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HomeMy WebLinkAboutOpening of Bids - 2025 Street and Sewer Material Bid Proj No 125-005 - Klink TruckingCITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Project No. For Bids Due 2025 Street & Sewer Material Bid 125-005 April 8, 2025, 9:00 a.m., Local Time PART I (Must be completed for all bids. Please type or print) Date: 04/02/2025 Bidder (Firm): Klink Truckinc Address: PO Box 428 City/State/Zip: Ashley, IN 46705 Telephone Number: ( 260 ) 587-9113 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 specifications prepared by: -TrU C�4 and dated O '1 � a j aQ7. for the sum of (enter the Total Bid as shown on the Proposal) bA3ohw%&(M 1F%9_a (s Aga moo"° ) (Enter sum of Abivision 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 separat attach ent. By (Signature) Anthony W' ers (Printed Name of Person Signing) ACCEPTANCE The above bid is accepted this day of Subject to the following conditions: BOARD OF PUBLIC WORKS Elizabeth A. Maradik, President Gary A. Gilot, Member Murray L. Miller, Member 20 Joseph R. Molnar, Vice President Breana N. Micou, Member Attest: Theresa Heffner, Clerk Version 07/19/2023 Contractor's Bid for Public Works - 2 UTH a BIDIPROPOSAL CITY OF SOUTH BEND Project Name: 2025 Street & Sewer Material Bid Project Number: 125-005 For Bids Due: April 8, 2024, 9:00 a.m., Local Time Contractor Name: Klink Trucking This bid will be awarded to the lowest responsible bidder for each line item or Division, dependent on the needs of the City of South Bend. The Contractor does not need to supply unit prices for all items in each Division to be eligible for award. DIVISION A - PCC MATERIALS Item No. Description Estimated Quantity Unit Unit Price A-1 Class A Concrete 2500 CY $ N1 A-2 Class A High Early 800 CY $ A-3 7 Bag Mix 600 CY $ A-4 High Early Concrete wl Integral Color - Black 650 CY $ A-5 Flowable Fill, Removable 350 CY $ A-6 Non -Chloride Accelerator added to concrete — 0.5% 325 EA CY $ A-7 Non -Chloride Accelerator added to concrete — 1 % 1000 EA CY $ A-8 Non -Chloride Accelerator added to concrete — 2% 2100 EA CY $ Version 07/19/2023 Contractor's Bid for Public Works - 7 O BIDIPROPOSAL Y;]> CITY OF SOUTH BEND Project Name: 2025 Street & Sewer Material Bid Project Number: 125-005 For Bids Due: April 8, 2024, 9:00 a.m., Local Time Contractor Name: Klink Trucking DIVISION B - AGGREGATE MATERIALS Item No. Description Estimated Quantity Unit Unit Price B-1 No. 23 Sand 5000 TON $ 17.25 B-2 No. 53 Gravel 1000 TON $ No Bid B-3 No. 53 Recycled Concrete 7500 TON $ 21.00 B-4 No. 53 Slag 1000 TON $ 22.75 B-5 Topsoil 700 TON $ No Bid B-6 No. 11 Slag Chip Stone 1000 TON $ 26.00 DIVISION C - SEWER MATERIALS - CASTINGS Item Estimated No. Description Quantity Unit Unit Price C-1 Manhole Cover and Frame: EJ 1040A, Neenah R- 300 EA $ No Bid 1642, or approved equal (Circle One) C-2 Catch Basin Cover & Frame: EJ 1020-M1, Neenah 300 EA $ No BEd R-1646, or approved equal (Circle One) Version 07/19/2023 Contractor's Bid for Public Works - 8 LiTH BF BIDIPROPOSAL CITY OF SOUTH BEND Project Name: 2025 Street & Sewer Material Bid Project Number: 125-005 For Bids Due: April 8, 2024, 9:00 a.m., Local Time Contractor Name: Klink Trucking DIVISION D - SEWER MATERIALS Item No. Description Estimated Quantity Unit Unit Price 0-1 MH Riser 20 3/4" D —1 "R — 7/81 40 EA $ D-2 MH Riser 20 3/4" D —1 1/2"R — 718"L 40 EA $ D-3 MH Riser 20 3/4" D — 2"R — 7/81 20 EA $ D-4 MH Riser 20 3/4" D — 2 1/2"R — 718"L 10 EA $ D-5 MH Riser 21 3/4" D — 1 "R — 1 3/8"L 20 EA $ D-6 MH Riser 21 3/4" D — 1 112"R — 1 3/8"L 30 EA $ D-7 MH Riser 21 3/4" D — 2"R — 1 3181 30 EA $ D-8 MH Riser 22 1/8" D — 2"R — 1 1/4"L 20 EA $ D-9 MH Riser 22 1/8" D — 3"R — 1 1/4"L 20 EA $ D-10 MH Riser 22 1/4" D —1"R — 1 1/2"L 30 EA $ D-11 MH Riser 22 1/4" D — 1 1/2"R — 1 1/2"L 30 EA $ Version 07/19/2023 Contractor's Bid for Public Works - 9 G BID/PROPOSAL CITY OF SOUTH BEND Project Name: 2026 Street & Sewer Material Bid Project Number: 125-005 For Bids Due: April 8, 2024, 9:00 a.m., Local Time Contractor Name: Klink Trucking DIVISION D - SEWER MATERIALS - CONTINUED Item No. Description Estimated Quantity Unit Unit Price D-12 MH Riser 23" D — 1 "R — 1 314"L 30 EA $ D-13 MH Riser 23" D — 1 112"R — 1 314"L 20 EA $ D-14 MH Riser 23" D — 2"R — 1 314"L 40 EA $ D-15 MH Riser 23 518" D —1 112"R — 1 118"L 10 EA $ D-16 MH Riser 23 518" D — 2"R — 1 118"L 10 EA $ D-17 MH Riser 23 518" D — 1 "R — 1 112"L 20 EA $ D-18 MH Riser 23 518" D — 1 112"R — 1 112"L 25 EA $ D-19 MH Riser 23 518" D — 2"R — 1 112"L 20 EA LJ $ D-20 MH Riser 23 518" D — 2 112"R — 1 1 /2"L 20 EA $ Version 0711912023 Contractor's Bid for Public Works - 10 16TH d BIDIPROPOSAL �zY CITY OF SOUTH BEND r' a Project Name: 2025 Street & Sewer Material Bid ' Project Number: 125-005 For Bids Due: April 8, 2024, 9:00 a.m., Local Time Contractor Name: Klink Trucking DIVISION E - TRAFFIC MATERIALS Item Estimated No. Description Quantity Unit Unit Price High Build Fast Dry Waterborne Traffic Marking E-1 Paint — White 2200 GAL $ E 2 High Build Fast Dry Waterborne Traffic Marking 2200 GAL $ Paint — Yellow E-3 High Build Fast Dry Waterborne Traffic Marking 50 GAL $ Paint —Blue E-4 High Build Fast Dry Waterborne Traffic Marking 50 GAL $ Paint — Green E-5 Pavement Marking Beads, Standard 40000 LBS $ D DIVISION F - SNOW REMOVAL MATERIALS Item Estimated No. Description Quantity Unit Unit Price F-1 Beet Juice Concentrate 20,000 GAL $ No Bid Version 07/19/2023 Contractor's Bid for Public Works - 11 BID/PROPOSAL��]; CITY OF SOUTH BEND Project Name: 2025 Street & Sewer Material Bid Project Number: 125-005 For Bids Due: April 8, 2024, 9:00 a.m., Local Time Contractor Name: Klink Trucking DIVISION G — STREET MATERIALS Item No. Description Estimated Quantity Unit Unit Price G-1 AE-T Tack 25,000 GAL $ No Bid G-2 RS-2 25,000 GAL $ No Bid G-3 Crack Sealant 72,000 LBS $ No Bid Bidder (Firm): Klink Trucking Address: PO BOX 428 City/State/Zip: Ashley, IN 46705 Telephone Number: ( 26q 587-9113 By ignature) Anthony Winters (Printed Name of Person Signing) Version 07/19/2023 Contractor's Bid for Public Works - 12 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: Steuben 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: 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 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 fast published by the Indiana Department of Administration. 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Version 07/19/2023 Contractor's Bid for Public Works - 4 Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, firms, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of contract or employment, or any matter directly or indirectly related to contracting or employment because of race, sex, religion, color, national origin, ancestry, gender expression, gender identity, sexual orientation, or due to age or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions will consider the Contractor's good faith efforts to obtain participation by those subcontractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. Contractors seeking the award of a City contract cannot be required to award a subcontract to an MWBE; however, they may not unlawfully discriminate against said MBE/WBE. On goal -eligible contracts, Contractors are required to either meet both MBE and WBE utilization goals or demonstrate that the Contractor has made good faith efforts to obtain participation from MBE and WBE subcontractors. A finding of noncompliance or a discriminatory practice shall prohibit that Contractor from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact to which the discriminatory practice or noncompliance pertains. 7. The undersigned Contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). 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 Version 07/19/2023 Contractor's Bid for Public Works - 5 may result in forfeiture of contractual payments. I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this 2nd day of April 20 25 Subscribed and sworn to before me this My Commission Expires 11/1/2032 Klink Trucking Contractor/Bidder (Fi ignature of COers, ctor/Bidder or Its Agent Anthony W President Printed Name and Title 2nd day of April 2025 vl�v_ /v- " A ;,, AA,� ota y Public Ki erly Smith County of Residence Dekalb IClmbedy Smith �o�ra sy Notary Public State of Indiana SFAt petCelb Couftq ' += Commission Number2311My Commissiones111011203 Version 07/19/2023 Contractor's Bid for Public Works - 6 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name 2025 Street & Sewer Material Bid Project No. 125-005 For Bids Due April 8, 2025, 9:00 a.m., Local Time 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. NIA Proper bid security included. The bidder has the option of providing either a Certified Check or Bid Bond. NOT REQUIRED Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely x executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding x Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and Certification of use of United States Steel Products or Foundry Products. Proof of MNIBE Utilization Plans [MBE-1.0 and WBE-1.0]. Also provide Evidence of Good Faith Efforts Forms [MBE-2.0 and WBE-2.01 and MIWBE Contacted Forms [MBE-2.1 and WBE-2.11. NOT REQUIRED x Acknowledge Receipt of Addendum(s) included with the bid. x All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either x printed or typed underneath signature. This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. Bidder: Klink Trucking Date: 04/02/2025 By Authorized Representative: Signature: Print Name & Title: Anth Winters, President Version 0711912023 Contractor's Bid for Public Works - 1 PART 11 (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 park 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 07/19/2023 Contractor's Bid for Public Works - 3 G�� 1�� CONTRACTOR'S BID FOR PUBLIC WORK - FORM 96 %; State Form 52414 (R2 / 2-13)1 Form 96 (Revised 2013) 14' __ Prescribed by State Board of Accounts +st• PART I (To be completed for all bids. Please type or print) Date (month, day, year). 4/2/2025 1. Governmental Unit (Owner): City of South Bend 2. County: St Joseph 3. Bidder (Firm) Klink Trucking Inc Address: PO Box 428 City/State/ZlPcode: Ashley, IN 46705 4. Telephone Number: 260-587-9113 5. Agent of Bidder (if applicable): NIA Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of City of South Bend (Governmental Unit) in accordance with plans and specifications prepared by City of South Bend and dated 4/2/2025 Two Hundred Ninty Two Thousand, Five Hundred $ 292,500.00 for the sum of 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 governmental unit. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. The contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee, or applicant for employment, to be employed in the performance of this contract, with respect to any matter directly or indirectly related to employment because of race, religion, color, sex, national origin or ancestry. Breach of this covenant may be regarded as a material breach of the contract. CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS (Jf applicable) I, the undersigned bidder or agent as a contractor on a public works project, understand my statutory obligation to use steel products made in the United States (I.C. 5-16-8-2). 1 hereby certify that I and all subcontractors employed by me for this project will use U.S. steel products on this project if awarded. I understand that violations hereunder may result in forfeiture of contractual payments. The above bid is accepted this following conditions: Contracting Authority Members: ACCEPTANCE day of PART 11 (For projects of $150, 000 or more — IC 36-1-12-4) Governmental Unit: City of South Bend Bidder (Firm) Klink Trucking Date (month, day, year): 04/02/2025 subject to the These statements to be submitted under oath by each bidder with and as a part of his bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE What public works projects has your organization completed for the period of one (1) year prior to the date of the current bid? Contract Amount Class of Work Completion Date Name and Address of Owner 394,709.00 Aggregate 2024 Elkhart Co Hwy Dept 278,299.00 Spray Truck 2024 Kalamazoo Co Rd Comm 97,000.00 Aggregate/Cold Mix 2024 St Joe Co Rd Comm 2. What public works projects are now in process of construction by your organization? Contract Amount Class of Work Expected Completion Date Name and Address of Owner none until beginning of 2025 season 3. Have you ever failed to complete any work awarded to you? no If so, where and why? 4. List references from private firms for which you have performed work. Rieth-Riley Construction Inc Steel Dynamics SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 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 governmental unit to consider your bid.) Orders to be delivered upon request of material. 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. No subcontractors used. If you intend to sublet any portion of the 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 governmental unit in the event that you subsequently determine that you will use a subcontractor on the proposed project. No subletting. 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. Quad Axle Dump Trucks - 16 Semi Dump Trailers 30 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. Yes. Material pricing for the upcoming season has been established through quotes from vendors. 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 governing body awarding the contract must be specific enough in detail so that said governing body can make a proper determination of the bidder's capability for completing the project if awarded. SECTION IV CONTRACTOR'S NON — COLLUSION AFFIDAVIT The undersigned bidder or agent, being duly sworn on oath, says that he 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 include 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. He 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. SECTION V OATH AND AFFIRMATION HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION CONTAINED IN THE FOREGOING BID FOR PUBLIC WORKS ARE TRUE AND CORRECT. Dated at Ashley, Indiana this Klink Trucking Inc STATE OF Indiana Steuben ? ss COUNTY OF } 2nd day of April 1 2025 (Title of Person Signing) ACKNOWLEDGEMENT Before me, a Notary Public, personally appeared the above -named Anthony Winters and swore that the statements contained in the foregoing document are true and correct. Subscribed and sworn to before me this 2nd day of April 2025 Notary Public My Commission Expires: 11/1/2032 County of Residence: DeKalb Part of State Form 52414 (R212-13) 1 Form 96 (Revised 2013) FO-RD-110-M I,wn, nowwraira (Contractor) PO Box 428 (Address) Ashley, IN 46705 FOR PUBLIC WORKS PROJECTS 1011 City of South Bend Filed Action taken