HomeMy WebLinkAboutOpening of Quotes - Studebaker Museum Controls Proj No 125-079 - OJS Building ServicesVersion 1/3/2025 Page - 1 Contractor’s Quote Form
CITY OF SOUTH BEND, INDIANA
CONTRACTOR’S QUOTE FOR PUBLIC WORK
Project Name: Studebaker National Museum
Project B: Controls Upgrade Project
Project No. 125-079
Quotes Due July 14, 2026 by 9:00 am via email to bpwbids@southbendin.gov
(Must be completed for all quotes. Please type or print)
Date: Firm:
Address:
City/State/Zip: Telephone Number: ( )
Email Address:
Agent of Bidder (if Applicable):
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
The City of South Bend, Department of Public Works
and dated for the sum of (enter the Total Quote as shown on the Proposal)
($ )
(Enter Sum of Total Quote plus Alternates shown on Proposal) (Numerical)
If alternative quotes apply, the undersigned submits a proposal for each in accordance with the notice. Any
addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed, the cost of units must be the same as that shown
in the original contract if accepted by the City of South Bend. If the quote is to be awarded on a unit basis, the
itemization of the units shall be shown on a separate attachment.
ACCEPTANCE
The above quote is accepted this day of 20
Subject to the following conditions:
BOARD OF PUBLIC WORKS
President
Members
By
(Signature)
(Printed Name of Person Signing)
N/A
Studebaker National Museum Project B: Controls Upgrade Project
7/13/2026
778-4302
7/13/2026 OJS Building Services
2516 N Home Street
Mishawaka, IN 46545
Jason DeMeyer
jasondemeyer@dadodd.com
219
Two Hundred Thirty-Four Thousand Four Hundred Eighty Dollars 234,480.00
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QUOTE/PROPOSAL
CITY OF SOUTH BEND
Project Name
Studebaker National Museum
Project B: Controls Upgrade Project
Project No. 125-079
Quotes Due
July 14, 2026 by 9:00 am
via email to bpwbids@southbendin.gov
Item
No. Description Quantity Unit Unit Price Total Amount
1 Controls Upgrades 1 LS $
2 Alternate No. 1 1 LS $
Total Amount of Quote $
Firm:
Address:
City/State/Zip: Telephone Number: ( )
Fax Number: ( )
By
(Signature)
(Printed Name of Person Signing)
OJS Building Services
2516 N Home Street
219Mishawaka, IN 46545
219
Jason DeMeyer, President
778-4302
778-2981
207,980.00
26,500.00
234,480.00
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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 ___________ )
) SS:
COUNTY )
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that:
1. Contractor has not, nor has any other member, representative, or agent of the firm,
company, corporation or partnership represented by him, entered into any combination, collusion
or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent
any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made
without reference to any other bid and without any agreement, understanding or combination with
any other person in reference to such bidding. Contractor further says that no person or persons,
firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift,
commission or thing of value on account of such sale; and
2. Contractor certifies by submission of this proposal that neither contractor nor any of its
principals are presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from participation in this transaction by any Federal department or agency;
and
3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment
activities in Iran.
a. For purposes of this Certification, “Iran” means the government of Iran and any agency or
instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from
time-to-time.
b. As provided by Ind. Code § 5-22-16.5-8, as amended from time-to-time, a Contractor is
engaged in investment activities in Iran if either:
i. Contractor, its successor or its affiliate, provides goods or services of twenty million
dollars ($20,000,000) or more in value in the energy sector of Iran; or
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.
Indiana
St. Joseph
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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. 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
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directly or indirectly related to employment, because of race, religion, color, sex, gender
expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of
this provision may be regarded as material breach of contract.
I, the undersigned bidder or agent as contractor on a public works project, understand my statutory
obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-
8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel
products or foundry products made in the United States on this project if awarded. I understand I
have an affirmative duty to notify the City in my bid that my proposal does not include the use of
steel products or foundry products made in the United States. I understand it is my sole obligation
and responsibility to provide a justification to the City, subject to review and approval, why the
cost of United States made steel or foundry products is unreasonable. Prior to award and upon
submission of bid which does not use steel products or foundry products made in the United States,
the City, through its director of public works, shall make a determination if the price of United
States made steel or foundry is unreasonable. I understand that violations hereunder may result in
forfeiture of contractual payments.
***
I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public
works are true and correct.
Dated this day of , 20__
Contractor/Bidder (Firm)
Signature of Contractor/Bidder or Its Agent
Printed Name and Title
Subscribed and sworn to before me this day of , 20
My Commission Expires
Notary Public
County of Residence
13th
OJS Building Services
Jason DeMeyer, President
13th
05/23/2033
LaPorte
July 26
July 26
Version 1/3/2025 Page - 2 Contractor’s Quote Form
CITY OF SOUTH BEND
EQUAL EMPLOYMENT OPPORTUNITY CONTRACTING
PROVISIONS DIVERSITY UTILIZATION
It is the policy of the City of South Bend to provide equal employment and business opportunity for
all persons, partnerships, companies, and corporations in accordance with the rules, regulations and
guidelines of the applicable federal, state and local laws. This policy of equal employment and business
opportunity shall apply to every contractor or subcontractor bidding or holding a public contract with the City
of South Bend.
In furtherance of this policy, the following Equal Opportunity Clauses are hereby made a part of every
construction contract entered into by the City of South Bend and all subcontractors entered into pursuant
to any such contract and the bidder hereby certifies that it/he/she will abide by these provisions.
The contractor will not discriminate against any applicant or employee because of race,
color, religion, sex, national origin, or handicap. The contractor will take affirmative action
to ensure that all applicants or employees are treated fairly and equitably. Such action
shall include but not be limited to the following: hiring, up-grading, demotion or transfer,
recruitment, advertising, lay-offs or termination, rates of pay or other forms of compensation
and selection for training including apprenticeship programs.
The contractor shall agree to post in conspicuous places available to employees and
applicants, notices to be provided setting forth the provisions of the Non-Discrimination Clause.
The contractor will, in all solicitations or advertisements for employees placed by or on behalf
of the contractor, state that all qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, or national origin.
The contractor will send to each labor union or representative of workers with which
it/he/she has a bargaining agreement or other contract or understanding, a notice to be
provided, advising the labor union or worker's representatives of the contractor's
commitment under this section, and shall post copies of the notices in conspicuous places
available to applicants and employees.
The contractor will comply with all provisions of Executive Order 11246 (as amended by
11375) and of the rules, regulations and relevant orders of the Department of Labor.
Subpart B -- Contractors' Agreements
Sec. 202. Except in contracts exempted in accordance with Section 204 of this Order, all Government
contracting agencies shall include in every Government contract hereinafter entered into the following
provisions:
"During the performance of this contract, the contractor agrees as follows:"
"(1) The contractor will not discriminate against any employee or applicant for employment
because of race, color, religion, sex, or national origin. The contractor will take affirmative
action to ensure that applicants are employed, and that employees are treated equally
during employment, without regard to their race, color, religion, sex or national origin. Such
action will include, but not be limited to the following: employment, upgrading, demotion, or
transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other
forms of compensation; and selection for training, including apprenticeship. The contractor
agrees to post in conspicuous places, available to employees and applicants for
employment, notices to be provided by the contracting officer setting forth the provisions of this
nondiscrimination clause."
"(2) The contractor will, in all solicitations or advertisements for employees placed by or on
behalf of the contractor, state that all qualified applicants will receive consideration for
employment without regard to race, color, religion, sex or national origin."
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"(3) The contractor will send to each labor union or representative of workers with which
i t /he/she has a collective bargaining agreement or other contract of understanding, a notice,
to be provided by the agency contracting officer, advising the labor union or workers'
representative of the contractor's commitments under Section 202 of Executive Order No.
11246 of September 24, 1965, and shall post copies of the notice in conspicuous places
available to employees and applicants for employment."
"(4) The contractor will comply with all provisions of Executive Order No. 11246 of September
24, 1965, and of the rules and regulations, and relevant orders of the Secretary of Labor."
"(5) The contractor will furnish all information and reports required by Executive Order No.
11246 of September 24, 1965, and by the rules, regulations, and orders of the Secretary
of Labor, or pursuant thereto, and will permit access to his books, records, and accounts by
the contracting agency and the Secretary of Labor for purposes of investigation to ascertain
compliance with such rules, regulations, and orders."
"(6) In the event of the contractor's noncompliance with the nondiscrimination clauses of
this contract or with any of such rules, regulations, or orders, in this contract may be
cancelled, terminated or suspended in whole or in part and the contractor may be declared
ineligible for further Government contracts in accordance with procedures authorized in
Executive Order No. 11246 of September 24, 1965, and such other sanctions may be
imposed and remedies invoked* as provided in Executive Order No 11246 of September
24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided
by law."
"(7) The contractor will include the portion of the sentence immediately preceding paragraph
(1) and the provisions of paragraphs (1) through (7) in every subcontract or purchase
order unless exempted by rules, regulations, or orders of the Secretary of Labor issued
pursuant to Section 204 of Executive Order 11246 of September 24, 1965, so that such
provisions will be binding upon each subcontractor or vendor. The contractor will take such
action with respect to any subcontract or purchase order as the administering agency may
direct as a means of enforcing such provisions including sanctions for noncompliance:
Provided, however, that in the event a contractor becomes involved in, or is threatened
with, litigation with a subcontractor or vendor as a result of such direction by the
administering agency the contractor may request the United States to enter into such litigation
to protect the interests of the United States."
The applicant further agrees that it will be bound by the above equal opportunity clause with
respect to its own employment practices when it participates in federally assisted
construction work: Provided, that if the applicant so participating is a State or local
government, the above equal opportunity clause is not applicable to any agency,
instrumentality or subdivision of such government which does not participate in work on or
under the contract.
The applicant agrees that it will assist and cooperate actively with the administering
agency and the Secretary of Labor in obtaining the compliance of contractors and
subcontractors with the equal opportunity clause and the rules, regulations, and relevant
orders of the Secretary of Labor, that it will furnish the administering agency and the
Secretary of Labor such information as they may require for the supervision of such
compliance, and that it will otherwise assist the administering agency in the discharge of the
agency's primary responsibility for securing compliance.
The applicant further agrees that it will refrain from entering into any contract or contract
modification subject to Executive Order 11246 of September 24, 1965, with a contractor
debarred from, or who has not demonstrated eligibility for, Government contracts and
federally assisted construction contracts pursuant to the Executive Order and will carry out
such sanctions and penalties for violation of the equal opportunity clause as may be
imposed upon contractors and subcontractors by the administering agency or the Secretary
of Labor pursuant to Part II, Subpart D of the Executive Order. In addition, the applicant
agrees that if it fails or refuses to comply with these undertakings, the administering agency
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may take any or all of the following actions: Cancel, terminate, or suspend in whole or in
part this grant (contract, loan, insurance, guarantee); refrain from extending any further
assistance to the applicant under the program with respect to which the failure or refund
occurred until satisfactory assurance of future compliance has been received from such
applicant; and refer the case to the Department of Justice for appropriate legal proceedings.
* Corrected to read "invoked". In the original text the word "involved" was printed in error.
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CITY OF SOUTH BEND, INDIANA
CONTRACTOR’S BID FOR PUBLIC WORK
RESPONSIBLE BIDDER CHECKLIST
Project Name Studebaker National Museum
Project B: Controls Upgrade Project
Project No. 125-079
Quotes Due July 14, 2026 by 9:00 am via email to bpwbids@southbendin.gov
Contractor Name:
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.
N/A
Bid less than $250,000.00
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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.
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I. PRE-QUALIFIED BIDDER CHECKLIST
(a) Acknowledgements:
(i) ___ By checking this box, I hereby acknowledge that I am a pre-qualified bidder with the City
of South Bend and that I have met the pre-qualification requirements within the last twelve
(12) months. A copy of my Pre-Qualification verification letter is attached.
(ii) ___ By checking this box, I hereby acknowledge that the City reserves the right to request
supplemental information, additional verification of any information provided by me, and
may also conduct random inquiries of my current and prior customers.
(iii) ___ By checking this box, I hereby acknowledge that apprenticeship and training
programs that I participate in have graduated at least five (5) apprentices in each of the
past five (5) years.
(iv) ___ By checking this box, I hereby acknowledge that all subcontractors performing work greater
than $250,000 also meet the qualifications of the Responsible Bidder Ordinance.
(b) Attachments:
(i) ___ Indiana Secretary of State’s on-line records (ie. Business verification) dated within sixty
(60) days of the submission of said document showing that business is in existence, current
with the Indiana Secretary of State’s Business Entity Report, and eligible for a certificate of
good standing. (Not applicable to individuals, sole proprietors or partnerships).
(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.
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II. PRE-QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE-QUALIFIED)
(a) Acknowledgements:
(i) ___ By checking this box, I hereby acknowledge that I am not a pre-qualified bidder with the
City of South Bend.
(ii) ___ By checking this box, I hereby acknowledge that the City reserves the right to request
supplemental information, additional verification of any information provided, and may also
conduct random inquiries of my current and prior customers. The City reserved the right
to utilize all information provided in this submission and all information obtained in inquiries
or requests to determine if a bidder is responsive and responsible. Additionally, I
acknowledge that all information provided to the City shall be regarded as public records.
(iii) ___ By checking this box, I hereby acknowledge that copies of all Applicable apprenticeship
certificates or standards for training programs applicable to the work performed on the
project may be requested at any time and shall be furnished upon request.
(iv) ___ By checking this box, I hereby acknowledge and ensure that I and all sub-contractors, from
whom I have accepted a bid and/or intend to hire to perform work on the public work project,
are properly licensed. Furthermore, I acknowledge my understanding that it is my
responsibility to ensure that all sub-contractors have the necessary licenses to undertake
the work called for in this bid. If a sub-contractor loses their license at any point, it is the
responsibility of that sub-contractor to notify the City.
(v) ___ By checking this box, I hereby acknowledge that apprenticeship and training programs that
I participate in have graduated at least five (5) apprentices in each of the past five (5) years.
(vi) ___ 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) ___ List identifying all former business names.
(iii) ___ Any determinations by a court or governmental agency any violations of federal state, or
local laws including, but not limited to, violations of contracting or antitrust laws, tax or
licensing laws, environmental laws, Occupational Safety and Health Act (OSHA), or federal
Davis-Bacon and related Acts, within the preceding five (5) years.
(iv) ___ Statement about staffing capabilities, including labor sources. This statement indicates and
ensures I have sufficient employees on staff to complete the work I am bidding on OR
outlines how I intend to meet the staffing needs of the work.
(v) ___ Statement that individuals who will perform work on the public work project on my behalf
will be properly classified as an employee or as an independent contractor under all
applicable state and federal laws and local ordinances.
(v) ___ 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.
(vi) ___ Copy of a written plan for employee drug testing that covers all of my employees who will
perform work on the public work project and meets or exceeds the requirements set forth
in IC 4-13-18-5 or IC 4-13-18-6.
(vii) ___ Evidence that I am utilizing a surety company which is on the Bureau of Fiscal Service
“Department of Treasury’s Listing of Approved Sureties” as required in the bid
specifications or contract.
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(viii) ___ Written statement of any federal, state or local tax liens or tax delinquencies owed to any
federal, state or local taxing body in the preceding three years.
(ix) ___ List of projects of similar size and scope of work performed in all areas, including the State
of Indiana, within three (3) years prior to the date on which the bid is due.
Date: ___________________________________________
________________________________________________
(Sign Here)
________________________________________________
(Print Name Here)
________________________________________________
(Name of Company)
________________________________________________
(Address of Company)
________________________________________________
(City)
________________________________________________
(State)
________________________________________________
(Telephone Number)
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14 E. Michigan Street, Rolling Prairie IN 46371 2335 S. 30th Street, Lafayette IN 47909 2516 N. Home Street, Mishawaka IN 46545
E-Verify Affidavit D.A. Dodd, LLC
The undersigned being duly sworn upon her oath, now says that I, Alyson Funkhouser, HR & Payroll Manager at D.A. Dodd, LLC, do hereby state that D.A. Dodd, LLC does not knowingly employ unauthorized aliens and participates in the E-Verify Program when it hires new employees to confirm their work eligibility.
I swear or affirm, under the penalties of perjury, that the foregoing statements are true.
________________________________ Alyson D. Funkhouser
HR & Payroll Manager
D.A. Dodd, LLC
March 5, 2026
Page 1 of 2
DEPARTMENT OF ADMINISTRATION
Division of Supplier Diversity
Indiana Government Center South
402 West Washington Street, Room W462
Indianapolis, IN 46204
(317) 232 - 3061
STATE OF INDIANA
Mike Braun, Governor
May 2, 2025
Mr. Julio Martinez
D A Dodd LLC
14 E. Michigan Street
Rolling Prairie, IN 46371
Subject: Application for MBE Certification
Dear Mr. Martinez,
Congratulations! The Indiana Department of Administration, Division of Supplier Diversity is pleased to
inform you that D A Dodd LLC is hereby certified as a Minority Business Enterprise (MBE).
Your company provides a commercially useful function in the areas listed below. Only work performed in
these areas will be counted towards Minority Business Enterprise participation:
UNSPSC CODE(S)
Code Description
72151000 Boiler and furnace construction and maintenance
services
72151100 Plumbing construction services
72151200 Heating and cooling and air conditioning HVAC
construction services
72151206 HVAC heating system construction service
On September 13, 2010, the Governor’s Commission on Supplier Diversity approved the department’s
effort to streamline its recertification process. Instead of conducting an onsite visit to each company seeking
recertification, the department now has the discretion to waive the visit after a thorough review of the
company’s file and recertification documents. We have approved your recertification and it is valid through
May 31, 2028. Please note that IDOA continues to reserve the right to conduct a site visit or phone interview
at any time with certified companies.
Although your certification is valid for three years, you are required to submit an annual Affidavit of
Continued Eligibility (ACE) form year. Instructions on how to receive and complete this form can be
located at https://www.in.gov/idoa/mwbe/minority-and-womens-business-enterprises/certify-your-
business/. Please remember that you must notify us immediately if any changes occur. Failure to notify us
of changes or to provide an ACE form annually will result in the revocation of your certification. Changes
include, but are not limited to, changes in location, contact information, ownership, and control.
We encourage you to visit IDOA’s procurement website, www.in.gov/idoa/2464.htm, and update your
Business Registration Profile. You must review and update your profile regularly, because state purchasing
agents and prime contractors may use this information to contact you for business opportunities.
Referencing: D A Dodd LLC
Page 2 of 2
While this letter serves as notification of certification, it does not serve to prove continued eligibility. Please
visit https://www.in.gov/idoa/mwbe/2743.htm to verify your certification status. Please contact our office
at (317) 232-3061 or mwbe@idoa.in.gov if you have any other questions or concerns about your letter.
Sincerely,
Peter Sobun, Director of Certification
Indiana Department of Administration
Division of Supplier Diversity
PS/aw
01/02/2026
BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM
Date: 7/6/2026
Name: Nifemi Oluwatomini Department of Public Works – Engineering Division
BPW Date: 07/14/2026 Phone Extension: 0615
Required Prior to Submittal to Board BPW Attorney X 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 Studebaker HVAC (Controls)
Project Number 125-079
Funding Source
Account No. PR-00048965
Amount
Terms of Contract
Special Contract Provisions
Purpose/Description Opening of quotes for the replacement of the building control system
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: