HomeMy WebLinkAboutOpening of Quotations - Studebaker Museum HVAC Replacement - Herrman & GoetzCITY OF SOUTH BEND, INDIANA s t'
CONTRACTOR'S QUOTE FOR PUBLIC WORK
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PROJECT NAME: Studebaker Museum HVAC
PROJECT NO. 124-020
QUOTES DUE November 26, 2024 at 9:00 i
Date:
Address:
City/State/Zip:
Email Address:
(Must be completed for all quotes. Please type or print)
I I - .Z S- 202q Firm: IAraRkMc4_A + 69Q TTZ
Telephone Number:
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Agent of Bidder (if Applicable):
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public orks project of:
S-le_ a&" MvSevnn HEAL I' y —02,0
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
The City of South Bend Department of Public Works
and dated I — 2 ^ ZG Zy for the sum of (enter the Total Quote as shown on the Proposal)
plus Alternates shown on
$ sq. Ndo .
(Numerical)
If alternative quotes apply, the undersigned submits a proposal for each in accordance with the notice. Any
addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed, the cost of units must be the same as that shown
in the original contract if accepted by the City of South Bend. If the quote is to be awarded on a unit basis, the
itemization of the units shall be shown on a separate attachment.
Bpi r —(Signature)
(Printed Name of Person Signing)
The above quote is accepted this
Subject to the following conditions:
ACCEPTANCE
day of
BOARD OF PUBLIC WORKS
President
20
Version 3/15/2024 Page - 7 Public Works Quote
�urx a ti
2
QUOTE/PROPOSAL x e
CITY OF SOUTH BEND r
1965
PROJECT NAME Studebaker Museum HVAC Replacement
PROJECT NO. 124-020
QUOTES DUE November 26, 2024 at 9:00 am EDT
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
1
Entire Project
1
N/A
N/A
♦o
$ Liap
2
$
Total Amount of Quote
$
Firm: + & oer-z-
Address:
City/State/Zip: � iW 1-16545 Telephone Number: (571-I ) 2-Vz - 2 9(0
Fax Number: A $7N) Z 8 L^ Z 6 05
B
(Signature)
lore�F✓LSRN�///iwl.Rll�.P
(Printed Name of Person Signing)
Version 3/15/2024 Page -19 Public Works Quote
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
SS:
3-t•5 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
Version 3/15/2024 Page -16 Public Works Quote
alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of
Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3.
Contractor's documentation of enrollment and participation in the E-Verify Program is included
and attached as part of this bid/quote; and
5. Contractor shall require his/her/its subcontractors performing work under this public
contract to certify that the subcontractors do not knowingly employ or contract with an
unauthorized alien, nor retain any employee or contract with a person that the subcontractor
subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is
participating in the E-Verify Program. The Contractor agrees to maintain this certification
throughout the term of the contract with the City of South Bend, and understands that the City
may terminate the contract for default if the Contractor fails to cure a breach of this provision no
later than thirty (30) days after being notified by the City.
6. Persons, firms, partnerships, corporations, associations, or joint venturers awarded a
contract by the City of South Bend through its agencies, boards, or commissions shall not
discriminate against any employee or applicant for employment in the performance of a City
contract with respect to hire, tenure, terms, conditions, or privileges of contract or employment,
or any matter directly or indirectly related to contracting or employment because of race, sex,
religion, color, national origin, ancestry, gender expression, gender identity, sexual orientation, or
due to age or disability that does not affect that person's ability to perform the work.
In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or
any combination of the foregoing including, but not limited to, public works contracts awarded
under public bidding laws or other contracts in which public bids are not required by law, the City,
its agencies, boards, or commissions will consider the Contractor's good faith efforts to obtain
participation by those subcontractors certified by the State of Indiana as a Minority Business
("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest,
responsible, responsive bidder.
Contractors seeking the award of a City contract cannot be required to award a subcontract to an
MWBE; however, they may not unlawfully discriminate against said MBE/WBE. On goal -eligible
contracts, Contractors are required to either meet both MBE and WBE utilization goals or
demonstrate that the Contractor has made good faith efforts to obtain participation from MBE and
WBE subcontractors. A finding of noncompliance or a discriminatory practice shall prohibit that
Contractor from being awarded a City contract for a period of one (1) year from the date of such
determination, and such determination may also be grounds for terminating the contact to which
the discriminatory practice or noncompliance pertains.
7. The undersigned Contractor agrees that the following nondiscrimination commitment shall
be made a part of any contract which it may henceforth enter into with the City of South Bend,
Indiana or any of its agencies, boards or commissions.
Contractor agrees not to discriminate against or intimidate any employee or applicant for
employment in the performance of this contract with privileges of employment, or any matter
directly or indirectly related to employment, because of race, religion, color, sex, gender
expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of
this provision may be regarded as material breach of contract.
Version 3/15/2024 Page -17 Public Works Quote
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.
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 co7-V day of // , 20 c9-1
- g o ekx _ /nc_,
ContractorlBidder (Fi
f
Sipature o Contr orBidder or Its Agent
Printed ame and Title
Subscribed and sworn to before me this .25' day of A& vt r,6Gr• , 20AI
My Commission Expires I
ry Public
County of Residence SW • %.An,�.4it•
Jami E Kinner
Notary Public Seal State of Indiana
St. Joseph County
Commission Number NP20760192
My Commission Expires 07/1612031
Version 3/15/2024 Page -18 Public Works Quote
.4 UTH a
O
1316 COUNTY -CITY BUILDING V=� a - PHONE 574/ 235-9251
227 W. JEFFERSON BOULEVARD 1 FAX 574/ 235-9171
SOUTH BEND, INDIANA 46601-1830 TOD 574/ 235-5567
CITY OF SOUTH BEND, JAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
Date: Octo
To: All F
From Ther
Subject Add1
Project Name:
Project Number:
2024
of Public Works
Studebaker HVAC Replacement
124-020
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: tO — 1 S - 2-e2.
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum
by faxing this sheet to the Board of Public Works at (574) 235-9171
within 48 hours of receipt. A copy MUST also be included with your
bid package upon submittal.
THIS ADDENDUM MAY AFFECT YOUR BID.
Notes:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company:
Authorized Signature:
Date:
10-Ito - zN
nS
Version 4/2/2015
Herrman & Goetz, Inc.
3419 N. Home St. Mishawaka IN 46545
V, (574) 282-2596 Fax:(574) 218-6504
5,Wla5 (800) 528-1696
November 25, 2024
To: City of South Bend, Indiana Public Works Board
From: Tom Adams, Project Manager
Re: Studebaker Museum HVAC Replacement bid
Members of the Public Works Board,
This is to inform you that the equipment that has been specified will not be furnished with
devices that will allow it to function in cold weather. Therefore, the start-up date of
equipment is dependent on the outdoor temperature being warm enough to allow proper
operation of equipment without damage to the equipment. This date may be later than
your deadline for liquidated damages to be incurred.
We cannot guarantee that this project will be 100% complete by your deadline, but
should we be awarded this project, we will have all equipment installed as far as
possible, and then start it up as soon as the weather allows. Please understand this is
beyond anyone's control. We do not believe that this situation should be a cause to
enact liquidated damages.
Please feel free to contact me if you have any questions or concerns regarding this
matter.
Respectfully,
74,a" ,gdaoxa
Tom Adams
H&G Services
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 11/21/2023
Name Patrick Sherman Department Public Works
BPW Date 11 /26/2023 Phone Extension 5601
Review and Approval Required Prior to Submittal to Board
Diversity Compliance ❑
Officer Name
and Inclusion Officer
BPW Attorney
® Attorney Name
Dept. Attorney ❑ Attorney Name
Purchasing ❑ Mickey Lovy
Check the Appropriate Item I
Professional Services Agreement ❑ Contract
❑ Open Market Contract
❑ Bid Opening
® Quote Opening
❑ Proposal Opening
❑ Chg. Order, No.
I-1 Other:
Michael Schmidt
❑ Amendment/Addendum
❑ Bid Award
❑ Quote Award
❑ C/O & PCA No.
❑ Traffic Control
Information
All Submissions
U Proposal
❑ Special Purchase, QPA
❑ Req. to Advertise ❑ Title Sheet
❑ Reject Bids/Quotes
❑ PCA
❑ Resolution
Ease./Encroach
Company or Vendor Name
TBD
❑ Yes❑ If Yes, Approved by Purchasing
New Vendor
❑ No
❑❑ MBYes
MBE/WBE Contractor
E Completed E-Verify Form Attached ❑
No
Project Name
Studebaker Museum HVAC Replacement
Project Number
124-020
Funding Source
PR-00036580
Account No.
324-10-102-121-443001--PROJ00000524
Amount
$TBD
Terms of Contract
Lump Sum Quote
Purpose/Description
Replacement of two end of life and failing condensing units at the Studebaker
Museum.
For Change Orders Only
Amount of ❑ Increase $
❑ Decrease ($ )
Previous Amount
Current Percent of Change
New Amount
Increase %
Decrease ( %
Increase %
Total Percent of Change: Decrease %
Time Extension Amount:
New Completion Date: