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HomeMy WebLinkAboutOpening of Bids - Demolition of 747-749 Harrison Avenue Proj No 124-062 - KLF EnterprisesCITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name Demolition of 7471749 Harrison Avenue Project No. 124-062 For Bids Due Tuesday, February 10, 2026 @ 9:00 A.M. (E.S.T.) Date: Address: PARTI (Must be completed for all bids. Please type or print) Address: City/State/Zip: hsrhy Jz tqz0 Telephone Number: ( iuf) ) 351 t( a Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete thepublic works project or: Demolition of 7471749 Harrison Avenue the City of South Bend, Indiana, in accordance with plans and specifications prepared by:City of South Bend, Engineering Division and dated 01/22/2026 for the sum of (enter the Total Bid as shown on the Proposal)'3'dr u=seJ (Enter sum of Totat Base Bid plus Alternates shown on Proposal)($ 'S C o, 65 a (Numerical) The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified inthe notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordancewith 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 thatshown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a unitbasis, the itemization of the units shall be shown on a separate attach By (Signature) ""(AJ%A 3 (, ffa (4 A*i(Printed Name of Person Signing) ACCEPT ANCE The above bid is accepted this Subject to the following conditions: BOARD OF PUBLIC WORKS day of 20 Elizabeth A. Maradik, President Joseph R. Molnar, Vice President Abigail E. Magas, Member Breana N. Micou, Member Murray L. Miller, Member Attest: Hillary Horvath, Clerk Version 07/1 9/2023 Contractor's Bid for Public Works - 2 BID/PROPOSAL CITY OF SOUTH BEND Project Name: Project Number: For Bids Due: Contractor Name: Demolition of 7471749 Harrison Avenue 124-062 Tuesday, February 10, 2026 @ 9:00 A.M. (E.S.T.) I)lti.-i BASE BID Item No.Description I I ', Quantity Unit I Unit Price I ' Total AmountI 1 Lump Sum price to complete asbestos iabatement, dewatering, building idemolition, backfill, grading and seeding ias intended by these Specifications i I LSUM Ii Ii I:3 (yO ()!J o I I j : 366, ay<3 2 Environmental Allowance I 1 LSUM $25,000 $25,000 i BASEBIDTOTAL 3f3r, (,Lid City/State/Zip: f'Q rL 40LrZ5Telephone i 7(1 8) 331 -Ltzau (Signature) (Printed Name of Person Signing) Version 07/'19/2023 Contractor's Bid for Public Works - 7 Sealed bid submitted to: City of South Bend, Indiana Board of Public Works Demolition of 7=47/'749 Harrison ave Project No.l24-062 Submitted by: K.L.F. Enterprises 2300 w 167fh st Markham, IL 60428 708-331-4200 2-10-26 9: 00 am When the prospectisie Contractor is unable to certify to any of the stateiyients below, it shall attacli an explanation to this Affidavit. CONTRACTOR'S NON-COLLUSION AND NON-DEBARMENT AFFIDAVIT, CERTIFICATIONREGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATTON, NON-DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED ST ATES STEELPRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATEOF (,u-( 'IL COtJNTY Tlie undersigned Contractor, being duly sworn upon liis/lier/its oatli, affirms under tlie penalties of perjurytliat: 1. Contractor lias not, nor lias any otlier member, representative, or agent of tlie firin, coinpany,corporation or partnership represented by him, entered into any combination, collusion or agreeinent witliany person relative to the price to be bid by anyone at sucli letting nor to prevent asiy person from biddingnor to induce anyone to refi'ain fi-om bidding, and tliat tliis bid is made witliout reference to any otlier bid andwithout any agreement, understanding or combination witli any otlier person in reference to sucl'i bidding.Contractor further says tl'iat no person or persons, fil'lllS, or corporation has, liave or will receive directly orindirectly, any rebate, fee, gift, connnission or thing of value on accoruit of sucl'i sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principalsare presently debarred, suspended, pi-oposed for debarment, declared ineligible, or voluntarily excluded fromparticipation in tliis transaction by any Federal department or agency; and 3. Contractor lias not, nor lias any successor to, nor an affiliate of, Contractor, engaged ininvestment activities iri Iran. a. For purposes of tliis Ceitification, "Iran" means tlie government of Iran and any agencyor iristrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, asainended fi'Oll] time-to-time. b. As provided by Ind. Code F3 5-22-16.5-8, as amended from time-to-time, a Contractoris engaged in investment activities in Iran if eitlier: i. Contractor, its successor or its affiliate, provides goods or services of twentyi'iiillion 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 institutioi'i tliat extendstwenty million dollars ($20,000,000) or niore in credit to another person forfoity-five (45) days or more, if that person will (i) rise the credit to providesgoods and services in the energy sector in Iran; and (ii) at the time thefinancial institution extends credit, is a person identified on list priblislied bythe Indiana Depaitment of Adn'iinistration. 4. Contractor does not knowingly employ or contract witli an unautliorized alien, nor retain anyemployee or contract witli a person tliat tlie Contractor subsequently leai'ns is an unautliorized alien. Version 07/1 9/2023 Contractor's Bid for Public Works - 4 Contractor agrees tliat l'ie/slie/it shall enroll in and verify tlie work eligibility status of all of Contractor'sriewly hired employees through tlie E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor'sdocumentation of enrollment and participation in tlte E-Verify Program is included and attaclied as pait oft)'iis bid/quote; and 5. Contractor sliall require liis/l'iei'!its subcontractors perfonning work under tliis public contract tocertify tliat tl'ie subcontractors do not knowingly einploy or contract witli an unautliorized alien, nor retainany employee or contract witli a person tliat tlie subcontractor subsequently learns is an unautliorized alien,and that the sribcontractor ]ias enrolled in and is participating in the E-Verify Program. Tl'ie Contractor agreesto maintain tliis certification tlirougliout tlie term of tlie contract witli tlie City of Soritli Bend, and understandstl'iat tlie City may terminate tlie contract for default if tlie Contractor fails to cure a breacli of tliis provisionno later tlian tliirty (30) days after being notified by tlie City. 6. Persons, fii'i'ns, paitnersliips, corporations, associations, or joint venturers awarded a contract by tlieCity of Soutli Bend tlirougl'i its agencies, boards, or commissions sl'iall not discriminate against any einployeeor applicaxit for employment in tlie perfon'nance of a City contract witli respect to liire, tenure, terins,conditions, or privileges of contract or employment, or any matter directly or indirectly related to contractingor employment because of race, sex, religion, color, national origin, ancestiy, gender expression, genderidentity, sexual orientation, or due to age or disability tliat does not affect tliat person's al:iility to perfoi'in thework. In awarding contracts for tlie purclxase of work, labor, services, supplies, equipment, materials, or anycombination of tlie foregoing including, knit not limited to, priblic works contracts awarded under publicliidding laws or otlier contracts in wliicl'i public bids are not required by law, tl'ie City, its agencies, Iioards,or comn'iissions will consider the Contractor's good faitli efforts to obtain participation by tliosesubcontractors certified by tlie State of Indiana as a Minority Business ("MBE") or as a Woi'nen's BusinessEnterprise ("WBE") as a factor in detei-it'iining tlie lowest, responsible, responsive bidder. Contractors seeking the award of a City contract cannot be required to award a subcontract to an MWBE;liowever, tliey may not ru'ilawfully discriminate against said MBE/WBE. On goal-eligible contracts,Contractors are required to either meet botli MBE and WBE utilization goals or demonstrate tliat theContractor lias made good faitli effoits to obtain paiticipation from MBE and WBE subcontractors. A findii'igof noncompliance or a discriminatory practice sliall proliibit tliat Contractor froin being awarded a Citycontract for a period of one (l) year fi'om tlie date of sucl'i detei'inination, and SLICII detennination may alsobe grounds foi' tenninating tlie contact to wl'iicli tlie discrin'iinatory practice or noncon'ipliance pertains. 7. Tl'ie undersigned Contractor agrees tliat tlie following nondiscrimination conunitn'ient sliall be madea part of axiy contract wliicli it n'iay l'iencefortli enter into witli tlie City of Soutli Bend, Indiana or any of itsagencies, boards or conunissions. Contractor agrees not to discriminate agaii'ist or intimidate ai'iy employee or applicant for einployment in tlieperformance of tliis contract witli privileges of en'iployinent, or any matter directly or indirectly related toemployment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation,liandicap, national origin or ancestiy. Breacli of tliis provision may be regarded as matcrial breacli ofcontract. I, ttte undersigned liidder or agent as contractor on a public works project, understand iny statutoryobligations to tlie use of steel products or forindiy products made in tlie United States (I.C. 5-16-8-1). Ilierebycertify tliat I and all subcontractors employed by me for tliis project will rise steel products or foundryproducts made in tlie United States on tliis project if awarded. I ruiderstand I liave an affirmative duty tonotify tlie City in n'iy bid tliat my proposal does not include tlie rise of steel prodricts or forindi'y productsmade in tlie United States. I understand it is my sole obligation and responsibility to provide a justificationto tlie City, suliject to review and approval, wliy tlie cost of United States made steel or [oundi'y products isui'ireasonable. Prior to award and upon submission of bid wliicli does not use steel products or foundi'yproducts made in tlie United States, tlie City, tlirouglx its director of public works, shall make a determinationif tlie price of United States made steel or foundi'y is ui'ireasonalile. l understand tliat yiolations liereunder Version 07/1 9/2023 Contractor's Bid For Public Works - 5 n'iay result in forfeiture of contractual payments. I liereby affinn under tlie penalties of perjui'y tliat tl'ie facts and information contained in tlie foregoing bidfor public works are true and correct. Dated this P' day of Q, 20Z( Coi' pidde i n'i) : ontractor/Bidder or Its Agent Prii'ited Name and Title Subscribedandsworntobeforemetliis L"4 dayof;rAAtZ-u.tyt-y7 ,2(1:4L Official Seal SllSAN MARIE HINZ Notary Public, State of IlllnoisCommission No. 1019247My Commlsslon Expires October j 6, 2029 Version 07/19/2023 Contractor's Bid for Public Works - 6 CITY OF SOUTH BENDMINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLANFORM MBE-1.0 MBE UTILIZATION PLANThis 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 verity whetlier any listed minority-owned business meets the MBE qualifications.""Goals should be calculated based on the Base Bid only."" Project Number: Bidder: "l 24-062 Project Name: vt,P F,,>.,,-,- Demolition of 747/749 Harrison Avenue Base Bid Amount: 3Z O,ya()MBE Goal: 1.27% Page o3Name & Aa'dreSs of 'ABE ! Pr'(nNlaarmyeC/TonekleapcIhPoneers)on i (Attach scope/schedule if you need additional space) Scope of Work to be Performed I Dollar Amount of MBE Cowpcnent Percentage i of Total i Bid/Proposal i '!APClass l,oBai'stits u-t- ' eevra +-ec2213 5ahV(h(,, , I: 'S*-"iqb-w-ti5(d, It-t quvi! )!Ain,5 a- bs'tpos4.27 000 I I /, Z 7 @, . I: I I i I I II i I I II I I I I I _.._Submitte"l by: Print Name Signaic:re "" G OalS S f1 0 tll d f) e C tllC Li )i=.) te d '-" i'. S ' C! 0 {' ( )1 13 8 J S Q E'C! '.-:: C : ')'. ' - Version 07/19/2023 Contractor's Bid for Public Works - 8 CITY OF SOUTH BENDMINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-2.1 MBE CONT ACTEDThis completed form should be supplied with Bids that pertain to City of South Bend Public Works Projectsrequiring Good Faith Efforts to contact MBEs. It is the bidder's sole responsibility to verify whether any listedminority-owned business meets the MBE qualifications. Attach additional pages if necessary. PAGE OFProject Number: 124-062 MBE Participation Goal 1 .27%Project Name:Demolition of 7471749 Harrison Avenue TYPE OF WORK SOLICITED FOR THIS PROJECT: -7;, 7, * -{ (, (Date) RESULTS OF CONTACT WITH THE MBE FIRM: /' . , / MBE Firm Owner or Contact at MBE Firm Telephone: Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: Email: I (La 'y.','i } I 'S,/ A RESULTS OF CONTACTWITH THE MBE F!<M: Version 07/19/2023 Contractor's Bid for Public Works - 14 CITY OF SOUTH BENDMINORITY 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 PublicWorks Projects requiring Good Faith Efforts to obtain MBE participation. Project Number: 124-062 Date:?-q-2'd; Project Name:Demolition of 7471749 Harrison Avenue Bidder: Contact Person: Address To determine whether a bidder h emonstrated good faith efforts to reach the MBE utilization goals set forth inthe 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 3 ) the City of South Bend's Minority and Women Business EnterpriseInclusion Program Plan; 2) the list of certified MWBEs provided by the City and 3) the Indiana Departmentof Administration list of Minority and Women Owned Businesses (both certified and non-certified) foundat: //__idoa/. I : I I I I li I I I I I I I I I I I I I I I I II GOOD FAITH EFFORTS TO OBT AIN MBE PARTICIPATION The bidder shall initial each item below, as evidence of its good faith efforts to obtain MBE participationin the awarded contract. l/ffiafifu'smionkhpakro'greraVmeWpeidan'haenC:rhoefiSno:ia1hnaBeonedpsartMmneonrt1yotan:omwionmisterantiBounsosnceesriSi7:e%feriipsrt'soerIndiana Minority and Women Business Enterprises, found on their website(http://www.in.gov/idoa). g /raffirm that i have made good faith efforts to select portions of the contract worv to beperformed by MWBEs, including, where appropriate, breaking out contract work items intoeconomically feasible units to facilitate MBE participation. b 7firm that I have made good faith efforts to solicit through all reasonable and availablemeans the interest of all MBEs in the scopes of work of the contract./) /l/ /I affirm that I attended all pre-bid meetings scheduled by the City of South Bend to informMBEs of contracting and subcontracting opportunities. // Xaffirm that I advertised in general circulation and/or trade association publicationsconcerning subcontract opportunities and allowed MBEs reasonable time to respond toS!Wl advertisements. v /laffirm that I performed any and all necessary steps to provide written notices in a mannerreasonably calculated to inform MBEs of subcontracting opportunities and allowedsufficient time for MBEs to participate effectively. I I p /I affirm that I followed up on initial solicitations with interested MBEs.I I I v /l affirm thatl negotiated with interested MBEs in good faith, including providing such MBEswith adequate information about the plans, specifications and other requirements of thes$contract. I I I,k / 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. I I I Version 07/19/2023 Contractor's Bid for Public Works - 10 CITY OF SOUTH BENDMINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS I I I I I I I //eqffu51prmmethnattSluhpapvlelem,amdeatgeo:adlSfaoitrhreefflaotertdstaosasslSstiasntcinetserOerssteedNMlcBeSE,sWinheorbetaainpipnrgOpnrelactees.sarylI I I I ,l ,l ,l I I I v Lonathotrhoautglhdi.idnvneosttrigejaetciotnanoyrtMheB.iErscaapsaubniiqitiueasl:fiedwithoutsoundbusinessreasonsbasedl I II I II I I I I CONTRACT RECORDS: The bidder has maintained the following records for each MBE that has bid onthe subcontracting opportunity: 1. Name, address, and telephone number;2. A description of information provided by the bidder or subcontractor; and3. A statement of whether an agreement was reached, and if not, why not, including any reasons forconcluding 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. Anyomissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City ofSouth Bend reserves the right to request additional information. Version 07/1 9/2023 Contractor's Bid for Public Works - 11 CITY OF SOUTH BENDMINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLANFORM WBE-1.0 WBE UTILIZATION PLANThis 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:124-062 Project Name: Demolition of 747f749 Harrison AvenueBidder:LIP f,l,.,-Base Bid Amount:'>(:-(),c d WBE Goal'. 4.59% 2Name & Address of WBE Primary Contact Person(Name/T elephone)Scope of Work to be Performed(Attach scope/schedule if you need additional space)Dollar Amount of WBE IComponent i Percentage oT Total Bid/ProposalAMS Elite Solutions, Inc1862 E Belvidere RoadGrayslake, IL 60030 Julie Savitt 847-838-9501 Trucking Services 18,000.00 i jI j Submitted by: Julie Savitt Print Name Signbb 2/9/26 Date "'Goals should be ca(culated based on the Base Bid only."" Version 07/19/2023 Contractor's Bid for Public Works - 9 CITY OF SOUTH BENDMINOR)TY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM WBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS IHli t This completed form should be included as part of the Bids documents related to City of South Bend PublicWorks Projects requiring Good Faith Efforts to obtain MWBE participation. pro3ect Number: 124-062 Date: 'z- 7 " l <,Project Name:Demolition of 7471749 Harrison Avenue Bidder: Contact Person: Address: Email: To determine whether a bidder tfds demoated good faith efforts to reach the WBE utilization goals set forth inthe 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 State: I I EVIDENCE OF GOOD FAITH EFFORTS I I I I I WBE LIST(S): The bidder reviewed 1 )the City of South Bend's Minority and Women Business EnterpriseInclusion Program Plan; 2) the list of certified MWBEs provided by the City; and 3) the Indiana Departmentof Administration list of Minority and Women Owned Businesses (both certified and non-certified) foundat: ;___//ww___w.in,g_g_. I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I GOOD FAITH EFFORTS TO OBT AIN WBE PARTICIPATION I I I I I I I I I I I I I I I I I I I I I I I The bidder shall initial each item below, as evidence of its good faith efforts to obtain WBE participationin the awarded contract. l-l PlnacffluirSml0nthPatrOlgreravmiewPeldanthaenCdittyhoeflSnodulathnaBeDnedp'sa,MmineonrtityOfanAddmWIonmlsteranrlBOunssincee:s.lfElendterrlpsrtisoef i Indiana Minority and Women Business Enterprises, found on their websiteI (http://www.in.gov/idoa). l,,l Haffirm thatl 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 intoI economically Feasible units to facilitate WBE participation. L/ I 4ffirm 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 ,-i I ', I affirm that I attended all pre-bid meetings scheduled by the City of South Bend to inform WBEs of contracting and subcontracting opportunities. l/ /L'7affirm that i advertised in general circulation and/or trade association publicationsconcerning subcontract opportunities and allowed WBEs reasonable time to respond tosuch advertisements. u i " I affirm that I performed any and all necessary steps to provide written notices in a mannerreasonably calculated to inform WBEs of subcontracting opportunities and allowed, sufficient time for WBEs to participate effectively. VI i I affirm that I followed up on initial solicitations with interested WBEs. / : l j /I affirm thatl negotiated with interested WBEs in good faith, including providing such WBEswith adequate information about the plans, specifications and other requirements of thesyjcontract. j,,,j / I affirm that I have made good faith efforts to assist interested WBEs in obtaining bonding,lines or credit, or insurance as required by the City or the bidder, where appropriate. Version 07/1 9/2023 Contractor's Bid for Public Works - 12 CITY OF SOUTH BENDMINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM WBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS il I I )i I affirm that I have made good faith efforts to asSiSt interested WBEs in obtainingnecessary equipment, supplies, materials, or related assistances or services, whereppropriate. I I I (/" v / I affirm that I did not reject any WBEs as unqualified without sound business reasonsbased on a thorough investigation of their capabilities. I CONTRACT RECORDS: The bidder has maintained the following records Tor each WBE that has bid onthe subcontracting opportunity: -1. Name, address, and telephone number;2. A description of imormation provided by the bidder or subcontractor; and3. A statement of whether an agreement was reached, and if not, why not, including any reasons forconcluding 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. Anyomissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City ofSouth Bend reserves the right to request additional information. Version 07/1 9/2023 Contractor's Bid for Public Works - 13 CITY OF SOUTH BENDMINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN FORM MBE-2.1 WBE CONT ACTED Itlti'i . This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projectsrequiring Good Faith Efforts to contact WBEs. It is the bidder's sole responsibility to verify whether any listedwoman-owned business meets the WBE qualifications. Attach additional pages if necessary. PAGE OF Project Number: 124-062 WBE Participation Goal 4.59% Project Name: Demolition of 7471749 Harrison Avenue TYPE OF WORK SOLICITED FOR THIS PROJECT: a- 7 r: I RESULTS OF CONT ACT WITH THE WBE FIRM: WBE Firm Owner or Contact at WBE Firm Telephone: Fax: TYPE OF WORK SOLICITED FOR THIS PROJECT: Email: y. I i ',if ll% I //l '! /'A RESULTS OF CONT ACT WITI-'i THE WBE F'lRM: Version 07/at 9/2023 Contractor's Bid for Public Works - 15 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name Demolition of 7f471749 Harrison Avenue Project No. 124-062 For Bids Due Tuesday, February 10, 2026 @ 9:00 A.M. (E.S.T.)Contractor Name: The City seeks to enhance its ability to identify responsive and responsible bidders on all City public worksprojects by institution of comprehensive submission requirements in compliance with State law. Qualityworkmanship, efficient operation, safety, and timely completion of projects requires that all bidders meetcertain 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 beconsidered 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-QualifiedBidders") within twelve (12) months of obtaining pre-qualified standing. If the status of any item changeswithin 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 thetime prescribed above shall result in automatic removal of the designation, effective immediately followingthe twelve (12) months of pre-qualified standing.However, the "removed" contractor or subcontractor shall still be permitted to bid on City public worksprojects, though the contractor must submit all required documents under 6-71 until "pre-qualified" statusis 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 randominquiries 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 tothe bidder in Section 6-71 of the Responsible Bidding Ordinance no later than the date of the public bidopening. Version 5/20/2024 General Conditions - 41 POST BID SUBMISSIONS: Post-bid submissions must be submitted in accordance with Section 6-72 of the Responsible BiddingOrdinance. The post-bid submission requirements are as follows: 1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses thename, address, licensing status, and type of work for any subcontractor from whom the bidder hasaccepted a bid and/or intends to hire on any part of the public work project, including individualsperforming work as independent contractors. 2. Each subcontractor, whose portion of the project is estimated to be at least two-hundred fiffythousand dollars ($250,000.00), shall be required to adhere to the requirements of Section I of theResponsible Bidder Ordinance as though it were bidding directly to the City, except that thesubcontractor 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 successfulbidder from performing work on the project and shall not constitute a contractual default and/orbreach by the successful bidder. However, the City may withhold all payment otherwise due forwork performed by a subcontractor, until the subcontractor submits the required information andthe City approves such information. 4. The disclosure of a subcontractor list ("Disclosed Subcontractor(s)") to the City by a bidder shallnot create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute anothersubcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of thename, 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 workgreater than $250,000 on a public works project are required to submit certified payroll utilizing thefederal form known as WH-347 or a similar form on a bi-weekly basis, submitted within 10 daysafter the end of each bi-weekly payroll period. Certified payrolls shall identify the iob title and craftfor each employee. Certified payrolls shall be submitted electronically. Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result inthe automatic disqualification of the bid. The City, after review of complete and timely submissions, shall, in its sole discretion, after taking intoaccount all information in the submission requirements, determine whether a bidder is responsive andresponsible, and provide a Pre-Qualification Verification Letter. The City specifically reserves the right toutilize all information provided in the contractor's submission and any information obtained by the Citythrough its own independent verification of the information provided by the contractor. Version 5/20/2024 General Conditions - 12 PRE-QUALIFIED BIDDER CHECKLIST al Acknowled ments: i) U By checking this box, I hereby acknowledge that I am a pre-qualified bidder withthe City of South Bend and that I have met the pre-qualification requirements withinthe last twelve (12) months. A copy of my Pre-Qualification verification letteris attached. ii) j By checking this box, I hereby acknowledge that the City reserves the right torequest supplemental information, additional verification of any informationprovided by me, and may also conduct random inquiries or my current and priorcustomers. (iii) By checking this box, I hereby acknowledge that apprenticeship and training (iv) By checking this box, I hereby acknowledge that all subcontractors performingwork greater than $250,000 also meet the qualifications o( the Responsible BidderOrdinance. (b) Attachme (i) V Indiana Secretary of State's on-line records (ie. Business verification) dated within (iii) (iv) I I L/ sixty (60) days or the submission of said document showing that business is inexistence, current with the Indiana Secretary of State's Business Entity Report,and eligible for a certificate of good standing. (Not applicable to individuals, soleproprietors or partnerships). Statement on staffing capabilities, including labor sources. This statementindicates and ensures I have sufficient employees on staff to complete the work. Itoutlines 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, includingthe State of Indiana, within the last three (3) years.For every project, submit evidence of participation in apprenticeship and trainingprograms, applicable to the work to be performed on the project, which areapproved by and registered with the United States Department of Labor's Office ofApprenticeship, or its successor organization. This includes, but may not be limitedto, letters from apprenticeship coordinators detailing the bidder's association withthe program, and the United States Department of Labor Office of ApprenticeshipCertificates of Registration of Apprenticeship Programs for each type of work to beperformed on the project. Version 5/20/2024 General Conditions - 13 PRE-QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE-QUALIFIED) (ii) (a) Acknowledgements: (i) By checking this box, I hereby acknowledge that I am not a pre-qualified bidderwith the City of South Bend. By checking this box, I hereby acknowledge that the City reserves the right torequest supplemental information, additional verification of any informationprovided, and may also conduct random inquiries of my current and priorcustomers. The City reserved the right to utilize all information provided in thissubmission and all information obtained in inquiries or requests to determine if abidder is responsive and responsible. Additionally, I acknowledge that allinformation provided to the City shall be regarded as public records.By checking this box, I hereby acknowledge that copies of all Applicableapprenticeship certificates or standards for training programs applicable to thework performed on the project may be requested at any time and shall be furnishedupon request. checking this box, I hereby acknowledge and ensure that I and all sub-ntractors, from whom I have accepted a bid and/or intend to hire to perform workon the public work project, are properly licensed. Furthermore, I acknowledge myunderstanding that it is my responsibility to ensure that all sub-contractors havethe 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. By checking this box, I hereby acknowledge that apprenticeship and trainingprograms that I participate in have graduated at least five (5) apprentices in eachof the past five (5) years. By checking this box, I hereby acknowledge that all subcontractors performingwork greater than $250,000 also meet the qualifications of the Responsible BidderOrdinance. (iii) (iv) (vi) (V) (b) Attachments: (i) (iv) (V) (V) Indiana Secretary of State's on-line records (ie. Business verification) dated withinsixty (60) days of the submission of said document showing that business is inexistence, current with the Indiana Secretary of State's Business Entity Report,a eligible for a certificate of good standing. (Not applicable to individuals, solea tors or partnerships). List identifying all former business names. y determinations by a court or governmental agency any violations of federal, or local laws including, but not limited to, violations of contracting or antitrustlaws, tax or licensing laws, environmental laws, Occupational Safety and HealthAct (OSHA), or federal Davis-Bacon and related Acts, within the preceding five (5)years. Statement about staffing capabilities, including labor sources. This statementindicates and ensures I have sufficient employees on staff to complete the work Iam bidding on OR outlines how I intend to meet the staffing needs of the work.Statement that individuals who will perform work on the public work project on mybehalf will be properly classified as an employee or as an independent contractorunder all applicable state and federal laws and local ordinances.For every project, submit evidence of participation in apprenticeship and trainingprograms, applicable to the work to be performed on the project, which areapproved by and registered with the United States Department of Labor's Office ofApprenticeship, or its successor organization. This includes, but may not be limitedto, letters from apprenticeship coordinators detailing the bidder's association with Version 5/20/2024 General Conditions - M (vi) (vii) (viii) (ix) the program, and the United States Department of Labor Office of ApprenticeshipCertificates of Registration of Apprenticeship Programs for each type of work to beperformed on the project. Copy of a written plan for employee drug testing that covers all of my employeeswho will perform work on the public work project and meets or exceeds therequirements set forth in )C 4-1 3-18-5 or IC 4-13-18-6.Evidence that I am utilizing a surety company which is on the Bureau of Fisca!Service "Department of Treasury's Listing of Approved Sureties" as required in thebid specifications or contract. Written statement of any federal, state or local tax liens or tax delinquencies owedto any federal, state or local taxing body in the preceding three years.List of projects of similar size and scope of work performed in all areas, includingthe State of Indiana, within three (3) years prior to the date on which the bid is due. Date: 2 -f-z (:,= (Print Name Here) Y-/xF fh 'br@rtb-a- :>(Name of Company) '23oo ( 1(,"7" 5)-(Address of Company) 75:z (State) I->g-S)) -l-txu(Telephone Number) Version 5/20/2024 General Conditions-15 IAIA DocumentA3lO'M 2010 BidBond CONTRACTOR: (Name, legd status and address) KLF Enterprises, Inc. 2300 W. 167th Street, Markham, IL 60428 SURETY: (Nmne, legd status (//?(I/ principcd placeof bminess) Hudson Insurance Company100 William Street, 5th FloorNew York, NY 10038OWNER: (Naine, legcd status and address) City of South Bend 227 W Jefferson BlvdSouth Bend, IN 46601 BOND AMOUNT: Five Percent of Accompanying Bid PROJECT: (.'i[mne, location or address, crnd Pi"oiecf nuinber, 4fcmv)Demolition of 7471749 Harrison Avenue - ProlectoNo. 124-062 This document has important lega!consequences Consultation withan 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 Tlie Contractor and Surety are bound to tlie Oty'ner in the amorint set fortl'i abosie. for tl'ie payment of ixahich the Contractor ai'id Sui'ety bind themselyes. tlieir lieirs, executors. adininistrators, successors and asSignS, jointly aiid severally, as provided Jierein. l'lie conditions of this Bond are such that i'l-tlie Oivner accepts tlie bid or tlie Contractor within the tii'i'ie specified in the bid documents. or wit)iin SLICII time period as may be agreed to by the Owner and Contractor. and the Comractor either(l ) enters intci a contract with ilie Ownei' in accordai'ice witl'i tlie tern'is ofasuclibid. alld glVeS SuC]l bQIld Or bonds as may be specified ln the blddlllg 01' CO]ltraCt DOCLllllelltS. l'i'ltll a SLllaet)' adlllltted in tlie jurisdictioi'i of tl'ie Project and otherwise acceptable to tlie Oyvi'ier, ror tl'ie faithful perfonnaiice of such Coritract and for the pron'ipt payment of labor and material furnislied in tlie prosecution tliereof). or (2) pays to the Otvner tlie difference, not to exceed tlie ainount of tliis Bond, between the ainoui'it specified in said bid and such )arger amount for wl'iidi the Owner may in good faith contract uiitli aiiotlier party to perforn'i the ivoit coiiered by said bid. then tl'iis ot'iligaiion sliall be null aiid void. otlierwise to reniain in full force and effect. The Surety hereby waives any notice of an agreei'nent between tiie Oyvner and Coimactor to extend tlie tin'ie in wthicli the Osvner mast accept the bid. Waiver of nOtlCC l)' th(i StlrOt} Sllall llOt aplily to all)" CXtellSlO]l CXCCCdlng SlXt)' (60) DADS 'In tl'ie a,,ogregale t)e70nd tl'ie tlnle r(lr accepiai'ice ofbids specified in tile bid dOCulllelltS, alld tile OlVner alld COlltraCtOr Sllall Obtain tlie SLllael3'S COnSellt rOl' aii extension beyond sixty (6€D days. If this Bond is issued in connection with a subcontractor's bid to a Comractor. the term Contractor in this Bond sl'iall be deemed to be Subcontractor aiid the tern'i Oiimer sliall be deen'ied to be Contractor.Wl'ien tliis Bond lias been fuianislied to con'iply witli a statutory or ot)'ier legal requirement in the location ol- r)ie Prqject, any provision in t)iis Bond con'ilicting with said statutoiy or legal reqriiremem shall l'ie deeined deleted heretron'i aiqd provisions conformii'ig to such statutory' or otl'icr Icgal rcquircincnt slial] be deci'ncd ii'icorporated lierein. Wl'ien so furnisl'ied, tlie intent is tl'iat tl'iis Bond s)iall be coi"istrued as a statutory bond and not as a common law bond.Signed and sealed this 1 0th day of February, 2026 (pi:= ! (Title). 4oJpts'[irance Company 4 / (Se(11) original AIA Contract Document, on which this text appears in RED. An oriHma} assurq tFi*t '- changes will not be obscunsd. Init.414 Document A3 10" - 20 * (1. Copyright @ 1%3, 1970 and 2010 by The Amencan Insfilute ofArchiteC.tS. All RIGHTS reSerVed. ';JAR )?iN(.o Th!S Ala" Document ig protected by u.s. Ccpyri(llit Lavi atld Inttiriistional Treaties Unautl'ior=ed reproductiori Or di5tiibuticin Of thiS 414 Docutnent, oi' f)n'j portion Of i( mal'} result in !'iGVt'rL' civil and criminal peniiltles, iii'icl 'iVill be pros(!cltted fO I)ie i-naximum extent pOSSible under IDe IjVl' Purchasers are permitted to reproduce fen (10) copies of this document when completed. To report copynghl violations of AIA COnlraCt Documents, e-mail The hnerican Instiiute ofArchilectsa legal counsel, copyrigh(@aia.org oaiiio G-23208-B STATE OF IL COUNTY OF WILL 1, Brandie Catlin, Notary Public of Will County, in the State of Illinois, dohereby certify that David A. Kotula Hudson Insurance Company Attorney-in-fact, of the who is personally known to me to be the same person whose name is subscribed to theforegoing instrument, appeared before me this day in person, and acknowledged that he signed, sealed and delivered said instrument, for andon behalf of the Hudson Insurance Company the uses and purposes therein set forth. for Given under my hand and notarial seal at my office in the City of Lockport in said County, this lo'h day of Februa'Y Brandie Catlin A.D. 20 26. Notary Public €!!i!!CES(2!j"= BID BOND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That HUDSON INSURANCE COMPANY, a corporation of the State of Delaware, withoffices at 100 William Street, New York, New York, 10038, has made, constituted and appointed, and by these presents, does make, constitute ani appoint David A. Kohila, Brian DiPaola of the State of nlinoisits h'ue and lawful Attorney(s)-ii'i-Fact, at New York City in the State of New York, eacli of them alone to havc full power to act witliout the other or OtllerS, TO make, execute and deliver On its b61lalf, AS Sllrety, bid bOnas and Consents Of Surety far any and all purpOSe!i. Such bid bonds and Consents of Surety, wlien duly executed by said Attomey(s)-in-Fact, sliall be binding ripon said Company as fully and to the same extent as if signed by the President of said Company under its corporate seal attested by its Secretary. In Wihiess Whereof, HUDSON mSURANCE COMPANY has caused these presents to be of its Senior Vice President tlieretuito duly authorized,on this lst day of , 202 at New York, New York. f,s;;3Ya%,')(Co"T'o'e8e') HUDSONINSURANCECOMPANY!.. 1" z' / . ---"'." " ) % '...-" ) Karen L. Colonna, Corporafe Secretary Andrew A. Dickson, Senior Vice President HUDSON INSURANCE COMPANY 8T ATE OFNEW YORK COUNTY OF NEW YORK SS. On tlie 33 day of November 20 25 before me personally came Andrew A Dickon to me known, who being by me duly sworn did depose aiid say that }ie is a Senior Vice President of HUD80N INSURANCE COMPANY, tbe Compmiy described hereiii and which executed the above instrument,tBlioat:,eoknfDow,e:thtoersseoalfSofflfdsalidmCpo:lyp,an;,:aattthl1eessle,aledaffilu.xsell:,,toesThaidereii:Ostnibymlkenetoisrdthere corporate seal of/said Comp,lhny, that it was so affixed by order of tlie 74,,-€j>,, . ii iii(Notarial Seal )ANN M. MURPHY Ncitarv Piiblic. !"iiite riF New YnrkNotary Public, State of New YorkNo. 01MU6067553 (2ualified in Nassau CountyCorninission Expires December 10, 2029 CERTIFICATIONST ATE OF NE'll"l-ORK COUNTf OF NEW YORK SS. anic undersigned Karen L. Colonna liereby certifies: THATtlie original resolution, of wluch the following is a true and con'ect copy, was duly adopted by unanimoris written consent of the Board of Directors of Hudson Ii'isurance Compaiiy dated July 27", 2007, and has not since been revoked, amended or modified: "RESOLVED, that the President, the Executive Vice Presidents, the Senior Vice Presidents and the Vice Presidents shall have the authonty and discretion, to appoint such agent or agents, or attorney or attomeys-in-fact, for the purpose of carrying on this Coinpany's surety business, and to e+npower such agent or agents, or attomey or attomeys-in-fact, to execute aiid deliver, under tlus Company's seal or otlierwise, bonds obligalions, and recognizances, whether made by tliis Company as surety tl'iereon or otlierwise, indeinnity contracts, contracts and ceitificates, and any and al} other contracts aiid undertakjixg made iii ihc coui'se of' (his Company's gtirety business, and renewals, exkensions, agreements, waivers, consents or stipulations regarding undertakings so made; and FURTHER RESOVLED, tliai tlie signature of aiiy 81}Ol) Officer of tlie Company and the Compaiiy's seal n'iay be affixed by facsiinile to aity power of aftomey or cei'tification given for the execution of any bond, undertaking, recogimance, contract of iiiderniuty or other written obligation in the nature tbereof or related thereto, such signature and seal when so used whether heretofore or hereafte4 being liereby adopted by tlie Compaiiy as the origiiial signature of sucli officer aizd the oiiginal seal of the Company, to be valid and binding upon the Company with the same force and effect ar though inaiiually affixed." THAT the above artd foregoing is a full, true and correct copy of Power of Attoi'ney issued by said Compaiiy, and of the wliole of tl'ie origina} and tliat tlie said Power of Afioniey is stiH in full force and effect acid lias not been revoked, and fiirthermore that the Resolution of the Board of DLcctors, set fortli in the said Power of Aftqiney is now in force. mo:,uo,l,elLs,% Witne2s the hand of the undersigned and tlie seal of said Company t)us10th dayof Februa(a7 ,20 26 . By. . Karen L. Colonna. Corporale Secretaiy SUITE 400 - CITY HALL 215 S. DR. MARTIN LUTHER KING, JR. BLVD. SOUTH BEND, INDIANA 46601-1830 sOUa'H Ba 181i5 PHONE 574/235-9251 FAX 574/ 235-9171 TDD 574/235-5567 CITY OF SOUTH BEND, JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS Date: January 27, 2026 To: All Planholders From Hillary Horvath, Clerk, Board of Public WorksSubject Addendum Number: 1 Project Name: Demolition of 7471749 Harrison Avenue Project Number:124-062 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendumby ineluding with your electronic bid submission. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and ContractDocuments and become a part of herein. Company: u Authorized Signature. Date: Z- ?-?,-(e> Ez '(3ci 'LJ ') Version 12/05/2025 18(+5 PROJECT NAME: DEMOLITION OF 7 4717 49 HARRISON AVENUE ADDENDUM NO. l Date: January 27, 2026 To:All Planholders From: Hillary Horvath, Clerk of the Board of Public Works Pre-bid Meeting: Due to recent weather the pre-bid meeting will no longer be held at theproject site. Interested contractors are encouraged to visit the site on theirown to see building conditions. LINK: https://tinyurl.com/HarrisonPrebid Special Provisions: The foliowing two pages are hereby incorporated into the SpecialProvisions as Section XXXVII. The City is partnering with the University of Notre Dame to performresearch on the building prior to and during demolition. You must acknowledge receipt of this addendum by signing the first page andincluding with your electronic bid submission. - This addendum consists of a total of 4 pages - Version 12/05/2025 XXXVII CONTROLLED DEMOLITION FOR RESEARCH MEASUREMENTS 1 GENERAL A. Coordinate demolition activities with Own er-retained researchers performing measurementsduring controlled impact of designated building elements. B. Controlled Impact Events consist of plaru'ied contact between demolition equipment andspecific building elements for research purposes. 2 COORDINATION A. Conduct a pre-impact coordination meeting with Owner, Architect, Contractor, andResearcl'iers at least 14 days before first Controlled Impact Event. B. Incorporate Controiled Impact Events into demolition schedule based on eight (8) hours totalon-site researcher participation and prior to any significant demolition of structures. Weatherconditions for scheduled day(s) must be at least 20F with minimal precipitation and wind gustspeeds less than 30 mph. Provide minimum 72 horirs' notice to Researchers prior to eachControlled Impact Event, unless otherwise agreed in writing. C. Provide Researchers reasonable access to site before, during, and after impact activities forinstallation, monitoring, and removal of instruments. Researchers may also remove selectmaterials from the site during or following demolition for iaboratory testing in coordination withtlie demolition contractor. 3 CONTROLLED IMPACT ACTIVITIES A. Perform impacts only at locations and in sequences approved by Owner and Researchers. B. Execute impacts at speeds, angles, and repetition reasonably requested by Researchers, withinlimits of safe operation and equipment capabiiiry. C. Temporarily pause demolition as reasonably required to allow data collection or verification. 4 DEMOLITION SEQUENCING A. Modify demolition sequencing as required to preserve instnumented elements until ControlledImpact Eveiits are complete. B. Do not remove, alter, or damage instrumented elements prior to written release byResearcliers. 5 SAFETY AND QUALIFICATIONS A. Operators perforining Controlled Impact Events sliall have minimun'i five years' experienceoperating similar demolition equipment. B. Comply with Project Safety Plan and establish exclusion zones during Controlled ImpactEvents. C. Suspend impact activities iinmediately if unsafe conditions develop or upon direction ofOwner, Architect, or Researchers. 6 LIABILITY AND INDEMNIFICATION A. Contractor shall not be responsible for damage to designated building eiements resultingdirectly from approved Coritrolled Impact Events. B. Contractor shail be responsible for damage to research instniments, adjacent properly, orinjury to personnel caused by negligent acts or failure to follow approved procedures. C. To tl'ie fullest extent permitted by law, Contractor shall indemni'fy and hold hamiless Ownerfrom claims arising out of Contractor's negligent acts or omissions during Controlled ImpactEvents. D. Owner shall indemnify Contractor for claims arising solely from inherent risks of approvedresearch activities, excluaing Contractor negligence. CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Demolition of 7471749 Harrison Avenue Project No. 124-062 For Bids Due Tuesday, February 10, 2026 @ 9:00 A.M. (E.S.T.) From time to time the South Bend Board of Public Works finds it necessary to reject a bid becauseit does not comply with statutory requirements. In preparing your bid, please use the followingchecklist in order to make sure that your bid is done in the proper manner. XOPrroBplderBb0idnds.ecurity included. The bidder has the option of providing either a Certified Check Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completelyexecuted. Contractor's Non-Collusion and Non-Debarment Affidavit, Certification Regarding Investmentswith Iran, Employment Eligibility Verification, Non-Discrimination Commitment, andCertification 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 GoodFaith Efforts Forms [MBE-2.0 and WBE-2.01 and M/WBE Contacted Forms [MBE-2.1 andWBE-2.1]. V/ Acknowledge Receipt or l Addendum(s) included with the bid. This checklist is provided for bidder's use in assuring compliance with requireddocumentation; however, it does not include all specifications requirements and does notrelieve the bidder of the need to read and comply with the specifications. By Authorized RepB ,pntstivp Signature: Version 07/1 9/2023 Contractor's Bid for Public Works - 1 PART If (For projects of $IO0,000 or more - IC 36-1-al2-4) 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 EXPER?ENCE 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 yourorganization. 3. Attach information regarding any failure to complete any work awarded to you and thelocation thereof. 4. Attach references from private firms for which you have performed work. SECTION It PLAN AND EQUIPMENT QUESTIONNAIRE 1. Attach an explanation of your plan or layout for performing proposed work. (Examples couldinclude 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 toconsider your bid.) 2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outsideyour own firm who have performed part of the work) that you have used on public worksprojects during the past five (5) years along with a brief description of the work done by eachsubcontractor. 3. If you intend to sublet any portion of the work, attach the name and address of eachsubcontractor, equipment to be used by the subcontractor, and whether you will require abond. However, if you are unable to currently provide a listing, please understand a listingmust be provided prior to contract approval. Until the corripletion of the proposed project, youare under a continuing obligation to immediately notify the City of South Bend in the event thatyou subsequently determine that you will use a subcontractor on the proposed project. 4. Attach a listing of equipment you have available to use for the proposed project. 5. Have you entered into contracts or received offers for all materials which substantiate theprices used in preparing your proposal? If not, attach an explanation for the rationale usedwhich would corroborate the prices listed. SECTION Ill CONTRACTOR'S FINANCIAL ST ATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without saidfinancial statement as required by statute shall thereby be rendered invalid. The financialstatement provided hereunder to the City of South Bend awarding the contract must be specificenough in detail so that said City of South Bend can make a proper determination of the bidder'scapability for completing the project if awarded. Version 07/1 9/2023 Contractor's Bid for Public Works - 3 ENTERPRISES 2300 w l67'h ST. @ MARKHAM, IL 60428 TEL: 708.331.4200 * FAX: 708.331.4212 1. Project: AERO School Education Center - Demolition Location: 7600 S. Mason Ave., Burbank, IL Description: Full demolition of educational facility. Contract Value / Year: !>185,000 l 2024 Owner: Novotny Engineering Contact: Tim Geary Phone: 630-887-8640 Email: tgeary@novotnyengineering.com 2. Project: Demolition of 38 Residential Structures & Asbestos Coordination Location: Chicago Heights, IL Description: Demolition of residential structures with asbestos removal coordination. Contract Value / Year: S700,000 I 2024 Owner: City of Chicago Heights Contact: TJ Somers Phone: 708-756-5315 Email: TJSomer@chicagoheights.net 3. Project: Demolition of (2) Schools - 80,000 SF Location: Hazel Crest, IL Description: Demolition of two school buildings totaling 80,000 square feet. Contract Value / Year: S500,000 I 2024-2025 Owner: Hazel Crest School District Contact: Joe Sierra 2300 w l67'h ST. * MARKHAM, IL 60428 TE L : 708 . 331 . 42 00 * FAX: 708.331 4212ENTERPRISES Phone: 708-825-0078 Email: jsierra@sdl525.org 4. Project: Demolition of (2) 54,000 SF structures and site restoration Location: 1920-1930 Thoreau Dr., Schaumburg, IL Description: Large-scale commercial structure demolition. Contract Value / Year: S579,000 I 2023 Owner: Village of Schaumburg Contact: Yasmin Rodriguez Phone: 847-923-6647 Email: yrodriguez@schaumburg.com 5. Project: Former Church Demolition Location: 5241 W. 23rd st., Cicero, IL Description: Demolition of former church structure. Contract Value / Year: S297,000 I 2025 Owner: Cicero School District Contact: Robert F. Rabin Phone: 847-791-6660 Email: RRabin@thompsoncoburn.com 2300 w 167'h ST. * MARKHAM, IL 6042E TEL: 708.331.4200 * FAX: 708.331.4212 Demolition of 747/749 Harrison ave Project-124-062 Part 2 for Submittals Section I Experience Questionnaire I -See attached reference sheet attached 2- Demolition of Daniel Burnham School, Cicero IL - To be completed 2-21-26 Project Value $700,000 Demolition of Commercial Structure 5450 s State St Burbank IL,asbestos remediations coordination, backfill and restoration To be completed 2-25-26 Project Value $ 160,000.00 3- Not applicable 4- See attached reference sheet (Cicero Church) Private Firm ENTERPRISES 2300 w 167'h ST. * MARKHAM, IL 6042 € TEL: 708.3314200 * FAX: 708.331.4212 Demolition of 747/749 Harrison ave Project-124-062 Part 2 for Submittals Section 2 Plan and Equipment 1. Project Overview KLF Enterprises proposes to perform the full structural demolition of tlie cliurch structurelocated at 749 Harrison Street, South Bend, Indiana. The demolition will be completed in acontrolled, safe, and efficient maruier using industry-standard practices, specialized heavyequipment, and comprehensive site management procedures KLF lias previously completed demolition of a cliurch structure of similar size and constructiontype, as noted on our reference project list. Based on tl'iat experience, we are confident in orirability to execute and manage this project successfully. 2. Equipment & Demolition Method Demolition operations will be performed using a Link-Belt 490 excavator eqriipped witliappropriate attachinents, which may include: Hydraulic sliear Concrete processor Bucket and tliumb Grapple attacliment The structure will be taken down using a top-down, controlled mechanical demolitionapproach, ensuring stability of remaining structural elements at all times. Materials will bebrought down in sections to maintain control and reduce risk of collapse beyond intended workareas. 2300 w 167'h ST. * MARKHAM, IL 60428 TEL: 708.331 .4200 * FAX: 708.331.4212 3. Dust Control Dust suppression will be handled using a mist cannon dust suppression machine, not astandard hose system. This equipment provides: Wider area coverage Fine mist application More consistent airborne particulate control Dust control measures will be active during all demolition and debris liandling operations tominimize off-site migration and maintain compliance with local environineiital requirements. 4. Site Security & Safety Controls To ensure public and worker safety: * Tlie site will be fully enclosed with temporary construction fencing.A secured gate entrance will be installed and locked wlien tl'ie site is not active.Wariiing signage will be posted at appropriate intervals.All demolition operations will follow OSHA standards and site-specific safety protocols. Only authorized persoi'u'iel will be permitted inside tlie controlled work zone. 5. Work Hours & Regulations KLF will: Adliere to all City of South Bend, State of Indiana, and applicable federal regulationsFollow approved working liours for the area Maintain compliance witli envirorunental, noise, and safety requiren'ients* Coordinate inspections and permitting as required 6. Debris Handling Debris will be sorted and processed during demolition. Materials will be: 2300 w '167"" ST. e MARKHAM, IL 60428 TE L : 7 08. 331 . 4 200 * FAX: 708.331 4212ENTERPRISES Loaded and transpoited to approved disposal or recycling facilitiesManaged in accordance witli environi'nental and waste regulations 7. Project Schedule Estimated Duration: 30-35 working days Start Timeframe: KLF can mobilize and begin work within 15-30 days of contractaward, pending execution of contracts and receipt of required permits. 8. Experience & Capability KLF Enterprises has successfully demolished a churcli structure of similar size andconfiguration, as SIIOWII on our reference project sheet. That project required similar structuralsequencing, dust control, site control, and debris management - giving us direct expeiienceapplicable to tliis scope. 9. Commitment KLF Enterprises is committed to completing this project safely, efficiently, and in fullcompliance 10. Asbestos Coordination Any required asbestos-related coordination will be performed in compliance witli State ofIndiana and federal enviroi'u'nental regulations. KLF Enterprises will coordinate all asbestos abatement activities through a properly licensedIndiana asbestos contractor holding a current Indiana business address and required statecertifications. All abatement work will be liandled by a reputable, qualified contractorexperienced in regulated material removal. Responsibilities will include: Proper notification to regulatory agencies (if required) Containment and controlled removal procedures Air monitoring as required ENTERPRISES 2300 w l67'h ST. * MARKHAM, IL 60428 TEL: 708.331.4200 @ FAX: 708.331.4212 Proper packaging, transpoit, and disposal at approved facilitiesFinal clearance documentation KLF will not proceed witli structural demolition in regulated areas until written confirmation isreceived that abatement lias been completed in accordance with applicable regulations. Subcontractors List 1 - Safe Environment CO.- Asbestos remediation and consultant i. Rick Lovelace 1006 165"1 st, Hammond, IN 46373 219-922-0844 Rick.lovelace@,safe-env.com 2- AMS Trucking - Hauling and Disposal (WBE) i. Julie Savitt 1862 e Belvidere Rd, Grayslake IL 847-838-9501 j.savitt@ams-es.net 3- Ist Class Logistics LLC- Hauling and Disposal (MBE) i. Bernard Coutee 2213 Saint Charles ave, South Bend IN 57 4-993-0071 lstclasslogistics20l3@,gmail.com * MARKHAM, IL 604282300 w 167'h TEL: 708.331 .4200 * FAX: 708.3314212 KLF Enterprises intends to self-perform all demolition and site work associated witli tliis project. Tlie only poitions of work that may be subcontracted are: Trucking/hauling services for debris transpoit Asbestos abatement, if required, which will be performed by a properly licensed andqualified asbestos contractor liolding a current Indiana address and required ceitifications All other work will be performed by KLF Enterprises using company-owned equipment andpersonnel. Subcontractor information will be provided prior to contract approval if required. KLFunderstands and acla'iowledges its continuing obligation to notify tlie City of Soutli Bend sliouldany additional subcontracting be determined during tlie course of tlie project. 4-KLF Enterprises will utilize the following equipment to perform demolition operations safelyand efficiently: l- Link-Belt 490 Excavator (primary demolition machine) 1- Link-Belt 350 Excavator 3 - Link-Belt 210 Excavators 4 - Skid Steer Loaders (Bobcat-type) 2 - Dozers ii 1- Compactor 1- Dust Boss Dust Suppression Machine l- JLG 80' Manlift Tlie Link-Belt 490 excavator will serve as tlie primary demolition unit due to its reacli, power,and suitability for controlled structural dismantling. However, KLF maintains additionalequipment on standby and available for deployment as site conditions or production needsrequire. This flexibility ensures scl'iedule adlierence and tlie ability to respond to unforeseen fieldconditions * MARKHAM IL 60428 * FAX: 708.33'l.4212 S Yes we have entered into agreements and received supp aer and subcontractor pricing thatsubstantaate the materia costs used an preparing our proposa 13tes qattz,% '-tits, accaraJam,e aiil& IKe A;asicslarmfaz ofapprenb6e4 D'REViSEDAtigust 13, 2004 u nizqBnon't !X'uy:ita'J'yri "C- y (ttttitimte of %egis'tatimt of flppteittitt:nl)ip Itogt'aitt Opera'f;ingEsgirteersLocall50Appy'eMitbsr;p 'Rind'V€!'irmaington,ffingis .gFort& '['raade - OperatingEsgLneer(HeavyEquiptnent 'J:ecrnician) in accorJance milA'lKe Gasi'c slanJiJs of apprenfices&p esiaGfi'sA'eJGylKea6ecrejary of&Gor May 5, 2002 Da' %visedJune 21, 2011 rtonozooos 9?eyAkalAm BUSINESS INFORMATION DIEGO MORALES mDIANA SECRETARY OF ST ATE 12/02/2025 03:)8 PM Business Naine: KLF DEMOLITION SERVICES, INC. Foreign Legal Nsn'ie: K.L.F. ENTERPRISES, INC. Entity Type: Foreign For-Profit Corporation Creatiori Date: 01/31/2018 2300 W 167th Street, 8TE 2, MarMam, IL,Principal Office Address: 6042, UsA Jurisdiction of Foimation: I)linois Business ID: 201801311237412 Business Stahis: Active Inactive Date: Expiration Date: Perpetual Business Entity Report Due 01131/2o26Date:Original Formation Date: 02/22/2000 Years Due: 2026/2027 Title President Secretary Name James Bracken JR. Kelly Bracken Address 2044 W 163rd st., Markham, IL, 60428, USA 2044 W ]63rd St, Markham, IL, 60428, USA Type: Business Commercial Registered Agent Name: COGENCY GLOBAL }NC. Address: 150 W. Market Street, Suite 400, Indianapolis, IN, 46204, USA 4015 S Ash/and Ave, #2 Chicago, IL 60609 708.331.4200 Eh!TERFRISES 2300 W 167th Street Markham, IL 60428 www. klfent. com Contractor Information Company: KLF Enterprises 2300 W 167th St. Markham, IL 60428 Telephone No. (708)331-4200 Person to be contacted: Project Manager: Sergio Espinoza 312-350-4214 sergioe@klfent.com Field Superintendent: Johnny Mahoney (708) 673-9518 j.mahoney@klfent.com Accounting: Marikate Helms (312) 852-0157 marikate@klfent.com Safety Officer: Chris Friesen (331) 999-8219 chris@klfent.com Who will sign Contracts: James Bracken (708) 331-4200 bracken708@gmail.com Contract Signature Title: President Admin/Submittal Closeout: Marikate Helms (312) 852-0157 marikate@klfent.com BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 01/29/2026 Name Zach Hurst Department DPW BPW Date 02/10/2026 Phone Extension 3057 Review and Approval Required Prior to Submittal to Board Diversity Compliance and Inclusion Officer Officer Name BPW Attorney Attorney Name Dept. Attorney Attorney Name Purchasing Check the Appropriate Item Type – Required for All Submissions Professional Services Agreement Contract Proposal Open Market Contract Amendment/Addendum Special Purchase, QPA Bid Opening Bid Award Req. to Advertise Title Sheet Quote Opening Quote Award Reject Bids/Quotes Proposal Opening C/O & PCA No. PCA Chg. Order, No. Traffic Control Resolution Other: Ease./Encroach Required Information Company or Vendor Name New Vendor Yes If Yes, Approved by Purchasing No MBE/WBE Contractor MBE WBE Completed E-Verify Form Attached Yes No Project Name Demolition of 747-749 Harrison Avenue Project Number 124-062 Funding Source River West DA TIF Account No. PR-00045912 Amount Terms of Contract Purpose/Description Request to open bids to demolish the existing church at 747/749 Harrison Avenue For Change Orders Only Amount of Increase Decrease $ ($ ) Previous Amount $ Current Percent of Change: Increase Decrease % ( %) New Amount $ Total Percent of Change: Increase Decrease % ( %) Time Extension Amount: New Completion Date: