HomeMy WebLinkAboutOpening of Bids - Central Fire Station Re-Roofing Proj No. R124-032A - Midland EngineeeringCITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name Central Fire Station Re -roofing
Project No.
For Bids Due
R124-032A
November 26, 2024
PART I
(Must be completed for all bids. Please type or print)
Date: 11/26/2024 Bidder (Firm): Midland Engineering Company, Inc.
Address: 52369 State Road 933 North
City/State/Zip: South Bend, IN 46637
Telephone Number: ( 574 ) 272-0200
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:
Re -roofing the South Bend Central Fire Station.
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
WDi Architecture Inc.
and dated November 1, 2024
for the sum of (enter the Total Bid as shown on the Proposal)
Eight Hundred Eighty Thousand, Eight Hundred Dollars ($ 880,800.00
(Numerical)
(Enter Total For Each Base Bid shown on Proposal. Separate using comma if bidding for both Base Bids)
The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in
the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance
with the notice. Any addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed, the cost of units must be the same as that
shown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a unit
basis, the itemization of the units shall be shown on a separate attachment.
By
(Signature)
Ryan . Haas esident/CEO
(Printed Name of Person Signing)
ACCEPTANCE
The above bid is accepted this 26TH day of
Subject to the following conditions:
BOARD OF PUBLIC WORKS
Elizabeth A. Maradik, President
Gary A. Gilot, Member
Murray L. Miller, Member
November
20 24
Joseph R. Molnar, Vice President
Breana N Micou, Member
Attest: Theresa Heffner, Clerk
Version 07/19/2023 Contractor's Bid for Public Works - 2
BID/PROPOSAL
CITY OF SOUTH BEND
Project Name: Central Fire Station Re -roofing
Project Number: R124-032A
For Bids Due: November 26, 2024
Contractor Name: Midland Engineering Company, Inc.
Base Bid #A
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
The complete roof replacement as
1
described by the Contract Documents
1
LSUM
N/
N/
utilizing a 60 mil TPO membrane
2
Unforeseen Conditions Allowance
1
LSUM
$25,000,00
$25,000,00
Base Bid #A TOTAL
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
The complete roofing replacement as
3
described by the Contract Documents
1
LSUM
$880,800.00
$880,800.00
utilizing a 60 mil PVC membrane.
4
Unforeseen Conditions Allowance
1
LSUM
$25,000,00
$25,000600
Base Bid #B TOTAL $8803800.00
(Bidder may choose to bid either Base Bid A, Base Bid B, or Both)
Bidder (Firm): Midland Engineering Company, Inc.
Address: 52369 State Road 933 North
City/State/Zip: Sr,t,th Rend IN 46637 Telephone Number: _( 574 ) 272-0200
By
(Signature)
Rya .. Haas resident/CEO
(Printed Name of Person Signing)
Version 07/19/2023 Contractor's Bid for Public Works - 7
PART II
or projects of $100,000 or more — IC 36-1-12-4)
These statements to be submitted under oath by each bidder with and as part of his/her/its bid.
Attach additional pages for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
1. Attach information regarding projects your organization has completed for the period of one
(1) year prior to the date of the current bid.
2. Attach a listing of public works projects currently in process of construction by your
organization.
3. Attach information regarding any failure to complete any work awarded to you and the
location thereof.
4. Attach references from private firms for which you have performed work.
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
1. Attach an explanation of your plan or layout for performing proposed work. (Examples could
include a narrative of when you could begin work, complete the project, number of workers,
etc, and any other information which you believe would enable the City of South Bend to
consider your bid.)
2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside
your own firm who have performed part of the work) that you have used on public works
projects during the past five (5) years along with a brief description of the work done by each
subcontractor.
3. If you intend to sublet any portion of the work, attach the name and address of each
subcontractor, equipment to be used by the subcontractor, and whether you will require a
bond. However, if you are unable to currently provide a listing, please understand a listing
must be provided prior to contract approval. Until the completion of the proposed project, you
are under a continuing obligation to immediately notify the City of South Bend in the event that
you subsequently determine that you will use a subcontractor on the proposed project.
4. Attach a listing of equipment you have available to use for the proposed project.
5. Have you entered into contracts or received offers for all materials which substantiate the
prices used in preparing your proposal? If not, attach an explanation for the rationale used
which would corroborate the prices listed.
SECTION III CONTRACTOR'S FINANCIAL STATEMENT
Attachment of bidder's financial statement is mandatory. Any bid submitted without said
financial statement as required by statute shall thereby be rendered invalid. The financial
statement provided hereunder to the City of South Bend awarding the contract must be specific
enough in detail so that said City of South Bend can make a proper determination of the bidder's
capability for completing the project if awarded.
Version 07/19/2023 Contractor's Bid for Public Works - 3
ithen 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:
St. Joseph 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 fum, 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
or 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 irl Iran.
a. For purposes of this Certification, "Iran" means the government of Iran and any agency
or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as
amended from time -to -time.
b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor
is engaged in investment activities in Iran if either:
i. Contractor, its successor or its affiliate, provides goods or services of twenty
million dollars ($20,000,000) or more in value in the energy sector of Iran;
or
ii. Contractor, its successor or its affiliate, is a financial institution that extends
twenty million dollars ($20,000,000) or more in credit to another person for
forty-five (45) days or more, if that person will (i) use the credit to provides
goods and services in the energy sector in Iran; and (ii) at the time the
financial institution extends credit, is a person identified on list published by
the Indiana Department of Administration.
4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any
employee or contract with a person that the Contractor subsequently learns is an unauthorized alien.
Version 07/19/2023 Contractor's Bid for Public Works - 4
Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's
newly hired employees through the ENerify Program as defined by I.C. 22-54.7-3. Contractor's
documentation of enrollment and participation in the ENerify 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 ENerify 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 contacts 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
apart of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its
agencies, boards or commissions.
Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the
performance of this contract with privileges of employment, or any matter directly or indirectly related to
employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation,
handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of
contract.
I, the undersigned bidder or agent as contractor on a public works project, understand my statutory
obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby
certify that I and all subcontractors employed by me for this project will use steel products or foundry
products made in the United States on this project if awarded. I understand I have an affirmative duty to
notify the City in my bid that my proposal does not include the use of steel products or foundry products
made in the United States. I understand it is my sole obligation and responsibility to provide a justification
to the City, subject to review and approval, why the cost of United States made steel or foundry products is
unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry
products made in the United States, the City, through its director of public works, shall make a determination
if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder
Version 07/19/2023 Contractor's Bid for Public Works - 5
may result in forfeiture of contractual payments.
I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid
for public works are true and correct.
Dated this
26th
day of Nov. , 20 24
Midland Engineering Company, Inc.
Contractor/Bidder (Firm)
Signature of Contractor/Bidder or Its Agent
Ryan J. Haas/President/CEO
Printed Name and Title
Subscribed and sworn to before me this 26th day of November � 20 24
My Commission Expires
County of Residence
Notary Public
St.Joseph
>o?:•••• GB/ Notary Public, State of Indiana
Z SEAL;"= St Joseph County
+of f=Commission Number NP0627494
DIANt-`c My Commission Expires
nt111110 June 27, 2027
A. Archer
Version 07/19/2023 Contractor's Bid for Public Works - 6
Document A310 TM - 2010
Conforms with The American Institute of Architects AIA Document 310
Bid Bond
CONTRACTOR:
(Name, legal sla/us and address)
Midland Engineering Co., Inc.
PO Box 1019
South Bend, IN 46624
OWNER:
(Name, legal slalrrs and addr ess)
SURETY:
(Name, legalslalusandprinclpal!lace rfbrrriness)
The Cincinnati Insurance Company
P.O. Box 145496
This
Cincinnati, OH 45250-5496
Mailing Address for Notices
same as above
City of South Bend Indiana Board of Public Works
227 W Jefferson St., Suite 1300
South Bend, IN 46601
BOND AMOUNT: 5% Five Percent of Amount Bid
document has important
legal consequences. Consultation
with
with
an attorney Is encouraged
respect to Its completion or
modification.
Any singular reference to
Contractor, Surety, Owner or
other party shall be considered
pluraI where applicable.
PROJECT:
(Nana, location oraddresx andProjechnunber, lfant}
Central Fire Station Reroofing -Project R124-032A-1222 S. Michigan St., South Bend, IN 46601
The Contractor and Surety arc bound to the Otvncr in the amount set forth above, for the payment of which file Contractor and Surety bind
themselves, their heirs, executors, administrators, successors and asslglfs, jointly and severally, as provided herein. The conditions of this
Bond arc such that if the Owner accepts the bid of the Contractor within the tine specified in the bid documents, or within such time period
astray 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 Fives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in
the jurisdiction of the 1'roicct 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 Cite 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 perlbrtn the work cohered by suid bid, then this obligation shall be null and void, otherwise to rentuin in lid) force and effect. The
Surety hereby waives any notice of'all agreement between file Owner and Contractor to extend the time in which the Owner may accept the
bid. Waiverol'nofiee by (lie Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time Ior
acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent litr all extension beyond
sixty (60) days.
If this Bond is issued in connection with a subcontractor's bid to It Contractor, the teen Contractor in this Bond shall be dccmcd to be
Subcontractor and file term Owner shall be dccmcd to be Contractor.
When this Bond has been limtished to comply tuftli u vtututory or other legal requirement in the location ol'lhe Project, any provision in
this Bond conflicting with said stuUUory or legal requirement shall be deemed deleted herelrom and provision~ coolomting to such
statutory or other legal requirement shall be deemed incorporated herein. When so litmished, the intent is that this Bond ~hull be construed
as a statutory bond and not as a cont»iu» law bond.
Signed and scaled this 26th day of November, 2024.
Midland E
Co., Inc.
The Cincinnati Insurance Company
GSrrrelyj�
rTlrle) Tracie House, Attorney -in -Fact
(Seal)
CORPORATE
S E A L
S•0054/AS 8/10
THE CINCINNATI INSURANCE COMPANY
THE CINCINNATI CASUALTY COMPANY
Fairfield, Ohio
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That THE CINCINNATI INSURANCE COMPANY and THE CINCINNATI CASUALTY
COMPANY, corporations organized under the laws of the State of Ohio, and having their principal offices in the City of Fairfield,
Ohio (herein collectively called the "Companies"), do hereby constitute and appoint Tracie House
its true and legal Attorney -in -Fact to sign and deliver on behalf of the Companies as Surety, at any place within the United States,
the following surety bond:
Surety Bond Number: Bid Bond
Principal: Midland Engineering Co., Inc.
Obligee: City of South Bend Indiana Board of Public Works
This appointment is made under and by authority of the following resolutions adopted by the Boards of Directors of The Cincinnati
Insurance Company and The Cincinnati Casualty Company, which resolutions are now in full force and effect, reading as follows:
RESOLVED, that the President or any Senior Vice President be hereby authorized, and empowered to appoint Attorneys -in -Fact
of the Company to execute any and all bonds, policies, undertakings, or other like instruments on behalf of the Corporation, and
may authorize any officer or any such Attorney -in -Fact to affix the corporate seal; and may with or without cause modify or
revoke any such appointment or authority. Any such writings so executed by such Attorneys -in -Fact shall be binding upon the
Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company.
RESOLVED, that the signature of the President or any Senior Vice President and the seal of the Company may be affixed by
facsimile on any power of attorney granted, and the signature of the Secretary or Assistant Vice -President and the Seal of the
Company may be affixed by facsimile to any certificate of any such power and any such power of certificate bearing such
facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certified
by certificate so executed and sealed shall, with respect to any bond or undertaking to which it is attached, continue to be valid
and binding on the Company.
IN WITNESS WHEREOF, the Companies have caused these presents to be sealed with their corporate seals, duly attested by their
President or any Senior Vice President this 16th day of March, 2021.
e'„Inmry+, pltu.,yi
(ORPORAiE � �`(ORPORAIE �,
�SEAL� `SEAL'
THE CINCINNATI INSURANCE COMPANY
ouie oRlo THE CINCINNATI CASUALTY COMPANY
STATE OF OHIO )SS:
COUNTY OF BUTLER )
On this 16th day of March, 2021 before me came the above -named President or Senior Vice President of The Cincinnati Insurance
Company and The Cincinnati Casualty Company, to me personally known io be the officer described herein, and acknowledged that the
seals affixed to the preceding instrument are the corporate seals of said Companies and the corporate seals and the signature of the
officer were duly affixed and subscribed to said instrument by the authority and direction of said corporations.
�'O�P�11U�'SF9•
OF
Keith C�tt, Attorney at Law
Notary ublic —State of Ohio
My commission has no expiration date.
Section 147.03 O.R.C.
I, the undersigned Secretary or Assistant Vice -President of The Cincinnati Insurance Company and The Cincinnati Casualty Company,
hereby certify that the above is the Original Power of Attorney issued by said Companies, and do hereby further certify that the said
Power of Attorney is still in full force and effect.
Given under my hand and seal of said Companies at Fairfield, Ohio, this 26th day of November , 2024
c
�SE�AAL' SEAL'
ORIO 01110
BN-1457-5 (3/21)
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBEA.0
-*. 1i3ti5 a
MBE UTILIZATION PLAN -
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE participation. It is
the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications.
***Goals should be calculated based on the Base Bid only,***
Project Number:
Bidder:
R124-032A
Project Name: Central Fire Station Re-roofi
l�fidland Engineering Company, Inc. Total Bid Amount: sSs0s00.00
MBE Goal: 0.6%
Page 1 of 1
Name & Address of MBE
Primary Contact Person
(Name/Telephone)
Scope of Work to be Performed
(Attach scope/schedule if you need additional space)
Dollar Amount of MBE
Component
Percentage
of Total
Bid/Pro osal
JMH Roofing Company, Inc.
1215 E.9th Street
Indianapolis, Indiana 46202
Jeri I Iunington
317-423-9035
Material Supplier
S44 000.00
5 0%
Submitted by
Ryan J. Haas/President/CEO
Print Name
Sig
***Goals should be calculated based on the Base Bid only.***
Version 07/19/2023 Contractor's Bid for Public Works - 8
11/26/2024
Date
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN PEnCE
FORM WBE-1.0
ItlliS #
WBE UTILIZATION PLAN
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving WBE participation. It is
the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications.
***Goals should be calculated based on the Base Bid only.***
Project Number:
Bidder:
R124-032A
Project Name
1�Lidland Engineering Company, Inc.
Central Fire Station Re-roofin
Total Bid Amount: ssso,soo.00
WBE Goal: 2.1
Page 1 of 1
Name & Address of WBE
Primary Contact Person
(Name/Telephone)
Scope of Work to be Performed
(Attach scope/schedule if you need additional space)
Dollar Amount of WBE
Component
Percentage
of Total
Bid/Proposal
JMH Roofing Company, Inc.
1215 E.9th Street
Indianapolis, Indiana 46202
Jeri Hunington
317-423-9035
Material Supplier
$44,000.00
5.00o
Submitted by:
Ryan J. Haas/President/CEO
Print Name
Sig
***Goals should be calculated based on the Base Bid only.***
Version 07/19/2023 Contractor's Bid for Public Works - 9
11-26-2024
Date
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
This completed form should be included as part of the Bids documents related to City of South Bend Public
Works Projects requiring Good Faith Efforts to obtain MBE participation.
Project Number
Project Name:
Bidder:
Contact Person
Address:
City:
Email:
R124-032A
Central Fire Station Re-
roofing
11/idland Engineering Company, Inc.
Date: 11-26-2024
R,jan J. Haas/President/CEO Telephone:
52369 State Road 933 N
South Bend State
ihaas@midlandengineet7ng. com
Indiana
574-272-0200
Zip: 46637
To determine whether a bidder has demonstrated good faith efforts to reach the MBE utilization goals set forth in
the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions,
REQUIRE ALL of the following Good Faith Efforts as listed in the table below*:
EVIDENCE OF GOOD FAITH EFFORTS
MBE LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business Enterprise
Inclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the Indiana Department
of Administration list of Minority and Women Owned Businesses (both certified and non -certified) found
at: htto://www.in.gov/idoa/.
GOOD FAITH EFFORTS TO OBTAIN MBE PARTICIPATION
The bidder shall initial each item below, as evidence of its good faith efforts to obtain MBE participation
in the awarded contract.
I affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise
i.c
Inclusion Program Plan and the Indiana Department of Administration's certified list of
Indiana Minority and Women Business Enterprises, found on their website
htt ://www.in. ov/idoa .
I affirm that I have made good faith efforts to select portions of the contract work to be
LC
performed by MWBEs, including, where appropriate, breaking out contract work items into
economically feasible units to facilitate MBE participation.
I affirm that I have made good faith efforts to solicit through all reasonable and available
r'c
means the interest of all MBEs in the scopes of work of the contract.
I affirm that I attended all pre -bid meetings scheduled by the City of South Bend to inform
r.c
MBEs of contracting and subcontracting opportunities,
I affirm that I advertised in general circulation and/or trade association publications
r.c
concerning subcontract opportunities and allowed MBEs reasonable time to respond to
such advertisements.
I affirm that I performed any and all necessary steps to provide written notices in a manner
LC
reasonably calculated to inform MBEs of subcontracting opportunities and allowed
sufficient time for MBEs to participate effectively.
LC
I affirm that I followed up on initial solicitations with interested MBEs.
I affirm that I negotiated with interested MBEs in good faith, including providing such MBEs
Lc
with adequate information about the plans, specifications and other requirements of the
subcontract.
I,c
I affirm that I have made good faith efforts to assist interested MBEs in obtaining bonding,
lines of credit, or insurance as required by the City or the bidder, where appropriate.
Version 07/19/2023 Contractor's Bid for Public Works - 10
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM 1V1BE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
Lc I affirm that I have made good faith efforts to assist interested MBEs in obtaining necessary
equipment, supplies, materials, or related assistances or services, where appropriate.
r,c I affirm that I did not reject any MBEs as unqualified without sound business reasons based
on a thorough investigation of their capabilities.
CONTRACT RECORDS: The bidder has maintained the following records for each MBE that has bid on
the subcontracting opportunity:
1. Name, address, and telephone number;
2. A description of information provided by the bidder or subcontractor; and
3. A statement of whether an agreement was reached, and if not, why not, including any reasons for
concluding that the MBE was unqualified to perform the job.
"Nroper demonstration of Good Faith Efforts requires your initials next to all of the above boxes. Any
omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of
South Bend reserves the right to request additional information.
Version 07/19/2023 Contractor's Bid for Public Works - 11
I316 COUNTY -CITY BUILDING
227 W.JEFFERSON BOULEVARD
SOUTH BEND, INDIANA 46601-1830
CITY OF SOUTH BEND
PHONE 574/235-9251
rAx 574/235=9171
TDD 574/ 235-5567
DAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
Date: November 21, 2024
To: All Planholders
rrom Lidya Abreha, Project Manager
Subject Addendum Number: 1
Project Name: Central Fire Station Reroofing
It No., R124-032A
Date Received:
`Phis addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum by
faxing this sheet to the Board of Public Works at (574) 235-9171
within 48 hours of receipt. A copy MUST also be included with your
bid package upon submittal.
T1IIS ADI)EN]®UM MAY AFFIi;CT YOUR BII).
Notes:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company: \Midland Engineering Company, Inc.
Authorized Signature:
Ryan J.
Date: II/26/2024
�L�
1316 COUNTY•CITY BUILDING
227 W.JEr ERSON BOULEVARD
SOUTH BEND, INDIANA 46601-1830
CITY OP SOUTH BEND
rHGNE 574/235-925I
Fax 574/235-9171
TDD 574/ 235-5567
1AMES MUELLMR MAYOR
BOARD OF PUBLIC WORKS
Date: November 22, 2024
To: All Planholders
Prom Lidyya Abrelia, Project Manager
Subject Addendum NLlmber: 2
Project Name: Central Fire Station Reroofing
Project No.: R124-032A
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Date Received:
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum by
faxing this sheet to the Board of Public Works at (574) 235-9171
within 48 hours of receipt. A copy MUST also be included with your
bid package upon submittal.
THIS ADDENDUM MAY AFFPCT 'Y®Ulf. BID.
Notes:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company: 1\-fidland Engineering Company, Inc.
Authorized Signature:
Date: 1I/26/2024
1/2
SINCE 1922
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Midland Engineering Company • 52369 State Road 933 North South Bend, Indiana 46637
P.O. Box 1019 • South Bend, Indiana 46624
Telephone (574) 272-0200 • Fax Number (574) 272-7400
e-mail address: midland@midlandengineering.com
www.midlandengineering.com
November 26, 2024
Ms. Lidya Abreha, P.E.
Department of Public Works
City of South Bend, Indiana
Reference: Central Fire Station Reroofing (Project #124-032A)
**Midland Engineering provided value engineering option**
Dear Ms. Abreha,
Midland Engineering is providing the following scope of work, for the above referenced job for
your review and consideration based on previous site visit February 21, 2023 along with
documents issued by WDI:
1. We will remove and dispose of existing TPO roof and leave the existing tapered insulation in
place and prep for overlay. We will also remove all existing TPO base flashing at walls, curbs,
penetrations, etc.
2. We will provide and install new'/z" High Density Polyisocyanurate Coverboard and fasten
per manufacturer's 20-year system warranty requirements, utilizing #15 XP fasteners and
PVC Coated Rhinobond plates,
3. We will provide and install new White Sarnafil Sikaplan 60 PVC membrane, hot air -weld all
seams and then induction weld the membrane to the PVC coated RhinoBond plates per
manufacturer's warranty requirements,
ROOFING /SHEET METAL /MASONRY RESTORATION /WATERPROOFING
MEMBERS: SHEET METAL AND AIR CONDITIONING CONTRACTORS NATIONAL ASSOCIATION
NATIONAL ROOFING CONTRACTORS ASSOCIATION • MIDWEST ROOFING CONTRACTORS ASSOCIATION
TERMS AND CONDITIONS: If the work is completed
within 30 days of its commencement, payment
in full is due upon
receipt of invoice. In all other cases, payment
of 96 %
of the work completed shall be due upon receipt of invoice covering partial billing with final
payment due upon
receipt of invoice covering final billing. Non-
payment
in accordance with the above shall be cause for terminating performance. If payments are not made when due,
interest, costs incidental to collection and at-
torneys
fees shall be added to the unpaid balance.
Interest shall accrue at the rate of 1 % %per
month. Customer waives application of valuation and appraisement
laws. Not
liable for failure to perform caused by strikes, fire
or anything beyond our control. Quotations subject
to change without notice. Estimates limited to 15 days acceptance.
4. At parapet walls that have existing limestone coping caps, we will install polyisocyanurate
vertically on the walls to provide a smooth/flush transition up the wall. We will take the
PVC membrane up and over the existing limestone coping cap to make the walls water -tight.
NOTE: Currently WDI shows nothing on the walls and show NO termination bar
below the limestone overhang caps, which is not warrantable. Also, this will create a
small space for insects, bees, etc, to nest up under the metal coping cap.
5. Provide and install all necessary flashings at parapet walls, curbs, penetrations, roof drains,
etc.
6. We will provide and install new 24-gauge pre -finished steel (standard colors) shop fabricated
coping caps to go over the existing limestone coping caps to make water -tight. We will also
provide demo of existing metal components and provide new shop fabricated
counterflashings, roof edge fascia's, gutters and downspouts in the same locations as
currently installed.
7. Midland will be providing a 20-year manufacturer's (standard wind speed) system warranty
upon completion of this work.
8. On the existing paver/pedestal roof we will mark all pavers/pedestals and map out their
existing locations and take off roof to store temporarily. We will then provide new overlay
roof system as we are everywhere else. We will install new fabric filter overlayment mesh
over the PVC membrane and then re -install the pavers/pedestals to match the existing
layout. We will modify existing pavers as required to fit back into the original position. We
will adjust pedestals accordingly to accommodate the additional'/z" thickness we are adding
to the overallroof system, to ensure the "site lines" remain the same as what is currently in
place.
Inclusions
1. Dumpsters and temporary restroom facilities
2. Roof permit
3. Temporary restroom facilities for our employees while on -site
4. All hoisting of our material and equipment required for our work
5. Cleanup of all debris generated from our scope of work
6. $25,000.00 contract allowance for an unforeseen conditions/repair that may be required
7. Cost of 100% Payment/Performance Bond
8. 5% MBE and 5% WBE participation as a material supplier for this project
Exclusions
1. All snow/ice removal and winter conditions
2. 7% sales tax
3. Interior protection
4. No tapered insulation. The existing tapered insulation willremain in place.
5. Any costs associated with drain or drain parts replacement/repair. (if determined required)
6. Any wood blocking repair/replacement. Blocking is assumed to be present at the perimeter
of the roof and in good condition underneath the existing metal edging and gutters. If any is
discovered we will provide and install this on a time and material basis ADD to our contract
amount.
7. Any costs associated with any wet insulation replacement. If any is discovered we will
provide on a time and material basis ADD to our contract amount.
Clarifications
1. Assume to have a small "lay -down" area near the bung, if necessary, for a small number of
materials, dumpsters, temporary restroom facility, forklift, etc.
Z. We assume we will be able to get up close and around the building with our truck crane to
load and download materials, equipment, etc.
3. This re -roof will produce noise and we assume to work during normal business hours of
(6am — 5pm).
4. Our roofing construction is bid to meet the manufacturer's 20-year (standard wind speed)
warranty requirements. Adjustments to the roofing system that may be required by the
owners' insurance would be an add to our contract amount.
5. Fall protection included in our bid is limited to the requirements of OSHA standard 29 CFR,
part 1926, subpart M.
6. All fastener colors are standard for both insulation and membrane. Any painted fasteners to
a specific color would be an upcharge.
7. Please take note that the above system will be PV Solar ready if owner decides down the road
to want to put solar up on the roof. Please note that if owner wants the PV Solar to be
included in the roof warranty that the PV Solar system would need to be designed by Sarnafil,
and would need to be installed within 5 years of the new roof being installed. The roof
would have to be inspected first to determine if the above is applicable.
Sarnafil Sikaplan 60 PVC Overlay
Contract Price: FIVE HUNDRED SIXTY-FOUR THOUSAND, SEVEN
HUNDRED DOLLARS ($564,700.00)
If you have any questions or concerns, please do not hesitate to call (574) 271-3805, extension
131.
Sincerely,
MIDLAND ENGINEERING COMPANY
L00000k�r
Landon Conrad
Estimator/Sales Representative
LC/kjt
Cenral Aire Station Reroofing (t 1-26-24)-p
TERMS
AND CONDITIONS: If the work
is completed within 30 days of its commencement, payment
in full is due upon
receipt of invoice. In ell other cases, payment
of 95 %
of the work completed shall be
tlue upon receipt of invoice covering partial billing with final
peVment due upon
receipt of invoice covering final billing. Non-
payment
in accordance with the above
shall be cause for terminating performance. If payments ere not
made when due,
interest, costs incidental to collection and at-
torneys
fees shell be added to the unpaid balance. Interest shell accrue at the rate of t '/, %per
month. Customer waives application of valuation and appraisement
laws. Not
liable for failure to pertorrn caused
by strikes, fire or anything beyond our control, puotations subject
to change without notice. Estimates limited to 15 days acceptance.
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
RESPONSIBLE BIDDER CHECKLIST
Project Name Central Fire Station Re -roofing
Project No. R124-032A
For Bids Due November 26, 2024
Contractor Name: and Engineering Company, Inc.
The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works
projects by institution of comprehensive submission requirements in compliance with State law. Quality
workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet
certain minimum requirements to be responsive and responsible bidders.
THIS FORM MUST BE SUBMITTED WITH YOUR BID,
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-
63 of The Responsible Bidding Ordinance No. 10594-18 (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") by December 31 st for the upcoming calendar year, or 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 January 1 of the following year, or 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 6-63 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 6-63 of the Responsible Bidding Ordinance no later than the date of the public bid
opening.
Version 07/19/2023 General Conditions - 11
POST BID SUBMISSIONS:
Post -bid submissions must be submitted in accordance with Section 6-64 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 one -hundred fifty
thousand dollars ($150,000.00), 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 and all subcontractors 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 bkweekly basis,
submitted within 10 days after the end of each bkweekly payroll period. Certified payrolls shall
identify the job title and craft for each employee. Certified payrolls shall be submitted
electronically.
Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in
the automatic disqualification of the bid.
The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into
account all information in the submission requirements, determine whether a bidder is responsive and
responsible, and provide a Pre -Qualification Verification Letter, The City specifically reserves the right to
utilize all information provided in the contractor's submission and any information obtained by the City
through its own independent verification of the information provided by the contractor.
Version 07/19/2023 General Conditions - 12
I. PRE -QUALIFIED BIDDER CHECKLIST
(a) Acknowledgements:
(i) X By checking this box, I hereby acknowledge that I am a pre -qualified bidder with
the City of South Bend and that I have met the pre -qualification requirements within
the last twelve (12) months. A copy of my Pre -Qualification verification letter
is attached.
X By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided by me, and may also conduct random inquiries of my current and prior
customers.
(b) Attachments:
(i) X Indiana Secretary of State's on-line records (ie. Business verification) dated within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State's Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
proprietors or partnerships).
(ii) X Statement on staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work. It
outlines how I intend to meet the staffing needs of the work.
(iii) X List of projects of similar size and scope of work performed in all areas, including
the State of Indiana, within the last three (3) years.
(iv) X For every project, submit evidence of participation in apprenticeship and training
programs, applicable to the work to be performed on the project, which are
approved by and registered with the United States Department of Labor's Office of
Apprenticeship, or its successor organization.
Version 07/19/2023 General Conditions - 13
II. PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED)
(a) Acknowledgements:
By checking this box, I hereby acknowledge that I am not a pre -qualified bidder
with the City of South Bend.
By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided, and may also conduct random inquiries of my current and prior
customers. The City reserved the right to utilize all information provided in this
submission and all information obtained in inquiries or requests to determine if a
bidder is responsive and responsible. Additionally, I acknowledge that all
information provided to the City shall be regarded as public records.
By checking this box, I hereby acknowledge that copies of all Applicable
apprenticeship certificates or standards for training programs applicable to the
work performed on the project may be requested at any time and shall be furnished
upon request.
(iv) _ By checking this box, I hereby acknowledge and ensure that I and all sub-
contractors, from whom I have accepted a bid and/or intend to hire to perform work
on the public work project, are properly licensed. Furthermore, I acknowledge my
understanding that it is my responsibility to ensure that all sub -contractors have
the necessary licenses to undertake the work called for in this bid. If a sub-
contractor loses their license at any point, it is the responsibility of that sub-
contractor to notify the City.
(b) Attachments:
(i) _ Indiana Secretary of State's on-line records (ie. Business verification) dated within
sixty (60) days of the submission of said document showing that business is in
existence, current with the Indiana Secretary of State's Business Entity Report,
and eligible for a certificate of good standing. (Not applicable to individuals, sole
proprietors or partnerships).
List identifying all former business names.
Any determinations by a court or governmental agency any violations of federal
state, or local laws including, but not limited to, violations of contracting or antitrust
laws, tax or licensing laws, environmental laws, Occupational Safety and Health
Act (OSHA), or federal Davis -Bacon and related Acts, within the preceding five (5)
years.
(iv) _ Statement about staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work I
am bidding on OR outlines how I intend to meet the staffing needs of the work.
(v) _ Statement that individuals who will perform work on the public work project on my
behalf will be properly classified as an employee or as an independent contractor
under all applicable state and federal laws and local ordinances.
(vi) _ 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.
(vii) _ 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 4-13-1 M.
(viii) _ 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.
Version 07/19/2023 General Conditions - 14
(ix) _ 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.
(i) _ 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: 11/26/2024
(Sign Her
Ryan J. HA resident/CEO
(Print Name Here)
Midland Engineering Company, Inc.
(Name of Company)
52369 State Road 933 North
(Address of Company)
South Bend
(City)
Indiana
(State)
574-272-0200
(Telephone Number)
Version 07/19/2023 General Conditions - 15
CITY OF SOUTH BEND DAMES MUELLER, MAYOR
DEPARTMENT OF PUBLIC WORKS
ERIC HORVATH, DIRECTOR
February 8, 2024
Kelly Toppen
Midland Engineering
loppen@midlandengineering.com
RE: Pre -Qualification Verification
Dear Ms. Toppen:
This letter serves as verification of Pre -Qualification status of your company for bidding
with the City of South Bend. This Pre -Qualification status is effective for twelve (12)
months from the date of this letter. Thereafter you are required to re -submit a complete
application for continuation of pre -qualification status prior to December 31 for the
upcoming calendar year.
A copy of this Verification Letter must be included with every bid exceeding $150,000
submitted to the City of South Bend Board of Public Works, along with your Pre -Qualified
Bidder Checklist and attachments.
If you have any further questions regarding this matter, please call this office at (574) 235-
9251.
Sincerely,
JZ0
Tara Bussell, Permit Manager
Business Details
MIDLAND ENGINEERING Business Name: INC COMPANY
Entity Type: Domestic For -Profit Corporation
Creation Date: 12/27/1932
Principal Office Address: 52369 STATE ROAD 933, South Bend, IN,
46637, USA
Jurisdiction of Formation: Indiana
Governing Person Information
Title
Name
Registered Agent Information
Type: Individual
BUSINESS INFORMATION
DIEGO MORALES
INDIANA SECRETARY OF STATE
11/25/2024 09:23 AM
Business ID: 193007-075
Business Status: Active
Inactive Date:
Expiration Date: Perpetual
Business Entity Report Due 12/31/2024
Date:
Years Due: 2024/2025
Address
52369 S.R. 933 North, SOUTH BEND, IN, 46637, USA
52369 S.R. 933 North, SOUTH BEND, IN, 46637, USA
52369 S.R. 933 North, SOUTH BEND, IN, 46637, USA
52369 State Route 933 North, South Bend, IN, 46637, USA
52369 State Route 933 North, South Bend, IN, 46637, USA
52369
52369
STATE
ROUTE 933
NORTH, South
Bend, IN, 46637, USA
52369
STATE
ROUTE 933
NORTH, South
Bend, IN, 46637, USA
52369
STATE
ROAD 933,
South Bend, IN,
46637, USA
Name: MICHAEL W. FRAHN
Address: 52369 S.R. 933 NORTH, SOUTH BEND, IN, 46637, USA
ROOFERS LOCAL 23
1345 NORTHSIDE BLVD.
SOUTH BEND, IN
46615
02/21/2022
To Whom it may concern:
Midland Engineering is a contractor in good standing signatory to the South Bend
Roofers Joint Apprenticeship and Training Committee's (J.A.T.C.) Registered
Apprenticeship Program #IN020780008. For any Questions or Concerns please
contact:
Department of Labor
2420 Viridian Drive -Suite G
South Bend, IN 46628
Office of apprenticeship.
C.O. Alicia Razor
574-236-8295
Apprenticeship Coordinator
Roofers Local 23 I.A.T.C.
22990 Ardmore Trail
South Bend, IN 46628
574-968-5500
Derek Carrington
Sheet Metal Workers Local 20
Apprenticeship &Training Trust
2828 East45th Street, Suite A
Indianapolis, Indiana46205
(317) 541-0050.1-800-835-4531
www.smw20training.com
January 26th, 2024
To Whom It May Concern,
SHEET I.fETAL AIH I HAIL I T•ANbvOnTATIEN
����
•
I am the State Apprenticeship Coordinator for the Sheet Metal Workers' Local #20
Apprenticeship and Training Trust. I am writing this letter on behalf of Midland
Engineering Company in South Bend, Indiana. They are one of our contractors and have
been in good standing and have been actively participating for well over three
consecutive years; therefore, they are eligible to hire Apprentices through our program.
Apprentices hired by this company are registered with the Bureau of Apprenticeship and
Training as "Sheet Metal" Apprentices.
Additionally, the Sheet Metal Workers' Local# 20 Apprenticeship and Training Trust
has been active for well over three years, in fact dating back to March 6, 1946.
Thank you for your consideration in this matter.
me at your convenience.
Sincerely,
State Apprentice Coordinator
If you have any questions, please call
Sheet Metal Contractors •Sheet Metal Workers Loca120
Evansville •Ft. Wayne •Gary •Indianapolis •Lafayette •South Bend •Terre Haute
�,vUTLi h\
CITY OF SOUTH BEND, INDIANA '
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS
Project Name Central Fire Station Re -roofing
Project No. R124-032A
For Bids Due November 26, 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
z executed.
Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments
with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and
x 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
Y WBE-2.1].
x Acknowledge Receipt of 2 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
z printed or typed underneath signature.
x This checklist submitted with the Bid.
This checklist is provided for bidder's use in assuring compliance with required
documentation; however, it does not include all specifications requirements and does not
relieve the bidder of the need to read and comply with the specifications.
Bidder: A'Iidland Engineering Company, Inc.
By Authorized Representative:
11'Signature: I 7
Print Name & Title: Ryan)
CEO
Date: 11/26/2024
Version 07/19/2023 Contractor's Bid for Public Works - 1