HomeMy WebLinkAboutOpening of Quotes - 2025 Microsurfacing Proj No 125-042 - Asphalt Restoration Services, LLCIV.
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SCOPE OF WORK , Y_ ,,,"
CI OF SOUTH BENS
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PROJECT NAME: 2025 Microsurfacing Quote
PROJECT NO. 125-042
QUOTES DUE July 22, 2025 at 9:00am Local Timo. Quotes are to be submitted
electronically to bpwbids@southbendin.gov
PROJECT DESCRIPTION
A_ The project includes the furnishing of all equipment, material, insurance, and labor to perform
approximately 17,900 square yards of asphalt microsurfacing (liquid pavement) at various locations
within the City of South Bend, IN.
PREVAILING SPECIFICATIONS AND CONSTRUCTION STANDARDS AND SPECIFICATIONS
A. The City of South Bend's PREVAILING SPECIFICATIONS, most recent version, and
CONSTRUCTION STANDARDS AND SPECIFICATIONS, most recent version, are to be used on this
project
B. Each Quote provider is specifically instructed to become completely familiar with the most recent
version of the PREVAILING SPECIFICATIONS and the CONSTRUCTION STANDARDS AND
SPECIFICATIONS prior to submitting a quote.
C. Wherever the PREVAILING SPECIFICATIONS refer to 'State Specifications,' it shall mean the 2024
IN DOT Standard Specifications for the letting effective after September 1, 2023.
0, These SPECIAL PROVISIONS will list only "Additions" or "Deletions" to the PREVAILING
SPECIFICATIONS and are to be used only in conjunction with the PREVAILING SPECIFICATIONS.
E. In the event of conflict between the SPECIAL PROVISIONS and the PREVAILING SPECIFICATIONS,
the SPECIAL PROVISIONS will govem,
TERM "OR EQUAL"
A. Prevailing Specifications: None
B. Additions
1. Where the term "or equal" is used In these specifications, the Quote provider deviating from
specified item shall file with hislherfits Quote a letter fully explaining and justifying his/her/its
proposed article or equal. The City of South Bend shall be the sole judge in determining if the `or
equal" offered meets the specification.
TAX EXEMPT
A. Prevailing Specifications: None
B. Additions
1. Materials and properties purchased under contract with the Owner that become a permanent part
of the structure or facilities constructed are not subject to the Indiana Gross Retail Tax (Sales Tax),
The exemption number will be famished to the Contractor upon award.
INDEMNIFICATION
A. Prevailing Specifications; None
B Additions
1. Contractor agrees to indemnify, defend and hold harmless the City of South Bend, Its agents,
officers and employees, from all costs, losses, claims and suits, including court costs, attomey fees,
and other expenses, arising from or out of the negligent performance of this Contract by Contractor,
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or because of ansing out of any defect In the goods, materials or equlpmmni supplied by the Ouote
provider.
VI. INSURANCE
A. Prevailing Specifications: 2024,1NDOT Standard Specifications Section 103
B. Additions:
1. All Contractors and subcontractors doing business with the City of South Bend shall present a
Certificate of Insurance showing coverage in the following minimum amount
a. General Liability: Premises -Completed Operations or Products, Bodily Injury and Property
Damage Combined Single Limit - $5,000,000.
b. There shall be no exclusion for explosion, collapse or underground hazard.
c. Workmen's Compensation: Statutory State of Indiana Employer's Llabildy - $100,000.
d. Auto Liability: Bodily Injury and Property Damage Combined Single limit- $1,000,000.
e. The City of South Bend shall be named as additional insured on the Certificate of Insurance.
Vll. CONTROL OF WORK
A. Prevailing Specifications: 2024, INDOT Standard Specifications Section 105
B. Additions:
1. The complete responsibility for this project Iles with the Director of Public Works of the City of South
Bend, Indiana acting through his authorized representatives.
2.. Construction Engineering - The Contractor shall provide all the necessary, qualified personnel,
equipment and supplies to perform all work required under this item. There will be no direct payment
for this item.
3. The contractor is responsible for maintaining the site, which includes, but is not limited to, dust
control, site security, erosion control, and protecting adjacent properties.
4. Work hours for the Project shall be from 7:00 a.m. through 6:00 p.m., Monday through Friday. No
work shall be permitted on weekends. Holidays, or after hours unless approved by the City of South
Bend Department of Public Works.
Vill. LEGAL R"TIONS
A. Prevailing Specifications* 2024, INDOT Standard Specifications Section 107
B. Additions;
1. The Garner, where rnentioned in these documents, Is the City of South Bend. The Engineer, where
rnenWned in these documents, is the City of South Band.
2. The Contractor shall apply for and obtain any and all required permits for the work from local, state,
and federal agencies and shall comply with permit requirements, Including the St Joseph County
1 City of South Bend Building Department.
3. If the Contractor awarded this contract is not a resident of Indiana, within thirty days, the Contractor
shall provide the Owner with proof that the Contractor Is duly licensed, qualified and registered with
the Secretary of State of Indiana to engage In business within the State of Indiana,
4, The Contractor shall comply with all provisions of Indiana Code 5-16-13, as amended. The Owner
reserves the right to immediately terminate the public work project awarded should the Contractor
be found to be in violation of any provislon of Indiana Code 5-16-13 and such vlolabon shall result
in the forfeiture of Contractor's performance bond to the Owner.
IX. PROSECUTION AND PROGRESS
A. Prevailing Specifications: 2024,1NDOT Standard Specifications Sec. 10B
B, additions:
1. The project will have a completion date of September 19, 2026 . The Contract time will start when
the Notice to Proceed Is delivered and signed,
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2. The City, Englneer, and Contractor will hold a pre -construction meeting following award of the
contract. The date of the Notice to Proceed will be agreed at that meeting.
3. Contractor shall provide a schedule to the Owner prior to beginning any work on the site.
4. The Contractor shall utilize the City of South Bend selected project management software for
reporting of all activities related to the contracted work.
X. CHANGE OF CONTRACT TIME
A. Prevailing Specifications: 2024, INDOT Standard Specifications Section 108
B. Additions
1, The Contract Time may only be changed by Change Order. Any Claim for an extension in the
Contract Time shall be based on written notice delivered to the Department of Public Works within
seven (7) calendar days of the occurrence of the event giving rise to the claim. Notice of the extent
of the claim with supporting data shall be delivered within fourteen (14) calendar days after such
occurrence unless an official of the Public Works Department allows an additional period of timp to
ascertain more accurate data. The Contract Time will be extended in an amount equal to time lost
to delays beyond the control of the Contractor if a claim is made in accordance with this provision.
Such delays shall include acts of neglect by the Public Works employees, or to fires, flood, labor
disputes, epidemics, abnormal weather conditions, governmental procedures, or acts of God.
2, Unless otherwise provided, the Contract time is based upon normal weather conditions. An
extension is granted for weather conditions significantly more severe than normal if the Contractor
demonstrates to the satisfaction of the City that the delay in the progress of the work was due to
such weather. The basis to define normal weather with be the data compiled by the United States
Department of Commerce, National Oceanic and Atmospheric Administration (NOAA),
3. No extension of time will be granted if the Contractor, by hislherlits own action or inaction, including
fault or negligence of Contractors subcontractors, caused the delay, or for which any remedies are
provided under any other provision of this agreement.
4. The grant of an extension of time under this Section in no way constitutes a waiver by the City of
any rights or remedies existing under this contract at law or in equity.
XI. DEFAULT AND TERMINATI.ON
A Prevailing Specifications: 2024, INDOT Standard Specifications Section 108
B. Additions:
1. Events of Default shall include Contractor's failure to perform any of its obligations under this
contract including failure to commence work at the time specified, failure to perform the work in
accordance with these specifications, unauthorized discontinuation of the work, Failure to carry out
the work in a manner acceptable to the City, failure to observe Federal. State, or local laws or
regulations, and failure to comply with any other term of this contract.
2. if an Event of Default occurs, the City shall provide Contractor written notice and may permit
Contractor ten (10) calendar days after the date of the notice to cure the default. if the default is
not cured within the ten (10) day cure period, the City may at any time thereafter terminate this
contract in which case the termination shall be final and effective.
3. Upon an Event of Default, the City may invoke the following remedies in addition to those remedies
provided under separate provisions of this contract, the right of set-off against any payments due
or to become due to the Contractor against the retainage, the right to take over and complete the
Work. If the City notifies Contractor that City is invoking its right to complete the Work, all rights that
the Contractor has in order under Contractor's subcontracts are assigned to the City, subject to the
City's right to take assignment of all or only selected subcontracts at the City's discretion. The safe
obligation accepted by the City under such subcontracts is to pay for Work satisfactorily performed
after the date of the assignment. In the event a conditional assignment has not been executed, the
Contractor shall execute or cause to be executed any assignment, agreement, or other document
that may be necessary in the sole opinion of legal counsel to the City's Board of Public Works to
evidence compliance with this provision. The Contractor shall promptly deliver such documents
upon the City's request. In the case of such assignment, unless otherwise agreed in writing, The
Contractor remains liability to subcontractors for any payment already involved, and for any claim,
suit or cause of action based upon or resulting from any error, omisslon, negligence or other breach
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of contract by the Contractor, its officers, employees, or agents arising prior to the date of
assignment to the City.
XII. LIQUIDATED DAMAGES
A. Prevailing Specifications: 2024, INDOT Standard Specifications Section 108
B. Additions:
1. The contractor shall proceed with the work at such rate of progress to insure full completion within
the Contract Time. It is expressly understood and agreed, by and between the Contractor and the
Owner, that the Contract Time for completion of the work described herein is a reasonable time,
taking into consideration the average climatic and economic conditions and other factors prevailing
in the locality of the work, and excludes the time for unavoidable delays which were beyond the
control and without the fault of the Contractor.
2. If the Contractor shall fail to complete the work within the Contract Time, or extension of time
granted by the Owner, then the Contractorwill pay to the Owner the amount for liquidated damages
a sum of five hundred dollars ($500.00) for each calendar day that the Contractor shall remain in
default after the time of completion stipulated in the Contract Documents.
3. The Contractor shall not be charged with liquidated damages or any excess cost when the delay
in completion of the work is due to the following and the Contractor has promptly given written
notice of such delay to the Owner and Engineer/Architect.
a. To any preference, priority, or allocation order duly issued by the Owner.
b. To unforeseeable causes beyond the control and without the fault or negligence of the
Contractor, including but not restricted to acts of God, acts of public enemy, acts of the Owner,
acts of another Contractor in the performance of a Contract with the Owner, fires, floods,
epidemics, quarantine restrictions, strikes, freight embargoes, and abnormal and
unforeseeable weather.
XIII. RITAINAGE AND FINAL PAYMENT
A. Prevailing Specifications: 2024, INDOT Standard Specifications Section 109
B. Additions:
1. Payments will be made every thirty (30) calendar days
2. Consistent with provisions of IC 36-1-12-14, the Board of Public Works shall withhold five percent
(5%) of the dollar value of all work satisfactorily completed until the public work is substantially
completed and the Project Completion Affidavit is approved by the Board.
3. Before final payment and retainage are releaser! the Contractor must satisfy the following:
a. Provide proof that all subcontractors have been paid promptly, including fully documenting
payments in the City's Minority and Women Owned Business utilization tracking software
B2G Now. See www.southbend.diversityr-ompliance.com.
b. All parts and labor meet requirements stated in the specifications.
c. Provide copies of test reports or cut sheets on all materials supplied.
d. Provide As -Built drawings in accordance with the City of South Bend Prevailing Specifications
for Public Works.
e. One (1) copy of the City of South Bend Completion Affidavit and one (1) copy of a Final Waiver
of Lien.
XIV. WARS
A. Prevailing Specifications: None
B. Additions
1, All Parts shall include the following:
a. Performance specifications
b. Bill of Materials
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c. Warranties on all parts
d. Installation and safety requirements
)Cif, OTHER UTILITIES
A. Prevailing Specifications: None
B. Additions:
1. The Contractor shall verify the locations of all utilities by contacting Indiana811 by calling 611 (in
Indiana) or 1-800-382-5544 (outside of Indiana), or via www,indi2na811.oM, at least two (2)
working days, not counting Saturdays, Sundays or federal and state holidays before proceeding
with construction. It shall also be the Contractor's responsibility to contact any other utility that is
not contacted by Indiana811 and verify the utility locations.
2. The Contractor shall be responsible for working with the other utilities, i.e., gas electric, telephone,
etc. in order to assure that all utilities that need to be replaced or relocated can be done with a
minimum disturbance to service. The Contractor shall also be responsible for coordinating
schedules with the varlous utilities such that they can proceed with their relocation work as
efficiently as possible.
3. If the odor of natural gas is detected In a work area at any time during the course of work, the
Contractor shall immediately notify NIPSCO at 1-800-634-3524. The Contractor shall also
immediately notify the residents of adjacent properties. The Contractor shall advise the residents
to evacuate their homes immediately if the odor is present within the dwelling.
4. Restoration of sprinkler systems damaged by the Contractor's operations shall be repaired by the
Contractor at no additional cost to the City or the Owner of the system.
XVI. MAINTENANCE OF TRAFFIC
A. Prevailing Specifications: 2024, INDOT Standard Specifications Sections 105 & 801
B. Additions:
1. Maintenance of traffic during construction shall conform to the 'Indiana Manual on Uniform Traffic
Control Devices" and the City of South Bend Design and Construction Standards.
2. The attached `Traffic Closure Request form is to be used for any lane restrictions or closures and
required to be filled out and sent to the Department of Public Works
3. The Contractor shall arrange and prosecute the work specified for this contract in such a manner
that traffic on existing streets is unrestricted throughout the Project. The Engineer shall approve the
method of traffic control. No construction equipment, vehicles, materials, supplies or temporary facilities
shall be left unattended in the right-of-way of any street or left parked overnight without proper
marking and lighting.
4. After the award of the contract and before beginning the work, the Contractor shall submit hisfherl'its
proposed schedule of operations for the review of the Engineer. The schedule of operations as
reviewed by the Engineer shall be maintained at all times,
5. There will be no direct payment for this work.
6.
XVII. DESCRIPTION OF WORK
A. Prevailing Specifications: None
B. Additions
1. Work to be performed shall Include furnishing all labor, services, materials, insurance and
equipment to perform asphalt mfcrasurfacing (liquid pavement) within the City of South Send.
2, The street segments for the base bid are summarized below:
a. Corby Boulevard from Niles Avenue to 120 feet west of Notre Dame Avenue.
b. Indiana Avenue from Olive Street to Pulaski Street.
c. Swygart Avenue from Prairie Avenue (SR 23) to Donald Street.
3. The Contractor shall preserve and protect all surrounding property, structures, tenants, visitors and
their property from damage caused by the Contractor's operations.
XVIII, PLANS
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A. Prevailing Specifications: City of South Bend Design and Construction Standards
B, Additions:
1. The plans consist of 3 Sheets,
2. The work shall conform to the plans.
3. The drawings are schematic in nature.
4. The CONTRACTOR is responsible for estimating dimensions and quantities of materials.
5. In the event that the Special Provisions and the Plans conflict, the Special Provisions shall govern,
XIX. ASPHALT LIQUID PAVEMENT
A. Prevailing Specifications: 2024, INDOT Standard Specifications Sections 411, 902
B. Additions;
1. Asphalt micro -surface material shall meet the standard specifications of ASTM D80991D8099M-17.
2. The Contractor shall be responsible for all surface preparation necessary to meet the performance
requirements for warranted micro -surfacing. All castings and detector housings shall be protected
prior to the application of material in accordance with INDOT 404.07, except that raised pavement
markers shall be removed. There will be no direct payment for this work.
3. Cracks in the pavement in excess of 114 in. width shall be filled in accordance with INDOT 408 prior
to placement of warranted micro -surfacing. There will be no direct payment for this work.
4. Existing curb faces, approaches, storrnwater inlets, grass, and other features subject to
coordination with the Engineer shall be protected from and kept clean of all asphalt micro -surface
material.
5. Squeegees, brushes, and truck -mounted applicators shall be permitted for this work, Only
application by hand squeegee or brush shall be used in the vicinity of sensitive features as Identified
in XVIIIA to prevent contamination.
6. Asphalt micro -surface shall not be applied when ambient temperature is below 50'F nor when
ambient temperature is expected to drop below 50°F within 24 hours of application.
7. Asphalt micro -surface shall be applied in multiple coats as outlined below. The application rate of
each coat shall be between 30 to 40 square feet per gallon.
a, Corby Boulevard —2 coats
b. Indiana Avenue— 3 coats
c. Swygart Avenue — 2 coats
8. The first coat of micro -surface shall be dry prior to application of the second coat.
9. Existing pavement markings, including but not limited to painted crosswalks and stop lines, where
paved over by asphalt micro -surface, shall be reapplied with traffic paint. There will be no direct
payment for this work.
10. All incidental work, including but not limited to surface preparation, inlet and casting protection, and
pavement markings, shall be included in the cost of the asphalt microsurfacing pay item:
ASPHALT MiCROSURFACING......... SYD
IV. M/WBE_GOALS
A Prevailing Specifications: City of South Bend Ordinance No. 10761-21, Minority and Women
Business Enterprise Inclusion Program Plan
B. Additions:
No MNVBE Goals are required for this Project. The City encourages Contractors to participate in
good faith efforts from MWBEs for this project.
2. Complete FORMS MBE-1.0 MBE Utilization Plant and 1NBE-1.0 ME Utilization Plan, and submit
with Bid Proposal
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A. Prevailing Specifications: City of South Bend Design and Construction Standards
B. Additions:
1. The plans consist of 3 Sheets.
2. The work shall conform to the plans.
3. The drawings are schematic In nature.
4. The CONTRACTOR is responsible for estimating dimensions and quantities of materials.
5. In the event that the Special Provisions and the Plans conflict, the Special Provisions shall govern.
XIX. ASPHALT LIQUID PAVEMENT
A. Prevailing Specifications: 2024, INDOT Standard Specifications Sections 411, 902
8. Additions:
1. Asphalt micro -surface material shall meet the standard specifications of ASTM D80991D8099M-17.
2. The Contractor shall be responsible for all surface preparation necessary to meet the performance
requirements for warranted micro -surfacing. All castings and detector housings shall be protected
prior to the application of material In accordance with INDOT 404.07, except that raised pavement
markers shall be removed. There will be no direct payment for this work.
3. Cracks in the pavement in excess of 114 in. width shall be filled in accordance with INDOT 408 prior
to placement of warranted micro -surfacing. There will be no direct payment for this work.
4. Existing curb faces, approaches, stormwater inlets, grass, and other features subject to
coordination with the Engineer shall be protected from and kept clean of all asphalt micro -surface
material.
5. Squeegees, brushes, and truck -mounted applicators shall be permitted for this work. Only
application by hared squeegee or brush shall be used in the vicinity of sensitive features as identified
in XVIIIA to prevent contamination.
6. Asphalt micro -surface shall not be applied when ambient temperature is below 50°F nor when
ambient temperature is expected to drop below 50°F within 24 hours of application.
7. Asphalt micro-surfaoe shall be applied in multiple coats as outlined below. The application rate of
each coat shall be between 30 to 40 square feet per gallon.
a. Corby Boulevard —2 coats
b. Indiana Avenue— 3 coats
C. Swyg2rt Avenue — 2 coats
8. The first coat of micro -surface shall be dry prior to application of the second coat
9. Existing pavement markings, including but not limited to painted crosswalks and stop lines, where
paved over by asphalt micro -surface, shall be reapplied with traffic paint. There will be no direct
payment for this work.
10. All incidental work, including but not limited to surface preparation, inlet and casting protection, and
pavement markings, shall be included in the cost of the asphalt microsurfacing pay item:
ASPHALT MICROSURFACING......... SYD
IV. M1WBE GOALS
A. Prevailing Specifications: City of South Bend Ordinance No. 10761-21. Minority and Women
Business Enterprise Inclusion Program Plan
B. Additions:
No MAWBE Goals are required for this Project The City encourages Contractors to participate in
good faith efforts from MWBEs for this projecL
2. Complete FORMS MBE-1.0 MBE Utilization Plan and WBE-1.0 WBE Utilization Plant, and submit
with Bid Proposal
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3. Complete FORMS MBE-2.0 Evidence of Good Faith Efforts and WBE-2.0 Evidence of Good Faith
Efforts and submit with Bid Proposal.
a. Complete FORMS MBE-2 4 MBE Confectod and WBE-Z I ME Contacted and submit with Bid
Proposal.
5 *"Goals should be calculated based on the Base Quote only"'
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CITY OF SOUTH BEND, INDIANA
CONTRACTOR S QUOTE FOR PUBLIC WORK
PROJECT NAME:
PROJECT NO.
QUOTES DUE
2025 MicrosurfacingQuote _
1 25-042
July 22, 2026 at 9:00am Local Tlmo. Quotes are to be submitted
electronically to_bpwbidsL&southbendin.gov _
(Must be completed for all quotes. Please type or print)
Date:Firm: p-Inal}.Q� rn�t' nL
Address: _ ,Q . 'ma y Zgf5L1 City/State/Zip: K1 t-i (nr� Telephone Number, _ [51 q) 817 (4 -- (p io❑ t
Email Address:
Agent of Bidder {if Applicable): M 1
Pursuant to notices given, the undersigridd offers to fumish labor andlor material necessary to complete the
public works project of.
2026 Microsurfacing Quote
the City of South Bend, Indiana, in accordance with plans and specifications prepared by.
The Glty of South Bend, Department of Public Works
rtal Quote as shown on the Proposal)
fS 9&, la 1e o , OO
(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 Send_ If the quote is to be awarded on a unit basis, the
itemization of the units shall be shown on a separate attachment,
By
(Signature)
(Prinled Name of Person Sgnmg)
ACCEPTANCE
The above quote is accepted this day of
Subject to the following conditions:
BOARD OF PUBLIC WORKS
President
Members
dc
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CITY OF SOUTH SEND
EQUAL EMPLOYMENT OPPORTUNITY CONTRACTING
PROVISIONS DIVERSITY UTILIZATION
It Is the policy of the City of South Bend to provide equal employment and business opportunity for
all persons, partnerships, companies, and corporations In accordance with the rules, regulations and
guidelines of the applicable federal, state and local laws. This policy of equal employment and business
opportunity shall apply to every contractor or subcontractor bidding or holding a public contract with the City
of South Send.
In furtherance of this policy, the following Equal Opportunity Clauses are hereby made a part of every
oonstruction contract entered into by the City of South Bend and all subcontractors entered into pursuant
to any such contract and the bidder hereby certifies that it/he/she will abide by these provisions.
The contractor will not discriminate against any applicant or employee because of race,
color, religion, sex, national origin, or handicap. The contractor will take affirmative action
to ensure that all applicants or employees are treated fairly and equitably. Such action
shall include but not be limited to the following: hiring, up -grading, demotion or transfer,
recruitment, advertising, lay-offs or termination, rates of pay or other forms of compensation
and selection for training including apprenticeship programs.
The contractor shall agree to post in conspicuous places available to employees and
applicants, notices to be provided setting forth the provisions of the Non-DJscriminatioriClause.
The contractor will, in all sollo t lions or advertisements for employees placed by or on behalf
of the contractor, state that all qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, or national origin.
The contractor will send to each labor union or representative of workers with which
It/ has a bargaining agreement or other contract or understanding, a notice to be
provided, advising the labor union or workers representatives of the contractor's
commitment under this section, and shalt post copies of the notices in conspicuous places
available to applicants and employees.
The contractor will comply with all provisions of Executive Order 11246 (as amended by
11375) and of the rules, regulations and relevant orders of the Department of Labor.
Subpart B — Contractors' Agreements
Sec. 202, Except In contracts exempted in accordance with Sections 204 of this Order, all Government
contracting agencies shall include in every Government contract hereinafter entered into the following
provisions:
"During the performance of this contract, the contractor agrees as follows:"
"(i ) The contractor will not discriminate against any employee or applicant for employment
t>ecause of race, color, religion, sex, or national origin. The contractor will take affirmative
action to ensure that applicants are employed, and that employees are treated equally
during employment, without regard to their race, color, religion, sex or national origin. Such
action will Include, but not be limited to the following: employment, upgrading, demotion, or
transfer: recruitment or recruitment advertising: layoff or termination: rates of pay or other
Forms of compensation, and selection for training, including apprenticeship, The contractor
agrees to post In conspicuous places, available to employees and applicants for
employment, notices to be provided by the contracting officer setting forth the provislons of this
nondiscrimination clause."
"(2) The contractor will, in all solicitations or advertisements for employees placed by or on
behalf of the contractor, state that air qualified applicants will receive consideration for
employment without regard to race, color, religion, sex or national origin,"
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"(3) The contractor will trend to each labor union or representative of workers rwth which
I t I he/she has a collective bargaining agreement or other contract of undeM2ndutg, a noboe,
to be provided by the agency contracting officer, advising the favor union or workers'
representative of the contractor's commitments under Section 202 of Executive Order Nm
11246 of September 24, i995, and shall post copies of the notice in conspicuous places
available to employees and applicants for emptoyment*"
"(4) The contractor will comply with ail provisions of Executive Order No. 11249 of September
24, 1965, and of the rules and regulations. and relevant orders of the Secretary of Labor,'
'(5) The contractor will fumish all Information and reports required by Executive Order No.
11246 of September 24, 1M. and by the rules, regulations, and orders of the Secretary
of Labor. or pursuant thereto. and will permit access to his books, records, and accounts by
the contracting agency and the Secretary or Labor for purposes of investigation to ascertain
compliance with such rules, regulations, and orders.'
`(6) In the event of the contrractoj's nonoomptiance, with the nondiscrimination clauses of
this contract or with any of such rules, regulations, or orders. In this contract may be
cancelled, terminated or suspended In whole or in part and the contractor may be declared
ineligible for further Govemment contracts In accordance with procedures authorized In
Executive Order No. 11246 of September 24. 1965. and such other sanctions may be
Imposed and remedles Invoked, as provided in Executhve Order No 11246 of September
24, 196$, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided
by law,"
"(7) The contractor will include the portion of the sentence Immediately preceding paragraph
(1) and the provisions of paragraphs (1) through (7) in every subcontract or purchase
order unless exempted by rules, regulations. or orders of the Secretary of labor issued
pursuant to Section 204 of Executive Order 11246 of September 24, 1965, so that Such
provisions will be binding upon each subcontractor or vendor, The contractor witl take such
action with respect to any` subcontract or purchase order as the administering agency may
direct as a mearts of enforcing such provisions including sanctions for nonoomplianoe:
Provided, however, that In the event a contractor becomes Involved In, or is threatened
with, litigation with a subcontractor or vendor as a result of such direction by the
administerng agency the contractor may request the United States to enter Into such litigation
to protect the Interests of the United States."
The applicant further agrees that it will be bound by the above equal opportunity clause with
respect to its own employment practices when it participates in federally assisted
coonsWction worm Provided, that If the applicant so participating is a State or local
government, the above equal opportunity clause Is not applicable to any agency,
instrumentality or subdivision of such government which does not participate In work an or
under the contract`
The applicant agrees that it will assist and cooperate actively with the administering
agency and the Secretary of Labor in obtaining the compliance of contractors and
subcontractors with the equal opportunity clause and the rules, regulations, and relevant
orders of the Secretary of Labor, that it will fumish the administering agency and the
Secretary of Labor such information as they may require for the supervision of such
compliance, and that it will otherwise assist the administering agency in the discharge of the
agency's primary responsibility for securing cornpiOnce.
Time applicant further agrees that it will refrain from entering Into any contract or contract
modificcabon stab*t to Executive Order 11246 of September 24, 1965, with a contractor
debarred from, or who has not demonstrated eiigibitity for, Government contracts and
federally assisted construction contracts pursuant to time Executive Order and will carry out
such sanctions and penalties for violation of the equal opportunity Ctause as may be
Imposed upon contractors and subcontractors by the administering agency or the Secretary
of Labor pursuant to Part II, Subpart p of the Executive Order. In addition, the applicant
agrees that if it fails or refuses to compty with these undertakings, the administering agency
Version 1!,'rM5 Page - 10 Public Works Quote
may take any or all of the following actions: Cancel, terminate, or suspend In whole or in
part this grant (contract, loan, Insurance, guarantee), refrain from extending any further
assistance to the applicant under the program with respect to welch the failure or refund
oocumed until satisf2clory assurance of future compliance has been recelved from such
applicant; and refer the case to the Department of Justice for appropriate legal proceedings.
' C cW fo read 'fnvoked' In the cdginal text the ward winvoh+ed" was printed in error.
Version 1WO25 Page - 11 Public Work¢ Quote
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
The City of South Bend, Indiana has shown its commitment to addressing Minority and Women's Business
Enterprise CMWBE') partic#patron In public contracting through the adoption of the City of South Bend Ordinance
No. 10761-21. Persons, partnerships, corporations, associations, or joint ventures awarded a contract by the City
of South Bead 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 employment, or any matter directly or Indirectly related to employment because of race, sex, religion,
color, national origin, ancestry, age or disability that does not affect that person's ability to perform work.
Minority and Women's Business Enterprises are described in the Ordinance. A list of MBEs. and WBEs (both
certified and non -certified) can be Found on the Indiana Department of Administration website;
httg:Nwww.ln.aovAdoal. Documentation shall be provided with the bid that states the MBEs and WBEs that will be
contracted, the dollar amount of the work that will be performed by the MBEs and WBEs on the project and the
percentage of the dollar amount as it relates to the total bid amount by using Form MBE-1.0, MBE Ufitization Plan,
and Form ME-1.0, WBE; Utilization Plan.
The City, its agencies, boards, or commissions requires the Contractor's good faith efforts to obtain participation by
those Contractors classified as MBEs and WBEs.
Failure to either meet the MBE and WBE goals or to provide evidence of good faith efforts for the bid will
be grounds for rejecting a bid as non -responsive.
Bidders shall demonstrate good faith efforts to have active participation from MWBEs on this Project and supply
written documentation evidencing such efforts by using Forms MSE-2.0, Evidence of Good Faith Efforts and ME-
2.0, Evidence of Good Faith Efforts and Forms MBE-2. f, MBE Contacted and ME-2.1, VME Contacted Such
documentation shall Include, but Is not limited to, the following items:
a. A listing of all MMiBEs contacted including: (1) the name and address of the MlWBE; (2) the date of
contact; (3) the type of contact (i.e., phone call, written solicitation, etc.); (4) the nature or type services or
goods requested, and (5) the result of the contact.
b. Written evidence of outreach and copies of email exchanges inviting and receiving bids, quotes or other
responses from M(WBEs or other documentation of efforts to encourage and secure competitive responses
from MfWBE and local businesses to be Included in the benefits of building this Project.
c, Written documentation of letters of introduction, invitations to forging majarityfminority strategic alliances
for capacity building, including but not limited to, mentoring, extensions of assistance on payroll, insurance,
bonding, fine of credit, technical skills or business skills.
d. From time to time, projects will undergo a scope change prior to completion. This scope change will
inevitably impact the Contractor's usage of M1WBE's and the originally submitted Utilization Plan. It Is the
request of the City that when a project scope change occurs, the applicable Contractor shall utilize its best
efforts to contract with M and W Subcontractors in a proportional manner as required by the scope change.
Ail bidders are actively encouraged to reach out to the MIWBEs in St Joseph County, Indiana, other Indiana
oounties, and Berrien County, Michigan to utilize a good faith effort to forge constructive and lasting business
partnerships.
Notwithstanding the foregoing, the award and performance of all City contracts shall comply with applicable federal,
state, and Total laws.
The City reserves the right to request verification of goal implementation throughout the course of the project
if a goal exists, the winning respondent Is contractually obligated to utilize the M/WBE's firms in a manner consistent with
what was represented in its quote submission to the City. Deviations to the utilization plan must be requested in writing
and approved by the City. The City reserves the right to Initiate a change order in the amount equal to the difference In
any subcontractor utilzation If the utilization plan change Is not approved.
Verson 1 WO25 Page - 12 Public Works Quote
CITY OF SOUTH BEND'S GUIDELINES FOR GOOD FAITH EFFORTS
BY CONTRACTORS IN MEETING MWBE- CONTRACT GOALS
Under the City of South Bend's Minority and Women's Business Enterprise (MWBE) Inclusions Program Plan (CCSB
Inclusion Plan), the City of South Bend (the City) Is authorized to set 'contract specific' goals to increase MWBE
participation in City contracts and procurements.
MWBE participation goals are set based on availability of MW9B contractors within the City's geographic market
area identified in the City's Disparity Study,
For contractors bidding on a construction, services, supplies or equipment contract where goals have been set for
all or parts of the project, below is Information relevant to `good faith efforts' to meet the contract goal.
When the City sets a contract goal, that means MWBE's are in fact available to perform work on the contract.
Project bidders must try diligently to most the goal. Failure to make a good faith effort may result In
rejection of your bid as non -responsive to the contract.
Good faith eff>ds means actions undertaken by a contractor to achieve a contract goal which, by their scope,
intensity, and appropriateness to the objective, can be reasonably expected to fulfill the Program's goals (City's
Inclusion Plan, Section 4.B., No. 21).
A good faith effort is fully reviewable by the City. Where a contract goal is not met, contractors must provide
as much Information as possible to help the City assess the contractor's good faith efforts to achieve the
goal. Inadequate proof of good faith offorts may result In a finding that the contractor was non-respons[ve,
causing Its bid to be rejected even if it Is the lowest,
Good faith efforts require act]ve, aggressive efforts by the prime contractor to obtain the contract MWBE
participation goal. Mere pro forma efforts are not good faith efforts. To satisfy the good faith efforts test:
A prime contractor may not reject a MWBE's bid solely because it is not the lowest bid received from
sutwntractom. If the MWBE's costs are reasonable and not excessIve, the MW13E's quote or bid
presumptively should be accepted on a contract requiring goals even if the MWBE's bid is not the
lowest one received. However, if an MWBE's bid or quote is unreasonable or excessive, the prime
contractor may reject the bid on that basis. The contractor has the burden of demonstrating the
excessiveness or unreasonableness of the MWBE's bid or quote. Because the City must determine
whether a MWBE quote was unreasonable or excessive, Contractors must provide the City with
copies of each MWBE and non MWBE quote submitted to the bidder when a non-MW13E was
selected over an MWBE.
• A contractor may not reject a MWBE as being unqualified without sound reasons based on a thorough
Investigation of the MWBE's capabilities. If a prime contractor rejects a MWBE as unqualified, the
Contracior must provide the City with good reasons for this. The MWBE's Industry standing or
membership in a specific group, organization, polltical or social affiliation (example: union v. non -union)
Is not a basis to reject the MWBE for lack of qualifications.
Verson 1132025 Page- 113 Public Works Quote
• The ability or des Ire of a prime contractor to perform the work of the contract with its own ofganization
Ream does not relieve the prime contractor of the need to make good faith efforts to use MBE sub
contractors to meet the contract goal.
EXAMPLE: Total Project Es6rnate Is $500,000. An MWBE goal of 10% Es set for a specific part of the project, Le..
$50,000 Only one MWBE submits a quote to the prime con(ractor, and it is S50,000. A non MWBE submits a
quote of 345,000. Rejecting the MWBE bld may not meet the requirement of making a good faith effort to meet the
contact goal because: 1) the MWBE quota Is within the goal percentage and dollar amount set for MWBE
participation on the project; 2) selection of the MVVBE quote guarantees that the contractor meets the set goal and
that Its bid will be deemed responsive, and 3) the difference between the MWBE and non MWBI- quotes Is not
slgnircant in terms of the overall corittact amount (I.e„ Z % of total contract).
If the MVVBE's quote is S53,000 and the non-MWSE bid Is $50,001), it may yet not be demonstrative of a good falth
effort to reject the MWBE safely because the MWBE's quote is not the lowest. The excess is not greatly slgn►ficaGt
la the total contract cost. and It could reasonab?y be expected to be made up elsewhere In the contract while
guaranteeing full goal compliance.
The above examples are Illustrative only. The City will make a fair and reasonable judgment as to good faith efforts
based on all Information and documentation provided by bidders and tak#ng Into account the Quafity, Quantity, and
Intensity of the efforts made by a contractor to meet the contract goal.
Vofsion 1f3l2025 Page - 14 PubUo Wants Ouola
GOOD FAITH EFFORTS MATERIALS TO BE INCLUDED ViIITH BID
If a contractors bid does not meet the goal set for the contract, the contractor roust submit evidence of good
faith efforts with its bid so the City can determine whether the contractor Is a responsive bidder, If the contractoes
bid meets the MWBE goal, evidence of good faith effort is not required, but it would be prudent to Include some
evidence In case an error was made.
The information required of a contractor who has not achieved the contract goal to show good faith efforts can be
found In the South Bend Inclusion Program Plan at Sectfon 8.0.3,d. as follows:
(b) Where the bidder cannot achleve the contract goal, the bldder must provide proof of having made
good faith efforts to meet the goal In making this determination of whether to Issue a goal waiver, the City will
consider, at a minimum, the bidder's efforts to:
(1) Solicit through all reasonable and available means (e.g., attendance at pre -bid meetings,
advertising and written notices) the interest of all MWSEs In the scopes of work of the contract.
The contractor shall provide interested MWBEs with timely, adequate Information about the plans,
specifications, and requirements of the contract to allow such firms to respond to the solicitation.
The bidder must follow up initial solicitations with interested MWBEs.
(2) Select portions of the work to be performed by MWBEs in order to increase the likelihood that
the contract goal will be achieved. This includes, where appropriate, breaking out contract work
Items Into economically feasible units to facilitate participation, even when the bidder would
otherwise prefer to perform these work items with its own forces. It is the bidder's responsibility to
make a portion of the work available to MWB Es and to select those portions of the work or
material needs consistent with the availability of such firms to facilitate their participation.
(3) Negotiate in flood faith with interested MWBEs. Evidence of such negotiation Includes the
names, addresses, and telephone numbers of firms that were contacted; a description of the
Information provided regarding the plans and specifications for the work selected for
subcontracting; and why agreements could not be reached. The bidder may not reject MWBEs as
being unqualified without sound reasons based on a thorough Investigation of their capabilities.
That there may be some additional costs involved in finding and using MWBEs is not in Itself
sufficient reason for a bidder's failure to meet the contract goal, as long as such costs are
reasonable. The ability or desire of a bidder to perform the work of a Contract with its awn
organization does not relieve it of the responsibility to make good faith efforts on all soopes of
work within which subcontracting opportunities are available.
(4) Make efforts to assist interested MWBEs In obtaining banding, lines of credit, or insurance as
required by the City or the bidder, where appropriate.
(5) Make efforts to assist interested MWBEs in obtaining necessary equipment, supplies,
materials, or related assistance or services, where appropriate.
Materiais that should toe submitted to support a contractor's good faith efforts include:
• Copies of advertisements, notices, or solicitations from contractor to MWBE's— to include date and
time of issuance,
• A list of all locations where advertisements or notices to MWBE's were placed or solicitations sent;
• Copies of communication between contractor and MWBEs In response to oontractoes
advertisements, notices, or solictations,
• Proof of contractoes break-out of contract items into units feasible for performance by WMBE'S;
• Proof of communications between the contractor and MWBE regarding negotiations for
agreements, and why agreement could not be reached, as stated more specifically In above
Subsection {b} t3);
• Proof of bids or quotes from MW13E's and those from non MWHE's when non MW812's bid or quote
Is used;
• Proof of efforts made by contractor to assist MWBE to participate in contract, where appropriate;
and
Version 1WO25 Page - 15 Public Works Quote
■ Any other fnfonnaWn tending la show that Contractor made active, aggressive efforts to maei the
MME PartrClpallon 1Doa1 but despite good Wth efforts was unable to do so.
Version tlJ MS Page - 18 Public Works Quote
p hen the prurpecrAw Contraefor rs unable to ccrI66, to unj, of the stuterneents below, i1 ahull attach an etplanation to
this AffrddsRit.
CONTRACTOR'S NON -COLLUSION AND NON-DETIARMENT AFIFIDAVIT.
CERTIFICATION REGARDING INVESTMENT WITII IRAN, EMPLOYMENT ELIGIBILITY
VERIFICATION, NON-DISCRIMINATION CONIMITNI ENT AND CERTIFICATION OF USE
OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS
(Must be compleied for all quotes and bids. Please type or print)
s-wm or )
SS:
COUNTY )
The undersigned Contractor, being duly sworn upon hislhcrfits oath, affirms under the penalties of pcdury that.
1, Contractor has not, nor has any other member, representative, or agent of the firm,
company, corporation or partnership represented by Wm, 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 atfiliatc of, Contractor, engaged in investment
activities in Iran.
a. For purposes of this Certification, "Iran" means the government of Iran and any agency or
instrumcnt~ality of Iran, or ttfi otherwise dctined at Ind. Code § 5-22-16.5-5, as amended from
t iine-to- rim c.
ih. Its provided by Ind. Code § 5-22-16.5-8, as amended from time -to -dine, 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 (S20,000,000) or more in value in the cncrgy sector of Iran; or
ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty
million dollars ($20,000,000) or mars: 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 sm or in Iran; and (ii) at the time the financial institution extends credit, is
a person identified on list published! by Vic Indiana Departmcnt 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 Contraetor subsequently learns is an unauthorized
Version ifil2025 Page -17 Pubho Works Quote
alIM. CL+tntraclor spet-s that he/al Wlt 0 w I I enroll In and verlly the work cliglhIIIty Fta[ur of an or
Contriwtor'4 nc,.%:ly hired ciiiployees tlimttgh iIie G1-Vcrify IFrogran, ns dcRtird by I.C. -5-1.7-A.
Contractor's tlockunenuuiorn of enrollment and particlpdtlnn In the F-Veriflf Propiwi7 Is included
and attic lied as prim of dibi bidlgnmic; and
3. Contractor shall require hlsfhcrllts suhcontractors perfonning %ark under ihiF public
contract to certify ttiat tlne subcontractors do not knowingly employ or contract with an
unauthorized Allen, nor retain any crr+ployce or collmact whin r1 paean then the subconiractor
subsequently learns Is an unauthorized alien, and that the subcontractor has enrolled in and is
particli atirng in the > -Verify Propmm. The Contractor agrees to malntaln this cenlficauon
tluvughout the term of the contract with the City or South acrid, and understands that the City
may terminate the contract for default if the Contractor fulls to cure a breach orthIS pravl1IQn no
later than thusly (30) days afier being notified by tllc City.
G. Persons, firms, partnerships, corporntions, associations, or joint venturers awarded a
contract by the City of South Bend through Its agencies, boards, or commissions shall not
discriminate agaitnst any employee or applicant for employment In the performance of a City
contract wide 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,
reIIgion, color, national origin. ancestry, gender expression, gender identity, sexual orientation, or
due to age or disability dmt does not afl'`ect that persorn's ability to perform die work.
In mvarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or
any combination of doe foregoing including, but not limited to, public works contracts a►varded
under public bidding laws or oth er contracts in which public bids Are no required by law, the City,
its agencies. boards, or commissions will consider the Contractor's good faith efforts to obtain
Wicipation by those subcontractors certified by the State of irndiana as a Minority Business
(1013F) or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest,
responsible, responsive bidder.
Contractors seeking the award of City contract cannot be required to award a subcontract to an
A1U93&- however, they may not unla►vfully discriminate against said MBE VBE. On goal -eligible
contracts, Contractors are required to either meet both MBE and W13E utilization goals or
demonstrate that the Contractor has made good faith efforts to obtains participation from MBE and
WBE subcontractors. A ftnding of noncompliarnce or a discriminatory practice shall pro WbiE that
Contractor from being awarded a City contract for a period of one (1) year from the date of such
drierminatiorn, and such determination may also be grounds for terminating the contact to which
the discriminator} practice or noncompt ian cc pertains,
7. The undersigned Contractor agrees that the following nondiscrimination commitment shall
be made in part ofany contract which it may henceforth enter into with the City of South Fend,
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 whit privileges of employment, or any matter
directly or indirectly related to employment, because of race, religion, color, sex, gender
expm lion, gender identity, sexual orientation, handicap, national origin or ancestry. Bmrach of
this provision may be regarded as material breach of contract.
Ner"M 15=25 Page - 18 Put)tic Works auote
A%1VI-YN ,NUNS
Nai+ry PLt16r, Sete of Ir4arre
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1, Ili c undersigned bidder or.n2C111 ns con tracior an a public works project, understand My swIutory
obligations to tilic u-9c orsicel products or foundry {products made in tine Ustiled Steles 0.C. S-ItS-
S,Ij. I herrby certify tliat 1 and all st ibco rLi ra c to rs employed by in far I I i I s project %vill use sicc;
products or foundry products made in the Unllcd Strsles on this project Ifaworded. I understalid 1
ha%e an affimiati►e duty to notify the City In my bid deal my proposal does not include the use of
steel products or faun dry products made 1n Ilse United Stalcs. I understand it is Iny sole abligatia11
and respomibillty to provide n justilicatiozr to the City, subject to review and approved, why the
cost of United States etude steel or foundry products is unreasorinblc. friar to award and upon
subniLssion ofbld which does not u.qc siccl producU or foundry products rTl I& in flie United States,
the City, diruugh its director of public works, shall maker a determination if the price or Unilcd
States made steel or foundry is unreasonable. 1 understand that violations hereunder may result in
forfeiture of contractual paynicnts,
f•i
1 hereby affirm under the pcnalticxofperjury that [hc racts unJ infomialion contained in the foregoing bid for public
AwU are lose Snd Cm -MCI_
4—Dazed this !. day of _ Y . ?02 �
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Co n rr.Lc tor/1 I id d er (IIrm)
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Sign: - tifConEmeIor/Biddcr or ]ts Agcnt
Printcd Name and Tide
Sub ribod and swo n to 1r6om me this y of 2
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My Commission xpim-s (aw�
otary 1` I)lic
CountyofRes idenct 9 OW-e
Vemw 1I3 O25 Page • 19 Public Works Quota
QUOTE/PROPOSAL
CITY OF SOUTH BEND
PROJECT NAME 2025 MIcrosurfacing Quote
PROJECT NO. 125-042
July 22, 2026 at 9:00am L0021 Time. Quotes are to be .
QUOTES DUE submIttod electranlea Il to # wblds southbendln. g ov
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No.
Description
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Total Amount
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CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPR18E INCLUSION PROGRAM PLAN
FORM MBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
This completed form should be Included as part of the Bids docoments ralatsd to City of South Oand Public
Works Projects rsqulring Good Faith Efforts to obtain MSS partlelpatlan.
Project Number 126442 Dato
Projed dame 2026 MIcrosurfacing Quota
Bidder' e CS1.-
Contad Person' Sh tj Telephone: _1ANQ'10 kx��
Address: V-0 .� '�q911 q
City: State. 3 Zip:[
Email: R r 4 e ast . at �
elewnine-wsdemof►stFa#ed good-railh effarls`ta-reach-the FA B&utOizatiorrgva"e"orihifl
EVIDENCE OF GQO0 FAITH EFFORTS
M19E E-IST($): The bidder reviewed 1) the City of South Bend's Minority and Women Business Enterprise
Inclusion Program Plan; 2) the list of certified MVVBEs provided by the City; and 3) the Indiana Department
of Administration list of Minority and Women Owned Businesses (both certifed and non-mr Pied) found
at: h?tp lAm ww In Qovridnad.
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 viewed ity of South Bend's Minority and Women Business Enterprise
Inclusion Pr rn Plan n the Indiana Department of Administration's certified list of
Indiana Mino ty and en Business Enterprises, found on their websile
tt Jiwvnw.ln itdaa .
I affirm that l h ve madeVood 'th efforts to select portions of the contract work to be
performed by M lnclua appropriate, breaking out contract work items into
ecanarrricatly Teas 1e unitscilita NIB>z participation.
I affirm that I have ade g faith effohs to solicit through all reasonable and available
means the Interest I
all MB 11
in the scopes of work of the contract.
I affirm that I attends all pre tsid meetings scheduled by the City of South Bend to inform
M of contracting d su ritraebng opportunities.
1 9 rm that I adve io eneral circulation andlor trade association Publications
Con miitg subcontrac opportunities and allowed {VIBES reasonable time to respond to
such dvettsements.
I arIT Ihat I perforrmed�11
and all necessary steps to provide written notices Ina manner
reason ly calculated nform MBEs of subcontracting opportunities and allowed
icen tame far MWBEpartidpate effectively.
affirm that I followed up on initial solicitations with interested MBEs.
1 rrn that I negotiated with Interested MBEs In good faith. Including providing such MBEs
vop adequate information about the plans, specifications and other requirements of the
su ntrad,
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 1/=025 Page - 23 Public Works Quota
CITY OF DOUTH BEND
MINORITY AND WOMEN OU13INEGS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
1 affirm that I linva made good [milli offorts to asslal Interested MOCa in obtaining rwcessary
squipmant, supplies, malarials, or related asslrlancos or sanrlcas, whore upprdprlaly.
I ■Mrm that 1 did not reject any M BEs as unquoirfiod without sound business reasons based
on a thorough InveMigalion of tholr capabllitlos,
CONTRACT RECORDS: The btddar has maintained the following rocords for each MBE that has bid on
the subcontracling opporlunity'
1. Name, address, and tolaphona number,
2. A description of Information provided by the bidder or subconlractor, and
3. A slalemont of whether an agraamenl was reached, and If not, why not, Including any reasons for
c+oncJuding Mal the MBE was unqurglil'aed to perform the fob.
Prapmr-ol+mons.trotlan-af�:aad�at tuff or#m.r;qul res-yvc+F-Inttlalm'nfs ft-tags I t-os< ll►a-sbava-bsmas,-Any
omisslons-ahall•be aornsldersd grounds. for- ro]aatlon•of the -bid by-tho-Board -of-Pubilo-Worka, Th*Z1ty-of
Couth-Sa ght4o-ragwst4ddlUonaNnformatlonr
Vsr%Vn 1WO26 Pago • 24 Public Works Quota
J
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN ,* .
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FORM WBE-2.1 +�
WBE CONTACTED
This completed form should be supplied with Bids that partaln to Clty of South Band Public Works Projects
requiring Good faith Efforts to contact WBEs. It Is the bidder's sole rosponslbllity to verity whether any listed
minority or woman buslnass meals the WBE quallflcatlons. Attach additional pages If necessary.
PAGE OF
Project Number: 12"42 WBE Particlpation Goal N!A
Project Name: 2026 MicrosUF12C.Ing Quote
Sidde
By:
WBE Firm
Owner or Contact at WBE Firm
Telephone:
TYPE OF WORK SOLICITED FOR T
ax,
PROJECT
RESULTS OF CONTACT WITIATHE WISE FIRM: \ l
WBE Firm
Owner or Contact at WBE; Firm
Telephone:
Fax:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE WBE: FIRM:
Email;
Email:
Version 1WO25 Page - 28 Public Works Quote