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HomeMy WebLinkAboutBid Opening - Horton Emergency Vehicles - Two (2) More or Less 2016 or Newer Refurbished Medic Units - Medic 4p1Spl'TF16E.� O e^ � 1865 BID NAME: Spec AA - Two (2) More or Less 2016 or Newer Refurbished Medic Units FOR BIDS DUE: July 26, 2016; 9:30 a.m., Local Time Bidder Date: 7-o2.S'o7011v (Firm): Address: 3900 P._. City/State/Zip: �„Q &�F p),,, yjt� y Telephone Number: (s / y') y/(, - jr"� S r Agent of Bidder (if Applicable): 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. 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, 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 employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation 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 may consider the Contractor's good faith efforts to obtain participation by those Contractors certified by 6 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. In no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity 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 for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products on this project if awarded. 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 25 day of 201b �y N OESTANIE N. STOUT =�f S Nohry Poet rAft of V"V a Caney at OL is"O +�% CawiiaME XI.2b�7D1i �erl-oti Caer�u�a. !/�ficles Contracto dde�rm) Signature of Contractor/Bidder or Its Agent U"Ncj wkkrr� — P-5m Printed Name and Tie Subscribed and sworn to before me this of S d'a"ef ^- t� 2�0��' My Commission Expires (� ' a29,- �� �/!/L� -tom M - i� l Notary Public County of Residence (To be completed only by ContractorsBidders claiming to be a "local Indiana business"pursuant to I.C. 36-1-12-22) LVUA-L bUSUN ENS Fl(-Lt EKEIN U-L ULA1M A "local Indiana business" refers to any of the following: (1) A business whose principal place of business is located in an affected county. (2) A business thatpays a majority of its payroll (in dollar volume) to residents of affected counties. (3) A business that employs residents of affected counties as a majority of its employees. (4) A business that makes significant capital investments in the affected counties as defined in rules adopted by the political subdivision. (5) A business that has a substantial positive economic impact on the affected counties as defined by criteria in rules adopted by the political subdivision. An "affected county" refers to St. Joseph County, Indiana, or the following counties located adjacent to St. Joseph County: Elkhart County, Marshall County, Starke County and LaPorte County There are the following price preferences for supplies purchased from a Iocallndiana business: • 5%for a purchase expected by the purchasing agency to be less than $50, 000 • 3%for a purchase expected by the purchasing agency to beat least $50, 000 but less than $100, 000. • I %for a purchase expected by the purchasing agency to beat least $100, 000. Date: Pursuant to I.C. 36-1-12-22, preference for Project South Bend, St. Joseph County, Indiana. ❑ The location of the principal place of business is claims a local Indiana business (Project #k ) located within the City of ❑ St. Joseph County, Indiana ❑ The following county located adjacent to St. Joseph County, Indiana: ❑ The majority of the business's payroll for the 12 months prior to the date of this Bid is to residents of St. Joseph County, Indiana or the adjacent county noted above. ❑ The majority of the business's employees for the 12 months prior to the date of this Bid are residents of St. Joseph County, Indiana, or the adjacent county noted above. If the business is deemed to be the apparent lowest, responsible, responsive bidder, then it shall provide supporting documentation for the 12 month period prior to the date of the Bid of (i) the total payroll amount paid to all employees of the business, and (ii) the total payroll amount paid to employees who are residents of St. Joseph County and the adjacent county noted above. WHENSUPPLYING SUPPORTING PAYROLL RECORDS, BIDDER SHALL REDACTALL SOCIAL SECURITY NUMBERS. Dated this day of 20_ Contractor/Bidder (Firm) Signature of Contractor/Bidder or Its Agent Printed Name and Title SPECIFICATIONS CITY OF SOUTH BEND BID NAME: Spec AA — Two (2) More or Less 2016 or Newer Refurbished Medic Units FOR BIDS DUE: July 26, 2016; 9:30 a.m., Local Time Pursuant to notices given, the undersigned offers bid(s) to the City of South Bend in accordance with the following attachment(s) which specify the class or item number or description, quantity, unit, unit price. SPEC AA — TWO (2) MORE OR LESS 2016 OR NEWER REFURBISHED MEDIC UNITS It is the intent of these specifications to describe a vehicle or piece of equipment for the City of South Bend. The unit shall be bid as a fully equipped complete unit as set out in the attached specifications. No partial or split bids will be accepted. Unit to be bid with and without trade-in if applicable. Vendor to complete bid proposal contained in this bid specification and attach to the submitted bid. These are minimum specifications. Any variation from the specifications must be spelled out on a separate deviation list in order for the bid to be valid. Any items not listed on the deviation sheet will be assumed to be part of the unit. Proprietary products or specific manufacturers may be referenced herein. Such references are only made to demonstrate minimum scope, quality, and style of the equipment desired. Equipment that is bid pursuant to these specifications shall be of equal quality and size, or greater, to those referenced, and are subject to approval by the South Bend Board of Public Works. Vendor shall provide all information requested in specifications to qualify for bid. If information on brochure submitted does not completely cover specifications requested, it shall be typed and attached to brochure. If an alternate is included within these specifications, please be advised that, alternate items placed in the specifications are to determine the best configuration of the item within abudgeted amount and may be included in the award criteria. If the Board elects to award one or more (s), the base bid price and the alternate bid price(s) will be totaled and compared for all bidders offering the final configuration. Award will be made based on the lowest responsible/responsive bid prices submitted for the base bid with selected (s), if applicable. Failure to submit a bid on an alternate may result in the entire bid being non -responsive, depending on the final configuration of the product. Payment will be processed once the unit is inspected and accepted as to meeting the specifications by the Division of Central Services. This will include all manuals and warranty documentation. L9 Bidder must state as accurately as possible an intended delivery date from the date of the bid award. Due to the age of the City's existing fleet, it is imperative that the unit's be delivered as quickly as possible. Stated delivery lead time may be included as an integral part of our bid selection process. FOB Central Services. The unit and all related paperwork is to be delivered to: Central Services Division 1045 West Sample Street South Bend, Indiana 46619 All Certificates of Origin/Title Work shall list the owner as: The City of South Bend 1045 West Sample Street South Bend, Indiana 46619 The Board will award the bid to the lowest responsible and responsive bidder. If the bid is not awarded to the lowest bidder, the factors used to justify the awards will be stated in writing at the request of any bidder. The Board reserves the right to reject any and/or all bids or portions thereof and to waive any irregularities or informalities. Chassis: 20,000. G.V.W,R., Geared Speed 84 MPH. ONO Front Axle: I -Beam Type: 8,000 lb capacity. King pin bushings to be YES O brass. Rear Axle: Bidder responsible for correct axle width to fit module, ONO 17,500 lb capacity, Ratio: 4.56. Front 8,000 lb. capacity, heavy duty shock absorbers. ES O Suspension: Spring pins rubber bushings, maintenance free. Rear Air Ride optimized suspension; 12,000 lb. capacity, 5.3" (ONO Suspension: ride height, with shock absorbers. 5 1;w1 Engine: Diesel powered, 250 HP, 660 lb. ft. torque. (Maximum). E O Engine block heater 120 volt/1,250 watt. Block heater socket receptacle type; mounted below driver's door. Air cleaner to be dry type single element. Engine control, remote mounted provision for; includes wiring for body builder installation of PTO controls; with ignition switch control Throttle, hand control engine speed control; electronic, stationary variable speed; mounted on steering wheel. Must have 5 year 200,000 mile warranty that 10 includes turbo, fuel injectors, and complete fuel system. Includes: *Gauge, Air Cleaner Restriction - Air Cleaner Mounted *Cruise Control - Electronic; Controls Integral to Steering Wheel *Wet Type Cylinder Sleeves *Engine Shutdown - Electric, Key Operated *Governor- Road Speed, Electronic *Engine Oil Drain Plug - Magnetic *Oil Filter, Engine - Spin -On Type *Engine Oil Change System - 30 Quart Capacity *Damper, Crankshaft - Viscous *Fan - Optimized Position *Fuel Filter - Engine Mounted *Fuel Water Separator Transmission: Automatic: (2500 EVS Series) 6 speed (package 119), ONO w/overdrive, less retarder, 64 teeth/20 degree pressure angle 6.9 pitch spur gear. Oil filter, mounted on transmission. Transmission temp gauge, dash mounted, auxiliary oil cool. Includes: *Transmission Oil Pan - Magnet in Oil Pan *Oil Filter, Transmission - Mounted on Transmission *Synthetic Oil *Allison P-3 extended service coverage - 5 year unlimited miles shall be included. Electrical: 12 volt 270 AMP alternator with self -diagnostic regulator YES O system. 3 = 1950 CCA maintenance free 12 volt 1950 CCA batteries. Body building wiring back of cab at frame, includes sealed connectors for tail/amber turn/marker/back up/accessory power/ground and sealed connector for stop/turn. AM/FM radio, CD changer, weather band, clock w/alarm, includes multiple coaxial speakers. Back up alarm. Cigar lighter, 2 electric horns. Multi speed windshield wipers w/delay. Circuit breakers w/manual reset (main panel) SAE type III with trip indicators, replaces all fuses except 5 AMP fuses. Includes: *Fuses, Electrical SAE - Blade - Type *Turn Signal Switch - Self -Cancelling, Headlight Dimmer (w/Flash-To-Pass Feature) *Parking Light - Integral w/Front Turn Signal and Rear Tail Light 11 *Stop, Turn, Tail & B/U Lights - Dual, Rear, Combination w/Reflector *Starter Switch - Electric Key Operated *Turn Signals, Front - Flush Mounted Include Reflectors and Auxiliary Side Turn Signals, Solid State Flashes. *Data Link Connector - In Cab For Vehicle Programming and Diagnostics *Windshield Wipers - Single Motor, Electric, Cowl Mounted *Windshield Wiper Switch - 2 Speed Integral w/Turn Signal Switch w/Wash and Intermittent Feature. *Wiring, Chassis - Color Coded and Continuously Numbered Frame: Frame rails high strength low alloy steel (80,000 PSI yield) YES O 9.125" x 3.062" x 0.312" (231.8 mm x 77.8 mm x 8.0 mm) 388.4" (9864 mm) maximum OAL; for LP chassis. 855,000 RBM, 10.7 Section Modulus Wheel Base: 169", CA: 101.9, Axle to Frame: 63 YE O Cooling: Radiator HD (Modine) aluminum, 2 row, cross flow, over YE O under system, 516 sq. in. louvered, w/270 sq. in. charge air cooler. 3.5" core. Heater and air conditioner. Bug screen between grille and radiator. Tires: Front: (2) 245/70R19.5 G647RSS (Goodyear) 12 ply. YE /NO Rear: (4) 245/70R19.5 G622RSD (Goodyear) 537 12 ply. Steering: Power assist, tilting column, 2 spoke, 18" diameter wheel ES O Cab: Conventional steel or aluminum. E O Includes: *Premium Interior Trim Arm Rest - (2) Molded Plastic, Smoke Gray, One Each Door. Arm Rest Right Side of Divers Seat and Left Side Passenger Seat *Floor Covering - Rubber, Black *Coat Hook - Located on Rear Wall, Centered Above Rear Window *Grab Handle, Cab Interior - (1) "A" Pillar Mounted, Passenger Side *Grab Handle, Cab Interior - (2) `B" Pillar Mounted, One Each Side. *Step - (2) One Step Per Door *Glass, All Windows - Tinted, Power Windows *Chrome Front Bumper *Gauge Cluster - English w/English Electronic 12 Speedometer *Front Tow Hooks *Stationary Grille *Odometer Display - Miles, Trip, Miles, Engine Hours, Trip Hours, Fault Code Readout * Warning System - Low Fuel, Low Oil Pressure, High Engine Coolant Temp, and Low Battery Voltage (Visual and Audible) *Gauge Chaster Gauges - (5) Engine Oil Pressure (Electronic), Water Temperature (Electronic), Fuel (Electronic), Tachometer (Electronic), Voltmeter *Gauge, Oil Temp, Allison Transmission *Seat, Drive - (National) Air Suspension, High Back w/Integral Headrest, Vinyl, Isolated, w/2 Position Front Cushion Adjustment, 6 to 17 Degree Seat Back Adjustment, Air Lumbar Support *Air Suspension Dump Valve *Exterior Grab Handles - w/Anti Slip Rubber Inserts, Both Left and Right Sides *Mirrors - Exterior, Both Heated and Powered w/Bright Finish on Mirrors and Brackets. (2) (Lang Mekra) Rectangular, 7.44" x 14.84", Brackets Breakaway Type, w/102" Wide Spacing, w/7.44" sq. Convex Both Sides. *Seat Belt - 3 Point, Lap and Shoulder Belt Type *Seat, Passenger - (National) Air Suspension, High Back w/Integral Headrest, Vinyl, Isolated, w/2 Position Front Cushion Adjustment, 6 to 17 Degree Seat Back Adjustment, Air Lumbar Support *Instrument Panel - Center Section, Flat Panel *Air Conditioner - (International Blend Air) w/Integral Heater & Defroster *Refrigerant - Hydro fluorocarbon HFC-134A *Heater Hoses - Premium *Fresh Air Filter for HVAC Gray wBlackNetting Over Storage Pockets * "A" Pillar Cover - Molded Plastic, Smoke Gray *Head liner - Printed Cloth *Instrument Panel Trim - Molded Plastic, Drawbridge Gray w/Black Center Section, Hidden Cup Holder and Ash Tray (Pull -Out) *Dome Light, Cab - Rectangular, Center Mounted, Integral to Console Door Activated, Timed Theater Dimming. *Sun Visor - (2) Padded Vinyl Integral to Console w/Toll Ticket Strap and w/Integral Extenders *Storage Pocket, Door - (1) Molded Plastic, Smoke Gray, 13 Full -Length, Driver Door. *Cab Interior Trim Panels - Molded Plastic, Full Height, All Exposed Interior Sheet Metal is Covered *Door Trim Panels - (2) Molded Wheels: Polished aluminum front and rear inner and outer. YE O Exhaust: Single, horizontal muffler and short tail pipe, aluminized YES O steel; frame mounted left side at 45' angle. Brakes: Air brakes ABS (Bendix anti -lock brake system) full I YES O vehicle wheel control system (4 channel) air dryer, automatic drain valve w/heater for air tank. Front, air cam S-cam; 15.0" x 4.0"; includes 20 sq. in. MGM long stroke brake chambers. Rear, air cam 16.5" x 7.0'; includes MGM TR3030 long stroke brake chamber and heavy duty spring actuated parking brake, 13.2 CFM air Chassis Add- Roadmaster front #1209-116 and rear #1209-106 HD sway YE /NO Ons: bars. New Grover Emergency Stutter Tone Air Horns include air line, fittings and valve. New cast products SAD/SAP3805-09M2-1 siren speakers through the front bumper. New auto reset back-up alarm with cancel switch. New 125" ADP RH side running board/cab step, LH side battery with slide out tray and cab steps. New brushed stainless steel DEF tank shroud/cover. New 125" aluminum switch, siren and radio console/map box line X covered (color match to cab interior). New Federal Signal PA300 200 watt siren. Module Body Remount Tl Ivledtecb modular body. Includes: new cab to YES O Exterior: module accordion boot, body to chassis mounting pucks and modification for side body fuel fill. Remove all exterior doors, hinges, lights and accessories. New windows (2) rear entry doors fixed mirror tint, (1) side entry door sliding with mirror tint and (1) side body mirror tint. Paint — sand blast module, repair corrosion, repair with PPG 6 step process of base of base coat/clear coat, wet sand and buff to high gloss finish. Module base color: red (paint code: PPG#907239) match chassis red cab color: L2684EB red elite BC. Remove and polish all stainless steel door hinges. Reinstall with 3M corrosion barrier between hinge/door and hinge/body. New Trimark door handles (4) keyed locking, (1) non -locking interior. New compartment door lower rotary latches (12) adjust and insure timing on all. New module entry door rotary latches (6) adjust and insure timing on all. New door jamb Nader pins (18). Inspect all compartments for proper venting and drainage. Replace all exterior compartment and entry door 14 seals with a closed cell automotive door seal. New Ziamatic model #VS-24-9 retractable side door entry step. New ADP corner guards, kick plate panels, stone guards, rub rails including stainless steel door sill thresholds for all compartments. New heavy duty rear bumper steel sub - frame with aluminum diamond plate bumper pods and punched surfaced flip -up step. Provide and install new frame mounted heavy duty tow hooks. New black rubber fenderettes. New polished extruded aluminum "C" channel rub rails. New cast license plate bezel with LED to lights (high polished). New cast products fuel fill bezel (high polished) with brushed stainless steel spillway. New cast products rear door grabber hold opens (2 sets). New brite finished aluminum drip rails. Heat and A/C: New ACC high output heating and AC unit. Heat BTU: E O 43,600 AC BTU: 32,000 CFM: 620. Electrical: Test and reuse electrical system (including rear switch YE O panel). New front cab switch panel including all switches. New TST commander 357 battery timer switch, hour meter, voltage/AMP inductive pick-up. New chassis/engine harness color coded SXL or GXL insulated wiring in heat resistant automotive loom. New Kussmaul 20-1050 Lifestar inverter/charger with LSIR inverter and LSCR charger panels. Replace interior hi/lo Halogen domes to new TecNiq 8" 31 LED hi/lo domes (6). Replace interior 39" fluorescent lights with new TecNiq 18" LED panel lights (4). (Each light includes an individual switch). Department 2 Reinstall department mobile radios and intercom system YES O Way Radios: (1) front console (1) primary action area. DOT and New Bullseye LED ICC lights with chrome guard (14) (7) YES O Emergency amber (7) red. New Whelen 700 chrome bezels for Lighting: existing LED grille lights. New Whelen 700 series red super LED intersection lights with chrome bezels (2). New Whelen 900 series super LED front body lights (7) R/W/R/W/R/W/R (removed front light bar). New Whelen 900 series super LED upper rear body lights (3) R/A/R. (Remove rear light bar). New Whelen 900 series LED gradient opi-scene and load lights with chrome flanges (8). Whelen 5 mm strip-lites in "C" channel rub rails (3) each side R/W/R. New Whelen light chrome flanges (6) 900 series (4) 700 series (8) 600 series. Polish all light lenses to like new appearance. Module Remove old floor covering material, replace with new YES O Interior: Lonseal floor, Lonplate II — gunmetal #424. Replace all 15 vinyl with new EVS seamless vacuum formed, including set bottoms, backrest cushions and trim. Color: Gunmetal. New EVS 1880 hi back seamless, child safety seat with 3 point belting harness with new SB-2-2 position swivel base. New stainless steel entry door thresholds includes rear and side with safety grip tape. New stainless steel lower module entry door panels (3). Provide and install a new safety net at head of squad bench. Provide and install new retaining net on ALS cabinet opening. Inspect all cabinet walls, seats, cabinet hardware for missing screws and rivets, adjust and replace as necessary. Provide and install a Smithworks 12 volt IV warming plate. Medical Test oxygen system, lines and outlets. Repair any leaks. ES O Equipment: Provide and install a new S-Scort VX-2 suction unit with charging retention bracket. Graphics: Department lettering, door seals, striping, SOL's and (2) YES O 3M diamond grade, full rear body Chevron. Color: Cab red, Chassis White O Quantity: Two (2) more or less. O Trade -In: Med 4, 2010 Freightliner Ambulance, O VIN# 1 F VACWDT9ADAU 1912 Med 11, 2010 Freightliner Ambulance, VIN#1FVACWDT7ADAU 1911 Alternate 1: Liquid Spring Rear Kneeling A Liquid Spring rear hydraulic strut suspension shall be Suspension: installed in lieu of the standard rear OEM air bag���' `Lri"'1VO suspension. The suspension company shall be QS 9000 and ISO 9001 certified for excellence. The liquid suspension shall be rated at 12,000 pounds GAWR and installed per Liquid Spring Directions. Suspension Installation instructions and drawings shall be followed. All guidelines regarding chassis and axle capacity ratings as published by chassis manufacturer shall be adhered to. Mechanical The control arms shall be connected to a replacement front YE O Suspension hanger that features upper and lower control arm pivot Components: points and a connection point for a heavy duty sway bar. Both Liquid Spring struts shall be positioned directly aft of the axle and outboard of frame rails. The designed ride height shall maintain original suspension's drive -line geometry. Tracking Bar: The suspension shall utilize a lateral control rod (tracking (BNO bar) to maintain side to side axle position related to the chassis frame. Wear shoes, mounted to the sides of the frame rails are not acceptable. Hydraulic All hydraulic lines, fittings, reservoirs and valves shall be yES O protected a ainst "stone pecking". Abrasion covers, such 16 System: as nylon convolute loom over the lines are required. The entire assembled system shall be tested for leaks at every fitting connection point. Mechanical All fasteners related to the suspension assembly are yES O Quality considered critical. All fasteners shall be tightened to the Assurance: manufacturer's recommended torque by the primary installation mechanic. A secondary mechanic shall "put a wrench" and re -torque ALL of the fasteners and then spray a contrasting color of paint onto the heads and nuts of each fastener. Suspension A suspension jounce clearance study shall be performed yE O Jounce Study: throughout the full range of suspension travel to ensure adequate clearance of suspension, frame and brake components. Test results shall be documented and supplied in the owner's manual. Kneeling The rear suspension shall kneel when the triggering device E /NO Feature is activated AND an enable switch, located in the cab Enable: console is activated. Kneeling The kneeling feature shall activate in PARK position only. yES O Feature The kneeling feature shall NOT activate in any forward or Activation: reverse gear. The above rear suspension shall kneel when the trailing rear access door is opened. 17 BID NAME: FOR BIDS DUE: BID/PROPOSAL CITY OF SOUTH BEND Spec AA - Two (2) More or Less 2016 or Newer Refurbished Medic Units July 26, 2016; 9:30 a.m., Local Time Description I Year/Make/Model I Unit Price Year Make/Model - Trade In Unit Price 2010 Med 4, Freightliner Ambulance, VIN# 1F VACWDT9ADAU 1912 $ 2010 Med 11, Freightliner Ambulance, VIN#1FVACWDT7ADAU1911 $ Alternate # Description Cost Total 1 Liquid Spring $ $ Estimated number of days for delivery from award date. Bidder (Firm): Address: 3 8 OO Ake- City/State/Zip: 6,co a-r- c i'- -O thl o 5;13 /.z 3 Telephone Number: 5-17-V/4-"$o Fax Number: BOARD OF PUBLIC WORKS Gary A. Gilot, President David P. Relos, Member James Mueller, Member �Y 18 (Signature) (Printed Name) (Title) Elizabeth A. Maradik, Member Therese J. Doran, Member Attest: Linda M. Martin, O�Spl7'H eF'L � O CITY OF SOUTH BEND INSTRUCTIONS TO BIDDERS roe BID FORMS AND EXECUTION A. Bidders are expected to examine the Drawings, Specifications, Proposal and all Instructions. Failure to do so will be at the Bidder's risk. B. Each Bidder shall furnish all information required by the Notice, Instructions to Bidders and Specifications. Bids must be made on the form provided. The Bidder shall sign the Proposal and Non -Collusion Affidavit, which is a part of the provided form, where indicated, provide a notary signature and provide all other information required. C. The Bidder shall sign the Proposal in the following manner: If the Proposal is made by an individual, his/her name and post office address must be shown. If made by a partnership or joint venture, the name and post office address of each member of the partnership or joint venture must be shown. If made by a corporation, the Proposal must be signed by an officer of the corporation or by a representative duly authorized by the corporation to execute the Proposal in its behalf. 2. SEALED BIDS ONLY A. Bids, Proposals, Guaranty, and other required documents must be submitted in a sealed envelope marked on the outside with the general classification of material bids, i.e. "Bid for Computer Equipment, "Bid for Front End Loader," or "Bid for Office Supplies." B. When samples are required, such samples shall be delivered or shipped at the bidder's expense to the address specified in the Invitation to Bid. Samples must be shipped separately from bid documents and labeled clearly with the Bidder's name, address and the commodity or equipment classifications and documents, the item (and item number, if any), and Material Safety Data Sheets (if applicable). All samples must be representative of the commodities or equipment which will be supplied by the successful Bidder. All samples will become the property of the City of South Bend and none will be returned, unless otherwise stated in the Specifications. C. In the event of an inconsistency between provisions of the contract documents, the inconsistency shall be resolved by giving precedence in the following order: 3. ORDER OF PRECEDENCE A. Bid Form attached Proposal B. Amendments to Specifications C. Specifications D. Special Provision E. Instructions to Bidders F. Notice to Bidders 4. DELIVERY OF BIDS A. Bids must be delivered to the Office of the Board of Public Works, 131h Floor, County -City Building, Room 1316, 227 West Jefferson Boulevard, South Bend, Indiana 46601 (574) 235- 9251, by the time specified (local time) in the Notice to Bidders. If not delivered personally, the sealed envelope containing the Bid must be mailed to the following address: City of South Bend Clerk of the Board of Public Works 1316 County -City Building 227 West Jefferson Boulevard South Bend, Indiana 46601 19 State Gross Retail Tax (sales tax). The City will furnish the successful Bidder with any certificate of exemption required. 10. WITHDRAWAL OF BIDS A. Withdrawal of bids will be allowed only in those cases in which a written request to withdraw a bid is received by the Board of Public Works prior to the date and hour for receiving and opening bids. In such cases, the same will be returned to Bidder unopened. 11. ESCALATOR OR CONTINGENT CLAUSES A. The use of escalator clauses or other contingent clauses by the Bidder is prohibited, unless requested or permitted by the Invitation to Bid. No Proposal shall contain nor be accompanied by any writing purporting to limit or qualify the City's right to accept such Proposal or purporting to alter such Proposal or any Contract which may be executed pursuant thereto. 12. PRICES MUST BE DELIVERED PRICES A. The bid price shall be a delivered price. All materials shall be shipped F.O.B. destination as specified in the Invitation to Bid. No fuel surcharges accepted. 13. AWARD —WAIVER OF TECHNICALITIES A. The Award of Bid, if any award be made, will be made within sixty (60) calendar days after the opening of Proposals to the lowest responsible and responsive Bidder who's Proposal complies with all the requirements prescribed, exclusive of technicalities waived. Until the final award of the Bid, however, the right is reserved by the City to reject any and all Proposals and to waive technical errors. 14. SPLITTING OF AWARDS/DIVISIBLE BIDS A. Bids will be awarded on the basis of the total dollar amount for all items in the Proposal unless the bid is described by the City as a Divisible Bid. The City may award a Divisible Bid to the lowest responsible and responsive Bidder for each item or class of items as indicated in the bid documents. 15. BIDDER QUALIFICATION A. The City may require any Bidder to submit evidence of qualifications, and may consider any evidence of the financial, technical, and other qualifications and abilities of the Bidder. The City will not award a Contract to a Bidder who, in its opinion, is not fully qualified on the basis of financial resources and responsibility, possession of adequate equipment, personnel, experience, and past record of performance to perform the obligations to be undertaken competently and without delay. 16. PURCHASE ORDERS A. A Purchase Order will be issued to the successful Bidder after formal acceptance of the bid is made by the City. 17. NEW MANUFACTURE A. Unless otherwise specified in the Invitation to Bid, the items offered shall all be new and the latest model of manufacture. 18. SOURCE OF SUPPLY A. If the Bidder is not a manufacturer, the source of supply must be shown and all sub- contractors must be identified. 19. PACKAGING A. All items shall be delivered strongly packed and marked according to accepted commercial practice unless otherwise directed in the Specifications. No charge shall be made for containers and the City shall have no obligation to return containers unless otherwise provided by the Specifications or Special Provisions. Any items not received in good condition will be rejected. 20. INSPECTION OF GOODS A. The City of South Bend reserves the right to inspect and have any goods tested after delivery for compliance with the specifications. Notice of latent defects, which would make the item 21 unfit for the purposes for which they are required, may be given at any time within one year after discovery of the defects. B. All items rejected must be removed immediately by the Contractor at the expense of the Contractor. If the Contractor fails or refuses to remove the rejected items, they may be sold by the City of South Bend. C. In some cases, at the discretion of the City, inspection of the commodities or equipment will be made at the factory, plant, or other establishment where they are produced before shipment. D. The above provision shall not be construed in limitations of any rights the City may have under any laws including the Uniform Commercial Code. 21. ASSIGNMENTS A. No person to whom a Contract has been awarded may assign his interest in the Contract without the consent, in writing, of the City. 22. CANCELLATION A. The City of South Bend reserves the right to cancel any Contract for failure or refusal of performance, fraud, deceit, misrepresentation, collusion, conspiracy, or any other misconduct on the part of the Contractor. 23. DEDUCTION OF DAMAGES A. If the City cancels the contract for any cause, it shall deduct from whatever is owed the Contractor on the Contract or any other Contract, any amount sufficient to compensate the City for any damages suffered by it because of the Contractor's wrongdoing. 24. METHOD OF INVOICING FOR PAYMENT A. Contractor shall bill the City of South Bend 1. On regular invoice form giving a complete and detailed description of the goods delivered, including purchase order number. 2. If the Contractor allows a discount, the period of time in which the City must make payment to qualify for the discounts shall be computed from the date the City received the invoice (completely filled out), or the date the goods are delivered and accepted, whichever may be later, and shall not be less than twenty (20) days. 3. If more than one shipment is made under the Contract and on the same purchase order, the City will make partial payments on a basis that is agreeable to both parties. 25. OWNERSHIP OF GOODS A. The goods which are the subject of the Contract shall remain property of the Contractor until delivered to and accepted by the City of South Bend. 26. ESTIMATED QUANTITIES A. If the quantity set forth in the Notice to Bidders and Proposal is approximate and represents the estimated requirements of the City for a specified period of time, the unit price and the extended total price thereof shall be used only as a basis for the evaluation of bids. The actual quantities necessary may be more or less than the estimate, but the City shall neither be obligated nor limited to any specific amount. The City will, if at all possible, restrict increases to twenty percent (20%) of the estimated quantity and will, if at all possible, restrict decreases to twenty percent (20%) of the estimated quantity. 27. TERM "OR EQUAL" A. Where the term "OR EQUAL" is used in these Specifications, the Bidder deviating from specified item shall file with his/her bid a letter fully explaining and justifying his/her proposed article or equal. The City of South Bend shall be the sole judge in determining if the "OR EQUAL" offered meets the Specifications. 22 28. INDEMNIFICATION CLAUSE A. The Contractor agrees to indemnify, defend, and hold harmless the City of South Bend, its agents, officers, and employees from all costs, losses, claims and suits, including court costs, attorney fees, and other expenses, arising from or out of the negligent performance of this Contract by the Bidder or because or arising out of any defect in the goods, materials or equipment supplied by the Bidder. NOTE: Incoming mail does not reach the Board of Public Works until after 9:30 a.m. If you are sending your bid via Federal Express or another overnight source, please confirm that your package will arrive before the bid opening time and date. 23 1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 Date: To: From Subject 450UTHBF O '1p F x y 1865 PHONE 574/235-9251 FAx 574/235-9171 TDD 574/ 235-5567 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS July 8, 2016 All Bidders Linda M. Martin, Clerk, Board of Public Works Addendum Number: 1 Project Name: Spec AA — Two (2) More or Less 2016 or Newer Refurbished Medic Units Project Number: 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 Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Note: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: Authorized Si Date: City of South Bend Spec AA — Two (2) More or Less 2016 or Newer Refurbished Medic Units for bids due July 26, 2016; 9:30 a.m., Local Time ADDENDUM NO. 1 Date: July 8, 2016 To: All Plan Holders From: Linda Martin, Clerk of the Board You must acknowledge receipt of this addendum by signing the first page and returning a copy with your bid. The following information is to be added to the specifications: On page 15, under Module Interior, please replace the specification with the paragraph below, adding the highlighted copy. Module Remove old floor covering material, replace with new YES O Interior: Lonseal floor, Lonplate II — gunmetal #424. Replace all vinyl with new EVS seamless vacuum formed, including set bottoms, backrest cushions and trim. Color: Gunmetal. New EVS 1880 hi back seamless, child safety seat with 3 point belting harness with new SB-2-2 position swivel base. New stainless steel entry door thresholds includes rear and side with safety grip tape. New stainless steel lower module entry door panels (3). Provide and install a new safety net at head of squad bench. Provide and install new retaining net on ALS cabinet opening. Inspect all cabinet walls, seats, cabinet hardware for missing screws and rivets, adjust and replace as necessary. Provide and install a Smithworks 12 volt IV warming plate. Vendor to replace "Cot Antlers and Side Locking Bar Mechanism" with the following cot fastening system. Stryker Model #6392 unit to include the inductive charging system. Due to compatibility issues with the City of South Bends current Stryker Pro Cots no other fastening systems will be considered. END OF ADDENDUM NO. 1 SALES AGREEMENT 3800 McDowell Road Phone 51741M888 Horton Emergency Vehicles is Pleased to offer Grove City, Ohio 43123 Fax ( this Custom Vehicle Quotation for Your Consideration wvm.aonunambWance.com E-mall bob.burgh@hortonambulance.00m DATE: 712612016 Contact Name EMS Chief Andy Myer Company Name City of South Bend Fire Department Street Address 1222 South michigan Street City, ST ZIP South Bend, Indiana 46601 Res Put Cell# Email: amyer@southbendlnAo, Bus Ph0 674 236-7662 Faxs STANDARD EQUIPMENT See Specificaaons and DmwMps for Details UNIT TYPE CHASSIS BRAND COLOR MODEL VIN HORTON JOB NUMBER OVw 1 ii Frtlnr Horton Red Madtec TBD EQUIPMENT Base UNt Coal: $191,267.00 ChasaUCost $0.00 LINEITEM QTY DESCRIPTION UNITPRICE AMOUNT SEE HORTON SPECIFICATION AND DRAWINGS FOR STANDARD AND ADDITIONAL OPTIONS ONS: 1Liquid Spring Suspension 10,50.5.00 $0.00 2de and Install 911 Seats in Cab 1,250.00 $0.00 3 $0.00 4 $0.00 5 $0.00 5 $0.00 7 $0.00 a $0.00 9 $0.00 10 Se.W 11 JPER 50.00 u NIT COST AS SPECIFIED ERY IS DEFINED AS 210 DAYS AND FOR 1ST ARTICLE SUBTOTAL Make all Checks payable to Horton Emergency Vehicles OPTIONS If you have any questions, please feel free to contact us. TOTAL THANK YOU FOR YOUR RU%INFSSI $191,267A0 $0.00 $191,267.00 Payment to be made as follows: 100% DUE UPON DELIVERY NOTE: All customers to register their vehicles with their respective local Department of Motor Vehicles and pay applicable sales tax at that time. WARRANTY: MANUFACTURERS' LIMITED WARRANTY ON ALL EQUIPMENT, PARTS AND MATERIALS. A. LABOR AND MATERIALS: Horton Ambulance shall furnish Me Ambulance listed as specified, with the price and delivery quoted herein, are based on materials which were in our inventory and in the inventory of our suppliers M the time of this proposal and are subject to prior sale. Delivery quotes are contingent on timely confirmation from Customer. Any variations to material listed will result in a cost change. Change Order Fees may apply B. ARBITRATION: If any controversy or dispute arises under, out of, or in relation many of Me provisions hereof Mach cannot be settled by Me partieswithin 15 days after Me same shall arse, such controversy or dispute shall be submitted for arbitration in Me State of Ohio in accordance with the rules of Me American Arbitration Association. Such arbitrators) in accordance War such rules shall determine any dispute or controversy submitted to arbitration in accordance with the previsions of the section. The ar atuator(s) may award any relief which he or she shall deem proper in Me circumstances, without regard to the relief which would otherwise be available to any party hereto in a court of law or equity including, without limitation, an award of money damages, specific performance, Injunctive relief and/or declaratory relief. The award and finings of Me arbitratcrs shall be conclusive and binding upon all the parties heron, whe r., or not all parties hereto participate in Me arbitration proceeding, and judgment upon Me eward may be entered in any court of competent jurisdiction upon the application of any parry. Any party may inhale an arbitration proceeding hereunder, all casts of which (including filing fees, fees payable to arbitrators, court mpodem' fees, transcript costs and counsel fees) shall be recovered by Me prevailing party. No parry hereto shall commence any arbitration proceeding hereunder other than in good faith, or take any action other than in good faith wblch requires another party hereto to commence such stretch hearing and, in the event any party is determined in arbitration to have so acted other Man in good faith, he or it shall bear all costs of the such proceeding. C. REPRESENTATION OF SOLVENCY Buyer represents net buyer is solvent and has assets sufficient to meet all of its financial obligations, and that it is current on all of its financial obligations. Buyer further represents Mal it can and will meet all hs financial obligations to seller on time. Buyer understands seller relies on this promise and Mat any breach is material and substantial and to the essence of the contract. D. FORCE MAJEURE: Seller shall not be responsible for tlelay, nondelivery, failure to complete installation or construction, or default in shipment or other performance, in whole or in part if occasioned by strike, war, riot, or revolutions, or for any delay in transportation due to demands or embargoes of the United States government or any other government, or nondelivery or delays through fire, floods, droughts, accidents, insurrections, lockouts, breakdown of machinery, commandeering of vessels caning goads, or for lass or damage in transit, or detention of or delay in vessels resulting directly or indirectly from acts of God, perils of Me sea, stoppage of labor, shortage of carriers, or refusal of any necessary license of government restrictions considered as'Yorce majeure" or any other unavoidable cause other than sellers own negligence. In no case shall seller be responsible after delivery of goods in good order or conditioning to Me carver or carvers at Me point of shipment E. CUSTOM ORDERS: Buyer understands Mat a custom-0rdered vehicle Is specific to Buyers needs. Any deposit received fora mstom order is non-refundable ance Engineering has begun, material has been purchased or the vehicle begins production. YOU MAY CONSIDER THE PRICE QUOTED FIRM FOR WRITTEN ACCEPTANCE WITHIN 30 DAYS OF THE DATE OF OUR PROPOSAL. Thank you for your interest in having Horton Ambulance provide you with our quotation for this purchase. If you have any questions or comments regarding this sales agreement please contact us. Sincerely, Robert Burgh Horton Ambulance ACCEPTANCE OF PROPOSAL: I have read, understand and agree to Me terms, conditions and specifications described herein and authorize Renegade Specialty Vehicies to go forward with this order. Signature of Customer Date Mien 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 T(NA i ati ) ) SS: S4� COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: I. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, 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 find. 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 tine -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 Nan -Collusion Non-Uebarnimt Affidavit Nan Iran Font the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. 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, 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, terns, conditions, or privileges of employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation 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 may consider the Contractor's good faith efforts to obtain participation by those Contractors 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. In no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity 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 for 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. Non -Collusion Nan-nebamtent Affidavit Non Into Fonn Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products on this project if awarded. 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 #2S'- day of, l _, 201_(. Contractor/Bidder Finn Sig'ga ' of Contractor/Bidder or Its Agent Printed Name and Title Subscribed and sworn to before me this XS day f J 20. My Commission Expires IV -as- ((4 Notary Public County of Residence Non -Collusion Non -Debarment Affidavit Non Iran F'onn S4, 3° OWANK AL i1Q4+wT cow" of OL JWO •••er.ry,r„p acoRi; CERTIFICATE OF LIABILITY INSURANCE 7/1/2015 DATE(MWDD/YYYY) 1 6/30/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED 'PRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. . _,PORTANT; If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LOCkton Comparries Three City Place Drive, Suite 900 St. Louis MO 63141-7081 (314)432-0500 CONTACT PHONEd. FAX ><t: A/c No: EWAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIL# INSURER A: FirstSpecialty Insurance Corporation 34916 INSURED Horton Enterprises, Inc. 1330397 Halcore Group Inc., Leader Industries INSURER B: 2 INSURER C: AXIS Surplus Insurance CoMany 26620 Horton Emergency Vehicles INSURER D: Travelers Property Casualty Co of America 25674 American Emergency Vehicles 3800 McDowell Road INsuRER E : The Charter Oak Fire Insurance Com an 25615 INsuRER F: North American Specialty Insurance Co 29874 COVERAGES 140REN60 CERTIFICATE NUMBER: 10936407 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR MD I POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY UP M/DDIYYYY LIMITS A COMMERCIAL GENERAL LIABILITY N N IRG2001384-01 7/1/2014 7/1/2015 EACH OCCURRENCE rX DAMAGE TO RENTED PREMISES (Ed occu ante) $ 300 000 CLAIMS -MADE OCCUR MED UP An one erson $ 50 0 PERSONAL &ADV INJURY $ 1,000,000 OWL X AGGREGATE LIMIT APPLIES PER: POLICY PE' LOC GENERALAGGREGATE 00 PRODUCTS -COMP/OPAGG 00OTHER: AUTOMOBILE LIABILITY N N Y8104052RO29PRX14 7/1/2014 7/1/2015 (Ea accident) 0X ANY AUTO BODILYINJURY(Perperson) X?�ALL OWNED SCHEDULEDBODILY AUTOSNON-OWNED INJURY Per accidentAUTOS 220�000000 PROPERTY DAMAGEXX HIREDAUTOS AUTOS Comp/Coll Ded X Gaza eKee s' C UMBRELLA LIAB X OCCUR N N EAU781897012014 7/1/2014 7/1/2015 EACH OCCURRENCE 00F EXCESS LIAB CLAIMS -MADE EXS200016500 7/1/2014 7/1/2015 X AGGREGATE 0DED RETENTION $ cess Liab. 0 E F WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? N N/A N TC20-UB-118D4882-14 7/1/2014 7/1/2015 X STATUTE - Eft E.L. EACH ACCIDENT $ 100 000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 (Mandatory in NH) It yes, describe under E.L. DISEASE- POLICY LIMIT 1 $ 1 00,000 DESCRIPTION OF OPERATIONS below D PROPERTY N N KTJ-CMB-4072-R69-2-14 7/1/2014 7/1/2015 $150,000,000 Blanket Property Limit Replacement Cost/Agreed Value $100,000 deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) THIS CERTIFICATE CONFERS NO ADDITIONAL INSURED RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE IS PROVIDED FOR INFORMATIONAL PURPOSES ONLY. 10936407 HORTON EMERGENCY VEHICLES 3800 MCDOWELL ROAD GROVE CITY OH 43123 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD