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Home My WebLink AboutAward Quote - 2025 Microsurfacing Proj No 125-042 - National Pavement Maintenance1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/235-9251 FAx 574/235-9171 CITY OF SOUTH BEND TAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS August 12, 2025 Mr. Garry Newman National Pavement Maintenance 1928 Campbell Ave. Indianapolis, IN 46218 garrykRPm.us.com RE: Quotation Award — 2025 Microsurfacing — Project No. 125-042 Dear Mr. Newman: At its August 12, 2025 meeting, the Board of Public Works awarded the above referenced quotation to you in the amount of $94,870. Please forward the following documents in one submittal by August 26, 2025 to my attention for Board of Public Works approval at hhorvathgsouthbendin.gov : 1) One (1) signed original of the Contract (enclosed); and 2) Certificate of Insurance naming the City of South Bend as an additional insured. If you have any further questions, please call this office at (574) 235-9251. Sincerely, Is/Hillary Horvath Hillary Horvath, Clerk Enclosures HH ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT MURRAY L. MILLER BREANA N. MIcou 1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/235-9251 FAx 574/235-9171 CITY OF SOUTH BEND TAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS August 12, 2025 Mr. Sean Evans Asphalt Restoration Services, LLC P.O. Box 2484 South Bend, IN 46680 arsllc&conast.net RE: Quotation Award — 2025 Microsurfacing — Project No. 125-042 Dear Mr. Evans: At its August 12, 2025 meeting, the Board of Public Works awarded the above referenced quotation to National Pavement Maintenance in the amount of $94,870. We thank you for quoting and hope you will quote with us again in the future. If you have any further questions, please call this office at (574) 235-9251. Sincerely, Is/Hillary Horvath Hillary Horvath, Clerk Enclosures HH ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT MURRAY L. MILLER BREANA N. MIcou � SOUTH 8�d U d CITY OF SOUTH BEND, INDIANA\PEACE CONTRACTOR'S QUOTE FOR PUBLIC WORK x k 1865 PROJECT NAME: PROJECT NO. QUOTES DUE 2025 Microsurfacing Quote 125-042 July 22, 2025 at 9:00am Local Time. Quotes are to be submitted electronically to bpwbids@southbendin.gov (Must be completed for all quotes. Please type or print) Date: 7-21-2025 Firm: National Pavement Maintenance Address: 1928 N Campbell Ave City/State/Zip: Indianapolis In 2628 Telephone Number: ( 317)250 -5380 Email Address: garry@npm.us.com Agent of Bidder (if Applicable): N/A Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: 2025 Microsurfacinq Quote the City of South Bend, Indiana, in accordance with plans and specifications prepared by: The City of South Bend, Department of Public Works and dated July 21, 2025 for the sum of (enter the Total Quote as shown on the Proposal) Ninety Four Thousand Eight Hundred Seventy Dollars ($ 94,870 ) (Enter Sum of Total Quote plus Alternates shown on Proposal) (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. The above quote is accepted this Subject to the following conditions: By qa-4-� /l/Q Gtih�2C! �L (Signature) Garry Newman (Printed Name of Person Signing) ACCEPTANCE CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS laa(4 Elizabeth A. Maradik, President �� QsJ-s%tec Gary A. Gilot, Member day of �/ / 1 Joseph R. Molnar, Vice President Bream Micou,Memmber dul f AA-ff— 20 Version 1/3/2025 Murray L. Miller, Member Attest: Hillary R. Horvath, Clerk Date: August 12, 2025 Public Works Quote BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM INTER -OFFICE MEMORANDUM ksouTh e� ,�° d DEPARTMENT OF PUBLIC WORKS W DIVISION OF ENGINEERING 18fi5 TO: Hillary Horvath, Clerk Board of Public Works FROM: Dan Jones, Senior Engineer SUBJECT: Award Project No. 125-042 2025 Microsufacing Quote DATE: 7/30/2025 On July 22, 2025, the Board of Public Works opened and read two (2) quotations for the above referenced project. There was only a base bid. The bid results are as follows: Bidder Base Bid Engineer's Estimate $150,000.00 National Pavement Maintenance $94,870.00 Asphalt Restoration Services $96,660.00 It is requested the Board of Public Works award this project to the lowest responsive and responsible bidder, National Pavement Maintenance in the amount of $94,870.00 Sufficient funds have been appropriated from LRS funding source 251-43100 and 251-436008. Thank you for your consideration of this request. QUOTE/PROPOSAL CITY OF SOUTH BEND PROJECT NAME 2025 Microsurfacing Quote PROJECT NO. 125-042 SOUTH ,- O4 U C w \PEA leCE % 1865 x July 22, 2025 at 9:00am Local Time. Quotes are to be QUOTES DUE submitted electronically to bpwbids@southbendin.gov Item No. Description Quantity Unit Unit Price Total Amount 1 ASPHALT MICROSURFACING 17,900 SY 5.30 $ 94,870 Total Amount of Quote $ 94,870 Firm: Address: National Pavement Maintenance 1928 N Campbell Ave City/State/Zip: Indianapolis In 46218 Telephone Number: ( 317 )250-5380 Fax Number: By %/ aji (Signature) Garry Newman (Printed Name of Person Signing) Version 1/3/2025 Page - 20 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: 125-042 Project Name: 2025 Microsurfacing Quote Bidder: National Pavement Maintenance Total Bid Amount: MBE Goal: N/A Page 1 of 1 Name &Address of MBE Primary Contact Person (Name/Telephone) Scope of Work to be Performed (Attach scope/schedule if you need additional space) Dollar Amount of MBE Component Percentage of Total Bid/Proposal Conchita.com LLC South Bend In 46628 Emmanual Newman 330-951-5154 Trucking Services N/A Submitted by: Garry Newman q�, , Print Name Si ature ***Goals should be calculated based on the Base Bid only.*** Version 1/3/2025 Page - 21 Public Works Quote Date 7-21-2025 045pU IH BE�O CITY OF SOUTH BEND o MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN>� az FORM WBE-1.0 18(5 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 verity whether any listed minority or woman business meets the WBE qualifications. ***Goals should be calculated based on the Base Bid only.*** Project Number: 125-042 Project Name: Bidder: National Pavement Maintenance 2025 Microsurfacing Quote Total Bid Amount: WBE Goal: N/A Page 1 of 1 Percentage 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 of Total Bid/Proposa State Barricading James Micals i 24963 US 28 West 574-287-2078 Rental of Signs and Barricades N/A South Bend In 46628 Jewell Contracting Perri Mason 2043 South Bend AVE574-400-919 N/A South Bend In 46637 Submitted by: Garry Newman qa� Print Name Signa re ***Goals should be calculated based on the Base Bid only.*** Version 1/3/2025 Page - 22 Public Works Quote Date 7-21-2025 p4 SOUTH &�� CITY OF SOUTH BEND �� d MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN W {a FORM MBE-2.0 180 K 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: 125-042 Date: 7-21-2025 Project Name: 2025 Microsurfacing Quote Bidder: National Pavement Maintenance Contact Person: Garry Newman Telephone: 317-250-5380 Address: 1928 N Campbell Ave City: Indianapolis State: Indiana Zip: 46218 Email: garry@npm.us.com r , OF , REQUIRE AI 1 Of the fGHO...aRg Good Faith Effeks as listed- in the table heley0t. 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. 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 raffirm aIndiana Minority and Women Business Enterprises, found on their website (http://www.in.gov/idoa). 1 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 U economically feasible units to facilitate MBE participation. I affirm that I have made good faith efforts to solicit through all reasonable and available 0 means the interest of all MBEs in the scopes of work of the contract. 411) 1 affirm that I attended all pre -bid meetings scheduled by the City of South Bend to inform QMBEs of contracting and subcontracting opportunities. ,) I affirm that I advertised in general circulation and/or trade association publications /I/ concerning subcontract opportunities and allowed MBEs reasonable time to respond to such advertisements. j I affirm that I performed any and all necessary steps to provide written notices in a manner /v reasonably calculated to inform MBEs of subcontracting opportunities and allowed sufficient time for MWBEs to participate effectively. j 4 1 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 Al) with adequate information about the plans, specifications and other requirements of the subcontract. A. 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 1/3/2025 Page - 23 Public Works Quote CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS 4SpUTI y � 2 U \ O Bence: x y1866 I affirm that I have made good faith efforts to assist interested MBEs in obtaining necessary yA') equipment, supplies, materials, or related assistances or services, where appropriate. YXI) 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. Version 1/3/2025 Page - 24 Public Works Quote p4 SOUTH &�� CITY OF SOUTH BEND �d MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN W {a FORM WBE-2.0 x_ lwi K 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: 125-042 Date: 7-21-2025 Project Name: 2025 Microsurfacing Quote Bidder: National Pavement Maintenance Contact Person: Garry Newman Telephone: 317-250-5380 Address: 1928 N Campbell Ave City: Indianapolis State: Indiana zip: 46218 Email: garry@npm.us.com Tt; dRtRrrnmnP whpthpra hmddpr has EIPRIORStFated 99E)d faith efferts to rear -A the WIDE utilizatieR goals set forth OF GCAI IIGC A 1 1 ..++he F..IL,...i.�.. !'_.....J C.,i+h C+f...i...,.. G..+e.+, in +hp tahlo holAw- ' ' 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: htti)://www.in.ciov/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. 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://wv,/w.in.gov/idoa). l 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. 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. affirm that I attended all pre -bid meetings scheduled by the City of South Bend to inform WBEs of contracting and subcontracting opportunities. J I affirm that I advertised in general circulation and/or trade association publications A/ concerning subcontract opportunities and allowed WBEs reasonable time to respond to such advertisements. J 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. N 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 Al) with adequate information about the plans, specifications and other requirements of the subcontract. /j 411) 1 affirm that I have made good faith efforts to assist interested WBEs in obtaining bonding, UjJ lines of credit, or insurance as required by the City or the bidder, where appropriate. Version 1/3/2025 Page - 25 Public Works Quote 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. affirm that I did not reject any WBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. CONTRACT RECORDS: The bidder has maintained the following records for each WBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the WBE was unqualified to perform the job. Version 1/3/2025 Page - 26 Public Works Quote � 4SOUTH B�,�d CITY OF SOUTH BEND d MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN ? < az 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. 1 PAGE 1 OF Project Number: 125-042 MBE Participation Goal N/A Project Name: 2025 Microsurfacing Quote Bidder: J National Pavement Maintenance By. ��/(/� Owner/Member 7-21-2025 ( 'gnatur (Title) (Date) MBE Firm Conchita.com LLC Owner or Contact at MBE Firm Emmanual Newman Telephone: 330-951-5154 Fax: Email: e.t.newman@gmail.com TYPE OF WORK SOLICITED FOR THIS PROJECT: Trucking Services RESULTS OF CONTACT WITH THE MBE FIRM: Firm does not own or use specialized tanker used in this project Not able to use this firm 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 1/3/2025 Page - 27 Public Works Quote � 4SOUTH 8�,�0 CITY OF SOUTH BEND d MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN ? < az FORM WBE-2.1 186.5 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 1 OF 1 Project Number: 125-042 WBE Participation Goal N/A Project Name: 2025 Microsurfacing Quote Bidder: National Pavement Maintenance By. qa-4- ,ram Owner/Member 7-21-2025 (S natur (Title) (Date) WBE Firm State Barricading Company Owner or Contact at WBE Firm James Micalski Telephone: 524-287-2078 Fax: Email: jamesmicalski@gmail.com TYPE OF WORK SOLICITED FOR THIS PROJECT: Signs and Barricades rental RESULTS OF CONTACT WITH THE WBE FIRM: Will be renting signs and barricades from this firm WBE Firm Jewell Contracting Owner or Contact at WBE Firm Perri Mason Telephone: 524-400-9194 Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: Sign and Barricade Set up and Placement RESULTS OF CONTACT WITH THE WBE FIRM: Firm is unable to provide services for this project Version 1/3/2025 Page - 28 Public Works Quote When the prospective Contractor is unable to certify to any of the statements below, U shall attach an explanation to this Affidavit CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON-DISCRIDIINATION 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 _P" )1 Atvq ) ) SS: rt*ra21lh COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: I. 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, gi&, 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 Irm- a. For purposes of this Certification, `Iran" means the government of Iran and any agency or instrumentality of Ilan, 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 (S20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit in provides goods and services in the energy sector in Iron; 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=24 Page -is Public Woks 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 emolled 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') a; 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 W152024 Page- 19 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 ofbid 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. Dated this day o;!L� 20 Z.V ,National Pavement Maintenance ContractorBidder (Firm) Signature of Contractor/Bidder or Its Agent Garry Newman Printed Name and Title Subscribed and mom to before me this % day of `- 20-L-' My Commission Expires �\-i Il Notary Public County of Residence QM SENHgar11t -SealSp[e of InEiena Ir NPOJJQsaaIrK.Wr 3. 3030 Version 3/152024 Page - 20 Public Works Quote BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 7/30/2025 Name Dan Jones Department Public Works BPW Date 8/12/2025 Phone Extension 9245 Required Prior to Submittal to Board BPW Attorney ❑ Attorney Name Michael Schmidt Dept. Attorney ❑ Attorney Name Purchasing ❑ Mickey Low Check the Appropriate Item Type — Re uired or All Submissions ❑ Professional Services Agreement ❑ Contract ❑ Proposal ❑ Open Market Contract ❑ Amendment/Addendum ❑ Special Purchase, QPA ❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet ❑ Quote Opening ® Quote Award ❑ Reject Bids/Quotes ❑ Proposal Opening ❑ C/O & PCA No. ❑ PCA ❑ Chg. Order, No. ❑ Traffic Control ❑ Resolution n Other: n Ease./Encroach Required Information Company or Vendor Name National Pavement Maintenance ❑ Yes❑ If Yes, Approved by Purchasing New Vendor ® No Yes MBE MBE/WBE Contractor Completed E-Verify Form Attached ❑ ❑ Project Name 2025 Microsurfacing Quote Project Number 125-042 Funding Source PR-42067 Account No. 251-431000, 251-436008 Amount $94,870.00 Terms of Contract Purpose/Description Award of 2025 microsurfacing quote. For Change Orders Only Amount of ❑ Increase $ ❑ Decrease ($ ) Previous Amount Current Percent of Change New Amount Total Percent of Change: Time Extension Amount: New Completion Date: Increase Decrease Increase Decrease