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HomeMy WebLinkAboutAward Bid - SBFD Central Fire Station Roofing Replacement Proj No R124-032A - Slatile Roofing and Sheet Metal1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/235-9251 FAx 574/235-9171 CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS January 14, 2025 Mr. Gerald Longerot Slatile Roofing and Sheet Metal Co., Inc. 1703 S. Ironwood Drive South Bend, IN 46613 gerald.lon eg rot&slatile.com RE: Award Bid — SBFD Central Fire Station Roofing Replacement — Project No. R124- 032A Dear Mr. Longerot: At its January 14, 2025 meeting, the Board of Public Works awarded the above referenced bid to you in the amount of $696,812; Base Bid A. Enclosed please find a signed Bid/Proposal form. Please forward the following documents in one submittal by January 28, 2025 to my attention for Board of Public Works approval at hhorvathksouthbendin.gov: 1) One (1) signed original of the Public Works Contract (enclosed) 2) Labor & Material Payment Bond 3) Performance Bond (125% of Bid Amount) 4) Certificate of Insurance naming the City of South Bend as an additional insured 5) Item #4 for all subcontractors that you use If you have any further questions, please call this office at (574) 235-9251. Sincerely, /s/ Theresa Heffner Theresa Heffner, Clerk Enclosures TH/hh ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT MURRAY L. MILLER BREANA N. MIcou 1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/235-9251 FAx 574/235-9171 CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS January 14, 2025 Mr. Ryan Haas Midland Engineering Company, Inc. 52369 State Road 933 North South Bend, IN 46637 rhaaskmidlanden ing eering com RE: Bid Award — SBFD Central Fire Station Roofing Replacement — Project No. R 124-032A Dear Mr. Haas: At its January 14, 2025, meeting, the Board of Public Works awarded the above referenced bid to Slatile Roofing and Sheet Metal Co., Inc. in the amount of $696,812; Base Bid A. Thank you for bidding, and we hope you bid with us in the future. If you have any further questions, please call this office at (574) 235-9251. Sincerely, /s/ Theresa Heffner Theresa Heffner, Clerk Enclosures TH/hh ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT MURRAY L. MILLER BREANA N. MIcou 1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/235-9251 FAx 574/235-9171 CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS January 14, 2025 Mr. Tom Lundquist Hoeskstra Roofing Company 1963 Olmstead Road Kalamazoo, MI 49049 beaughoekstraroofing com RE: Bid Award — SBFD Central Fire Station Roofing Replacement — Project No. 124-032A Dear Mr. Lundquist: At its January 14, 2025, meeting, the Board of Public Works awarded the above referenced bid to Slatile Roofing and Sheet Metal Co., Inc. in the amount of $696,812; Base Bid A. Thank you for bidding, and we hope you bid with us in the future. If you have any further questions, please call this office at (574) 235-9251. Sincerely, /s/ Theresa Heffner Theresa Heffner, Clerk Enclosures TH/hh ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT MURRAY L. MILLER BREANA N. MIcou INTER -OFFICE MEMORANDUM DEPARTMENT OF PUBLIC WORKS DIVISION OF ENGINEERING TO: Theresa Heffner, Clerk Board of Public Works FROM: Lidya Abreha Project Engineer, Division of Engineering SUBJECT: Award: 124-032A Central Fire Station Reroofing DATE: January 61", 2025 On November 261", 2024, the Board of Public Works opened and read bids for the above project. Three bids were received from Hoekstra Roofing Company, Midland Engineering Company, Inc., and Slatile Roofing and Sheet Metal Co., Inc. Hoekstra Roofing Midland Slatile Roofing and Company Engineering Sheet Metal Co., Inc. Company, Inc. Total Base Bid A $729,500.00 N/A $696,812.00 Total Base Bid B $N/A $880,800.00 $712,812.00 Engineering recommends award of the base bid to the lowest responsive and responsible bidder, Slatile Roofing and Sheet Metal Co., Inc., in the amount of $696,812.00. Slatile meets M/WBE goals for the project. The Fire Department has appropriated sufficient funds from the Fire Departmental Capital — Building Improvements fund (Funding #287443001). PR00035507. Please respond with any questions (EXT 5961). Enc. Bid Tabulation BID TABULATION R124-032A Central Fire Station Reroofing BASE BID A Engineer's Estimate Hoekstra Roofing Company Midland Engineering Company, Inc. Slatile Roofing and Sheet Metal Co., Inc. Item No. Line Item Quantity Unit Unit Price Cost Unit Price Cost Unit Price Cost Unit Price Cost 1 The Complete roof replacement as described by the Contract Documents utilizing a 60 mil TPO membrane 1 LSUM $424,144.00 $424,144.00 $704,500.00 $704,500.00 N/A N/A $671,812.00 $671,812.00 2 Unforseen Conditions Allowance 1 LSUM $25,000.00 $25,000.00 $25,000.00 $25,000.00 $25,000.00 $25,000.00 $25,000.00 $25,000.00 $449,144.00 $729,500.00 $25,000.00 1 $696,812.00 BASE BID A TOTAL $449,144.00 1 $729,500.00 1 $25,000.00 1 $696,812.00 BASE BID B Engineer's Estimate Hoekstra Roofing Company Midland Engineering Company, Inc. Slatile Roofing and Sheet Metal Co., Inc. Item No. Line Item Quantity Unit Unit Price Cost Unit Price Cost Unit Price Cost Unit Price Cost 1 The Complete roof replacement as described by the Contract Documents utilizing a 60 mil PVC membrane 1 LSUM N/A N/A $880,800.00 $880,800.00 $687,812.00 $687,812.00 2 Unforseen Conditions Allowance 1 LSUM $25,000.00 $25,000.00 $25,000.00 $25,000.00 $25,000.00 $25,000.00 $25,000.00 $25,000.00 1 1 ___t $25,000.00 $25,000.00 $880,800.00 $712,812.00 BASE BID B TOTAL I N/A 1 $880,800.00 1 $712,812.00 Non -Collusion Affadavit Y Y Y Addendum No. 1 Acknowledgement Y Y Y Addendum No. 2 Acknowledgement Y Y Y I hereby certify that the above truly and accurately represents bids received for this project on November 26th, 2024 Lidya Abreha, Project Engineer S:\Public Works\Projects\Projects by Year\2024 Projects\124-032 SBFD & PW Service Center Roof Replacement\1 - Admin\1 - BPW Documents\124-032A Bid Tabulation CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Central Fire Station Re -roofing Project No. R124-032A For Bids Due November 26, 2024 PART I (Must be completed for all bids. Please type or print) Date: 11 /26/24 Bidder (Firm): Slatile Roofing and Sheet Metal Co., Inc. Address: 1703 S. Ironwood Drive City/State/Zip: South Bend, IN 46613 Telephone Number: ( 574 ) 233-7485 Agent of Bidder (if Applicable): Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: Re -roofing the South Bend Central Fire Station. the City of South Bend, Indiana, in accordance with plans and specifications prepared by: WDi Architecture Inc. and dated November 1, 2024 for the sum of (enter the Total Bid as shown on the Proposal) Six Hundred Ninety -Six Thousands Eight Hundred Twelve Dollars ($ 696,812.00 ) (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 s own on a separate ttachment. By (Signature) Gerald Longerot (Printed Name of Person Signing) ACCEPTANCE The above bid is accepted this day of 20 Subject to the following conditions: CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS V'aa y� �_7 L Elizabeth A. Maradik, President Joseph R`.-Molnar, Vice President Gary A. Gilot, Member Breana Micou, Member /xv Murray L. Miller, Member Attest: Theresa M. Heffner, Clerk Date: January 14, 2025 BOARD OF PUBLIC WORKS CITY OF SOUTH BEND, INDIANA PUBLIC WORKS CONTRACT This Agreement is made and entered into this 14th Day of January, 2025, by and between Slatile Roofing and Sheet Metal Co., Inc., (the "Contractor"), and the Board of Public Works (the "Board"). The Contractor covenants and agrees to make the following improvement, as fully set out in the Request for Quotations, Standard Specifications, Special Provisions, Plans, and Bid Proposals, all of which are set forth as a part of this Contract, for: PROJECT NO. R124-032A DESCRIPTION: SBFD CENTRAL FIRE STATION ROOFING REPLACEMENT COMPLETION DATE: SEE SPECIFICATIONS AMOUNT: $696,812; BASE BID A FT TNT)TN(T. PR-00015507 The unit prices for this improvement were those prices as received and accepted by the Board on the 14th Day of January, 2025. The Contractor further agrees to notify the assigned Engineer when this improvement is completed. This notification shall be in the form of a Project Completion Affidavit, signed by the Contractor. Upon final acceptance of the improvement by the Engineer, the Contractor's final estimate will be presented to the Board for final Payment with one (1) copy of the Project Completion Affidavit and one (1) copy of a Waiver of Lien. Each of the Parties, by signing below, represents and warrants to the other Party that he/she/it has the authority to bind the named person or entity to this Agreement. BOARD OF PUBLIC WORKS President Member Member Member Member Attest: Clerk SLATILE ROOFING AND SHEET METAL CO., INC. Printed Name Signature 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: Slatile Roofing and Sheet Metal Co., 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 654,812.00 671,812.00 utilizing a 60 mil TPO membrane 2 Unforeseen Conditions Allowance 1 LSUM $25,000.00 $25,000.00 Base Bid #A TOTAL 696,812.00 Base Bid #B Item No. Description Quantity Unit Unit Price Total Amount The complete roofing replacement as 3 described by the Contract Documents 1 LSUM utilizinga 60 mil PVC membrane. 669,812.00 687,812.00 4 Unforeseen Conditions Allowance 1 LSUM $25,000.00 $25,000.00 Base Bid #B TOTAL 712,812.00 (Bidder may choose to bid either Base Bid A, Base Bid B, or Both) Bidder (Firm): Slatile Roofing and Sheet Metal Co., Inc. Address: 1703 S. Ironwood Drive City/State/Zip: South Bend, IN 46613 Telephone Number: 574233-7495 By (Signature) Slatile Roofing and Sheet Metal Co., Inc. (Printed Name of Person Signing) Version 07/19/2023 Contractor's Bid for Public Works - 7 PART 99 (For projects of $100,000 or more — IC 36-1-12-4) These statements to be submitted under oath by each bidder with and as part of his/her/its bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 1. Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid. 2. Attach a listing of public works projects currently in process of construction by your organization. 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. 4. Attach references from private firms for which you have performed work. SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Attach an explanation of your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the City of South Bend to consider your bid.) 2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. 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 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: 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 firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Version 07/19/2023 Contractors Bid for Public Works - 4 Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, firms, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of contract or employment, or any matter directly or indirectly related to contracting or employment because of race, sex, religion, color, national origin, ancestry, gender expression, gender identity, sexual orientation, or due to age or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions will consider the Contractor's good faith efforts to obtain participation by those subcontractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. Contractors seeking the award of a City contract cannot be required to award a subcontract to an MWBE; however, they may not unlawfully discriminate against said MBE/WBE. On goal -eligible contracts, Contractors are required to either meet both MBE and WBE utilization goals or demonstrate that the Contractor has made good faith efforts to obtain participation from MBE and WBE subcontractors. A finding of noncompliance or a discriminatory practice shall prohibit that Contractor from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact to which the discriminatory practice or noncompliance pertains. 7. The undersigned Contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1).1 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 November 2024 Subscribed and sworn to before me this 26th My Commission Expires County of Residence Slatile Roofing and Sheet Metal Co., Inc. ContractorBidder irm Signature of Contra for idder or Its Agent Gerald Longerot - Vice President Printed Name and Title day of November , 20 24 Notary bli / ell U C o Z' CD Version 07/19/2023 Contractors Bid for Public Works - 6 ANNAIA Document A31 OTM - 2010 Bid Bond CONTRACTOR: SURETY: (Name, legal status and address) latile Roofing & Sheet Metal Co., Inc. (Name, legal status and principal place of business) Hudson Insurance Company 1703 S. Ironwood Drive 100 William Street, 5th Floor This document has important legal South Bend, IN 46613 New York, NY 10038 consequences. Consultation with OWNER: an attorney is encouraged with (Name, legal starts and address) respect to its completion or Board of Public Works of the City of South Bend modification. 1316 County -City Building Any singular reference to South Bend, IN 46613 Contractor, Surety, Owner or BOND AMOUNT: ***FIVE PERCENT OF AMOUNT BID*** other party shall be considered plural where applicable. PROJECT: (Name, location or address, and Project number, if any) Central Fire Station Reroofing, Project No. R124-032A 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 asreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been fumished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 26th day of November 2024 Slatile Roofing & Sheet Metal Co., Inc. �a ( rinc' al) lj (Witness) '' Hudson Insurance-Companv -- G (% i L�'l C (Surety) (Witness) r (Title)Thomas O. Chambers, Attorney -in -Fa .'' ,IC Init. AIA Document A310- — 2010. Copyright ®1963, 1970 and 2010 by The American Institute of Architects. All rights reserved. WARI•III Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA' any portion of It, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under t Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract D, The American Institute of Architects' legal counsel, copyright@ala.org. t, 6r i4 • t HUDSON INSURANCt GROLII' POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That HUDSON INSURANCE COMPANY. a corporation of the State of Delaware? with offices at 100 William Street. New York, New York. 10038. has made. constituted and appointed and by these presents, does make. constitute and appoint Thomas O. Chambers and Todd Schanp of the State of Wisconsin its true and lawful Attorneys) -in -Fact, at New York, New York, each of them alone to have full power to act without the other or others, to make, execute and deliver on its behalf. as Surety, bonds mid undertakings given for any and all purposes. also to execute and deliver on its behalf as aforesaid renewals, extensions, agreement& waivers, consents or stipulations relating to such bonds or undertakings provided, however, that no single bond or undertaking shall obligate said Company for any portion of the penal sum thereof in excess of the sum of Twenty Five Million Dollars ($25,000,000.00). Such bonds and undertakings when duly executed by said Attornev(s)-in-Fact, shall be binding upon said Company as fully and to the same extent as if signed by the President of said Company under its corporate seal attested by its Secretary. In Witness Whereof, HUDSON INSURANCE COMPANY has caused these presents to be of its Senior Vice President thereunto duly authorized, on this 3rd day of June . 20 22 at New York, New York. sea HUDSON INSURANCE COMPANY Attest........... �..................1........ By................................................................. Dina Daskalakis Michael P. Cifane Corporate Secretary Senior Vice President STATE OF NEW YORK COUNTY OF NEW YORK. SS. On the 3rd day of June , 2022 before me personally came Michael P. Cifone to me known, who being by me duly sworn did depose and say that he is a Senior Vice President of HUDSON INSURANCE COMPANY, the corporation described herein and which executed the above instrument, that he knows the seal of said Corporation, that the seal affixed to said instrument is such corporate seal, that it wqs so a0ix90 by order of the Board of Directors of said Corporation, and that he signed his name thereto by like order. i (t/ "j" , .............. ....... .......................................... (Notarial Sea)P `p�N M..V9 ANN MURPHY q Notary Public, State of New York • NO T,q� : Sc ; No. 01 MU6067553 k gGe1IG Qualified in Nassau County s� '�FNEW :��{= Commission Expires December 10, 2025 "^� "° CERTIFICATION SPATE OF NEW YORK COUNTY OF NEW YORK SS. The undersigned Dina Daskalakis hereby certifies: That the original resolution, of which the following is a true and correct copy, was duly adopted by unanimous written consent of the Board of Directors of Iludson Insurance Company dated July 271b, 2007, raid has not since been revoked, amended or modified: "RESOLVED, that the President, the Executive Vice Presidents. the Senior Vice Presidents and the Vice Presidents shall have the authority and discretion, to appoint such agent or agents, or attorney or atlomeys-in-fact, for the purpose of currying on this Company's surety business, and to empower such agent or agents, or attorney or attorneys -in -fact, to execute and deliver, under this Company's seal or otherwise, bonds obligations, and recognizances, whether made by this Company as surety thereon or otherwise, indemnity contracts, contracts and certificates, and any and all other contracts and undertakings made in the course of this Company's surety business, and renewals, extensions, agreements, waivers, consents or stipulations regarding undertakings so made: and FURTHER RESOLLED, that the signature of any such Officer of the Company and the Company's seal may be affixed by facsimile to any power of attorney or certification given for the execution of any bond, undertaking, recognizance, contract of indemnity or other written obligation in the nature thereof or related thereto, such signature and seal when so used whether heretofore or hcreafier, being hereby adopted by the Company as the original signature of such officer 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." THAT the above and foregoing is a full, true and correct copy of Power of Attorney issued by said Company, and of the whole of the original and that the said Power of Attorney is still in full force and effect and has not been revoked, and furthermore that the Resolution of the Board of Directors, set forth in the said Power of Attorney is now in force. Witness the hand of the undersigned and, ftlVal of said Corporation this 26th day of November 2024. I,,CCU 0Fk? Ole A SEA - a18 vase . 13826 By, _._........� ....... ........................ Dina Daskalakis, Corporate Secretary STATE OF WISCONSIN ) COUNTY OF Racine ) ON THIS 26th day of November 2024 before me, a notary public, within and for said County and State, personally appeared Thomas O. Chambers to me personally known, who being duly sworn, upon oath did say that he is the Attorney -in -Fact of and for the Hudson Insurance Company , a corporation of Delaware , created, organized and existing under and by virtue of the laws of the State of Delaware ; that the corporate seal affixed to the foregoing within instrument is the seal of the said Company; that the seal was affixed and the said instrument was executed by authority of its Board of Directors; and the said Thomas O. Chambers did acknowledge that he/she executed the said instrument as the free act and deed of said Company. Jackie Sheldon Notaiy Public, Racine County, Wisconsin My Commission Expires 2/13/2027 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. R124-032A Project Name: Central Fire Station Re -roofing Bidder: Slatile Roofing and Sheet Metal Co Inc Total Bid Amount: 696,812.00 MBE Goal: 0.6% Page of Name &Address of MBE Primary Contact Person (Namerrelephone) Scope of Wodc to be Performed (Attach scope/schedule if you need additional space) Dollar Amount of MBE Component Percentage of Total Bid/Proposal JMH Roofing Company, Inc. 1219 E. 9th Street Indianapolis, IN 46202 Jerilyn Huntington 317-605-2789 Materials Supplied $4,200.00 0.6% Submitted by: Gerald Longerot 11/26/24 Print Name �nature Date '""Goals should be calculated based on the Base Bid only. — Version 07/19/2023 Contractor's Bid for Public Works - 8 CITY OF SOUTH BEND - MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM WBE-1.0 WBE UTILIZATION PLAN This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving WBE participation. It is the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications. ***Goals should be calculated based on the Base Bid only.*** Project Number. _R124-032A Project Name: Central Fire Station Re -roofing Bidder. Slatile Roofing and Sheet Metal Co., Inc. Total Bid Amount 696,812.00 WBE Goal: 2.1% Page _of Name 8 Address of WBE Primary Contact Person (Name/Telephone) Scope of Work to be Performed (Attach scope/schedule Nneed additional space) Dollar Amount of WBE Component Percentage of Totalyou Bld/Proposal JMH Roofing Company, Inc. 1219 E. 9th Street Indianapolis, IN 46202 Jerilyn Huntington 317-605-2789 Materials Supplied $14,700.00 2.1% Submitted by: Gerald Longerot 11/26/24 Print Name I nature Dale "'Goals should be calculated based on the Base Bid only. — Version 07/19/2023 Contractor's Bid for Public Works - 9 a CITY OF SOUTH BEND 7 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: R124-032A Date: 11 /26/24 Project Name: Central Fire Station Re -roofing Bidder: Slatile Roofing and Sheet Metal Co., Inc. Contact Person: Gerald Longerot Telephone: 574-233-7485 Address: 1703 S. Ironwood Drive City: South Bend State: Indiana Zip: 46613 Email: gerald.longerot@slatile.com To determine whether a bidder has demonstrated good faith efforts to reach the MBE utilization goals set forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below*: EVIDENCE OF GOOD FAITH EFFORTS MBE LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business Enterprise Inclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the Indiana Department of Administration list of Minority and Women Owned Businesses (both certified and non -certified) found at: http://www.in.gov/idoal. GOOD FAITH EFFORTS TO OBTAIN MBE PARTICIPATION The bidder shall initial each item below, as evidence of its good faith efforts to obtain MBE participation in the awarded contract. I affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise Inclusion Program Plan and the Indiana Department of Administration's certified list of ^ Indiana Minority and Women Business Enterprises, found on their website (hftp://www.in.gov/idoa). I affirm that I have made good faith efforts to select portions of the contract work to be performed by MWBEs, including, where appropriate, breaking out contract work items into x economically feasible units to facilitate MBE participation. I affirm that I have made good faith efforts to solicit through all reasonable and available x 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 x MBEs of contracting and subcontracting opportunities. I affirm that I advertised in general circulation and/or trade association publications concerning subcontract opportunities and allowed MBEs reasonable time to respond to x such advertisements. I affirm that I performed any and all necessary steps to provide written notices in a manner x reasonably calculated to inform MBEs of subcontracting opportunities and allowed sufficient time for MBEs to participate effectively. I affirm that I followed up on initial solicitations with interested MBEs. x I affirm that I negotiated with interested MBEs in good faith, including providing such MBEs ^ with adequate information about the plans, specifications and other requirements of the subcontract. I affirm that I have made good faith efforts to assist interested MBEs in obtaining bonding, ^ lines of credit, or insurance as required by the City or the bidder, where appropriate. Version 07/19/2023 Contractor's Bid for Public Works - 10 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS I affirm that I have made good faith efforts to assist interested MBEs in obtaining necessary equipment, supplies, materials, or related assistances or services, where appropriate. I affirm that I did not reject any MBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. CONTRACT RECORDS: The bidder has maintained the following records for each MBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBE was unqualified to perform the job. "Proper demonstration of Good Faith Efforts requires your imtiais next to au or the above Doxes. 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 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM WBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MWBE participation. Project Number: R124-032A Date: 1 1 /26/24 Project Name: Central Fire Station Re -roofing Bidder: Slatile Roofing and Sheet Metal Co.. Inc. Contact Person: Gerald Longerot Telephone: 574-233-7485 Address: 1703 S. Ironwood Drive City: South Bend State: Indiana zip: 46613 Email: gerald.longerotgslatile.com To determine whether a bidder has demonstrated good faith efforts to reach the WBE utilization goals set forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below": EVIDENCE OF GOOD FAITH EFFORTS WBE LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business Enterprise Inclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the Indiana Department of Administration list of Minority and Women Owned Businesses (both certified and non -certified) found at: http://www.in.gov/idoa/. GOOD FAITH EFFORTS TO OBTAIN WBE PARTICIPATION The bidder shall initial each item below, as evidence of its good faith efforts to obtain WBE participation in the awarded contract. I affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise Inclusion Program Plan and the Indiana Department of Administration's certified list of x Indiana Minority and Women Business Enterprises, found on their website (hftp://www.in.gov/idoa). I affirm that I have made good faith efforts to select portions of the contract work to be x performed by WBEs, including, where appropriate, breaking out contract work items into economically feasible units to facilitate WBE participation. I affirm that I have made good faith efforts to solicit through all reasonable and available x means the interest of all WBEs in the scopes of work of the contract. x I affirm that I attended all pre -bid meetings scheduled by the City of South Bend to inform WBEs of contracting and subcontracting opportunities. affirm that I advertised in general circulation and/or trade association publications concerning subcontract opportunities and allowed WBEs reasonable time to respond to such advertisements. I affirm that I performed any and all necessary steps to provide written notices in a manner reasonably calculated to inform WBEs of subcontracting opportunities and allowed x sufficient time for WBEs to participate effectively. I affirm that I followed up on initial solicitations with interested WBEs. I affirm that I negotiated with interested WBEs in good faith, including providing such WBEs with adequate information about the plans, specifications and other requirements of the x subcontract. I affirm that I have made good faith efforts to assist interested WBEs in obtaining bonding, x 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 - 12 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM WBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS I affirm that I have made good faith efforts to assist interested WBEs in obtaining necessary equipment, supplies, materials, or related assistances or services, where appropriate. I affirm that I did not reject any WBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. CONTRACT RECORDS: The bidder has maintained the following records for each WBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MWBE was unqualified to perform the job. *Proper demonstration of Good Faith Efforts requires your initials next to all of the above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 07/19/2023 Contractor's Bid for Public Works - 13 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN = >' FORM MBE-2.1 MBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring Good Faith Efforts to contact MBEs. It is the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications. Attach additional pages if necessary. PAGE OF Project Number: R124-032A MBE Participation Goal 0.6% Project Name: Central Fire Station Re -roofing BidSjRti ,Roofinq and S eet Metal Co., Inc. By. ice -President 11/26/24 (Signature) (Title) (Date) MBE Firm JMH Roofing Company, Inc Owner or Contact at MBE Firm Jerilyn Huntington Telephone: 317-605-2789 Fax: Email: jmh@jmhroofingcompany.com TYPE OF WORK SOLICITED FOR THIS PROJECT: Supply roofing material. RESULTS OF CONTACT WITH THE MBE FIRM: Will be supplying roofing bid. 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 07/19/2023 Contractor's Bid for Public Works - 14 y)l'117 CITY OF SOUTH BEND = MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-2.1 WBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring Good Faith Efforts to contact WBEs. It is the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications. Attach additional pages if necessary. PAGE OF Project Number: R124-032A WBE Participation Goal 2.1% Project Name: Central Fire Station Re -roofing Bidd : ,n '�atilK Roofing and Sheet Metal Co., Inc. By: -- �r-� Vice -President 11/26/24 (Signature) (Title) (Date) WBE Firm JMH Roofing Company, Inc. Owner or Contact at WBE Firm Jerilyn Huntington Telephone:317-605-2789 Fax: Email: jmh@jmhroofingcompany.com TYPE OF WORK SOLICITED FOR THIS PROJECT: Supply roofing material. RESULTS OF CONTACT WITH THE WBE FIRM: Will be supplying roofing bid. WBE Firm Owner or Contact at WBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE WBE FIRM: Version 07/19/2023 Contractor's Bid for Public Works - 15 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Project No. For Bids Due Central Fire Station Re -roofing R124-032A 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. x Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments x with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and Certification of use of United States Steel Products or Foundry Products. Proof of M/WBE Utilization Plans [MBE-1.0 and WBE-1.0]. Also provide Evidence of Good Faith Efforts Forms [MBE-2.0 and WBE-2.0] and MAMBE Contacted Forms [MBE-2.1 and x WBE-2.1 ]. x Acknowledge Receipt of 2 Addendum(s) included with the bid. x All required additional information is included with the bid. x Proposal statements and other affidavits all signed by the proper party with name either printed or typed underneath signature. x This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. Bidder: Slatile Roofing and Sheet Metal Co., Inc. Date: 11/26/24 By Authorized R 79;�� Signature: Print Name & Title: Gerald Lonaerot - Vice President Version 07/19/2023 Contractor's Bid for Public Works -1 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: Slatile Roofinq and Sheet Metal Co., 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 sl 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 bi-weekly basis, submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall identify the job title and craft for each employee. Certified payrolls shall be submitted electronically. Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in the automatic disqualification of the bid. The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into account all information in the submission requirements, determine whether a bidder is responsive and responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to utilize all information provided in the contractor's submission and any information obtained by the City through its own independent verification of the information provided by the contractor. Version 07/19/2023 General Conditions -12 1. 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. (ii) X By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided by me, and may also conduct random inquiries of my current and prior customers. (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). 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. 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: (i) _ By checking this box, I hereby acknowledge that I am not a pre -qualified bidder with the City of South Bend. (ii) _ By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided, and may also conduct random inquiries of my current and prior customers. The City reserved the right to utilize all information provided in this submission and all information obtained in inquiries or requests to determine if a bidder is responsive and responsible. Additionally, I acknowledge that all information provided to the City shall be regarded as public records. (iii) _ By checking this box, I hereby acknowledge that copies of all Applicable apprenticeship certificates or standards for training programs applicable to the work performed on the project may be requested at any time and shall be furnished upon request. (iv) _ By checking this box, I hereby acknowledge and ensure that I and all sub- contractors, from whom I have accepted a bid and/or intend to hire to perform work on the public work project, are properly licensed. Furthermore, I acknowledge my understanding that it is my responsibility to ensure that all sub -contractors have the necessary licenses to undertake the work called for in this bid. If a sub- contractor loses their license at any point, it is the responsibility of that sub- contractor to notify the City. (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). (ii) _ List identifying all former business names. (iii) _ 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 4-13-18-6. (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: Novem er 26, 024 n Here) Gerald Longerot (Print Name Here) Slatile Roofing and Sheet Metal Co., Inc. (Name of Company) 1703 S. Ironwood Drive (Address of Company) South Bend (City) Indiana (State) 574-233-7485 (Telephone Number) Version 07/19/2023 General Conditions - 15 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 11/18/2024 Department Public Name Lidva Abreha BPW Date 11/26/2024 Phone Extension 5961 Required Prior to Submittal to Board BPW Attorney ® Attorney Name Michael Schmidt Dept. Attorney ❑ Attorney Name Purchasing ❑ Mickey Lovy Check the Appropriate Item Type — Re uired or All Submissions ❑ Professional Services Agreement ❑ Contract ❑ Proposal ❑ Open Market Contract ❑ Amendment/Addendum ❑ Special Purchase, QPA ® Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet ❑ Quote Opening ❑ Quote Award ❑ Reject Bids/Quotes ❑ Proposal Opening ❑ C/O & PCA No. ❑ PCA ❑ Chg. Order, No. ❑ Traffic Control ❑ Resolution ❑ Other: ❑ Ease./Encroach Reauired Information Company or Vendor Name New Vendor ❑ Yes❑ If Yes, Approved by Purchasing ❑ No MBE/WBE Contractor ❑ ❑ MBE Completed E-Verify Form Attached ❑ Nos Project Name SBFD Central Fire Station Roofing Replacement (task 1) Project Number R124-032A (PROJ00000507) Funding Source Fire Departmental Capital (1) Account No. 287-443001 Amount Terms of Contract Lump Sum Purpose/Description For Change Orders Onl Amount of ❑ Increase $ ❑ Decrease ($ ) Previous Amount Current Percent of Change New Amount Total Percent of Change: Time Extension Amount: New Completion Date: Increase Decrease Increase Decrease BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 12/31/2024 Department Public Name Lidva Abreha BPW Date 01/14/2024 Phone Extension 5961 Required Prior to Submittal to Board BPW Attorney ® Attorney Name Michael Schmidt Dept. Attorney ❑ Attorney Name Purchasing ❑ Mickey Lovy Check the Appropriate Item Type — Re uired or All Submissions ❑ Professional Services Agreement ❑ Contract ❑ Proposal ❑ Open Market Contract ❑ Amendment/Addendum ❑ Special Purchase, QPA ❑ Bid Opening ® Bid Award ❑ Req. to Advertise ❑ Title Sheet ❑ Quote Opening ❑ Quote Award ❑ Reject Bids/Quotes ❑ Proposal Opening ❑ C/O & PCA No. ❑ PCA ❑ Chg. Order, No. ❑ Traffic Control ❑ Resolution ❑ Other: ❑ Ease./Encroach Reauired Information Company or Vendor Name Slatile Roofing and Sheet Metal Co. New Vendor ❑ Yes❑ If Yes, Approved by Purchasing ® No MBE/WBE Contractor ❑ WBE Completed E-Verify Form Attached ❑❑ Nos Project Name SBFD Central Fire Station Roofing Replacement (task 1) Project Number R124-032A (PROJ00000507) Funding Source Fire Departmental Capital (1) Account No. 287-443001 Amount $696,812.00 Terms of Contract Lump Sum Purpose/Description For Change Orders Only Amount of ❑ Increase $ ❑ Decrease ($ ) Previous Amount Current Percent of Change New Amount Total Percent of Change: Time Extension Amount: New Completion Date: Increase Decrease Increase Decrease