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HomeMy WebLinkAboutOpening of Bids - Cleanup of South Bend Range, Phase I Proj No 125-020A - Ritschard Bros IncCITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Project No. For Bids Due CHECKLIST FOR BIDDERS Cleanup of South Bend Range, Phase I 125-020A Tuesday, August 12, 2025 @ 9:00 A.M. (E.D.T.) 4�1UTH gE��. u ti? From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. Proper bid security included. The bidder has the option of providing either a Certified Check X or Bid Bond. 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 Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and X Certification of use of United States Steel Products or Foundry Products. Proof of M/WBE Utilization Plans [MBE-1.0 and WBE-1.0]. Also provide Evidence of Good Faith Efforts Forms [MBE-2.0 and WBE-2.0] and M/WBE Contacted Forms [MBE-2.1 and X WBE-2.1]. X Acknowledge Receipt of 1 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. X 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: Ritschard Bros., Inc. By Authorized Rep Signature: Print Name & Title: Rachelle L. Dolniak, President Date: 8/ 12/ 2025 Version 07/19/2023 Contractor's Bid for Public Works - 1 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Project No. For Bids Due Cleanup of South Bend Range, Phase I 125-020A Tuesday, August 12, 2025 @ 9:00 A.M. (E.D.T.) PART I (Must be completed for all bids. Please type or print) Date: 8/12/2025 Bidder (Firm): Ritschard Bros. , Inc. Address: 1204 W. Sample Street City/State/Zip: South Bend, IN 46619 Telephone Number: (574 ) 288-4777 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: Cleanup of South Bend Range, Phase I — Building Demolition the City of South Bend, Indiana, in accordance with plans and specifications prepared by: City of South Bend, Engineering Division and dated 07/11/2025 for the sum of (enter the Total Bid as shown on the Proposal) Eight Hundred Six Thousand Three Hundred Twenty—nine Dollars ----------------------($ 806,329.00 ) (Enter sum of Total Base Bid plus Alternates 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 b the City of South Bend. If the bid is to be awarded on a unit basis, the itemization of the units shall be s wn on a separate atta _ ment. IL By (Signature) Rachelle L. Dolniak, President (Printed Name of Person Signing) The above bid is accepted this Subject to the following conditions: BOARD OF PUBLIC WORKS Elizabeth A. Maradik, President Gary A. Gilot, Member ACCEPTANCE day of 20 Joseph R. Molnar, Vice President Breana N. Micou, Member Murray L. Miller, Member Attest: Hillary Horvath, Clerk Version 07/19/2023 Contractor's Bid for Public Works - 2 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 1. Attach an explanation of your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the City of South Bend to consider your bid.) 2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. 3. If you intend to sublet any portion of the work, attach the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the City of South Bend in the event that you subsequently determine that you will use a subcontractor on the proposed project. 4. Attach a listing of equipment you have available to use for the proposed project. 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 RITSCHARD BROS., INC. EXCAVATING AND DEMOLITION August 12, 2025 Section I Experience Questionnaire 1. Completed Projects: Contract Amount Class of Work Completion Project Name Date and Owner $ 110,345.00 Trailer Demolitions 04/2024 SB Intl Airport $ 92,175.00 Church Demolition 08/2024 Town of New Carlisle $ 337,494.00 2023 Res. Demolitions 09/2024 City of South Bend $ 509,320.00 Demolition 11/2024 B-41846-A Sunnyside INDOT 2. Public Works Projects in Process: Contract Amount Class of Work $ 823,780.00 $ 666,185.00 Earthwork/Utilities Earthwork/Utilities 3. None 4. References: Gibson -Lewis, LLC / Justin Micola The Robert Henry Corporation / Brian Henry Weigand Construction, Inc. / Brian Blight Ziolkowski Construction, Inc. / Adam Bradley Project Name and Owner AHEPA 100-II South Bend The Douglas Company Fillmore Road Water Tower Landmark Structures 1204 West Sample Street • South Bend, Indiana 46619 • PHONE (574) 288-4777 • FAX (574) 288-5438 • E-MAIL: ritl204@datacruz.com RITSCHARD BROS., INC. EXCAVATING AND DEMOLITION August 12, 2025 Cleanup of South Bend Range, Phase 1 — Building Demolition Project No. 125-020A Section II Plan and Equipment Questionnaire 1. Remove the asbestos and install erosion control. Demolish the buildings, leaving foundations and slabs in place. Seed the disturbed ground and install the permanent fence 2. Fuerbringer Landscape and Design, Inc. Hydro -Seeding Clean Air Environmental Services Asbestos Abatement Milestone Fence Fencing 3. Clean Air Environmental Services Asbestos Abatememt I st Class Logistics LLC Trucking Fuerbringer Landscape and Design, Inc. Hydro -Seeding 4. See Enclosed Schedule of Owned Equipment. 5. Yes. 1204 West Sample Street • South Bend, Indiana 46619 • PHONE (574) 288-4777 • FAX (574) 288-5438 • E-MAIL: ritl204@datacruz.com RITSCHARD BROS., INC. EXCAVATING AND DEMOLITION FORM 96 (Revised 2005) SECTION II Plan and Equipment Questionnaire ITEM 3 — LIST OF OWNED EQUIPMENT 3 — Vibratory Compactors 3 — 650J John Deere Bulldozers 2 — 750C John Deere Bulldozers 1 — 450G John Deere Bulldozer Long Track 1 — 450H John Deere Long Track Dozer 1 — 416C Caterpillar Loader/Backhoe Combinations 1 — 420D Caterpillar Loader/Backhoe Combination 2 — TS 14 Terex Earthmovers 1— 120G Caterpillar Grader 1 — 30B Bucyrus Erie Crawler Crane — 1 yd 1 — L60 Volvo Loader - 2 3/4 yd 1 - L70 Volvo Loader -3 yd 2 — L90 Volvo Loaders - 3 1/4 yd 1 - L120 Volvo Loader - 4 %2 yd 1 — Gehl Skid Steer Track Loader 2 — Takeuchi TL8 Skid Steer Track Loaders 1 — EW21 OD Volvo Wheeled Excavator 1 — Gehl GE383Z Mini Excavator 1 - Takeuchi TB 180FR Excavator 1 — Takeuchi TB260CR Excavator 1 — Takeuchi TB290CR Excavator 1 — ZX160LC-5 Hitachi Excavator 1 — ZX350LC-5 Hitachi Excavator 1 — EC200E Volvo Excavator 1 — EC210BLC Volvo Excavator 1 — EC240CLC Volvo Excavator 2 — Tri Axle Dump Trucks 1204 West Sample Street m South Bend, Indiana 46619 o PHONE (574) 288-4777 m FAX (574) 288-5438 0 E-MAIL: ritl204@datacruz.com RITSCHARD BROS., INC. South Bend, Indiana NOTES TO FINANCIAL STATEMENTS November 30, 2024 and 2023 NOTE 13 - BUY - SELL AGREEMENT The Company and the shareholders have entered into a buy -sell agreement. In the event of death or withdrawal from active employment with the Company, the shareholder must sell and the Company must redeem all of the withdrawing shareholder's stock based on the value established by the agreement. If the Company is unable to purchase any of the shares, then the non -selling shareholders will be obligated to purchase the selling shareholder's shares at a value agreed to by the shareholders. The value is determined by a formula bast -A value. W912 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: St. Joseph COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. 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 12 th day of August , 2025 Ritschard Bros., Inc. tractor/Bidder (Firm) r Signature of Contractor/Bidder or Its Agent Rachelle L. Dolniak Printed Name and Title Subscribed and sworn to befo\ei�l�/�lay of August 20 25 �G O My Commission Expires 2 2 7 2$ q 1t y Public CoatX of Kals(, niC, S t Joseph �9 Version 07/19/2023 Contractor's Bid for Public Works - 6 Project Name: Project Number: For Bids Due: Contractor Name: BASE BID BID/PROPOSAL �_ P CITY OF SOUTH BEND Cleanup of South Bend Range, Phase I 125-020A Tuesday, August 12, 2025 @ 9:00 A.M. (E.D.T.) Ritschard Bros., Inc. Item No. Description Quantity Unit Unit Price Total Amount Lump Sum price to complete building 1 demolition, asbestos abatement, and 1 LSUM 781,329.00 781,329.00 fence removal and replacement as intended by these Specifications 2 Environmental Allowance 1 EA $25,000 $25,000 BASE BID TOTAL $806, 329.00 Bidder (Firm): Ritschard Bros., Inc. Address: 1204 W. Sample Street City/State/Zip: South Bend, IN 46619 Telephone Nu ber: (574 ) 288-4777 By Yam' (Signature) Rachelle L. Dolniak, President (Printed Name of Person Signing) Version 07/19/2023 Contractor's Bid for Public Works - 7 j i ANi\ 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 -owned business meets the MBE qualifications. ***Goals should be calculated based on the Base Bid only.*** Project Number: 125-020A Project Name: Cleanup of South Bend Range, Phase Bidder: Ritschard Bros., Inc. Base Bid Amount: $806,329.00 MBE Goal: 1.3% 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 1st Class Logistics 2213 St. Charles Ave. South Bend, IN 4661 Bernard Coutee 574-993-0071 Trucking $45,000.00 5.5% Submitted by: Rachelle L. Dolniak Print Name ' 3idnature ti. ***Goals should be calculated based on the Base Bid only.*** Version 07/19/2023 Contractor's Bid for Public Works - B 8/12/2025 Date CITY OF SOUTH BEND I MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM WBE-1.0;� WBE UTILIZATION PLAN This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving WBE participation. It is the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications. ***Goals should be calculated based on the Base Bid only.*** Project Number: 125-020A Project Name: Cleanup of South Bend Range, Phase I Bidder: Ritschard Bros., Inc. Base Bid Amount: $806,329.00 WBE Goal: 4.7% Page 1 of 1 Name &Address of WBE Primary Contact Person (NameTTelephone) Scope of Work to be Performed (Attach scope/schedule if you need additional space) Dollar Amount of WBE Component Percentage of Total Bid/Proposal Ritschard Bros., Inc 1204 W.Sample St. South Bend, IN 46619 Rachelle Dolniak 574-288-4777 Building Demolition and Clean up 645,063.00 80% Submitted by: Rachelle L. Dolniak U'X 8/12/2025 Print Name i ature Date ***Goals should be calculated based on the Base Bid only.*** Version 07/19/2023 Contractor's Bid for Public Works - 9 �i•rir CITY OF SOUTH BEND 1l' �lti MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS �H 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: 125-020A Date: 8 / 12 / 20 25 Project Name: Cleanup of South Bend Range, Phase I Bidder: Ritschard Bros., Inc. Contact Person: Donald Ritschard, Jr. Telephone: 574-288-4777 Address: 1204 W. Sample Street City: South Bend State: IN Zip: 46619 Email: ritl204@datacruz.com To determine whether a bidder has demonstrated good faith efforts to reach the MBE utilization goals set forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below': EVIDENCE OF GOOD FAITH EFFORTS MBE LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business Enterprise Inclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the Indiana Department of Administration list of Minority and Women Owned Businesses (both certified and non -certified) found at: httiD://www.in.-gov/idoa/. GOOD FAITH EFFORTS TO OBTAIN MBE PARTICIPATION The bidder shall initial each item below, as evidence of its good faith efforts to obtain MBE participation in the awarded contract. I affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise Inclusion Program Plan and the Indiana Department of Administration's certified list of Indiana Minority and Women Business Enterprises, found on their website (http://www.in.gov/idoa). I affirm that I have made good faith efforts to select portions of the contract work to be performed by MWBEs, including, where appropriate, breaking out contract work items into economically feasible units to facilitate MBE participation. I affirm that I have made good faith efforts to solicit through all reasonable and available (�- means the interest of all MBEs in the scopes of work of the contract. toQ I affirm that I attended all pre -bid meetings scheduled by the City of South Bend to inform MBEs of contracting and subcontracting opportunities. I affirm that I advertised in general circulation and/or trade association publications concerning subcontract opportunities and allowed MBEs reasonable time to respond to such advertisements. I affirm that I performed any and all necessary steps to provide written notices in a manner reasonably calculated to inform MBEs of subcontracting opportunities and allowed sufficient time for MBEs to participate effectively. I affirm that I followed up on initial solicitations with interested MBEs. I affirm that I negotiated with interested MBEs in good faith, including providing such MBEs �^ with adequate information about the plans, specifications and other requirements of the subcontract. I affirm that I have made good faith efforts to assist interested MBEs in obtaining bonding, lines of credit, or insurance as required by the City or the bidder, where appropriate. Version 07/19/2023 Contractor's Bid for Public Works - 10 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS I affirm that I have made good faith efforts to assist interested MBEs in obtaining necessary equipment, supplies, materials, or related assistances or services, where appropriate. I affirm that I did not reject any MBEs as unqualified without sound business reasons based 1�JL on a thorough investigation of their capabilities. CONTRACT RECORDS: The bidder has maintained the following records for each MBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBE was unqualified to perform the job. *Proper demonstration of Good Faith Efforts requires your initials next to all of the above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 07/19/2023 Contractor's Bid for Public Works - 11 ��tipL7TH ��D CITY OF SOUTH BEND Jr MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM WBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MWBE participation. Project Number: 125-020A Date: 8/12/2025 Project Name: Cleanup of South Bend Range, Phase I Bidder: Ritschard Bros., Inc. Contact Person: Donald Ritschard, Jr. Telephone: 574-288-4777 Address: 1204 W. Sample Street City: South Bend State: IN Zip: 46619 Email: ritl204@datacruz.com To determine whether a bidder has demonstrated good faith efforts to reach the WBE utilization goals set forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below": EVIDENCE OF GOOD FAITH EFFORTS WBE LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business Enterprise Inclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the Indiana Department of Administration list of Minority and Women Owned Businesses (both certified and non -certified) found at: httr)://www.in.gov/idoa/. GOOD FAITH EFFORTS TO OBTAIN WBE PARTICIPATION The bidder shall initial each item below, as evidence of its good faith efforts to obtain WBE participation in the awarded contract. I affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise Inclusion Program Plan and the Indiana Department of Administration's certified list of VV_ Indiana Minority and Women Business Enterprises, found on their website (http://www.in.gov/idoa). I affirm that I have made good faith efforts to select portions of the contract work to be performed by WBEs, including, where appropriate, breaking out contract work items into economically feasible units to facilitate WBE participation. I affirm that I have made good faith efforts to solicit through all reasonable and available means the interest of all WBEs in the scopes of work of the contract. I affirm that I attended all pre -bid meetings scheduled by the City of South Bend to inform WBEs of contracting and subcontracting opportunities. I affirm that I advertised in general circulation and/or trade association publications concerning subcontract opportunities and allowed WBEs reasonable time to respond to such advertisements. I affirm that I performed any and all necessary steps to provide written notices in a manner �n reasonably calculated to inform WBEs of subcontracting opportunities and allowed sufficient time for WBEs to participate effectively. 'Vu I affirm that I followed up on initial solicitations with interested WBEs. �\ I affirm that I negotiated with interested WBEs in good faith, including providing such WBEs with adequate information about the plans, specifications and other requirements of the �y subcontract. I affirm that I have made good faith efforts to assist interested WBEs in obtaining bonding, lines of credit, or insurance as required by the City or the bidder, where appropriate. Version 07/19/2023 Contractor's Bid for Public Works - 12 ,Pt7TH pi. CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM WBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS OV I affirm that I have made good faith efforts to assist interested WBEs in obtaining necessary equipment, supplies, materials, or related assistances or services, where appropriate. I affirm that I did not reject any WBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. CONTRACT RECORDS: The bidder has maintained the following records for each WBE that has bid on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MWBE was unqualified to perform the job. "Proper demonstration of Good Faith Efforts requires your initials next to all of the above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 07/19/2023 Contractor's Bid for Public Works - 13 Q CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-2.1 MBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring Good Faith Efforts to contact MBEs. It is the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications. Attach additional pages if necessary OF 1 PAGE 1 Project Number: 125-020A MBE Participation Goal 1.3% Project Name: Cleanup of South Bend Range, Phase I Bidd RitschaXd Bros., Inc. By: �Z_ —President 8/12/2025 (Signature) (Title) (Date) MBE Firm 1st Class Logistics LLC Owner or Contact at MBE Firm Bernard Coutee Telephone: 574-993-0071 Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: Email:lstclasslogistics2013@gmail.com Trucking RESULTS OF CONTACT WITH THE MBE FIRM: Bernard provided a quote and we have included him in this project. 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 07/19/2023 Contractor's Bid for Public Works - 14 CITY OF SOUTH BEND Al v MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-2.1 WBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring Good Faith Efforts to contact WBEs. It is the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications. Attach additional pages if necessary. PAGE 1 OF 1 Project Number: 125-020A WBE Participation Goal 4.7% Project Name: Cleanup of South Bend Range, Phase I Bidder Ritschard Bros., Inc. By: ) ) � President 8 12 ( ignature) (Title) (Date) WBE Firm Ritschard Bros., Inc. Owner or Contact at WBE Firm Rachelle L. Dolniak Telephone: 574-288-4777 Fax:574-288-5438 Email: r; t 1 9f A@,,latarrii7._ rnm TYPE OF WORK SOLICITED FOR THIS PROJECT: Demolition and Clean RESULTS OF CONTACT WITH THE WBE FIRM: We will be doing the demolition and clean up for this project. WBE Firm Owner or Contact at WBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE WBE FIRM: Version 07/19/2023 Contractor's Bid for Public Works - 15 CONTRACTOR: (Name, legal status and address) Ritschard Bros., Inc. 1204 W. Sample Street South Bend, IN 46619 CNA SURETY Bond No SURETY: Western Surety Company: South Dakota Corporation (Name, legal status and principal place of business) 151 N. Franklin Street 17th Floor Chicago, IL 60606 OWNER: (Name, legal status and address) City of South Bend, Indiana Board of Public Works 1316 County -City Building 227 W. Jefferson Blvd. South Bend, IN 46601 BOND AMOUNT: Five percent (5%) of accompanying bid PROJECT: (Name, location or address, and Project number, if any) Cleanup of South Bend Range, Phase I - Building Demolition Project No. 125-020A This document has important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 12th day of Auqust 2025 P MA I I 11 "u, I �,i �---i ►�-�� iris (Witness) schard Bros., Inc. inci l) % (Seal) 101 Dctle) Lt Western Surety Company (Surety) (Seal) Al (Title) Elai ."Miller, Attorney -in -Fact Printed in cooperation with the American Institute of Architects (AIA). The language in this document conforms to the language used in AIA Document A310 - Bid Bond - 2010 Edition. Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make, constitute and appoint Thomas J Mc Govern, Elaine K Miller, Jada M Karst, Thomas J Van Dyck, Tracie M McBride, Stephanie Kowalski, Laura L Diver, Susan Becker, Andrew Hyndman, Catherine Coddington, Individually of Fort Wayne, IN, its true and lawlul Attomey(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalfbonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the Authorizing By -Laws and Resolutions printed at the bottom of this page, duly adopted, as indicated, by the shareholders of the corporation. [n Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 14th day of October, 2024. ,,,3ftETNy moWESTERN SURETY COMPANY N VR., '�Q.pQQORq�;:'La =_alp F:i-z / at� Lary Kasten, Vice President State of South Dakota 1 J SS County of Minnehalra On this 14th day of October, 2024, before me personally came Larry Kasten, to me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that lie is a Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. }44Y44444Y4YY4YYYY4YY44Y4 } My commission expires ; M. BENT '+ ,/{I/•w/y/w/J i �� NOTARY PUBLIC SEAL March 2, 2026 • SOUTH DBLIC }44444YY44Y444Y44YYY44YY } M. Bent, Notary Public CERTIFICATE 1, Paula Kolsrud, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force, and further certify that the By -Law and Resolutions of the corporation printed below this certificate are still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this 12th day of August, 2025. `+„p11nMtI/ y WESGTERNLSURETY COMPANY ?WrpO �iZi c,HpGTM,Dp�p Paula Kolsrud, Assistant Secretary N"y on". Authorizing By -Laws and Resolutions ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY This Power of Attorney is made and executed pursuant to and by authority of the following By -Law duly adopted by the shareholders of the Company. Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile. This Power of Attorney is signed by Larry Kasten, Vice President, who has been authorized pursuant to the above Bylaw to execute power of attorneys on behalf of Westem Surety Company. This Power of Attorney may be signed by digital signature and sealed by a digital or otherwise electronic -formatted corporate seal under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 27"' day of April, 2022: -RESOLVED: That it is in the best interest of the Company to periodically ratify and confirm any corporate documents signed by digital signatures and to ratify and confirm the use of a digital or otherwise electronic -formatted corporate seal, each to be considered the act and deed of the Company." Go to www.cnasuretv.com > Owner / Obligee Services > Validate Bond Coverage, if you want to verify bond authenticity. Form F4280-6-2023 1316 COUNTY -CITY BUILDING 227 w.JEFFERSON BOULEVARD Sou'rH BEND, INDIANA 46601-1830 PHONE 574/235-9251 FAX 574/235-9171 TDD 574/ 235-5567 CITY OF SOUTH BEND, JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS Date: July 29, 2025 To: All Planholders From Hillary Horvath, Clerk, Board of Public Works Subject Addendum Number: 1 Project Name: 125-020A Project Number: Cleanup of South Bend Range, Phase I — Building Demolition ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 7/29/2025 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by including with your electronic bid submission. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Authorized Signature: Date: Version 8/11/2020 Ritschard Bros., Inc. 7/29/2025 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name Cleanup of South Bend Range, Phase Project No. 125-020A For Bids Due Tuesday, August 12, 2025 @ 9:00 A.M. (E.D.T.) Contractor Name: Ritschard Bros.. Inc. The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works projects by institution of comprehensive submission requirements in compliance with State law. Quality workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet certain minimum requirements to be responsive and responsible bidders. THIS FORM MUST BE SUBMITTED WITH YOUR BID. **THIS FORM ONLY APPLIES TO BIDS GREATER THAN $250,000. ** INSTRUCTIONS: If you are a pre -qualified bidder, complete Section I only. If you are not a pre -qualified bidder, complete Section II only. Section 11 acts as an application for pre -qualification. Submission of Section 11 will allow the bidder to be considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre - qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6- 71 of The Responsible Bidding Ordinance No. 10975-23 (hereinafter, "Responsible Bidding Ordinance") for a period of twelve (12) months. Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre - qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified Bidders") within twelve (12) months of obtaining pre -qualified standing. If the status of any item changes within the twelve (12) months, it is the responsibility of the contractor to notify the City. Failure by any pre - qualified contractor to submit its complete application for continuation of "pre -qualified" standing within the time prescribed above shall result in automatic removal of the designation, effective immediately following the twelve (12) months of pre -qualified standing. However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works projects, though the contractor must submit all required documents under 6-71 until "pre -qualified" status is re-established. Please Note: The City reserves the right to request supplemental information from the bidder, additional verification of any information provided by the bidder, and may also conduct random inquiries of the bidder's current and previous customers regardless of pre -qualified standing. It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to the bidder in Section 6-71 of the Responsible Bidding Ordinance no later than the date of the public bid opening. Version 5/20/2024 General Conditions - 11 POST BID SUBMISSIONS: Post -bid submissions must be submitted in accordance with Section 6-72 of the Responsible Bidding Ordinance. The post -bid submission requirements are as follows: 1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses the name, address, licensing status, and type of work for any subcontractor from whom the bidder has accepted a bid and/or intends to hire on any part of the public work project, including individuals performing work as independent contractors. 2. Each subcontractor, whose portion of the project is estimated to be at least two -hundred fifty thousand dollars ($250,000.00), shall be required to adhere to the requirements of Section I of the Responsible Bidder Ordinance as though it were bidding directly to the City, except that the subcontractor shall submit the required information (including the name, address, and type of work) to the successful bidder prior to the commencement of work. 3. Failure of a subcontractor to submit the required information shall not disqualify the successful bidder from performing work on the project and shall not constitute a contractual default and/or breach by the successful bidder. However, the City may withhold all payment otherwise due for work performed by a subcontractor, until the subcontractor submits the required information and the City approves such information. 4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shall not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the name, address, licensing status, and type of work of the substitute subcontractor. 5. The successful bidder for projects greater than $250,000 and all subcontractors performing work greater than $250,000 on a public works project are required to submit certified payroll utilizing the federal form known as WH-347 or a similar form on a bi-weekly basis, submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall identify the job title and craft for each employee. Certified payrolls shall be submitted electronically. Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in the automatic disqualification of the bid. The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into account all information in the submission requirements, determine whether a bidder is responsive and responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to utilize all information provided in the contractor's submission and any information obtained by the City through its own independent verification of the information provided by the contractor. Version 5/20/2024 General Conditions -12 PRE -QUALIFIED BIDDER CHECKLIST (a) Acknowledgements: (i) _ By checking this box, I hereby acknowledge that I am a pre -qualified bidder with the City of South Bend and that I have met the pre -qualification requirements within the last twelve (12) months. A copy of my Pre -Qualification verification letter is attached. (ii) _ By checking this box. I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided by me, and may also conduct random inquiries of my current and prior customers. (iii) _ By checking this box. I hereby acknowledge that apprenticeship and training programs that I participate in have graduated at least five (5) apprentices in each of the past five (5) years. (iv) _ By checking this box, I hereby acknowledge that all subcontractors performing work greater than $250,000 also meet the qualifications of the Responsible Bidder Ordinance. (b) Attachments: (i) _ Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). Statement on staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work. It outlines how I intend to meet the staffing needs of the work. List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within the last three (3) years. (iv) _ For every project, submit evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. This includes, but may not be limited to, letters from apprenticeship coordinators detailing the bidder's association with the program, and the United States Department of Labor Office of Apprenticeship Certificates of Registration of Apprenticeship Programs for each type of work to be performed on the project. Version 5/20/2024 General Conditions - 13 PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowledgements: (i) X By checking this box, I hereby acknowledge that I am not a pre -qualified bidder with the City of South Bend. (ii) X By checking this box, I hereby acknowledge that the City reserves the right to request supplemental information, additional verification of any information provided, and may also conduct random inquiries of my current and prior customers. The City reserved the right to utilize all information provided in this submission and all information obtained in inquiries or requests to determine if a bidder is responsive and responsible. Additionally, I acknowledge that all information provided to the City shall be regarded as public records. (iii) X By checking this box, I hereby acknowledge that copies of all Applicable apprenticeship certificates or standards for training programs applicable to the work performed on the project may be requested at any time and shall be furnished upon request. (iv) X By checking this box. I hereby acknowledge and ensure that I and all sub- contractors, from whom I have accepted a bid and/or intend to hire to perform work on the public work project, are properly licensed. Furthermore, I acknowledge my understanding that it is my responsibility to ensure that all sub -contractors have the necessary licenses to undertake the work called for in this bid. If a sub- contractor loses their license at any point, it is the responsibility of that sub- contractor to notify the City. (v) X By checking this box, I hereby acknowledge that apprenticeship and training programs that I participate in have graduated at least five (5) apprentices in each of the past five (5) years. (vi) X By checking this box. I hereby acknowledge that all subcontractors performing work greater than $250,000 also meet the qualifications of the Responsible Bidder Ordinance. (b) Attachments: (i) X Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) days of the submission of said document showing that business is in existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). (ii) X List identifying all former business names. (iii) X Any determinations by a court or governmental agency any violations of federal state, or local laws including, but not limited to, violations of contracting or antitrust laws, tax or licensing laws, environmental laws, Occupational Safety and Health Act (OSHA), or federal Davis -Bacon and related Acts, within the preceding five (5) years. (iv) X Statement about staffing capabilities, including labor sources. This statement indicates and ensures I have sufficient employees on staff to complete the work I am bidding on OR outlines how I intend to meet the staffing needs of the work. (v) X Statement that individuals who will perform work on the public work project on my behalf will be properly classified as an employee or as an independent contractor under all applicable state and federal laws and local ordinances. (v) X For every project, submit evidence of participation in apprenticeship and training programs, applicable to the work to be performed on the project, which are approved by and registered with the United States Department of Labor's Office of Apprenticeship, or its successor organization. This includes, but may not be limited to, letters from apprenticeship coordinators detailing the bidder's association with Version 5/20/2024 General Conditions - 14 the program, and the United States Department of Labor Office of Apprenticeship Certificates of Registration of Apprenticeship Programs for each type of work to be performed on the project. (vi) X Copy of a written plan for employee drug testing that covers all of my employees who will perform work on the public work project and meets or exceeds the requirements set forth in IC 4-13-18-5 or IC 4-13-18-6. (vii) X Evidence that I am utilizing a surety company which is on the Bureau of Fiscal Service "Department of Treasury's Listing of Approved Sureties" as required in the bid specifications or contract. (viii) X Written statement of any federal, state or local tax liens or tax delinquencies owed to any federal, state or local taxing body in the preceding three years. (ix) X List of projects of similar size and scope of work performed in all areas, including the State of Indiana, within three (3) years prior to the date on which the bid is due te: August 12, 2025 (Sign Here) Rachelle L. Dolniak (Print Name Here) Ritschard Bros., Inc. (Name of Company) 1204 W. Sample Street (Address of Company) South Bend (City) IN (State) 574-288-4777 (Telephone Number) Version 5/20/2024 General Conditions - 15 BUSINESS INFORMATION DIEGO MORALES INDIANA SECRETARY OF STATE 08/07/2025 09:52 AM Business Details Business Name: RITSCHARD BROS., INC. Business ID: 194333-060 Entity Type: Domestic For -Profit Corporation Creation Date: 12/06/1961 Principal Office Address: 1204 W SAMPLE ST, SOUTH BEND, IN, 46619, USA Jurisdiction of Formation: Indiana Business Status: Active Inactive Date: Expiration Date: Perpetual Business Entity Report Due 12/31/2025 Date: Years Due: Governing Person Information Title Name Address President RACHELLE DOLNIAK 2004 POPPY CT, MISHAWAKA, IN, 46544, USA Secretary DONALD RITSCHARD JR 23593 NORTH SHORE DRIVE, EDWARDSBURG, MI, 49112, USA Registered Agent Information Type: Individual Name: RACHELLE L DOLNIAK Address: 2004 POPPY CT, MISHAWAKA, IN, 46544, USA RITSCHARD BROS., INC. EXCAVATING AND DEMOLITION August 12, 2025 City of South Bend, Indiana Board of Public Works 1316 County -City Building 227 W. Jefferson Blvd. South Bend, IN 46601 RE: Staffing Capabilities and Properly Classified Workers To Whom It May Concern: We have sufficient staffing capabilities through our union participation with: Operating Engineers Local 150 Laborers Union #645 Teamsters Union #364 They will provide us with the labor needed. All individuals that perform work on the public works project will be classified either as an employee or an independent contractor. Sincerely, RITSCHARD BROS., INC. Rachelle L. Dolniak 1204 West Sample Street • South Bend, Indiana 46619 - PHONE (574) 288-4777 - FAX (574) 288-5438 • E-MAIL: ritl204@datacruz.com INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL UNION NO. 150, 1509, 150A, 150C, 150RA, 150D, 150G, 150M AFFILIATED WITH THE A.F.L: C.I.O. AND BUILDING TRADES DEPARTMENT JAMES M. SWEENEY PRESIDENT -BUSINESS MANAGER Date: 4-13-2021 To whom it may concern: 4 (708) 482.8800 - FAX (708) 482-7186 6200 JOLIET ROAD Ij? COUNTRYSIDE. IL 60525-399Z Countless individuals, businesses, and communities — in the private and public sector, alike — recognize the added value of doing business with contractors who support Workforce Development through their participation in United States Department of Labor (USDOL) approved apprenticeship programs. USDOL-approved apprenticeship programs ensure that the young people of Indiana have the opportunity to develop a portable skill set that remains with them throughout their careers in the construction industry. The training provided by these programs addresses the evolving concerns of communities, businesses and industry for the development of a quality skilled craft workforce that meets their needs, whether the projects are public or private in nature. To that end, please be advised that Ritschard Bros., Inc is signatory to a collective bargaining agreement (CBA) with the International Union of Operating Engineers Local 150. This CBA requires the above -referenced employer to participate in Local 150's USDOL-approved Apprenticeship and Skill Improvement Program. It is understood and agreed that the Employer shall be bound by the terms and provisions of the Agreement and Declaration of Trust of the Apprenticeship Fund, and all amendments heretofore or hereafter made thereto, as though the same were fully incorporated herein. The Employer further agrees to be bound by the terms of the Apprenticeship Standards established by Joint Apprenticeship Training Committee of the Northern Illinois and Northern Indiana Apprenticeship and Skill Improvement Program, as approved by the United States Department of Labor, Bureau of Apprenticeship Training. Sincerely, James Gardner Business Agent\ Organizer Operating Engineers Local 150, AFL-CIO District 6 1001 N. Michigan Street Lakeville, Indiana 46536 574/784-3694 office 574/784-8035 fax 574/215-8901 cell j ardner(5),1ocalI_5.O.org i; �:imes Gardner f to ro INDIANA LAB ORERS t TRAINING TRUST FUND David A. Frye Secretary -Treasurer Jerry J. Bolk Chris L. Guerrero Ricky Henson, Jr. Ramon Mendoza, Jr. Danny L. Stults P.O. Box 758 - Bedford, Indiana 47421 (812)279-9751 April 9, 2021 To Whom It May Concern: e D. D 0,11.1 I111a:mem r' ..gpril 19ES �', Sean Coakley, Director John P. Brown Chairman Kelly Abel Michael Ferrara Stan Meyer Nick Timmerman Jim Wiseman FAX: (812) 279-5545 Toll Free (800) 742-4086 This letter is to confirm that "Ritschard Bros., Inc." is a signatory contractor in good standing with the Indiana Laborers' Training Trust Fund. The abovementioned company is a participant in the Joint Apprenticeship and Training Committee through this Union and has been an active participant in good standing for each of the past five plus consecutive years and is currently eligible to use our apprentices on a project. Further, our organization's program is approved by the U.S. Veterans Administration to participate in the GI educational benefits program. A copy of our approval letters are attached along with the collective bargaining agreement stating the ratios of Journey workers to Apprentices; which is one (1) Apprentice for every four (4) Journey workers and thereafter may not employ more that (1) Apprentice for every (3) Journey workers. Sincerely, Sean Coakley, Director SC:jt www. indianalaborerstraining. org 0 d R a�a Q t4 w w z a H U O I-1 H U co z O U 4-i O G O .H 4-1 d U •rI 4-d .r{ N t--i U N b F4 41 4-1 p O LH y e d q STATE OF INDIANA DEPARTMENT OF VETERANS AFFAIRS STATE APPROVING AGENCY 402 WEST WASHINGTON STREET ROOM W-469 INDIANAPOLIS, INDIANA46204-2738 Jeremy Brewer Apprenticeship Coordinator Indiana Laborers Training Trust Fund -Apprenticeship 439 Patton Hill Rd. Bedford, IN 47421 Dear Jeremy Brewer, Eric Holcomb, Governor James M. Brown, Director January 9, 2019 This will acknowledge receipt of your revised Work Processes for the Construction Craft Laborer program offered at Hoosier Energy, located in Bedford, Indiana. The State Approving Agency has reviewed the document as listed below: TRAINING PRO GRAIVI LENGTH DOT CODE Construction Craft Laborer FACILITY CODE: 30004114 4,000-7800 hours 47-2061.00 To the best of my knowledge Indiana Laborers Training Trust Fund -Apprenticeship does not utilize erroneous or misleading advertisement, either by actual statement, omission, or intimation. It is understood by Indiana Laborers Training Trust Fund -Apprenticeship that they will maintain a complete record of all advertising utilized by or on behalf of the company in regards to their training programs during the preceding 12 months. The company's advertising will be available for review by any and all future supervisory visits by the SAA, or the U.S. Department of Veteran Affairs. This approval is made pursuant to and under the provisions of Title 38, U. S. Code 3687, with an effective date of January 8, 2019. If you have any questions, please contact me at 317-232-3 916. Sincerely, Taniqua Griffin Program Director State Approving Agency Cc:VARO/ELR Phone (317)-234-6062 Toll Free (800)-400-4520 Fax (317)-234-8744 STATE OF INDIANA DEPARTMENT OF VETERANS AFFAIRS STATE APPROVING AGENCY 402 WEST WASHINGTON STREET ROOM W-469 INDIANAPOLIS, INDIANA 46204-2738 Jeremy Brewer Apprenticeship Coordinator Indiana Laborers Training Trust Fund -Apprenticeship 439 Patton Hill Rd. Bedford, IN 47421 Dear Jeremy Brewer, Eric Holcomb, Governor James M. Brown, Director January 9, 2019 The Indiana State Approving Agency conducted a supervisory visit on 01/8/2019 at Indiana Laborers Training Trust Fund -Apprenticeship. The purpose of the visit was to provide training to the Certifying Officials and review enrollment certifications, record retention and reporting procedures. The organization demonstrated proper record maintenance and record maintenance and reporting procedures: During the visit, we discussed the importance of reporting hours on a monthly basis, good record keeping techniques, and how to report a leave of absence or completion via VA Form 22-1999b. We also updated the Certifying Officials via VA Form 22-8794, work processes, and wage scale. If you need any assistance or have any questions regarding this technical visit please contact me directly at tgriffm@dva.in.gov or (317) 232-3916. Thank you for the courtesy extended during my visit. The education and training opportunities that your organization continues to provide veterans and their dependents are appreciated. Sincerely, Taniqua Griffin Program Director Phone (317)-234-6062 Toll Free (800)-400-4520 Fax (317)-234-8744 STATE OF INDIANA DEPARTMENT OF VETERANS AFFAIRS STATE APPROVING AGENCY 402 WEST WASHINGTON STREET ROOM W469 INDIANAPOLIS, INDIANA 46204-2738 Jeremy Brewer Apprenticeship Coordinator Indiana Laborers Training Trust Fund -Apprenticeship 439 Patton Hill Rd. Bedford, IN 47421 Dear Jeremy Brewer, Eric Holcomb, Governor James M. Brown, Director January 9, 2019 This will acknowledge receipt of your updated Wage Scale for the Construction Craft Laborer program offered by Indiana Laborers Training Trust Fund -Apprenticeship. The State Approving Agency has reviewed the document as listed below: Wage Scale: Construction Craft Laborer FACILITY CODE: 30004114 To the best of my knowledge Indiana Laborers Training Trust Fund -Apprenticeship does not utilize erroneous or misleading advertisement, either by actual statement, omission, or intimation. It is understood by Indi-ma Laborers Training Trust Fund -Apprenticeship that they will maintain a complete record of all advertising utilized by or on behalf of the Indiana Laborers Training Trust Fund -Apprenticeship in regards to their training programs during the preceding 12 months. Indiana Laborers Training Trust Fund -Apprenticeship's advertising will be available for review by any and all future supervisory visits by the SAA, or the U.S. Department of Veteran Affairs, Please Review the entire packet for content and accuracy. Approval is granted pursuant to the provisions of Title 38, U.S. Code 3687, with an effective date of April 1, 2018. If you have any questions, please feel free to give me a call at 317-232-3916 or email me at tgriffin@dva.in.gov. Thank you for what you do for our Veterans, and have a great day! Sincerely, Taniqua Griffin. Program Director State Approving Agency Cc: VARO/ELR '9 rN�l�rlq 1?013 �Ncq Apprentice Status Report By Indenture Date Apprentices Indentured Between 1/1/2020 And 12/31/2020 Apprentice Program: IN2 Year Apprentice Status Apprentices Percentage 2020 Active 537 78.85 % Active Duty 2 0.2 9% Adv. to Journeyman 8 1.17 % APPLICANT 1 0.15 % Med.. Susp. 3 0,44 % Not Registered 6 0.88 % Reinstate 27 396 % Suspended 4 0.59 % Terminated 80 11.75 % Voluntary withdraw 13 1.91 % Total Indentured 681 Printed: Tuesday, January 12, 2021 Page 1 of 1 Apprentice Status Report By Indenture Date Apprentices Indentured Between 1/1/2017 And 5/13/2020 Apprentice Program: IN2 Year Apprentice Status Apprentices Percentage 2017 2018 Active 156 22.67 % Active Duty 1 0.15 % Adv. to Journeyman 47 6.83 % Deceased 4 0.58 % Graduated 45. 6.54 % Inactive 2 0.29 % Journeyman 1 0.15 % Med. Susp. 4 0.58 % Reinstate 2 0.29 % Suspended 5 0.73 % Terminated 396 57.56 %, Voluntary withdraw 25 3.63 Total Indentured 688 Active 283 32.38 % Active Duty 3 0.34 % Adv. to Journeyman 47 5.38 % Deceased 3 034 Graduated 5 0.57 Inactive 10 1.14 % Journeyman 2 0.23 % Med. Susp. 4 0,46 % Reinstate 15. 1.72 % Suspended 8 0.92 % Terminated 462 52..86 % Voluntary withdraw 32 3.66 % Total Indentured 874 Printed: Wednesday, May 13, 2020 Page i of 2 Apprentice Status Report By Indenture Date Apprentices Indentured Between 1/1/2017 And 5/13/2020 Apprentice Program: IN2 Year Apprentice Status Apprentices Percentage 2019 2020 Active 641 65.47 % Adv. to Journeyman 28 2.86 % Deceased 3 0,31 % Graduated 1 0.10 % Inactive 11 1.12 % Journeyman 13 1.33 % Med. Susp. 2 0.20 0/6 Reinstate 29 2.96 % Suspended 4 0..41 % Terminated 201 20.53 % Voluntary withdraw 46 4.70 % Total Indentured 979 Active 75 91.46 % Med. Susp. 1 1,22 % Reinstate 5. 6.10 % Terminated 1 1.22 Total Indentured 82 Printed: Wednesday. May 13. 2020 Page 2 of 2 RITSCHARD BROS., INC. DRUG AND ALCOHOL POLICY A. GENERAL PHILOSOPHY The management of Ritschard Bros., Inc. ("Ritschard") is committed to providing a work environment which ensures the well-being of all Ritschard employees, protects Ritschard's and employees' properly and prohibits any influences which might have a detrimental effect upon the orderly, safe and efficient operation of the business. Based upon these goals, Ritschard will require all potential employees to submit to pre- employment drug screening as a part of the pre -employment evaluation and its employees to report for work and perform their duties within the standards established. The intent of this policy is to ensure that the individuals hired by Ritschard are free of the effects of controlled substances and to intervene when an employee may be working in a condition that may potentially harm himself/herself, fellow employees or other individuals or property. B. APPLICATION OF POLICY 1. This policy applies to all applicants and employees. 2. A separate alcohol and controlled substance testing policy has been established for those employee -drivers who are covered under the rules and regulations of the Department of Transportation (CDL Employees). (See Appendix 1 attached to this policy.) C . DEFINITIONS Chemical Substances: (a) any illegal substance, including, but not limited to, narcotics, hallucinogens, cocaine, marijuana, designer drugs; (b) any controlled substance, including, but not limited to, amphetamines and barbiturates, which are used either without being prescribed by a licensed physician or in excess of the amount prescribed by a licensed physician; and (c) any beverage containing alcohol. 2. Unfit Condition: Manifesting behavior which includes, but is not limited to, the following: (a) drowsiness; (b) sleepiness or sleeping; (c) slurred and/or incoherent speech; (d) unusually aggressive behavior; (e) unusually depressive behavior; (f) unusual and rapid changes in mood; (g) disorientation or inability to concentrate; (h) lack of coordination in walking or -performing other tasks. 3. Unsatisfactory Job Performance: Incidents which indicate job performance problems, including, but not limited to, the following: (a) unexplained work errors; (b) unusual difficulty in performing normal or routine duties; (c) unexplained on-the-job accident; (d) unexplained on-the-job injury. 4. History of Unsatisfactory Job Performance: A pattern of recurring job performance problems such as poor work performance, absenteeism, tardiness, minor injuries/accidents or other job difficulties. 5. Reportable Accident: Any accident on the job which results in death or bodily injury to one or more individuals requiring medical treatment away from the accident scene, or damages to property totalling $500.00. 6. Off -Duty Misconduct: Any arrest by a law enforcement agency for off -duty use, sale or possession of chemical substances or for other off -duty drug activity. 7. Fitness -for -Duty Evaluation: A medical examination which may include testing for chemical substances. 8. Positive Test. A positive test is one which indicates the presence of any drug listed in Exhibit A. 9. Negative Test. A negative test is one which does not indicate the presence of any drug listed in Exhibit A. D. PRE -EMPLOYMENT DRUG SCREENING POLICY 1. All individuals submitting applications for employment to Ritschard will be provided with a copy of the written Notice to All Applicants and will be orally informed, at the time of making application, about the requirement of a urine drug screen. All applicants must sign a copy of the notice acknowledging that the applicant has received a copy of the Notice. 2. All applicants who meet the criteria for employment will be screened for drugs prior to being made an offer of employment. In the unlikely event that it is necessary to make an offer of employment prior to the applicant undergoing drug screening, the offer shall be made contingent upon the applicant's compliance with the drug screening program. The applicant will be specifically informed that if the applicant refuses to fully cooperate with IPA Ritschard's drug screening policies and procedures, or fails the drug screening test, the offer of employment will be rescinded. 3. Applicants who refuse to take the drug screening test or do not sign the appropriate Consent and Release form (Consent Form 1) shall not be offered employment. 4. Applicants who test positive for drugs with no legitimate medical explanation shall not be employed. An applicant who tests positive may, at the applicant's option and own expense, undergo confirmatory testing of the original sample at the independent laboratory that performed the initial testing. The GC/MS will be used for confirmatory testing. If the applicant tests negative upon confirmatory testing, Ritschard will consider the applicant eligible for employment. If the applicant tests positive upon confirmatory testing, the applicant will not be employed. 5. The cost of the initial screening and evaluation will be paid by Ritschard. E. FITNESS -FOR -DUTY POLICY 1. Compliance With This Policy is Considered a Condition of Employment (a) If an employee refuses to comply fully with all aspects of this policy, such employee will be suspended without pay pending completion of an investigation. During the course of the investigation, the employee shall have the opportunity to offer an explanation for his or her behavior. Management will decide the course of action. 2. Possession, Sale or Use of Chemical Substances. (a) Employees will be subject to immediate discharge if caught selling, using, or being in possession of chemical substances (i) on company premises, including the company parldng lot; (ii) on the job site; (lll) while in or responsible for company vehicles at or away from company premises; or (iv) while on company business at or away from company premises, including the job site. (b) An employee who is arrested for off -duty drug activity, including use, sale or possession of narcotics, drugs or other illegal chemical substances will be considered to be in violation of this policy and may be suspended or terminated by the Company. In deciding what action to take, the Company will take into consideration the nature of the charges, the employee's present job assignment, the employee's record with the Company, 'including length of service and other factors relative to the impact of the employee's arrest upon the conduct of the Company's business and reputation. 3. Searches. (a) Ritschard may conduct unannounced searches for chemical substances in company facilities, in company property or on company premises, including company vehicles in the company parking lot. Employees are expected to cooperate in the conducting of such searches. (b) Searches of employees and their personal property may be conducted upon reasonable suspicion; this includes, but is not limited to, when an employee appears to be in an unfit condition, or when there has been a reportable accident, or when circumstances or workplace conditions justify such search in the employer's sole discretion. (c) Although an employee, or his personal property, will not be searched without consent, an employee's consent to such a search is required as a condition of employment and the employee's refusal to consent will result in the employee's suspension without pay for thirty (30) calendar days on the first refusal and termination on the second refusal. (d) Searches of company facilities and company property, including lockers and company vehicles, can be conducted at any time and do not have to be based on reasonable suspicion. 4. Random Testing. (a) The Company may require a test on a random basis if: (i) The test is authorized by federal or state law. (ii) The employee serves in an occupation that regulations of the Indiana Department of Labor have designated as a high risk or safety -sensitive occupation. In (iii) The test is conducted as part of an employee assistance program sponsored or authorized by the employer in which the employee voluntarily participates. (iv) The employee's occupation separates the employee from a supervisor's ability to ascertain whether the employee is in an unfit condition. (b) The employee selected for random testing and the employee's direct supervisor will be notified within two (2) hours of the scheduled testing. (c) If the employee was randomly selected, the Company shall explain to the employee that the employee is under no suspicion and that the employee's name was selected randomly. (d) An employee selected for random testing may obtain a deferral of testing if the employee's supervisor and another management person concur that there is a compelling need to defer the testing. An employee whose random test is deferred will be subject to an unannounced test within the following sixty (60) days. 5. Evaluation Procedure. (a) An employee may be requested to undergo a fitness -for -duty evaluation if: (i) The employee appears to be in an unfit condition at work; (ii) The employee demonstrates unsatisfactory job performance; (iii) The employee demonstrates a history of unsatisfactory job performance; (iv) The employee is involved in off -duty misconduct; or (v) The employee is involved in a reportable accident while on the job. (b) An employee who (1) refuses to submit to a fitness -for -duty evaluation in accordance with the provisions of this policy, or (2) 572 refuses to fill out and sign the written consent form agreeing to submit to the medical examination and/or testing and permitting Ritschard to be apprised of the testing results or fitness -for -duty evaluation (Consent Form 2), will be subject to immediate discharge. (c) An employee who switches or adulterates any sample submitted for testing will be subject to immediate discharge. F. EMPLOYEE ASSISTANCE PROGRAM 1. Employees who are determined, as a result of the fitness -for -duty evaluation, to have used chemical substances in excess of the limits set forth in Exhibit A, shall be required to attend and pay for at their own expense a treatment program offered by an outside provider. The cost of the program will be fully explained to each employee. Refusal to participate in or complete the program or the after -care program will result in the employee's termination. 2. Employees who believe that they have a chemical substance problem should promptly contact the President of the Company. The employee will be given the opportunity to enroll in a voluntary program operated by professional counselors. The cost of the program will be fully explained to each employee. 3. Employees who participate in the program will be tested for chemical substances in accordance with the provisions of the program until the program ends. A positive test result following the commencement of the program will subject the employee to immediate discharge. 4. Employees who complete the program will be tested for chemical substances in accordance with the recommendations of the Medical Review Officer. The days on which the testing will occur will be unannounced. If an employee tests positive for chemical substances after the completion of the program, the employee will be subject to immediate discharge. If eighteen (18) months pass without a positive test for chemical substances, there will be no presumption in the future that the employee is using a chemical substance or is under the influence. If, in the future, the employee is subject to action under this policy, the employee shall be treated as if he or she never underwent a fitness -for -duty evaluation. W 5. Employees who complete the program will also be required to comply with the after -care program as established by the treatment facility. Failure to do so will result in the employee's termination. G. CONFIRMATORY TESTING AT THE EMPLOYEE'S OPTION 1. Should any testing procedure indicate that an employee has used chemical substances in excess of the limits set forth in Exhibit A, the employee may, at his or her option and own expense, have a confirmatory test performed on the original sample at the laboratory which performed the initial testing. The laboratory shall use the GC/MS test (for drugs) or the blood alcohol test (for alcohol), whichever is applicable under the circumstances. If the confirmatory test indicates the employee has not used chemical substances in excess of the limits set forth in Exhibit A, the results of the confirmatory test will control for the purposes of any subsequent action. In addition, Ritschard will purge the employee's personnel record of the results of the initial test. If the confirmatory test indicates the employee has used chemical substances in excess of the limits set forth in Exhibit A, the results of the confirmatory test will control for the purposes of any subsequent action. H. COLLECTION AND TESTING PROCEDURES 1. Collection Procedures. (a) All reports of medical examinations and treatment status and chemical substances tests will be maintained in a confidential manner with original medical records remaining with the Medical Review Officer (MRO) at the collection facility. (b) Initial urine collection shall be performed in private. The collection facility shall check the sample for temperature, pH, specific gravity, and urine creatinine level to determine whether adulteration has occurred. If collection facility personnel suspect adulteration has occurred, a second sample shall be collected in direct visualization by collection facility personnel of the same gender as the applicant to verify the source of the sample. (c) The MRO shall be a licensed physician who is responsible for receiving laboratory results generated from the Company's drug testing program. The MRO must have knowledge of substance -7- abuse disorders and have appropriate medical training to interpret and evaluate an individual's positive test result together with the employee's medical history and any other relevant biomedical information. The MRO can be an employee of the Company or a private physician performing review services for the Company. (d) The collection facility shall follow the appropriate chain of custody protocol established in accordance with federal regulations and the testing laboratory. 2. Testing Procedures. (a) Testing will be performed by an independent laboratory certified by the United States Department of Health and Human Services. All testing should be done under the direction of a board -certified forensic toxicologist. The testing laboratory should also be a participant in the College of American Pathologists accreditation program and the accreditation program offered by the State of Indiana. (b) The testing laboratory will define and publish an appropriate chain of custody protocol in accordance with federal and state regulations. I. MANAGEMENT RESPONSIBILITY 1. All management employees (including supervisors) are responsible for maintaining a drug- and alcohol -free environment. At a minimum, all management employees will receive basic training on identification of behavioral and psychological signs of alcohol and substance abuse. 2. In addition to the basic training, certain management employees who are responsible for identifying employees, including CDL Employees, who appear to be unfit to perform their duties safely due to alcohol or substance abuse, will additionally receive Company provided DOT Supervisor Training in accordance with Department of Transportation, Federal Motor Carrier Safety Regulations. 3. Any supervisor who believes an employee is in an unfit condition and cannot continue to work shall report his/her observations to the Project Manager or Safety Director and shall complete the Observation Checklist. In 4. Upon receipt of information that an employee is believed to be in an unfit condition, the Project Manager or Safety Director shall interview the employee and conduct whatever investigation is deemed necessary to determine if the employee needs to be sent for a Fitness -for -Duty evaluation. A Fitness -for -Duty questionnaire should be completed at the time of the interview. 5. If the Project Manager or Safety Director concludes that the employee is in an unfit condition and cannot continue to work because of either alcohol or substance abuse, the employee shall immediately be referred to the collection facility for a Fitness -for -Duty evaluation. In addition, the employee should be suspended from work, without pay, pending the results of the Fitness -for -Duty evaluation. 6. An employee who appears to be in an unfit condition will be asked to sign a Testing Consent and Release Agreement. If the employee refuses. to consent to a Fitness -for -Duty evaluation, the employee should be suspended, without pay, pending termination. 7. Regardless of the outcome of this process, the supervisory staff members are responsible for transporting the employee either to the medical facility, back to the work site, or to the employee's home. Only if the employee openly refuses transportation shall the management staff involved abdicate this responsibility. Any refusal by the employee to accept such assistance should be documented by management. Should the employee insist upon driving himself/herself home, management is to contact the local police authorities, indicating what behavior has been observed, his/her refusal to accept assistance in getting home, the make of his/her automobile, and his/her license plate number. The date and time of this call should be recorded along with the name of the police personnel who took the call. 8. Throughout this process, supervisory personnel should not attempt to diagnose possible causes of observed behaviors. It is the supervisor's responsibility, however, to communicate with the medical personnel involved as to what behaviors have been observed and reasons for concern. SBDS01 GFL 32463 -9- :4 011: Department_ of Health and Human Services Final Guidelines for Cutoff Levels To Be Used in Urine Drug Testing For Federal Agencies Effective Positive Cutoffs/Drug Retention Positive EMIT Cutoffs GCAMS AMPHETAMINES' 10.00 ng/mL 500 ng/mL Amphetamine Methamphetamine COCAINE.- 300 ng/mL 150 'ng/mL . Benzoylecgobine MARIJUANA .(THC)- - 100 ng/mL 15 ng;mL THC Metabolites OPIATES 300 nghaffi 300 ng/mL Codeine .Heroin (as Morphine or. Monacetyl Morphine) - Morphine PHENCYCLIDINE (PCP) 25. ng/mL ' 25 ng%mL BARBrMPA.TES 300 ng/mL 300 ng/mL Short Acting Pentobarbital Secobarbital . Intermediate -Acting Amobarbital -Butabarbital. Butalbital . •LOng--Acting Phenobarbital PROPDXYPEMNE 1000 ng/mL 300 ng/mL Propoxyphene (Darvon®) BENZODIAZEPHINES 300 ughnL 300 ng/mL Chlorazepate. (Tranxene®) Chlordfazepoxide'(Librium®) Desalkylflurazepam' N Desniethyldiazepam (Madam) Diazepan (Valium) Flurazepam (Dalmane®) Lorazepam (Ativan®) Oxazepam- (Serax®) -Temazepam (Restorno) ETHANOL (ALCOHOL) 50 mg 50 mg (GC) SBD501 GFL 37A63 11 /12/2018 Surety Bonds - Certified Companies -t-- Back To Top M Washington International Insurance Company (NAIC #32778) BUSINESS ADDRESS: 5200 METCALF, OVERLAND PARK, KS 66202-1391. PHONE: (913) 676-5200, UNDERWRITING LIMITATION b/: $8,244,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: New Hampshire. West American Insurance Company (NAIC #44393) BUSINESS ADDRESS: 175 Berkeley Street, Boston, MA 02116. PHONE: (617) 357-9500. UNDERWRITING LIMITATION b/: $5,122,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, LA, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, WA, WV, WI, WY. INCORPORATED IN: Indiana. WEST BEND MUTUAL INSURANCE COMPANY (NAIC #15350) BUSINESS ADDRESS: 1900 South 18th Avenue, West Bend, WI 53095. PHONE: (262) 334-5571. UNDERWRITING LIMITATION b/: $104,114,000. SURETY LICENSES c,f/: IL, IN, IA, KS, KY, MI, MN, MO, NE, OH, PA, TN, WI. INCORPORATED IN: Wisconsin. Westchester Fire Insurance Company (NAIC #10030) BUSINESS ADDRESS: 436 Walnut Street, RO.Box 1000, Philadelphia, PA 19106. PHONE: (215) 640-1000. UNDERWRITING LIMITATION b/: $22,345,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Pennsylvania. Western National Mutual Insurance Company (NAIC #15377) BUSINESS ADDRESS: PO. BOX 1463, MINNEAPOLIS, MN 55440. PHONE: (952) 835-5350. UNDERWRITING LIMITATION b/: $46,998,000. SURETY LICENSES c,f/: AK, AZ, AR, CA, CO, DE, ID, IL, IN, IA, KS, KY, MD, MI, MN, MO, MT, NE, NV, NJ, NM, ND, OH, OK, OR, PA, RI, SD, TX, UT, WA, WI, WY. INCORPORATED IN: Minnesota. Western Surety Company (NAIC #13188) BUSINESS ADDRESS: 151 N. FRANKLIN ST., CHICAGO, IL 60606. PHONE: (312) 822-5000. UNDERWRITING LIMITATION b/: $151,958,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: South Dakota. Westfield Insurance Company (NAIC #24112) BUSINESS ADDRESS: P. O. Box 5001 , Westfield Center, OH 44251 - 5001. PHONE: (330) 887-0101. UNDERWRITING LIMITATION b/: $127,843,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, ND, NE, NV, NH, NJ, NM, NY, NC, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: Ohio. Westfield National Insurance Company (NAIC #24120) BUSINESS ADDRESS: P. O. Box 5001 , Westfield Center, OH 44251 - 5001. PHONE: (330) 887-0101. UNDERWRITING LIMITATION b/: $31,722,000. SURETY LICENSES c,f/: AL, AZ, AR, CA, CO, DE, FL, GA, IL, IN, IA, KY, MD, MI, MN, NM, NC, ND, OH, OK, PA, SC, SD, TN, TX, VA, WV, WI. INCORPORATED IN: Ohio. Westport Insurance Corporation (NAIC #39845) BUSINESS ADDRESS: 5200 METCALF AVENUE, OVERLAND PARK, KS 66202 - 1391. PHONE: (913) 676- 5200. UNDERWRITING LIMITATION b/: $121,403,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Missouri. t_ Back To Top XL Reinsurance America Inc. (NAIC #20583) BUSINESS ADDRESS: 70 SEAVIEW AVENUE, STAMFORD, CT 06902. PHONE: (203) 964-5200. UNDERWRITING LIMITATION b/: $173,303,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. INCORPORATED IN: New York. XL Specialty Insurance Company (NAIC #37885) BUSINESS ADDRESS: 70 SEAVIEW AVENUE, STAMFORD, CT 06902. PHONE: (203) 964-5200. UNDERWRITING LIMITATION b/: $31,352,000. SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MP, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, VI, WA, WV, WI, WY. INCORPORATED IN: Delaware. ------ V... --I -A I..e7n 64..4 .. 99/23 LIST OF PROJECTS SIMILAR IN SIZE AND SCOPE OF WORK: Page 1 of 2 Wilson Shirt Factory Smoke Stack Demolition InServ, Inc. $52,006.00 Completed 1/2023 Green Koi Cassopolis Demolition Mosaic Construction, LLC $37,234.00 Completed 1/2023 Demolition of Building at 1704 Franklin Street Richards Building Supply $66,603.00 Completed 2/2023 Martin Luther King Jr. Center Demolition City of South Bend, Dept. of Public Works $310,712.00 Completed 5/2023 Marlin Village Structure Demolition ATS Property Management LLC $54,470.00 Completed 3/2023 Demolition of 801 E. Marion Street City of Mishawaka Redevelopment $14,781.00 Completed 4/2023 Demolition of417 W. Michigan Street Town of New Carlisle $ 23, 910.00 Completed 7/2023 International Bakers Services Building Demolition International Bakers $120,089.00 Completed 10/2023 Demolition of 613 N. Scott Sreet Near Northwest Neighborhood $19,460.00 Completed 10/2023 LIST OF PROJECTS SIMILAR IN SIZE AND SCOPE OF WORK, CONTINUED: Page 2 of 2 Demolition of 56150 Larrison Blvd. Board of Commissioners of St. Joseph County, IN $50,580.00 Completed 10/2023 Demolition of 14380 and 14402 Douglas Road Board of Commissioners of St. Joseph County, IN $83,780.00 Completed 10/2023 South Bend Estates Trailer Park Demolition South Bend International Airport $110,345.00 Completed 4/2024 Former Church Demolition Town of New Carlisle $92,175.00 Completed 8/2024 2023 Residential Demolitions, Project No. 123-068 City of South Bend $337,494.00 Completed 9/2024 B-41846-A Sunnyside, Elkhart, IN INDOT $509,320.00 Completed 11/2024 Newton Park Garage/Restroom Demolition Newton Park $70,000.00 Completed 4/2025 Demolition of 1701 Anderson Avenue City of South Bend $33,620.00 Completed 6/2025 Demolition of 340 & 342 Marvel Lane, New Carlisle St. Joseph County, Indiana $69,629.00 Completed 7/2025