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Opening of Bids - Cleveland and Portage Traffic Signal Improvements- Proj No 123-063 - Michiana Contracting
CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Cleveland Road at Portage Road Traffic Signal Improvements Project No. 123-063 For Bids Due November 12, 2024 PART I (Must be completed for all bids. Please type or print) Date: 11 /12/24 Bidder (Firm) Michiana Contracting INc City/State/Zip: Plymouth,. IN 46563 Telephone Number: (574 ) 936-8613 Email Address: skirkp_atrick@michianacontracting.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: Cleveland Road at Protage Road Traffic Signal Improvements Project No. 123-063 the City of South Bend, Indiana, in accordance with plans and specifications prepared by: Jones Petrie Rafinski, 325 S Lafayette Blvd, South Bend, IN 46601 and dated 10/03/24 for the sum of (enter the Total Bid as shown on the Proposal) Three Hundred Thirty One Thousand Nine Hundred Twenty Dollars (Enter sum of Total Base Bid plus Alternates shown on Proposal) 331,920.00 (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 addend upsatMthe4lwill be specifically referenced at the applicable page. gl' If additional units of mater('�r;l�rl�r�J ,contract are needed, the cost of units must be the same as that shown in the original cogbt. t-if*aaccepl:ed&y'the City of South Bend. If the bid is to be awarded on a unit basis, the itemization c4hp:4nit �e"sf in on a separate attachment. �•Go�' ey c_ SSignature) Sat Kirkpatrick, President (Printed Name of Person Signing) f�f►''►►a��� a,+o,`��� ACCEPTANCE The above bid is accepted this _ day of Subject to the following conditions: BOARD OF PUBLIC WORKS President Members 20 Version 5/20/2024 Contractor's Bid for Public Works - 2 PART II (For projects of $100,000 or more — IC 36-1-12-4) These statements to be submitted under oath by each bidder with and as part of his/her/its bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 1. Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid. 2. Attach a listing of public works projects currently in process of construction by your organization. 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. 4. Attach references from private firms for which you have performed work. SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 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. 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 5/20/2024 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 INDIANA ) ) SS: MARSHALL COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's Version 5/20/2024 Contractor's Bid for Public Works - 4 newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, firms, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of contract or employment, or any matter directly or indirectly related to contracting or employment because of race, sex, religion, color, national origin, ancestry, gender expression, gender identity, sexual orientation, or due to age or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions will consider the Contractor's good faith efforts to obtain participation by those subcontractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. Contractors seeking the award of a City contract cannot be required to award a subcontract to an MWBE; however, they may not unlawfully discriminate against said MBE/WBE. On goal -eligible contracts, Contractors are required to either meet both MBE and WBE utilization goals or demonstrate that the Contractor has made good faith efforts to obtain participation from MBE and WBE subcontractors. A finding of noncompliance or a discriminatory practice shall prohibit that Contractor from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact to which the discriminatory practice or noncompliance pertains. 7. The undersigned Contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder may result in forfeiture of contractual payments. Version 5/20/2024 Contractor's Bid for Public Works - 5 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 12th day of Nov , 2024 Michiana Contracting Inc onitra/r, Contractor/Bidder (Firm) 0, a tP RAT- i r6tgnature i G Uf Cnntlac or113i[lder or Its Agent SEAL`cott Kirkpatrick, President 'f Srinted Name and Title 'f., �ndiat►��,.�. ���1717111{1� Subscribed and sworn to before me this 12th day F November 20 24 My Commission Expires 06/12/27 Notary Public County of Residence Marshall LISA BOTTO Notary Public - Seal Marshall County - State of Indiana Commission Number NP0720753 My Commission Expires Jun 12, 2027 Version 5/20/2024 Contractor's Bid for Public Works - 6 .... AIA TM Document A31O- 2010 CONTRACTOR: SURETY: (Name, legal status and address) (Name, legal status and principal place Michiana Contracting, Inc. of business) NGM Insurance Company P. O. Box 929 P. O. Box 2300 This document has important legal Plymouth, IN 46563 Y Keene, NH 03431 consequences. Consultation with OWNER: an attorney is encouraged with (Name, legal status and address) respect to its completion or City of South Bend Board of Public Works modification. County -City Building Room 1316, 227 West Jefferson Blvd Any singular reference to South Bend, IN 46601 Contractor, Surety, Owner or BOND AMOUNT: other party shall be considered Five Percent of the Total Bid 5% of Total Bid plural where applicable. PROJECT: (Name, location or address, and Project number, if any) Cleveland Road at Portage Road Traffic Signal Improvements, Project No. 123-063 The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shal I obtain the Surety's consent for an extension beyond sixty (60) days. ��t�tlt"'�►., `% 4'Qntr,,C�rf �r If this Bond is issued in connection with a subcontractor's bid to a Conti -actor, the terns Contractor in thuslid'siia7l be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor, % When this Bond has been furnished to comply with a statutory or other legal requirement in the locatiotr1var the Project, fi any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted het�cfr�l� � provisions conforming to such statutory or other legal requirement sltali be deemed incorporated hereifi, When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law b6iid. "• �ti' Sigrteq,and scaled this 7th day of November 2024 �f'nyy ��►•�� lftib Michiana Cantra�.�n_g. Inc„ ili (Principal L, (Sea]) (Witness) V�,6m� (Title) Scott Kirkpatridk, Presidenta„n++++r,,,y� NGM Insurance Comoa3nV ;'� ou S_ (Surety) 19 {W tA essl (Title) nifer L. Ka znia, A mey-in-Fact" k!lryrylllft5P5R� CAUTION: You should sign an original AIA Contract Document, on w r this text appears in RED. An original assures that changes will not be obscured. Init. AIA Document A31011' — 2010. Copyright© 1963, 1970 and 2010 by The American Institute of Architects. All rights reserved. WARNING: This AIA' Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA® Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal counsel, copyright@aia.org. 061110 MAIN AMERICA �'innted POWER OIL ATTORNEY INSURANCE KNOW ALL MEN BY THESE PRESENTS: That NGM Insurance Company, a Florida corporation having its principal office in the City of Jacksonville, State of Florida, pursuant to Article IV, Section 2 of the By -Laws of said Company, to wit: "Article IV, Section 2. The board of directors, the president, any vice president. secretary, or the treasurer shall have the power and authority to appoint attorneys -in -fact and to authorize them to execute on behalf of the company and affix the seal of the company thereto, bonds, recognizances, contracts of indemnity of - writings obligatory in the nature of a bond, recognizance or conditional undertaking and to remove any such attorneys -in -fact at any time and revoke the power and authority given to them. " does hereby make, constitute and appoint William J. Cerney, Ill, Nicole L. Bicknell, Jennifer L. Kasznia, Mark E. Wobbe, Jordan E. Scheiber, Sandra L. Junk, Barbara E. Pearson, Theresa NI. Burns, Wesley Mantooth, Lisa Thomas, Faith D. Hunt, Pamela S. Higginbotham its true and lawful Attorneys -in -fact., to make, execute, seal and deliver for and on its behalf, and as its act and deed, bonds, undertakings, recognizances, contracts of indemnity, or other writings obligatory in nature of a bond subject to the following limitation: 1. No one bond to exceed Five Million Dollars ($5,000,000) and to bind NGM Insurance Company thereby as fully and to the same extent as if such instruments were signed by the duly authorized officers of NGM Insurance Company; the acts of said Attorney are hereby ratified and confirmed. This power of attorney is signed and scaled by facsimile under and by the authority of the following resolution adopted by the Directors of NGM Insurance Company at a meeting duly called and held on the 2nd day of Dccember 1977. Voted: That the signature of any officer authorized by the By -Laws and the company seal may be affixed by facsimile to any power of attorney or special power of attorney or certification of either given for the execution of any bond, undertaking, recognizance or other written obligation in the nature thereof; such signature and seal, when so used being hereby adopted by the company as the original signature of such office and the original seal of the company, to be valid and binding upon the company with the same force and effect as though manually affixed. IN WITNESS WHEREOF, NGM Insurance Company has caused these presents to be signed by its Assistant Secretary and its corporate seal to be hereto affixed this 24th day of August, 2023. NGM INSURANCE COMPANY By: Lauren K. Powcll a�'pnniinrr+rry�y 1923 a Assistant Secretary "lieO LD r� State of Wisconsin, County of Dane. On this 24th day of August, 2023, before the subscriber a Notary Public of State of Wisconsin W and for the County of Dane duly commissioned and qualified, came Lauren K. Powell of NGM Insurance Company, to me personally known to be the officer described herein, and who executed the preceding instrument, and she acknowledged the execution of same, and being by me fully sworn, deposed and said that she is an officer of said Company, aforesaid: that the seal affixed to the preceding instrument is the corporate seal of said Company, and the said corporate seal and her signature as officer Nvere duly affixed and subscribed to the said instrument by the authority and direction of the said Company; that Article IV, Section 2 of the By -Laws of said Company is now in force. IN WITNESS WHEREOF, 1 have hereunto set my hand and affixed t„v nfficial seal at Madison, Wisconsin this 24th day of August, 2023. a+W PUS I, Andrew Rose, Vice President of NGM Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a PoN\,er of Attorney executed by Said Company Milull is still ill full lurce and effect. IN WITNESS WHEREOF, I have hereunto Set my hand and affixed the seal of said Crn»pany at Madi.cnn, Wiwcrosin this 7th day of November 2024 nndreN• Rose, Vice President WARNING: ,Any unmilhorizcd rcproduulion or,iltcrarion of this documcnl is prohibited. TOCONFIRM V.yLID1Tl' of the tutached bond please call 1-603-354-5281. TO SURN]IT A CEAIM: Send all correspondence to jS Wcst Succt, Keene, NH 03131 Alin: Rond Claim Dept. or call our Rond Claim Dept. at 1-603-358-1417. RIGIBSON November 7, 2024 800.814.2122 800.836.2122 www7heGibson Edge.com City of South Bend Board of Public Works County/City Building, Room 1316 227 West Jefferson Blvd South Bend, IN 46601 RE: Michiana Contracting, Inc. Job: Cleveland Road at Portage Road Traffic Signal Improvements, Project No. 123-063 To Whom It May Concern: In compliance with the United States Department of Treasury's Listing of Certified Companies, this letter will serve to confirm that at this time the surety company, NGM Insurance Company, is listed with the United States Department of Treasury's Listing of Approved Sureties according to Department Circular 570. NGM INSURANCE COMPANY ■n,,,■s�snuny,�i /nifei.r 1923 L. Kaszniain Fact J K/ SECTION I EXPERIENCE QUESTIONNAIRE What public works projects has your organization completed for the period of one (1) year prior to the date of the current bid? Contract Amount Class of Work Completion Date Name and Address of Owner 398,282.00 Elec/LowVolt 2023 Chamberlain Elem Sch-Elec&Fire Alarm 1,400,262.00 Electrical 2023 DeKalb Co Airport -Runway Lighting 79,253.00 Electrical 2023 Smith Field Airport -Taxiway Lighting 377,237.00 Elec/Low Volt 2023 IUSB-Electrical & Fire Alarm 2. What public works projects are now in process of construction by your organization? Contract Amount Class of Work Expected Completion Date 2024 Name and Address of Owner Foraker SW&Tecumseh-Wastewater 1,124,863.00 Elec/Low Volt 162,800.00 Electrical 2024 St.Joseph co Hwy -Street Lighting Repair DeKalb Co Airport-NAVAJOS Relocate 1,577,277.00 Electrical 2024 497,624.00 Electrical 2024 City of South Bend -Signal Improvments 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. Have you ever failed to complete any work awarded to you? No. 4. Attach references from private firms for which you have performed work. HRP Construction, PO Box 266, South Bend, IN Mr. Matt Cain Brooks Construction, PO Box 9560, Fort Wayne, IN Mr. Eric Graft Malott Contracting Inc, PO Box 292, Kendallville, IN Mr. Andrew Schenkel Brown & Brown General Contractors Inc, PO Box 487, Wakarusa, IN 46573 Mr. Todd Marek Legacy Fire Protection, PO Box 2894, Elkhart, IN 46515 Mr. Bob Slabaugh SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE Attach an explanation of your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the City of South Bend to consider your bid.) If awarded this contract, we will start work when we receive the contract and notice to proceed and will work to keep pace with all involved for a timely completion, on or before the specified completion date. 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. See attached. 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. Listing will be provided upon request prior to contract approval. 4. Attach a fisting of equipment you have available to use for the proposed project. See attached. 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. Yes. ATTACHMENT TO Bid for: City of South Bend, Indiana Cleveland Road at Portage Road Traffic Signal Improvements Bid Date/Time: November 12, 2024 @ 9:00 am 1. Bidder Permanent Place of Business: Michiana Contracting Inc is an Indiana Corporation, Incorporated Sept 25, 1985 and is authorized to conduct business in the State of Indiana. with the physical address of: 7843 Lilac Road Plymouth, IN 46563 and the mailing address of: PO Box 929 Plymouth, IN 46563 Scott Kirkpatrick, President Lisa Botto, Secretary/Treasurer Phone: 574-936-8613 / Fax: 574-936-6201 Federal I.D. # 35-1657131 Duns # 17341-0754 2. Michiana Contracting Inc Listing of Equipment — see attached listing 3. Work Experience of similar nature — see attached listing of projects completed within the last 5 years. 4. Qualifications: ■ Indiana Department of Public Works — Certificate of Qualification • Indiana Department of Transportation — Certificate of Qualification S. Proposed plan for performing the project: We have reviewed in detail all pertinent plans, specifications and addendums relating to this project and will start work upon Award of Contract and Notice to Proceed. We will work to keep pace with all involved for a timely completion on or before the specified completion date. 6. Completion date for project: As stated in contract 7. Date on which work can commence: As soon as we receive Award to Contractor. MICHIANA CONTRACTING - EXPERIENCE DATE CONTRACT # CLASS DESCRIPTION CONTRACT $ 2018 C185 G INDIANA DUNES STATE PARK - ANNEX REMODEL $ 157,882.00 2018 C186 G/E FULTON COUNTY AIRPORT - CORPORATE HANGAR & OFFICE $ 1,183,750.00 2018 C1359 E MARSHALL CO AQUATIC CENTER - POOL ELECTRIC $ 680,093.00 2018 C1367 E DELPHI AIRPORT - EXTEND RWY DIV.0 $ 271,430.00 2018 C1365 E PERU AIRPORT- ELEC REHAB PHASE 1 $ 224,190.00 2018 C1366 E STARKE CO AIRPORT - EXTEND RWY PHASE #3 $ 198,982.00 2018 C188 G REES THEATRE - DEMOLITION $ 39,850.00 2019 C189 G/E CITY OF SOUTH BEND - VPA REMODEL $ 529,309.00 2019 C190 G/E TOWN OF CULVER - BEACH LODGE RENOVATION $ 1,720,950.00 2019 C1385 E CULVER TOOL & ENGINEERING - NEW BLDG ELECTRICAL $ S59,308.00 2019 C194 G/E NEW CARLISLE PUBLIC LIBRARY - RENOVATION $ 695,213.00 2020 C197 G/E PULASKI COUNTY LIBRARY - RENOVATION $ 1,343,597.00 2020 C1403 E PLYMOUTH SCHOOLS UH - ALT EDUCATION CTR $ 625,100.00 2020 C199 G/E ROCHESTER CITY DOWNTOWN - RENOVATIONS $ 569,073.00 2020 C1414 E CMA SCHRAGE LEADERSHIP BLDG-ELECTRICAL $ 526,000.00 2021 C1430 E/L IUSB SB849 SCHURZ LIBRARY - UPGRADE FIRE ALARM $ 209,725.00 2021 2101 G/E N.JUDSON ELEMENTARY SCHOOL - ADDITIONS/REND $ 598,985.00 2021 2102 G/E WABASH CO HWY GARAGE - RENOVATIONS $ 246,900.00 2021 2111 E SIGMA - CV1 ELECTRICAL INSTALLATION $ 105,000.00 2021 2115 G ROCHESTER ROUND BARN ROOFING $ 130,127.00 2021 2118 E CONCORD ELEMENTARY RENOVATIONS $ 356,200.00 2021 2128 E/G FAIRFIELD COMMUNITY SCHOOLS $ 3,371,200.00 2021 2122 E/G LIFEPLEX/FRESENIUS MEDICAL GENERATOR $ 78,969.00 2021 2130 E FULTON CO AIRPORT TAXIWAY A LIGHTING $ 664,628.00 2021 2131 E/L/G IUSB NORTHSIDE HALL MDF/IDF CLOSET UPGRADE $ 147,539.00 2021 2132 E MONROE CO AIRPORT REPLACE AIRFIELD ELEC SYSTEM $ 1,961,574.00 2021 2135 E/G CULVER TOOL & ENGINEERING - NEW BLDG ELECTRICAL $ 42,250.00 2021 2138 E ELKHART AIRPORT RUNWAY 9-27 LIGHTING REHAB $ 255,628.00 2021 2141 G CMA LOCKER ROOM RENOVATIONS $ 138,569.00 2022 2200 E LOGANSPORT RIVERSIDE PARK LIGHTING $ 68,596.00 2022 2208 G LOGANSPORT AIRPORT VAULT BUILDING $ 27,714.00 2022 2210 E B-41181 PLYMOUTH PARKS BRIDGE LIGHTING $ 119,650.00 2022 2215 E/L CHAMBERLAIN ELEM SCHOOL ELECTRICAL & FIRE ALARM $ 398,282.00 2022 2219 E PLYMOUTH LIGHTING RIVER PARK SQ PH2 $ 104,609.00 2022 2230 E DEKALB CO AIRPORT RUNWAY 9-27 LIGHTING $ 1,400,262.00 2022 2231 E SMITH FIELD AIRPORT TAXIWAY Al LIGHTING $ 79,252.50 2022 2237 E INDIANA UNIVERSITY SB ELECTRICAL & FIRE ALARM $ 377,237.00 2023 2306 E/L FORAKER SOUTHWEST & TECUMSEH WASTEWATER $ 1,124,863.00 2023 2309 E DAVIEES CO AIRPORT RUNWAY/TAXIWAY EXT LIGHTING $ 217,519.00 2023 2313 E LOGANSPORT SCHOOLS COLUMBIA&LANDIS SITE IMPROVS $ 269,617.00 2023 2316 E MODERN DOOR ELEC LINE INSTALLATION $ 31,720.00 2023 2317 E ST.JOSPEH CO HIGHWAY STREET LIGHT REPAIR/REPLACE $ 162,800.00 2023 2321 E CITY OF FORT WAYNE SIGNAL UPGRADES $ 199,550.00 2023 2322 E TRITON SCHOOL TENNIS COURT LIGHTING $ 36,800.00 2023 2326 € DEKALB CO AIRPORT NAVAIDS RELOCATION $ 1,577,277.00 2023 2329 E CITY OF SOUTH BEND SIGNAL IMPROVEMENTS $ 497,624.00 2024 2400 E CITY OF PERU SIGNAL IMPROVEMENTS $ 433,725.00 2024 2406 E TOWN OF NORTH LIBERTY PARK LIGHTING $ 50,510.00 2024 2407 E/L PCSC HIGH SCHOOL & SVC CNTR ELEC/FIRE ALARM/CCTV $ 487,779.00 2024 2410 L MICHIANA BEHAVIORAL CNTR FIRE ALARM UPGRADE $ 139,650.00 2024 2416 E SOUTH BEND FELLOWS STR BOOSTER STATION $ 1,282,598.00 2024 2421 E FORT WAYNE CLINTON STR SIDEWALK PEDESTRIAN SIGNAL $ 292,293.00 2024 2429 E R-43259 SIGNAL MODIFICATION 1469 & SR37 $ 868,628.00 2024 2433 E FORT WAYNE AIRPORT TAXIWAY G LIGHTING $ 608,991.00 MICHIANA CONTRACTING INC FORM 96, SECTION II, QUESTION 2, SUBCONTRACTOR LISTING Vendor Name ACORN LANDSCAPING AIRMARKING CO, INC AMERICAN OFFICE SERVICES, INC APEX CONSULTING & SURVEY INC ARNT ASPHALT SEALING INC ARTISAN MASONRY INC B&B CONTRACTING BADGER DAYLIGHTING CORP BELDON INTERIORS INC BERTSCH FRANK & ASSOCIATES BRUCE'S WELDING & FAB LLC CALUMET CIVIL CONTRACTORS INC CERULEAN PAINTING, INC. COMMUNICATION COMPANY OF SB CORE BORE OF INDIANA LLC CORE MECHANICAL SERVICES INC CRANE ENVIRONMENTAL SERVICES C-TECH CORPORATION INC D.A. DODD LLC DOUGLAS LANDSCAPE INC E&B PAVING LLC EDWARD J. WHITE INC ERS WIRELESS COMMUNICATIONS FAIRCHILD COMMUNICATION FUERBRINGER LANDSCAPE DESIGN G & G HAULING & EXC.,INC HARRIS GLASS CO., INC HIGHWAY SAFETY SERVICES INC INDIANA SIGN & BARRICADE INC INDIANA TRAFFIC SERVICES LLC Installed Building Products INTERIOR FINISHES INC JBL SIGNALS & LIGHTING JEFFREY COOPER PAINTING INC. JEM CONCRETE DRILLING & SAWING LAPORTE CONSTRUCTION CO., INC LEE COMPANY, INC LEMASTER STEEL ERECTORS LESLIE COATINGS INC MARK MILO ENTERPRISES INC MARSHALL COUNTY GLASS CO., INC MILESTONE CONTRACTORS MILESTONE FENCE LLC MILLWOOD ROOFING & CONST. INC MORRIS & SONS ROOFING INC MOVE OVER OUTFITTERS INC NEPTUNE CONSTRUCTION INC NEW ERA TECHNOLOGY Address 3680 W SAMPLE ST PO BOX 526 30257 CLEMENS ROAD 1313 BROADWAY 1240 SOUTH CRYSTAL AVENUE 2536 W INDUSTRIAL PARK DR 850 PO BOX 95000 LB 1627 1519 W JEFFERSON 811 LAWRENCE DR 1308 FOUNTAIN DR 4898 FIELDSTONE DR 4000 WEST 106TH ST 5320 S MAIN ST 20061 DICE ST PO BOX 500 921 KECK AVE 5300 W 100 NORTH 14 E. MICHIGAN 23590 ARDMORE TRL 286 W 300 N 1011 S MICHIGAN ST PO BOX 110 3185 N SHADELAND AVE 22539 BRICK ROAD 115 N COLUMBIA STREET 805 BURLINGTON AVE 4121 S 500 E 5240 E 25TH STREET 3865 NORTH COMMERCIAL PARKWAY dba Momper Insulation 3601 W. MCGILL ST 4316 TECHNOLOGY DR 18322 COUNTY ROAD 18 12914 INDUSTRIAL PARK DR PO BOX 577 27 S 12TH ST 53518 COUNTY ROAD 9 1101 EAST 30TH STREET 5015 E 250 S 7501 N. MICHIGAN ST 1700 E MAINS ST 3723 N HOME ST 1176W800N 208 E QUAD ST 3546 BRADY LANE PO BOX 39133 PO BOX 1243 City SOUTH BEND ROCH ESTER WESTLAKE FT WAYNE BENTON HARBOR BLOOMINGTON INDIANAPOLIS PHILADELPHIA PLYMOUTH FT WAYNE BLOOMINGTON WHITESTOWN CARMEL SOUTH BEND SOUTH BEND WARSAW EVANSVILLE BOGGSTOWN ROLLING PRAIRIE SOUTH BEND ANDERSON SOUTH BEND LIGONIER INDIANAPOLIS SOUTH BEND WARSAW LOGANSPORT LAFAYETTE INDIANPAPOLIS GREENFIELD Fort Wayne SOUTH BEND SOUTH BEND GOSHEN GRANGER LAPORTE TERRE HAUTE ELKHART INDIANAPOLIS KNOX PLYMOUTH GRIFFITH MISHAWAKA MILFORD BOURBON LAFAYETTE INDIANAPOLIS INDIANAPOLIS State Zip IN 46619 IN 46975 OH 44145 IN 46802 MI 49022 IN 47404 IN 46203 PA 19195 IN 46563 IN 46899 IN 47404 IN 46075 IN 46032 IN 46645 IN 46614 IN 46581 IN 47711 IN 46110 IN 46371 IN 46628 IN 46012 IN 46601 IN 46767 IN 46226 IN 46628 IN 46580 IN 46947 IN 47905 IN 46218 IN 46140 IN 46808 IN 46628 IN 46628 IN 46528 IN 46530 IN 46352 IN 47807 IN 46514 IN 46205 IN 46534 IN 46563 IN 46319 IN 46545 IN 46542 IN 46504 IN 47909 IN 46239 IN 46206 MICHIANA CONTRACTING INC FORM 96, SECTION II, QUESTION 2, SUBCONTRACTOR LISTING Vendor Name NIBLOCK EXCAVATING NORTH CENTRAL MECHANICAL INC OVERHEAD DOOR P & S CONCRETE, LLC PEERLESS-MIDWEST, INC PEREGRINE HEATING & COOLING PHEND AND BROWN INC PREMIER COMMUNICATION LLC PREMIUM CONCRETE SERVICES PWI R. YODER CONSTRUCTION RIETH RILEY CONSTRUCTION CO. ROSS MASONERY, INC RYAN FIRE PROTECTION INC SIMON CEILINGS & FRAMING SLUSSER'S GREEN THUMB SOLID FINISH CONSTRUCTION SOLID ROCK MASONRY INC SPECIALTIES COMPANY LLC SPOHN ASSOCIATES INC STATE BARRICADE INC STEVE'S ROOFING & SHEET METAL STONECREEK INTERIOR SYSTEMS SUPERIOR FLOORING LLC THE ART MOSAIC & TILE COMPANY THYSSENKRUPP ELEVATOR TMI LAWN SPRINKLER TRAFFIC CONTROL SPECIALISTS LL USI CONSULTANTS, INC VIDA PLUMBING & HEATING INC VINCENT LIGHTING SYSTEMS CO WERNTZ SUPPLY Address PO BOX 211 1721 N CEDAR ST STE 1 58745 EXECUTIVE DR 10995 3B ROAD 55860 RUSSELL INDUSTRIAL PARKW 610 E JEFFERSON STREET 367 E 1250N 902 INCENTIVE DRIVE 712 RICHMOND ST 7930 W 1000N PO BOX 69 PO BOX 477 20750 ROOSEVELT ROAD 9740 E 148TH STREET 28830 NEW ROAD 125 MONTGOMERY STREET 4666 E 1177 S 14337 LAWRENCE LAKE DR 9350 E 30TH ST PO BOX 7096 DEPT 242 PO BOX 3751 5108 S COMMERCIAL ST 7603 GREEN MEADOWS DRIVE 12970 MCKINLEY HWY STE B PO BOX 569 2801 NETWORK BLVD STE 700 14578 ST RD 4 1810 W. PACIFIC AVE. 8415 E 56TH ST 52007 Plantion Drive PO BOX 6202 1002 KERR ST City BRISTOL MISHAWAKA MISHAWAKA PLYMOUTH MISHAWAKA PLYMOUTH MILFORD FORT WAYNE ELKHART NAPPANEE NAPPANEE GOSHEN SOUTH BEND NOBLESVILLE NORTH LIBERTY LOGANSPORT GALVESTON PLYMOUTH INDIANAPOLIS INDIANAPOLIS SOUTH BEND BLOOMINGTON LEWIS CENTER MISHAWAKA SOUTH BEND FRISCO GOSHEN KNOX INDIANAPOLIS Granger HERMITAGE SOUTH BEND State IN IN IN IN IN IN IN IN IN IN IN IN IN IN IN IN IN IN IN IN IN IN OH IN IN TX IN IN IN IN PA IN Zip 46507 46545 46544 46563 46545 46563 46542 46825 46516 46550 46550 46526 46614 46060 46554 46947 46932 46563 46229 46207 46619 47403 43035 46545 46624 75034 46528 46534 46216 46530 16148 46601 Michiana Contracting Inc - Equipment List Michiana Contracting Inc - Equipment List ZEQ1101 1998 CHEVY 2500 UTILITY 251995 ZEQ1528 WRIGHT GARBAGE/TRASH HOPPER ZEQ1102 2003 CHEVY 2500 HD 348270 ZEQ1529 2005 CAT 304CR MINI D03085 ZEQ1104 2004 CHEVY 2500 HD 318871 ZEQ1530 2005 CAT 430D BACKHOE K06657 ZEQ1105 2004 CHEVY 2500 HD 317115 ZEQ1531 2005 VERMEER RT450 4X4 TRENCH ZEQ1106 2005 CHEVY 2500 263054 ZEQ1532 2006 INGERSOLL G75 GENERATOR ZEQ1107 2005 CHEVY 1500 225993 ZEQ1533 2007 MAGNUM LIGHT TOWER 1402 ZEQ1109 2006 GMC 2500 249114 ZEQ1534 2007 MAGNUM LIGHT TOWER 1404 ZEQ1110 2006 CHEVY 2500 247380 ZEQ1535 2007 CAT 305CCR MINI J01937 ZEQ1111 2006 CHEVY 2500 247026 ZEQ1536 2007 D7X11 BORE MACHINE 000692 ZEQ1112 2007 CHEVY 2500 HD 548934 ZEQ1537 2007 YALE FORKLIFT ZEQ1113 2007 CHEVY 2500 HD 548670 ZEQ1538 2008 VERMEER BORE MACH 000606 ZEQ1114 2008 CHEVY 2500 HD 200973 ZEQ1539 2009 STEPP TAR BUGGY 127031 ZEQ1115 2008 CHEVY 3500 HD 200662 ZEQ1540 2010 CAT 305CCR MINI EXC 04371 ZEQ1117 2009 CHEVY 1500126749 ZEQ1541 2011 BOBCAT S630 SKID LOAD 348 ZEQ1118 2009 CHEVY SILVERADO 4X4161558 ZEQ1542 2011 VERMEER 1250 QUAD TRACK ZEQ1119 2011 CHEVY CRUZE 192669 ZEQ1543 2012 CAT 262C SKID LOADER 3195 ZEQ1120 2012 CHEVY 2500HD 4X4191034 ZEQ1544 2012 BOBCAT S750 SKID LOADER ZEQ1121 2013 CHEVY 2500123371 ZEQ1545 2013 ATLAS COPCO AIR COMPRESS ZEQ1122 2013 CHEVY 1500 4X4195537 ZEQ1546 2014 BOBCAT TRAC T630 U14093 ZEQ1123 2014 CHEVY SILVERADO 312072 ZEQ1547 CAT EXC AUGER ATTACH 15992 ZEQ1124 2014 CHEVY 1500 4X4103417 ZEQ1548 CAT 305.5 MINI EXCAVATOR ZEQ1125 2015 CHEVY SILVERADO 533191 ZEQ1549 NORTHSTAR POWER WASHER ZEQ1126 2015 CHEVY SILVERADO 534361 ZEQ1550 GENERATOR BACKUP -MCI BLDG ZEQ1127 2016 CHEVY SI LVERADO 132557 ZEQ1551 LOOP SAW W-60LS-STR WOLVERINE ZEQ1129 2016 CHEVY COLORADO 122058 ZEQ1552 AIR COMPRESSOR SULLIVAN 32845 ZEQ1130 2017 CHEVY 2500 HD 304522 ZEQ1553 BRUSH CUTTER #SSRC22110102 ZEQ1131 2017 CHEVY 2500 HD 304872 ZEQ1555 KUBOTA 110DUS 24HP AC ZEQ1132 2018 CHEVY SILVERADO 215299 ZEQ1556 CRACKPRO125DA TAR BUGGY 420413 ZEQ1133 2018 CHEVY SILVERADO 323611 ZEQ1557 2020 VERMEER VACVX5-500 284213 ZEQ1134 2018 CHEVY SILVERADO 377032 ZEQ1558 ATLAS COPCO HILIGHT TWR 913294 ZEQ1135 2019 CHEVY SILVERADO110473 ZEQ1559 ATLAS COPCO HILIGHT TWR 913295 ZEQ1136 2019 CHEVY SILVERADO 207738 ZEQ1560 TAKEUCHI TRAC SKID STEER806254 ZEQ1138 2019 CHEVY SILVERADO 241211 ZEQ1601 1988 STAFFORD TRAILER 17249 ZEQ1139 2020 CHEVY SILVERADO 408771 ZEQ1602 1990 WELLS CARGO JOB TRAILER ZEQ1140 2020 CHEVY SILVERADO 391996 ZEQ1603 1993 CHILTON POLE TRLR 010409 ZEQ1142 2021 CHEVY SILVERADO103365 ZEQ1604 1993 BELSHE T16 TRAILER 023894 ZEQ1143 2021 CHEVY SILVERADO 115156 ZEQ1605 1995 BELSHE R62 TRAILER 026957 ZEQ1144 2021 CHEVY SILVERADO 167529 ZEQ1606 1996 BELSHE RB2 TRAILER 027219 ZEQ1145 2022 CHEVY 2500136239 ZEQ1607 199616'REEL TRAILER/OKLA 0142 ZEQ1146 2022 CHEVY 2500182462 ZEQ1608 1997 BELSHE GT2 TRAILER 030475 ZEQ1147 2022 CHEVY 2500182572 ZEQ1609 1998 WHEELER REEL TRLR 519007 ZEQ1148 2012 CHEVY 2500 VAN 103623 ZEQ1610 1998 BLACKHAWK GASPIPE TRAILER ZEQ1149 2022 CHEVY SILVR 3500HD 224551 ZEQ1611 1998 DAWSON T4 TRAILER 355738 ZEQ1150 2023 CHEVY SILVR 2500 231684 ZEQ1612 1998 CUSTOM TRAILER 002171 ZEQ1151 2023 CHEVY SILVR 2500 231868 ZEQ1613 1998 TRAIL KING TRAILER 064525 ZEQ1152 2023 CHEVY SILVR1500 138382 ZEQ1614 1998 WELLS CARGO TR 1082202 ZEQ1153 2023 CHEVY SILVR1500 133634 ZEQ1615 1999 REDI HAUL TRAILER 014776 Michiana Contracting Inc - Equipment List Michiana Contracting Inc - Equipment List 2016 CHEVY SILVR 250OHD 360508 ZEQ1616 1999 REEL TRAILER 2024 CHEVY SILVR 250OHD 332012 ZEQ1617 MICHAEL TRAILER 1203M 380102 2024 CHEVY SILVR 2500 331668 ZEQ1618 1999 WELLS CARGO TR 1085113 2024 CHEVY SILVR 2500 331228 ZEQ1619 1999 WELLS CARGO TR 1085111 1998 IHC 4700 BUCKET 492876 ZEQ1620 REEL TRAILER CUSTOM BUILT 2003 FRTLNR FL70 BUCKET L88270 ZEQ1621 2017 BELSHE TRAILER TBO14 3142 2006 GMC 5500 BUCKET 431755 ZEQ1622 2007 BELSHE DT256 TRAILER 3989 2007 GMC 5500 BUCKET 411286 ZEQ1623 2007 BELSHE DT256 TRAILER 3993 2009 INTL 4300 DURASTAR 052056 ZEQ1624 2007 WELLS CARGO TRAILER 20485 2010 FRTLNR BCKT/ALTEC AM8397 ZEQ1625 2008 REDI HAUL TRAILER TRI-9 2010 FRTLNR BCKT/ALTEC AM8394 ZEQ1626 2008 REDI HAUL TRAILER TR19 2014 FORD F550 BUCKET B37459 ZEQ1628 2008 SUPERLINE TRAILER 283046 2015 FORD F550 BUCKET B12858 ZEQ1629 2008 WELLS CARGO TRLR 122906 2004 INTL 4400 DUMPTRK 618035 ZEQ1630 2008 WELLS CARGO TRLR 122909 2007 FRTLNR M2 DUMPTRK Y25547 ZEQ1631 2013 14'DUMP TRAILER 020733 1999 PBLT DUMP TRK #502289 ZEQ1632 2015 BELSHE FB30 TRLR 048188 1997 FORD LT900 W/NAT'L A00160 ZEQ1633 2015 MSI 12' DUMP TRLR 005229 2000 GMC 7500 W/NAT'L 508265 ZEQ1634 2015 MSI TX16 CARGO MATE084538 2001 INTL 4700 W/NAT'L 351654 ZEQ1635 2016 MSI TX16 CARGO MATE088535 2014 KW T470 W/NATL CRANE9103A ZEQ1636 2016 BELSHE DUAL AXLE S WHEEL AIR COMPRESSOR/LOOP TRAILER ZEQ1637 2016 BELSHE DUAL AXLE S WHEEL MILLER TRAILER ZEQ1638 2020 7X16 CARGO MATE TRLR NPK BACKHOE CONCRETE BREAK ZEQ1639 2022 TRAVERSE+6 TRAILER 011639 BOBCAT CONCRETE BREAKER ZEQ1640 NORSTAR IRONBULL TRLR 018095 CONCRETE MIXER ZEQ1641 NORSTAR IRONBULL TRLR 020744 GAR-BRO CONCRETE BUCKET ZEQ1701 1998 VOLVO 11 YARD VACUUM TRK FFC PREPARATOR SOIL RAKE ZEQ1703 2003 GMC 4500 FLAT BED 505899 NEW HOLLAND 716B SNOW BLOWER ZEQ1704 KAWASKI 550 MULE KAF300C BOBCAT BROOM ZEQ1705 2006 FORD F550 BOX TRK A45743 30C AUGER ATTACHMENT BOBCAT ZEQ1706 2007 FRTLNR COLUMBIA 120 SEMI 1997 VERMEER LM42 PLOW/TRENCH ZEQ1707 2011 JD GATOR 8251 VIN023317 1997 I/R RT706G FORKLIFT ZEQ1709 JOHN DEERE GATOR XT 040145 TARGET PR035111361006 ZEQ1710 2019ISUZU NPR VIN008833 1998 TARGET PR035111292723 ZEQ1801 2009 ALLMAND ARROWBOARD 0113 1999 CAT 416C IT BACKOE ZEQ1802 2009 ALLMAND ARROWBOARD 0111 VERMEER V5750 TRENCHER 000683 ZEQ1803 2009 ALLMAND ARROWBOARD 0108 1999 RING OMATIC JETVAC 303972 ZEQ1804 2009 ALLMAND ARROWBOARD 0112 2000 GENIE GS 1930 LIFT 35251 ZEQ1805 2019 TRINITY ATTENUATOR VORTEQ VERMEER DT750 MIX (BIG BORE) ZEQ1806 WANCO WORKSITE TRAILER 007220 VERMEER MX125 MIX (LIL BORE) ZEQ1807 WANCO WORKSITE TRAILER 007218 2004 CAT GC25K-FORKLIFT 003490 Z-EQ1808 WANCO--WORK-SITE TRAILER-007-216 2004 ATLAS XAS97 AIR COMP 9015 ZEQ1809 WANCO WORKSITE TRAILER 007217 2004 ATLAS XAS97 AIR COMPRESS ZEQ1810 WANCO WORKSITE TRAILER 007223 2003 JLG 2630ES SCISSOR 116395 ZEQ1811 WANCO WORKSITE TRAILER 007218 2005 JLG 2030ES SCISSOR 134341 ZEQ1812 WANCO WORKSITE TRAILER 007222 2005 JLG 2030ES SISSOR 126979 ZEQ1813 WANCO WORKSITE TRAILER 007221 2005 TEREX GTX842 42FORK 6447" ZEQ1814 2019 VERMAC ARROWBOARD 223022 Michiana Contracting Inc - Equipment List ZEQ1815 2019 VERMAC ARROWBOARD 223921 ZEQ1816 2019 VERMAC ARROWBOARD 223925 ZEQ1817 2019 VERMAC ARROWBOARD 223894 ZEQ1818 2019 VERMAC ARROWBOARD 223886 ZEQ1819 2019 VERMAC ARROWBOARD 223905 ZEQ1820 ATTENUATOR W/ARROW BOARD ZEQ1821 ATTENUATOR W/ARROW BOARD ZEQ1822 VERMAC MSG BOARD SN000133 ZEQ1823 VERMAC MSG BOARD SN000165 ZEQ1824 VERMAC MSG BOARD SN000166 ZEQ1825 VERMAC MSG BOARD SN000136 ZEQ1826 VERMAC MSG BOARD SN000167 ZEQ1827 VERMAC MSG BOARD SN000168 ZEQ1828 VERMAC MSG BOARD SN000236 ZEQ1829 VERMAC MSG BOARD SN000211 ZEQ1830 VERMAC MSG BOARD SN000205 ZEQ1831 VERMAC MSG BOARD SN000210 Michiana Contracting Inc - Equipment List MICHIANA CONTRACTING - EXPERIENCE DATE CONTRACT # CLASS DESCRIPTION CONTRACT $ 2018 C185 G INDIANA DUNES STATE PARK - ANNEX REMODEL $ 157,882.00 2018 C186 G/E FULTON COUNTY AIRPORT - CORPORATE HANGAR & OFFICE $ 1,183,750.00 2018 C1359 E MARSHALL CO AQUATIC CENTER - POOL ELECTRIC $ 680,093.00 2018 C1367 E DELPHI AIRPORT - EXTEND RWY DIV.0 $ 271,430.00 2018 C1365 E PERU AIRPORT - ELEC REHAB PHASE 1 $ 224,190.00 2018 C1366 E STARKE CO AIRPORT - EXTEND RWY PHASE #3 $ 198,982.00 2018 C188 G REES THEATRE - DEMOLITION $ 39,850.00 2019 C189 G/E CITY OF SOUTH BEND - VPA REMODEL $ 529,309.00 2019 C190 G/E TOWN OF CULVER - BEACH LODGE RENOVATION $ 1,720,950.00 2019 C1385 E CULVER TOOL & ENGINEERING - NEW BLDG ELECTRICAL $ 559,308.00 2019 C194 G/E NEW CARLISLE PUBLIC LIBRARY - RENOVATION $ 695,213.00 2020 C197 G/E PULASKI COUNTY LIBRARY - RENOVATION $ 1,343,597.00 2020 C1403 E PLYMOUTH SCHOOLS UH - ALT EDUCATION CTR $ 625,100.00 2020 C199 G/E ROCHESTER CITY DOWNTOWN - RENOVATIONS $ 569,073.00 2020 C1414 E CMA SCHRAGE LEADERSHIP BLDG-ELECTRICAL $ 526,000.00 2021 C1430 E/L IUSB SB849 SCHURZ LIBRARY - UPGRADE FIRE ALARM $ 209,725.00 2021 2101 G/E N.JUDSON ELEMENTARY SCHOOL-ADDITIONS/REND $ 598,985.00 2021 2102 G/E WABASH CO HWY GARAGE - RENOVATIONS $ 246,900.00 2021 2111 E SIGMA - CV1 ELECTRICAL INSTALLATION $ 105,000.00 2021 2115 G ROCHESTER ROUND BARN ROOFING $ 130,127.00 2021 2118 E CONCORD ELEMENTARY RENOVATIONS $ 356,200.00 2021 2128 E/G FAIRFIELD COMMUNITY SCHOOLS $ 3,371,200.00 2021 2122 E/G LIFEPLEX/FRESENIUS MEDICAL GENERATOR $ 78,969.00 2021 2130 E FULTON CO AIRPORT TAXIWAY A LIGHTING $ 664,628.00 2021 2131 E/L/G IUSB NORTHSIDE HALL MDF/IDF CLOSET UPGRADE $ 147,539.00 2021 2132 E MONROE CO AIRPORT REPLACE AIRFIELD ELEC SYSTEM $ 1,961,574.00 2021 2135 E/G CULVER TOOL & ENGINEERING - NEW BLDG ELECTRICAL $ 42,250.00 2021 2138 E ELKHART AIRPORT RUNWAY 9-27 LIGHTING REHAB $ 255,628.00 2021 2141 G CMA LOCKER ROOM RENOVATIONS $ 138,569.00 2022 2200 E LOGANSPORT RIVERSIDE PARK LIGHTING $ 68,596.00 2022 2208 G LOGANSPORT AIRPORT VAULT BUILDING $ 27,714.00 2022 2210 E B-41181 PLYMOUTH PARKS BRIDGE LIGHTING $ 119,650.00 2022 2215 E/L CHAMBERLAIN ELEM SCHOOL ELECTRICAL & FIRE ALARM $ 398,282.00 2022 2219 E PLYMOUTH LIGHTING RIVER PARK SQ PH2 $ 104,609.00 2022 2230 E DEKALB CO AIRPORT RUNWAY 9-27 LIGHTING $ 1,400,262.00 2022 2231 E SMITH FIELD AIRPORT TAXIWAY Al LIGHTING $ 79,252.50 2022 2237 E INDIANA UNIVERSITY SB ELECTRICAL & FIRE ALARM $ 377,237.00 2023 2306 E/L FORAKER SOUTHWEST & TECUMSEH WASTEWATER $ 1,124,863.00 2023 2309 E DAVIEES CO AIRPORT RUNWAY/TAXIWAY EXT LIGHTING $ 217,519.00 2023 2313 E LOGANSPORT SCHOOLS COLUMBIA&LANDIS SITE IMPROVS $ 269,617.00 2023 2316 E MODERN DOOR ELEC LINE INSTALLATION $ 31,720.00 2023 2317 E ST.JOSPEH CO HIGHWAY STREET LIGHT REPAIR/REPLACE $ 162,800.00 2023 2321 E CITY OF FORT WAYNE SIGNAL UPGRADES $ 199,550.00 2023 2322 E TRITON SCHOOL TENNIS COURT LIGHTING $ 36,800.00 2023 2326 E DFKAI B CO AIRPORT NAVAIDS RELOCATION $ 1,577,277.00 2023 2329 E CITY OF SOUTH BEND SIGNAL IMPROVEMENTS $ 497,624.00 2024 2400 E CITY OF PERU SIGNAL IMPROVEMENTS $ 433,725.00 2024 2406 E TOWN OF NORTH LIBERTY PARK LIGHTING $ 50,510.00 2024 2407 E/L PCSC HIGH SCHOOL & SVC CNTR ELEC/FIRE ALARM/CCTV $ 487,779.00 2024 2410 L MICHIANA BEHAVIORAL CNTR FIRE ALARM UPGRADE $ 139,650.00 2024 2416 E SOUTH BEND FELLOWS STR BOOSTER STATION $ 1,282,598.00 2024 2421 E FORT WAYNE CLINTON STR SIDEWALK PEDESTRIAN SIGNAL $ 292,293.00 2024 2429 E R-43259 SIGNAL MODIFICATION 1469 & SR37 $ 868,628.00 2024 2433 E FORT WAYNE AIRPORT TAXIWAY G LIGHTING $ 608,991.00 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: MICHIANA CONTRACTING INC 7843 LILAC RD PO BOX 929 PLYMOUTH IN 46563 Phone 574-936-8613 Fax 574-936-6201 Company Official SCOTT KIRKPATRICK for the twenty-seven month period stated herein, unless revoked by this Board for cause, and in the classifications of services stated below_ This certificate supercedes any previous certificate. 1542.01 Institutional Bldgs (Hospitals, Schools, Prisons) 1542.02 Commercial Buildings (Offices, Stores, Restaurants) 1542.04 Additions, Alterations, Remodeling, and Repair 1731.01 Electrical Work in excess of $ 150,000.00 CERTIFICATION DATE 5/24/2023 EXPIRATION DATE 8/24/2025 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. STAI Tracy L. Cross, Ex utive Secretary Certification Board +!: DAPW P02 State Form 3983R Rev, 07/06 i, t. •; ••.'i ail + ....''��•�• ri•.li'� �•ti' .. i. .`•l. .. f�" .,f•`, '1�� 11 ..,. •f'�,il.{+ti '/i .rl ll l� 11+1i i� + + il"l Ilr. :i::il i ��'1'�i, � •rill'. t :l. i'i, � l�:ra � � lllr � IIII'i� " ■ } i + .. 1'�+II �':i:�l �ri ,rs Yrll „III I. rl l:I rr ^I lrlrl rl•l n l li•1.11 ++I II+ 1.4 1. I," P lu l r+r .r I •YYr}r rfllr• ■ +I+ir, ]• ^■ II+1•il 1 I lllrl Irr1YIl I+lill• Hlrlr! li} HI If! # 1ry+ I�•1•• ;. rM.L. 1 l � i frl�rl{� - +I.1111� �1111r'1 irllls}4 Illrlrll �ii,ula�� jltrlll]Il{ SIIII!{ l l IIFi iFI 11+31rr I', I14 �i �'I}Irl4 fllrltl (IlIPPllillfIJ4 +{►Ifl'I �sLtlt+� +fl}Irli !'llyYll� - - - _ 11 1111 r11 +LI]rl, I 11f 1111 lllLl ld 711111 •Y [IfS litl•I klSlill 111 i>t11 +1llilr !"I�I� — (5irrMtrate of rd ]4)?ftnrhnMt Jar lr=s INDIANAPOLIS, IN September 23, 2024 TO r_-- :'� i MICHIANA CONTRACTING, INC. PLYMOUTH, IN who has filed with the Department a Contractor's Statement of Experience and Financial Condition as ~�--__• 'f required under Indiana Code 8-23-10. is hereby qualified to bid at any Department of Transportation letting in Classes of Work and within the amount and other limitation of each classification as listed below. for such period as the uncompleted work on hand from all sources does not exceed the Aggregate amount_ Classification references by name or symbol are in accordance with the definitions in the _ Contractor's Statement of Expedenceand Financial Condition_ This cellificate supersedes any cerdflcate -_♦'% ` ' previously issued, but is subject to revision or revocation according to the laand when i= changes w. if = in the financial condition of the contracting firm or other facts justify such revision or revocation. X, Valid August 02, 2024 Thru April 30, 2025 ' Aggregate Bidding Capacity: 70,037,000.00 T= ' 0048 TRAFFIC CONTROL: ADVANCED MGT SYSTEMS ....................................... ....... $50,000,000 00 _ .•• f — — 0112 TRENCHLESS PIPE INSTALLATION.......... er -� $2,000,000.00 � '�' ' • _ — 0137 ELECTRICAL TRANSMISSION AND DISTRIBUTION.....................................................' _ — = 0165 TRAFFIC CONTROL: HIGHWAY LIGHTING 0188 FORCE MAINSAND LIFTSTATIONS ................................._.....::..::.......... ...... $2,000,000.00 i-� +;,,r;+• — — 0213 OVER HEIGHT VEHICLE ESCORT ..................... 0377 TRAFFIC CONTROL: SIGNAL MAINTENANCE ................. .......- $50,000,000.00—�`�.,' 0380 TREE TRIMMING AND REMOVAL ................... ............ ............... —................... � ..• $2,000,000.00 I'= .•,,; : 0400 WATER AND WASTEWATER TREATMENT SYSTEMS .................... ............... ................ $50,000,000.00 0450 TELECOMMUNICATIONS INSTALLATION & CONNECT ................................................ $50,000,000.00 =_== E(A) TRAFFIC CONTROL: SIGNAL INSTALLATION............................................................. $62,000,000.00 "'r` .... $62,000,000,00 ,:;.;.<<� � E(D) TRAFFIC CONTROL: SIGN INSTALLATION............................................................ E(E) SMALL STRUCTURES AND DRAINAGE ITEMS ........................... ...... ...... ....s..::.......... $2,000,000.00 = Y E(K) GUARDRAIL, CABLE BARRIER, CRASH ATTENUATORS, AND FENCE..........-............. $2,000,000.00 i== /.: ur 1:y PREQUALIFICATION ENGINEER COMMISSIONER Male F-a'rnzDbe1`S;16 'III +Irlrl {}+IFI t+r+1i +rl'Ih i IMP II$11 lirr4l irYrls tYlIt, r — :Ilt• n }+ +•I rr• I iu !I + lrl fl. n l.lrl illsl YI+I+1 IlRlll I+IY11 � illllr +Ilsll Ilri- I I I 1 IV}ul II•UIl+r++Ir rrl ll i• +IIv1N ll}nk II•l.Ir IN]!I• r•I :I Ir nl+•Ir IrNI- _ `' .,. ■ �r !n Ilr nl !•I .,r ■ •I Ali '/ r�rlr 4 ill l.• 1 L•rrl .I.I, -IIl•lr� rill P Il.r.l y i. I 7r• ,1++r• } �' •.. i. r, •sri �i•.ti r r in �r • 1 •r•+1 r•I. ir '111V1: 'Ir 1 gam• BID/PROPOSAL CITY OF SOUTH BEND Project Name: Cleveland Road at Portage Road Traffic Signal Improvements Project Number: For Bids Due: 123-063 November 12, 2024 Contractor Name: Michiana Contracting Inc BASE BID Item No. Description Quantity Unit Unit Price Total Amount 1 MOBILIZATION/DEMOBILIZATION 1 LSUM 16,298.00 16,298.00 2 MAINTENANCE OF TRAFFIC 1 LSUM 28,000.00 28,000.00 3 SIDEWALK, CONCRETE, REMOVE 40 SYS 185.00 7,400.00 4 CURBING, CONCRETE, REMOVE 8 LFT 160.00 1,280.00 5 EXISTING TRAFFIC SIGNAL SYSTEM, REMOVE 1 LSUM 5,500.00 5,500.00 6 RECONSTRUCTED STRUCTURE, HANDHOLE 1 EACH 2,806.007 2,806.00 7 18' ALUMINUM TRUSS MAST ARM 2 EACH 5,000.00 10,000.00 8 HEMISPHERICAL CAMERA DETECTION SYSTEM 2 EACH 30,000.00 1 60,000.00 9 3-SECTION LED TRAFFIC SIGNAL HEAD W/BACKPLATE 3-SECTION LED TRAFFIC SIGNAL HEAD W/BACKPLATE, LEFTTURN 8 EACH 1,250.00 1,250.00 2,000.00 10,000.00 10 1 3 4 1 4 1 1 1 60 EACH EACH 1,250.00 6,000.00 10,000.00 17,000.00 1,600.00 11 12 5-SECTION LED TRAFFIC SIGNAL HEAD W/BACKPLATE, LEFTTURN WALK/DON'T WALK SYMBOL INDICATOR W/COUNTDOWN AND PEDESTRIAN PUSH BUTTON ASSEMBLY EACH LSUM EACH 2,500.00 17,000.00 400.00 13 TRAFFIC SIGNAL CABLE 14 DISCONNECT HANGER 15 16 TS 2, TYPE 2 CONTROLLER CABINET SINGLE METER SERVICE POINT CABINET AND FOUNDATION EACH EACH 43,000.00 43,000.00 28,000.00 28,000.00 33,000.00 17 SPAN, CATANARY, AND TETHER CABLE LSUM 33,000.00 18 TRAFFIC SIGNAL CONDUIT, 3" REFLECTIVE SHEET SIGN, W/LEGEND, SPAN MOUNT LFT 66.60 3,996.00 19 115 16 SFT SYS 150.00 390.00 17,250.00 20 SIDEWALK, 5" CONCRETE 21 CURB RAMP, 6", CONCRETE 2 SYS 520.00 11,440.00 22 CURB, CONCRETE, STANDARD, 20" 8 LFT 170.00 3,060.00 23 CURB, CONCRETE, MODIFIED V40 LFT 220.00 8,800.00 BASE BID TOTAL The City reserves the right to award this project based on the available budget. Version 5/20/2024 Contractor's Bid for Public Works - 7 BID/PROPOSAL; „ CITY OF SOUTH BEND • f Project Name: Cleveland Road at Portage Road Traffic Signal Improvements Project Number: 123-063 For Bids Due: November 12, 2024 Contractor Name: Michiana Contracting Inc Bidder (Firm): Address: City/State/Zip: Michiana Contracting Inc 7843 Lilac Road, PO Box 929 Plymouth, IN 46563 Telephone Number: (574 ) 936-8613 %0%J rirrr►►.► Oontrac�.'•.,�� By'Aces!! I 4,7-k :� �,`� • ' ,'9 Signature) ORA �pTF Scott Kirkpatrick, President _ � • OO � (Printed Name of Person Signing) Version 5/20/2024 Contractor's Bid for Public Works - 8 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-1.0 MBE UTILIZATION PLAN This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE participation. It is the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications. ***Goals should be calculated based on the Base Bid only.*** Project Number: 123-063 Project Name: Bidder: Michiana Contracting Inc Name & .Address of MBE JBL Signals and Lighting LLC 5316 Technology Dr South Bend, IN 46628 ®i®J Primary Contact Person (Name/Telephone) Tanner Lelbovitz 574-855-2251 t mi#t�� tTE Riana Contractin Inc 00 Print tame Cleveland Road at Portage Road Traffic Signal Improvements Total Bid Amount: 331,920.00 MBE Goal: 1.57% Page 1 of 1 Scope of Work to be Performed Dollar Amount of MBE Percentage Attach scope/schedule a/schedule if you need additional space) Com onent of Total ( p Y p �;.�/0...........I Traffic Signals 88,850.00 1 26.7% Signature Scott irkpatrick, President Version M[7 Contractor s Bid for Public Works - 9 11 /12/24 Date CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM WBE-1.0 WBE UTILIZATION PLAN ***Goals should be calculated based on the Base Bid only.*** This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving WBE participation. It is the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications. ***Goals should be calculated based on the Base Bid only.*** Project Number: Bidder: 123-063 Project Name: Cleveland Road at Portage Road Traffic Signal Improvements Name & Address of WBE Core Bore Indiana LLC 20061 Dice St South Bend, IN 46614 V&R Trucking Inc 1845 N Elmer -Street South Bend, IN 46628 Michiana Contracting Inc Total Bid Amount: 331,920.00 Primary Contact Person Scope of Work to be Performed (Name/Telephone) (Attach scope/schedule if you need additional space) Cami Bowling Conduit, Foundations 269-262-2906 Veda Godette Trucking 574-234-1268 iz�jtA?',t-MAi.:ma Contracting Inc PriRY Name jianature Sc Kirkpatrick, President SEAL ***Goals should be calculated based on the Base Bid only.*** /n d i a"%�,.��� Version 5f' [Ulm�vContractor's Bid for Public Works - 10 WBE Goal.- 4.58% Page 1 Dollar Amount of WBE Percentage Component of Total Bid/Proposal 13,500.00 1 4.1 % 1,800.00 1 0.5% 11 /12/24 Date - 41f'-�7� yE 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. ,00%%iiii111/1"/, PAGE OF Gort��t 1+�ymber: 123-063 MBE Participation Goal 1.57% roc:' P ect-. rie: Cleveland Road at Portage Road Traffic Signal Improvements o�pDf��F Michiana Contracting Inc — ra der: c 2% S L Scott Kirkpatrick, Vesident 11/12/24 (Sigrlture) (Title) (Date) •��'��, 1nd'is 1 ` 11,,Mpfi1A1rm JBL Signals and Lighting LLC Owner or Contact at MBE Firm Tanner Lelbovitz Telephone: 574-855-2251 Fax: Email: tannerl@jblsignalsandlighting.com TYPE OF WORK SOLICITED FOR THIS PROJECT: Traffic signals RESULTS OF CONTACT WITH THE MBE FIRM: Quoted and accepted 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 5/20/2024 Contractor's Bid for Public Works - 15 ari rl) lr CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM WBE-2.1 „„• WBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring Good Faith Efforts to contact WBEs. It is the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications. Attach additional pages if necessary. PAGE OF Project Number: 123-063 WBE Participation Goal 4.58% '\�I111lllfflj tip. GQ�'tne: Cleveland Road at Porta a Road Traffic Signal Improvements ti Bidd# r'!',R % Michiana Contracting Inc aR�CY• FtArF == n Scott Kirk p atrick, President 11/12/24 U • G (�+tiatum (Title) (Date) SEAL WBE Farm Core Bore Indiana LLC ��►����O�I %;r1&tact at WBE Firm Cami Bowling Telephone: 269-262-2906 Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: Conduit and Foundations RESULTS OF CONTACT WITH THE WBE FIRM: Quoted and accepted WBE Firm V&R Trucking Inc Owner or Contact at WBE Firm Veda Godette 574-234-1268 Ig Inglns ao .com Telephone: Fax: Email; TYPE OF WORK SOLICITED FOR THIS PROJECT: Trucking RESULTS OF CONTACT WITH THE WBE FIRM: Quoted and accepted Version 5/20/2024 Contractor's Bid for Public Works - 16 '0L 1 316 COUNTY -CITY BUILDING PHONE 574/ 235-9251 227 W.JEFFERSON BOULF-VARD (1 F,4X 574i 235-9 17 1 SoUTII BEND, INDIANA 46601-1830 TDD 574/ 235-5567 r r 1865 CITY OF SOUTH BEND .TAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS Date: November 8, 2024 To: All Plan Holders From Theresa Heffner, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: Cleveland Road at Portage Road Traffic Signal Improvements Project No.: 123-063 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 11/08/24 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 M UST also be included with your bid package upon submittal. T1HIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. G,ontrach ' R � y�, :7 Michiana Contracting Inc d'Silfiature: Scott Kirlcpatri , l :,f '''•bit .:a `��, 11/12/24 ''�ffflfi111►► t till V T71 1316 CouN"rv-Crry Bun"Ditic 1'rn 1\; 574/ 235-9251 227 W. JEFFERSON BOULEVARD U a I ,1\ 574/ 235-9171 SOUTH BEND, INDIANA 46601-1830 I I)I) 574/ 235-5567 r 1 ■ 1865 CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS Cleveland Road at Portage Road Traffic Signal Improvements 123-063 Addendum No. 1 Date: November 8, 2024 To: All Plan Holders From: Leslie Biek, Project Manager The items in this Addendum are to become a part of the original documents as if included therein. Only the noted items are affected, and the remainder of the original contract document is to remain in its entirety. This Addendum modifies the Contract Documents as follows: PART I - CLARIFICATIONS 1.01 Regarding the specified removal and replacement of the span, catenary, and tether cables for the entire intersection, the Contractor shall perform the work during daylight hours within one calendar day. The Contractor shall provide safe and adequate maintenance of traffic at all approaches for all through traffic and turning movements. Prior to the work the Contractor shall submit to the City the Contractor's own plan for work operations and maintenance of traffic along with the requested date to complete the work. The Contractor's requested date to complete the work should anticipate reduced traffic volumes as possible, including the possibility of weekend days while avoiding known events of expected higher traffic flows, such as Notre Dame home games, etc., subject to approval by the City. Approval of the Contractor's maintenance of traffic plan by the City shall not relieve the Contractor of responsibility for maintenance of traffic performance and safety. END OF ADDENDUM JONES PETRIE RAFINSKI E. -���`� Q; sr�L,` _ * = 80328 STATE OF N Mark Wilson, PE Registered Professional Engineer A signed copy of this addendum shall be submitted with the Acknowledged by:�— Scott Kirkpatrick, resident^ Attachments: .��`,1iiiiii,11/1 Gontrao /., �m . ?,q GORPORgT,$. SEAL -This addendum consists of a total 3 pages inclusive of "Acknowledgement of Receipt of Addendum" sheet- CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name Cleveland Road at Portage Road Traffic Signal Improvements Project No. For Bids Due 123-063 November 12, 2024 Contractor Name: Michiana Contracting Inc The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works projects by institution of comprehensive submission requirements in compliance with State law. Quality workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet certain minimum requirements to be responsive and responsible bidders. THIS FORM MUST BE SUBMITTED WITH YOUR BID. **THIS FORM ONLY APPLIES TO BIDS GREATER THAN $250,000. ** INSTRUCTIONS: If you are a pre -qualified bidder, complete Section I only. If you are not a pre -qualified bidder, complete Section II only. Section II acts as an application for pre -qualification. Submission of Section II will allow the bidder to be considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre - qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6- 71 of The Responsible Bidding Ordinance No. 10975-23 (hereinafter, "Responsible Bidding Ordinance") for a period of twelve (12) months. Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre - qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified Bidders") within twelve (12) months of obtaining pre -qualified standing. If the status of any item changes within the twelve (12) months, it is the responsibility of the contractor to notify the City. Failure by any pre - qualified contractor to submit its complete application for continuation of "pre -qualified" standing within the time prescribed above shall result in automatic removal of the designation, effective immediately following the twelve (12) months of pre -qualified standing. However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works projects, though the contractor must submit all required documents under 6-71 until "pre -qualified" status is re-established. Please Note: The City reserves the right to request supplemental information from the bidder, additional verification of any information provided by the bidder, and may also conduct random inquiries of the bidder's current and previous customers regardless of pre -qualified standing. It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to the bidder in Section 6-71 of the Responsible Bidding Ordinance no later than the date of the public bid opening. Version 5/20/2024 General Conditions - 11 POST BID SUBMISSIONS: Post -bid submissions must be submitted in accordance with Section 6-72 of the Responsible Bidding Ordinance. The post -bid submission requirements are as follows: 1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses the name, address, licensing status, and type of work for any subcontractor from whom the bidder has accepted a bid and/or intends to hire on any part of the public work project, including individuals performing work as independent contractors. 2. Each subcontractor, whose portion of the project is estimated to be at least two -hundred fifty thousand dollars ($250,000.00), shall be required to adhere to the requirements of Section I of the Responsible Bidder Ordinance as though it were bidding directly to the City, except that the subcontractor shall submit the required information (including the name, address, and type of work) to the successful bidder prior to the commencement of work. 3. Failure of a subcontractor to submit the required information shall not disqualify the successful bidder from performing work on the project and shall not constitute a contractual default and/or breach by the successful bidder. However, the City may withhold all payment otherwise due for work performed by a subcontractor, until the subcontractor submits the required information and the City approves such information. 4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the name, address, licensing status, and type of work of the substitute subcontractor. 5. The successful bidder for projects greater than $250,000 and all subcontractors performing work greater than $250,000 on a public works project are required to submit certified payroll utilizing the federal form known as WH-347 or a similar form on a bi-weekly basis, submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall identify the 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 5/20/2024 General Conditions - 12 PRE -QUALIFIED BIDDER CHECKLIST (a) Acknowledgements: (i) _ By checking this box, I hereby acknowledge that I am a pre -qualified bidder with the City of South Bend and that I have met the pre -qualification requirements within the last twelve (12) months. A copy of my Pre -Qualification verification letter is attached. By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided by me, and may also conduct random inquiries of my current and prior customers. By checking this box, I hereby acknowledge that apprenticeship and training programs that I participate in have graduated at least five (5) apprentices in each of the past five (5) years. (iv) _ By checking this box, I hereby acknowledge that all subcontractors performing work greater than $250,000 also meet the qualifications of the Responsible Bidder Ordinance. (b) Attachments. (i) _ Indiana Secretary of State's on-line records (i.e., Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). Statement on staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work. It outlines how I intend to meet the staffing needs of the work. List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within the last three (3) years. (iv) For every project, submit evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. This includes, but may not be limited to, letters from apprenticeship coordinators detailing the bidder's association with the program, and the United States Department of Labor Office of Apprenticeship Certificates of Registration of Apprenticeship Programs for each type of work to be performed on the project. Version 5/20/2024 General Conditions - 13 PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowledgements: (i) x By checking this box, I hereby acknowledge that I am not a pre -qualified bidder with the City of South Bend. (ii) x By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided, and may also conduct random inquiries of my current and prior customers. The City reserved the right to utilize all information provided in this submission and all information obtained in inquiries or requests to determine if a bidder is responsive and responsible. Additionally, I acknowledge that all X 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 x 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) x By checking this box, I hereby acknowledge that apprenticeship and training programs that I participate in have graduated at least five (5) apprentices in each of the past five (5) years. (vi) x By checking this box, I hereby acknowledge that all subcontractors performing work greater than $250,000 also meet the qualifications of the Responsible Bidder Ordinance. (b) Attachments: (i) x Indiana Secretary of State's on-line records (i.e.. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). (ii) x List identifying all former business names. (iii) x Any determinations by a court or governmental agency any violations of federal state, or local laws including, but not limited to, violations of contracting or antitrust laws, tax or licensing laws, environmental laws, Occupational Safety and Health Act (OSHA), or federal Davis -Bacon and related Acts, within the preceding five (5) years. (iv) x Statement about staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work I am bidding on OR outlines how I intend to meet the staffing needs of the work. (v) x Statement that individuals who will perform work on the public work project on my behalf will be properly classified as an employee or as an independent contractor under all applicable state and federal laws and local ordinances. (v) x For every project, submit evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. This includes, but may not be limited Version 5/20/2024 General Conditions - 14 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. (vi) x Copy of a written plan for employee drug testing that covers all of my employees who will perform work on the public work project and meets or exceeds the requirements set forth in IC 4-13-18-5 or IC 4-13-18-6. (vii) x Evidence that I am utilizing a surety company which is on the Bureau of Fiscal Service "Department of Treasury's Listing of Approved Sureties" as required in the bid specifications or contract. (viii) x Written statement of any federal, state or local tax liens or tax delinquencies owed to any federal, state or local taxing body in the preceding three years. (ix) x List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within three (3) years prior to the date on which the bid is due. Date: 11 /12/24 2 c— �t��ttrrrtr►►►► (Sign Here) `.�0 ontrao ►ifr Scott Kirkpatrick, President _`.ep' (Print Name Here) c, : CORPORA :n Michiana Contracting Inc = SEAL (Name of Company) 7843 Lilac Road, PO Box 929 `�,�ndilana`\`�`�� (Address of Company) Plymouth (City) IN (State) 574-936-8613 (Telephone Number) Version 5/20/2024 General Conditions - 15 11/11/24 City of South Bend' Board of Public Works Re: City of South Bend Prequalification Checklist Section II Section II (b) (i) Indiana Secretary of State Business Verification for Michiana Contracting Inc is attached. (ii) Michiana Contracting Inc has no former business names. (iii) Michiana Contracting Inc has no determinations by a court or governmental agency of any violations of federal, state, or local laws including, but not limited to, violations of contracting of antitrust laws, tax or licensing laws, environmental laws, Occupational Safety and Health Act (OSHA), or federal David -Bacon and related Acts, within the preceding five (5) years. (iv) Michiana Contracting Inc has sufficient employees on staff to complete any work we bid on, and also has the appropriate staffing capabilities, including labor sources to meet the staffing needs of the work, if needed. (v) All individuals who will perform work on the Public Works Projects, on behalf of Michiana Contracting Inc will be properly classified as an employee or as an independent contractor under all applicable state and federal laws and local ordinances. (vi) Evidence of participation in apprenticeship and training programs is attached. (vii) Copy of a written plan for employee drug testing is attached. (viii) Evidence of utilizing a surety company listed on the Bureau of Fiscal Services Certified Sureties is attached. (ix) Michiana Contracting Inc has no federal, state, or local tax liens, or tax delinquencies owed to any federal, state, or local taxing body in the preceding three years. (x) List of projects of similar size and scope is attached. Date: 11 12 24 .��'�� C,orl#r�ofj''.- _ .tea. •.� Signature:` c,oVkP0J jr , Printed Name/Title: Scott Kirkpatrick, President SEAL Company: Michiana Contracting Inc '�f'f,,����}gana���.•`'�, !!llllllll Address: 7843 Lilac Road PO Box 929 Plymouth, IN 46563 Phone: 574-936-8613 MICHIANA CONTRACTING, INC. 7843 Lilac Road, PO Box 929, Plymouth, IN 46563 Ph 574-936-8613 / Fx 574-936-6201 www.rnichianacontracting.com BUSINESS INFORMATION DIEGO MORALES INDIANA SECRETARY OF STATE 11/11/2024 03:51 PM Business -Details Business Name: MICHIANA CONTRACTING, INC. Business ID: 198509-725 Entity Type: Domestic For -Profit Corporation Business Status: Active Creation Date: 09/25/1985 Inactive Date: Principal Office Address: 7843 LILAC RD, PO BOX 929, Expiration Date: Perpetual PLYMOUTH, IN, 46563, USA Business Entity Report Due Jurisdiction of Formation: Indiana 09/30/2025 Date: Years Due: InformiWodt TitlPerson e Name Address Treasurer Lisa L Botto 7843 Lilac Road PO Box 929, Plymouth, IN, 46563, USA CEO Scott Wallsmith 7843 Lilac Rd., PO Box 929, PLYMOUTH, IN, 46563, USA Vice President Todd Wallsmith 7843 LILAC ROAD, P.O. BOX 929, PLYMOUTH, IN, 46563, USA President Scott Kirkpatrick 7843 LILAC ROAD PO BOX 929, Plymouth, IN, 46563, USA Vice President Randy Longanecker 7843 LILAC ROAD PO BOX 929, Plymouth, IN, 46563, USA Secretary Lisa L Botto 7843 LILAC ROAD, PO BOX 929, Plymouth, IN, 46563, USA Registered Agent Information Type: Individual Name: Scott D. Wallsmith Address: 7843 Lilac Road, Plymouth, IN, 46563, USA �W 13CO 43A Associated Builders and Contractors Indiana Kentucky Memorandum of Understanding 11/8/2023 Please accept this as verification that Michiana Contracting, Inc. is a member in good standing of Associated Builders & Contractors of Indiana/Kentucky, Inc (ABC). ABC's Program is certified by the Federal Department of Labor, Office of Apprenticeship and Training and by the National Center for Constructions Education and Research (NCCER). ABC uses the NCCER curriculum. Michiana Contracting, Inc has 14 (fourteen) students enrolled in the Electrical Apprenticeship training program. Feel free to call me with any questions regarding our apprenticeship program. Regards, Brianne Feeks Elkhart Apprenticeship Coordinator 2701 Industrial Dr. Ste. 190—Elkhart, Indiana 46516— 574-218-0340 brianne@abcindianakentucky.org A AsBQ and Conlractorl, Inc Indiana/Kentucky ChanterWTppprentices attend school for 4 years. Classes are held one night per week for 3 hours with 3 hours of online study. All programs are ap- proved by the U.S. Department of Labor, Office of Apprenticeship. Level 1 Orientation to the Level 2 Alternating Current Level 3 Load Calculations— Level 4 Load Calcula- Electrical Trade Branch & Feeder tions—Feeders & Circuits Services Electrical Safety i Motors: Theory and Conductor Selection Health Care Application & Calculations Facilities Intro to Electrical Electric Lighting Practical Applica- Standby and Circuits tions & Lighting Emergency Systems Electrical Theory Conduit Bending Hazardous Locations Basic Electronic Theory Intro to the National Pull & Junction Boxes Overcurrent Fire Alarm Electrical Code Protection Systems Device Boxes Conductor Installations Distribution Specialty Equipment Transformers Hand Bending Cable Tray Transformers Advanced Controls Raceways & Fittings Conductor Terminations Commercial HVAC Controls and Splices Electrical Services Conductors & Cables Grounding & Bonding Motor Calculations Heat Tracing and Freeze Protection Basic Electrical Con- Circuit Breakers and Voice, Data & Video Motor Operation struction Drawings Boxes and Maintenance Residential Electrical Control Systems & Fun- Motor Controls Medium -Voltage Services damental Concepts Terminations/ Splices Electrical Test Special Locations Equipment - • • - - • - -EMS _ Introductory Skills - • for Crew Leaders Associated Builders & Contractors of Indiana/Kentucky 5001 N Shadeland Ave Indianapolis, IN 46226 317-596-4950 v 0 O ONO `Y N o � N 33 'Z. Fw -'%d 1 I -='.a�.:r �=a:'::•��-= � `•�� �ra�'=sue:'. aS3L� Revised 10/2/2006 Michiana Contracting Inc 702 DRUG AND ALCOHOL USE It is Michiana Contracting's desire to provide a drug -free, healthful and safe workplace. To promote this goal, employees are required to report to work in appropriate mental and physical condition to perform their jobs in a satisfactory manner. While on Michiana Contracting premises and while conducting business -related activities off Michiana Contracting premises, no employee may use, possess, distribute, sell or be under the influence of alcohol or illegal drugs. The legal use of prescribed drugs is permitted on the job only if it does no impair an employee's ability to perform the essential functions of the job effectively and in a safe manner that does not endanger other individuals in the workplace. (See additional information*) Violations of this policy may lead to disciplinary action, up to and including immediate termination of employment, and/or required participation in a substance abuse rehabilitation or treatment program. Such violations may also have legal consequences. (See additional information*) To inform employees about important provisions of this policy, Michiana Contracting has established a drug -free awareness program. The program provides information on the dangers and effects of substance abuse in the workplace, resources available to employees and consequences for violations of this policy Employees with questions or concerns about substance dependency or abuse are encouraged to use the resources of the Employee Assistance Program. They may also wish to discuss these matters with their supervisor, company officer, or Safety Director to receive assistance or referrals to appropriate resources in the community. Employees with drug or alcohol problems that have not resulted in, and are not the immediate subject of disciplinary action may request approval to take unpaid time off to participate in a rehabilitation or treatment program through Michiana Contracting's health insurance benefit coverage. Leave may be granted if the employee agrees to abstain from use of the problem substance; abides by all Michiana Contracting policies, rules, and prohibitions relating to conduct in the workplace, and if granting the leave will not cause Michiana Contracting any undue hardship. Under the Drug -Free Workplace Act, an employee who performs work for a government contract or grant must notify Michiana Contracting of criminal conviction for drug -related activity occurring in the workplace. The report must be made within five days of the conviction. Employees with questions on this policy or issues related to drug or alcohol use in the workplace should raise the concerns with their Supervisor or the Safety Director without fear of reprisal. (SEE MICHIANA CONTRACTING STATEMENT REGARDING DRUG AND ALCOHOL USE IN THE WORKPLACE for further information and compliance requirements) Revised 10/02/2006 MICHIANA CONTRACTING STATEMENT REGARDING DRUG AND ALCOHOL USE IN THE WORKPLACE Michiana Contracting Inc recognizes the dangers to health, safety, moral and general welfare to drug use in the workplace. It is therefore the policy of Michiana Contracting to maintain a drug free workplace, pursuant to the Drug Free Workplace Act of 1988 and Executive Order 90-5. Michiana Contracting Inc prohibits the use, possession, disposition, manufacture or distribution on its premises, facilities or workplaces of any of the following: alcoholic, beverages, intoxicants, and controlled substances, including illegal or unauthorized drugs (including marijuana) "look alike" (simulated drugs) and related drug paraphernalia. Michiana Contracting employees must not report for duty under the influence of any drug, alcoholic beverage, intoxicant or narcotic or other substances (including legally prescribed drugs and medicines) which will in any way adversely affect their working ability, alertness, coordination, response or adversely affect the safety of others on the job. Entry into or presence on company premises, facility or workplace by any person is conditioned upon the company's right to search the person, personal effects, vehicles (while located on company premises, facilities, or workplace), lockers and baggage of any employee or other entrant for any substances named in the paragraphs above. By entering into or being present on company premises, facility or workplace, any person is deemed to have consented to have such searches. Michiana Contracting also reserves the right at all times to have authorized personnel conduct periodic examinations of its employees and employees of its subcontractors and supplies for the purpose of determing if any such persons present on a company jobsite are using marijuana, illegal drugs or alcohol. The taking of blood, urine, or saliva samples for testing may also be required from any person on company premises or workplace who is suspected to be under the influence of drugs or alcohol, who is involved in a vehicle accident, or who is injured in the course of employment. Any person who refuses to submit to a search, screening or testing as described in this policy, or who uses, possesses, dispenses, distributes or manufactures any of the substances named in this first paragraph of this policy, or who is found under the influence of any such substances, is subject to disciplinary action including immediate discharge of an employee or removal and fixture prohibition from the premises, if not an employee of Michiana Contracting. Legally prescribed drugs may be permitted on Michiana Contracting premises or work locations, provided the drugs are contained in the original prescription container and are prescribed by an authorized medical practitioner for the current use of the person in possession. Any person in possession of valid prescription drug when on or entering Michiana Contracting Statement Regarding Drug and Alcohol Use in the Workplace Michiana Contracting Inc. premises or workplace locations may be required to complete a "prescription drug: form, and Michiana Contracting may, as it deems appropriate, determine if the drug produces hazardous effects. Michiana Contracting has the right in its discretion to report for the use, possession or distribution of any substance named in the first paragraph of this policy to law enforcement officials and to turn over to the custody of law enforcement officials any such substances or company property. Drug Testing Program In compliance with Indiana Code 4-13-18-6, Michiana Contracting's Drug Testing Program will include: 1. Each employee will be subject to a drug test at least one (1) time each year. 2. Employees will be tested randomly. At least two percent (2%) of Michiana Contracting's employees will be randomly selected each month for testing. 3. Testing will include and at least a five (5) drug panel that tests the following: • Amphetamines • Cocaine • Opiates (2000 ng/ml) + PCP + THC This program will impose progressive discipline on an employee who fails a drug test as follows: 1. After the first positive test, an employee must be: a) suspended from work for thirty (30) days; b) directed to a program of treatment or rehabilitation; and c) subject to unannounced drug testing for one (1) year, beginning the day the employee returns to work. 2. After the second positive test, an employee must be: a) Suspended from work for ninety days; b) Directed to a program of treatment or rehabilitation through Michiana Contracting's EAP program, and c) Subject to unannounced drug testing for one (1) year, beginning the day the employee returns to work. 3. After a third positive test, an employee must be: a) suspended from work for one (1) year; b) directed to a program of treatment or rehabilitation through Michiana Contracting's EAP program; and c) subject to unannounced drug testing for one (1) year beginning the day the employee returns to work. This program may require dismissal of the employee after any positive drug test or other discipline more severe than is described in this subdivision. 2 Michiana Contracting Statement Regarding Drug and Alcohol Use in the Workplace NOTE: Currently and until further notice, the Bowen Center, whose services, for the most part are covered under Michiana Contracting's Group Insurance, will act as the company Employee Assistance Program (EAP). Refer to your company handbook for further information regarding the Bowen Center. Any person required by the nature of his or her duties as an employee of Michiana Contracting to hold a Commercial Driver's License under Indiana Code 9-24-6, et seq., shall be subject during the course of his or her employment with Michiana Contracting to controlled substances testing, including as applicable reasonable cause testing, random testing (as referenced above) and post -accident testing as is required by law for such drivers and as a condition of his or her employment, shall cooperate in all such required testing. This is hereby notification that as a condition of continued employment the employee will (1) abide by the terms of the above statement and (2) notify the employer of any criminal drug statute conviction for a violation occurring in the workplace no later than five (5) days after such conviction. Michiana Contracting Inc Sr?/of Company) Scott Kirkpatrick, President Ca0 racl1���,, Lisa Botto, Secretary yo `2 C'�R—(5ignatuie ol Co npany Official) S Scott.ki rkpatrick, President thin 9d \Name and Title of Company Official 11 / 12/24 (Date) NUNFAt UI' IHF. Fiscal SaMca NGM Insurance Company (NAIC #14788) BUSINESS ADDRESS: 4601 Touchton Road East, Suite 3400, Jacksonville, FL 32246 PHONE: (904) 380-7282 UNDERWRITING LIMITATION b/: $59,562,000 SURETY LICENSES c,f/: AL, AZ, AR, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY INCORPORATED IN: Florida CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Cleveland Road at Portage Road Traffic Signal Improvements Project No. For Bids Due 123-063 November 12,2024 From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. Proper bid security included. The bidder has the option of providing either a Certified Check x or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely x executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments x with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and Certification of use of United States Steel Products or Foundry Products. Proof of M/WBE Utilization Plans [MBE-1.0 and WBE-1.0]. Also provide Evidence of Good Faith Efforts Forms [MBE-2.0 and WBE-2.0] and M/WBE Contacted Forms [MBE-2.1 and x WBE-2.1]. x Acknowledge Receipt of 1 Addendum(s) included with the bid. x All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either x printed or typed underneath signature. x This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. ����,%1,1, $it,I/ Michiana Contracting INc Date: 11/12/24 ;. B th oe4. Representative: 2 G Sigrmture: G�111A 04k� nAkarr'ie &`Title: Scott Kirkpatrick, President Version 5/20/2024 Contractor's Bid for Public Works - 1