HomeMy WebLinkAboutOpening of Quotations - Demolition of 215 Johnson Street Proj No 124-064 - Indiana Earth IncCITY OF SOUTH BEND, INDIANA =- ,
CONTRACTOR'S QUOTE FOR PUBLIC WORK
iHI
PROJECT NAME: Demolition of 215 Johnson Street
PROJECT NO. 124-064
QUOTES DUE March 25, 2025, by 9:00 A.M. — BPWbids@southbendin.gov
(Must be completed for all quotes. Please type or print) '
Date: S Firm: T-t)d
Address: e ,,P .
City/State/Zip: D Telephone Number:
Email Address: 1 <7gm
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:
Demolition of 215 Johnson Street
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
The City of South Bend, Department of Public Works
and dat7'd 03/13/2025 for the sum of (enter the Total Quote as shown on the Proposal)
SCyP.t; ?l,�f! -/-A# (%v Wv .1 StyeAA /�slla-s (s 7 , ?® )
(Enter um of Total Quote plus Alternates shown on Prop al) (Numerical)
If alternative quotes apply, the undersigned submits a proposal for each in accordance with the notice. Any
addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed, the cost of units must be the same as that shown
in the original contract if accepted by the City of South Bend. If the quote is to be awarded on a unit basis, the
itemization of the units shall be shown on a separate attachment.
By
r4� (Signature)
.4 4 6'?
/' S, (fs ., ,.e d,. id ;
(Printed Name of Person Signing)
ACCEPTANCE
The above quote is accepted this day of
Subject to the following conditions:
BOARD OF PUBLIC WORKS
President
Members
20
Version 3/15/2024 Page - 13 Public Works Quote
�J
i
QUOTE/PROPOSAL v �.
CITY OF SOUTH BEND
PROJECT NAME Demolition of 215 Johnson Street
PROJECT NO. 124-064
QUOTES DUE March 25, 2025
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
Provide a Lump Sum price to
perform the building demolition,
1
asphalt removal, clearing and
1
LSUM
$ %3 17V
$ 7 �j 17o
grubbing, backfill, grading and
!
i
seeding as intended by these
Specifications.
2
Water Works Allowance
1
LSUM
$25,000
$25,000
Total Amount of Quote
$ 9 f, / ]Q
Firm
Address:
City/State/Zip:
Telephone Number:
Fax Number: 'H—b o
By
(Signa re)
(Printed Name of Persbn Signing)
Version 3/15/2024 Page - 25 Public Works Quote
When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to
this Affidavit.
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT,
CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY
VERIFICATION, NON-DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE
OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS
(Must be completed for all quotes and bids. Please type or print)
STATE OF )
) SS:
5. e COUNTY )
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that:
1. Contractor has not, nor has any other member, representative, or agent of the firm,
company, corporation or partnership represented by him, entered into any combination, collusion
or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent
any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made
without reference to any other bid and without any agreement, understanding or combination with
any other person in reference to such bidding. Contractor further says that no person or persons,
firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift,
commission or thing of value on account of such sale; and
2. Contractor certifies by submission of this proposal that neither contractor nor any of its
principals are presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from participation in this transaction by any Federal department or agency;
and
3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment
activities in Iran.
a. For purposes of this Certification, "Iran" means the government of Iran and any agency or
instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from
time -to -time.
b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is
engaged in investment activities in Iran if either:
i. Contractor, its successor or its affiliate, provides goods or services of twenty million
dollars ($20,000,000) or more in value in the energy sector of Iran; or
ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty
million dollars ($20,000,000) or more in credit to another person for forty-five (45)
days or more, if that person will (i) use the credit to provides goods and services in
the energy sector in Iran; and (ii) at the time the financial institution extends credit, is
a person identified on list published by the Indiana Department of Administration.
4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain
any employee or contract with a person that the Contractor subsequently learns is an unauthorized
Version 3/15/2024 Page - 22 Public Works Quote
alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of
Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3.
Contractor's documentation of enrollment and participation in the E-Verify Program is included
and attached as part of this bid/quote; and
5. Contractor shall require his/her/its subcontractors performing work under this public
contract to certify that the subcontractors do not knowingly employ or contract with an
unauthorized alien, nor retain any employee or contract with a person that the subcontractor
subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is
participating in the E-Verify Program. The Contractor agrees to maintain this certification
throughout the term of the contract with the City of South Bend, and understands that the City
may terminate the contract for default if the Contractor fails to cure a breach of this provision no
later than thirty (30) days after being notified by the City.
6. Persons, firms, partnerships, corporations, associations, or joint venturers awarded a
contract by the City of South Bend through its agencies, boards, or commissions shall not
discriminate against any employee or applicant for employment in the performance of a City
contract with respect to hire, tenure, terms, conditions, or privileges of contract or employment,
or any matter directly or indirectly related to contracting or employment because of race, sex,
religion, color, national origin, ancestry, gender expression, gender identity, sexual orientation, or
due to age or disability that does not affect that person's ability to perform the work.
In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or
any combination of the foregoing including, but not limited to, public works contracts awarded
under public bidding laws or other contracts in which public bids are not required by law, the City,
its agencies, boards, or commissions will consider the Contractor's good faith efforts to obtain
participation by those subcontractors certified by the State of Indiana as a Minority Business
("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest,
responsible, responsive bidder.
Contractors seeking the award of a City contract cannot be required to award a subcontract to an
MWBE; however, they may not unlawfully discriminate against said MBE/WBE. On goal -eligible
contracts, Contractors are required to either meet both MBE and WBE utilization goals or
demonstrate that the Contractor has made good faith efforts to obtain participation from MBE and
WBE subcontractors. A finding of noncompliance or a discriminatory practice shall prohibit that
Contractor from being awarded a City contract for a period of one (1) year from the date of such
determination, and such determination may also be grounds for terminating the contact to which
the discriminatory practice or noncompliance pertains.
7. The undersigned Contractor agrees that the following nondiscrimination commitment shall
be made a part of any contract which it may henceforth enter into with the City of South Bend,
Indiana or any of its agencies, boards or commissions.
Contractor agrees not to discriminate against or intimidate any employee or applicant for
employment in the performance of this contract with privileges of employment, or any matter
directly or indirectly related to employment, because of race, religion, color, sex, gender
expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of
this provision may be regarded as material breach of contract.
Version 3/15/2024 Page - 23 Public Works Quote
I, the undersigned bidder or agent as contractor on a public works project, understand my statutory
obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-
8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel
products or foundry products made in the United States on this project if awarded. I understand I
have an affirmative duty to notify the City in my bid that my proposal does not include the use of
steel products or foundry products made in the United States. I understand it is my sole obligation
and responsibility to provide a justification to the City, subject to review and approval, why the
cost of United States made steel or foundry products is unreasonable. Prior to award and upon
submission of bid which does not use steel products or foundry products made in the United States,
the City, through its director of public works, shall make a determination if the price of United
States made steel or foundry is unreasonable. I understand that violations hereunder may result in
forfeiture of contractual payments.
I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public
works are true and correct.
"-tI—
Dated this Z5 ' day of _ 20
Printed Name and Title
Subscribed and sworn to before me this Z•S-V-day of t4NO�C (.1n , 20 2.S
My Commission Expires t% 1 1A 1 2,031
County of Residence
tary--FLZl is
JAMES BRAAIZ
Notary Public - Seal
Elkhart County - State of Indiana
Commission Number NP0752954
y Commission Expires Nov 21, 2031
IM'"—N;
1
Version 3/15/2024 Page - 24 Public Works Quote
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE-1.0
MBE UTILIZATION PLAN
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE participation. It is
the bidder's sole responsibility to verify whether any listed minority or woman business meets the MBE qualifications.
***Goals should be calculated based on the Base Bid only.***
Project Number: 124-064 LLProject Name: Demolition of 215 John on Street
Bidder: -17;, d ilna Total Bid Amount: 71, 170 MBE Goal: 2.54%
Page_ _of
Name & Address of MBE
Primary Contact Person
Name/Tele hone
( P )
Scope of Work to be Performed
(Attach scope/schedule if you need additional space)
Dollar Amount of MBE
Component
Percentage
of Total
Bid/Proposal
i(en��c�
r1iJ al oc v f
17/
Submitted by: ie
/
PrA Name SigrJ ture Date
***Goals should be calculated based on the Base Bid only.***
Version 3/15/2024 Page - 26 Public Works Quote
CITY OF SOUTH BEND ^, ;
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM WBE-1.0
WBE UTILIZATION PLAN
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving WBE participation. It
is the bidder's sole responsibility to verify whether any listed minority or woman business meets the WBE qualifications.
***Goals should be calculated based on the Base Bid only.***
Project Number: 124-064 Project Name: Demolition of 215 Johnson Street
� �j Total Bid
Bidder: �ndl°Arta /AAA Amount: � 75,1 W WBE Goal: 5.59%
Page ! of I
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/Proposa
I
on Dfjf
Karen+
1
��✓C�t�
Submitted by: Ane /�Zq ie,,ejr-
PrintAame J Sign ure Date
***Goals should be calculated based on the Base Bid only.-
Version 3/15/2024 Page - 27 Public Works Quote
0
,f
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
This completed form should be included as part of the Bids documents related to City of South Bend Public
Works Projects requiring Good Faith Efforts to obtain MBE participation.
Project Number:
Project Name:
Bidder:
Contact Person:
Address:
City:
Email:
To determine whether
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*:
124-064
Demolition of 215 Johnson Street
Date: j ;��% .7GIa2,57—
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.ciov/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
(http://www.in.gov/idoa).
I affirm that I have made good faith efforts to select portions of the contract work to be
performed by MBEs, 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.
n �(�
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.
A
I affirm that I performed any and all necessary steps to provide written notices in a manner
�s
1v�
reasonably calculated to inform MBEs of subcontracting opportunities and allowed
sufficient time for MWBEs 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
information
with adequate 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 3/15/2024 Page - 28 Public Works Quote
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 3/15/2024 Page - 29 Public Works Quote
Ifi %9
il
CITY OF SOUTH BEND _ \
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM WBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
This completed form should be included as part of the Bids documents related to City of South Bend Public
Works Projects requiring Good Faith Efforts to obtain WBE participation.
Project Number: 124-064 Date.
Project Name: Demolition of 215 Johnson Street
Bidder: �ndiMn, Lt .
Contact Person:
_
Address:
1
City:
A.
Telephone: <,?7_- 47y-46`5'k
�l/�►l/1�
Email: es7- ,eVJyj
To determine whether a bidder has demonstrated good faith efforts to reach the WBE utilization goals set forth in
the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions,
REQUIRE ALL of the following Good Faith Efforts as listed in the table below*:
EVIDENCE OF GOOD FAITH EFFORTS
WBE LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business Enterprise
Inclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the Indiana Department
of Administration list of Minority and Women Owned Businesses (both certified and non -certified) found
at: http://www.in.gov/idoa/.
GOOD FAITH EFFORTS TO OBTAIN WBE PARTICIPATION
The bidder shall initial each item below, as evidence of its good faith efforts to obtain WBE participation
in the awarded contract.
I affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise
Inclusion Program Plan and the Indiana Department of Administration's certified list of
Indiana Minority and Women Business Enterprises, found on their website
(http://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
economically feasible units to facilitate MWBE participation.
I affirm that I have made good faith efforts to solicit through all reasonable and available
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
WBEs of contracting and subcontracting opportunities.
I affirm that I advertised in general circulation and/or trade association publications
concerning subcontract opportunities and allowed WBEs reasonable time to respond to
such advertisements.
I affirm that I performed any and all necessary steps to provide written notices in a manner
reasonably calculated to inform WBEs of subcontracting opportunities and allowed
sufficient time for WBEs to participate effectively.
I affirm that I followed up on initial solicitations with interested WBEs.
I affirm that I negotiated with interested WBEs in good faith, including providing such WBEs
with adequate information about the plans, specifications and other requirements of the
subcontract.
EI
ffirm that I have made good faith efforts to assist interested WBEs in obtaining bonding,
es of credit, or insurance as required by the City or the bidder, where appropriate.
Version 3/15/2024 Page - 30 Public Works Quote
I I `
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.
n�
I affirm that I did not reject any WBEs as unqualified without sound business reasons
\It�v \
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 WBE 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 3/15/2024 Page - 31 Public Works Quote
CITY OF SOUTH BEND _
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN`
FORM MBE-2.1
MBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring Good Faith Efforts to contact MBEs. It is the bidder's sole responsibility to verify whether any listed
minority or woman business meets the MBE qualifications. Attach additional pages if necessary.
PAGEOF_�
Project Number: 124-064 MBE Participation Goal 2.54%
Project Name: Demolition of 215 Johnson treet Bidder: / dia Di
By: iL ,r
(Sign ure) (Title) (Date)
MBE Firm KeW4 Five - UM. -I,
Owner or Contact at MBE Firm A
Telephone:�f1#_ g 74p - e f $ Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
f VC !'
RESULTS OF CONTACT WITH THE MBE FIRM:
,Ae'eCP
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 3/15/2024 Page - 32 Public Works Quote
CITY OF SOUTH BEND
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
minority or woman business meets the WBE qualifications. Attach additional pages if necessary.
PAGE 'I
Project Number: 124-064
Project Name: Demolit
Bidder
j
By:
WBE Participation Goal 5.59%
WBE Firm d J fi �pn
Owner or Contact at WBE Firm Koren
Telephone: � GO -. 111-� (P3A Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE WBE FIRM:
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 3/15/2024 Page - 33 Public Works Quote
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 03/13/2025
Name Zach Hurst
Department DPW
BPW Date 03/25/2025
Phone Extension 3057
Review and Approval Required Prior to Submittal to Board
Diversity Compliance ❑
and Inclusion Officer
Officer Name
BPW Attorney ❑
Attorney Name
Dept. Attorney ❑
Attorney Name
Purchasing ❑
Check the Appropriate
Item Type
— Re uired or All Submissions
❑ Professional Services Agreement
❑ Open Market Contract
❑ Bid Opening
® Quote Opening
❑ Proposal Opening
❑ Chg. Order, No.
❑ Other:
❑ Contract ❑ Proposal
❑ Amendment/Addendum ❑ Special Purchase, QPA
❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet
❑ Quote Award ❑ Reject Bids/Quotes
❑ C/O & PCA No. ❑ PCA
❑ Traffic Control ❑ Resolution
❑ Ease./Encroach
Reauired Information
Company or Vendor Name
New Vendor ❑ Yes[:] If Yes, Approved by Purchasing
❑ No
MBE/WBE Contractor ❑ MBE Completed E-Verify Form Attached ❑ Yes
No
Project Name Demolition of 215 Johnson Street
Project Number 124-064
Funding Source River West DA TIF
Account No. PR-00039898
Amount
Terms of Contract Lump Sum
Purpose/Description Request to open quotes to perform demolition and site clearing at 215 Johnooi
Street in advance of redevelopment.
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: