Loading...
HomeMy WebLinkAboutOpening of Bids - SB City Hall Renovations Proj No. 124-001 -Michuda-Cruz JVCITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name South Bend - SBCSC City Hall Renovation Project No. For Bids Due 124-001 22 October 2024 PART I (Must be completed for all bids. Please type or print) Date: In-99-9094 Bidder (Firm): hAI Ul lQA-(-R1 17 Inriiana .1V 1 1 r Address: 115 S. Court St.. Suite E Scott McQuillan. Chief Estimator City/State/Zip: Crown Point, IN 46307 Telephone Number: ( 708 ) 928-8916 (Direct),, Cell 312-446-2872 Email Address: smcquillan@michuda.com 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: the City of South Bend, Indiana, in accordance with plans and specifications prepared by: American StructurePoint. Inc. and dated QmFl?dad for the sum of (enter the Total Bid as shown on the Proposal) (Enter sum of Total Base Bid plus Alternates shown on Proposal) (Numerical) The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attach �ent By (Signature) losh Michuda (Printed Name of Person Signing) The above bid is accepted this Subject to the following conditions: ACCEPTANCE day of BOARD OF PUBLIC WORKS President Members Version 03/15/2024 Contractor's Bid for Public Works - 2 20 PART II (For projects of $100,000 or more — IC 36-1-12-4) These statements to be submitted under oath by each bidder with and as part of his/her/its bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 1. Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid. 2. Attach a listing of public works projects currently in process of construction by your organization. 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. 4. Attach references from private firms for which you have performed work. SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Attach an explanation of your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the City of South Bend to consider your bid.) 2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. 3. If you intend to sublet any portion of the work, attach the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the City of South Bend in the event that you subsequently determine that you will use a subcontractor on the proposed project. 4. Attach a listing of equipment you have available to use for the proposed project. 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, attach an explanation for the rationale used which would corroborate the prices listed. SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the City of South Bend awarding the contract must be specific enough in detail so that said City of South Bend can make a proper determination of the bidder's capability for completing the project if awarded. Version 03/15/2024 Contractor's Bid for Public Works - 3 When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this 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 Illinois ) ) SS: Will COUNTY ) The undersigned Contractor, being duly swom 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 luiowingly 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 Head, 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 MBEIWBE. 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 (I) 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 of October, 2024 MICHUDA-CRUZ Indiana JV LLC Contractor/Bidder (Firm) C�� M;A---�- Signature C tra orBidder or Its Agent S Printed Name and Title Subscribed and sworn to before me this 22nd day of October My Commission Expires 06-03-2025 pgn A Ou 5t�n A 5chue*,e County of Residence Notary Public State at 111inrns r�iy Commission Expires p61U3►Zp25 Notary Public Will Version 03/15/2024 Contractor's Bid for Public Works - 6 . 2024 BID/PROPOSAL CITY OF SOUTH BEND Project Name: South Bend - SBCSC City Hall Renovation Project Number: For Bids Due: 124-001 22 October 2024 Contractor Name: MICHUDA—CRUZ Indiana JV LLC BASE BID Item No. Description _ Furnishing all labor, services, materials, Quantity Unit Unit Price Total Amount insurance and equipment to necessary to demolish 1 existing construction and create a new 1 LS City Hall - SBCSC Administration Building in South Bend according to the intent of the plans and specifications. BASE BID TOTAL 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 ALTERNATE #1 TOTAL ALTERNATE #2 Item No. Description I Quantity Unit Unit Price Total Amount 1 Replace all interior lighting with new per Electrical Drawings ALTERNATE #2 TOTAL ALTERNATE #3 Item No. Description Quantity I Unit Unit Price Total Amount 1 Paint exterior per exterior elevations ALTERNATE #3 TOTAL Version 03/15/2024 Contractor's Bid for Public Works - 7 Project Name: Project Number: For Bids Due: Contractor Name: AI TC�\IAT0 -UA BID/PROPOSAL CITY OF SOUTH BEND South Bend - SBCSC City Hall Renovation 124-001 22 October 2024 MICHUDA—CRUZ INDIANA JV LLC ^ Item No. Description Quantity Unit Unit Price Total Amount 1 Replace vav boxes per Mechanical Drawings ALTERNATE #4 TOTAL AI TFRNATF #5 Item No. Description Quantity Unit Unit Price Total Amount 1 Replace all exterior lighting with new per Electrical Drawings ALTERNATE #5 TOTAL AI TFRNATF #6 Item No. Description Quantity Unit Unit Price Total Amount 1 Replace existing council chambers podium casework with new per floor tans and interior elevations Bidder (Firm): Address: City/State/Zip: ALTERNATE #6 TOTAL MICHUDA-CRUZ Indiana JV LLC 115 S. Court St., Suite E Crown Point, IN 46307 Telephone Number: (708 )928-8916 DirectJJ12JA46-2872 Cell By (Signature) Jose ichuda (Printed Name of Person Signing) Version 03/15/2024 Contractor's Bid for Public Works - 8 BID/PROPOSAL CITY OF SOUTH BEND Project Name: South Bend - SBCSC City Hall Renovation Project Number: 124-001 For Bids Due: 22 October 2024 Contractor Name: MICHUOA-CRUZ Indiana JV LLC Version 03/15/2024 Contractor's Bid for Public Works - 9 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN V a' FORM MBE-1.0'` " MBE UTILIZATION PLAN This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE participation. It is the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications. ***Goals should be calculated based on the Base Bid only.*** Project Number: 124-001 Project Name: South Bend - SBCSC City Hall Renovation Bidder: MICHUDA-CRUZ Indiana JV LLC Total Bid Amount: MBE Goal: 0.82 Page of Primary Contact Person Scope of Work to be Performed Dollar Amount MBE Percentage of Total Name & Address of MBE (Name/Telephone) (Attach scope/schedule if you need additional space) nt Component Bid/Proposal 10-22-24 Submitted by: Josef Michua Signa re Date Print Name V V ***Goals should be calculated based on the Base Bid only.*** Version 03/15/2024 Contractor's Bid for Public Works - 10 C. CITY OF SOUTH BEND } MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN . r FORM WBE-1.0 WBE UTILIZATION PLAN This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving WBE participation. It is the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications. ***Goals should be calculated based on the Base Bid only.*** Project Number: 124-001 Project Name: Bend - SBCSC City Hall Renovation _South Bidder: MICHUDA-CRUZ Indiana JV LLC Total Bid Amount: WBE Goal: 3.30 Page of Name &Address of WBE Primary Contact Person (Name/Telephone) Scope of Work to be Performed Dollar Amount of WBE (Attach scope/schedule if you need additional space) Component Percentage of Total Bid/Proposal 10-22-24 Submitted by: Josef Michuda Print Name Signatu Date ***Goals should be calculated based on the Base Bid only.*** Version 03/15/2024 Contractor's Bid for Public Works - 11 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MBE participation. Project Number: 124-001 Date: 10-22-24 Project Name: South Bend - SBCSC City Hall Renovation Bidder: MICHUDA-CRUZ Indiana JV LLC Direct: 70$-528-8916 Contact Person: Scott McQuillan, Chief Estimator Telephone: Cell: 312-446-2872 Address: 115 S. Court St., Suite E City: Crown Point State: IN Zip: 46307 Email: smcquilian@michuda.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, REouIRE ALL of the followina 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: hftD://www.in.gov/idoa/. GOOD FAITH EFFORTS TO OBTAIN MBE PARTICIPATION The bidder shall initial each item below, as evidence of its good faith efforts to obtain MBE participation in the awarded contract. I affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise Inclusion Program Plan and the Indiana Department of Administration's certified list of Indiana Minority and Women Business Enterprises, found on their website (http:/Iwww.in.gov/idoa). I affirm that I have made good faith efforts to select portions of the contract work to be performed by MWBEs, including, where appropriate, breaking out contract work items into economically feasible units to facilitate MBE participation. I affirm that I have made good faith efforts to solicit through all reasonable and available 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. I affirm that I followed up on initial solicitations with interested MBEs. I affirm that I negotiated with interested MBEs in good faith, including providing such MBEs with adequate information about the plans, specifications and other requirements of the subcontract. I affirm that I have made good faith efforts to assist interested MBEs in obtaining bonding, lines of credit, or insurance as required by the City or the bidder, where appropriate. Version 03/15/2024 Contractor's Bid for Public Works - 12 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN —_ 7Z� FORM MBE-2.0 ,�,;s_ EVIDENCE OF GOOD FAITH EFFORTS I affirm that i have made good faith efforts to assist interested MBEs in obtaining necessary equipment, supplies, materials, or related assistances or services, where appropriate. I affirm that I did not reject any MBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. CONTRACT RECORDS: The bidder has maintained the following records for each MBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBE was unqualified to perform the job. *Proper demonstration of Good Faith Efforts requires your initials next to an or the aoove Quxes. MAY 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 �q CITY OF SOUTH BEND —;� MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN'=JIJ f FORM WBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MWBE participation. Project Number: 124-001 Date: 10-22-2024 Project Name: South Bend - SBCSC City Hall Renovation Bidder: MICHUDA-CRUZ Indiana JV LLC Ir@G : L -J - Contact Person: Scott McQuillan, Chief Estimator Telephone: roil- 319-446-9879 ArlrtracS- 115 S. Court St., Suite E City: Crown Point State: IN Zip: 46307 Email: smcquillan@michuda.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: hftp://www.in.-gov/idoa/. GOOD FAITH EFFORTS TO OBTAIN WBE PARTICIPATION The bidder shall initial each item below, as evidence of its good faith efforts to obtain WBE participation in the awarded contract. I affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise Inclusion Program Plan and the Indiana Department of Administration's certified list of Indiana Minority and Women Business Enterprises, found on their website (hftp://www.in.gov/idoa). I affirm that I have made good faith efforts to select portions of the contract work to be performed by WBEs, including, where appropriate, breaking out contract work items into economically feasible units to facilitate WBE participation. I affirm that I have made good faith efforts to solicit through all reasonable and available means the interest of all WBEs in the scopes of work of the contract. I affirm that I attended all pre -bid meetings scheduled by the City of South Bend to inform WBEs of contracting and subcontracting opportunities. I affirm that I advertised in general circulation and/or trade association publications concerning subcontract opportunities and allowed WBEs reasonable time to respond to such advertisements. I affirm that I performed any and all necessary steps to provide written notices in a manner reasonably calculated to inform WBEs of subcontracting opportunities and allowed sufficient time for WBEs to participate effectively. I affirm that I followed up on initial solicitations with interested WBEs. I affirm that I negotiated with interested WBEs in good faith, including providing such WBEs with adequate information about the plans, specifications and other requirements of the subcontract. I affirm that I have made good faith efforts to assist interested WBEs in obtaining bonding, lines of credit, or insurance as required by the City or the bidder, where appropriate. Version 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 I affirm that I have made good faith efforts to assist interested WBEs in obtaining necessary equipment, supplies, materials, or related assistances or services, where appropriate. I affirm that I did not reject any WBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. CONTRACT RECORDS: The bidder has maintained the following records for each WBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MWBE was unqualified to perform the job. *Proper demonstration of Good Faith Efforts requires your initials next to all of the above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 03/15/2024 Contractor's Bid for Public Works - 15 r fr t.. CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN ; . •� " . "�'� FORM MBE-2.1 MBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring Good Faith Efforts to contact MBEs. It is the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications. Attach additional pages if necessary. PAGE OF Project Number: 124-001 MBE Participation Goal Project Name: South Bend - SBCSC City Hall Renovation Bidder: By: (Signature) Manager (Title) 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: 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 10-22-2024 (Date) r fr CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-2.1 MBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring Good Faith Efforts to contact MBEs. It is the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications. Attach additional pages if necessary. PAGE OF Project Number: 124-001 MBE Participation Goal Project Name: Bidder: By: (Signature) MBE Firm South Bend - SBCSC City Hall Renovation Owner or Contact at MBE Firm Telephone: Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: Manager (Title) Email: RESULTS OF CONTACT WITH THE MBE FIRM: MBE Finn 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 10-22-2024 (Date) r fr t.. CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN ; . •� " . "�'� FORM MBE-2.1 MBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring Good Faith Efforts to contact MBEs. It is the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications. Attach additional pages if necessary. PAGE OF Project Number: 124-001 MBE Participation Goal Project Name: South Bend - SBCSC City Hall Renovation Bidder: By: (Signature) Manager (Title) 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: 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 10-22-2024 (Date) ytil f �- AJ CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN ' �1 FORM MBE-2.1�_ WBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring Good Faith Efforts to contact WBEs. It is the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications. Attach additional pages if necessary. PAGE OF Project Number: 124-001 WBE Participation Goal Project Name: South Bend - SBCSC City Hall Renovation Bidder: MICHI)DA-CR117 Indiana .IV I I C By: Manager 10-22-2024 (Signature (Title) (Date) WBE Firm Owner or Contact at WBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE WBE FIRM: WBE Firm Owner or Contact at WBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE WBE FIRM: Version 03/15/2024 Contractor's Bid for Public Works - 17 ytil f �- AJ CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN ' �1 FORM MBE-2.1�_ WBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring Good Faith Efforts to contact WBEs. It is the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications. Attach additional pages if necessary. PAGE OF Project Number: 124-001 WBE Participation Goal Project Name: South Bend - SBCSC City Hall Renovation Bidder: MICHI)DA-CR117 Indiana .IV I I C By: Manager 10-22-2024 (Signature (Title) (Date) WBE Firm Owner or Contact at WBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE WBE FIRM: WBE Firm Owner or Contact at WBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE WBE FIRM: Version 03/15/2024 Contractor's Bid for Public Works - 17 ytil f �- AJ CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN ' �1 FORM MBE-2.1�_ WBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring Good Faith Efforts to contact WBEs. It is the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications. Attach additional pages if necessary. PAGE OF Project Number: 124-001 WBE Participation Goal Project Name: South Bend - SBCSC City Hall Renovation Bidder: MICHI)DA-CR117 Indiana .IV I I C By: Manager 10-22-2024 (Signature (Title) (Date) WBE Firm Owner or Contact at WBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE WBE FIRM: WBE Firm Owner or Contact at WBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE WBE FIRM: Version 03/15/2024 Contractor's Bid for Public Works - 17 ytil f �- AJ CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN ' �1 FORM MBE-2.1�_ WBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring Good Faith Efforts to contact WBEs. It is the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications. Attach additional pages if necessary. PAGE OF Project Number: 124-001 WBE Participation Goal Project Name: South Bend - SBCSC City Hall Renovation Bidder: MICHI)DA-CR117 Indiana .IV I I C By: Manager 10-22-2024 (Signature (Title) (Date) WBE Firm Owner or Contact at WBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE WBE FIRM: WBE Firm Owner or Contact at WBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE WBE FIRM: Version 03/15/2024 Contractor's Bid for Public Works - 17 1316 COUNTY -CITY BUILDING 227 W. TEFFERsoN BOULEVARD SOUTH BEND, INDIANA 46601-1830 Date: To: From Subject PHONE 574/235-9251 FAx 574/ 235-9171 TDD 574/ 235-5567 CITY OF SOUTH BEND, JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS October 1, 2024 All Planholders Theresa Heffner, Clerk, Board of Public Works Addendum Number: 1 Project Name: South Bend City Hall Renovation Project Number: 124-001 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 10/ 14/2024 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: Michuda-CRUZ JV LLC Digitally signed by Josef Michuda Authorized Signature: JOSe DN:cn=Josef Michuda,o=Michuda ons ru ion, Inc., ou— rest en ema it=jm ichuda@m ich uda.com, Date: Michuda Date: 2024.10.1415:31:17-05'00' Version 4/2/2015 ,s,�Y SOS?TH ra .: 1316 COUNTY -CITY BUILDING PHONE 574/ 235-9251 227 W. JEFFERSON BOULEVARD 1865 FAX 574/ 235-9171 SOUTH BEND, INDIANA 4660I-1830 TDD 574/ 235-5567 CITY OF SOUTH BEND, JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS Date: To: From Subject October 14, 2024 All Planholders Theresa Heffner, Clerk, Board of Public Works Addendum Number: 2 Project Name: South Bend City Hall Renovation Project Number: 124-001 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 10/14/2024 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: Inc of Digitally signed by Josef Mich uda DN: cn=Josef Michuda, o=Michuda Construction, Inc., ou-President, M i c h u d a email=jmichuda@michuda.com, c=US Authorized Signature: Date: 2024.10.15 14:13:36 -05'00' Date: Version 4/2/2015 1316 COUNTY -CITY BUILDING 227 W. TEFFERsoN BOULEVARD SOUTH BEND, INDIANA 46601-1830 Date: To: From Subject PHONE 574/235-9251 FAx 574/ 235-9171 TDD 574/ 235-5567 CITY OF SOUTH BEND, JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS October 16, 2024 All Planholders Theresa Heffner, Clerk, Board of Public Works Addendum Number: 3 Project Name: South Bend City Hall Renovation Project Number: 124-001 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 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. Michuda-Cruz Indiana JV, LLC Authorized Signature: Date: 10/17/2024 Digitally signed by Josef L Josef L Michuda Michuda Date: 2024.10.17 14:23:44-05'00' Version 4/2/2015 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name South Bend - SBCSC City Hall Renovation Project No. 124-001 For Bids Due 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. Proper bid security included. The bidder has the option of providing either a Certified Check or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and Certification of use of United States Steel Products or Foundry Products. Proof of 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 WBE-2.1 ]. Acknowledge Receipt of Addendum(s) included with the bid. All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either printed or typed underneath signature. This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. Bidder: MICHUDA-CRUZ Indiana JV LLC By Authorized Representative: Signature: Print Name & Title: Josef er Version 03/15/2024 Contractor's Bid for Public Works - 1 Date: 10-22-2024 Document A31 O TM - 2010 Conforms with The American Institute of Architects AIA Document 310 Bid Bond CONTRACTOR: SURETY: (Name, legal status and address) (lc'arne, legal seal us aad pria,ciprrl place r jhreraaieasi Fidelity and Deposit Company of Maryland Michuda-Cruz Indiana JV LLC 1299 Zurich Way, 10th Floor This document has important 115 South Court Street, Suite 1 E Schaumburg, IL 60196-1056 legal consequences. Consultation Crown Point, IN 46307 Mailing Address for Notices with an attorney is encouraged with respect to its completion or modification. OWNER: (Nal„e, legal status andaddrr:ss) Any singular reference to Contractor, Surety, Owner or City of South Bend, Indiana other party shall be considered 1316 County -City Bid., 227 West Jefferson Blvd plural where applicable. South Bend, IN 46601 BOND AMOUNT: 5% Five Percent of Amount Bid PROJECT: t,Vanie. locarlo)ioraddnss, a►rdl'rajec►„iur,ben;f0;0 124-001 South Bend - SBCSC City Hall Renovation Renovate the existing (South Bend Community School Corp. building. Misc. Carpentry and Demo work, plumbing, HVAC, Fire suppression, Electrical, etc. per Plans and Specs. (Estimate 50,000 Sqft). The Contractor and Surety arc bound to the Owncr in 111c amount set forth above. for Ohio payment of which talc Contactor and Surety bind themselves, tlicir licirs, axcc%ntars, administrators, successors and assigns, jolntivaitd severally. as provided herein. The conditions of this Bond arc such plat if vile Owner accepts the bid of tilt Contractor willlin tltc time specified In the bid documents, or n7thin such time period as nioy be agreed to by (lie Ui4i%cr and Contractor, and the Contractor either (1) ctiters into a contact ►with the ocher ill accordance with cite terms of such bid, raid gives such bond or bonds as nnay 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 ilia prompt payment of labor and material funiislied in the prosecution thereof; or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between tie amount specificd in said bid and such toreerauount for which the 0tvner may in good faith contract wiIli anotlicr }tarty lu p erlimn the workcovered by said hid, than this obligation shalt he cull and void, otherwise to rentuin in Bill !thee and effect, The Surely hereby Ardi►ON an)• notice oi'an ugreemulit betwtt:n the 0►►ner and Contructur lu extend the fin%e in ► hich the Owner may accept llie bid. Ala ircrurnotice by lltc Surely shall lint uppiy to any extension exceeding sixty (60)days in Ill eaggreeatc beyond tlse time 11)r acc eplarice ttrbids specified in the hid doctill oil IN, acid the Ontiteralid Contractor shall obluiit file Surel}'s consent lot an extension beyond sixty (60) days. If this Bond is issued in connection tvitli a subcontractor's bid to a Contractor, the teen Contractor in this Bond shall be deemed to be Subcontractor and the tern% Owner shall be deemed to be Contractor. When this Fiond has been lumished to comply wilh u statutory or other legal requirement in the iocation ol'llie Pntjecl. anv pnWision in this Bond Con 11iclitis %vilil said statutory ur legal requirement shall be dccmed del eled hercimin and pravisiow; etitnlbM1in¢ to such Aululory 4Ir other legal requirement -,hall be deemed inumporaled herein. Wlien so litmislicd, the intent is fhat this fiend ~hall be conxtrued as a staIutory bniid and not as a common Iaw build. Signed and scaled this 22nd day of October, 2024. '� j'ko�!� 1��' (1f11►,ass) Michuda-Cruz Indiana JV LLC (Principal) (seal) K/1 B a:�,_ (Ilene) ti 5i1 CioRl '4r� Fideli and Deposit Company of Maryland e` m... "ppy O � R '�.''s o t:Surcry)("SEAL By: ((l►le) William Reldiriger, Attome -Fact =,y pi;,,fl;s ,,,'� I M 1 a cn1cc, S-0054/AS 8110 Bond Number: Bid Bond Obligee: City of South Bend ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D. Murray, Vice President, in pursuance of authority granted by Article V, Section 8, of the By-Laxvs of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint William Reiclirt er A its true and lawful agent and Attorney -in -Fact, to make. execute. sea] and deliverfor. and on its behalf as surety. and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies. as fully and amply. to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officcrs of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland.. and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND ]DEPOSIT COMPANY OF MARYLAND. this 10th day of October. A.D. 2023. &'r 4.P0 Spy r 'wf P❑ 't SEALmj � , "SEAL�n== a °SEALm` PP It. It ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND Bv: RobeltD. Mnn•ay Vice President By: Dmrn E. Brown Secretaq State of Maryland County of Baltimore On this loth day of OctphL r, A.D. 2023. before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, Robert D. Murray, Vice President and DaTvn E. Brown. Steretary of the Companies, to me personally known to be lite individuals and officers described in and who executed the preceding instrument, and acknouIedged the execution of some. and being by me duly swam, dcposeth and saith, that he/she is the said ofTtixr of the Company aforesaid, and that the seals affixed to the preccdine instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrumcm by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF, l have hereunto set my hand and affixed my Official Seal the day and year first above written. G017eyieve M. Maisalr 3;;cv GENEA EVE M. MAISON pue+I° "° NOTARY PUBUC 6gLTIMCRE CdJMY. MD '•��:� My Co: nissionE•IxoeJA`I0ARY21,202•� •au,,,,r++''� Authenticity of this bond can be confirmed at bondvalidator.zu rich na.com or 410-559-8790 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, Attorneys -in -Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint altome}•s-in-fact with authority to execute bonds, policies, recognizanees, stipulations. undertakings, or ether like instruments on behalf of the Company. and may authorize any officer or any such attorney -in -Pact to affix the corporate seal thereto: and may with or without cause modify of revoke any such appaintmcni or authority at any time. CERTIFICATE 1, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND. do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate. and I do further certify that Article V. Section B. of the By -Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attomey... Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed. W TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 22nd day of October 2024 .Ilny a,ss„"Inn.'4 a`',• 4d Ca � Cyi IV- i'!FJ P4h =��_.141AtiF1n _}Cq'.d ?�r,.joOl�B�`ys g0aY �y�GSEAL�P� 2 a't SEAL ►v z� �- $ s - p�� g •'nJ �`S 'k •oJ 1$ a s :: ra e mN a'' r +7Y 15��„P iium� h.11,lllll b'Nll,lll�n� By: Mary lean Pethick Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT INFORMATION TO: "Zurich Surety Claims 1299 Zurich Way Schaumburg, IL 60196-1056 renertsfclaims! i 7urichna.cnnt 800-626-4577 Authenticity of this bond can be confirmed at bondva lidator.zu rich na.com or 410-559-8790 IL - CITY OF SOUTH BEND, INDIANA SOUTH BEND CITY HALL RENOVATION 215 DR. M.L.K. JR BLVD. SOUTH BEND, IN 46601 CONSTRUCTION: MICHUDA-CRUZJV LLC DESIGN: AMERICAN STRUCTUREPOINT, INC. 18505 WEST CREEK DRIVE 9025 RIVER ROAD, SUITE 200 ' LET'S GET TO WORK TIN LEY PARK, IL 60477 INDIANAPOLIS, IN 46250 Project Project Name City State/Prow Project Status Construction Schedule - Calc Number End Date Construction Schedule - Calc Start Date : 08/15/2023 180.328 Christ Nurse Call 2023 Oak Lawn IL 11/30/2023 Construction Schedule - Calc Start Date : 08/17/2023 262.012 Morgue Renovation Libertyville IL Completed 10/20/2023 Construction Schedule - Calc Start Date : 08/21/2023 254.006 2023 LF Fire Door Inspections Lake Forest IL 08/31/2023 231.034 Palos Ext. Elec. Disconnect Palos Heights IL 08/25/2023 Construction Schedule - Calc Start Date : 08/22/2023 296.001 Kenosha Suite 150 Kenosha WI Completed 09/19/2023 Construction Schedule - Calc Start Date : 08/23/2023 263.031 Bookcase Replacement Downers Grove IL 10/27/2023 263.033 Water Main Replace POB Tie -In Downers Grove IL 12/14/2023 Construction Schedule - Calc Start Date : 08/24/2023 293.005 Elevator Modernization Macomb IL Completed 11/08/2023 273.013 Gamma Knife Replacement Elk Grove Village IL 09/29/2023 Construction Schedule - Calc Start Date : 09/01/2023 105.084 ACMG Tinley Clinic Enabling, Tinley Park IL Completed 10/31/2023 231.036 Palos Physician's Lounge Reno Palos Heights IL Completed 12/30/2023 268.076 Yorkdale Shopping Centre Toronto ON Completed 11/20/2023 Construction Schedule - Calc Start Date : 09/08/2023 231.044 NM Palos - ED Access Panels Palos Heights IL 09/09/2023 Construction Schedule - Calc Start Date : 09/11/2023 292.006 Ladder Rack Install Chicago IL 09/12/2023 231.038 NW Orland Oncology Center Reno Orland Park IL Completed 11/30/2023 Construction Schedule - Calc Start Date : 09/15/2023 293.002 Inpatient Pharmacy Renovation Macomb IL Completed 03/08/2024 Construction Schedule - Calc Start Date : 09/18/2023 231.032 Palos Pharmacy Renovation Palos Heights IL 09/19/2023 Construction Schedule - Calc Start Date : 09/19/2023 300.004 2nd & 3rd Floor Water Leak Chicago IL Completed 09/27/2023 Construction Schedule - Calc Start Date : 09/22/2023 253.021 Sterilizer Replacement Lincolnwood IL Completed 09/25/2023 Construction Schedule - Calc Start Date : 10/01/2023 263.034 Water Main Kitchen Tie -In Downers Grove IL Completed 11/17/2023 Construction Schedule - Calc Start Date : 10/02/2023 180.330 POB 112 Paint Oak Lawn IL 12/30/2023 Construction Schedule - Calc Start Date : 10/04/2023 305.002 True Classic Houston TX Houston TX Completed 11/04/2023 Construction Schedule - Calc Start Date : 10/07/2023 231.030 Palos Expansion Joint Cover Palos Heights IL Completed 11/07/2023 Construction Schedule - Calc Start Date : 10/15/2023 243.022 5W BH Renovation Park Ridge IL Completed 06/04/2023 305.001 True Classic Boca Raton FL Boca Raton FL Completed 11/15/2023 Construction Schedule - Calc Start Date : 10/16/2023 231.041 Nursing Administration Rm 1645 Palos Heights IL 11/03/2023 231.042 Surgery Floor Repairs Palos Heights IL Completed 10/23/2023 Construction Schedule - Calc Start Date : 10/23/2023 240.016 Suite 300/325 Reception Plainfield IL Completed 01/26/2024 Construction Schedule - Calc Start Date : 11/01/2023 300.007 2nd Floor Quad Box Containment Chicago IL Completed 11/03/2023 263.032 AGSH Nurse Call 2023 Upgrade Downers Grove IL Completed 01/15/2024 273.014 Hospital Extras FY 2024 Elk Grove Village IL Completed 11/01/2024 180.332 OR Supply Chain Oak Lawn IL Completed 11/30/2023 Construction Schedule - Calc Start Date : 11/06/2023 306.001 Mokena Office Doors Mokena IL Completed 11/10/2023 231.040 Palos 3E Managers Office Palos Heights IL Completed 12/14/2023 305.003 True Classic Dallas TX Frisco TX Completed 01/15/2024 Construction Schedule - Calc Start Date : 11/08/2023 300.008 16th Floor PICU Leak Chicago IL 11/17/2023 Construction Schedule - Calc Start Date : 11/20/2023 105.082 AMG Anointed Healthcare Chicago IL 03/29/2024 231.046 Building C Suite 115 Orland Park IL 12/01/2023 Construction Schedule - Calc Start Date : 11/27/2023 231.043 Palos - Hospitalist Offices Palos Heights IL 12/08/2023 243.024 Reading Room Conversion EMU Park Ridge IL Completed 01/27/2024 Construction Schedule - Calc Start Date : 12/07/2023 309.001 NM Medicine Lemont Sign Removal Lemont IL 12/07/2023 Construction Schedule - Calc Start Date : 12/08/2023 286.004 Midwest Center for Day Surgery - Sterilizer Doorway Widening, Downers Grove IL Completed 12/09/2023 Construction Schedule - Calc Start Date : 12/14/2023 231.049 NM Palos BH Containment Palos Heights IL Completed 12/15/2023 231.045 Palos Purchasing Dept. Reno Palos Heights IL Completed 01/19/2024 Construction Schedule - Calc Start Date : 12/18/2023 300.006 Boardroom Remodel Chicago IL Completed 02/02/2024 149.318 CAC Digestive Health Chicago IL 03/29/2024 Construction Schedule - Calc Start Date : 12/20/2023 231.047 Palos 2nd Floor OB HW Lines Palos Heights IL Completed 01/30/2024 Construction Schedule - Calc Start Date : 01/01/2024 105.086 GSHP MOB 2 Suite Cardiology. Barrington IL Completed 06/28/2024 Construction Schedule - Calc Start Date : 01/02/2024 309.002 NM Tinley - Flood Restoration Tinley Park IL Completed 01/31/2024 Construction Schedule - Calc Start Date : 01/09/2024 231.048 NM Orland Suite 115 Closet Orland Park IL Completed 01/17/2024 Construction Schedule - Calc Start Date : 01/10/2024 286.005 Naperville Surgical Remodel Naperville IL IL 01/16/2024 Construction Schedule - Calc Start Date : 01/13/2024 286.003 Sterilizer Wall Libertyville IL Completed 01/15/2024 Construction Schedule - Calc Start Date : 01/15/2024 138.132 Portal Detectors Replacement Hazel Crest IL Completed 01/30/2024 Construction Schedule - Calc Start Date : 01/16/2024 300.010 Phillips Monitor Chicago IL Completed 02/16/2024 Construction Schedule - Calc Start Date : 01/19/2024 267.019 15th FI. Countertop Replace Chicago IL Completed 02/19/2024 Construction Schedule - Calc Start Date : 01/22/2024 268.078 UNTUCKit Del Amo Fashion Cntr Torrance CA Completed 03/01/2024 268.079 UNTUCKit Mission Viejo Mission Viejo CA Completed 02/27/2024 Construction Schedule - Calc Start Date : 01/25/2024 268.081 UNTUCKit Brea California Brea CA Completed 03/08/2024 Construction Schedule - Calc Start Date : 01/26/2024 105.087 POB 2nd Floor Flooring Repair Oak Lawn IL Completed 06/28/2024 Construction Schedule - Calc Start Date : 02/01/2024 231.051 PH/OP Emergency Repairs Orland Park IL Completed 02/29/2024 Construction Schedule - Calc Start Date : 02/05/2024 180.334 Christ OR Floor Replacement Oak Lawn IL 06/30/2024 310.001 Underground Tunnel Leak Chicago IL Completed 02/06/2024 Construction Schedule - Calc Start Date : 02/08/2024 138.134 Main Entrance Fencing Repairs Hazel Crest IL 02/20/2024 Construction Schedule - Calc Start Date : 02/09/2024 300.011 18th FI. Cabinet Relocation Chicago IL Completed 02/10/2024 263.035 Mold Remediation Downers Grove IL 03/08/2024 Construction Schedule - Calc Start Date : 02/12/2024 268.084 UNTUCKit Mall of Georgia Buford GA Completed 04/10/2024 Construction Schedule - Calc Start Date : 02/19/2024 231.035 Lemont Home Health Bath Reno Lemont IL 03/22/2024 231.050 Mechanical Room Pit Replace Palos Heights IL Completed 02/23/2024 180.339 Pharmacy Decentralization Oak Lawn IL 07/31/2024 Construction Schedule - Calc Start Date : 02/24/2024 138.135 Concrete in Kitchen Storage Hazel Crest IL Completed 03/02/2024 Construction Schedule - Calc Start Date : 02/26/2024 267.021 ED Millwork Replacement Chicago IL Completed 03/01/2024 Construction Schedule - Calc Start Date : 03/04/2024 300.009 11th FI Baby Changing Station Chicago IL Completed 03/15/2024 300.012 11th Floor Containment Chicago IL 03/08/2024 263.036 Family Room 3311/3312 Downers Grove IL 03/15/2024 240.023 Linden Oaks Fireproofing, Naperville IL Completed 03/08/2024 Construction Schedule - Calc Start Date : 03/06/2024 279.007 Room C ICU Door Install Hoffman Estates IL 03/08/2024 Construction Schedule - Calc Start Date : 03/07/2024 268.083 UNTUCKit Shops at Walt Whitman Huntington NY Completed 04/18/2024 Station Construction Schedule - Calc Start Date : 03/11/2024 263.037 Hyperbaric Office Flr Replace Downers Grove IL 04/05/2024 Construction Schedule - Calc Start Date : 03/14/2024 264.009 Mar'24 PMC Edge Guard Kankakee IL 03/22/2024 Construction Schedule - Calc Start Date : 03/15/2024 240.025 7 Bridges Concrete Pad woodridge IL 03/18/2024 Construction Schedule - Calc Start Date : 03/16/2024 180.342 Cath Lab Ceiling ICRA Oak Lawn IL 03/30/2024 Construction Schedule - Calc Start Date : 03/18/2024 304.001 AGSHH Nurse Call 2023 Up rg ode Barrington IL Completed 06/28/2024 268.082 UNTUCKit Menlo Park Mall, NJ Edison NJ Completed 05/06/2024 Construction Schedule - Calc Start Date : 03/25/2024 180.341 7W ICRA-ILSM Interiors Oak Lawn IL Completed 04/30/2024 Construction Schedule - Calc Start Date : 04/05/2024 138.136 Library Carpentry Work Hazel Crest IL Completed 04/05/2024 Construction Schedule - Calc Start Date : 04/15/2024 279.008 ED Sliding Door Repair Hoffman Estates IL Completed 04/19/2024 Construction Schedule - Calc Start Date : 04/22/2024 267.023 3rd Floor BH Material Moving, Chicago IL Completed 04/23/2024 004.001 Illinois Med Dist. Office Reno Chicago IL Completed 05/30/2024 Construction Schedule - Calc Start Date : 04/26/2024 231.059 Palos - BH Window Removal Palos Heights IL Completed 05/03/2024 Construction Schedule - Calc Start Date : 05/01/2024 180.344 Ceiling for OPP Cath Lab Oak Lawn IL Completed 05/31/2024 Construction Schedule - Calc Start Date : 05/03/2024 305.004 True Classic - Minneapolis Bloomington MN Completed 06/28/2024 Construction Schedule - Calc Start Date : 05/05/2024 262.013 ACMC Nurse Call Upgrade 2023 Libertyville IL Completed 06/15/2024 Construction Schedule - Calc Start Date : 05/06/2024 231.052 Palos Fluoro Equipment Replace Palos Heights IL Completed 08/06/2024 231.053 Palos Hospitalist Suite Reno Palos Heights IL Completed 07/30/2024 Construction Schedule - Calc Start Date : 05/13/2024 001.001 Irish Gold Campus Court The Bend Renovation South Bend IN Completed 08/30/2024 305.005 True Classic - Scottsdale, AZ Scottsdale AZ Completed 06/28/2024 Construction Schedule - Calc Start Date : 06/01/2024 309.005 NM WPCC Insightec MRI FUS Warrenville IL 06/24/2024 Construction Schedule - Calc Start Date : 06/03/2024 180.333 Library Renovation Oak Lawn IL Completed 08/16/2024 Construction Schedule - Calc Start Date : 07/08/2024 231.060 Cabinet Removal Palos Heights IL Completed 07/12/2024 308.001 Palos Sur !center - Generator Replacement Palos Heights IL Completed 09/09/2024 Construction Schedule - Calc Start Date : 07/13/2024 231.039 NM Orland Oncology Chiller Orland Park IL 07/20/2024 Construction Schedule - Calc Start Date : 07/15/2024 180.336 Physician Gym Mirrors Oak Lawn IL Completed 08/05/2024 Construction Schedule - Calc Start Date : 07/22/2024 138.133 ED Safe Exam Rooms Hazel Crest IL Completed 09/30/2024 Construction Schedule - Calc Start Date : 07/29/2024 300.014 Sound Suppression Work New Lenox IL Completed 08/09/2024 Construction Schedule - Calc Start Date : 08/01/2024 180.343 IF Children's Consult Room Oak Lawn IL 09/23/2024 Construction Schedule - Calc Start Date : 08/02/2024 267.026 LL Locker Room Ceiling Patch Chicago IL Completed 08/05/2024 Construction Schedule - Calc Start Date : 08/19/2024 286.006 MCDS - Sur ical Light Replacements Downers Grove IL Completed 09/06/2024 231.061 Parking Garage Door Replace Palos Heights IL Completed 08/23/2024 Construction Schedule - Calc Start Date : 08/26/2024 297.004 Grayslake '24 Fire Door Inspct Grayslake IL Completed 08/31/2024 Construction Schedule - Calc Start Date : 08/29/2024 231.062 EP Cath Lab Containments Palos Heights IL 09/06/2024 Construction Schedule - Calc Start Date : 09/02/2024 254.007 '24 Lake Forest Fire Door Insp Lake Forest IL 09/06/2024 Construction Schedule - Calc Start Date : 09/05/2024 271.012 Fire Door Install Joliet IL Completed 09/06/2024 Construction Schedule - Calc Start Date : 09/24/2024 267.030 Relocate Steamer/Ice Machine Chicago IL Completed 09/27/2024 Construction Schedule - Calc Start Date : 11/06/2024 180.335 Nov'23 ICRA for Interiors Oak Lanw IL Completed 11/17/2024 Report Run Time: 00:06 ©2001-2024 Cosential.com CRUZ S. Court Street Crownwn Point, IN 46307 MICHUDA CONSTRUCTION TEL: 773 445 SSoS CONSTRUCTION FAX: 773-445-5518 www.michuda.com J O I N T V E N T U R E REFERENCES Company Name & Address Contact Name Phone Number Private / Public Advocate Health Mr. Roberto Orozco 630/929-5578 Private 3075 Highland Parkway Downers Grove, IL 60015 Northwestern Medicine Mr. Hector Gutierrez 708/923-4000 Private 12251 S. 80th Avenue Palos Heights, IL 60463 Ascension Medical Group Mr. Brian Radakovitz 630/856-2353 Private 5747 Dempster Street Morton Grove, IL 60053 Ann & Robert H. Lurie Mr. Joe Stark 847/217-3084 Private Children's Hospital - Chicago 225 E. Chicago Avenue Chicago, IL 60611 McDonough District Hospital Mr. Adrian MacGregor 309/836-1675 Private 525 East Grant Street Macomb, IL 61455 Irish Gold Ms. Nicole Read 574/326-4501 Private 832 N. Notre Dame Avenue Notre Dame, IN 46617 Kite Realty Ms. Teagan Lawson 574/401-6731 Private 1234 N. Eddy Street, Suite 115 South Bend, IN 46617 Illinois Medical District Commission Mr. Corey Stringer 312/ 738-5825 Private 2100 West Harrison Street Chicago, IL 60612 Parkview Christian Church Mr. Ken Andresen 708/478-7477 Private 11100 Orland Parkway Orland Park, IL 60467 CODE LEGENDEXITSEMI RECESSED FIRE EXTINGUISHER CABINET W/ FIRE EXTINGUISHER. VERIFY LOCATIONS AND QUANTITIES W/ APPLICABLE CODES, OWNER AND FIRE MARSHAL.FEC2 HR RATED FIRE BARRIER (ESTIMATED - EXISTING TO REMAIN)NOTES:A. FIRE EXTINGUISHER LOCATIONS SHOWN ARE SUGGESTED LOCATIONS ONLY. LOCATIONS OF FIRE EXTINGUISHERS AND CABINETS SHALL COMPLY WITH NFPA 10. CONTRACTOR TO VERIFY QUANTITY AND EXACT LOCATIONS WITH AUTHORITY HAVING JURISDICTION PRIOR TO INSTALLATION.B. RATED WALLS SHALL BE PERMANENTLY AND APPROPRIATELY IDENTIFIED IN ACCORDANCE WITH THE REQUIREMENTS SET FORTH IN THE BUILDING CODE. REF TO STENCILING DIAGRAM ON LIFE SAFETY DRAWINGS.C. LIFE SAFETY DRAWINGS SHOULD BE VIEWED AT FULL SCALE AND IN COLOR.<###FT>MAXIMUM TRAVEL DISTANCE PER FLOOR(# / #)CALCULATED EGRESS LOAD OVER EGRESS CAPACITY(#)CALCULATED OCCUPANT LOAD OF AREA282 SFEX. MECH.311 SFEX. MECH.126 SFEX. STAIR417 SFEX. MEP192 SFEX. MEP26 SFEX. HK125 SFEX. STAIR239 SFEX. CORR.132 SFSMALLCONFERENCE107 SFOFFICE236 SFOFFICERedundant RoomOFFICENot EnclosedOFFICE112 SFOFFICE284 SFINTAKE155 SFMEN'S RR108 SFPUBLICCONFERENCEROOM108 SFOFFICE605 SFOPENOFFICE716 SFHALL86 SFEX. STOR.323 SFBLDG.PERMITS140 SFWOMEN'SRR1,411 SFLOBBY524 SFEX. CORR.59 SFRR59 SFRR123 SFSTORAGE99 SFBREAK245 SFOPENOFFICE44 SFPRINT187 SFONE STOPSHOP104 SFRECEPTION79 SFSECURITY124 SFSMALLCONFERENCE(1)(1)(1)(1)(2)(2)(2)(2)(2)(2)(2)(1)(3)(1)(9)(4)(2)(2)(2)(8)(1)(9)(27/480)(29)(7)(24/240)(24/240)(179/280)MAX.<293FT> MAX.<296FT>MAX.<88FT><128FT>(51/480)FECFECLETTERING TO BE 3" MIN IN HEIGHT WITH A MIN 3/8" STROKE IN A CONTRASTING COLOR INCORPORATING THE SUGGESTED WORDING: "FIRE WALL or FIRE BARRIER--PROTECT ALL OPENINGS". (REF TO LIFE SAFETY DRAWINGS FOR RATED WALL LOCATIONS AND TYPES)CEILING3" MINACCESSIBLE CONCEALED FLOOR, FLOOR-CEILING OR ATTIC SPACENOTES:A. MARK ALL FIRE WALLS, FIRE BARRIERS, FIRE PARTITIONS, SMOKE BARRIERS AND SMOKE PARTITIONS OR ANY OTHER WALL REQUIRED TO HAVE PROTECTED OPENINGS OR PENETRATIONS. B. LOCATE WITHIN 15'-0" OF THE END OF EACH WALL AT INTERVALS NOT EXCEEDING 30' MEASURED HORIZONTALLY198 SFEX.WOMENS126 SFEX. STAIR318 SFEX. MEP252 SFEX. MENS25 SFEX. HK127 SFEX. STAIR134 SFOFFICE140 SFOFFICE428 SFLARGECONFERENCE252 SFBREAK131 SFOFFICE151 SFOFFICEDIRECTOR127 SFDEPUTYDIRECTOR109 SFOFFICE280 SFMEDIUMCONFERENCE227 SFRECEPTION73 SFMOTHER'SROOM80 SFSTORAGE104 SFSMALLCONFERENCE232 SFSTORAGE127 SFOFFICE298 SFFINANCEDEPARTMENT82 SFPRINTER115 SFOFFICE39 SFSTORAGE153 SFCITYCONTROLLER103 SFOFFICE109 SFDEPUTYOFFICE97 SFOFFICE183 SFOFFICE162 SFSTORAGE105 SFMECH142 SFSTOR.391 SFOPENOFFICE215 SFOPENOFFICE617 SFOPENOFFICE42 SFCUBICLE176 SFOPENOFFICE493 SFCORRIDOR141 SFCENTRALMAIL108 SFHOTELINGAREA(2)(1)(1)(1)(1)(1)(1)(1)(1)(1)(1)(1)(2)(2)(2)(2)(2)(2)(2)(2)(2)(2)(3)(3)(2)(4)(2)(19)(2)(3)(7)(2)(7)(28)(54/180)(54/180)(58/180)(58/180)<293FT><168FT><190FT>FECFECProject NumberCERTIFIED BYISSUANCE INDEXDATE:PROJECT PHASE:9/6/2024 6:17:46 PMG101FIRST & SECONDFLOOR LIFE SAFETYPLANS2022.0034309/06/2024BID DOCUMENTSSOUTH BEND CITY HALLRENOVATION215 DR. M.L.K. JR BLVD.SOUTH BEND, IN 46601N1/8" = 1'-0"G1011FIRST FLOOR LIFE SAFETY PLANRATED WALL STENCILINGN1/8" = 1'-0"G1012SECOND FLOOR LIFE SAFETY PLANREVISION SCHEDULENO. DESCRIPTION DATE 995533355311111111147511EX. STAIREX. MENSEX. STAIREX. HKEX.WOMENSSTORAGECAFEOFFICESTORAGEOFFICEOFFICEOFFICEOFFICEOFFICEOPENOFFICECONFERENCERECEPTIONVENDINGVENDINGMECHCONFERENCEHALLA/VUP5121211222212111144111111991111NOT IN SCOPE OF WORK9' - 0 3/16"9' - 9 5/8"9' - 1 9/16"9' - 11 9/16"11' - 1 3/8"4' - 9 11/16"11104141111810STORAGECOUNCILCHAMBERS22222424242433213318331933083320332233143323331117311933103314330535251411111212191920274A. REMOVE EXISTING FLOOR, WALL, & WALL BASE MATERIALS IN ALL AREAS SCHEDULED TO RECEIVE NEW FLOOR, PAINT, & BASE, U.N.O. REMOVE ALL FLOOR, WALL, & WALL BASE ADHESIVES OR MORTAR COMPLETE & PREPARE SURFACES AS REQUIRED TO RECEIVE NEW FINISHES. REFER TO FINISH DRAWINGS & LEGEND.B. SALVAGE EXISTING CEILING TILE & GRID TO BE REUSED IN NEW CONSTRUCTION U.N.O. C. ROOMS DEPICTED IN GRAY ARE TO REMAIN AND ARE NOT IN THE DEMO SCOPE.D. REMOVE ALL CHAIR RAIL AND / OR WAINSCOTING U.N.O. PREPARE SURFACES AS REQUIRED TO RECEIVE NEW FINISHES. REFER TO FINISH DRAWINGS & LEGEND.E. REMOVE ALL SIGNAGE AND REPAIR WALL TO MATCH ADJACENT CONSTRUCTION AS NEEDED.F. DOORS NOTED WITH A NOTE '3' AND A DOOR TAG SHALL BE REMOVED (INCLUDING DOOR HARDWARE), SALVAGED, AND REINSTALLED AT THE LOCATION NOTED IN THE DOOR TAG. PROTECT DOORS DURING CONSTRUCTION ACTIVITIES. REPAIR DAMAGE TO DOORS PRIOR TO REINSTALLATION.G. FINISHED COLUMN ENCLOSURES TO REMAIN U.N.O. PATCH AS NEEDED.H. REMOVE VINYL WALLCOVERING IN ALL AFFECTED AREAS.I. CONTRACTOR TO ASSUME51% SALVAGED WHOLE TILES TO BE REUSED.Project NumberCERTIFIED BYISSUANCE INDEXDATE:PROJECT PHASE:9/6/2024 6:22:26 PMD103THIRD FLOORDEMOLITION PLAN2022.0034309/06/2024BID DOCUMENTSSOUTH BEND CITY HALLRENOVATION215 DR. M.L.K. JR BLVD.SOUTH BEND, IN 46601N3/16" = 1'-0"D1031THIRD FLOOR DEMOLTION PLAN1 DEMOLISH WALL IN ENTIRETY. PATCH AND REPAIR CONCRETE SLAB W/ FLOORING MATERIAL FLUSH W/ ADJACENT FLOOR.PATCH AND REPAIR EXISTING WALL(S) WHERE APPLICABLE TO MATCH SURROUNDING FINISH AND MATERIALS PER NEWWORK PLANS.2 DEMOLISH PORTION OF EXISTING WALL TO EXTENTS SHOWN. REFERENCE NEW WORK PLANS.3 REMOVE WINDOW / DOOR, FRAME AND HARDWARE IN THEIR ENTIRETY. SALVAGE DOORS AS PER DOOR COORD. NOTES.SEE A6014 REMOVE CASEWORK AND HARDWARE IN THEIR ENTIRETY. SALVAGE CASEWORK AS REQUIRED BY OWNER.5 REMOVE DOOR, FRAME, AND HARDWARE IN ENTIRETY6 REMOVE RAMP & RAISED ACCESS FLOOR IN ENTIRETY7 REMOVE PLUMBING FIXTURES & ACCESSORIES IN THEIR ENTIRETY. SALVAGE ACCESSORIES AS REQUIRED BY OWNER. CAPSUPPLY AND SANITARY LINES AS INDICATED IN THE PLUMBING DWGS.8 REMOVE WINDOW / PASS THROUGH COMPLETE.9 REMOVE DEMOUNTABLE PARTITION AND HARDWARE COMPLETE.10 REMOVE ALL FOOD SERVICE EQUIPMENT. SALVAGE AS REQUIRED BY OWNER.11 REMOVE AUDIO VISUAL EQUIPMENT AS INDICATED IN THE LOW VOLTAGE DWGS.. SALVAGE AS REQUIRED BY OWNER.12 REMOVE MEP EQUIPMENT PER MEP PLANS. SALVAGE AS REQUIRED BY OWNER.13 REMOVE ALL CEILING TILES AND GRID IN ENTIRETY14 REMOVE GYPSUM CEILING IN ENTIRETY. PATCH ADJACENT EXISTING WALLS TO REMAIN AS NEEDED FOR FINAL FINISHEDLOOK15 REMOVE AND SALVAGE EXISTING ACOUSTIC CEILING TILE FOR REUSE. REFER TO NEW WORK PLANS FOR REINSTALLATIONLAYOUTS16 REMOVE EXPOSED CABLE TRAY IN ENTIRETY. SALVAGE AS REQUIRED BY OWNER.17 REMOVE DOOR ONLY. FRAME AND STRIKE PLATE TO REMAIN. PREP FOR NEW DOOR INSTALLATION18 REMOVE WALL FRAMING AND PANELS AT VACATED IT RACK LOCATIONS19 REMOVE VINYL WALLCOVERING AND PREP WALL FOR PATCH AS NEEDED THROUGHOUT SPACE20 REMOVE PLASTIC LAMINATE ELEVATOR VENEER AND WOOD EYEBROW COMPLETE. PREP SURFACES FOR NEW FINISHINSTALLATION.21 REMOVE EXISTING BULKHEAD IN ENTIRETY AND PATCH WALLS WHERE NEEDE FOR COMPLETE FINISHED LOOK.22 ANTICIPATED AREA OF SLAB REMOVAL FOR PLUMBING DRAIN LOCATIONS. COORDINATE WITH NEW WORK PLANS ANDPLUMBING DRAWINGS23 ANTICIPATED PATH OF SLAB DEMOLITION FOR PLUMBING INSTALLATION. COORDINATE WITH NEW WORK PLANS ANDPLUMBING DRAWINGS24 REMOVE EXISTING WAINSCOTING / CHAIR RAIL AS NEEDED ON ENTIRE COLUMN. SALVAGE, REINSTALL, PRIME AND PREP TORECEIVE NEW PAINT.25 REMOVE FLOOR TILE ASSEMBLY IN FULL DOWN TO THE TOP OF SLAB THROUGHOUT SPACE.26 SALVAGE GRANITE SEAL AT RECEPTION DESK AND COORDINATE WITH OWNER27 SALVAGE GRANITE COUNTERTOP AND COORDINATE WITH OWNER28 SALVAGE EXISTING DEDICATION PLAQUE AND RETURN TO OWNERKEYED DEMO PLAN NOTES xGENERAL DEMOLITION NOTESREVISION SCHEDULENO. DESCRIPTION DATE f S E Jefferson Blvd T Gibson � . �y 6r ID 3 ED x ct AMERICAN STRUCTUREPOINT, INC. 2022.00343 09.30.2024 Addendum No. 1 SOUTH BEND - CITY HALL RENOVATION SECTION 00 43 22 - UNIT PRICES FORM PARTICULARS 1.1 THE FOLLOWING IS THE LIST OF UNIT PRICES REFERENCED IN THE BID SUBMITTED BY: 1.2 (BIDDER) MICHUDA-CRUZ Indiana JV LLC 1.3 TO (OWNER): CITY OF SOUTH BEND 1.4 DATED 1Q99-9094 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 A. B. C. D. END OF SECTION 00 43 22 UNIT PRICES FORM 00 43 22 -1 I:lq!ljZ MANAGEMENT GPOUP Z Z) H a Financial Statements a O J D CO U) W U Q CU w J build@cruz.11c Chicago, Illinois W www.cruz.11c CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name South Bend - SBCSC City Hall Renovation Project No. 124-001 For Bids Due 22 October 2024 Contractor Name: MICHUDA-CRUZ Indiana JV LLC The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works projects by institution of comprehensive submission requirements in compliance with State law. Quality workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet certain minimum requirements to be responsive and responsible bidders. THIS FORM MUST BE SUBMITTED WITH YOUR BID. **THIS FORM ONLY APPLIES TO BIDS GREATER THAN $250,000. ** INSTRUCTIONS: If you are a pre -qualified bidder, complete Section I only. If you are not a pre -qualified bidder, complete Section II only. Section II acts as an application for pre -qualification. Submission of Section 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 -QUALIFIED BIDDER CHECKLIST (a) Acknowledgements: W _ 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) _ 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) _ By checking this box, I hereby acknowledge that apprenticeship and training programs that I participate in have graduated at least five (5) apprentices in each of the past five (5) years. (iv) _ By checking this box, I hereby acknowledge that all subcontractors performing work greater than $250,000 also meet the qualifications of the Responsible Bidder Ordinance. (b) Attachments: W _ Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). Statement on staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work. It outlines how I intend to meet the staffing needs of the work. List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within the last three (3) years. (iv) _ For every project, submit evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. This includes, but may not be limited to, letters from apprenticeship coordinators detailing the bidder's association with the program, and the United States Department of Labor Office of Apprenticeship Certificates of Registration of Apprenticeship Programs for each type of work to be performed on the project. Version 07/19/2023 General Conditions - 13 PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowledgements: (i) _ By checking this box, I hereby acknowledge that I am not a pre -qualified bidder with the City of South Bend. (ii) _ By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided, and may also conduct random inquiries of my current and prior customers. The City reserved the right to utilize all information provided in this submission and all information obtained in inquiries or requests to determine if a bidder is responsive and responsible. Additionally, I acknowledge that all information provided to the City shall be regarded as public records. (iii) _ By checking this box, I hereby acknowledge that copies of all Applicable apprenticeship certificates or standards for training programs applicable to the work performed on the project may be requested at any time and shall be furnished upon request. (iv) _ By checking this box, I hereby acknowledge and ensure that I and all sub- contractors, from whom I have accepted a bid and/or intend to hire to perform work on the public work project, are properly licensed. Furthermore, I acknowledge my understanding that it is my responsibility to ensure that all sub -contractors have the necessary licenses to undertake the work called for in this bid. If a sub- contractor loses their license at any point, it is the responsibility of that sub- contractor to notify the City. (v) _ By checking this box, I hereby acknowledge that apprenticeship and training programs that I participate in have graduated at least five (5) apprentices in each of the past five (5) years. (vi) _ By checking this box, I hereby acknowledge that all subcontractors performing work greater than $250,000 also meet the qualifications of the Responsible Bidder Ordinance. (b) Attachments: (i) _ Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). List identifying all former business names. Any determinations by a court or governmental agency any violations of federal state, or local laws including, but not limited to, violations of contracting or antitrust laws, tax or licensing laws, environmental laws, Occupational Safety and Health Act (OSHA), or federal Davis -Bacon and related Acts, within the preceding five (5) years. (iv) _ Statement about staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work I am bidding on OR outlines how I intend to meet the staffing needs of the work. (v) Statement that individuals who will perform work on the public work project on my behalf will be properly classified as an employee or as an independent contractor under all applicable state and federal laws and local ordinances. (v) For every project, submit evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. This includes, but may not be limited to, Letters from apprenticeship coordinators detailing the bidder's association with Version 07/19/2023 General Conditions - 14 the program, and the United States Department of Labor Office of Apprenticeship Certificates of Registration of Apprenticeship Programs for each type of work to be performed on the project. (vi) Copy of a written plan for employee drug testing that covers all of my employees who will perform work on the public work project and meets or exceeds the requirements set forth in IC 4-13-18-5 or IC 4-13-18-6. (vii) Evidence that I am utilizing a surety company which is on the Bureau of Fiscal Service "Department of Treasury's Listing of Approved Sureties" as required in the bid specifications or contract. (viii) Written statement of any federal, state or local tax liens or tax delinquencies owed to any federal, state or local taxing body in the preceding three years. (ix) List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within three (3) years prior to the date on which the bid is due. Date 10-22-2024 (Sign Here) Josef Michuda , Lier (Print Name Here) MICHUDA-CRUZ Indiana JV LLC (Name of Company) 115 S. Court St.. Suite 1 (Address of Company) CrioWnPPoint (City) (State) Josef-Michuda Direct: 708-928-8901 _Scott McQuillan, Chief Estimator Direct: 708-928-8916 (Telephone Number) Cell: 312-446-2872 Version 07/19/2023 General Conditions - 15 M MICHUDA CONSTRumoN CRUZ CONSTRUCTION 30INT VENTURE MICHUDA-CRUZ Indiana JV LLC 115 S Court St., Suite E Crown Point, IN 46307 Responsible Bidder Checklist Items II. Pre -Qualification Checklist (For Bidders That Are Not Pre -Qualified) (b)(ii) There are no other business names (b)(iii) MICHUDA-CRUZ Indiana JV LLC has not been found in violation of any federal, state or local laws with regards to any contracting or antitrust laws, tax or licensing laws, environmental laws, OSHA or federal Davis -Bacon and related acts, within the preceding five (5) years (b)(iv) All MICHUDA-CRUZ Indiana JV LLC labor will be provided through local trade unions. (b)(v) All workers will be either an employee or an independent contractor under all applicable state and federal laws and local ordinances. See attached for Apprenticeship program documentation MICHUDA-CRUZ Indiana JV LLC Scott M. McQuillan Chief Estimator State of Indiana Office of the Secretary of State Certificate of Organization of MICHUDA-CRUZ INDIANA JV, LLC I, DIEGO MORALES, Secretary of State, hereby certify that Articles of Organization of the above Domestic Limited Liability Company have been presented to me at my office, accompanied by the fees prescribed by law and that the documentation presented conforms to law as prescribed by the provisions of the Indiana Code. NOW, THEREFORE, with this document I certify that said transaction will become effective Wednesday, May 10, 2023. STerE rsrr In Witness Whereof, I have caused to be affixed my signature and the seal of the State of Indiana, at the City of Indianapolis, May 10, 2023. DIEGO MORALES SECRETARY OF STATE 202305101690010 / 9871981 To ensure the certificate's validity, go to https://bsd.sos.in.gov/PublicBusinessSearch APPROVED AND FILED DIEGO MORALES INDIANA SECRETARY OF STATE 1 05/10/2023 12:13 PM ARTICLES OF ORGANIZATION Formed pursuant to the provisions of the Indiana Code. ARTICLE I - NAME AND PRINCIPAL OFFICE ADDRESS BUSINESS ID 202305101690010 BUSINESS TYPE Domestic Limited Liability Company BUSINESS NAME MICHUDA-CRUZ INDIANA JV, LLC PRINCIPAL OFFICE ADDRESS 115 S Court St., Suite E, Crown Point, IN, 46307, USA ARTICLE I[ - REGISTERED OFFICE AND ADDRESS REGISTERED AGENT TYPE Individual NAME John P. Bransfield ADDRESS 115 S Court Street, Suite E, Crown Point, IN, 46307, USA SERVICE OF PROCESS EMAIL john@bransfield.net I acknowledge that the Service of Process email provided above is the email address at which electronic service of process may be accepted ARTICLE III - PERIOD OF DURATION AND EFFECTIVE DATE PERIOD OF DURATION Perpetual EFFECTIVE DATE 05/10/2023 EFFECTIVE TIME 10:55AM ARTICLE IV. -COVERNING PERSON INFORMATION TITLE Manager of Managing Member NAME Josef L Michuda ADDRESS 115 S Court Street, Suite E, Crown Point, IN, 46307, USA MANAGEMENT INFORMATION THE LLC WILL BE MANAGED BY MANAGER(S) Yes IS THE LLC A SINGLE MEMBER LLC? No - Page 1 of 2 - LEA APPROVED AND FILED DIEGO MORALES INDIANA SECRETARY OF STATE 05/10/2023 12:13 PM SIGNATURE THE SIGNATOR(S) REPRESENTS THAT THE REGISTERED AGENT NAMED IN THE APPLICATION HAS CONSENTED TO THE APPOINTMENT OF REGISTERED AGENT. THE UNDERSIGNED, DESIRING TO FORM A LIMITED LIABILITY COMPANY PURSUANT TO THE PROVISIONS OF THE INDIANA BUSINESS FLEXIBILITY ACT EXECUTES THESE ARTICLES OF ORGANIZATION. IN WITNESS WHEREOF, THE UNDERSIGNED HEREBY VERIFIES, SUBJECT TO THE PENALTIES OF PERJURY, THAT THE STATEMENTS CONTAINED HEREIN ARE TRUE, THIS DAY May 10, 2023. THE UNDERSIGNED ACKNOWLEDGES THAT A PERSON COMMITS A CLASS A MISDEMEANOR BY SIGNING A DOCUMENT THAT THE PERSON KNOWS IS FALSE IN A MATERIAL RESPECT WITH THE INTENT THAT THE DOCUMENT BE DELIVERED TO THE SECRETARY OF STATE FOR FILING. SIGNATURE Josef L. Michuda TITLE Authorized Agent Business ID : 202305101690010 Filing No : 9871981 - Page 2 of 2 - 9/9/2024 12:38:53 PM License $125.00 Check 2000013 $125.00 jdecocker 76746 No. 7996-25 REGISTRATION $125.00 ST. JOSEPH COUNTY AND CITY OF SOUTH BEND, INDIANA September 9, 2024 WHEREAS, MICHUDA-CRUZ INDIANA JV LLC having this day paid to the Building Department the sum of One Hundred Twenty Five Dollars and Zero Cents is hereby REGISTERED to operate in the unincorporated areas of ST. JOSEPH COUNTY and the CITY OF SOUTH BEND, as a Building Contractor THIS REGISTRATION EXPIRES: August 19, 2025 , Building Commissioner Randy James 115 S. COURT, SUITE E CROWN POINT, IN 46307 (773)445-5505 THIS REGISTRATION IS NOT TRANSFERABLE CERTIFICATE OF QUALIFICATION to provide CONSTRUCTION SERVICES for PUBLIC WORKS PROJECTS to the STATE OF INDIANA This Certification Board, having duly considered application for qualification in terms of apparent experience and financial resources; and under the applicable Indiana Code 4-13.6-4 and adopted rules of this Board, hereby issues a Certificate of Qualification to provide construction services to the State of Indiana for Public Works Projects to: Michuda Construction Indiana, LLC 115 S. Court St, Suite E Crown Point, IN Phone (773) 445-5505 Fax (773) 445-5518 Company Official Brian Mola for the hvertty-seven month period stated herein, unless revoked by this Board For cause, and in the classifications of services stated below. This certificate sup,. -=des any previous certificate. 1542.00A Inst. Bldgs.(Hospitals, Schools, Prison s)>$10,000,000 1542.02 Commercial Buildings (Offices, Stores, Restaurants) 1542.00B Inst. Bldgs.(Hosp., Schl., Prsn.)>$1,000,000, <$10,000,000 1542.01 Institutional Bldgs (Hospitals, Schools, Prisons) 1542.04 Additions, Alterations, Remodeling, and Repair CERTIFICATION DATE 2024-01-18 12:00:00 AM EXPIRATION DATE 2026-04-18 12:00:00 AM THIS CERTIFICATE ISSUED BY THE STATE OF INDIANA, PUBLIC WORKS DIVISION CERTIFICATION BOARD, 402 WEST WASHINGTON STREET, ROOM W467, INDIANAPOLIS, INDIANA 46204, ALSO ACTS AS THE OFFICIAL NOTICE OF EXPIRATION. Tracy L. Cross, Executive Secretary Certification Board DAPW P02 State Forth 3983R Rev 07/06 f�fft�e a#'rentixes�t �ir�utin�, `�tuPlug�r ttn� �itth�r�ex�ices Purrau atth traildug 1p (gatraft of tglsf aftvu INDIANAXENTUCKY REGIONAL COUNCIL OF CARPENTERS J.A.T.F. WARSAW, INDIANA FOR THE TRADE CLASSIFICATIONS: CARPENTER, MILLWRIGHT, FLOOR LAYER, 9isferedas parf o�f%'e `Kafionaj�pprenfices�ip �ro9ram in accozodance wifal-fse 6' .ic ,f apprenlicessip esfa6t's�'ed63oo, l e c5ecrefarrJ. of j6a46or OCTOBER 19, 1989 Da/eRevised: April , IN020890009 �e9�:r/tea/ion xa 0 cSeci+e%.- o%'a6o� itl7cc (]� 7ldminid�a/or, `�ipprenlicer�iip r✓rainin9, Cmployercnd/aaGor cSeruicer Offirr of Appreuttrobip certtfKate of RtgWtrattoji of Apprrutt'robtP Program Mid -America Carpenters Regional Council Elk Grove Village, Illinois For the Trades - Carpenter, Form Builder (Const.), Drywall Applicator, Floor Layer Insulation Worker, Lather, Cabinetmaker, Millwright, Carpenter -Piledriver Roofer, Residential Carpenter— Jey.tVereoras pdrf of h e Xafron¢.l S7,Ppl,ernflces,,O�lp 6Jr stem In Qccoro�ance wil ISe OrQslc sfdno`dro(s of dpprenflces�ilp esfdb"'fts�ieo(b1 ISe 6ecrefdry of ,&a r Au ust 3 1965 dale Name Updated: July 5, 2022 A � ate. `'l ■ _ � ��� I L017650001 = _ 77eymlralon xo. r�I} ry �„5� J�/�inrn�slralor. Ogce of_ pprenlicesllip � 7-rs 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 October 21, 2024 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 "Michuda Construction 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, Sean Coakley, Director SC:ap www.indianalaborerstraining.org y s I C ,o 5 m 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 attgriffm@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 not utilize erroneous or misleading advertisement, either by actual statement, omission, or'ka oration. 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 tgriffm@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 -IpPh 1441 O v4i�4D '9 8019 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 1/112019 And 12/31/2023 Apprentice Program: IN2 Year Apprentice Status Apprentices Percentage 2019 2020 Active 26 2.84 % Adv. to Journeyman 96 10.47 %n Deceased 9 0.98 % Graduated 110 12.00 % Inactive 11 1.20 % Journeyman 12 1.31 % Med. Susp. 1 0.11 % Reinstate 2 0.22 % Suspended 1 0.11 % Terminated 578 63.03 °/a Voluntary withdraw 71 T74 % Total Indentured 917 Active 32 4.95 % Adv. to Journeyman 72 11.15 % Deceased 2 0.31 % Graduated 59 9.13 % Journeyman 1 0.15 % Not Registered 1 0.15 % Reinstate 21 0.31 % Suspended 1 0.15 % Terminated 431 66.72 % Voluntary withdraw 45 6.97 % Total Indentured 646 Printed: Wednesday, May 29, 2024 Page 1 of 3 Apprentice Status Report By Indenture Date Apprentices Indentured Between 111/2019 And 12/31/2023 Apprentice Program: IN2 Year Apprentice Status Apprentices Percentage 2021 2022 Active 98 13.07 % Active Duty 1 0.13 % Adv. to journeyman 68 9.07 ❑Io Deceased 2 0.27 0/0 Graduated 65 8.67 % Reinstate 4 0.53 % Suspended 2 0,27 % Terminated 467 62.27 % Voluntary withdraw 43 5.73 % Total Indentured 750 Active 341 35,56 ❑/n Adv. to Journeyman 70 7.30 %n Deceased 5 0.52 % Graduated 23 2.40 % Journeyman 1 0.10 % Med. Susp. 2 0.21 % Not Registered 1 0.10 ❑/o Reinstate 10 1.04 % Suspended 9 0.94 % Terminated 467 48,70 % Voluntary withdraw 30 3.13 % Total Indentured 959 Printed: Wednesday, May 29, 2024 Page 2 of 3 Apprentice Status Report By Indenture Date Apprentices Indentured Between 1/1/2019 And 12/31/2023 Apprentice Program: IN2 Year Apprentice Status Apprentices Percentage 2023 1 0.10 % Active 597 57.90 % Active Duty 1 0.10 0/0 Adv. to Journeyman 35 3.39 % Deceased 2 0.19 % Graduated 1 0.10 % Journeyman 3 0.29 % Med. Sus# . 3 0.29 % Not Registered 4 0.39 % Reinstate 34 3.30 % Suspended 4 0,39 % Terminated 325 31.52 % Voluntary withdraw 21 2.04 % Total Indentured 1031 Printed: Wednesday, May 29, 2024 Page 3 of 3 r can+rpm UUNA! Chicagoland COE> ' ACCREDITED °�° ° ANSI Awredded Program ABORERS T,a,, ngery nL-W, PERSONNEL CERTIFICATION (630) 653-0006 District Council Training &Apprentice Fund chicagolaborers.org October 17, 2024 Michuda Construction 18505 W Creek Dr., Ste IA Tinley Park, IL 60477 To Whom It May Concern: Enclosed you will please find a copy of the Department of Labor certification that you requested recently. You may also use this letter as verification that Michuda Construction is indeed signatory to the Chicago Laborers District Council and contributes to the Laborers Apprenticeship Fund and their active account is current. Our Mandatory Apprentice Program has successfully trained and graduated hundreds of apprentices providing safe, efficient and hard-working employees for signatory employers. The LIUNA Chicagoland Laborers' District Council Training and Apprenticeship Fund has graduated the following number of apprentices within the last five years: 2023: 190 2022: 125 2021: 86 2020: 94 2019: 77 Regards, John Retondo Director of Apprenticeship Carol Stream 1200 Old Gary Avenue Carol Stream, I L 60188 Jal I IGJ F. VUIII IuIIY, LEI IQIII nai l Michael Bivins Shawn Fitzgerald Martin Flanagan Joseph V. Healy Loyd "Curly" Vaughn I\GI LII VILQIG UUNA! Feel the Power a2-L vaVIU L_vl ly, JCL.IGLQIy Seth Gudeman Shane Higgins Joseph Koppers Robert G. Krug William Vignocchi Chicago 5700 West Homer St. Chicago, IL 60639 1T w..r Ci C� m 0 0 0 0 A Chicago Laborers' District Council Ll NAlf October 21, 2024 Michuda Construction 18505 West Creek Drive Suite 1A Tinley Park, IL 60477 To Whom it May Concern: 999 McClintock Drive,Suite 300 Burr Ridge, IL 60527 Ph: (630) 655-8289 Fax: (630) 655-8853 www.LiUNAChicago.org Contractor: 002839 Via Fax: 773.445.5518 Please be advice that Michuda Construction is signatory to the Laborers' District Council & Vicinity and has Submitted contributions to the Laborers" Work Dues Fund through the month of September 2024. Please be advised that this letter does not address benefit contribution compliance with the Chicago Laborer's Pension and Welfare Funds ("Funds"). If you have any questions regarding the Company' reporting status with the Funds, please contact Alicia Grossi at 708-562-0200, ext: 301 or email: AliciaG@chilpwf.com. Sincerely, Kate Hughes Laborer's District Laborer's Work Dues Fund Affiliated with Laborers' International Union of North America Locals #: 1 2 4 5 6 68 75 76 152 225 582 681 1001 1035 1092 Boone Cook DuPage Grundy Kane Kendall Lake McHenry Will James P. Connolly Joseph V. Healy Rich Business Manager Secretary- Kuczkowski Treasurer President UNITED BROTHERHOOD OF CARPENTERS AND JOINERS OF AMERICA APPRENTICE & TRAINING PROGRAM GERALD W. THIEL, JR. Chairman KEVIN McLAUGHLIN Secretary CRAIG TRIPLETT Executive Director October 18, 2024 To Whom It May Concern, 1256 Estes Avenue Elk Grove Village, IL 60007 847-640-7373 Fax: 847-364-8367 www.mactc.org Please allow this letter to certify that the Mid -America Carpenters Regional Council Apprentice & Training Program is a Registered Apprenticeship Program with the US Department of Labor and has graduated over 200 Apprentice Carpenters each year for the past 5 years, 2020 — 2024. If there are any questions or concerns, please contact me by email or at the phone number below. Sincerely, Kina McAfee Assistant Coordinator Mid -America Carpenters Apprenticeship 1256 Estes Ave. Elk Grove Village, IL. 60007 847-640-7373 Phone kmcafeegmactc. org Please note new domain change — mactc.org ElmEICESH 1p STRONG ALONE. UNSTOPPABLE TOGETHER.`' ­�36 UNITED BROTHERHOOD OF CARPENTERS AND JOINERS OF AMERICA APPRENTICE & TRAINING PROGRAM GERALD W. THIEL, JR. Chairman KEVIN McLAUGHLIN Secretary CRAIG TRIPLETT Executive Director October 18, 2024 To Whom It May Concern, 1256 Estes Avenue Ellc Grove Village, IL 60007 847-640-7373 Fax: 847-364-8367 www.mactc.org Please allow this letter to certify that the Mid -America Carpenters Regional Council Apprentice & Training Program is a Registered Apprenticeship Program with the US Department of Labor. Michuda Construction has a contractual agreement with the Mid -America Carpenters Regional Council and is currently employing 3 of our Registered Apprentices. If there are any questions or concerns, please contact me by email or at the phone number below. Sincerely, Kina McAfee Assistant Coordinator Carpenter Training Center 1256 Estes Ave. Elk Grove Village, IL. 60007 847-640-7373 Phone kmcafee0mactc.org c� PENTEIR� rt[c�nrut oouxc� STRONG ALONE, UNSTOPPABLE TOGETHER.` — _ _• 35 UNITED BROTHERHOOD OF CARPENTERS AND JOINERS OF AMERICA KEVIN McLAUGHLIN Executive Secretary -Treasurer JOEL POGOSE President October 17, 2024 Michuda Construction, Inc. 18505 W. Creek Drive, Suite 1A Tinley Park, IL 60477 Attn: Sharon Schuelke Dear Sharon: 12 East Erie Street Chicago, Illinois 60611-2796 312-787-3076 * Fax: 312-951-1540 www.carpentersunion.org RE: Acct # 7379 This letter is being sent to confirm that Michuda Construction, Inc. has been signatory to a collective bargaining agreement with the Mid -America Carpenters Regional Council since July 9, 1973. The company is also a participant with the Mid -America Carpenters Regional Council Apprentice Program, and as of this date in good standing with the Mid - America Carpenters Regional Council. Sincerely, Robert Lid Assistant to the Executive Secretary Treasurer RDL Cc: File STRONG ALONE. UNSTOPPABLE TOGETHER.' FACHIANA EIIILRERSASOCIATION 80 YEARS OF REPUTATION, BUILT ON A FOUNDATION OF TRUST COLLECTIVE BARGAINING RIGHTS STATUS Return the completed page to the MBA offices (via email or mail carrier) Initial in the appropriate box Lsl for your intended bargaining rights status. ASSIGN WITHDRAW MBA Collective Bargaining Agreement with: I x l u Laborers International Union of North America, State of Indiana District Council, Local 645 International Union of Operating Engineers, Local 150, District 6 Operative Plasterers & Cement Masons International Association, Local 692, Area 101 s United Union of Roofers, Waterproofers, & Allied Workers, Local 23 Cl Indiana Ohio Kentucky Regional Council of Carpenters, Local 413, Local 615 (Zones 1 & 2) International Assoc. of Bridge, Structural, Ornamental and Reinforcing Ironworkers, Local 292 International Brotherhood of Teamsters, Local 364 Company Michude Construction, Inc. Address 18505 West Creak Dr.- Suile I City, Tinley Parts State IL 80477 Phone 7734es-ssns Email Authorized Individual (Printed name) Date 7-11-2023 • By choosing to assign bargaining lights (above), the u er ned (the "Contractor") hereby designates the Michiana Builders Association, Inc. (MBA) as the sole and exclusive bargain g representative on the selected Collective Bargaining Agreement(s), with full authority to negotiate agreement(s) on its behalf, and to obligate and commit the undersigned to those individual labor Agreement(s) selected. • This assignment(s) supersedes any previous delegation of bargaining authority to any other agent, and will become effective as of the date it is received by the MBA, and may not be terminated prior to the conclusion of these negotiations between the MBA and the designated union. • By executing this assignment(s), the Contractor agrees and warrants that it will not directly negotiate, bargain or agree to any CBA with any union for which bargaining rights have been assigned to the MBA, including any interim agreement(s), nor shall it become party to such agreement(s), either orally or in writing, without the prior written consent of the MBA, with such consent being granted only through action of its Board of Directors. • This bargaining rights assignment(s) and any previous bargaining rights assignment(s) to the MBA (be it through specific assignment or as a result of membership in the MBA) remain in force and effect, including all successor agreements, unfit such time as it is withdrawn in writing. Such written withdrawal notice(s) must be received at the MBA's office no later than 90 days p6orto the expiration of the current collective bargaining agreement(s). SemBoo, IN468M nACIAF I min ISf4.Y8 M5 gn%L,;Lx-nNr Tii£ I 0 51RtlCfIOx INnI S7ilY f 3? rA�IfrL2KM6 MNII COHSTRUCTIDNSITEURG WWW,C 0 NSTRU CTIO N SITL O RG BOND NUMBER 9433220 KNOW ALL MEN BY THESE PRESENTS: That We Michuda Construction- (Corporation) Inc. (Partnership) (Sole Proprietor) IL Tinlev Park (City) herein called the Principal, and Fideiit and Deaosit Com an of Ma land (Name of Surety) I L Corporation authorized to transact In (State of Incorporation) the State of Indiana, herein called the Surety, are hereby held and firmly bound unto Indiana/KentuckylOhia Regional Council of Carpenters Greenwood, IN (Obligee) (City & State) in the penal sum of TWENTY THOUSAND AND NO1I00 DOLLARS (S20,000,00) for the obligations and undertakings hereloafter set forth, for the payment of which, well and truly to be made we hereby jointly and severally bind ourselves, our successor and assigns and executors and administrators. December 2023 Signed and scaled and dated on this 22nd day of WHEREAS, the above named Principal is employing, bargaining unit members of the INDIANA/KENTUCKY/OHIO REGIONAL COUNCIL OF CARPENTERS FOR THE PURPOSE OF PERFORMING CERTAIN CLASSIFIED WORK IN THE State of Indiana within the jurisdiction of said Union as defined in the certain Agreement now in full force effect between Employer and the Union. NOW THEREFORE, the conditions of this bond are such that if the said Principal shall well and faithfully pay the wagcs, Welfare Fund Contribution, Pension Fund Contributions and any other contributions or deductions that may be specified in the Collective Bargaining Agreement of any and all Union members or other Employees working pursuant to tiie provisions of the aforesaid agreement who are employed by the Principal, then this obligation shall be void otherwise the same shall remain in full force and effect. It is expressly understood and agreed that the Principal and Surety shall become obligated top y such Wages, Welfare Fund Contributions, Pension Fund Contributions and any other contributions or deductions that may be specified in the Collective Bargaining Agreement as are due and unpaid within ten (10) days of the receipt of notice or filing of evidence with the Surety of the delinquency in payment of titre above obligations by the Employer, herein referred to as the Principal. In no case shall the aggregate liability of the Principal and Surety exceed the sum of TWENTY THOUSAND AND NO/I00 DOLLARS (520,000,00) This Bond may be canceled by the Surety thirty (30) days after receipt by the Obligee of the Surety's written notice of cancellation sent by Registered Mail. LOCAL 413 & 615 ATTEST: WITNESS: Ni a Azam Agent for Surety: Assurance, a Marsh & McLennan Agency, LLC company Michuda Construction, Inc. A Corporation (SEAL) By: President By: Partnership of Sole Proprietor Fidelityand Deposit Company of Ma land (Surety) SEA By: - (Attorney in fac } iflii4e�nr q'• E,4 : p-J POWER OF ATTORNEY AND NOTARIAL ACKNOWLEDGMENT OF SURETY TO BE ATTACHED. ACKNOWLEDGEMENT BY SURETY STATE OF ILLINOIS COUNTY OF Cook On this 22nd clay of December 2023 , before me, Karen E. Bogard a Notary Public, within and for said County and State, personally appeared William Reidinger to me personally known to be the Attorney -in -Fact of Fidelity and Deposit Company of Maryland and acknowledged that he executed the said instrument as the free act and deed of said Company. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my of facial seal, at my office in the aforesaid County, the day and year in this certificate first above written. N o- iry Public in the StatU of Illinois County of Cook OFFi�SEAL KAREN E BOGARD NARY PUBLIC. STATE OF ILLI140is My COrt Ninon EXPIM 04M 2024 Bond Number: 9433220 Obligee: Indiana/Kentucky/Ohio Regional Council of Carpenters ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY -THESE PRESEIxITS: That the ZURICI I AMERICAN INSURANCE COMPANY, a corporation of the State orNew York, the COLONIAL AMERICAN AND SURETY COMPANY, a corporation of the State of Illinois. and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a Corporation of the State of Illinois [herein collectively called the "Companies"]. by Rabat D, Murray, Vice President, in pursuance of authority granted by Articic V, Section $, of the By -Laws of•said Companies, Which are set funh an the reverse side hereof and are hereby certified to be in full force and effect on the date hacof, do hereby nominate, constitute, and appoint �r its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for. William Reidin and on its behalf as surety, and as its act and deed: any and all bands and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies. as fully and amply to all intents and purposes. as if they had been duly executed and acknowledged by the regularly elected o>Fccrs of the ZURICH AMERICAN INSURANCE COMPANY at its office in Nev., York. New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPAi3Y at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their OWn proper persons. The said Vice president does hereby certifv that the extract set forth on the reverse side hereof is a true copy of Article V, Section $, of t e By -Laws of said Companies, and is now in force. ffircid Cotporate Seals of the IN W]''55 �V1lEREOF. tits said Vicl:-President COLONIALas hereunto Subscribed AMERICANheCASUALTYa AND tlSURETY COMPANY, sand d aid ZURICH ANIAti1E:RiCAN IhSLiRAiti10E COMPANY, FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 10th day of October, A.D. 2023. fowl ir�oa bLr7aR� }F�_a 6q¢�R•'r q SEAL�ig-=qj SEAL cc a ATTEST: ZURICH AMERICAN INSLIIt,11CF: COMPANY COLONIAL AMERICAN CASUALIN ,►till St. R TY COMPANY FIDELITY AND DEPOSIT COMPANI' OF MARYLAND B}r: Robert D. Murray Yee President 19)Q,tl%rt. 4 Btu )%— Bv: Dawn E. Brown secretary State of Maryland County of Baltimore On this loth day of ❑ctnhcr• A.D. 20a3. before the suhscribcr. a N nary Public of the State nl• Maryland, duly eosmnissioncd and cludificd. Robert Il. Murray. Vin I'residcnt and Dawn F. Sro++n. Sccrctnry of the Companies. In me personally known to he tltc individoois and officer's described in and who cxccuwd the preceding instrument. and aeknawledged dw I:xccntinn of $an+ .and being by me dal} sworn, dcposcth and south. that ttelshe is the said 0frtcer of the Company aforesaid, and Mat Ilse seals affixed to tim preceding instrument are the Curpurlic Seals of said Companies. and that ue said Corporate 5cals and the signature as such ofr1cer ":ere duly' afrtxcd and subscribed to the said n+strvmcnt he the ausltorilp astd dirCclio» of tite said d Corporations. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. Cenevieue All. bhlrlfsnrr VEAt('�'•. z`drr. r,TA, "61p GENEVIEVE h1, rAAlSON MITAM PUBLIC it . ovn.. +• UALTIMORECCx1NfY. MO •,, "-; ,: l.lr.z--1 --A:rn �� Authenticity of this bond can be confirmed at bondvalidator.zurichna.com or 410-559-8790 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, AtiarneYs-in-puet. The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attonieys-in-fact with authority to execute bonds, policies. recognizances, Stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attomcy-in-fact to afrix the corporate seal thereto. and may with or without cause modiry of revoke any such appointment or authority at any time." CERTIFICATE 1, the undersigned, Vice President of the ZURICH Ait4ER1CAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY Of MARYLAND, do hereby ccrtil'y that the foregoing Powcr of Attomey is still in full force and effect on the date of this certificate: and I d❑ further certify that Article V. Section a. or the By-Umvs or the Companies is still in force. This Power of Attomey and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 199a. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attomey and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF, 1 have hereunto subscribed my name and affixed the corporate seals ofthe said Companies, this 22nd day of December 2023 , £¢.y. 4Qp,a' ` ':e. Nc ram., `,�• `ten' ' p0 PORTQ''= y SEAL "5FJ1L_'ai`SEAL Eijg „n -nAS Pam• By: Mary Jean Pethick Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg, IL 60196-1056 report Mainis ii7xurichna.cnm 800-626-4577 Authenticity of this bond can be confirmed at bondvalidator.zurichns.com or 410-559-8790 littilhd Number: 9433219 Obligee: Indiana/Kentucky/Ohio Regional Council of Carpenters ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN 13Y THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY. a corporation of the Stoic of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (hcrcin collectively called the "Companies"), by Robert D. Murray, Vice President, in pursuance of authority granted by Article V. Section 8, of the: By -Lows of said Companies, which are set forth an the reverse side hereof and arc hereby certified to be in full force and cliect on the date hereof, do hereby nominate. constitute, and appoint Willfatn Reidin er its true and lawful agent and Attorney -in -Fact. to make. execute, seat and deliver. for, and on its behalf as surety. and as its act and deed: any and all bands and undertakings, and the execution of such bonds or undertakings in pursuance of these presenm shall be as binding upon said Companies. as fully and amply. to all intents and purposes. as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, Now York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is awe copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF. the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMP:UYY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 10th day of October, A.D. 2023. NI, 1111e.v,, "11,111P"", Y %? O 'eZuo iJ4LmF e u SF11L�� E -__ c u SFALm �2= F tS W� �'; y yr. 'A.M1�1f�� 3�Y11r11..,,.,.•N 11.11 ' III,aN,� ATTEST: ZURICH AMERICAN INSURANCE Ca%lPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF NL%RYLAND By: Robert D. Mtnray vice President BV: Dawn E. Brown Secretary State of Maryland County of Baltimore On this loth day of October. A.D. 2023. before the subscriber, a; Notary Public of the state of Maryland, duly commissioned and qualified. Rohert D. Murray, Vice President and Darin F. Brown. Secretary or the Companies, 10 me personally known to be llte individuals and officers dcscribcd in and who executed the preceding instmment, and sckaatirtedgcd the execution of same. and being by me duly s►Yum, deposcth and SaiLh, that hcishe is the said officer of the Company aforesaid. and that Ike seals artixcd to the preceding instrument are the Cogiomtc Seals of said Companies. and that the said Corporate Seals and Lhc signature as sueh off leer wgrc duty affixed and subscribed to the said instrument by the authority and direction 0171110 said Corporations. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. Ci a nevie 2" f19. Mll i5f111 1.., �Ev�Ai a. - usuUBLICUNTY. Fmy.o:::7EVt_EM.INA150N MD cWO,,.� AstUARY2,,25 Authenticity of this bond can be confirmed at bondvalidator.zarichna.com or 410-559-8790 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, Attomeys-in-Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies. mcognizatiees, stipulations. undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney -in -fact to affix the corporate seal thereto: and may with or without cause modify of revoke any such appointment or authority at any time. CERTIFICATE 1, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND. do hcxby certili, that the foregoing f o%vcr of Attorney is still in full force and effect on the date of this certificate: and I do further certify that Article V. Section 8. of the ByL-aNvs of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney ... Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 22nd day of December , 2023 . °a.�pa�4'`��: �A�rQ+tlPOr�f<<:ygd`OPvi7Ry t Q • . "SEALm < - s "SEAL r 4 SEAL _� # PP 'Mg PdA;,&L By: Mary Jean Pethick Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg, IL 60196-1056 reoortsfclaimsriit zttrichlla.COM 800-626-4577 Authenticity of this bond can be confirmed at bondvalidator.zurichna.com or 410-559-8790 M CRUZ MICHUDA CONSTRUCTION CONSTRUCTION JOINT VENTURE MICHUDA-CRUZ Indiana JV LLC 115 S Court St., Suite E Crown Point, IN 46307 Alcohol and Substance Abuse Policy MICHUDA — CRUZ Indiana JV LLC is committed to providing a safe work environment and to maintaining the health and well-being of its employees. Illegal drugs and alcohol use seriously jeopardizes our commitment to creating a safe work environment. MICHUDA-CRUZ Indiana JV LLC (Members: Michuda Construction Inc. and CRUZ Management Group LLC) prohibits the following by employees working on MICHUDA-CRUZ Indiana JV LLC projects or while on Michuda-CRUZ Indiana JV LLC Projects: • Use of illegal drugs • Being under the influence of drugs and alcohol • Possession, control, purchase, sale, transportation, or distribution of illegal drugs, drug Paraphernalia, alcohol, or alcohol products. If an employee is involved in an incident resulting in an injury (a recordable or non -recordable injury requiring medical attention) the employee must submit to a post -incident drug/alcohol test. MICHUDA-CRUZ Joint Venture LLC (Michuda Construction, Inc., and CRUZ Management Group LLC) reserves the right to a post -incident drug/alcohol test at its discretion. Per Indiana Public Work Proiect Act: IC 4-13-18-5: MIC14UDA-CRUZ Indiana JV LLC (Member: Michuda Construction, Inc.) is part of an Indiana Collective Bargaining Agreement with Michiana Builders Association. Michiana Builders Association signed an agreement on behalf of Michuda Construction Inc. with IKOR Regional Councils for LOCALS 413 (South Bend and Local 615 (Zones 1 and 2) , as well as with Laborers (International Union of North America, State of Indiana District Council, Local 645. The Drug Testing Program for the Michiana Builders Association and IKOR Carpenters Regional Councils for LOCALS 413 and Local 615 Term of Agreement (June 1, 2022, to May 31, 2025), can be located under Article XVIII, "Drug Testing Program " on Pages 21-22. (Union Document attached). The Drug Testing Policy for the Michiana Builders Association and the Laborers (Internation Union of North America, State of Indiana District Council, Local Bargaining Association's Laborers Local 645 Term of Agreement (June 1, 2023 to May 31, 2026), can be located under Article XVIII, "Drug Testing Program" Pages 21-22. (Union Document attached). As listed in the attached Michiana Builders Association and the IKOR Carpenters Local 413 South Bend and Indiana Laborers District Council Local 645 South Bend utilize and BCRC Building & Construction Resource Center, Inc.) to implement Policy and Testing. A copy of the BCRC's Policy, Testing, etc. (Copy of BCRC Policy is attached). iICHIANA .E UILDERS ,ASSDCIATIDN SO YEARS OF REPUTATION, BUILT ON A FOUNDATION OF TRUST COLLECTIVE BARGAINING RIGHTS STATUS Return the completed page to the MBA offices (via email or mail carrier) Initial in the appropriate box es for your intended bargaining rights status. ASSIGN WITHDRAW MBA Collective Bargaining Agreement with: Laborers International Union of North America, State of Indiana District Council, Local 645 International Union of operating Engineers, Local 150, District 6 I _1 Operative Plasterers & Cement Masons International Association, Local 692, Area 101 s United Union of Roofers, Waterproofers, & Allied Workers, Local 23 Indiana Ohio Kentucky Regional Council of Carpenters, Local 413, Local 615 (Zones 1 & 2) 0 International Assoc. of Bridge, Structural, Ornamental and Reinforcing Ironworkers, Local 292 0 International Brotherhood of Teamsters, Local 364 Company Michude Construction. Inc. Address 18505 West Greek Dr.. Suite 1A City Tinley Park Slate IL 60477 Phone n?_Ar, ssns Email Authorized Individual (Printed name) Date 7-11-2023 Signature • By choosing to assign bargaining rights (above), the u e ned (the "Contractor') hereby designates the Michiana Builders Association, Inc. (MBA) as the sole and exclusive bargalnl g representative on the selected Collective Bargaining Agreement(s), with full authority to negotiate agreement(s) on its behalf, and to obligate and commit the undersigned to those individual labor Agreement(s) selected. • This assignment(s) supersedes any previous delegation of bargaining authority to any other agent, and tall become effective as of the date it is received by the MBA, and may not be terminated priorto the conclusion of these negotiations between the MBA and the designated union. • By executing this as si g nment(s), the Contractor agrees and warrants that it wilt not directly negotiate, bargain or agree to any CBA with any union for which bargaining rights have been assigned to the MBA, including any interim agreement(s), nor shall it become party to such agree ment(s), either orally or in writing, without the prior written consent of the MBA, with such consent beirig granted only through action of its Board of Directors. • This bargaining rights assignment(s) and any previous bargaining rights asslgnment(s) to the MBA (be it through specific assignment or as a result of membership in the MBA) remain in force and effect, including ail successor agreements, until such lime as it is Withdrawn in writinct. Such written withdrawal notice(s) must be received at the MBA's office no later than 90 days prior to the expiralion of the current collective bargaining agreement(s). Sown Buo, IN 46601 YLkCIAF % H�ttE 4.�T165 R!L'RF. Yt Wn YG T tl E C{SMUCT iO N I N DUST"I' �7� IIu 5>429 TM MRG CONSTRUCTIONSITE.ORO W W W. C O NST N U CTI O N S IT E.O R C BOND NUMBER 9433220 KNOW ALL MEN BY THESE PRESENTS: That We Michuda Construction (Corporation) -Inc. (Partnership) (Sole Proprietor) Tiniev Park (City) herein called the Principal, and Pideiit and Deposit Com an of Ma land (Name of Surety) IL Corporation authorized to transact In (State of incorporation) the State of Indiana, herein called the surety, are hereby held and firmly bound unto Indian alKentuckylCh Re Tonal Council of Carpenters Greenwood, IN (Obligee) (City & State) 0,090.00) for the inthepenalsiumof hereinafter set forth, for he paymENTY ent of THOUSAND AND well and truly DOo be de we iereby jointly and severally obligations bind ourselves, our her successor and assigns and executors and administrators. December 2023 Signed and scaled and dated on this 22nd day ofI. WHEREAS, the above named Principal is employing bargaining unit members of the INDIANAIKENTUCKY/OHIO REGIONAL COUNCIL OF CARPENTERS FOR THE PURPOSE OF PERFORM fNG CERTAIN CLASSIFIED WORK INTHE State of Indiana within the jurisdiction of said Union as defined in the certain Agreement now in Cull force effect between Employer and the Union. NOW THEREFORE, the conditions of this bond are such that if the said Principal shall well and faithfully pay the wages, Welfare Fund Contribution, Pension Fund Contributions and any ather contributions or deductions that may be specified in the Collective Bargaining Agreement of any and ail Union members or other Employees working pursuant to the provisions of the aforesaid agreement who are employed by the Principal, then this obligation shall be void otherwise the some small remain in full force and effect. It is expressly understood and agreed that tite Principal and Surety small become obligated to pay such Wages, Welfare Fund Contributions, Pension Fund Contributions and any other contributions or deductlons that may be specified in the Collective Bargaining Agreement as are due and unpaid within ten (10) days of the receipt of notice or filing of evidence with the Surety of the delinquency in payment of the above obligations by tite Employer, herein referred to as the Principal. In no case shall the aggregate liability of the Principal and Surety exceed tine sum of TWENTY THOUSAND AND NO/I04 DOLLARS ($20,400.00) This Bond may be canceled by the Surety thirty (30) days after receipt by the Obligee of the Surety's written notice of cancellation sent by Registered Mail. LOCAL 413 & 615 ATTEST: WITNESS: Hit a Azam Agent for Surety: Assurance, a Marsh & McLennan Agency, LLC company Michuda Construction, Inc. A Corporation (SEAL) By: President By: Partnership of Sole Proprietor Fidelity and Deposit Company of Maryland . Aq (Surety) 'aE o¢peRyrn n_•"z L� = m : SEAL ; it By. = (Attorney in fac } dirla4eii inr �; W. POWER OF ATTORNEY AND NOTARIAL ACKNOWLEDGMENT OF SURETY TO BE ATTACHED. Bond Number: 9433220 Obligee: Indiana/Kentucky/Ohio Regional Councii of Carpenters ZURICH AMERICAN INSURANCE CONIPANY COLONIAL AMERICAN CASUALTY AND SURETY CONiPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRE5ENTS: That the ZURICH AMrR1CAN INSURANCE COMPANY. a corporation of the State of New York, the COLONIAL AMFRICAN CASUALTY AND SURETY COMPANY, a corporation of the state of Illinois. and the FIDELITY AND DEPOSIT COMPANY OI- MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"). by Robert D. Murray, Vice President, in pursuance of authority granted by Article V. Scrlion 8, of the 13y-La■vs of said Companies, which arc set Earth on the reverse side hereof and are hereby certified to be in full force and effect an the date hereof, do hereby nominate, constitute, and appoint Wii{l am Reidin er its true and lawful agent and Attorney -in -Fact to make. execu(e, seal and deliver. for. any and a!1 bonds and undertakings, and the execution of such bonds or undertakings in and li its f eidias surety, and as its act and deed pursuance of these presents, shall be as binding upon said Companies. as fully and amply• to all intents and purposes. as if had been cxcculed and acknowledged by the regularly elected officers of the ZURICH AMERICAH fNSURAAICE COMPANY at its office in New Y York Ncw York.. the regularly elected officers of the COLONIAL. AMEkICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills. Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in tlts it own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, oft e By -Laws of said Companies, and is now in force. xed am IN 1VI1 MEI lyllE{�GOF, the said VCONIcsident COLONIALas here -unto Subscribed AMERICAN er names and CASUA CASUALTY t SUR SURETY Corporate COMPANY, sand ZLiFiICF•i A}t>~ItICAN INSURANCE C011P ANY, FIDELITY AN I) DFPOSIT COMPANY OF IARl'LAND, this Iflth day of October. A.D. 2023. ,1�41�i�ille„ryI ,,,,1l illell. �u Till u„ G,�JlI, l,�a. �.c• y„ H}�•q4 tyy r.'eoM11 CY0 SEAL/m!r'5FJALmi SEAL __ tA ATTEST: ZURICH AMERICAN INSt:ItANCE COMPANY COLONIAL AMERICAN CASUALIl AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND By: RobertD. Mun ay Vice President Dahv"L- 4 14 1 K Bv: Datvn E. Brotvn Secretary State of Maryland County of Baltimore ()It Ibis I[lnt day or Oclobcr, A.13. =U'3, before the subscriber, a Notary Public of the Slalc of Marytand, duly conu»issioncd and qualified. Ito}rert D. ]lurruy, ►'irr President and Down F. Srovin. Secretary of the Companies, Io me personally knmvn in he titre individuals and nand ss described in and ivho rxcculcd slit preceding inslrtuneol. and acknowNdged the cYtcutipn or saint. and being by ntc duly swam. deposclh and suiSh, that faelshe is the said ofliccr of Compan)- aforesaid, and that the scats affixed to tile Pre cedin4 instrument are the Corpo roc Seats of said Comp unics. and that tiie said Corporole Seals and the signature as sue oMccr were dal}' affiised and subscribed to the said instnument by tltc authority and direction of the said Corporations. IN TESTIMONY WHEREOF. I have hereunto set my hand and affixed my Official Seal the day and year first above written. f;e1?eViCVe All. Krlrsnrl EAt a GEtVE111EVE 6l- rAA15171t} = NOTARY PUBLIC 5,.'alner+"-�S;? MTIMCRE COUNTY MD %.,+'r+S ,-i,W u�C4•verycn=.xn.:�tlfrF'i Authenticity of this bond can be confirmed at bondvalidator.zurichna.com or 410-559-8790 4.1id Nutnl)cr: 9433219 Obligee: Indiana/Kentucky/Ohio Regional Council of Carpenters ZURICH AMERICAN INSURANCE CONIPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICI•I AMERICAN INSURANCE COMPANY• a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois. and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois {herein collectively called the "Companies"). by Robert D. Murray, Vice President, in pursuance of authority granted by Article V. Section 8, of the By -Laws of said Companies• which are set forth on the reverse side hereof and ure hereby certified to be if' full force and effect on the date hercoi, do hereby nominate, constitute, and appoint Wifliar RReidin er its true and lawful agent and Attorney -in -Fact. t make. execute, seal and deliver, for. and on its behalf as surety. and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents. shall be as binding upon said Companies. as fully and amply. to all intents and purposes. as ifthcy had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York. New York,, the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland.. and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. the extract set forth on the reverse side hereof is a we copy of Article V, Section 8, of the The said Vice President does hereby certify that By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF• the: said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE CO►iPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this IOth day of October, A.D. 2023. ��+` CAS sa'iF. 'k ,g' viti� ''�y w Asa CunQy�s SEAL r Sph ,.P'r �'rry0'S7 N ���� �q..H..u,u,l.•N�ia Mnnnlry ATTEST: ZVRICK AMERICAN INSURANCE COMPANY COLONMI, AMERICAN CASUALTY AND SURETY COMPANY FIDELYff AND DEPOSIT COMPANY OF MARYLAND By. Robert D. Mntray Vice President i p,�t/ilr 4 �4ABU. )- By. Damt E. Brown Secretary State of Maryland County of Baltimore On this I01h day or October. A, D. 2023, before the subscd her, a Notary Public or the Stake of Maryland, duly commissiancd and quatifred. Robert D. Murray. %lice President and Dawn F Blown. tircrcmry or the Companies. to me personally known to he the individuals ail 0fliccrs dosed bed in and who executed the preceding instrument. and ucknowtcdged the crccudon of same, and being by me duly swum. deposcth and saith. that affixed to the thLishc is I he he said Corpamk office S Ise ndof atah signature as ucbe company td. land officer h were dulat he y af3iNcd v+d subscribed t the saiJ aisl nstnment by the authority iy and direction rULC Scats of said o fthe and dthas Corporations. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. Gencyteve Ad. Mnfsort }�Y A Gr=NEVIEVE M. MA190N NOYARYPALIC pALTIFACRE Ll-_csJR41L►RY7I.N1S Authenticity of this bond can be confirmed at bondvalidator.zurichnn.com or 410-559-8790 egip r,)t X-4 �)Co_ 2022-2025 L/l3 (f uk %) /w, �,lS" 2022 INDIANA/KENTUCKY/OHIO REGIONAL COUNCIL OF CARPENTERS COLLECTIVE BARGAINING AGREEMENT THIS AGREEMENT, made, entered into and effective June I 2022 and between Michiana Builders Association, Inc. and Independent Contractors or EMPLOYERS signatory hereto, hereinafter referred to individually and collectively as the "EMPLOYER" and the INDIANA/KENTUCKY/OHIO REGIONAL COUNCIL OF THE UNITED BROTHERHOOD OF CARPENTERS AND JOINERS OF AMERICA, hereinafter referred to as the "UNION." PREAMBLE AND DECLARATION OF PRINCIPLES The EMPLOYER is engaged primarily in the Building and Construction Industry, and as such, both the EMPLOYER and the UNION have a common interest in same. The EMPLOYER and the UNION hereby pledge themselves to the highest degree of harmony and good faith in the performance of this Agreement. The EMPLOYER being in the building and construction industry, excellence and safety of endeavor are prime requisites to the continuation and success of the EMPLOYER'S business. NOW THEREFORE, IT IS HEREBY AGREED AS FOLLOWS: ARTICLE I Recognition Section 1. Territorial Jurisdiction and Bargaining Unit. The territory covered by this Agreement is as described in Article XI hereof. The bargaining unit shall consist of all employees engaging in the work described in Articles VIR, IX, X and XI hereof. Section 2. Recognition. The EMPLOYER recognizes the UNION as the sole and exclusive collective bargaining representative for all the employees now or hereafter employed in the bargaining unit, with respect to wages, hours of work and all other terms and conditions of employment. Section 3. Equal Representation. The UNION, to the extent that it is the exclusive representative, shall represent all employees in the bargaining unit equally, without discrimination, irrespective of membership or non -membership in the UNION. Section 4. Performance of Work by Employees in Bargaining Unit. The employees in the (1) One (1) to Five (5) employees $10,000.00 Six (6) to Ten (10) employees $20,000.00 Eleven (11) or more employees $50,000.00 The UNION may withdraw bargaining unit Employees from EMPLOYERS who fail to maintain the bond required by this Article. The EMPLOYER assigns all right, title and interest in the Surety Bond to the UNION and Fringe Benefit Trust Funds, which shall have a priority interest to such Funds, and supersede the claims of all EMPLOYER'S creditors. Those EMPLOYERS who have regularly employed bargaining unit employees under this or a predecessor or successor contract during 24 consecutive months and who have made all payments herein required in a timely manner during that period are hereby exempt from furnishing a Surety Bond until such time as they become delinquent. ARTICLE XVIII Drug Testing Program Zone I Only (A) Various Employer Associations and the UNION members are of Building and Construction Resource Center, Inc. (hereinafter "BCRC"), a non-profit corporation that was formed to provide services in the construction industry, including, but not limited to, education and referral services concerning alcohol, drug, and other substance abuse, which purposes are more fully defined in the Articles of Incorporation and By -Laws of said BCRC and Fund Trust Agreement and Declaration of Trust. (B) Each EMPLOYER under this Agreement shall pay to BCRC the amount specified in the wage and fringe benefit section of the Agreement which is ($0.13) thirteen cents per each hour worked by its employees covered by this Agreement beginning June 1, 2022 and ($0.15) fifteen cents per hour beginning June 1, 2023. Each EMPLOYER is obligated to make such contributions, regardless of whether or not such EMPLOYER is a member of BCRC. (C) Payments required to be made to BCRC shall be deemed to be governed by the provisions of this Agreement pertaining to the collection of the Health and Welfare and Pension payments required to be made by the EMPLOYERS and thus, may be enforced in the same manner. (D) The Board of Directors of BCRC will have full audit authority of the EMPLOYER'S books and records as they pertain to this contribution. (E) The Employees covered by this Agreement will abide by the provisions of the BCRC substance abuse program when required by the Owner. Substance Abuse Program Zone II &III Only. The UNION and the EMPLOYER, hereby agree that the Drug and Alcohol Testing program ("Program") administered by the Indiana Union Construction Industry Substance Abuse Trust is incorporated by reference herein and (21) GW yt31�t< made a part of this Agreement. The Trustees of the Program shall have the authority to amend the terms of the Program to which employees working under this Agreement will be subject. The Program will be funded by contributions to the Trust, which will be established by the Trustees of the Program. The Trustees of the Program shall have the authority to determine the amount to be contributed by signatory EMPLOYERS to defray the cost of the Program. The Trustees may set the contribution at any rate up to ten cents ($.10) per hour depending on the Trustees' assessment of the amount needed to fund the Program adequately to fulfill its purposes. Once the rate has been set, the Trustees may adjust the rate of contribution from time to time within the parameters set forth above, provided the Trustees give the EMPLOYER at least sixty (60) days notice of any such adjustment. It is agreed that the EMPLOYER contribution to this fund is not part of the wage/fringe package under this Agreement but is instead a separate additional contribution made by the EMPLOYER solely to fund the Program. Accordingly, the establishment or adjustment of the rate of contribution by the Trustees shall not affect the wage rates or the amounts set forth for contributions to fringes benefit funds under this Agreement. (22) ARTICLE XXIII Duration, Amendment and Termination Section 1. Term. This Agreement shall become effective June 1, 2022 and remain effective to and including May 31, 2025. It shall continue in effect from year to year thereafter, to and including May 31 st of each year, unless notice for amendment or termination is given in the manner provided herein. Section 2. Notice to Amend or Terminate. Either parry desiring to amend or terminate this Agreement must notify the other in writing at least sixty (60) but not more than ninety (90) calendar days prior to May 31 or any May 31 thereafter. Section 3. Mutual Amendment at any Time. This Agreement shall be subject to amendment at any time by mutual consent of the parties hereto. Such amendment shall be reduced to writing, state the effective date thereof and be approved and executed in the same manner as this Agreement. This Agreement is executed this day of Michiana Builders Association By: Zone 1: Jim Hiss Chairman Carpenters Negotiation Committee Bv: Zone 2: Larry Hayes 2022 Indiana/Kentucky/Ohio Regional Council of the United Brotherhood of Carpenter and Joiners of America Bv: Michael J. Kwiatkowski Executive Secretary-Treasurer/Business Manager (24) MICHIANA BUILDERS ASSOCIATION CONTRACTORS LABOR AGREEMENT WITH LABORERS, LOCAL UNION #645 EFFECTIVE JUNE 1, 2023 thru MAY 31, 2026 INDEX ARTICLEI - COVERAGE............................................................................................ 1 ARTICLEII - FOREMEN.............................................................................................. 7 7 ARTICLE III - EMPLOYERS BARGAINING AGENT ............................................... ARTICLEIV - UNION SECURITY...................................................... I....................... 7 ARTICLE V - WORKING DUES CHECK -OFF .......................................................... 8 ARTICLE VI - EQUAL EMPLOYMENT OPPORTUNITY ........................................ 9 ARTICLE VII - SELECTION OF LABOR -EMPLOYMENT REGULATIONS ......... 9 ARTICLE VIII - WELFARE TRUST FUND.............................................................. I I ARTICLE IX - PENSION TRUST FUND................................................................... 1 I ARTICLE - IX -A - DEFINED CONTRIBUTION TRUST FUND ............................ ARTICLE X - TRAINING TRUST FUND............................................................. I2 ARTICLEXI - NOTIFICATION................................................................................. 12 ARTICLE XII - PRE -JOB CONFERENCE................................................................. 12 ARTICLE XIII - WORKING HOURS AND OVERTIME ......................................... 13 ARTICLEXIV - SHIFT WORK.................................................................................. 16 16 ARTICLEXV - STEWARD........................................................................................ 17 ARTICLEXVI - NON-VIOLATION.......................................................................... ARTICLEXVII - PAY-DAY....................................................................................... 17 18 ARTICLE XVIII - SAFETY........................................................................................ 18 ARTICLE XIX - WORKER'S COMPENSATION..................................................... ARTICLE XX - ELIMINATION OF RESTRICTIONS .............................................. 18 ARTICLE XXI - SUB-CONTRACTOR...................................................................... 18 ARTICLE XXII - GRIEVANCE PROCEDURE......................................................... 19 ARTICLE XXIII - GENERAL PROVISIONS............................................................ 20 ARTICLE XXIV - BCRC - DRUG & ALCOHOL POLICY ...................................... 21 ARTICLEXXV - INDUSTRY FUND......................................................................... 21 ARTICLE XXVI - LOCAL UNION COVERAGE ..................................................... 22 ARTICLE XXVII - SCHEDULE OF FRINGE BENEFIT CONTRIBUTIONS......... 22 ARTICLE XXVIII - HOURLY WAGE RATES .................................................... ARTICLEXXIX - BONDING..................................................................................... 27 ARTICLE XXX - GENERAL SAVINGS CLAUSE ................................................... 28 ARTICLE XXXI - MANAGEMENT RIGHTS........................................................... 28 ARTICLEXXXII - UNIFORMITY............................................................................. 28 ARTICLE XXXIII - MEMORANDUM OF MARKET RECOVERY ........................29 ARTICLE XXXIV - INDEMNITY......................................................................... 31 ARTICLE XXXV - EFFECTIVE DATE.................................................................... . 31 DIRECTORY LABORERS' INT'L UNION OF NORTH AMERICA OFFICES...... 33 DIRECTORY LABORERS' INT'L UNION OF NORTH AMERICA....................... 34 DIRECTORY OF LOCALS BY COUNTIES.............................................................. 40 One (1) to Five (5) employees $10,000.00 Six (6) to Ten (10) employees $20,000.00 Eleven (11) or more employees $50,000.00 The UNION may withdraw bargaining unit Employees from EMPLOYERS who fail to maintain the bond required by this Article. The EMPLOYER assigns all right, title and interest in the Surety Bond to the UNION and Fringe Benefit Trust Funds, which shall have a priority interest to such Funds, and supersede the claims of all EMPLOYER'S creditors. Those EMPLOYERS who have regularly employed bargaining unit employees under this or a predecessor or successor contract during 24 consecutive months and who have made all payments herein required in a timely manner during that period are hereby exempt from famishing a Surety Bond until such time as they become delinquent. ARTICLE XVIII Drug Testing Program Zone I Only (A) Various Employer Associations and the UNION members are of Building and Construction Resource Center, Inc. (hereinafter "BCRC"), a non-profit corporation that was formed to provide services in the construction industry, including, but not limited to, education and referral services concerning alcohol, drug, and other substance abuse, which purposes are more fully defined in the Articles of Incorporation and By -Laws of said BCRC and Fund Trust Agreement and Declaration of Trust. (B) Each EMPLOYER under this Agreement shall pay to BCRC the amount specified in the wage and fringe benefit section of the Agreement which is (SO.13) thirteen cents per each hour worked by its employees covered by this Agreement beginning June 1, 2022 and ($0.15) fifteen cents per hour beginning June 1, 2023. Each EMPLOYER is obligated to make such contributions, regardless of whether or not such EMPLOYER is a member of BCRC. (C) Payments required to be made to BCRC shall be deemed to be governed by the provisions of this Agreement pertaining to the collection of the Health and Welfare and Pension payments required to be made by the EMPLOYERS and thus, may be enforced in the same manner. (D) The Board of Directors of BCRC will have full audit authority of the EMPLOYER'S books and records as they pertain to this contribution. (E) The Employees covered by this Agreement will abide by the provisions of the BCRC substance abuse program when required by the Owner. Substance Abuse Program Zone H & III Only. The UNION and the EMPLOYER, hereby agree that the Drug and Alcohol Testing program ("Program") administered by the Indiana Union Construction Industry Substance Abuse Trust is incorporated by reference herein and (21) made a part of this Agreement. The Trustees of the Program shall have the authority to amend the terms of the Program to which employees working under this Agreement will be subject. The Program will be funded by contributions to the Trust, which will be established by the Trustees of the Program. The Trustees of the Program shall have the authority to determine the amount to be contributed by signatory EMPLOYERS to defray the cost of the Program. The Trustees may set the contribution at any rate up to ten cents ($.10) per hour depending, on the Trustees' assessment of the amount needed to fund the Program adequately to fulfill its purposes. Once the rate has been set, the Trustees may adjust the rate of contribution from time to time within the parameters set forth above, provided the Trustees give the EMPLOYER at least sixty (60) days notice of any such adjustment. It is agreed that the EMPLOYER contribution to this fund is not part of the wageff-inge package under this Agreement but is instead a separate additional contribution made by the EMPLOYER solely to fund the Program. Accordingly, the establishment or adjustment of the rate of contribution by the Trustees shall not affect the wage rates or the amounts set forth for contributions to fringes benefit funds under this Agreement. (22) Striving to be Drug Free for a Safe Industry ■ P1k,t-v A ce.? A�.� Phone: (219) 764-9500 ■ Fax: (219) 764-9505 6050 Southport Road, Suite S ■ Portage, Indiana 46368 • www.bcrcnet.com PARTICIPATING UNION CRAFTS IN THE GEOGRAPHICAL JURISDICTION OF BCRC Please contact your local union to inquire proper instructions for the remittance of contributions. BOILERMAKERS PAINTERS: DISTRICT COUNCIL 91 LOCAL #374: (219) 845-1000 ; LOCAL #460: (219) 947-0420 BRICKLAYERS LOCAL #1118: (574) 246-4236 LOCAL #4 CHAPTER 6: (219) 769-3655 PIPEFITTERS LOCAL #4 CHAPTER 18: (574) 206-6730 ; LOCAL #597: (219) 213-2772 ELECTRICIANS (I.B.E.W.) ' LOCAL#531: (219) 362-2119 PLASTERERS & CEMENT MASONS LOCAL #697: (219) 945-0697 ; (OPCMIA) LOCAL #692 AREA 101, 165,406 & 438: ELEVATOR CONSTRUCTORS (317) 972-4720 LOCAL #2: (708) 907-7770 • HEAT AND FROST INSULATORS PLUMBERS LOCAL #17: (708) 468-8000 LOCAL #210: (219) 942-7224 LOCAL #75: (574) 282-1650 LDS ROOFERS 5A CENTRAL MIDWEST i �� LOCAL #23: (574) 288 6506 REGIONAL COUNCIL OF CARPENTERS LOCAL #26: (219) 756-3713 (CMRCC) & MILLWRIGHTS SHEET METAL WORKERS LOCAL #599, #1005, #1076, #1485: (219) 942-0518 LOCAL #20 GARY; (219) 764-1900 LOCAL ..,-LOCAL #413 SOUTH BEND (574) 233-2138 #20 SOUTH BEND: (574) 288-7175 LOCAL #1076 SOUTH BEND: (574) 269-4220 IRONWORKERS ` , SPRINKLER FITTERS LOCAL #395: (219) 763-7900 'LOCAL #281: (708) 597-1800 LABORERS TEAMSTERS LOCAL #41: (219) 924-7922 LOCAL #142: (219) 949-1550 LOCAL #81: (219) 462-8165 LOCAL #645: (574) 287-2967 TECHNICAL ENGINEERS OPERATING ENGINEERS ` ` LOCAL #130: (312) 421-1010 LOCAL #150: (219) 736-7710 ■ ' Trades instructed to remit contributions directly to BCRC, Mail Check, Fund Reporting Form and Man Hour Reports To: BCRC, Inc, • 6050 Southport Rd„ Suite B, Portage, IN 46368 Jodi Nuzzo (219) 764-1485 • Jnuzzo@bcrcnet,com Please check for updated forms on the website www,BCRCnet,com "Subiect to change, Updated 112024 Building & Construction Resource Center, Inc. DRUG &ALCOHOL POLICY AS REVISED AND ADOPTED JULY 19 2022 cnHo� r� Q �7 pRUG AND 41 � "Striving to be Drug Free for a Safe Industry" S,�pp�RAPFU['q� ® •TRADES �s°N Cou c�� • 50 GARY. �� Building & Construction Resource Center, Inc. Phone: (219) 764-9500 d Fax: (219) 764-9505 Toll Free: (877) 988-5400 6050 Southport Rd., Ste. B - Portage, IN 46368 www.BCRCNET.com Tish Roach Executive Director 'Perspectives (800) 456-6327 www. perspectivesltd.com Your Employee Assistance Program (EAP) INDEX PAGE Observed Return To Duty Testing . . . . . . . 44 Observed Follow -Up Testing . . . . . . . . . 45 Disputed Positive Results . . . . . . . . . . . 46 Appeals and Protections/Just Cause . . . . . . 47 Illinois — "Drug Free Workplace Act" — 30 ILCS 580 . . . . . . . . . . . . . . . . 49 Illinois — "Substance Abuse Prevention on Public Works Projects Act"— 820 ILCS 265 . . . . 50 Illinois — "Cannabis Regulation and Tax Act" — 410 ILCS 705 . . . . . . . . . . . . . . . . 51 Indiana — Drug Testing for Public Works — IND. Code 4-13-18 . . . . . . . . . . . . . 51 Letters of Notice for Random Testing . . . . .52 Attachment A — General Trades . . . . . . . . 52 Attachment B — Non -Bargaining . . . . . . . 53 Attachment C — Pipe Fitters Local #597 . . . 54 Attachment D — BCRC Authorization to Release and Disclose Information &, Documents . . . 55 Attachment E — BCRC Application Form . . . 57 — BCRC Permission Form to Obtain BCRC Status ..... 58 — BCRC Testing Information and Instruction Sheet . . . . . 59 Attachment F — BCRC On -Site Substance Abuse Testing Addendum . . . . . . . . . 6C Attachment G — BCRC Drug/Alcohol Testing Notification . . . . . . . . . . . . . 61 THE POLICY Persons who use or abuse drugs and/or alcohol, on or off their jobs, are likely to be less productive, to be less reliable, to be more frequently absent and to have other work -related problems that can cause increased costs, delays, accidents and injuries. 'Ihese Employees can also risk the health, safety and well-being of other workers on the job. The unionized construction industry can control and reduce this problem through recognition of the problem, development of a comprehensive policy and program of education and information, promotion of an Employee Assistance Program (EAP) and implementation of fair and respectful drug testing that conforms to the Drug and Alcohol Testing Industry Association (DATIA), the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Federal Department of Transportation Guidelines for specimen collection and analysis. All of this is to be done with the utmost confidentiality and respect for the individual. All Employers (as defined herein) hereby adopt the following policy: No Employee may use, possess, distribute, deliver, or be under the influence of a drug, or use or be under the influence of alcohol, while performing any work for the Employer. In order to enhance substance abuse awareness among all Employers and Employees, educational seminars and training programs will be offered. The educational seminars will be directed toward education in regards to the seriousness of the nationwide drug and alcohol abuse problem and how the use of drugs and alcohol negatively impacts safety, productivity, and the competitive ability of the American workforce. Supervisors will be trained to identify Employees in potentially difficult situations and to recognize signs of impairment, as well as the Supervisors'responsibility to document, intervene and 2 the needs of the individual. Individuals who take the initiative to contact the EAP for assistance do so with the assurance that their calls will be treated respectfully and confidentially. The direct services provided by the EAP are sponsored by BCRC. In compliance with Public Law 100-690 (the Drug -Free Workplace Act), which applies only to Employers who have federal grants or federal contracts of more than $ 100,000, an Employee who is convicted of a workplace drug or alcohol violation and who is employed by a BCRC affiliated Employer must report this information to his/her immediate supervisor no later than five (5) days after such conviction.1he Supervisor must report this information immediately to the Employer's Program Administrator. DEFINITIONS ■ Addendums (i.e., Attachment F) may be approved by the Board of Directors on an as -needed basis. Adulterated 5 ecirnen means a specimen that has been altered, as evidenced by test results showing either a substance that is not a normal constituent for that type of specimen or showing an abnormal concentration of an endogenous substance. Air Blank means, in evidential breath testing devices (EBTs) using gas chromatography technology, a reading of the device's internal standard. In all other EBTs, a reading of ambient air containing no alcohol. Alcohol means the intoxicating agent in beverage alcohol, ethyl alcohol, or other low molecular weight alcohols including methyl and isopropyl alcohol. Alcohol Concentration or content means the alcohol in a volume of breath expressed in terms of grams of alcohol per 210 liters of breath as indicated by an evidential breath test under this policy (BrAC). • Archived Status means the status of a person who has been inactive, deactivated, working outside of the geographic area covered by BCRC or otherwise taken out of the BCRC random pool. • Authorized Test means a drug and/or alcohol test performed in accordance with the provisions of this Policy and at the request (or direction) of BCRC. • BCRC means Building and Construction Resource Center, Inc., which is a not -for -profit corporation formed by labor and management representatives of the building and construction industry for Indiana & Illinois, for the purpose of addressing problems of drugs and alcohol in the workplace. • BCRC Poliev means all of the policies, procedures, and other matters set forth in this document (i.e., the BCRC Drug & Alcohol Policy) and all amendments and addenda to this document. ■ Breath Alcohol Technician. (BAT) is a person who instructs and assists employees in the alcohol testing process and operates an Evidential Breath Testing device (EBT). ■ Canceled Test means a drug or alcohol test that has a problem identified that cannot be or has not been corrected. A canceled test is neither a positive nor a negative test. An Employer is not permitted to take adverse ,job action based on a canceled test. • Card Manager is the individual designated by each Employer who has the authority to access data information that will confirm the status of Employees by electronic mail. 0 Confirmation or confirmatory Validitv Test a second test performed on a different aliquot of the original urine specimen to further support a validity test result. Confirmed DruLrTests a confirmation test result received by an MRO from a laboratory. Confirmator Test a) For alcohol testing, a confirmatory test is a second test following a screening test with a result of 0.02 or greater, conducted 15--30 minutes later, that provides quantitative data of alcohol concentration. This test is conducted on an Evidential Breath Testing Device (EBT). b) For controlled substances testing, a confirmatory test is a second analytical procedure on the same specimen to identify the quantitation and presence of a specific drug or metabolite. this confirmatory test is independent of the initial test and uses a different technique and chemical principle from that of the screening test in order to ensure reliability and accuracy. Gas Chromatography/Mass Spectrometry (GC/MS) is the only authorized confirmation method for cocaine, marijuana, synthetic opiates, opioids, amphetamines and phencyclidine. • Contractor Participant means an Employer who is a contributing member of BCRC. Controlled Substance means marijuana (THC), cocaine, synthetic opiates, opioids, oxycodones, MDA-analogues, phencyclidine (PCP), amphetamines (including methamphetamines), methaqualone, barbiturates, benzodiazepine, propoxyphene, methadone, 6-acetymorphine and ecstasy. 11 Drug Test means a test conducted for controlled substances. EmTyee means an Employee of a Company, or of a Contractor/Employer Participant, who is a member of BCRC. • Emolo�yee Assistance Program HEAP) Counselor means a Masters -level professional with an education in psychology, social work, counseling, etc. with knowledge of and clinical experience in diagnosis and treatment of alcohol and controlled substance related disorders. The EAP will assess and make recommendations concerning education, treatment, Observed Follow -Up Testing and aftercare. Em to er means a Company, or a Contractor/Employer Participant, who is a member of BCRC. • Evidential Breath TestinLr Device EBT means a device approved by NHTSA for the evidential testing of breath at the .02 and .04 alcohol concentrations, placed on NHTSAs Conforming Products List (CPL) for "Evidential Breath Measurement Devices" and identified on the CPL as conforming with the model specifications available from NHTSAs Traffic Safety Program. First Occurrence Clause means if an Employee does not report for a random test, and it is the first time the Employee has failed to report, the Third Party Administrator (TPA or BCRC) may allow the Employee to take the test without reporting to the EAP for further review. Employees may utilize this clause only one time. Gas Chromate rah /Mass S ectrometr Confirmation (GC/MS) is a state-of-the-art drug testing technology, providing a fingerprint of the detected drug. W • Licensed Medical Practitioner means a person who is licensed, certified, and/or registered, in accordance with applicable Federal, State, Local, or Foreign laws and regulations to prescribe controlled substances and other drugs. Medical Review Officer (MRO) means a Licensed Physician, registered with the .American Association of Medical Review Officers (www.aamroxom), responsible for receiving laboratory results generated by BCRC's drug testing program who has knowledge of substance abuse disorders and who has appropriate medical training to interpret and evaluate an individual's confirmed positive test result together with his/her medical history and any other relevant biomedical information. N/A or Not Available means that an Employee is not available for work and is not currently compliant with this Policy when used with respect to the BCRC status of an Employee. (NOTE: An Employee can be NIA for several reasons, which may or may not include failing a drug or alcohol test). New Em to eelA licant means a person who has not been previously tested by BCRC and includes a person referred for pre -employment testing. • Non -Compliant Event means any of the following: (a) a Positive Test for alcohol or drugs (which shall also include any Positive Tests that occur during any retesting), (b) an -Insufficient Specimen if an appropriate medical professional determines that there is no legitimate medical reason for the Insufficient Specimen, (c) a negative Dilute Specimen if the Employee fails to provide a second (Znd) testing sample within the applicable time period specified in this BCRC Policy 12 must be taken before an Employee can be returned to "clear" status. Such test is scheduled by the counselor at such time as the counselor deems appropriate after the EAP evaluation has been completed. This BCRC Policy requires such test following a Non -Negative test, missed random, walkout, Refuse to Submit as described in the BCRC Policy, or other Non -Compliant Event. If the test is not taken as directed by the EAP, the Employee will be required to return to the EAP. Out -of -Temperature Specimen means a specimen that is below 90°F or above 100OF at the time the specimen is obtained at the collection site. Owner means a business or other entity (or individual) that hires a "Contractor Participant" to perform work at their facility, office, and/or property. ■ Owner Requested job -Site RandomTesting means a Northwest Indiana Business Roundtable Owner, which has been approved by the Board of Directors, and may require a random drug test be done at their facility. The Employee will test within one hour of notification of the random test. The test may be performed at the Owner's facility no more than monthly provided there is an approved BCRC Collection Site at the facility. Positive Test alcohol occurs when an Employee's confirmatory test result reads 0.02 BrAC or higher. Positive Test dru s occurs when an HHS-certified laboratory reports a drug test as positive because a specimen contains a drug or drug metabolite equal to or greater than the cutoff concentrations. Post-Accident/IncidentTesting means drug and alcohol tests requested by an Employer following the occurrence of an accident and/or incident. 14 3. Fails(ed) to provide a urine specimen for any drug test required by this BCRC Policy; 4. In the case of a directly observed or monitored collection in a drug test, fails to permit the observation or monitoring of the Employee's provision of a specimen; 5. Fails(ed) to provide a sufficient amount of urine when directed, and it has been determined, through a required medical evaluation, that there was no acceptable medical explanation for the failure; 6. Fails(ed) or declines to take a second test the Employer or collector has directed the Employee to take; 7. Fails(ed) to undergo a medical examination or evaluation, as directed by the MRO as part of the verification process, or as directed by the policy. In the case of a pre -employment drug test, the Employee is deemed to have refused to test on this basis only if the pre -employment test is conducted following a contingent offer of employment; S. Fails(ed) to cooperate with any part of the testing process (e.g., refuse to empty pockets when so directed by the collector, behaves in a confrontational way that disrupts the collection process, provides incorrect or inaccurate information to the collection site or on necessary forms, or fails to complete all documents); 9. Provides a second (2nd) specimen that is dilute. Reinstatement Test is the test allowed by BCRC, which must be consistent with the Policy, to reactivate an Employee who has been on "Vacation" or "Archived 16 • Screening Test Technician (STT) means a person who instructs and assists employees in the alcohol testing process and operates an Alcohol Screening Device (ASD). • Sig Container means a container that is used for transporting and protecting urine specimen bottles and associated documents from the collection site to the laboratory. • Specimen means a sample of urine, used for analysis and/or diagnosis. For the purpose of this policy; specimen is defined as urine. • Specimen Battle means the bottle that, after being sealed and labeled according to the procedures in this policy, is used to hold the urine specimen during transportation to the laboratory. ■ Split Specimen means a part of the urine specimen that is sent to a first laboratory and retained unopened, and which is transported to a second laboratory in the event that the Employee requests that it be tested following a verified positive test of the primary specimen or a verified adulterated or substituted test result. ■ Substituted SpeClmen means a specimen with creatinine and specific gravity values that are so diminished that they are not consistent with human urine. • Testing Levels means levels at or above when a specimen is determined to be positive, and below when a specimen is determined to be negative. im DRUG TESTING BCRC will provide an identification card to each Participant which will reflect the results of the Drug & Alcohol Screen Test from the laboratory and/or as verified by the Medical Review Officer (MRO). To implement an appropriate and acceptable program, BCRC has adopted six (6) safeguards that reflect the standards established by the Drug and Alcohol Testing Industry Association (DATIA), U.S. Department of Health and Human Services (HHS) Substance Abuse and Mental Health Services Administration (SAMHSA) for testing mandated by the U.S. Department of Transportation. Those safeguards are as follows: 1. The integrity of collected urine specimens will be ensured by utilization of one collection procedure at all sites. Samples will be collected in accordance with federal standards that provide for a continuous Custody and Control Form and which recognize privacy concerns regarding the individuals being tested. 2. Testing will be conducted only by accredited labs that have obtained and retain HHS/SAMHSA certification. 3. All specimens that are positive in an initial screen must then be confirmed by gas chromatography/mass spectrometry (GC/MS). 4. A Medical Review Officer (MRO) will review all non -negative (positive) drug tests in order to verify positive test results. The MRO is a physician with specialty training and expertise in substance abuse and drug testing. The MRO will review lab -confirmed positive test results to ensure proper procedure, protocol and reporting. The MRO will make two (2) documented attempts, within twenty-four (24) hours of receiving the confirmed positive test result, to interview the individual who has a confirmed positive test result by 20 DRUG GROUP the BCRC drug -testing program will test for the following drugs at these levels: Drug Class Initial Test Confirmatory Level Test Level AMPHETAMINES 500 ng/mL Amphetamine 250 ng/mL Methamphetamine 250 ng/mL BARBITURATES 300 ng/mL Amobarbital 200 ng/mL Butalbital 200 ng/mL Pentobarbital 200 ng/mL Phenobarbital 200 ng/mL Secobarbital 200 ng/mL BENZODIAZEPINES 300 ng/mL Alprazolam Metabolite 200 ng/mL Oxazepam 200 ng/mL COCAINE METABOLITES 150 ng/mL 100 ng/mL MARIJUANA METABOLITES 50 ng/mL 15 ng/mL METHADONE 300 ng/mL 200 ng/mL METHAQUALONE 300 ng/mL 200 ng/mL MDA-ANALOGUES 500 ng/mL MDA 250 ng/mL MDMA 250 ng/mL OPIATES 2000 ng/mL Morphine 2000 ng/mL Codeine 2000 ng/mL OPIATES (SEMI -SYNTHETIC) 300 ng/mL Hydromorphone 100 ng/mL Hydrocodone 100 ng/mL 6-ACETYLMORPHINE 10 ng/mL 10 ng/mL OXYCODONES 100 ng/mL Oxymorphone 100 ng/mL Oxycodone 100 ng/mL PHENCYCLIDINE 25 ng/mL 25 ng/mL PROPDXYPHENE 300 ng/mL 200 ng/mL 22 PAYMENT FO R TESTING Costs related to an Authorized Test will be paid by BCRC, except for the following tests: A. Department of Transportation (DOT); (1) Pre -Employment Testing, (2) Return To Duty Testing, (3) Follow -Up Testing. B. Industrial Cleaning; (1) Pre -Employment Testing, (2) Reinstatement Testing. C. Pre -Screening Testing of Applicants; (1) Apprenticeship Pre -Screening. D. The following testing for a New Employee/Applicant/ Traveler whose initial drug test is confirmed as a Positive Test; (1) Any Observed Return To Duty Test, (2) Any Observed Follow -Up Testing required by the EAP, (3) Including any Dilute Retest Under Observation. E. Unauthorized/Unnecessary Tests; (1) Late Random without calling BCRC first, (2) Testing on a Clear Status, (3) Crane Certifications, (4) Testing for Employer Required Time Frame, (5) Retest of Disputed Specimen. F. Any other types of testing that BCRC determines, in its sole discretion, should be paid in a different manner and/or by a person (or entity) other than BCRC. Employees can only be moved to "Archived Status" by a Participating Local Union, a Contractor Participant or the BCRC. When an Employee has been on "Archived Status" for twelve (12) months or more, has not tested under the BCRC Policy within the past twelve (12) months, and is returning to the active BCRC pool, the following will apply: 24 BCRC shall also have the right to terminate and/or restrict the Card Manager privileges, e-mail status confirmation system access, and any other access to information contained in any BCRC database for any Employer who fails to comply with this Agreement, the BCRC Policy, or any payment obligations to BCRC. If an Employee fails to pay for any testing costs and/or other costs for which the Employee is responsible under this BCRC Policy, the BCRC status of such Employee shall be listed as "N/A" unless and until the Employee fully pays all such costs for which the Employee is responsible under this BCRC Policy. The policies for payment for the Employee's time for testing are: 1. For new or current union members, Employees seeking an initial test or the test is a condition of employment and Employees in the BCRC Policy will not be paid for their time in providing a specimen for the initial test. 2. All current Employees who are to test for any of the following reasons: late/missed random, probable cause, post -accident, diluted re --test, Observed Return To Duty, or Observed Follow -Up Testing, Reinstatement Test, or retest due to a flawed or rejected test, will not be paid for their time in providing a specimen for the test. 3. Employees will only be paid a stipend by BCRC for submitting to subsequent random testing: (a) required by the BCRC Policy (see Attachments A thru C) (b) in response to notification (by email, U.S. Mail or text message) from the BCRC Office (c) for which the Employee submits within seven (7) calendar days including the day BCRC gives notification for such random testing. It is understood that all testing will occur on the Employee's time.'Ihe Employee must submit for such testing within seven (7) calendar days including the day BCRC gives notification for such random testing. NO EXCEPTIONS! 26 Employees will be required to report to an approved collection site within seven (7) calendar days from the date of the Notice for Random Testing letter in order to maintain their BCRC identification card and status. No Employee will be required to submit to a random test more than twice (2) in a twelve (12) month period, unless chosen for an On -Site Random test. An Employee can be selected for an On -Site Random test every calendar month. All Employees will be selected for random testing at least once in a rolling twelve (12) months. If an Employee does not provide a sample at an approved collection site within seven (7) calendar days of BCRC issuing the notification of a random selection, his/her status in the BCRC Substance Abuse Program will be deemed "Not Available." Employees who fail to re- port for a random test in the required time forfeit their stipend and should contact the BCRC office. If an Employee does not report for a random test, and it is the first (1st) time the Employee has failed to report, the TPA (BCRC) may allow the Employee to take the test without reporting to the EAP for further review. BCRC will invoke the "First Occurrence Clause" at this time. Utilization of this clause is limited to only one (1) time during an Employees entire participation in BCRC. However, once this "First Occurrence Clause" has been utilized, an Employee who fails to report for a random test at any time in the future will be required to contact the EAP for evaluation and to receive instructions on the required procedure(s) for removing the "Not Available" status from his/her card. VACATION STATUS Subject to the requirements and exceptions set forth in this BCRC Policy, an Employee who has a "clear" status and is not subject to taking an Observed RTD Test or Observed Follow -Up Testing can call or e-mail the BCRC office to inform BCRC that the Employee will be traveling for vacation or a non -work related absence. Upon receipt of such notification, BCRC will switch the Employee to Vacation Status, which will make the Employee "Not Available." If the Employee is placed on Vacation Status, it is the Employee's responsibility to call BCRC upon returning so that the Employee's status can be updated. The Employee will return to the BCRC W If an Employee gives proper and timely notice to BCRC and the Employee is at a remote location where BCRC. cannot schedule the Employee for testing, BCRC will verify with the local participating Union and Contractor Participant that the Employee is out of the area.lhe Employee will then be put on Vacation Status until he/she returns and he/she will be subject to an immediate Observed BCRC Test when reporting back to work in BCRC's geographic area. Said test will be in addition to any Observed Follow -Up Test already assigned by the EAP Counselor. OWNER REQUESTED ON -SITE RANDOM TESTING An Owner may request that an "On -Site Random Selection" be done at their facility. An Owner's request must be approved by the BCRC Board of Directors and an addendum must be executed by both parties before the Owner is eligible to do such testing. Each Contractor Participant or Owner will submit a list of Employees working on -site that day or has access to the Owners' facility to the BCRC "Safe Site".1he BCRC will then generate a random selection of the submitted pool and return the selections to the appropriate party.lhis random may be done on a monthly basis.lhese On -Site Random Selections shall include only those Employees submitted. Any confirmed Non -Negative Test at these facilities will require an EAP evaluation prior to returning to work.lhe testing will be consistent with the Addendum contained herein as Attachment F. Any Post--Accident/Incident Testing and Probable Cause Testing of an Employee must be ordered by the immediate Employer of such Employee at the time of the accident, i n ci dent and/or event upon which such testing is based. Under this BCRC Policy, the Owner and/or any security service personnel cannot order Post-Accident/Incident Testing and/or Probable Cause Testing of an Employee who is employed by a Contractor Participant or is not their direct employee. Any requests for such testing by the Owner and/or any security service personnel must be directed to the immediate Employer of such Employee at the time of the accident, incident and/or event upon which the requested testing is based. 011 POST -ACCIDENT / INCIDENT TESTING A Contractor Participant may require an Employee to submit to Post-Accident/Incident Testing after the Employee's involvement in or cause of an accident/incident that causes injury to the Employee or another person. The Contractor Participant may also require an Employee to submit to Post-Accident/Incident Testing when the Employee is involved in or causes an accident and/or incident which results in damage or destruction to property. Post-Accident/Incident Testing must be both a Breath Alcohol Test (BAT) and a Urine Drug Screen (UDS) and must be completed within two (2) hours of the recorded accident/incident if a BCRC testing facility is located on the job site or within four (4) hours of the recorded accident/incident if an Employee is required to go off the job site to a BCRC testing facility. Any Employee suspected of unnecessarily delaying the testing process will be considered to have refused to submit to testing. If an Employee leaves the jobsite prior to submitting to Post-Accident/Incident Testing requested by the Contractor Participant, then the Employee will be considered to have refused to submit to testing; provided, however, this provision shall not apply if the Employee leaves the jobsite for the purpose of obtaining emergency medical treatment for the Employee or with the express authorization of the Contractor Participant and the Employee submits to such Post-Accident/incident Testing as soon as reasonably possible under the circumstances. In instances of Post-Accident/Incident Testing the Contractor Participant shall transport the Employee to the testing facility. It is recommended, but not required, that two (2) persons, each of whom is either a Contractor Participant Representative or a Union Representative, should accompany the Employee to the testing facility. At the option of the Contractor Participant, the Employee may be suspended pending the test result. In the event a negative test result is reported, the Employee shall be compensated for all lost time at the appropriate gate within the Collective Bargaining Agreement, straight or premium pay. 32 By referring an Employee for Post-Accident/Incident Testing, the Contractor Participant .represents to BCRC that the Contractor Participant has complied with these policies and procedures and any other policies and procedures required by law. BCRC. has no obligation to determine or confirm that the Contractor Participant has complied with such policies and procedures. The Contractor Participant must complete the BCRC Drug and Alcohol Testing Notification Form. The form must be sent to the BCRC Office via email to info@bcrcnet.com or facsimile to 219-764-9510. A copy of the notification form can bc found as Attachment G at the back of this booklet. The form must be received prior to the release of any testing information. RAPID TEST PROHIBITED A Rapid Test/Point of Collection Test shall not be used for any drug and alcohol testing performed for the BCRC Policy. "EMERGENCY" WORK ASSIGNMENTS To accommodate Owners with emergency work, craft personnel who have not previously held a BCRC identification card or taken an initial drug test, the following provisions will apply when starting for emergency work assignments: 1. Upon arrival at a job location for sign-up, the Designated Employer Representative or Card Manager shall request the Employee to present his/her BCRC identification card. 2. An individual who does not have a BCRC card at the time of hire will be requested to secure a card and submit to an initial drug test within one (1) day, in order to comply with the BCRC Policy. 3. An Employee without a BCRC identification card may work one (1) day. On the second (2nd) day, a Custody & Control Form (as proof of having submitted to a drug test) or a BCRC card must be presented. 34 CARD SYSTEM Employees will be required to give their BCRC Identification Card Number to their Contractor Participant's Card Manager in order for the Card Manager to access the e-mail confirmation system. Inquiries to the status confirmation system will provide the date of the Employee's last test and one (1) of the following BCRC status indicators: N/A meaning "Not Available" • CL meaning "Clear" Employees can also access their own status and update contact information through the membership portal under the "Member Utilities" tab on the www.bcrcnet.com homepage. STATUS CONFIRMATION A Contractor Participant may verify the status of all BCRC Employees who are current Employees of the Contractor Participant (or persons offered immediate employment by the Contractor Participant subject to BCRC employment eligibility verification).'Ihis includes any former Employees who have been recalled for immediate re-employment by the Contractor Participant and any persons who were referred to the Contractor Participant by a Participating Union for immediate employment, subject to BCRC employment eligibility verification. However, a Contractor Participant is not permitted to access any information from the BCRC database for any individual who is not a current Employee of the Contractor Participant or a person offered immediate employment by the Contractor Participant subject to BCRC employment eligibility verification. the Contractor Participant is required to obtain appropriate written consent from its Employees to access any information about such Employees from the BCRC database and is required to comply with all provisions of this BCRC Policy regarding access to such information. Such access can be obtained by having 36 Abuse Testing Addendum or other testing agreements with owners, BCRC shall report test results in accordance with the provisions of such Addenda and/or Agreements. For all Post -Accident/ Incident Testing and all Probable Cause Testing, BCRC has the right to provide all test results to the Contractor Participant that requested such testing. Zhe Contractor Participant must complete the BCRC Drug and Alcohol Testing Notification Form. The form must be sent to the BCRC Office via email to in @bcrcnet.com or facsimile to 219-764-9510. A copy of the notification form can be found as Attachment G at the back of this booklet.lhe form must be received prior to the release of any testing information. INSUFFICIENT SPECIMEN An Employee who provides an insufficient specimen of urine or breath when required to do so shall be referred to an appropriate medical professional for evaluation at the Participant's expense. If the medical evaluation fails to reveal an acceptable medical explanation for the inability to provide a specimen, the donor shall be considered to have refused to test and shall be subject to the rules as outlined in this policy. If a legitimate medical reason is revealed, the Employee will be subject to hair follicle testing pursuant to this BCRC Policy. DILUTE SPECIMEN Any Employee providing a Negative Dilute Specimen will be required to return to a collection site within forty-eight (48) hours to provide a second (2nd) specimen, on his/her own time. This second specimen shall be given pursuant to observed collection protocol and procedures, unless prohibited by applicable law. After the BCRC has scheduled the observed test, the obligation to inform the collection site of the requirement for an observed test shall lie solely with the Employee. Employees should refrain from excessive consumption of fluids prior to the retest. No adverse action shall be taken against any 0 further review and evaluation. However, these procedures shall not prohibit the specimen collector from immediately conducting a new collection using direct observation procedures in those cases where required by law. In those cases where the MRO is unable to determine whether a specimen is an Adulterated Specimen and/or a Substituted Specimen, the MRO directs a retest under direct observation because the creatinine concentration of the specimen was not consistent with medical expectations for human urine. The Employee shall be required to submit to immediate recollection pursuant to observed collection protocol and procedures without any prior notification to the Employee. After the BCRC has scheduled the observed test, the obligation to inform the collection site of the requirement for an observed test shall lie solely with the Employee. In addition, the Employee who has refused to be tested, or who uses or possesses a counterfeit drug card, shall be subject to Employer discipline up to and including discharge, subject to t he grievance procedures set forth in the applicable Unions Collective Bargaining Agreements. CONSEQUENCES FOR A NON -NEGATIVE OR POSITIVETEST 1. An Employee who tests Non -Negative or Positive for drugs shall be contacted directly by the Medical Review Officer (MRO). If the MRO verifies the results of the Non -Negative or Positive Test, the MRO will notify the Employee that he or she is ineligible for work and he/she will be directed to contact the TPA (BCRC). the BCRC will refer the Employee to the programs Employee Assistance Program (EAP) for consultation and review. If the MRO contacts the Employee and finds that there is a reason for the Non -Negative or Positive Test (i.e., an authorized prescription medication) all any Observed Follow -Up Testing or any Observed Retests for a Diluted Specimen, • Failure to report for a random test request within seven (7) days, or • Failure to submit to a drug or alcohol test when requested to do so by the EAP. 5. If a New Employee/Applicant/Traveler has an initial drug or alcohol test that is confirmed as a Positive Test, BCRC shall notify the applicable Local Union or Contractor Participant of the test results and the applicable Local Union or Contractor Participant shall advise BCRC as to the Local Unions or Contractor Participant's intent and decision regarding such New Employee/Applicant/Traveler. If the Local Union or Contractor Participant decides to keep such New Employee/Applicant/Traveler, the New Employee/ Applicant/Traveler shall pay all costs for: Any Observed Return To Duty Test(s), • Any Observed Follow -Up Testing required by the EAP, • Any subsequent testing required to be in compliance with the BCRC Policy. • Any costs associated with the Observed Return To Duty or the Observed Follow -Up tests including a retest for dilute will be the obligation of the employee. ADDITIONAL CONSEQUENCES FOR MULTIPLE NON -COMPLIANT EVENTS If any Employee has three (3) or more Non -Compliant Events within a twelve (12) consecutive month (rolling) period, the Employee shall not be permitted to take a Return To Duty Test until one (1) year after the most recent Non -Compliant Event within such twelve (12) consecutive month period and the Employee's BCRC Substance Abuse Card and status shall be N/A for the same time period.'Ihis policy and these procedures FAN pay for all subsequent Observed Follow -Up Testing and any Observed RTD Test(s), and shall require the Employee to return to the EAP for further evaluation and treatment. • If the Observed RTD Test is a confirmed Non -Negative Test, Positive Test, or Diluted Retest, it shall be a Non -Compliant Event, it shall constitute a "strike" for purposes of the 3 Strike Rule, it shall require the Employee to pay for all subsequent Observed Follow -Up Testing and any Observed RTD Test(s) in addition to the cost of the initial Observed RTD Test and shall require the Employee to return to the EAP for further evaluation and treatment. these policies and procedures apply each time that an Employee has been N/A for the one (1) year time period pursuant to the 3 Strike Rule and thereafter, requests a change in status under the BCRC, Policy.lherefore, if an Employee has a second one (1) year suspension pursuant to the 3 Strike Rule and thereafter requests a change in status under the BCRC Policy, BCRC will pay for any Observed Follow -Up Testing if the Observed RTD Test is negative, unless and until the Employee has a subsequent confirmed Non -Negative or Positive Test or other Non -Compliant Event. In such case, the Employee shall pay all costs for: • Any Observed Return To Duty Test(s), • Any Dilute Retest Under Observation, • Any Observed Follow -Up Testing required by the EAP, • Any subsequent testing required by the EAP. OBSERVED RETURN TO DUTY TESTING Observed Return To Duty test is required for an Employee to be reinstated into the BCRC program following any Non -Compliant Event (e.g., missed random, walkout, refusal to submit, etc.) as described in the Definitions of this BCRC Policy. The Participant DISPUTED POSITIVE RESULTS An Employee who disputes the results of a Positive Test or a Non -Negative Test for drugs shall have the right to have his/her initial sample independently re -tested by a Department of Health and Human Services (HHS) certified laboratory of his/her choice, at his/her own expense, but such re -testing will only be performed if BCRC receives a cashiers check, money order, travelers check, or cash for such re -testing within ten (10) business days after the Employee was notified of the test results that the Employee elects to dispute. If the Employee timely requests and pays for the retesting, a portion of the initial sample (or split specimen) shall be forwarded under a Custody and Control Form directly by BCRC's testing laboratory to the HHS laboratory selected by the Employee. Review of the drug test result must be performed by a qualified MRO who has been approved by BCRC. If the second lab report shows the presence of a drug or drug metabolite equal to or greater than the cutoff' concentrations, the test result will be considered Positive. If the second lab report test indicates no presence of a drug or drug metabolite equal to or greater than the cutoff concentration, then both tests will be considered negative. the following section only applies when the Employee tests due to Post-Accident/Incident Testing or Probable Cause Testing: If the test is negative, the affiliated Employer will reimburse the Employee for compensation lost at the appropriate rate within the Collective Bargaining Agreement, straight or premium pay, during the period of his/her disciplinary suspension or termination and will reimburse the Employee for the cost of the re -test. An Employee, whose test results are verified Positive by the MRO, will be referred to the EAP by the TPA (BCRC).'he Employee is expected to attend all appointments with the EAP Counselor, and to follow the EAP Counselor's recommendations and requirements. A Positive alcohol test conducted on a breath sample cannot be re -tested. All problem situations shall be resolved in accordance with current guidelines and standards established by the U.S. HHS/SAMHSA or U.S. Department of Transportation. M Upon receipt of a timely and proper written request for review, the Review Board shall perform the requested review. In performing the requested review, the Review Board (or any member or designated representative thereof) may, but is not required to, request additional information, obtain additional information, conduct interviews, hold hearings, and utilize any other procedures and/or methods that the Review Board deems appropriate. Any decisions of the Review Board shall be made by a majority vote of the members of the Review Board. Upon making any decision, the Review Board shall provide a written notice of such decision to the Employee, Contractor Participant, or Union that requested the review. Such written notice shall contain a description of the decision. The written notice may also contain a statement and/or summary of the reasons for the decision, but such a statement or summary is not required. Any decisions of the Review Board that relate to the interpretation and/or implementation of the BCRC Policy shall be final and binding and not subject to further review. However, any decisions of the Review Board that relate to compliance with federal, state, or local statutes, ordinances, and other laws may be submitted to binding arbitration pursuant to the Labor Arbitration Rules and Procedures of the American Arbitration Association (hereinafter "AAA"). Any such submission must be initiated within thirty (30) calendar days after the decision of the Review Board by filing a Demand for Arbitration with the AAA, paying the appropriate filing fees to the AAA, serving a copy of the Demand for Arbitration upon the Executive Director of the BCRC, and serving a copy of the Demand for Arbitration upon any other interested parties who were named in and/or who directly participated in the review conducted by the Review Board. If the thirtieth day is on a weekend or holiday, then the time period for requesting review shall be extended to the immediately following business day. In any such arbitration, the arbitrator (i.e., neutral) shall be bound substantively by the provisions of this BCRC Policy. All of the fees and expenses of the AAA and the arbitrator shall be paid by ILLINOIS —"SUBSTANCE ABUSE PREVENTION ON PUBLIC WORKS PROJECTS ACTS" - 820 ILCS 265 Employers who work on public works projects in Illinois must have a written substance abuse prevention program that meets or exceeds the followingrequirements: (1) at east a 9 panel urine drug test plus a test or alcohol NOTE: blood testing may only be used in post -accident tests); �2) a list ofprohibited­ actions and conditions listed below; (3) Employees must submit to pre -hire, random, reasonable suspicion, and post -accident drug and alcohol testing before the project begins, but not required for an Employee who has been participating in a random testing program during the 90 days preceding the date on which the Em loyee commenced work on the project; and (4) a procedure for noti ying the Employee of any violations or refusal to submit to a drug test. the prohibited Employee actions include using, possessing, distributin , delivering, or being under the influence of a drug and/or alcotol while performing work on a public works project. Any Employee with a Blood Alcohol Content at or above 0.02 is considered to be under the influence. this written program must be filed with the Illinois agency and made publicly available. Any Employee who violates the drug policy, tests positive for drugs, or refuses to submit to a dru test may not work on a public works roject until the Ernpioyee satisfies the following conditions: (1} the Employee has tested ne ative for presence of drugs and is not under the influence of alco)Tol; (2) the Employee has been approved to return to work in accordance with the Employers written substance abuse prevention program; and (3) the testing for drugs and alcohol was conducted in accordance with laboratory testzMepartment and Chain of Custody procedures as required by the U.S. of Health and Human Services. Upon meeting these conditions, an Employee may return to work if work for which he or she is qualified exists. For further reference, the Substance Abuse Prevention Prog$ram Requirements maybe found at 820 ILCS 265/10) 820 ILCS 265/15, and 820 ILCS 265/20; available at bttP.-11wwwJ1ga.gov/ legislation/ilcslilcs3. asp?ActID=2950&CbapterlD=68 50 Attachment A — General Trades: BCRC LETTER HEAD Letter of Notice for Random Testin Dear You have been selected by BCRC's computer generated random selection to take a random drug test for BCRC. You must be tested no later than midni ht da of Month 20 Our computer program selects the names of BCRC cardholders for a random each month. You can be selected up to twice in a twelve month period. In order to stay in compliance with BCRC and possess a clear (CL) BCRC card status you will be required to report to an approved collection site within seven (7) days from the date on this "Notice of Random Testing" letter the date on this letter is included in the seven days}. Please verify that the BCRC card number in the upper right hand corner of this notice matches your BCRC card number. If it does not match your BCRC card number, please notify our office immediately! this random test is to be taken on your own time at any of the BCRC approved collection sites identified on the enclosed collection site list. You will be mailed a $30.00 stipend for the time necessary to secure random testing only if your test is taken within the allotted seven (7) days of this notice. NO EXCEPTIONS! Failure to take your test by the date outlined above will result in your BCRC card status being deemed "Not Available" (NIA) and will require that you contact the BCRC office for instructions on the required procedure(s) for correcting the "NIA" status. In the event you are taking prescribed medication(s), DO NOT take them to the collection site. You will be contacted by our Medical Review Office (MRO), who will need your prescription information for the verification process. Please provide a legible and accurate telephone number on all forms at the collection site. Remember, it is your responsibility to keep your contact information current with BCRC. You can do so through the "Members Utilities" secure portal on the BCRC website at www.bcrcnet.com or by calling the BCRC office at the numbers listed below. Questions, contact the BCRC office @ 219-764-9500 or toll free @ 877-988-5400. thank you for your cooperation. Sincerely, Tish Roach Executive Director As a member of BCRC, you and your family have access to Perspectives, a fully independent, professional Employee Assistance Program (EAP). Perspectives twenty-four (24) hour, seven (7) days a week hotline number is (800) 456--6327. All calls to Perspectives are confidential. 52 Attachment C — Pipe Fitters — Local #597: BCRC LETTER HEAD Letter of Notice for Random Testin Dear You have been selected by BCRC's computer generated random selection to take a random drug test for BCRC. You must be tested no later than midnight da of (Month), 20 .Our computer program selects the names of BCRC cardholders for a random each month. You can be selected up to twice in a twelve month period. In order to stay in compliance with BCRC and possess a clear (CL) BCRC card status you will be required to report to an approved collection site within seven (7) days from the date on this "Notice of Random Testing" letter (the date on this letter is included in the seven da s). Please verify that the BCRC card number in the upper right hand corner of this notice matches your BCRC card number. If it does not match your BCRC card number, please notify our office immediately? This random test can be taken an ygur own time/taken on Ygur Employer/Contractor's time at any of the BCRC approved collection sites identified on the enclosed collection site: list. Failure to take your test by the date outlined above will result in your BCRC card status being deemed "Not Available" (NIA) and will require that you contact the BCRC office for instructions on the required procedure(s) for correcting the "NIA" status. In the event you are taking prescribed medications), DO NOT take them to the collection site. You will be contacted by our Medical Review Office (MRO), who will need your prescription information for the verification process. Please provide a legible and accurate telephone number on all forms at the collection site. Remember, it is your responsibility to keep your contact information current with BCRC. You can do so through the "Members Utilities" secure portal on the BCRC website at wzvw.bcrcnet.com or by calling the BCRC office at the numbers listed below. Questions, contact the BCRC office @ 219-764-9500 or toll free @ 877-988-5400. Thank you for your cooperation. Sincerely, Tish Roach Executive Director As a member of BCRC, you and your family have access to Perspectives, a fu11,y independent, professional Employee Assistance Program (EAP). Perspectives twenty-four (24) hour, seven (7) days a week hotline number is (800) 456-6327. All calls to Perspectives are confidential. 54 2. I also understand and acknowledge that I have read this Authorization to Release and Disclose Information and Documents (hereinafter "Authorization'), that I understand all of the provisions of this Authorization, and that I am signing this Authorization as my free and voluntary act. 3. I also understand and acknowledge that I have the right to revoke this Authorization at any time by providing a written notice of revocation to BCRC at the address listed above. Any such revocation shall not be effective until BCRC receives such written revocation and any such revocation shall not be effective as to any action taken by BCRC with respect to this Authorization prior to BCRC's receipt of such written revocation. 4. I also understand and acknowledge that BCRC has no obligations to exercise any control over the use by the Receiving Parties, including further disclosure by the Receiving Parties, of any information and/or documents that BCRC releases and/or discloses to the Receiving Parties pursuant to this Authorization. I hereby release and waive any claims that I may have against BCRC relating to the use by the Receiving Parties, including further disclosure by the Receiving Parties, of any information and/or documents that BCRC releases and/or discloses to the Receiving Parties pursuant to this Authorization. 5. I agree to defend, indemnify and hold harmless BCRC from any and all claims and liabilities relating and/or arising from BCRC's compliance with this Authorization. Signature: Name (Printed): Address of Signer: Date Signed: BCRC ID No.: Soc. Sec. No. Date of Birth: Driver's License No: 56 Attachment E PERMISSION FORM TO OBTAIN BCRC DRUG STATUS BY BCRC ID NUMBER OR SOCIAL SECURITY NUMBER Before an employee's BCRC status can be released to an employer verbally by BCRC, the employee must first sign for the release of his/her status by the use of his/her BCRC I.D. Number or Social Security Number. Per BCRC Policy Revision January 1, 2020, Page 36, Card System & Status Confirmation .Article: 'lhe card manager shall maintain the strictest confidentiality of the BCRC membership. The Employer is required to obtain appropriate written consent f rom its Employees to access any information about such Employees from the BCRC database, and is required to comply with all provisions of the BCRC Policy regarding access to such information. Such access can be obtained by having their card status ver�6ed on their job site in order to determine ifthe Employee is available or not available under the BCRCprogram. I , give my permission for the following company to obtain (please print your full name) the information of my availability status from BCRC by using my BCRC I.D. Number or my Social Security Number. Company Name: Company Card Manager Name: Card Manager Contact Phone Number: Site Location: Employee/Member Name: Employee/Member BCRC I.D. #: Driver's License #: State of Issue: Or Employee/Member Social Security Number: - Employee/Member Signature Date Please fax form back to BCRC at (219) 764-9505 *THIS FORM IS CONFIDENTIAL AND MUST BE HELD IN A SECURED LOCATION AT ALL TIMES` Attachment F BCRC On -Site Substance Abuse Testing Addendum Effective , 20 1) BCRC will cover all outside Contractors, non -bargaining personnel, and/or safety personnel working at heavy industrial facilities, light industrial facilities, health care facilities, and/or any public or private entity in Northwest Indiana for the purpose of substance testing, trackin and administration under the terms of this Addendum to the BCRC Policy. Testing will include Random On -Site Testing, Post-Accident/Incident Testing, Probable Cause Testing and Follow -Up Testing when required. 2) BCRC will identify to the Employer's and/or Owner's Designated Employer Representative (DER) anyone that has a non -negative (positive) test result, including walkouts or refusals to test, at the facilities where this amendment is adopted. Said participant would be "Not Available" (N/A) for employment at that facility until the participant has contacted the EAP for evaluation and to receive instructions on how to resolve their "N/A" status. If the result of the participant's Return To Duty Test is negative and he/she is and continues to comply with all the Follow -Up Testing protocol as outlined in the BCRC Policy the participant will be allowed to return to work. BCRC will identify anyone that has two confirmed non -negative (positive) tests, to include walkouts or refusal to test, at this facility to the Employer's/Owner's DER. 3) The Employer/Owner will provide BCRC with a list or" ool" from which random selections will be drawn. This list will consist only of Participants physicall on the Owner's site on the day the random selection is requested. BCRC will noti� the Employers/Owners DER or Card Manager of the random testing selections. Upon notification the selected participant has one hour plus travel time to report to an approved BCRC testing facility. Notification will be given during the same shift for wMch the pool was submitted and a minimum of two hours prior to the end of the participant's shift plus swipe time. Although no stipend will be paid, the test will count as a random test in the normal BCRC Policy. 4) Employers and Owners will be assigned a code number for access to the BCRC e-mail system for verification of availability of participants in their facility and internal auditing requirements. 5) Employers/Owners who require tests to be current within a specified time frame will -be obligated for the administration, implementation and cost of these tests since these tests are not consistent with the BCRC Policy. Example: Owner "A" requires that all Employees have a drug screen within the last one hundred eighty days (180). Any Employee that must test to be in compliance can do so provided it is not a violation of the applicable Collective Bargaining Agreement. This test will not he at the expense of BCRC. Gary Kebert, President BCRC Owner Representative Kevin Roach, Secretary BCRC Date Building & Construction Resource Center, Inc. Board of Directors 2021-2022 MANAGEMENT Adam Vidimos, President Northern In Sheet Metal Cont. Assoc. Margie Hofmann, Treasurer NWI Contractors Association Gary Kebert, Finance Committee NWI Contractors Association Rick Stovall, Finance Committee NWI Contractors Association Dewey Pearman CAF (At Large) Kelly Keough Plumbing & Piping Cont. Assoc. Bob Hoover Bricklayers Association Matt LaFree Nat'l Electrical Assoc. Tom Jarka NWI Contractors Association Michael Rios NWI Contractors Association Tony Bochniak Finishing Contractors Association David Cooper NWI Contractors Association Pete Korellis Roofing Contractors Association Fred Armstrong NWI Contractors Association Kurt Schmiegel NWI Contractors Association Laticia R. Roach Executive Director UNION Mike Toth Teamsters' Local 142 Mark McCleskey, Vice President Cement Finishers' Local 406 Kevin Roach, Secretary Laborers' Local 41 Tim Gillooley Pipefitters' Local 597 Randy Palmateer Building Trades Council (At Large) Sal Espino Plumbers' Local 210 Donald Summar Bricklayers' Local 4 Joree Richards IBEW Local Union 697 Ronald Ware, Jr., Finance Committee Ironworkers' Local 395 John Sorensen Operating Engineers' Local 150 Bob Zubrick Painters' Local 460 Kreg Homoky Sheet Metal Workers' Local 20 Marcus Bass Roofers' Local 26 Scott Cooley, Finance Committee IN/KY/OH Regional Council of Carpenters' Bart Holzhauser Technical Engineers' Local 130 00 MarshMcLennan Agency October 16, 2024 RE: MICHUDA-CRUZ INDIANA JV LLC Surety Prequalification Marsh McLennan Agency 20 N. Martingale Road, Suite 100 Schaumburg, IL 60173 T +1 888 429 0999 Zurich American Insurance Company and/or its subsidiary, Fidelity and Deposit Company of Maryland, have provided surety credit to Michuda-Cruz Indiana JV LLC, have provided surety credit in support of a single contract of $50 million and a work program of $100 million. Zurich/F&D is rated "A+" (Superior) with a financial size category of XV ($2 billion+) by AM Best and is listed on the Circular 570 of the Departement of Treasury, and licensed in all 50 states.. If Michuda-Cruz Indiana JV LLC, is awarded a contract for the referenced project and requests that we provide the necessary Performance and/or Payment Bonds, we will be prepared to execute the bonds subject to our acceptable review of the contract terms and conditions, bond forms, appropriate contract funding and any other underwriting considerations at the time of the request. Our consideration and issuance of bonds is a matter solely between Michuda-Cruz Indiana JV LLC and ourselves, and we assume no liability to third parties or to you by the issuance of this letter. We trust that this information meets with your satisfaction. If there are further questions, please feel free to contact me. Sincerely, Fidelity and Deposit Company of Maryland William Reidinger Attorney -in -Fact A business of Marsh McLennan Your future is limitless.-