Terre Haute Campus 3099 South 6th Street Terre Haute, IN 47802 Phone: 812-466-7899 Fax: 812-466-9840 Chris Charters Warsaw Campus Area Coordinator 1095 Mariners Drive IKORCC JATF Warsaw, IN 46582 Merrillville, Lafayette and Warsaw Campuses Phone: 574-267-5264 Fax: 574-269-1464 �R Nurvau.qf,,*nnffrrs4i MLANAIKENTIUCKV REGIONAL=C UU CI OF CARPENTERS J.A.T.F. W_�A, �LA.NA FOR TfIE TRADE CLASSIFICATIONS. CARPENTEP, MILLWRIGHT,.FLUOR LAFLR, �e fere s ptzrf of fie �>ccfzan 2 � q," fi e, .fro ram rn aocoro�arzce cr��'f�e �asrc sfan� �����r,�r�����s�� esfa:s'er f'e c5ecre,Iary ovr OCTOBER '9a 1989 �O=A, -meviSe 9 Ali ,, INOZO890009 ." ] ),j ' f �di��mRJ.bkv; 2"prer,.iw�p �;; ;. L � y` -i _ i .ice in 1W -4swo rd �� " .=6( Q 1� zj m U N w � w J 5 Q o U Q Z Oz° J Q< z �w O z 2 W U) L6 U J z -j o z J v W Fn J LL 2 NU) W L.f� UAW 06 W of W LL o U) J LO N N SO R . b- 0 0 N L N N 0 Z N N w .h m Robert J. Kara Business Manager, FSIT December 5, 2023 INTERNATIONAL ASSOCIATION OF BRIDGE, STRUCTURAL, ORNAMENTAL AND REINFORCING IRON WORKERS LOCAL UNION 292 Joint Apprenticeship Training Committee 3515 Boland Dr. • South Bend, IN 46628 PH: 574-288-9033 • Fax: 574-288-4412 To Whom it May Concern, Affiliated With A.F.L. - C.I.Q. ..Mri' ALASSOC/e Robert W. Byers President Larson -Danielson Construction Company, Inc. in LaPorte, IN is a participating contractor in Local 292's Apprenticeship Program. The following list of names have completed the Apprenticeship Program: 2018 Graduate — Anthony Bieber - 6410 2019 Graduate — Austyn Allwood - 6995 2020 Graduate — Charles Nelson - 0052 2021 Graduate — Jason Cope 8184 2022 Graduate — Derek Peterson - 9368 Local 292 has an excellent working relationship with Larson -Danielson. Any other requirements needed, please contact me. Sincerely, Robert K a Business Manager — FSIT Local #292 Robert Byers Preside Local 4292 SOUTH BEND IRONWORKERS JATC South Bend, IN For the occupation of Ironworker c r:�fereo� s aarl o/ f 2e A11-012cz,[�prenli'ces-arz)p cyslerr l �L l+ l✓yQd Ql < e UJl ..4.L Qsl c J l.Ll L aL �J, f �J,0-rEI L L t;L EsS ;✓ &CrelaCy 0/ADaooll .��4t.i3 T' fJl September 08, 1959 'Dale IN020590001 r%er�rslrafr"arty �ff41�tI! FS iJo clmiriisltctlnr,Pc¢ o/ ✓IjaNrenlicesi� INDIANA LABORERS' TRAINING TRUST 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 December 6, 2023 To Whom It May Concern: Sean Coakley, 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 "Larson -Danielson Construction Co., 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, L Sean Coakley, Director SC:ap www.indianalaborerstraining.org s +�e#rttrtrne�r,,.. 70 � 'x 1 Bureau of Ap rrnftrts4tp anb 01ratntng erttf rate of Argtstrattorr INDIANA LABORER'S TRAINING TRUST FUND BEDFORD, INDIANA for the trade classification of CONSTRUCTION CRAFT LABORER 7eyisfereol' as part o� foie Yafionaf %pprenfices�ip JTroyram in accoro(ance wilh fhe basic sfano%aro(s of apprenfices6ip esfa6l'sheor 6y fie c5ecrelarry 01 6a6or December 14, 1995 D.I. IN040-0528 ,9?ep,lmh.n X.. a �EC2EEa'CII Of nQ/T02 L)i¢E Eo2, 1Ju4 au o/ �{�'�eu�EieE- anc��iainin9 STATE 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 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 opportunities 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)-234-8744 STATE OF INDIANA 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 net 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 tgriffin@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 4 9 0, �TgTFgPp�O �NGlq STATE 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: TRAINING PROGRAM LENGTH DOT CODE Construction Craft Laborer FACILITY 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 Date Apprentices Indentured Between 1/1/2018 And 7/13/2022 Apprentice Program: IN2 Year Apprentice Status Apprentices Percentage 2018 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 Date 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 % r- Total Indentured 620 Printed: Wednesday, July 13. 2022 Page 2 of 2 INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL UNION NO. 150, 150B, 150A, 150C, 150RA, 150D, 150G, 150M AFFILIATED WITH THE A.F.L.-C.I.O. AND BUILDING TRADES DEPARTMENT JAMES M. SWEENEY PRESIDENT -BUSINESS MANAGER December 6, 2023 Larson Danielson Construction Company, Inc. 302 Tyler St LaPorte, IN 46350 Re: Proof of Compliance with 30 ILCS 500/30-22(6) Our File No. MI-00321 Dear Sir or Madam: (708) 482-8800 - FAX (708) 482-7186 6200 JOLIET ROAD COUNTRYSIDE, IL 60525-3992 At the request of Larson Danielson Construction Company, Inc., I am providing you with evidence of the Company's compliance with the apprenticeship requirements in 30 ILCS 500/30-22(6) of the Illinois Procurement Code. I am submitting this letter along with apprenticeship certificates (Nos.IL012020003 and IL008780173). As a signatory contractor with the International Union of Operating Engineers, Local 150, AFL-CIO, Larson Danielson Construction Company, Inc., is required by Collective Bargaining Agreement to participate in an applicable apprenticeship and training program approved by and registered with the United States Department of Labor's Bureau of Apprenticeship and Training. The attached certificates are evidence of compliance with the U.S. Department of Labor's apprenticeship requirements. Thank you for your cooperation in this matter. If you have any questions or concerns, please do not hesitate to contact me. Enclosures: Certificates Very truly yours, IUOE, Local 150, AFL-CIO District 1 dispatch office Maribel Hernandez SqPME5136 r r office of ap p rtIltm]C�b 1p �.tP of �Egi.�t��tlAl� of ���J�PTCtiLE��Ip vro gram Operating Engineers LocaClprennticeship Fund iCmington, l�n4is forthe rr de -- aerating Engineer e 1slereoras part o�I�'e all on a157pprenficesZIp cS fsfern In accordar nee w1ISISe 6�astc sfanorardsr ofppr"'enfrces-zp esla6P-1 'eor6 ISe c-ecrefarry, of&&r 'ENT 0 December 31. 1978 wised dune 23, 2011 I�008780173"'TS ° �� ��iteb �tatEg �P��rtrnr�t o f �o (off uE of r Apprenfirt6bip Catiftho of Atafaratton of apprmt1robtPAOrogtam Opera ding Engineers L oca (.150 AHrenticeship Fund iCington, .-�nois Tor the Trade -- Operating Engineer (heavy Equipment Technician) . eyisfereoras part o,f f.Se XafionQl pprenikesl�rp c5 222 in accordance mrfSfl'e 46asic sfanddzro( of apprenfieesSip esfagisSeor6yr, ffie •cSecrefaryr of 2a�-or Way 5, 2002 Wvise ,dune 21, 2011 ga IL 012020003 r �¢ � c,5rcvlar�rrof�r6•as• P��4 `,�ir%n irirlrelar, ��rcv a�'J7ppranJrarilirp ��ir�:ti or 17. James M. Sweeney/Chairman David M. Snelten /Secretary AID PRENTICESHI P AND SKILL IMPROVEMENTPRO GRAM Operating Engineers Local 150 Apprenticeship Fund ;, Local i5TE0.N NORTHERN oW A ""No"1so A Joint Effort of Labor and Management to Further the Aim of Industry Fr HaH HERN INDIANA , www.asiplocol750.org Wednesday, December b, 2023 To whom it may concern, Larson -Danielson Construction Co., 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 thru 2022. • 2022 - 228 • 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. Thank you, Mark Kara Assistant Coordinator ASIP Local 150 Office: 815-722-3201 Email: mkara@asiploca1150.org 19800 W. South Arsenal Road • Wilmington, IL 60481 • 8151722-3201