HomeMy WebLinkAboutOpening of Bids - Demolition of Rabbi Shulman Apartments Proj No 125-014 - Indiana EarthCITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
Project Name Rabbi Shulman Apartment Building Demolition
Project No. 125-014
For Bids Due 9:00am September 9, 2025
PART I
(Must be completed for all bids. Please type or print) /
Date: �iBidder (Firm)L "4:GI /4��C,.,
Address:
City/State/Zip: Td
ephone Number: (5
Email Address: eS d- )Ol a, ai(
Agent of Bidder (if Applicable): kel-�(i r?5
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project off 4vlm-n
-, 1, 4.0,4do"dw�' ofui�e" Pw
the City of South Bend, Indiana, in accordanFe with plans and specifications piepared by:
and dated 9 _g 'p�a�J for the sum of (enter the Total Bid as shown on the Proposal)
hit(� �, 7 7 )
(Enter sum of Total Base Bid plus 91ternates shown on Proposal) (Numerical)
The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in
the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance
with the notice. Any addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed, the cost of units must be the same as that
shown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a unit
basis, the itemization of the units shall be shown on ep4rate atori6qj. „
By
The above bid is accepted this _
Subject to the following conditions:
(Pri
ACCEPTANCE
day of
BOARD OF PUBLIC WORKS
President
Members
me of Perjon Signing)
20
Version 5/20/2024 Contractor's Bid for Public Works - 2
rJ'
CITY OF SOUTH BEND, INDIANA Wo,
CONTRACTOR'S BID FOR PUBLIC WORK
CHECKLIST FOR BIDDERS
Project Name Rabbi Shulman Apartment Building Demolition
Project No. 125-014
For Bids Due 9:O0am September 9, 2025
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
or Bid Bond.
/ Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely
executed.
Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments
with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and
Certification of use of United States Steel Products or Foundry Products.
Proof of MMBE 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
v WBE-2.1 ].
Acknowledge Receipt of / Addendum(s) included with the bid.
All required additional information is included with the bid.
Proposal statements and other affidavits all signed by the proper party with name either
printed or typed underneath signature.
This checklist submitted with the Bid.
This checklist is provided for bidder's use in assuring compliance with required
documentation; however, it does not include all specifications requirements and does not
relieve the bidder of the need to read andd comply with
/ tthhe specifications.
Bidder: � flana� G�Gi/ If1 - �l\141— Date: 9" g'�
By Authorized Repri
Signature:
Print Name & Title:
Version 5/20/2024 Contractor's Bid for Public Works - 1
PART 11
(For projects of $100,000 or more — IC 36-1-12-4)
These statements to be submitted under oath by each bidder with and as part of his/her/its bid.
Attach additional pages for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
1. Attach information regarding projects your organization has completed for the period of one
(1) year prior to the date of the current bid.
2. Attach a listing of public works projects currently in process of construction by your
organization.
3. Attach information regarding any failure to complete any work awarded to you and the
location thereof.
4. Attach references from private firms for which you have performed work.
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
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 5/20/2024 Contractor's Bid for Public Works - 3
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 "nal )
S�. Jere A COUNTY SS:
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury
that:
1. Contractor has not, nor has any other member, representative, or agent of the firm, company,
corporation or partnership represented by him, entered into any combination, collusion or agreement with
any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding
nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and
without any agreement, understanding or combination with any other person in reference to such bidding.
Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or
indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and
2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals
are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from
participation in this transaction by any Federal department or agency; and
3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in
investment activities in Iran.
a. For purposes of this Certification, "Iran" means the government of Iran and any agency
or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as
amended from time -to -time.
b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor
is engaged in investment activities in Iran if either:
i. Contractor, its successor or its affiliate, provides goods or services of twenty
million dollars ($20,000,000) or more in value in the energy sector of Iran;
or
ii. Contractor, its successor or its affiliate, is a financial institution that extends
twenty million dollars ($20,000,000) or more in credit to another person for
forty-five (45) days or more, if that person will (i) use the credit to provides
goods and services in the energy sector in Iran; and (ii) at the time the
financial institution extends credit, is a person identified on list published by
the Indiana Department of Administration.
4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any
employee or contract with a person that the Contractor subsequently learns is an unauthorized alien.
Version 5/20/2024 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.
1, 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 5/20/2024 Contractor's Bid for Public Works - 5
may result in forfeiture of contractual payments.
hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid
for public works are true and correct.
i�
Dated this day of P lf, 2Q.1
of Cont)Tctor/Bidder of Its Agent
"a eal
Printed Name and Title
Subscribed and sworn to before me this day of :� ,tt, 20�
My Commission Expires It " ?a ` 7-03%
County of Residence
�y Public
ElYy)0,(\-
J,AMES BRAATZ
Notary y , State of Indiana
Elkhart County
Commission Number NP0752954
My Commission Expires Nov 21, 2031
Version 5/20/2024 Contractor's Bid for Public Works - 6
Project Name:
Project Number:
For Bids Due:
Contractor Name:
BASE BID
BID/PROPOSAL
CITY OF SOUTH BEND
Rabbi Shulman Apartment Building Demolition
125-014
9:O0am September 9, 2025
, r►ellAna far
Item
No.
Description
Quantity
Unit
Unit Price
Total Amount
1
Demolish Rabbi Shulman Apartment
Building at 628 Western Avenue with
1
7�����,
1
Sump
IMaq
Asbestos Abatement
Bidder (Firm):
r1/
Address:
City/State/Zip: Aeey n
LAC I
elephone N
VA
BASE BID TOTALP7L?J,AM.�j
(Printed Name of Person Signing)
Version 5/20/2024 Contractor's Bid for Public Works - 7
CITY OF SOUTH BEND Vill
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: 125-014 Project ,N,ame: Rabbi Shulman Apartment Building Demolition
Bidder: ,Z/j j,4/ ,4 4r fA+.�W Total Bid Amount: %� 79-/ � ('00 � QO MBE Goal: 1.3% aa
Page___L_of 1
Name &Address of MBE
Primary Contact Person
(Name/Telephone)
Scope of Work to be Performed
(Attach scope/schedule if you reed additional space)
Dollar Amount of MBE
Component
Percentage
of Total
Bid/Proposal
Ketifid
10.4 re ✓5
f
Al
Submitted by: Ile /" /r i
4ntme 1JSighatur4.00, Date
***Goals should be calculated based on the Base Bid only.***
Version 5/20/2024 Contractor's Bid for Public Works - 8
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM WBE-1.0
WBE UTILIZATION PLAN
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving WBE participation. It is
the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications.
***Goals should be calculated based on the Base Bid only.***
Project Number: 125-014 Project Name: Rabbi Shulman Apartment Demolition
Bidder: �n �� f?/Jt df f /11 .L/VL Total Bid Amount: T�(1D . 0(7 WBE Goal: 4.7%
Page__L_of
Name &Address of WBE
Primary Contact Person
(Name/Telephone)
Scope of Work to be Performed
(Attach scope/schedule if you need additional space)
Dollar Amount of WBE
Component
Percentage
of Total
Bid/Proposal
An a
0o
vc
_
rug � �
� 15-5 oo
�, /Al
rt
Submitted by:
Print ame Signatur Date
***Goals should be calculated based on the Base Bid only.***
Version 5/20/2024 Contractor's Bid for Public Works - 9
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM MBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
This completed form should be included as part of the Bids documents related to City of South Bend Public
Works Projects requiring Good Faith Efforts to obtain MBE participation.
Project Number: 125-014 Date:
Project Name: Rabbi Shulman Apartment Building
— Demolition
Bidder: Ill r 4n1A ZAP" —) (_
Contact Person: l /jj Telephone:
Address: �� �%� l/l/e
City: DSttOI ate:
/ n Zip:
Email: �1 r i iAelt ,®
To determine whether a bidder has demonstrated good faith efforts to rea 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: httr)://www.ip.. ov/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
(hftp://www.in.gov/idoa).
A
I affirm that I have made good faith efforts to select portions of the contract work to be
`�h•�`
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.
A
.I�
I affirm that I attended all pre -bid meetings scheduled by the City of South Bend to inform
�11
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.
- M1
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,
YV `
lines of credit, or insurance as required by the City or the bidder, where appropriate.
Version 5/20/2024 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
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 5/20/2024 Contractor's Bid for Public Works - 11
i,
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM WBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
This completed form should be included as part of the Bids documents related to City of South Bend Public
Works Projects requiring Good Faith Efforts to obtain MWBE participation.
Project Number: 125-014 Date:
Project Name: Rabbi Shulman Apartment Demolition /
Bidder: dt QfV
Contact Person: V711 1014 Telephone: ,�',7'y_1 �/ q,&c,,,
Address:
City: Ofl a State: Zip:
� 1 e
Email: $ / Gt r►0 I GlY1,!1 r
To determine whether a bidder has demonstrated good faith efforts to reach the&VBE utilization goals set forth in
the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions,
REQUIRE ALL of the following Good Faith Efforts as listed in the table below":
EVIDENCE OF GOOD FAITH EFFORTS
WBE LIST(S): The bidder reviewed 1) the City of South Bend's Minority and Women Business Enterprise
Inclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the Indiana Department
of Administration list of Minority and Women Owned Businesses (both certified and non -certified) found
at: http://www.in.gov/idoa/.
GOOD FAITH EFFORTS TO OBTAIN WBE PARTICIPATION
The bidder shall initial each item below, as evidence of its good faith efforts to obtain WBE participation
in the awarded contract.
I affirm that I reviewed the City of South Bend's Minority and Women Business Enterprise
Inclusion Program Plan and the Indiana Department of Administration's certified list of
Indiana Minority and Women Business Enterprises, found on their website
(http://www.in.gov/idoa).
I affirm that I have made good faith efforts to select portions of the contract work to be
performed by WBEs, including, where appropriate, breaking out contract work items into
economically feasible units to facilitate 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.
A
I\
I affirm that I attended all pre -bid meetings scheduled by the City of South Bend to inform
W`
WBEs of contracting and subcontracting opportunities.
A*
I affirm that I advertised in general circulation and/or trade association publications
concerning subcontract opportunities and allowed WBEs reasonable time to respond to
such advertisements.
I affirm that I performed any and all necessary steps to provide written notices in a manner
reasonably calculated to inform WBEs of subcontracting opportunities and allowed
sufficient time for WBEs to participate effectively.
I affirm that I followed up on initial solicitations with interested WBEs.
I affirm that I negotiated with interested WBEs in good faith, including providing such WBEs
with adequate information about the plans, specifications and other requirements of the
subcontract.
/*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 5/20/2024 Contractor's Bid for Public Works - 12
CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN
FORM WBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
I affirm that I have made good faith efforts to assist interested WBEs in obtaining
necessary equipment, supplies, materials, or related assistances or services, where
appropriate.
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 5/20/2024 Contractor's Bid for Public Works - 13
1.
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.
PAGE O OF
Project Number: 125-014 MBE Participation Goal 1.3%
Project Name: Rabbi Shulman Apartment Demolition /
Bidder: 17n. Ar. L
By:
(Si ature) (Title) (Date)
MBE Firm a
Owner or Contact at MBE Firm lea alvf
Telephone: S7L/.e,G.i� Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE MBE FIRM:
S
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 5/20/2024 Contractor's Bid for Public Works - 14
I,
CITY OF SOUTH BEND
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 OF
Project Number: 125-014 WBE Participation Goal 4.7%
Project Name: Rabbi Shulman Apartment Building Demolition
Bidder:
w
By: '14-
(Si ature) (Title) (Date)
A
WBE Firm
Owner or Contact at WBE Firm
Telephone: �GD • �� .� Fax: Email:
TYPE OF WORK SOLICITED FOR THIS PROJECT:
RESULTS OF CONTACT WITH THE WBE FIRM:
le .�
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 5/20/2024 Contractor's Bid for Public Works - 15
1316 COUNTY -CITY BUILDING PHONE 574/ 235-9251
227 W.JEFFERSON BOULEVARD FAX 574/235-9171
SOUTH BEND, INDIANA 46601-1830 TDD 574/ 235-5567
CITY OF SOU'ri-I BEND, JAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
Date:
To:
From
Subject
August 18, 2025
All Planholders
Hillary Horvath, Clerk, Board of Public Works
Addendum Number: 1
Project Name: 125-014
Project Number: Demolition of Rabbi Shulman Apartments
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM
Date Received: 9 - S-7✓ !/
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: „� �a�
.T/V
Version 8/11/2020
All Document A31 oT"" — 2010
CONTRACTOR:
(Name, legal status and address)
Indiana Earth, Inc.
10343 McKinley Highway
Osceola, IN 46561
OWNER:
(Name, legal status and address)
City of South Bend
227 West Jefferson Boulevard
South Bend, IN 46601
SURETY:
(Name, legal status and principal place
of business)
Swiss Re Corporate Solutions America Insurance Corporation
1200 Main Street, Suite 800 This document has important legal
Kansas City, MO 64105 consequences. Consultation with
an attorney is encouraged with
respect to its completion or
modification.
BOND AMOUNT: ***FIVE PERCENT OF AMOUNT BID***
PROJECT:
(Name, location or address, and Project number, if any)
Rabbi Shulman Apartment Demo, Project No. 125-014
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 c orming to such statutory or other legal requirement shall be deemed incorporated herein. When so
fumished,jIle intent is tho/this Bond shall be construed as a statutory bond and not as_a cgtnmon kw gtld�
sealed this 9th day of September 11
.,�1 C _ _, Indiana Earth,
C'n P], I IJ �u J &ryl
(With s)
(Principal)
(Seal)
(Title)ZrDorap
Iwiss ReSo� luti erica Insurance corporation
(Surety) (Seal L
(Title) Todd Schaap, Attorney-ir.-Fact
Init. AIA Document A310- — 2010. Copyright @ 1963, 1970 and 2010 by The American Institute of Architects. All rights reserved, WARNING: this AIA®
Document Is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of th+s A1A* Dociimertt; or
any portion of It, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law.
/ Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documeots; a -mail
The American Institute of Architects' legal counsel, copyright@aia.org. eaIllj
SWISS RE CORPORATE SOLUTIONS
SWISS RE CORPORATE SOLUTIONS AMERICA INSURANCE CORPORATION (-SRCSAIC")
SWISS RE CORPORATE SOLUTIONS PREMIER INSURANCE CORPORATION ("SRCSPIC-)
WESTPORT INSURANCE CORPORATION ("WIC-)
GENERAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, THAT SRCSAIC, a corporation duly organized and existing under laws of the State of Missouri, and
having its principal office in the City of Kansas City, Missouri, and SRCSPIC, a corporation organized and existing under the laws of the State of
Missouri and having its principal office in the City of Kansas City, Missouri, and WIC, organized under the laws of the State of Missouri, and having its
principal office in the City of Kansas City, Missouri, each does hereby make, constitute and appoint:
THOMAS O. CHAMBERS, TODD SCHAAP, KIMBERLY S. RASCH, and PAULJACOBSEN
JOINTLY OR SEVERALLY
Its true and lawful Attomey(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings
obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by
law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the
amount of
UNLIMITED
This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of
Directors of both SRCSAIC and SRCSPIC at meetings duly called and held on the 18th of November 2021 and WIC by written consent of its
Executive Committee dated July 18, 2011.
"RESOLVED, that any two of the President, any Managing Director, any Senior Vice President, any Vice President, the Secretary or any Assistant
Secretary be, and each or any of them hereby is, authorized to execute a Power of Attorney qualifying the attorney named in the given Power of
Attorney to execute on behalf of the Corporation bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to
attest to the execution of any such Power of Attorney and to attach therein the seal of the Corporation; and it is
FURTHER RESOLVED, that the signature of such officers and the seal of the Corporation may be affixed to any such Power of Attorney or to
any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be
binding upon the Corporation when so affixed and in the future with reeard to anv bond, undertaking or contract of surety to which it is attached."
N,aanaNN,rW��
�rgaJ11
P R`- P IN
B
�4.; • u Y ♦ SEAI.
S E A L' s Erik Janrsen,, Senior Vice President of SRCSAIC &Senior Vice President
--..SEAL*,--!,
of SRCSPIC &Senior Vice President of WIC
1973
Sso�= 11i t Tt
•.,`Ju?`••Z.
= BY —
Gerald
y/ 8 alr •r Jagroaeki,VicePresidento!SRCSAIC& Vice President of SRCSPIC •*
H NNlrl,rN,
& Vice President of WIC
IN WITNESS WHEREOF, SRCSAIC, SRCSPIC, and WIC have caused their official seals to be hereunto affixed, and these presents to be signed by their
authorized officers
this 10 day of NOVEMBER 20 22
Swiss Re Corporate Solutions America Insurance Corporation
State of Illinois ss Swiss Re Corporate Solutions Premier Insurance Corporation
County of Cook Westport Insurance Corporation
On this 10 day of NOVEMBER 20 22 , before me, a Notary Public personally appeared Erik Janssens , Senior Vice President of SRCSAIC
and Senior Vice President of SRCSPIC and Senior Vice President of WIC and Gerald Jagrowski , Vice President of SRCSAIC and Vice President of
SPCSPIC and Vice President of WIC, personally known to me, who being by me duly swom, acknowledged that they signed the above Power of Attorney
as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies.
OFFKXACF�i1ST1NA M
MOtAV�'
tiY PtnRlta tfUirEN�[tiINOR
bi AGO
1, Jeffrey Goldberg, the duly elected Senior Vice President and Assistant Secretary of SRCSAIC and SRCSPIC and WIC, do hereby certify that the above and
foregoing is a true and correct copy of a Power of Attorney given by said SRCSAIC and SRCSPIC and WIC, which is still in full force and effect.
IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 9th day of September , 2025 ,
Jeffrey Goldberg, Senior Vice President &
Assistant Secretary of SRCSAIC and
SRCSPIC and WIC
s!w�
STATE OF WISCONSIN )
COUNTY OF Racine )
ON THIS 9th day of September 2025 ,
before me, a notary public, within and for said County and State, personally appeared _
Todd Schaap to me personally known, who being duly sworn,
upon oath did say that he is the Attorney -in -Fact of and for the
Swiss Re Corporate Solutions America Insurance Corporation , a corporation
of Missouri
created, organized and existing under and
by virtue of the laws of the State of Missouri ; that the corporate seal
affixed to the foregoing within instrument is the seal of the said Company; that the seal
was affixed and the said instrument was executed by authority of its Board of Directors;
and the said Todd Schaap did acknowledge that he/she
executed the said instrument as the free act and deed of said Company.
Mario Criplean
Notary Public, Racine County, Wisconsin
My Commission Expires 6/13/2028
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
RESPONSIBLE BIDDER CHECKLIST
Project Name Rabbi Shulman Apartment Building Demolition
Project No. 125-014
For Bids Due 9:00am September 9, 2025
Contractor Name: �/1d�4►/1a. a. a ';'
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 II acts as an application for pre -qualification. Submission of Section II 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.
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.
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).
(ii) _ 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.
(iii) _ 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 ;t �4 BINDERS THAT ARE NOT PRE -QUALIFIED)
(a) Acknowledgements
(i) V By checking this bco! rt)y ,)(,knowledge that I am not a pre -qualified bidder
with the City of South ! ,,i
By checking this box c:rooy ,,.acknowledge that the City reserves the right to
request supplemeni�:torn ation, additional verification of any information
provided and may unduct random inquiries of my current and prior
customers The Gity red the right to utilize all information provided in this
submission and all ;nit rtion obtained in inquiries or requests to determine if a
bidder is responsive i responsible Additionally, I acknowledge that all
information provided!
;.; ty shall be regarded as public records.
(iii) ✓
By checking this h;
- oreby acknowledge that copies of all Applicable
apprenticeship certiti, .;
. ,r, standards for training programs applicable to the
work performed on the
� - �lect stay be requested at any time and shall be furnished
/
upon request
(iv)
By checking this bc�,
n=ire>.by acknowledge and ensure that I and all sub-
contractor s. from whc r+
we: accepted a bid and/or intend to hire to perform work
on the public work pmjl
taw properly licensed. Furthermore, I acknowledge my
understanding that i+
rr-�sponsibility to ensure that all sub -contractors have
the necessary Been.,,
Wdertake the work called for in this bid. If a sub-
contractor loses the:i,
iise at any point, it is the responsibility of that sub-
contractor to notify the
(v)
By checking this boz
teioby acknowledge that apprenticeship and training
programs that I partif ; .:,
n i,ave graduated at least five (5) apprentices in each
�of
the past five:. (f,) yt,.
(vi) _..
By checkurg this bear
!,f+y acknowledge that all subcontractors performing
work greater than 1'
; i; , ilso meet the qualifications of the Responsible Bidder
Ordinaric:F
(b) Attachments
(i) .! Indiana `;e( rrtary of , )n line records (re. Business verification) dated within
sixty (60) days of ili« of said document showing that business is in
existence curreni viii lmjwnti Secretary of State's Business Entity Report,
and eligible for i cew, ,>i good standing. (Not applicable to individuals, sole
proprietors or partner: i.
(ii) _ List identifying all foino
ismess names.
(iii) ✓ Any determinations i.�,-
ourt or governmental agency any violations of federal
state, or Icx;al laws nu f
ci but not limited to, violations of contracting or antitrust
laws, tax or licensing
; environmental laws. Occupational Safety and Health
Act (OSHA) or feller;-r
i, , Bacon and related Acts, within the preceding five (5)
years
(iv) Statement ahout start r-inabilities, including labor sources. This statement
indicates and ensure.: +ve suffrrient ernployees on staff to complete the work I
am bidding on Off (Wiwi
liow I intend to meet the staffing needs of the work,
(v) Statement that indivifJ
�,h() will work on the public work project on my
behalf will hey [-)io Jc;, ,,
aurci as art ernployee or as an independent contractor
under all applicable si, :
inci federal laws and local ordinances.
(v) " For every project. soil,
-iclerice of participation in apprenticeship and training
programs applic:ablL
i,c, work to be performed on the project, which are
approved by and iegisi:
with fire United States Department of Labors Office, of
Apprenticeship or its
�-!ssor organization. This includes, but may not be limited
to, letters from apprcr
;Fit, coordinators detailing the bidder's association with
Version 5/20/2024 o i, A;uns - 14
the progian! and thr. , i Gates Department of Labor Office of Apprenticeship
Certificates of Hegi,-,W , ot Apprenticeship Programs for each type of work to be
perfommeo on the prcrlt
(vi) L - Copy of a written plait ,!nployee drug testing that covers all of my employees
who will perform won i _; � they public; work project and meets or exceeds the
requirements set forth c 4 13 18-5 or IC 4-13-18-6.
(vii) V/ Evidence that I am i;h:iq ;m surety company which is on the Bureau of fiscal
Service Department i ;u y :, Listing of Approved Sureties" as required in the
bid specifications or r ; wl
(viii) V/ Written statement of state or local tax liens or tax delinquencies owed
/ to any federal state n ; ii taxing body in the preceding three years.
(ix) V List of protects of sinw. e and scope of work performed in all areas, including
the State of Indiana vvo rnree (3) years prior to the date on which the bid is due
Date.
(Sign Here)
'..
(Print Name Here) _.
wRMA
(Name of Company)
(Address Company)._._
(City)
(State)
(Telephone Number)
Version 5/20/2024 Gen( : � )I ditions - 15
City of South Bend
Bidding Pre -Qualification checklist items:
- Indiana Earth, Inc. has no former business names
- Indiana Earth, Inc. has no determinations by a governmental agency of any
violations.
- Indiana Earth has the crew and staff to complete this project.
- Indiana Earth partners with the Local 150 operators union and the Local 645
Laborers union for training and apprentices.
- Those that work on this project will be employees of Indiana Earth or of a hired
subcontractor which are under all applicable state and federal laws and local
ordinances.
- Operators and Laborers drug screening are performed through the BCRC Building
Construction Resource Center at BCRCNET.com
- Teamsters drug screening are performed during the pre -employment and by random
selection through Figment Group with quarterly random requirements.
- Indiana Earth, Inc. has no current tax liens.
- Projects similar to this one:
• Campus View Apartments Demo
• Elkhart WWTP
• Kamm Island Apartments
• Drewery Brewery
• Goshen Hospital
• North Liberty Church
• Granger Storage
• Portage School
• Madison Center
LaPorte Co Courthouse
- All subcontractors working for Indiana Earth are qualified under EC 4-13.4 or IC 8-
23-10
10343 McKinley Hwy. • Osceola, IN 46561 • (574) 674-6488 • FAX (574) 674-6480
BUSINESS INFORMATION
DIEGO MORALES
INDIANA SECRETARY OF STATE
09/05/2025 06:56 AM
Business Details
Business Name: INDIANA EARTH, INC. Business ID: 1990031137
Entity Type: Domestic For -Profit Corporation Business Status: Active
Creation Date: 03/22/1 "0 Inactive Date:
Principal Office Address: 10343 MCKINLEV HWY., OSCEOLA, IN, Expiration Date; Perpetual
46561 - 9756, USA
.jurisdiction of Formation: Indiana Business Entity Report Due 03/31/2026
Date:
Years Due:
Governing Person Information
Title Name Address
President MARK L OSLER 10343 McKinley Hwy., Osceola, IN, 46561, USA
Registered Agent Information
type: Individual
Name: MARK OSLER
Address: 10343 MCKINLEN' HWY., OSCEOLA, IN, 46561 - 9756, USA
INDEX
ARTICLE I - COVERAGE ............................................................................................
ARTICLEII - FOREMEN............................. ................................................................. 7
ARTICLE III - EMPLOYERS BARGAINING AGENT ...............................................
7
ARTICLE IV - UNION SECURITY ..............................................................................
7
ARTICLE V - WORKING DUES CHECK -OFF ..........................................................
8
ARTICLE VI - EQUAL EMPLOYNIFNTOPPORTUNITY ........................................
9
ARTICLE V11 - SELECTION OF LABOR -EMPLOYMENT REGULATIONS .........
9
ARTICLE VIII - WELFARE TRUST FUND ............... _ ............................................
I I
ARTICLE IX - PENSION TRUST FUND ........................... .......................................
11
ARTICLE - IX -A - DEFINED CONTRIBUTION TRUST FUND ............................
11
ARTICLE X - TRAINING TRUST FUND ..................................................................
12
ARTICLE XI - NOTIFICATION .................................................................................
12
ARTICLE XII - PRE -JOB CONFERENCE .................................................................
12
ARTICLE XIII - WORKING HOURS AND OVERTIME .........................................
13
ARTICLE XIV - SHIFT WORK ..................................................................................
16
ARTICLEXV - STEWARD ............... ........................................................................
16
ARTICLE XVI - NON -VIOLATION ..........................................................................
17
ARTICLEXVII - PAY-DAY .......................................................................................
17
ARTICLE XVIII - SAFETY ........................................................................................
18
ARTICLE XIX - WORKER'S COMPENSATION .....................................................
18
ARTICLE XX - ELIMINATION OF RESTRICTIONS ..............................................
18
ARTICLE XXT - SUB -CONTRACTOR- ....................................................................
18
ARTICLE XXII - GRIEVANCE PROCEDURE ..................................... I ...................
19
ARTICLE XXIII - GENERAL PROVISIONS ............................................................
20
ARTICLE XXIV - BCRC - DRUG & ALCOHOL POLICY ......................................
21
ARTICLE XXV - INDUSTRY FUND .... ....................................................................
21
ARTICLE XXVI - LOCAL UNION COVERAGE .....................................................
22
AR'11CLE XXVII - SCHEDULE OF FRINGE BENEFIT CONTRIBUTIONS.........
22
ARTICLE XXVIII - HOURLY WAGE RATES .........................................................
22
ARTICLE XXIX - BONDING .....................................................................................
27
ARTICLE XXX - GENERAL SAVINGS CLAUSE ...................................................
28
ARTICLE XXXI - MANAGEMENT RIGHTS ...........................................................
28
ARTICLE XXXII - UNIFORMITY .............................................................................
28
ARTICLE XXXIII - MEMORANDUM OF MARKET RECOVERY ........................
29
ARTICLE XXXIV - INDEMNITY... ............ ..............................................................
31
ARTICLE XXXV - EFFECTIVE DATE ............................................................... I .... 1.31
DIRECTORY LABORERS' INTL UNION OF NORTH AMERICA OFFICES......
33
DIRECTORY LABORERS'INT'I. UNION OF NORTH AMERICA .......................
34
DIRECTORY OF LOCALS BY COU NTI I"S ..............................................................
40
/Section 7. Any Contractor who signs this Agreement to perform work covered by this Agreement
has the option of signing any other Agreement negotiated by the State of Indiana District Council
of Laborers and any other Employer Group covering any and all work of the Construction Industry
covered by the Laborers and pay the applicable wages, fringes and other conditions contained.
therein.
Section 8. High Pay: Forty ($.40) cents per hour for men working forty (40) feet or more subject
to free fall.
Section 9. In the event of an on the job -site injury, the Employee shall receive up to eight (8)
hours pay even though the Employee may not be able to perform eight (8) hours work for that day.
Section 10. Employees shall be given a sufficient amount of time to pick up tools at the end of a
scheduled work day. However, no Employee shall be permitted to leave the job until quitting time.
ARTICLE XXIV — BCRC - DRUG & ALCOHOL POLICY
Section 1. Various Employer Associations and the Union members are of Building and
Construction Resource Center, Inc. (hereinafter "BCRC"), a non-profit corporation that was
formed to provide services in the construction industry, including, but not limited to, education
and referral services concerning alcohol, drug, and other substance abuse, which purposes are more
fully defined in the Articles of Incorporation and By -Laws of said BCRC and Fund Trust
Agreement and Declaration of Trust.
Section 2. Each Employer under this Agreement shall pay to BCRC the amount specified in the
wage and fringe benefit section of the Agreement which is fifteen cents ($.15) per hour for each
hour worked by its Employees covered by this Agreement. Each Employer is obligated to make
such contributions, regardless of whether or not such Employer is a member of BCRC.
Section 3. Payments required to be made to BCRC shall be deemed to be governed by the
provisions of this Agreement pertaining to the collection of the Health and Welfare and Pension
payments r,,quired to be made by the Employers and thus, may be enforced in the same manner.
Section 4. The Board of Directors of BCRC will have full audit authority of the Employer's books
and records as they pertain to this contribution.
Section 5. The Employees covered by this Agreement will abide by the provisions of the BCRC
substance abuse program when required by the owner.
ARTICLE XXV - INDUSTRY FUND
Section 1. Each Employer signatory to this Agreement hereby agrees to contribute to the Industry
Fund, established July 1, 1980 twenty-five cents ($0.25) per hour for each hour worked by the
Employees covered by this Agreement, it being understood and agreed that the enforcement,
administration, etc., is solely the responsibility of the Employer, through the Michiana Area
Construction Industry Advancement Fund, known as the "MACIAF", in accordance with all Federal
and State laws and regulations covering such Trust Funds.
21
Section13 - Long Boom Pay .............................................. __..................................................... ..................................
14
Section14 - Capacity Pay................................................................................................................................................14
Section15 - Augers and Drill Rigs...............................................................................................................................15
Section16 - Tunnel, Shaft and Enclosed Underground.....................................................................................15
Section17 - Concrete Conveyor Systems................................................................................................................15
Section18 - Creter Cranes. ............................ ............ ___ ................................. .............................................. .............
15
Section 19 - Truck Mounted Concrete Pumps.......................................................................................................15
Section20 - Helicopters..................................................................................................................................................15
Section21- Bobcats..........................................................................................................................................................15
Section22 - Forklifts.........................................................................................................................................................15
Section23 - Self -Erecting Tower Cranes.................................................................................................................16
Section 24 - Craft Foreman and/or Master Mechanic.......................................................................................16
Article VI
Section 1 - Wage Rates and Fringe Benefits..........................................................................................................16
Section 2 - Wages and Fringe Benefits for Apprentices in all Counties....................................................19
Article VI
Section1 - (A) Welfare Fund.......................................................................................................................................
20
(B) Retiree Medical Savings Plan........................................................................................................ 21
Section2 - (A) Pension Fund....................................................................................................................................... 21
Section3 - Vacation Fund.............................................................................................................................................. 22
Section 4 - Retirement Enhancement Fund.......................................................................................................... 23
Section 5 - Apprenticeship and Skill Improvement Fund............................................................................... 24
Section 6 - Industry Advancement Fund................................................................................................................ 25
Section 7 - Employee Check -Off
(A) Dues Check Off..................................................................................................................................... 26
(B) Local 150 - Federal PAC Check-Off............................................................................................. 26
Section 8 - Construction Industry Research & Service Trust Fund............................................................. 27
Article Vlll
Section1- Grievance and Arbitration...................................................................................................................... 28
Section2 - Jurisdictional Award.................................................................................................................................29
Article IX
Section1 Affirmative Action......................................................................................................................................
29
Section2 - No Discrimination......................................................................................................................................
29
Article X
Section1 - Savings Clause.............................................................................................................................................
29
Section2 - Uniformity .....................................................................................................................................................
29
Article XI
CreditUnion Deductions.................................................................................................................................................
30
Article XIl
BusinesslOperationsDisclosure..................................................................................................................................30
Article Xlll
EntireAgreement of the Parties..................................................................................................................................
30
Article XIV
Agency.....................................................................................................................................................................................
30
Article XV
Effective Termination Dates and Notification.......................................................................................................
31
Building and Construction Resource Center Inc Drug/Alcohol Program ................................................. 32
_ 1
r�
1
C
�D
MICHIANA BUILDERS ASSOCIATION INC
Final
DFAGAN.JGARDNER.NCLI N E
June 22, 2023 mic
CONTRIBUTIONS TO BUILDING AND CONSTRUCTION RESOURCE CENTER, INC.
Various Employer Associations under this Agreement and the Union are members of Building and
Construction Resource Center, Inc. (hereinafter 'BCR(:"), a non-profit corporation, that was formed to provide
services in the construction industry concerning alcohol, drug and other substance abuse.
Effective June 1, 2023, each Employer under this Agreement shall pay to BCRC the sum of fifteen cents
($0.15) per hour for each hour worked by each of its employees covered by this Agreement. Each Employer is
obligated to make such contributions, regardless of whether such Employer is a member of BCRC.
Payments required to be made to BCRC shall be deemed to be governed by the provisions of this
Agreement pertaining to the collection of the Health & Welfare and Pension payments required to be made by the
Employers and thus, may be enforced in the same manner. Payments shall be payable to Building and
Construction Resource Center, Inc. (BCRC), 6050 Southport Suite B, Portage, Indiana 46368.
The Board of I)irectors of BCRC will have full audit authority of the Employer's books and records as they
pertain to this contribution.
BCRC shall notify the Union of any failure to test under this Article and of any positive test result.
MICIIIANA [BUILDERS ASSOCIATION INC
Final
DFAGAN.JGARDNER.NCLINE
June 22, 2023 mlc
,/i112CJ19
Employee Policy Manual
INDIANA EARTH, INC.
10343 McKinley Hwy.
Osceola, IN 46561
(574) 674-6488
E-Mail: earth921nc@sbcglobal.net
Index
Employment Statement:
Attendance:
pg. 05
Policy 100-01
Absences
pg.
06
Policy 100-02
Tardiness
pg.
06
Policy 100-03
Sickness / Personal Leave
pg.
06
Policy 100-04
Bereavement
pg.
07
Policy 100-05
Jury Duty
pg.
07
Benefits:
Policy 200-01
Vacation
pg.
07
Policy 200-02
Holiday
pg.
08
Policy 200-03
Personal Days
pg.
08
Policy 200-04
Insurance / Health Care
pg.
09
Policy 200-05
Insurance / Cobra
pg.
09
Policy 200-06
Insurance / Worker's Compensation
pg.
09
Conduct:
Policy 300-01
Employee Code of Ethics
pg.
10
Policy 300-02
Gift Acceptance Rule
pg.
11
Policy 300-03
Dress Code
pg.
11
Policy 300-04
Eye Protection
pg.
12
Policy 300-05
Footwear
pg.
12
Technological Standards & Uses:
Policy 400-01
Standard for Use
pg.
12
Policy 400-02
Shareware, Games & Programs
pg.
13
Policy 400-03
Passwords
pg.
13
Policy 400-04
E-Mail
pg.
13
Policy 400-05
Internet
pg.
13
Policy 400-06
Improper Use
pg.
13
Substance Abuse:
Policy 500-01
Substance Abuse
pg.
14
Policy 500-02
Drug Testing
pg.
15
�/
original is strictly forbidden.
,Ise of e-mail for non -business purposes. This includes internal mail
as well as internet mail. "Chatting", "Chain Letters", and other non -business
"broadcasts" (e.g. jokes, pictures, programs, etc.) to multiple users not only use the
company's network resources, but the sender and recipients' time and are prohibited.
Transferring information to a flash drives, CDs or DVDs without the permission of the
Office Manager.
• Personal uses such as advertisements and notices.
• Mass e-mail, unless for official business.
• Sending images or documents that can be offensive or inappropriate.
• No visiting chat rooms, shopping sites, X-rated sites, advertising sites, sports
centers, news stories, etc. during business hours and this includes lunchtime.
etc.
Substance Abuse
Substance Abuse: Policy 500-01
Revised 6-20-19
Indiana Earth, Inc. supports all efforts to create a drug free workplace and has instated
a policy which prohibits all employees from using, selling or transferring drugs, alcohol
or any other illegal substances on or around the jobsite and at the company facility. All
employees shall carry themselves in a respectable manner at all times (on and off the
jobsite) in order to promote the good image of Indiana Earth, Inc.
Drug and alcohol abuse is a serious concern and Indiana Earth, Inc. recognizes this
problem. Maintaining a safe, efficient, and healthy working environment to benefit the
company and its employees is of the greatest importance to Indiana Earth, Inc.
Participating in any jobsite activities while under the influence of drugs or alcohol poses
a serious risk to jobsite safety and therefore will not be tolerated. In order to protect the
health and safety of all Indiana Earth, Inc. employees and any other individuals involved
in the construction process, the following policy regarding substance abuse in the
workplace has been instated as vital to Indiana Earth, Inc.
From the time you leave home, until such time as you return home on completion of
work, or until the homeward journey is broken, Indiana Earth, Inc., prohibits the use,
possession or distribution on its premises, facilities or work places of any of the
following: alcoholic beverage, intoxicants and narcotics, illegal or unauthorized drugs
(including marijuana), "look -alike" (simulated) drugs, and related drug paraphernalia.
Company employee must not report for duty while under any drug, alcoholic beverage,
intoxicant or narcotic or other substance (including legally prescribed drugs and
medicines), which will in any way adversely affect their working ability, alertness,
coordination, response or adversely affect the safety of others on the job. Using or
possessing illegal drugs will not be tolerated and will be grounds for immediate
dismissal and no unemployment benefits will be granted.
14
,)rug Testing: Policy 500-01 Revised 7-23-15
Indiana Earth, Inc. permits the testing for the use of illegal substances or alcohol at any
time including, but not exclusive to the stages listed below.
Pre -Employment Testing:
Applicants for employment with Indiana Earth, Inc. may be required to participate in a
�y pre -employment drug urinalysis and/or blood test. Applicants who test positive without
previous direct explanation will be immediately removed from employment
consideration. Any individual who refuses to participate in a drug screen will not be
considered for employment.
Reasonable Suspicion:
Any employee displaying evidence of being in violation of the Substance Abuse Policy
set up by Indiana Earth, Inc. may be subjected to a drug test.
Former Conviction:
If an employee has a history of drug or alcohol abuse, Indiana Earth, Inc. may request a
drug test to ensure the safety of all employees on the jobsite
Random Testing. -
Employees of Indiana Earth, Inc. could periodically be selected to submit a drug test to
ensure the safety of all employees.
* A positive test will lead to immediate termination of employment. Refusal to
participate in a drug test will be treated as a positive test result and will lead to
immediate termination of employment
,A
Transportation, Equipment, Tools & Property
Company Owned:
Revised 6-20-19
Employees are expected to use the company vehicles and equipment in the conduct of
all Indiana Earth, Inc. business. Personal use of company vehicles or Equipment is not
permitted. The privilege of company vehicle use is extended only to those with both a
valid state driver's license and an admirable driving record. Insurability is a condition of
employment for those whose work involves driving. The use of company vehicles or
equipment shall be restricted to work related activities and/or during normal working
hours. Superintendents and foremen are expected to be diligent in keeping company
vehicles clean and in good repair. All vehicles are not allowed at any bars, exotic
dancing places, adult bookstores, or liquor stores. If driving a company vehicle, you
must possess a valid drivers license. If you do not have one then you are not allowed to
drive our vehicles and you could be terminated if you drive a company vehicle without a
15
INTN:RNATIONAI. UNION 1' IO \ ( 11" t)PERATING ENCTINEERS
LOCAL UNION NO. 150, 150B. ISOA, 150C, 150RA, 150D, ISOG, I50M
ARPILIATEO WITH THE A-VL -I: 1 .. nN 51—DING TRADES DEPA14IMENT
JAMES M. SWEENEY
PRESIDENT BUSINESS MANAGER
Date: 9-3-2025
To whom it may concern:
(7081 462-6800 FAX 17081 482.7186
6200 JOLIET ROAD
COUNTRYSIDE. IL 60525-3992
Countless individuals; businesses, and t.Innmunities in the private and public sector, alike
— recognize the added value of doing husiness with contractors who support Workforce
Development through their participation in I iniicd States Department ofLabor (USDOIJapproved
apprenticeship programs. USDOI.-approved apprenticeship programs ensure that the young
people of Indiana have the oppOrtunity tO do y vlop a portable skill set that remains with them
throughout their careers in the construction industry. ne training provided by these programs
addresses the evolving concerns of communitic,:. 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 Indiana F:arth, Inc. is signatory to a collective bargaining
agreement (C$A) with the International Union of' Operating Engineers Local 150. This CBA
requires the above -referenced employer i1, participate in Local 150's USDOL-approved
Apprenticeship and Skill Improvement Propr<wi. It is understood and agreed that the Employer
shall be bound by the terms and pro\ ision�, ,, the Agreement and Declaration of Trust of the
Apprenticeship Fund, and all amencintents lieu,.A1ltnre or hereafter made thereto, as though the same
were fully incorporated herein. I he kniplo.I:r further agrees to be bound by the terms of the
Apprenticeship Standards established hN Joini \ pprcmiceship Training Committee of the Northern
Illinois and Northern Indiana Apprenticeshipxi,., Skill Improvement Program, as approved by the
United States Department of Labor. Bureau,,' apprenticeship Training.
Sincerely,
�Iarnes 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
.1g:.►I'dilerar(r1cAl 1.` 0,onl,!.
F----91UOE OPERATING ENGINEERS LOCAL 150 APPRENTICESHIPFUND
A joint effort Labor and Management to further aim of Industry vy
James M.Jweeneyl Chairman
Wednesday, September9*ZO25
To whom it may concern,
David M.JneUen/Secretary
Indiana Earth, Inc. isasignatory contractor to the I.U.O.E Loca15Iand therefore, also participates inthe |.U/D[
Local 150 Apprenticeship and Skill Improvement Program, iASIP), located at 19800 W. South Arsenal Rd, in
Wilmington, IL. The Local 150A6|P|sa D0LRegioe,ed Apprenticeship Program overseen bythe DOL'sOffice of
Apprenticeship (OA). Listed below are the number of graduates of its program during the years 2020 — 2024.
* 2024 Jl6
° 2Ol3 ZO&
* lO2Z'2Z8
~ 2O21 1O0
^ JU2O'l05
If there are any questions regarding the:! J O-E Local 150 Apprenticeship, please feel free to contact me directly.
ff,a4d' A�9 X�
Mark Kara
Assistant Coordinator
Operating Engineers Local 150Apprentiusmn
19800VV. South Arsenal Rd.
Wilmington, u6Qu8z
mkaa6uasiploca|l5Oor0
Tel: V15-7Z2-32O1x60UJ
INDIANA LABORERS' ' TRAINING TR UST FUND
David A. Frye
Secretary -Treasurer
Jerry J. Balk
Chris Brickey
Ricky Henson, Jr.
Ramon Mendoza, Jr.
Brian Short
P.U. Box 758 - Bedford, Indiana 47421
(812)279-9751
September 2, 2025
To Whom It May Concern:
Sean Couklet, Over -for
John P. Brown
Chairman
Kelly Abet
Michael Ferrara
,lade Painter
Nick Timmerman
Jim Wiseman
FAX: (812) 279-5545
Toll Free (800) 742-4086
This letter is to confirm that "Indiana Earth, 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 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.
Please refer to the current collective bargaining agreement for the ratio of Journey Worker to
Apprentice, if no ratio is prescribed in these documents, the ratio shall be one (1) Apprentice for
every (5) Journey Workers and thereafter not employ more than (1) Apprentice for every (3)
Journey Workers.
Sincerely,
f
Sean Coakley,
Director
vvwt .indianaluborerstraining.org
saw
•
` d�
KIM
rl
Sk
0
4
Apprentice Status Report By Indenture Date
Apprentices Indentured Between 11112.020 And 12/31/2024
Apprentice Program: IN2
Year Apprentice Status Apprentices Percentage
2024
Active
920
80.07%
Active Duty
1
0.09%
Adv. to Journeyman
21
1.83%
Deceased
t
0.09%
Graduated
Med. Susp.
1
0.09%
2
0,17%
Not Registered
1
0.09%
Reinstate
55
4.79%
Suspended
5
0.44%
Terminated
138
12.01%
,Voluntary withdraw A
4
0.35%
L Total Indentured 1149
Printed: Friday, February 7, 2025 Page 3 of 3
Apprentice Status Report By Indenture Date
Apprentices Indentured Between 111/2020 And 12/31/2024
Apprentice Program: IN2
Year Apprentice Status Apprentices Percentage
2022
2023
Active
217
22.89%
Adv. to Journeyman
75
7.91%
Deceased
5
0.53%
Graduated
95
10.02%
Joumeyman - -
- 1
0.11%
Med. Susp.
3
0.32%
Not Registered
1
0.11%
Reinstate
6
0.63%
Stvended
7
0.74%
Terminated
498
52.53%
Transferred Out
2
0.21%
Voluntary withdraw
38
4.01%
Total Indentured 948
AChh a
447
43.91%
Adv. to Journeyman
55
— ...
2
5.40%
0.20%
-
Deceased
Graduated
5
0.49%
Journeyman
� 3
0.29%
Med. Susp.
1
0.10%
Not Registered
5
0.49%
Reinstate
25
2.46%
Suspended
_._. 7
0.69%
Terminated
441
43.32%
Voluntary withdraw
27
2.65%
Total Indentured 1018
Printed: Friday, February 7, 2025 Page 2 of 3
Apprentice Status Report By Indenture Date
Apprentices Indentured Between 1/1/2020 And 12/3112024
Apprentice Program: IN2
Year Apprentice Status Apprentices Percentage
1-1
2021
Active __..._� ._----
------- 22
3.42%
Adv. to Journeyman
73
11.34%
Deceased
2
0.31%
Graduated
64
9.94%
loumeyman
1
0116%
Not Registered
1
0.16%
Reinstate
2
0.31%
Suspended
1
0.16%
Terminated
433
67.24%
Voluntary withdraw
45
6.99%
Total Indentured ...-._ 644
Active
53
7.13%
Active Duty
2
0.27%
Adv. to Journeyman
72
9.69%
Deceased
4
0.54%
Graduated
93
12.52%
Med. Susp.
1
0.13%
Reinstate
2
0.27%
Suspended
1
0.13%
Terminated
471
63.39%
Voluntary withdraw
44
5.92%
Total Indentured 743
Printed. Friday, February 7. 2025 Page i or 3
WE
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 0I/8/201.9 at Indiana
Laborers 'Training "Trust Fund -Apprenticeship. 'I lie 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 Ieave 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 tgriffin(a)dva.in.gov or (317 ) 232-391 h. 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 6ri ffi n
Program. Director
Phone (317)-234-6062 Toll Free (800yQ04520 Fay + ' ; I '%' i c
DEPARTMENT OF VETERANS AFFAIRS
STATE APPROVING AGENCY
402 WEST WASHINGTON STREET ROOM W469
INDIANAPOL.IS, 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
FACII.ITY 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 Indiana
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 'I"rust 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 ,iI I 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!
S I ucercly,
Taniqua Griffin
Program Director
State Approving Agency
Cc: VARO/ELR.
Rf. r 9
STATE OF INDIANA
DEPARTMENT OF VETERANS AFFAIRS
STATE APPROVING AGENCY
402 WEST WASHINGfON STREET ROOM W--469
INDIANAPOLIS, INDIANA 46204-2738
Jeremy Brewer
Apprenticeship (loordinator
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 belc,w:
TRAINING: PROGRAM LENGTH DOTCODE
Construction Craft Laborer
FACILITY CODE,: 30004114
4,000-7800 hours 47-2061.00
To the best of my knowledge Indiana laborers ' l r;> ir>jng; 'I rust Fund-Apprenticeshp does not utilize
erroneous or misleading advertisement, either by a ii.ial statement, omission, or intimation. It is
understood by Indiana Laborers Training Trust 1-tind-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 Titie 38, U. S. Code 3687, with an
effective date of January S, 2019.
If you have any questions, please contact me at 317-232-3916.
Sincerely,
Taniqua Griffin
Program Director
State Approving Agency
Cc: VAROfELR
Phone (317)-234-6062 Tolt F-ee (8001-400-4521) FL, i 1
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, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY
INCORPORATED IN: Texas
SURETY BONDING COMPANY OF AMERICA
(NAIC #24047)
BUSINESS ADDRESS: 151 N. Franklin Street, C.HICAGO, IL 60606
PHONE: (312) 822-5000
UNDERWRITING LIMITATION b/: $489,000
SURETY LICENSES c,f/: AL, AZ, AR, CA, CO, DE, DC, GA, ID, IL, IN, KS, MN, MO, MT, NE, NV, NM, NY, ND, OK, OR, SC, SD, TN,
TX, UT, WV, WY
INCORPORATED IN: South Dakota
/Swiss Re Corporate Solutions America Insurance Corporation
(NAIC #29874)
BUSINESS ADDRESS: 1200 MAIN ST. SUITE 800, KANSAS CITY, MO 64105 - 2478
PHONE: (816) 235-3700
UNDERWRITING LIMITATION b/: $113,786,000
SURETY LICENSES c,f/: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, GU, H1, 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: Missouri
Swiss Re Corporate Solutions Premier Insurance Corporation
(NAIC #32778)
BUSINESS ADDRESS: 1200 MAIN ST. SUITE 800, KANSAS ci ry, MO 64105 - 2478
PHONE: (816) 235-3700
UNDERWRITING LIMITATION b/: $7,070,000
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: Missouri
Swiss Reinsurance America Corporation
(NAIC #25364)
BUSINESS ADDRESS: 175 KING STREET, ARMONK, NY 10504 1606
SHORE EST
June 25, 2025
Re: Bonding L intits for Indiana Earth, Inc.
To Whom It May Concern:
Please be advised that Swiss Re Corporate Solutions America Insurance Corporation of
Kansas City, MO has had the continuing privilege of providing bonding support to
Indiana Earth, Inc. of Osceola, IN. Swiss Re Corporate Solutions America Insurance
Corporation has a Best Insurance Guide rating of A+ XV. We currently have a bonding
line established with single job limits of $10,000,000 and aggregate limitations of
$20,000,000. By no means do these limits constitute maximums, as we will consider
larger projects at the time a request is submitted to our company.
We are of the opinion that Indiana Earth, Inc. is one of the finest managed contracting
firms in the industry. They have consistently handled each of their projects in a
professional manner and all projects have been satisfactorily completed.
This letter is not all assumption of halhility not- is it a bond. Subject to a routine
underwriting review of the contract, hood forms, confirmation of adequate project
funding and current underwriting inIbi-matufn, we are prepared to arrange for the issuance
of performance and payment bonds upon r4gUe5t. Please note that any decision regarding
the extension of surety credit is bct\\ cc►i Swiss Re Corporate Solutions America
Insurance Corporation and Indiana Earth, Inc., and no liability attaches to third parties.
Should you have any questions, please do not hesitate to call.
Sincerely,
Thomas O. Chambers
Attorney -in -Fact
Swiss Re Corporate Solutions America Insurance Corporation
MEMBER v�✓E:8 1 e