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Award Bid - Cleveland Rd & Portage Ave Traffic Signal Improv Proj No 123-063R - JBL Signals
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 February 25, 2025 Mr. Tanner Leibovitz JBL Signals and Lighting 4316 Technology Dr. South Bend, IN 46628 tannerl(a,j blsignalsandlighting. com RE: Award Bid — Cleveland Rd. & Portage Ave. Traffic Signal Improvements — Project No. 123-063R Dear Mr. Leibovitz: At its February 25, 2025 meeting, the Board of Public Works awarded the above referenced bid to you in the amount of $241,280. Enclosed please find a signed Bid/Proposal form. Please forward the following documents in one submittal by March 11, 2025 to my attention for Board of Public Works approval at hhorvath&southbendin.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 Ms. Johanna Plank Hawk Enterprises, Inc 1850 E. North St. Crown Point, IN 46307 ca. leekhawk-inc.com PHONE 574/235-9251 FAx 574/235-9171 CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS February 25, 2025 RE: Bid Award — Cleveland Rd. & Portage Ave. Traffic Signal Improvements Project No. 123-063R Dear Ms. Plank: At its February 25, 2025, meeting, the Board of Public Works awarded the above referenced bid to JBL Signals and Lighting in the amount of $241,280. 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 Hefner 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 ENVIRONMENTAL SERVICES TO: Board of Public Works Theresa Heffner, Clerk FROM: Leslie Biek, P.E., Assistant City Engineer SUBJECT: Cleveland Rd and Portage Ave Traffic Signal Improvements PN 123-063R; PROJ 548 DATE: 2/11/2025 On January 28, 2025 the board opened and read into record two (2) bids for the above referenced project. The bid results are as follows: Base Bid Hawk Enterprises, Inc. $259,944.77 JBL Signals and Lighting. $241,280.00 *A bid error was made on JBL's bid erroneously multiplying MOT by two (2) LSUM instead of one (1) LSUM. The total bid amount was reduced by $9,000 to reflect the corrected bid amount. The correction does not change the bid order. Upon review of the bid package, it is recommended the Board of Public Works award the bid to JBL Signals and Lighting in the total bid amount of $241,280.00. Sufficient funds have been appropriated from fund 251-436010. Thank you for your consideration of this request. BID TABULATION #123-063 y ot;TJJ nF id a w i S Y � Project No.123-063R Cleveland Road at Portage Avenue Traffic Signal Improvements BASE BID Engineer's Estimate JbL2 Signals & Lighting Hawk Enterprises Item No. Line Item Quantity Unit Unit Price Cost Unit Price Cost Unit Price Cost 1 MOBILIZATION/DEMOBILIZATION 1 LSUM $ 7,300.00 $ 7,300.00 $ 16,000.00 $ 16,000.00 $ 20,470.96 $ 20,470.96 2 MAINTENANCE OF TRAFFIC 1 LSUM $ 5,000.00 $ 5,000.00 $ 9,000.00 $ 9,000.00 $ 19,823.91 $ 19,823.91 3 SIDEWALK, CONCRETE, REMOVE 40 SYS $ 50.00 $ 2,000.00 $ 180.00 $ 7,200.00 $ 105.00 $ 4,200.00 4 CURBING, CONCRETE, REMOVE 8 LFT $ 100.00 $ 800.00 $ 150.00 $ 1,200.00 $ 105.00 $ 840.00 5 EXISTING TRAFFIC SIGNAL SYSTEM, REMOVE 1 LSUM $ 3,000.00 $ 3,000.00 $ 9,000.00 $ 9,000.00 $ 5,315.79 $ 5,315.79 6 RECONSTRUCTED STRUCTURE, HANDHOLE 1 EACH $ 500.00 $ 500.00 $ 1,500.00 $ 1,500.00 $ 1,476.88 $ 1,476.88 7 18' ALUMINUM TRUSS MAST ARM 2 EACH $ 2,000.00 $ 4,000.00 $ 7,000.00 $ 14,000.00 $ 3,031.98 $ 6,063.96 8 HEMISPHERICAL CAMERA DETECTION SYSTEM 2 EACH $ 50,000.00 $ 100,000.00 $ 20,000.00 $ 40,000.00 $ 22,040A4 $ 44,080.88 9 3-SECTION LED TRAFFIC SIGNAL HEADW/BACKPLATE 8 EACH $ 1,000.00 $ 8,000.00 $ 1,300.00 $ 10,400.00 $ 1,402.09 $ 11,216.7 10 3-SECTION LED TRAFFIC SIGNAL HEAD W/BACKPLATE, LEFT TURN 1 EACH $ 1,000.00 $ 1,000.00 $ 1,300.00 $ 1,300.00 $ 2,368.45 $ 2,368.45 11 5-SECTION LED TRAFFIC SIGNAL HEAD W/BACKPLATE, LEFT TURN 3 EACH $ 2,000.00 $ 6,000.00 $ 2,100.00 $ 6,300.00 $ 2,384.81 $ 7,154.43 12 WALK/DON'T WALK SYMBOL INDICATOR W/COUNTDOWN AND PEDESTRIAN PUSH BUTTON ASSEMBLY 4 EACH $ 3,000.00 $ 12,000.00 $ 2,600.00 $ 10,400.00 $ 3,440.96 $ 13,763.84 13 TRAFFIC SIGNAL CABLE 1 LSUM $ 1,000.00 $ 1,000.00 $ 17,000.00 $ 17,000.00 $ 22,981.68 $ 22,981.68 14 DISCONNECT HANGER 4 EACH $ 500.00 $ 2,000.00 $ 500.00 $ 2,000.00 $ 998.05 $ 3,992.20 15 TS 2, TYPE 2 CONTROLLER CABINET 1 EACH $ 20,000.00 $ 20,000.00 $ 26,000.00 $ 26,000.00 $ 31,052.36 $ 31,052.36 16 SINGLE METER SERVICE POINT CABINET AND FOUNDATION 1 EACH $ 9,000.00 $ 9,000.00 $ 9,800.00 $ 9,800.00 $ 16,650.51 $ 16,650.51 17 SPAN, CATANARY, AND TETHER CABLE 1 LSUM $ 2,000.00 $ 2,000.00 $ 34,000.00 $ 34,000.00 $ 21,191.60 $ 21,191.60 18 TRAFFIC SIGNAL CONDUIT, 3" 60 LFT $ 20.00 $ 1,200.00 $ 60.00 $ 3,600.00 $ 43.21 $ 2,592.60 19 REFLECTIVE SHEET SIGN, W/LEGEND, SPAN MOUNT 115 SFT $ 16.00 $ 1,840.00 $ 26.00 $ 2,990.00 $ 51.20 $ 5,888.00 20 SIDEWALK, 5" CONCRETE 16 SYS $ 75.00 $ 1,200.00 $ 200.00 $ 3,200.00 $ 200.00 $ 3,200.00 21 CURB RAMP, 6" CONCRETE 22 SYS $ 300.00 $ 6,600.00 $ 340.00 $ 7,480.00 $ 435.00 $ 9,570.00 22 CURB, CONCRETE, STANDARD 20" 18 LFT $ 40.00 $ 720.00 $ 95.00 $ 1,710.00 $ 125.00 $ 2,250.00 23 CURB, CONCRETE, MODIFIED 40 LFT 50.00 2,000.00 180.00 $ 7,200.00 $ 95.00 3,800.00 +10% CONTINGENCY1 1 $ 19,716.00 Base Bid Total $ 216,876.00 1 1$ 241,280.00 1 1 $ 259,944.77 I hereby certify that the above truly and accurately represents bids received for this project on January 28, 2025 --� ear,, - Mark Wilson, Professional Engineer r1w P 1'A1 R- %io, III!lp�lll�ji 11111 ��,�\ J:\Projects\2024 Projects\2024-01333 Cleveland -Portage Traffic Signal Improvement\14_Bidding\Bid Tabulation\Rebid\2025-01-31 REBID Tabulation xlsx CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Project No. Cleveland Road at Portage Road Traffic Signal Improvements 123-063R For Bids Due January 28, 2025 PART I 11(Must be completed for all bids. Please type or print) Date: � � d1- 204 ' Bidder (Firm): 1 Lin Address: �1 y�T'Q_UJ' nolo('-�j �r City/State/Zip: 6C04\ 1w1Tel hone �i1lia Email Address: Number: (57q) 5-5 o-1aSl 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: the City of South Bend, Indiana, in accordance with plans and specitications preparea Dy: and dated for the sum of (enter the Total Bid as shown on the Proposal) . C or, -04 i,.lo hYr \ ed Q�UI ] l—111Ui� U� `1�RU�� ($ �Qo..La V �� ) LNB (Enter sum of Total Base Bid plus Alternaths shown on Proposal �+Sh d4) �a�( umerical) 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 separa By qn�� �P/1 ign��)1 I Z (Printed Name of Person Signing) The above bid is accepted this Subject to the following conditions: ACCEPTANCE day of CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS Elizabeth A. Maradik, President Gary A. Gilot, Member Joseph R. Molnar, Vice President Breana Micou, Member 20 Version 5/20/2024 Murray L. Miller, Member Attest: Theresa M. Heffner, Clerk Date: February 25, 2025 BOARD OF PUBLIC WORKS CITY OF SOUTH BEND, INDIANA PUBLIC WORKS CONTRACT This Agreement is made and entered into this 25th Day of February 2025, by and between JBL Signals and Lighting, (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. 123-063R DESCRIPTION: CLEVELAND RD. & PORTAGE AVE. TRAFFIC SIGNAL IMPROVEMENTS COMPLETION DATE: SEE SPECIFICATIONS AMOUNT: $241,280 FT TNT)TN(T- PR-00015802 The unit prices for this improvement were those prices as received and accepted by the Board on the 25th Day of February 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. CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS Elizabeth A. Maradik, President !�� Gary A. Gilot, Member Murray L. Miller, Member M� i Joseph R. Molnar, Vice President Breana Micou, Member Attest: Theresa M. Heffner, Clerk Date: February 25, 2025 JBL SIGNALS AND LIGHTING Printed Name Signature Page 1 or T JbL Signals & Lighting I commercial. Infrastructure. Industrial IO.UOTE No.: I � ! 03-0125 RE: Cleveland road at Portage LTraffic Signal Improvements 123-063 _ TO: TTFM P..-..�.RT77;Z;.. :1 i `i Gi iWa i va.ay.... NO. LSUM Mobilization Demobilization 1 i.uu 2 2.00 LSUM Maintainance of Traffic 3 40.00 SYS Sidewalk, Concrete, Remove 4 b.UU LF i Curbing, Concrete, Remove 5 1.00 LSUM IExistinq Traffic Siqnal Remove 6 1.00 Each Reconstructd Structure, Handhole 7 2.00 Each 18' Aluminum Truss Mast Arm 8 2.00 Each Hemispherical Camera Detection System 9 8.00 Each 3-Section LED Traffic Signal Head W/Backplate 10 1.00 Each 3-Section LED Traffic Signal Head W/Backplate, Left Turn 11 3.00 Each 5-Section LED Traffic Signal Head W/Backplate, Left Turn 12 4.00 Each Walk/Don't Walk Symbol Indicator W/Countdown and Pedestrian Push Button Assembly 13 1.00 LSUM Traffic Signal Cable 14 4.00 Each Disconnect Hanger 15 1.00 Each TS 2, Type 2 Controller Cabinet 16 1.00 Each Single Meter Service Point Cabinet and Foundation 17 1.00 Lsum Span. Cantanary, and Tether Cable 18 60.00 LFT Traffic Signal Conduit, 3" 19 115.00 SFT Reflective Sheet Sign. W/Legend, Span Mount 20 16.00 SYS Sidewalk, 5" Concrete 21 22.00 SYS Curb Ramp, 6", Concrete 22 18.00 LFT Curb, Concrete, Standard, 20" 23 I 40.00 I LFT (Curb, Concrete, Modified TERMS : NOTE: THE ABOVE ITEMS ARE QUOTED AS A COMPLErt PACKAGE. NO ITEM MAY BE DELETED WITHOUT PRIOR DATE: 3anuary 27th 2024 UNIT COST 16,000.00 16,000.00 9,000.00 18,000.00 180.00 7,200.00 1Su.00 1,200.00 9,000.00 I 9,000.00 1,500.00 1,500.00 7,000.00 14,000.00 20,000.00 40,000.00 1,300.00 10,400.00 1,300.00 1,300.00 2,100.00 6,300.00 2,600.00 10,400.00 17,000.00 17,000.00 500.00 2,000.00 26,000.00 26,000.00 9,800.00 9,800.00 34,000.00 34,000.00 60.00 3,600.00 26.00 2,990.00 200.00 3,200.00 340.00 7,480.00 95.00 1,710.00 180.00 7,200.00 TOTAL 250,280.00 BIDIPROPOSAL CITY OF SOUTH BEND p i Project Name: Cleveland Road at Portage Road Traffic Signal Improvements Project Number: For Bids Due: Contractor Name: E BID 123-063R no gnoc BAS Item No. Description Quantity Unit Unit Price Total Amount 1 MOBILIZATION/DEMOBILIZATION 1 LSUM w 00 2 MAINTENANCE OF TRAFFIC SIDEWALK, CONCRETE, REMOVE CURBING, CONCRETE, REMOVE EXISTING TRAFFIC SIGNAL SYSTEM, REMOVE 1 40 8 1 LSUM SYS LFT LSUM OOO 0, °� 00 DOC ev °© o� 0 oa 3 4 5 6 RECONSTRUCTED STRUCTURE, HANDHOLE 18' ALUMINUM TRUSS MAST ARM HEMISPHERICAL CAMERA DETECTION SYSTEM 1 2 2 EACH EACH EACH 3.000.00nrn AQ,QW, A fib ()O() - o0 7 8 3-SECTION LED TRAFFIC SIGNAL HEAD 8 EACH 00 6V 9 W/BACKPLATE 3-SECTION LED TRAFFIC SIGNAL HEAD 1 EACH 00 i 10 W/BACKPLATE, LEFT TURN�00 5-SECTION LED TRAFFIC SIGNAL HEAD 3 EACH �. 00 ' 11 W/BACKPLATE, LEFT TURN WALK/DON'T WALK SYMBOL INDICATOR 12 W/COUNTDOWN AND PEDESTRIAN PUSH 4 EACH nLlu �0, �•� BUTTON ASSEMBLY oa oa 13 TRAFFIC SIGNAL CABLE 1 LSUM . 14 DISCONNECT HANGER 4 EACH . (P 0 0��. 0 15 TS 2, TYPE 2 CONTROLLER CABINET 1 EACH 1p SINGLE METER SERVICE POINT CABINET AND 1 EACH p0 00.00 16 FOUNDATION SPAN, CATANARY, AND TETHER CABLE 1 LSUM ypoD� yet) 00 3 0 17 18 TRAFFIC SIGNAL CONDUIT, 3" 60 LFT • Do REFLECTIVE SHEET SIGN, W/LEGEND, SPAN 115 19 20 MOUNT SIDEWALK, 5" CONCRETE 16 21 CURB RAMP, 6", CONCRETE 22 AF00W700c' o� 22 CURB, CONCRETE, STANDARD, 20" 18 oa 23 CURB, CONCRETE, MODIFIED 40 46 BASE BID TOTAL 130 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 BIDIPROPOSAL CITY OF SOUTH BEND Prniprt Name: Cleveland Road at Portage Road Traffic Signal Improvements Pmiprt Number: 123-063R For Bids D9A2 we ��^���^� �R 5 Contractor Name: Bidder (Firm): Address: City/State/Zip: NuL Number: (5A _[I ��- dot 5 By (Signature) Tony, LtA ovifz (Printed Name of Person Signing) Version 5/20/2024 Contractor's Bid for Public Works - 8 PART II (For projects of $100,000 or more — IC 36-1-12-4) These statements to be submitted under oath by each bidder with and as part of his/her/its bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 1. Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid. 2. Attach a listing of public works projects currently in process of construction by your organization. 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. 4. Attach references from private firms for which you have performed work. SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE Attach an explanation of your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the City of South Bend to consider your bid.) 2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. 3. If you intend to sublet any portion of the work, attach the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the City of South Bend in the event that you subsequently determine that you will use a subcontractor on the proposed project. 4. Attach a listing of equipment you have available to use for the proposed project. 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 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 di L IM ) ) SS: 05 �OUNTY ) 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 ofthe 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 ba"OQ( day of _, M2 57 PAL 1 Choi..L Contractor/ i ) Signature of Contractor/Bidder or Its Agent •Tn n n tr L lei b© o f •f z- Printed Name and Title Subscribed and sworn to before me this day of. 0 , 20415 My Commission Expires C' Notary Public ty of Residence Debra A Urbanski Notary Public Seal State of Innial,r St. Joseph County Commission # NP0732273 My Commission Expires 03/09/203, k Elf, 1-0 S?e&� Version 5/20/2024 Contractor's Bid for Public Works - 6 THE CINCINNATI INSURANCE COMPANY Bid Bond CONTRACTOR (Name, legal status and address): JBL Signals and Lighting LLC 4316 Technology Dr South Bend, IN 46628 OWNER (Name, legal status and address): City of South Bend Board of Public Works County City Building, Room 1316, 227 W Jefferson Blvd SURETY (Name, legal status and principal place of business): THE CINCINNATI INSURANCE COMPANY 6200 S. GILMORE ROAD FAIRFIELD, OHIO 45014-5141 This document has important legal consequences, Consultation with an attorney is encouraged with respect to its completion or South Bend, IN 46601 modification. BOND AMOUNT: Any singular reference to Contractor, Surety, Owner or 5% of bid other party shall be considered plural where applicable. PROJECT (Name, location or address, and Project number, if any): Cleveland Road at Portage Road 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 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 tennis of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond the 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 furnished 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 requirements 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 28 day of January, 2025 ka, v` I��CJQ�1�/� (Witness) JBL Signals and Lighting LLC (Przncipa (Seal) (Title) THE CINCINNATI INSURANCE COMPANY (Surety) ��an inso, Ltl4ess) • CINCINNATI. ; o (Title) oNlo '� Jennif . Kasznia, Attorney-n-Fact ........... ' °y The Company executing this bond vouches that this document conforms to American Institute of Architects Document A' Iu, to Iu Garuon. S 2000-AIA (11/10) PUBLIC THE CINCINNATI INSURANCE COMPANY THE CINCINNATI CASUALTY COMPANY Fairfield, Ohio POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That THE CINCINNATI INSURANCE COMPANY and THE CINCINNATI CASUALTY COMPANY, corporations organized under the laws of the State of Ohio, and having their principal offices in the City of Fairfield, Ohio (herein collectively called the "Companies"), do hereby constitute and appoint Mark E. Wobbe; Barbara E. Pearson; Nicole L. Bicknell; Jennifer L. Kasznia; William J. Cerney, III, Wesley L. Mantooth; Jordan M. Scheiber; Sandra L. Junk; Theresa M. Burns; Meagan E. Riesenberg: Lisa M. Thomas; Pamela S. Higginbotham and/or Faith D. Hunt of South Bend, Indiana their true and legal Attorneys) -in -Fact, each in their separate capacity if more than one is named above. to sign, execute, seal and deliver on behalf of the Companies as Surety, any and all bonds, policies, undertakings or other like instruments, as follows: Any such obligations in the United States, up to Thirty -Five Million and No1100 Dollars ( $35,000,000.00 ). This appointment is made under and by authority of the following resolutions adopted by the Boards of Directors of The Cincinnati Insurance Company and The Cincinnati Casualty Company, which resolutions are now in full force and effect, reading as follows: RESOLVED, that the President or any Senior Vice President be hereby authorized, and empowered to appoint Attomeys-in-Fact of the Company to execute any and all bonds, policies, undertakings, or other like instruments on behalf of the Corporation, and may authorize any officer or any such Attorney -in -Fact to affix the corporate seal; and may with or without cause modify or revoke any such appointment or authority. Any such writings so executed by such Attorneys -in -Fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company. RESOLVED, that the signature of the President or any Senior Vice President and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the signature of the Secretary or Assistant Vice -President and the Seal of the Company may be affixed by facsimile to any certificate of any such power and any such power of certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certified by certificate so executed and sealed shall, with respect to any bond or undertaking to which it is attached, continue to be valid and binding or the Company. IN WITNESS WHEREOF, the Companies have caused these presents to be sealed with their corporate seals. duly attested by their President or any Senior Vice President this 16th day of March, 2021. e(e STATE OF OHIO )SS: COUNTY OF BUTLER ) THE CINCINNATI INSURANCE COMPANY THE CINCINNATI CASUALTY COMPANY On this 16th day of March. 2021 before me came the above -named President or Senior Vice President of The Cincinnati Insurance Company and The Cincinnati Casualty Company, to me personally known to be the officer described herein, and acknowledged that the seals affixed to the preceding instrument are the corporate seals of said Companies and the corporate seals and the signature of the officer were duly affixed and subscribed to said instrument by the authority and directiop of said corporations. ,••••�Pp I A t .,grfOF���, Keith CoJ{dtt, Attorney at Law Notary Public — State of Ohio My commission has no expiration date. Section 147.03 O.R.C. I, the undersigned Secretary or Assistant Vice -President of The Cincinnati Insurance Company and The Cincinnati Casualty Company, hereby certify that the above is the Original Power of Attorney issued by said Companies, and do hereby further certify that the said Power of Attorney is still in full force and effect. Given under my hand and seal of said Companies at Fairfield, Ohio. this 24th day of January 1 2025 BN-1457 (3/21) 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: The City seeks to enhance its ability to identify responsive and responsiblebidders 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 1 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) Acknowledg ents: (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. 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) A,-' 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) _ (iv) — 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. 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 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. (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). List identifying all former business names. Any determinations by a court or governmental agency any violations of federal state, or local laws including, but not limited to, violations of contracting or antitrust laws, tax or licensing laws, environmental laws, Occupational Safety and Health Act (OSHA), or federal Davis -Bacon and related Acts, within the preceding five (5) years. (iv) _ Statement about staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work I am bidding on OR outlines how I intend to meet the staffing needs of the work. (v) _ Statement that individuals who will perform work on the public work project on my behalf will be properly classified as an employee or as an independent contractor under all applicable state and federal laws and local ordinances. (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 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) _ 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) _ 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) — 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) _ 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: (Sign Here) Tone-el-r/1boU; �z (Print Name Here) : -PSG a a,c� Li (Name of Compa ) W;)lp T&�hnglou )Lr. (Address of Company) �c I A (City) ) nc Ic cp (State) -57 4i- Sys-aas (Telephone Number) Version 5/20/2024 General Conditions - 15 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Project No. For Bids Due Cleveland Road at Portage Road Traffic Signal Improvements 123-063R January 28, 2025 y 4 (865 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 or Bid Bond. 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 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-1.01. Also provide Evidence of Good VZFaith Efforts Forms [MBE-2.0 and WBE-2.0] and M/WBE Contacted Forms [MBE-2.1 and WBE-2.1]. Acknowledge Receipt of Addendum(s) included with the bid. �� All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either printed or typed underneath signature. V 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. BidderA 13L I q, -n Gt 13 o cA L I fi Date: I ..� _ �dJ 5 By Authorized Representative_J',.,,,,__ Signature: Print Name & Title: 10 I Version 5/20/2024 Contractor's Bid for Public Works - 1 CIHNCINNATI INSURANCE COMPANIES SURETY BOND SEAL ADDENDUM The CINCINNATI INSURANCE COMPANY Due to logistical issues associated with the use of traditional seals during the COVID-19 pandemic, The Cincinnati Insurance Company ("Cincinnati") has authorized its Attorneys -in -Fact to affix Cincinnati's corporate seal to any bond executed on behalf of Cincinnati by any such Attorney -in -Fact by attaching this Addendum to said bond. To the extent this Addendum is attached to a bond that is executed on behalf of Cincinnati by its Attorney -in -Fact, Cincinnati hereby agrees that the seal below shall be deemed affixed to said bond to the same extent as if its raised corporate seal was physically affixed to the face of the bond. Dated this 24th day of March, 2020. The Cincinnati Insurance Company ,• d • l0 CINCINNATI, o CO. OHIO ; 3 Stephen A. Ventre, Senior Vice President C IHNCINNATI INSURANCE COMPANIES SURETY BOND SEAL ADDENDUM The CINCINNATI CASUALTY COMPANY Due to logistical issues associated with the use of traditional seals during the COVID-19 pandemic, The Cincinnati Casualty Company ("Cincinnati") has authorized its Attorneys -in -Fact to affix Cincinnati's corporate seal to any bond executed on behalf of Cincinnati by any such Attorney -in -Fact by attaching this Addendum to said bond. To the extent this Addendum is attached to a bond that is executed on behalf of Cincinnati by its Attorney -in -Fact, Cincinnati hereby agrees that the seal below shall be deemed affixed to said bond to the same extent as if its raised corporate seal was physically affixed to the face of the bond. Dated this 24th day of March, 2020. The Cincinnati Casualty Company &Of!a1i C CINCINNATI, �� o N ; OHIO ; a Stephen A. Ventre, Senior Vice President 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: 1123-063R Project Name: Cleveland Road at Portage Road Traffic Bidder: Cat- �IJU L' 1 IUf ���ii Total Bid Amount: � • �� WBE Goal: 4.58% Page of Name &Address of WBE Primary Contact Person (Name/Telephone) Scope of Work to be Performed (Attach scope/schedule if you need additional space) Dollar Amount of WBE Component Percentage of Total Bid/Proposal Core 50 (t— IndiOInO� WMI Bowl,,A) U9-JUA-3q0 cofl4 104- PA) 0,00 Submitted by: �an L WV:�t/ ��✓ Print Name Signature ate ***Goals should be calculated based on the Base Bid only.*** Version 5/20/2024 Contractor's Bid for Public Works - 10 CITY OF SOUTH BEND t'I MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-1.0 MBE UTILIZATION PLAN This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE participation. It is the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications. ***Goals should be calculated based on the Base Bid only.*** Project Number: 123-063R Project jName: Cleveland Road Bidder: � L 5i4 � 4, Total Bid Amount: MBE Goal: 1.57% Page of Name &Address of MBE Primary Contact Person (Namelrelephone) Scope of Work to be Performed (Attach scope/schedule if you need additional space) Dollar Amount of MBE Component Percentage of Total Bid/Proposal az s�h4s COO( rLU S�S�`ocI� ��8,��o.OV 5510 -� �U Submitted by: �IIYw �N �� �� Print Name Signat re Date Version 5/20/2024 Contractors Bid for Public Works - 9 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-2.0 . ., ..........:..... EVIDENCE OF GOOD FAITH EFFORTS This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MBE participation. Project Number: Project Name: Bidder: Contact Person: Address: City: 123-063R Date: Cleveland Road at Portage Road Traffic Signal Improvements Telephone: �7�(�djj�� � !1 i Email: I I ` ) ' 9 • To determine whether a bidder has demonstrated good faith efforts to r ch the BE 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.2ov/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.L. FI 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 (http://www.in.gov/idoa). T�• 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. L• 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. -1— • �--• 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. t,l.. 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, 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 \'✓ie�s FvinENCE 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 poxes. 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 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLANPEAC FORM WBE-2.0 ~MIS 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: Project Name: Bidder: Contact Person: Address: 123-063R Date: Cleveland Road at Portage Road Traffic Signal Improvements _TI�L �i ovv-,i/, / ,,o( Lie%► itl e City: M ol ,I. Email: I QwfL. o--T, To determine whether a bidder has demonstrated gooW aith efforts to rea4 the WBt 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: hftp://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 L, Indiana Minority and Women Business Enterprises, found on their website it , (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 WBEs, including, where appropriate, breaking out contract work items into h economically feasible units to facilitate WBE participation. I affirm that I have made good faith efforts to solicit through all reasonable and available .L. means the interest of all WBEs 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 L WBEs of contracting and subcontracting opportunities. I affirm that I advertised in general circulation and/or trade association publications J 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 L. reasonably calculated to inform WBEs of subcontracting opportunities and allowed sufficient time for WBEs to participate effectively. I affirm that 1 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 x t, FORM WBE-2.0 , G 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 ,L, 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 poxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of SnLiih Rpnrl rncArvAc theiEs:fssi to a� a@saiicgi aiauiiiuildi irll'Ormatlon. \/Prs;on 5/20/2024 Contractor's Bid for Public NA/arks - 14 �llTH J4 CITY OF SOUTH BEND I 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 worxs rrojecis 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 Bidd, By: MBE Firm Owner or Contact at MBE Firm Telephone: Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE FIRM: UI�L �� n 1p► Email: MBE Firm Owner or Contact at MBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE FIRM: Version 5/20/2024 Contractor's Bid for Public Works - 15 O4,j7'TH BENG t � CITY OF SOUTH BEND lyl MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM WBE-2.1 WBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring Good Faith Efforts to contact WBEs. It is the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications. Attach additional pages if necessary. PAGE OF Project Number: 1?3-[163R WBE Participation Goal 4.58%v Project Name: Biddi By: Cleveland Road at Portage Road Traffic Signal Improvements WBE Firm 0-oft 1_5 1rl l Owner or Contact at WBE Firm Coon I Telephone: a��Ql ��� .�qp� Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE WBE FIRM: (,A'XA 'I() ) i d WBE Firm qw Y E a f erpw_ � Owner or Contact at WBE Firm Telephone: Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE WBE FIRM: �J Email: Email: Version 5/20/2024 Contractor's Bid for Public Works - 16 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 2/11/2025 Name Leslie Biek, PE Department PW BPW Date 2/25/2025 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 JBL Signals and Lighting 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 $241,280.00 Terms of Contract Purpose/Description Traffic Signal improvements at Portage and Cleveland Intersection. For Change Orders Only 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: