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HomeMy WebLinkAboutOpening of Bids - Cleveland Rd & Portage Ave Traffic Signal Proj No 123-063R - Hawk EnterprisesCITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Cleveland Road at Portage Road Traffic Signal Improvements Project No. 123-063R For Bids Due January 28, 2025 Date: Address: City/State/Zip: Email Address: PART (Must be completed for all bids. Please type or print) 1/28/2025 Bidder (Firm): Hawk Enterprises, Inc. 1850 E North St Crown Point, IN 46307 Telephone Number: 219 662-8090 caylee@hawk-inc.com Agent of Bidder (if Applicable): Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: Cleveland Road at Portage Road Traffic Signal Improvements the City of South Bend, Indiana, in accordance with plans and specifications prepared by: Jones Petrie Rafinski and dated 1 /28/2025 for the sum of (enter the Total Bid as shown on the Proposal) two hundred fifty-nine thousand nine hundred forty-four and seventy-seven hundredths $ $259, 944. f I (Enter sum of Total Base Bid plus Alternates shown on Proposal) (Numerical) The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachm The above bid is accepted this 28th Subject to the following conditions: By (Signature) Johanna Plank, President (Printed Name of Person Signing) ACCEPTANCE day of January BOARD OF PUBLIC WORKS President Members 20 25 Version 5/20/2024 Contractor's Bid for Public Works - 2 PART II (For projects of $100,000 or more — IC 36-1-12-4) These statements to be submitted under oath by each bidder with and as part of his/her/its bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 1. Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid. 2. Attach a listing of public works projects currently in process of construction by your organization. 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. 4. Attach references from private firms for which you have performed work. SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 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 5/20/2024 Contractor's Bid for Public Works - 3 1. Explain 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 government unit to consider your bid.) a. Utility Locates b. Layout c. Underground Conduit d. Pull Spans & Hang Signals, Install Mast Arm and Camera System e. Subcontract Work (Concrete) f. Cleanup g. Final Job 2. Please list 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. i. N/A 3. If you intend to sublet any portion of work, state 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 government unit in the event that you subsequently determine that you will use a subcontractor on the proposed project. a. NO. 4. What Equipment do you have available to use for the proposed project? Any equipment to be used by subcontractors may also be required to be listed by the governmental unit. a. Gradall's b. Dump Truck c. Bucket Truck d. Spool Trailer e. Utility Truck with Lift 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, please explain the rationale used which would corroborate the prices listed. a. YES. BID/PROPOSAL CITY OF SOUTH BEND Project Name: Cleveland Road at Portage Road Traffic Signal Improvements Project Number: 123-063R For Bids Due: January 28, 2025 Contractor Name: Hawk Enterprises, Inc. BASE BID UTN IW� \FEACE Item No. Description Quantity Unit Unit Price Total Amount 1 MOBILIZATION/DEMOBILIZATION 1 LSUM $20,470.96 $20,470.96 2 MAINTENANCE OF TRAFFIC 1 LSUM $19,823.91 $19,823.91 3 SIDEWALK, CONCRETE, REMOVE 40 SYS $105.00 $4,200.00 4 CURBING, CONCRETE, REMOVE 8 LFT $105.00 $840.00 5 EXISTING TRAFFIC SIGNAL SYSTEM, REMOVE 1 LSUM $5,315.79 $5,315.79 6 RECONSTRUCTED STRUCTURE, HANDHOLE 1 EACH $1,476.88 $1,476.88 7 18' ALUMINUM TRUSS MAST ARM 2 EACH $3,031.98 $6,063.96 8 HEMISPHERICAL CAMERA DETECTION SYSTEM 2 EACH $22,040.44 $44,080.88 9 3-SECTION LED TRAFFIC SIGNAL HEAD W/BACKPLATE 8 EACH $1,402.09 $11, 216.72 10 3-SECTION LED TRAFFIC SIGNAL HEAD W/BACKPLATE, LEFT TURN 1 EACH $2,368.45 $2,368.45 11 5-SECTION LED TRAFFIC SIGNAL HEAD W/BACKPLATE, LEFT TURN 3 EACH $2,384.81 $7,154.43 12 WALK/DON'T WALK SYMBOL INDICATOR W/COUNTDOWN AND PEDESTRIAN PUSH BUTTON ASSEMBLY 4 1 EACH LSUM $3,440.96 $22,981.68 $13,763.84 $22,981.68 13 TRAFFIC SIGNAL CABLE 14 DISCONNECT HANGER 4 EACH $998.05 $3,992.20 15 TS 2, TYPE 2 CONTROLLER CABINET 1 EACH $31,052.36 $31,052.36 16 SINGLE METER SERVICE POINT CABINET AND FOUNDATION 1 EACH $16,650.51 $16,650.51 17 SPAN, CATANARY, AND TETHER CABLE 1 LSUM $21,191.60 $21,191.60 18 TRAFFIC SIGNAL CONDUIT, 3" 60 LFT $43.21 $2,592.60 19 REFLECTIVE SHEET SIGN, W/LEGEND, SPAN MOUNT 115 SFT $51.20 $5,888.00 20 SIDEWALK, 5" CONCRETE 16 SYS $200.00 $3,200.00 21 CURB RAMP, 6", CONCRETE 22 SYS $435.00 $9,570.00 22 CURB, CONCRETE, STANDARD, 20" 18 LFT $125.00 $2,250.00 23 CURB, CONCRETE, MODIFIED 40 LFT $95.00 $3,800.00 BASE BID TOTAL $259,944.77 The City reserves the right to award this project based on the available budget. Version 5/20/2024 Contractor's Bid for Public Works - 7 BID/PROPOSAL CITY OF SOUTH BEND Project Name: Cleveland Road at Portage Road Traffic Signal Improvements Project Number: 123-063R For Bids Due: January 28, 2025 Contractor Name: Hawk Enterprises, Inc. Bidder (Firm): Hawk Enterprises, Inc. Address. 1850 E North St City/State/Zip: Crown Point, IN 46307 Telephone Number: ( 219 ) 662-8090 By (Signature) Johanna Plank, President (Printed Name of Person Signing) 1TH PEKE Version 5/20/2024 Contractor's Bid for Public Works - 8 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: Lake COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's Version 5/20/2024 Contractor's Bid for Public Works - 4 newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, firms, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of contract or employment, or any matter directly or indirectly related to contracting or employment because of race, sex, religion, color, national origin, ancestry, gender expression, gender identity, sexual orientation, or due to age or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions will consider the Contractor's good faith efforts to obtain participation by those subcontractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. Contractors seeking the award of a City contract cannot be required to award a subcontract to an MWBE; however, they may not unlawfully discriminate against said MBE/WBE. On goal -eligible contracts, Contractors are required to either meet both MBE and WBE utilization goals or demonstrate that the Contractor has made good faith efforts to obtain participation from MBE and WBE subcontractors. A finding of noncompliance or a discriminatory practice shall prohibit that Contractor from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact to which the discriminatory practice or noncompliance pertains. 7. The undersigned Contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder may result in forfeiture of contractual payments. Version 5/20/2024 Contractor's Bid for Public Works - 5 I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this 28th day of January 2025 Subscribed and sworn to before me this 28th My Commission Expires 10/14/31 Hawk Enterprises, Inc. Contractor/Bidder (Firm) ature of Contr ctor/Bidder or Its Agent Johanna Plank, President Printed Name and Title day of January 20 25 Public County of Residence LaPorte GREG PAUL NEULIEB ;`o?• •�'e�'s Notary Public, State of Indiana Laporte County t•• *F- Commission Number NP0674263 My Commission Expires nrnn+++ October 14, 2031 Version 5/20/2024 Contractor's Bid for Public Works - 6 rW- Fidelity and Deposit Company of Maryland . D) 6 Colonial American Casualty and Surety 47 Company Home Office: 1299 Zurich Way Schaumburg I1. 60196 AIA Document 310 - 2010 Sid Bond CONTRACTOR (Name, legal status and address): SURETY (Name, legal status and principal place of business): Hawk Enterprises, Inc. Fidelity and Deposit Company of Maryland 1850 E. North Street 1299 Zurich Way, 10th Floor Crown Point. IN 46307 Schaumbura. IL 60196-1056 OWNER (Name, legal status and address): City of South Bend. Indiana. Board of Public Works 227 W. Jefferson Blvd. South Bend. IN 46601 Bond Amount: 5% Five Percent of the Base Bid Plus Any Alternates PROJECT : (Name, location or address, and Project number, if any): Cleveland Road at Portage Avenue Traffic Signal Improvements; Project No_ 123-063R 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 o£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 in to 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 faithfltl 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 patty to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractoes bid to a Contractor, the term Contractor in this Bond Subcontractor and the term Owner shall be deemed by the Contractor. When this Bond has been furnished to comply with a statutory or other Iegal requirement in the location of t this Bond conflicting with said statutory or legal requirement shall be deemed deleted here from and pro, statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent construed as a statutory bond and not as a common law bond. , "gned a d sea tll " 28th day of January 2025 Hawk Enterprises, Inc. itn ss (Seal) (Principallr peQ Qpdq Fidelity and DE (witness) Kagiryn R. Postma `T °Sly`;" (Su ty By (Title)Angel M Language conforms to AIA Document A310 Bid Bond 131D70WIZZ0311f thalf thi any Piston -in t farr>x( to such$,;� s 11 be ( * : CORPORATTON ; V � � ViC-rl. of Maryland Bond Number. Bid Bond Obligee: City of South Bend, Indiana, Board of Public Works ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUAL TY AND SURETY COMPANY, a corporation ofthe State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D. Murray, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Anciela M. Rile its true and lawful agent and Attorney -in -Fact to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds Bad undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland.. and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND. this tOth day of October. A.D. 2023. d�� �ui4yf 1p,, tMrx s4r rWrrnrryhNr S _5 SEAL r i it "'01101 'lilt 00 r: ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND By: RobertD. Murray litre President BJ: Dawn E. Brown Secretan State of Maryland County of Baltimore On this 10th day of October, A.D. 2023, before the subscriber, a Notary Public of the State of Maryland_ duly commissioned and qualified, Rot►ert D. Murray, Vice President and Dawn F_ Brown, Secretary of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duty swom, deposeth and saith. that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said utstrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year fast above written. Genevieve M. Maison GENEVIEVE M. MAISOtN trarHtvpUMX HiLirJK7RE (XJUMY MO =m-� myGwwswa-_43 AMARY27.21125 `�r,F,,,,,,+••, Authenticity of this bond can be confirmed at boadvalidator.zurichna.com or 410-559-8790 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V. Section 8, Attomevs-in-Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal appoint attorneys -in -fact with authority to execute bonds, policies, recognirancesr stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney4ri-fast to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE 1, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of the By -Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the .15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney ... Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the loth day of May,1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF, 1 have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 28th day of January . 2025 , p„w,Hr, ,t„ws ar Hryµ M*�M1nWry�4i, $� 4i=='-fir �i. �4i� b O QRn's 1 p4'�0R'►� gi =vr (1 rP�R" I By: Mary Jean Pethick Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg, IL 60196-1056 renortsfclaimsQ2urichna—.cam 800-626-4577 Authenticity of this bond can be confirmed at bondvalidator.zurichnn.com or 410-559-8790 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name Cleveland Road at Portage Road Traffic Signal Improvements Project No. 123-063R For Bids Due January 28, 2025 Contractor Name: Hawk Enterprises, Inc. The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works projects by institution of comprehensive submission requirements in compliance with State law. Quality workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet certain minimum requirements to be responsive and responsible bidders. THIS FORM MUST BE SUBMITTED WITH YOUR BID. "THIS FORM ONLY APPLIES TO BIDS GREATER THAN $250,000. — INSTRUCTIONS: If you are a pre -qualified bidder, complete Section I only. If you are not a pre -qualified bidder, complete Section II only. Section II acts as an application for pre -qualification. Submission of Section II will allow the bidder to be considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre - qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6- 71 of The Responsible Bidding Ordinance No. 10975-23 (hereinafter, "Responsible Bidding Ordinance") for a period of twelve (12) months. Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre - qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified Bidders") within twelve (12) months of obtaining pre -qualified standing. If the status of any item changes within the twelve (12) months, it is the responsibility of the contractor to notify the City. Failure by any pre - qualified contractor to submit its complete application for continuation of "pre -qualified" standing within the time prescribed above shall result in automatic removal of the designation, effective immediately following the twelve (12) months of pre -qualified standing. However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works projects, though the contractor must submit all required documents under 6-71 until "pre -qualified" status is re-established. Please Note: The City reserves the right to request supplemental information from the bidder, additional verification of any information provided by the bidder, and may also conduct random inquiries of the bidder's current and previous customers regardless of pre -qualified standing. It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to the bidder in Section 6-71 of the Responsible Bidding Ordinance no later than the date of the public bid opening. Version 5/20/2024 General Conditions - 11 POST BID SUBMISSIONS: Post -bid submissions must be submitted in accordance with Section 6-72 of the Responsible Bidding Ordinance. The post -bid submission requirements are as follows: 1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses the name, address, licensing status, and type of work for any subcontractor from whom the bidder has accepted a bid and/or intends to hire on any part of the public work project, including individuals performing work as independent contractors. 2. Each subcontractor, whose portion of the project is estimated to be at least two -hundred fifty thousand dollars ($250,000.00), shall be required to adhere to the requirements of Section I of the Responsible Bidder Ordinance as though it were bidding directly to the City, except that the subcontractor shall submit the required information (including the name, address, and type of work) to the successful bidder prior to the commencement of work. 3. Failure of a subcontractor to submit the required information shall not disqualify the successful bidder from performing work on the project and shall not constitute a contractual default and/or breach by the successful bidder. However, the City may withhold all payment otherwise due for work performed by a subcontractor, until the subcontractor submits the required information and the City approves such information. 4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the name, address, licensing status, and type of work of the substitute subcontractor. 5. The successful bidder for projects greater than $250,000 and all subcontractors performing work greater than $250,000 on a public works project are required to submit certified payroll utilizing the federal form known as WH-347 or a similar form on a bi-weekly basis, submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall identify the job title and craft for each employee. Certified payrolls shall be submitted electronically. Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in the automatic disqualification of the bid. The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into account all information in the submission requirements, determine whether a bidder is responsive and responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to utilize all information provided in the contractor's submission and any information obtained by the City through its own independent verification of the information provided by the contractor. Version 5/20/2024 General Conditions -12 PRE -QUALIFIED BIDDER CHECKLIST (a) Acknowledgements: (i) _ By checking this box, I hereby acknowledge that I am a pre -qualified bidder with the City of South Bend and that I have met the pre -qualification requirements within the last twelve (12) months. A copy of my Pre -Qualification verification letter is attached. (ii) _ By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided by me, and may also conduct random inquiries of my current and prior customers. (iii) _ By checking this box, I hereby acknowledge that apprenticeship and training programs that I participate in have graduated at least five (5) apprentices in each of the past five (5) years. (iv) _ By checking this box, I hereby acknowledge that all subcontractors performing work greater than $250,000 also meet the qualifications of the Responsible Bidder Ordinance. (b) Attachments: (i) _ Indiana Secretary of State's on-line records (i.e., Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). Statement on staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work. It outlines how I intend to meet the staffing needs of the work. List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within the last three (3) years. (iv) _ For every project, submit evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. This includes, but may not be limited to, letters from apprenticeship coordinators detailing the bidder's association with the program, and the United States Department of Labor Office of Apprenticeship Certificates of Registration of Apprenticeship Programs for each type of work to be performed on the project. Version 5/20/2024 General Conditions -13 PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowled ements: (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) V 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) V By checking this box, I hereby acknowledge and ensure that I and all sub- contractors, from whom I have accepted a bid and/or intend to hire to perform work on the public work project, are properly licensed. Furthermore, I acknowledge my understanding that it is my responsibility to ensure that all sub -contractors have the necessary licenses to undertake the work called for in this bid. If a sub- contractor loses their license at any point, it is the responsibility of that sub- contractor to notify the City. (v) By checking this box, I hereby acknowledge that apprenticeship and training programs that I participate in have graduated at least five (5) apprentices in each of the past five (5) years. (vi) ✓ By checking this box, I hereby acknowledge that all subcontractors performing work greater than $250,000 also meet the qualifications of the Responsible Bidder Ordinance. (b) Attachments: ✓ (i) Indiana Secretary of State's on-line records (i.e.. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole ✓ proprietors or partnerships). (ii) List identifying all former business names. (iii) V 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) (iv) ✓ years. Statement about staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work I am bidding on OR outlines how I intend to meet the staffing needs of the work. (v) ✓ Statement that individuals who will perform work on the public work project on my behalf will be properly classified as an employee or as an independent contractor ✓ under all applicable state and federal laws and local ordinances. (v) For every project, submit evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. This includes, but may not be limited Version 5/20/2024 General Conditions -14 A Enter ise .,1nc. 1850 Fast North Sheet Crown Point, IN 46307 (2I9) 662-8090 Fax (219) 662-8093 (i) - See Attached (ii) — Hawk Enterprises, Inc. does not have any former business names. (iii) — Hawk Enterprises, Inc. does not have any determinations by a court or governmental agency or any standing violations. (iv) - Hawk Enterprises has a work force of 20 I.B.E.W union workers, 2 Laborer workers, plus a full office staff. We have a sufficient number of employees on staff to complete all work. If necessary, Hawk can pull qualified workers from I.B.E.W local union 1393 or Locals 41 & 81. (v) — The individuals who will perform work on a public work project are properly classified as an employee under all applicable state and federal laws and local ordinances. (v) — Hawk Enterprises, Inc. participates in apprenticeship and training programs and utilizes apprentices and trainees when available. See attached letter. (vi) — See attached (vii) — See Attached (viii) — Hawk Enterprises does not have any federal, state, or local tax liens or tax delinquencies owed to any federal, state, or local taxing body in the preceding three years. (ix) — Projects in similar size and scope include: • City of Winfield Traffic Signal Intersection: 109th & Pike st • Benham Lift Station - Elkhart • City of Portage — Traffic Signal Intersection Improvement — Airport & Lute Rd • INDOT Project R-42312 • INDOT Project R-34221 • INDOT Project B-42458 • INDOT project R43382 • INDOT project T-43258 40' 0W, ffirt of Purm Of aub graitatts I.B.E.W. LOCAL #9 MIDDLE STATES ELECTRICAL CONTRACTORS ASSN. Hillside, Illinois For the Trades of Line Maintainer .�e9i sfere�as parf of iSe Xaiionaf✓5�pprenfices,�iip 54+oyram .in accordance wASISe Aasic standard o1-apprenficesfiip esfa6lrs sed6y I.S. C5ecreiaj of 'ecz o►r Revised May 5, 2003 August 26, 1992 IL015920003 J�eyis/rolion ?Co. a T TRANSATLANTIC REINSURANCE COMPANY (NAIC #19453) BUSINESS ADDRESS: One Liberty Plaza, 165 Broadway, NEW YORK, NY 10006. PHONE: (212) 365-2200. UNDERWRITING LIMITATION b/: $450,670,000, SURETY LICENSES c,f/: AK, AZ, CA, CO, DE, DC, GA, ID, IL, IN, IA, KS, KY, LA, MI, MN, MS, NV, NJ, NM, NY, OH, OK, PA, SD, TX, UT, WA, WI. INCORPORATED IN: New York. --3 Travelers Casualty and Surety Company (NAIC #19038) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183. PHONE: (860) 277-0111. UNDERWRITING LIMITATION b/: $814,194,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Connecticut, Travelers Casualty and Surety Company of America (NAIC #31194) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183. PHONE: (860) 277-0111. UNDERWRITING LIMITATION b/: $231,823,000. SURETY LICENSES c,f/: AL, AK, AS, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Connecticut. Travelers Casualty Insurance Company of America (NAIC #19046) BUSINESS ADDRESS: ONE TOWER SQUARE, HARTFORD, CT 06183. I`Bnsf Deta�s Business Name: HAWK ENTERPRISES, INCORPORATED Entity Type: Domestic For -Profit Corporation Creation Date: 02/16/1988 Principal Office Address; 1850 E. North Street, Crown Point, IN, 46307, USA Jurisdiction of Formation: Indiana i BUSINESS INFOWMATION DIEGO MORALES INDIANA SECRETARY OF STATE 11/07/2024 01:57 PM Business ID: 1988020539 Business Status: Active Inactive Date: Expiration Date: Perpetual Business Entity Report Due 02/29/2026 Date: Years Due: Goveraht Perm Information - - - Title Name Address President JOHANNA A PLANK 3200 E 145TH AVE, CROWN POINT, IN, 46307, USA Secretary Johanna A. Plank 3200 E 145TH AVE, CROWN POINT, IN, 46307, USA Reglotered Agent Information - - — - - Type: Individual Name: Johanna A. Plank Address: C/O Hawk Enterprises, Inc.,1850 E. North Street, CROWN POINT, IN, 46307 - 8638, USA to, letters from apprenticeship coordinators detailing the bidder's association with the program, and the United States Department of Labor Office of Apprenticeship Certificates of Registration of Apprenticeship Programs for each type of work to be performed on the project. (vi) V Copy of a written plan for employee drug testing that covers all of my employees who will perform work on the public work project and meets or exceeds the requirements set forth in IC 4-13-18-5 or IC 4-13-18-6. (vii) V Evidence that I am utilizing a surety company which is on the Bureau of Fiscal Service "Department of Treasury's Listing of Approved Sureties" as required in the bid specifications or contract. (viii) V Written statement of any federal, state or local tax liens or tax delinquencies owed to any federal, state or local taxing body in the preceding three years. (ix) V 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: 1 /28/2025 �: �- - W" (Sri Here) Johanna Plank, President (Print Name Here) Hawk Enterprises, Inc. (Name of Company) 1850 E North St (Address of Company) Crown Point (City) IN (State) 219-662-8090 (Telephone Number) Version 5/20/2024 General Conditions - 15 Signature Print Name & Title: CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Cleveland Road at Portage Road Traffic Signal Improvements Project No. For Bids Due 123-063R January 28, 2025 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. J Proper bid security included. The bidder has the option of providing either a Certified Check or Bid Bond. JBid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and Certification of use of United States Steel Products or Foundry Products. Proof of M/WBE Utilization Plans [MBE-1.0 and WBE-1.0]. Also provide Evidence of Good J Faith Efforts Forms [MBE-2.0 and WBE-2.0] and M/WBE Contacted Forms [MBE-2.1 and WBE-2.1 ]. J Acknowledge Receipt of Addendum(s) included with the bid. p JAll required additional information is included with the bid. J Proposal statements and other affidavits all signed by the proper party with name either printed or typed underneath signature. JThis 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: Hawk Enterprises, Inc. By Authorized Representative: Jdianna Plank, President Date: 1 /28/2025 Version 5/20/2024 Contractor's Bid for Public Works -1 CITY OF SOUTH BEND O' MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-1.0 - :IN(i5 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. Project Number: Bidder 123-063R ***Goals should be calculated based on the Base Bid only.*** Project Name Hawk Enterprises, Inc. Name & Address of MBE Master Enterprises P.O. Box 18523 Indianapolis, IN 46218 Submitted by: Johanna Plank Print Name Cleveland Road at Portage Road Traffic Signal Improvements Total Bid Amount: $259,944.77 MBE Goal: 1.57% Primary Contact Person Scope of Work to be Performed (Name/Telephone) (Attach scope/schedule if you need additional space) Bryce Orr Supply Hemispherical Video Detection System Sig re Version 5/20/2024 Contractor's Bid for Public Works - 9 Page of Dollar Amount of MBE _ Percentage I of Total Component Rirl/Drnnneal $28,959.00 8.9% 1 /28/2025 Date I�O4SpUTH BEryQ CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM WBE-1.0 WBE UTILIZATION PLAN ***Goals should be calculated based on the Base Bid only.*** This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving WBE participation. It is the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications. ***Goals should be calculated based on the Base Bid only.*** Project Number: 123-063R Project Name: Cleveland Road at Portage Road Traffic Signal Improvements Bidder: Hawk Enterprises, Inc. Total Bid Amount: $259,944.77 WBE Goal: 4.58% Page of Name & Address of WBE Hawk Enterprises, Inc. 1850 E North Street Crown Point, IN 46307 Submitted by: Johanna Plank Print Name Primary Contact Person (Name/Telephone) Johanna Plank Scope of Work to be Performed (Attach scope/schedule if you need additional space) Furnish and install traffic signal heads Sign re ***Goals should be calculated based on the Base Bid only.*** Version 5/20/2024 Contractor's Bid for Public Works -10 Dollar Amount of WBE of Tot Component of $20,739.60 1 12.5% 1/28/2025 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: 123-063R Project Name: Bidder: Date: 1 /28/2025 Cleveland Road at Portage Road Traffic Signal Improvements Hawk Enterprises, Inc. Contact Person: Johanna Plank Address: City: Email: 1850 E North St Crown Point State: IN caylee@hawk-inc.com Telephone: 219-662-8090 Zip: 46307 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 M WBEs 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: hftr)://www.in.gov/idoa/. GOOD FAITH EFFORTS TO OBTAIN MBE PARTICIPATION The bidder shall initial each item below, as evidence of its good faith efforts to obtain MBE participation in the awarded contract. I affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise Inclusion Program Plan and the Indiana Department of Administration's certified list of Indiana Minority and Women Business Enterprises, found on their website i htt� ://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 economically feasible units to facilitate MBE participation. I affirm that I have made good faith efforts to solicit through all reasonable and available means the interest of all MBEs in the scopes of work of the contract. I affirm that I attended all pre -bid meetings scheduled by the City of South Bend to inform MBEs of contracting and subcontracting opportunities. I affirm that I advertised in general circulation and/or trade association publications concerning subcontract opportunities and allowed MBEs reasonable time to respond to such advertisements. I affirm that I performed any and all necessary steps to provide written notices in a manner reasonably calculated to inform MBEs of subcontracting opportunities and allowed sufficient time for MBEs to participate effectively. I affirm that I followed up on initial solicitations with interested MBEs. I affirm that I negotiated with interested MBEs in good faith, including providing such MBEs with adequate information about the plans, specifications and other requirements of the subcontract. I affirm that I have made good faith efforts to assist interested MBEs in obtaining bonding, 9-10 lines of credit, or insurance as required by the City or the bidder, where appropriate. Version 5/20/2024 Contractor's Bid for Public Works -11 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS I affirm that I have made good faith efforts to assist interested MBEs in obtaining necessary equipment, supplies, materials, or related assistances or services, where appropriate. I affirm that I did not reject any MBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. CONTRACT RECORDS: The bidder has maintained the following records for each MBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBE was unqualified to perform the job. *Proper demonstration of Good Faith Efforts requires your initials next to 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 5/20/2024 Contractor's Bid for Public Works -12 4 S ITH CITY OF SOUTH BEND r�f� 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: 123-063R Date: 1/28/2025 Project Name: Cleveland Road at Portage Road Traffic Signal Improvements Bidder: Hawk Enterprises, Inc. Contact Person: Johanna Plank Telephone: 219-662-8090 Address: 1850 E North St City: Crown Point State: IN zip: 46307 Email: caylee@hawk-inc.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: httD://www.in.aov/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 fir Indiana Minority and Women Business Enterprises, found on their website v(hftp://www.in.gov/idoa). I affirm that I have made good faith efforts to select portions of the contract work to be 4 performed by WBEs, including, where appropriate, breaking out contract work items into UQ economically feasible units to facilitate WBE participation. I affirm that I have made good faith efforts to solicit through all reasonable and available UV means the interest of all WBEs in the scopes of work of the contract. n 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 C,} reasonably calculated to inform WBEs of subcontracting opportunities and allowed (� sufficient time for WBEs to participate effectively. 1 affirm that I followed up on initial solicitations with interested WBEs. I affirm that I negotiated with interested WBEs in good faith, including providing such WBEs with adequate information about the plans, specifications and other requirements of the subcontract. I affirm that I have made good faith efforts to assist interested WBEs in obtaining bonding, lines of credit, or insurance as required by the City or the bidder, where appropriate. Version 5/20/2024 Contractor's Bid for Public Works -13 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 5/20/2024 Contractor's Bid for Public Works -14 4 CITY OF SOUTH BENDS 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: 123-063R MBE Participation Goal 1.57% Project Name: Cleveland Road at Portage Road Traffic Signal Improvements Bidder: Hawk Enterprises, Inc. By. President 1/28/2025 (S, ature) (Title) (Date) MBE Firm Master Enterprises Owner or Contact at MBE Firm Bryce Orr Telephone: 317-545-3335 Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT_ Hemispherical Video Detection System RESULTS OF CONTACT WITH THE MBE FIRM: Quote received and accepted. MBE Firm Owner or Contact at MBE Firm Telephone: Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE FIRM: Email: orders@MEMaterialSupply.com Email: Version 5/20/2024 Contractor's Bid for Public Works -15 BE�O CITY OF SOUTH BEND t(^o4�t3TH x' €,wi Jai: MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM WBE-2.1 `�b5 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 2 OF 2 Project Number: 123-063R WBE Participation Goal 4.58%v Project Name: Cleveland Road at Portage Road Traffic Signal Improvements Bidder: Hawk Enterprises, Inc. By. _ President 1/28/2025 (Si ture) (Title) (Date) WBE Firm LaPorte Construction Co. Owner or Contact at WBE Firm Lori Schrad Telephone: 219-393-5555 Fax: Email: Ischrad@laporteconstruction.com TYPE OF WORK SOLICITED FOR THIS PROJECT: CONCRETE RESULTS OF CONTACT WITH THE WBE FIRM: Quote received. Received a lower price. WBE Firm State Barricading, Inc. Owner or Contact at WBE Firm James R. Michalski Telephone: 574-287-2078 Fax: Email: statebarricadel@aol.com TYPE OF WORK SOLICITED FOR THIS PROJECT: MAINTENANCE OF TRAFFIC RESULTS OF CONTACT WITH THE WBE FIRM: Quote received. Received a lower price. Version 5/20/2024 Contractor's Bid for Public Works -16 fX' c)1TR 8� 04 p' CITY OF SOUTH BEND �d MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN \\P`r;i;?r.' FORM WBE-2.1 1865 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 2 OF 2 Project Number: 123-063R WBE Participation Goal 4.580/6y Project Name: Cleveland Road at Portage Road Traffic Signal Improvements Bidder: Hawk Enterprises, Inc. By: d., x. President 1/28/2025 (S' ature) (Title) (Date) WBE Firm Slussers Green Thumb, Inc. Owner or Contact at WBE Firm Carolyn Slusser Telephone: 574-722-3102 Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: Email: CSS@slussers.com MULCHED SEEDING, TYPE "R", UNDISTRIBUTED RESULTS OF CONTACT WITH THE WBE FIRM: Emailed RFQ. No repsonse. 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 5/20/2024 Contractor's Bid for Public Works - 16 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 1 /21 /2025 Name Leslie Biek, PE Department PW BPW Date 1/28/2025 Phone Extension 9323 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 ❑ Check the Appropriate Item Type — Required. for 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 n Other: n Ease./Encroach Information Company or Vendor Name New Vendor ❑ Yes[] If Yes, Approved by Purchasing ❑ No MBE/WBE Contractor ❑ MBE Completed E-Verify Form Attached ❑ Yes No Project Name Cleveland Rd and Portage Ave Traffic Signal Improvements Project Number 123-063R Funding Source PR 35802 Account No. 251-436010 Amount Terms of Contract Purpose/Description Traffic Signal improvements at Portage and Cleveland Intersection Re -bid. For Chance Orders Onl Amount of ❑ Increase $ ❑ Decrease ($ ) Previous Amount $ Increase Current Percent of Change: Decrease New Amount $ Increase Total Percent of Change: Decrease Time Extension Amount: New Completion Date: