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HomeMy Public PortalAbout024-2016 - Cates Body - Body work on carsAGREEMENT THIS AGREEMENT made and entered into this 2% ' day of , 2016, and referred to as Contract No. 24-2016, by and between the City of Richmond, Indiana, a municipal corporation acting by and through its Board of Public Works and Safety, its Board of Sanitary Commissioners, and its Board of Parks and Recreation (hereinafter referred to as the "City") and Cates Auto Service, Inc., 1215 South Q Street Richmond, Indiana, 47374 (hereinafter referred to as the "Contractor"). SECTION 1. STATEMENT AND SUBJECT OF WORK City hereby retains Contractor to provide on -call and as -needed services in connection with repairs to vehicle collision damage (including, but not limited to, furnishing parts, vehicle refinishing, body work, frame repair, and mechanical repair) for Police Department vehicles, Street Department vehicles, Sanitation Department vehicles, and Parks Department vehicles. Requests for Quotes were made February 16, 2016. Responses to said request are on file in the office of Health and Safety Coordinator located at the Richmond Sanitary District. The response of Contractor dated February 24, 2016, to said request is attached hereto as "Exhibit A" which response consists of two (2) pages, and is hereby incorporated by reference and made a part of this Agreement. Contractor agrees to abide by the same. Should any provisions, terms, or conditions contained in any of the documents attached hereto as Exhibits, or in any of the documents incorporated by reference herein, conflict with any of the provisions, terms, or conditions of this Agreement, this Agreement shall be controlling. With the exception of the vehicle parts to be provided by the City, the Contractor shall furnish all labor, material, equipment, and services necessary for the proper completion of all work specified. No performance of services shall commence until the following has been met: 1. The City is in receipt of any required certificates of insurance; 2. The City is in receipt of any required affidavit signed by Contractor in accordance with Indiana Code 22-5-1.7-11(a)(2); and 3. A purchase order has been issued by the Purchasing Department. SECTION II. STATUS OF CONTRACTOR Contractor shall be deemed to be an independent contractor and is not an employee or agent of the City of Richmond. The Contractor shall provide, at its own expense, competent supervision of the work. Contract No. 24-2016 Pagel of 6 SECTION 1II. COMPENSATION City shall pay Contractor the rates described on the attached Exhibit A. SECTION IV. TERM OF AGREEMENT This Agreement shall become effective when signed by all parties and shall continue in effect until December 31, 2016. Notwithstanding the term of this Agreement, City may terminate this Agreement in whole or in part, for cause, at any time by giving at least five (5) working days written notice specifying the effective date and the reasons for termination which shall include but not be limited to the following: a. failure, for any reason of the Contractor to fulfill in a timely manner its obligations under this Agreement; b. submission of a report, other work product, or advice, whether oral or written, by the Contractor to the City that is incorrect, incomplete, or does not meet reasonable professional standards in any material respect; c. ineffective or improper use of funds provided under this Agreement; d. suspension or termination of the grant funding to the City under which this Agreement is made; or e. unavailability of sufficient funds to make payment on this Agreement. In the event of such termination, the City shall be required to make payment for all work performed prior to the date this Agreement is terminated, but shall be relieved of any other responsibility herein. This Agreement may also be terminated, in whole or in part, by mutual Agreement of the parties by setting forth the reasons for such termination, the effective date, and in the case of partial termination, the portion to be terminated. SECTION V. INDEMNIFICATION AND INSURANCE Contractor agrees to obtain insurance and to indemnify the City for any damage or injury to person or property or any other claims which may arise from the Contractor's conduct or performance of this Agreement, either intentionally or negligently; provided, however, that nothing contained in this Agreement shall be construed as rendering the Contractor liable for acts of the City, its officers, agents, or employees. Contractor shall as a prerequisite to this Agreement, purchase and thereafter maintain such insurance as will protect it from the claims set forth below which may arise out of or result from the Contractor's operations under this Agreement, whether such operations by the Contractor or by any sub -contractors or by anyone directly or indirectly employed by any of them, or by anyone for whose acts the Contractor may be held responsible. Page 2 of 6 Coverage Limits A. Worker's Compensation & Statutory Disability Requirements B. Employer's Liability $1,000,000 SECTION VI. COMPLIANCE WITH WORKER'S COMPENSATION LAW Contractor shall comply with all provisions of the Indiana Worker's Compensation law, and shall, before commencing work under this Agreement, provide the City a certificate of insurance, or a certificate from the industrial board showing that the Contractor has complied with Indiana Code Sections 22-3-2-5, 22-3-5-1 and 22-3-5-2. If Contractor is an out of state employer and therefore subject to another state's worker's compensation law, Contractor may choose to comply with all provisions of its home state's worker's compensation law and provide the City proof of such compliance in lieu of complying with the provisions of the Indiana Worker's Compensation Law. SECTION VII. PROHIBITION AGAINST DISCRIMINATION A. Pursuant to Indiana Code 22-9-1-10, Contractor, any sub -contractor, or any person acting on behalf of Contractor or any sub -contractor shall not discriminate against any employee or applicant for employment to be employed in the performance of this Agreement, with respect to hire, tenure, terms, conditions or privileges of employment or any matter directly or indirectly related to employment, because of race, religion, color, sex, disability, national origin, or ancestry. B. Pursuant to Indiana Code 5-16-6-1, the Contractor agrees: That in the hiring of employees for the performance of work under this Agreement of any subcontract hereunder, Contractor, any subcontractor, or any person acting on behalf of Contractor or any sub -contractor, shall not discriminate by reason of race, religion, color, sex, national origin or ancestry against any citizen of the State of Indiana who is qualified and available to perform the work to which the employment relates; 2. That Contractor, any sub -contractor, or any person action on behalf of Contractor or any sub -contractor shall in no manner discriminate against or intimidate any employee hired for the performance of work under this Agreement on account of race, religion, color, sex, national origin or ancestry; 3. That there may be deducted from the amount payable to Contractor by the City under this Agreement, a penalty of five dollars ($5.00) for each person for each calendar day during which such person was discriminated against or intimidated in violation of the provisions of the Agreement; and 4. That this Agreement may be canceled or terminated by the City and all money due or to become due hereunder may be forfeited, for a second or any subsequent violation of the terms or conditions of this section of the Agreement. Page 3 of 6 C. Violation of the terms or conditions of this Agreement relating to discrimination or intimidation shall be considered a material breach of this Agreement. SECTION VIII. COMPLIANCE WITH INDIANA E-VERIFY PROGRAM REQUIREMENTS Pursuant to Indiana Code 22-5-1.7, Contractor is required to enroll in and verify the work eligibility status of all newly hired employees of the contractor through the Indiana E-Verify program. Contractor is not required to verify the work eligibility status of all newly hired employees of the contractor through the Indiana E-Verify program if the Indiana E-Verify program no longer exists. Prior to the performance of this Agreement, Contractor shall provide to the City its signed Affidavit affirming that Contractor does not knowingly employ an unauthorized alien in accordance with IC 22-5-1.7-11 (a) (2). In the event Contractor violates IC 22-5-1.7 the Contractor shall be required to remedy the violation not later than thirty (30) days after the City notifies the Contractor of the violation. If Contractor fails to remedy the violation within the thirty (30) day period provided above, the City shall consider the Contractor to be in breach of this Agreement and this Agreement will be terminated. If the City determines that terminating this Agreement would be detrimental to the public interest or public property, the City may allow this Agreement to remain in effect until the City procures a new contractor. If this Agreement is terminated under this section, then pursuant to IC 22-5-1.7-13 (c) the Contractor will remain liable to the City for actual damages. SECTION IX. IRAN INVESTMENT ACTIVITIES Pursuant to Indiana Code (IC) 5-22-16.5, Contractor certifies that Contractor is not engaged in investment activities in Iran. In the event City determines during the course of this Agreement that this certification is no longer valid, City shall notify Contractor in writing of said determination and shall give contractor ninety (90) days within which to respond to the written notice. In the event Contractor fails to demonstrate to the City that the Contractor has ceased investment activities in Iran within ninety (90) days after the written notice is given to the Contractor, the City may proceed with any remedies it may have pursuant to IC 5-22-16.5. In the event the City determines during the course of this Agreement that this certification is no longer valid and said determination is not refuted by Contractor in the manner set forth in IC 5-22-16.5, the City reserves the right to consider the Contractor to be in breach of this Agreement and terminate the agreement upon the expiration of the ninety (90) day period set forth above. SECTION X. RELEASE OF LIABILITY Contractor hereby agrees to release and hold harmless the City and all officers, employees, or agents of the same from all liability for negligence which may arise in the course of Contractor's performance of its obligations pursuant to this Agreement. SECTION XI. MISCELLANEOUS This Agreement is personal to the parties hereto and neither party may assign or delegate any of its rights or obligations hereunder without the prior written consent of the other party. Any such delegation or assignment, without the prior written consent of the other party, shall be null and void. This Agreement shall be controlled by and interpreted according to Indiana law and shall be binding upon the parties, their successors and assigns. This document constitutes the entire Agreement between the parties, although it may be altered or amended in whole or in part at any time by filing Page 4 of 6 with the Agreement a written instrument setting forth such changes signed by both parties. By executing this Agreement the parties agree that this document supersedes any previous discussion, negotiation, or conversation relating to the subject matter contained herein. This Agreement may be simultaneously executed in several counterparts, each of which shall be an original and all of which shall constitute but one and the same instrument. The parties hereto submit to jurisdiction of the courts of Wayne County, Indiana, and any suit arising out of this Contract must be filed in said courts. The parties specifically agree that no arbitration or mediation shall be required prior to the commencement of legal proceedings in said Courts. By executing this Agreement, Contractor is estopped from bringing suit or any other action in any alternative forum, venue, or in front of any other tribunal, court, or administrative body other than the Circuit or Superior Courts of Wayne County, Indiana, regardless of any right Contractor may have to bring such suit in front of other tribunals or in other venues. Any person executing this Contract in a representative capacity hereby warrants that he/she has been duly authorized by his or her principal to execute this Contract. In the event of any breach of this Agreement by Contractor, and in addition to any other damages or remedies, Contractor shall be liable for all costs incurred by City in its efforts to enforce this Agreement, including but not limited to, City's reasonable attorney's fees. (Remainder of page intentionally left blank.) Page 5 of 6 In the event that an ambiguity, question of intent, or a need for interpretation of this Agreement arises, this Agreement shall be construed as if drafted jointly by the parties, and no presumption or burden of proof shall arise favoring or disfavoring any party by virtue of the authorship of any of the provisions of this Agreement. IN WITNESS WHEREOF, the parties have executed this Agreement at Richmond, Indiana, as of the day and year first written above, although signatures may be affixed on different dates. "CONTRACTOR" CATES AUTO SERVICE, INC. 1215 South Q Street Richmond, Indiana, 47374 By: 1r� By Printed: Gil u at (7I k Title: �LUI'lP/► Date: ly- z 6 -) (- "CITY" THE CITY OF RICHMOND, INDIANA by and through its Board of Parks and Recreation By: Nl� F Mike Foley, President Date: r �� APPROVED- f now, a Date: -) — 2 f - l (., I: "CITY" THE CITY OF RICHMOND, INDIANA by and through its Board of Public Works and Safety Vicki Robinson, President "CITY" THE CITY OF RICHMOND, INDIANA by and through its Board of Sanitary Commissioners By: ue Miller By-J 9� JgaStrif s Date: q1101L Page 6 of 6 CONTRACT ROITfST FORM 1. Date contract needed (Clerk or agenda deadline). 03--07-1Date Submitted to Lair*: 03-C lb 2. Board/Commission that will approve contract __ 3o�rc1 C, wotb S f�\ K - 3. Has bid been awarded? Date awarded or expected: 4. Is this a Common Construction Wage Project'? 5. Brief description of work to be performed or supplies to be furnished: P J - STD �6�t ele ('DIMS Ion -P&g\6Ijo a -a,-4 cz It wedgy ?a(4s , Ueh telee wAnI56, �t� ��arr� � �itr, rC�n 6. Name and address of Contractor to be rA h C,,I. '^ G� YiG1.lYl�U - k07 7'77-nethod was used to request bids'? (c 14 l� Professional Services Request for Proposals x� Request for Qualifications Request fOr Quo Bid Specie cati i -- State Quant l' S. What date was the Bid Spec ificationiRFP/RFQ/QPA sent out or requested` 9. Date of C:ontractor`s Response!"Proposai%Bid* n') --)4--Dn(I- 10. Did the Contractor supply you �<<ith all necessary certiticates cif insurance. �� 11. In what office are the Bid Specifications/RFP/Bid lists on file with the 12. Amount to be paid to Contractor $ "berm of Contract: 1'�an (f a+� de,Q V-) n 13. Any other relevant information: kq,) S �J�II f" oZ `(6 /0 C'D�t�!/ ® Sc��e��{ _yU�- n 6-t l COMM(a MIe-bA DZ-2S PrJZ5C�SS1en 1Art„l tG�! �a�InSt� ,Mfg t51 c }{ rtnrl 197f)G r\.ill�- -..^-L,-,-/) 15. Submitted By: *Please complete and return, along with Contractor's response and ally and all attachments or exhibits, at least one (1) week before the contract is needed for its Agenda deadline. Incomplete submissions will be returned to the Department Bead. I::nuary 20 11 0 o o CITY OF RICHMOND HEALTH AND SAFETY DEPARTMENT 7360 UHMM AVENUFi[UCFMOND, INDIANA 47374 PHONE (M) 9H.17476•FAX V65) W/3-1540 PRICE REQUEST THIS IS NOT AN ORDER VENDOR INSTRUCTIONS This is a request for a price for the services of materials Cates Auto Body described below. Any additional specifications may be attached hereto. This is NOT an order and the City reserves 1215 South Q street. the right to accept all or part, or decline the entire proposal. Please complete your full name and phone number below Richmond, IN 47374 with signature; itemize all prices and charges where ATT'N Chuck requested; and attach any explanation for any substitution to : specifications altered. Return in a sealed envelope, in care of Richmond Health and Safety Department to the administration building at the address above by the specified date and time to be considered. DATE: REPLY MUST BE IN BY: PAYMENT TERMS: DELIVERY REQUIRED: February 16, 2016 10:00 A.M. on February 24, 2016 UPON RECEIPT OF INVOICE DELIVERED DESCRIPTION This is a price request for the 2016 Calendar year in regards to vehicle collision damage repair of Park, RSD, Street, and Police Dept. City owned vehicles. Please include pricing for each of the following separately. (1) % parts mark up. (2) Vehicle Refinishing per hour. (3) Body work per hour. (4) Frame repair per hour. (5) Collision related mechanical repair per hour. (6) Storage per day, (7) Please include a statement of what priority city of Richmond would receive if your company is the successful bidder. Please include a Certificate of Insurance which must include Workers Compensation. Also include all warranty information with quote. Return this sheet in a sealed envelope addressed to: Richmond Health and Safety Department William Tandy 2380 Liberty Avenue Richmond, IN 47374 Re: Quote Questions? Call William Tandy at 765-983-7476. STATE TAX EXEMPTION # 003121909-001 Richmond Sanitary District NAME OF FIRM QUOTING: BY: AUTHORIZED BY SIGNATURE DATE C7 i 0YL-i- TITLE PHONE NUMBER Cates Auto Service, Inc. 1215 South Q Street Richmond, IN 47374 (765)966-1502 February 24, 2016 City of Richmond Richmond Health and Safety Department Attn: William Tandy 2380 Liberty Avenue Richmond, IN 47374 The following is in response to your Price Request: 1. % parts mark up = 25% 2. Vehicle Refinishing per hour = $46.00 3. Body Work per hour = $46.00 4. Frame repair per hour = $60.00 5. Collision related mechanical repair per hour = $70.00 6. Storage per day =$0.00 7. The City of Richmond will receive TOP PRIORITY. 8. Please see attached Certificate of Liability Insurance for Workers Compensation per your request. 9. Manufacturer warranty on all parts and one year warranty on body repairs and refinishing labor. As always, should you have any questions, please do not hesitate to contact us. We thank you for opportunity to provide you with this Price Request. We greatly appreciate your business! Charles Cate Owner Cates Auto Service, Inc. (765)966-1502 L.� CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/DDNYY`n 05/26/2015 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 REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must he 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/si. PRODUCER Andrew Hulett C/o Laurus Strategies 55 West Monroe, Suite 500 Chicago, IL 60603 A: INSURED Human Capital Concepts, LLC Alt. Emp: Cates' Auto Service, Inc. 2200 Genoa Business Park Suite 100 Brighton, MI 48114 COVERAGES CERTIFICATE NUMBER! 15WI8018426R1 ocincie%m ul nsoco. ��IVIVI\ I\VI�I�Gf�. 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 I POLICY NUMBER PMIUDD EFF MMM/LIDD EXP LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR i EACH OCCURRENCEGE TO RENTED S $ 1 PREMISES (Ea occurrence) S MED EXP (Any one person) S PERSONAL & ADV INJURY AGGREGATE LIMIT APPLIES PER: ❑ S GEN'L _ 1 GENERAL AGGREGATE S POLICY JE T LOC ' PRODUCTS - COMP/OP AGG OTHER: -- S AUTOMOBILE LIABILITY M S Ea accident ANY AUTO BODILY INJURY (Per person) S ALL OWNED SCHEDULED I S AUTOS - BODILY INJURY Per amdent ( ) NON-OAUTOS HIRED AUTOS I AUTOS PROPERTY DAMAGE S Per accident a UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS -MADE AGGREGATE $ DED I I RETENTION $ S WORKERS COMPENSATION EMPLOYERS' P R H- X AND LIABILITY YIN I TATUTE ER $ 1,000,000 A ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEML3ER EXCLUDED? NIA WC 96-95-685-03 06101 /2015 E.L. EACH ACCIDENT .. - 06/01 /2016 S 1,000,000 (Mandatory in NH) If yes, describe under . E.L DISEASE -EA EMPLOYE --- S 1 ,000,000 DESCRIPTION OF OPERATIONS below 1 E.L DISEASE - POLICY LIMIT Location Coverage Period: O6/01/2015 06/01/2016 Client# 50117-IN DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 104, Additional Remarks Schedule, may be attached it more space is required) Cates' Auto Service, Inc. Coverage is provided for 1215 South Q Street only those co -employees of, but not subcontractors Richmond, IN 47374 to: t,rm I iFiCA I E HOLDER CANCEL I ATIf1rd Cates' Auto Service, Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1215 South Q Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Richmond, IN 47374 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (0 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25120141011 The ACORD name and logo are registered marks of ACORD E-Verify Requirements: Definitions: E-Verify Pro ram - An electronic verification of work authorization program of the Illegal Immigration Reform and Immigration Responsibility Act of 1996 (P.L. 104-208), Division C, Title IV, s.403(a), as amended, operated by the United States Department of Homeland Security or successor work authorization program designated by the United States Department of Homeland Security or other federal agency authorized to verify the work authorization status of newly hired employees under the Immigration Reform and control Act of 1986 (P.L. 99-603). No performance of services shall commence until the following has been met: 1. The City is in receipt of any required certificates of insurance; 2. The City is in receipt of any required affidavit signed by Contractor in accordance with Indiana Code 22-5-1.7-11(a)(2) and 3. A purchase order has been issued by the Purchasing Department. *age* Mesa* ■ ■ s ■ s t ■ f ■ ■ • ■ e ■ r • ♦ r ass • • ■ ■ 1 s i m ! s ■ ■ ■ r ■ • • ■ ■ • • 1 ■ ■ ■ • ■ ■ won a awe ass ads same ■ • g COMPLIANCE WITH INDIANA E-VERIFY PROGRAM REQUIREMENTS Pursuant to Indiana Code 22-5-1.7, Contractor is required to enroll in and verify the work eligibility status of all newly hired employees of the contractor through the Indiana E-Verify program. Contractor is not required to verify the work eligibility status of all newly hired employees of the contractor through the Indiana E-Verify program if the Indiana E-Verify program no longer exists. Prior to the performance of this Agreement, Contractor shall provide to the City its signed Affidavit affirming that Contractor does not knowingly employ an unauthorized alien in accordance with IC 22-5-1.7-11 (a) (2). In the event Contractor violates IC 22-5-1.7 the Contractor shall be required to remedy the violation not later than thirty (30) days after the City notifies the Contractor of the violation. If Contractor fails to remedy the violation within the thirty (30) day period provided above, the City shall consider the Contractor to be in breach of this Agreement and this Agreement will be terminated. If the City determines that terminating this Agreement would be detrimental to the public interest or public property, the City may allow this Agreement to remain in effect until the City procures a new contractor. If this Agreement is terminated under this section, then pursuant to IC 22-5-1.7-13 (c) the Contractor will remain liable to the City for actual damages. Affidavit of Employment Eligibility Verification The Contractor, � [,u.0 u bv, affirms under the penalties of perjury that Contractor does not knowingly employ an unauthorized alien. If Contractor is self-employed and does not employ any employees, Contractor verifies he or she is a United States citizen or qualified alien. The Contractor has not knowingly employed or contracted with an unauthorized alien and shall not retain an employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Pursuant to Indiana Code 22-5-1.7, Contractor has enrolled in and verified the work eligibility status of all newly hired employees of the contractor through the Indiana E-Verify program. The Contractor has required Contractor's subcontractors to certify to the Contractor that the subcontractor does not knowingly employ or contract with an unauthorized alien and that the subcontractor has enrolled and is participating in the E-Verify program. The Contractor will maintain this certification throughout the duration of the term of a contract with a subcontractor. I hereby verify under the penalty of perjury that the foregoing statement is true. Dated this day of 20�061 (signature) GA.uc14— Ca.t& (printed name) t CITY OF RICHMOND HEALTH AND SAFM DEPARTMENT 2M UKEM AVFNU6R1CHD40ND, INDIANA47374 FKLM VW) M-7475-FAX 96+) W3.1510 PRICE REQUEST THIS IS NOT AN ORDER VENDOR INSTRUCTIONS This is a request for a price for the services of materials Wetzel Collision Center described below. Any additional specifications may be attached hereto. This is NOT an order and the City reserves 5500 National Road East the right to accept all or part, or decline the entire proposal. Please complet9 your full name and phone number below Richmond, IN 47374 with signature; itemize all prices and charges where requested; and attach any explanation for any substitution to specifications altered. Return in a sealed envelope, In care of Richmond Health and Safety Department to the administration building at the address above by the specified date and time to be considered. DATE: REPLY MUST BE IN BY: PAYMENT TERMS: DELIVERY REQUIRED: February 16, 2016 10:00 A.M. on February 24, 2016 UPON RECEIPT OF INVOICE DELIVERED DESCRIPTION This is a price request for the 2016 Calendar year in regards to vehicle collision damage repair of Park, RSD, Street, and Police Dept. City owned vehicles. Please include pricing for each of the following separately. (1) % parts mark up. (2) Vehicle Refinishing per hour. (3) Body work per hour. (4) Frame repair per hour. (5) Collision related mechanical repair per hour. (5) Storage per day. (7) Please include a statement of what priority city of Richmond would receive if your company is the successful bidder. Please include a Certificate of Insurance which must include Workers Compensation. Also include all warranty information with quote. Return this sheet in a sealed envelope addressed to: Richmond Health and Safety Department William Tandy 2380 Liberty Avenue Richmond, IN 47374 Re: Quote Questions? Call William Tandy at 765-983-7476. STATE TAX EXEMPTION # 003121909-001 Richmond Sanitary District NAME OF FIRM QUOTING: Wt+ I CoiliGion Cen4u- BY: _ AUTHORED BY SIGNATURE Sod l shop No-n a C e r TITLE 1-la-i (Zt"s') 9tcl:o-, 000 DATE PHONE NUMBER Cx } . 3ou0 W-9 Pau. beaernliw 2011) "M to sm" on you s Wetzel TOO, WC N Wetzel Chmofet Request for Taxpayer al" FtMn to the Identification Number and Certification requester. °o not send to the IRS. name, R afferent from above e Check spWapriste box for Were! tax claeascaticri ) ❑ i-clMdueysois proprietor [I C Corporation 2] S Cow*W ❑ PannershiP ❑ Tnogtestate JOEiLimded iabr�ty Company. Enter the tax clessif�n C•C ► ❑ ( eorporation, SaS COrpOrteiorr, p.+partneranrp) Dayee ❑ aher (see hstructbrei► AOdreaa (rrrrrtber, NU and MS. or SSW National Road East Clly, aAate. and Ze' oode Ril UMM, IN 47374 List accent mrnberfq here botiona Enter your TiN In the appropriate box. The TIN provided must match the name given on the `Name" ire to avoid backup withhol*4 For Individuals. this fs you social security number (SSN). However, for a resident alien, sole proprietor. or disregarded entity, see the Part I Instructions on page 3. For other entities, it is yaw employer identification number (EiNy. If you do not have a number, see How to get a TIN on page 3. Under penalties of perjury, t Certify that: 1. The number shown an this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and 2. 1 am not subject to backup withholding because: (a) i am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that i am MA*ct to backup withholding as a result of a failure to report all Interest or dlvkfends, or (c) the IRS has ratified me that I am no longer subject to backup withholding, and 3. 1 am a U.S. citizen or other U.S. person (defined below). Centlifiation sa0vcdorm You must cross out item.2 above if you have been notified by the IRS that you are currently subject to backup withhoUng because you have taped to report all Interest and dividends on your tax return. For reef estate transactions, item 2 does not apply. For mortgage Intel est paid, acquisition or abandonment of secured property, cancellation of debt, contnbutians to an individual n9t"ment arrangert»nt (IRA), and gener0l, payments other than Interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 4. Sigel tifPnab" of Here u s Person ► Cate ► General Instructions Section rderencies are to the Internal Revenue Code unless otherwise rioted. Purpose of Form. A person who is required to file an Information return with the IRS must obtain your correct taxpayer identification number MN) to report, for exempla, kieottie paid to you. red estate transactions, mortgage irderest you paid, aoWsWon.or abatidou n&tt of secured property, camftfion of debt, or Contributions you made to an iRA. Use Form W-9 only If you are a U.S. person (including a resident AM). to provide your correct TiN to the parson requesting it (the requeOW ark, when app&mble, to: 1. Cet* that tha TiN you are giving is correct (or you are waitM for a nuntter to be b uso, 2. C.erWy that you are not $abject to backup withholding, or 3. Clcim exemption from backup withholding if you are a U.S. exempt Payee• If you are also oer6h*V that as a U.S. person:, your allocable atmre of ariy partnership Income from a U.S. trade or business Is not subject to the witli*po g tax on foreign partners' share of affeo Valy corrected income. Note. if a requester gives you a form other than Form W-9 to request your TIN, you must use the requester's form if it is substantiaty similar to We Forth W-9_ 00111 W" of a U.S. penal For federal tax purposes, you are considered a U.S. person d you are: • An individual who Is a U.S. citizen or U.S. resident aten, • A partnership. corporation. may. or association crested or organized in the United States or under the laws of the United States. • An fatale (other than a foreign estate), or • A domestic trust (as defined in Regulations section 301.T701-7). Specie! roes for partnorsh4m Partnerships that conduct a trade or bxr*wm in the United States are generally required to pay a withholding tax on any foreign partners' share of floors from such busirwas. Further, in certain ceses where a Form W-9 has tot been received, a partnership Is required to presume that a partner is a foreign person. Old pay the withholding tax. Therefore, if you are a U.S. person that is a partner in a pwblership concluding a trade or bumness in the United States, provide Form W-9 to the partnership 10 establish your U.S. status and avoid wffl t W ft on your share d parotersftdp inane. Cat No.10231X Form W-9 Mov, 12-2011) E-Verify Requirements: Definitions: E-Verify Program - An electronic verification of work authorization program of the Illegal Immigration Reform and Immigration Responsibility Act of 1996 (P.L. 104-208), Division C, Title N, s.403(a), as amended, operated by the United States Department of Homeland Security or successor work authorization program designated by the United States Department of Homeland Security or other federal agency authorized to verify the work authorization status of newly hired employees under the Immigration Reform and control Act of 1986 (P.L. 99-603). No performance of services shall commence until the following has been met: 1. The City is in receipt of any required certificates of insurance; 2. The. City is in receipt of any required affidavit signed by Contractor in accordance with Indiana Code 22-5-1.7-11(a)(2); and 3. A purchase order has been issued by the Purchasing Department. sumayesiKnossos toads aManowsmangw4monnnownMovessuess0WOMOMMOGNonmown NowasMUMEREF COMPLIANCE WITH INDIANA E-VERIFY PROGRAM REQUIREMENTS Pursuant to Indiana Code 22-5-1.7, Contractor is required to enroll in and verify the work eligibility status of all newly hired employees of the contractor through the Indiana E-Verify program. Contractor is not required to verify the work eligibility status of all newly hired employees of the contractor through the Indiana E-Verify program if the Indiana E-Verify program no longer exists. Prior to the performance of this Agreement, Contractor shall provide to the City its signed Affidavit affirming that Contractor does not knowingly employ an unauthorized alien in accordance with IC 22-5-1.7-11 (a) (2). In the event Contractor violates IC 22-5-1.7 the Contractor shall be required to remedy the violation not later than thirty (30) days after the City notifies the Contractor of the violation. If Contractor fails to remedy the violation within the thirty (30) day period provided above, the City shall consider the Contractor to be in breach of this Agreement and this Agreement will be terminated. If the City determines that terminating this Agreement would be detrimental to the public interest or public property, the City may allow this Agreement to remain in effect until the City procures a new contractor. If this Agreement is terminated under this section; then pursuant to IC 22-5-1.7-13 (c) the Contractor will remain liable to the City for actual damages. Affidavit of Employment Eligibility Verification The Contractor, We+Wk Coll 46wn CCn-�,-affirms under the penalties of perjury that Contractor does not knowingly employ an unauthorized alien. If Contractor is self-employed and does not employ any employees, Contractor verifies he or she is a United States citizen or qualified alien. The Contractor has not knowingly employed or contracted with an unauthorized alien and shall not retain an employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Pursuant to Indiana Code 22-5-1.7, Contractor has enrolled in and verified the work eligibility status of all newly hired employees of the contractor through the Indiana E-Verify program. The Contractor has required Contractor's subcontractors to certify to the Contractor that the subcontractor does not knowingly employ or contract with an unauthorized alien and that the subcontractor has enrolled and is participating in the E-Verify program. The Contractor will maintain this certification throughout the duration of the tern of a contract with a subcontractor. I hereby verify under the penalty of perjury that the foregoing statement is true. Dated this dodhay of FebtuQt- , 2O I to (signat e :: H i I (printed name) : A.Cfl � CERTIFICATE OF LIABILITY INSURA CE AVOA zoo tA1`E:1913S/KS �i tiAARJfOF#t�tA7tON CANL,Y ��fD. Cf1NFERSOGFS LPON THE CERF£7E HQCQfR: THISTER O�TpISUEt tE= VOEI OQATIVELVANENDExTlEN0'0 &Tr=Ft THE CbS�EiiACiE AFFORD�Drg1f THE POLICFES BROW. TitlS ER T1FICleKiEbiE tliSliRANCE D.0 S 4 C�NSi 1TUTE A COMTRAC T$1r f1AlE£l1 TIfE.ISS(iING'tNSt1RER{S}, AUTHORIZED fiEFR�SEti�hT.k�Y'E DR UG"ER, �NQ TH��ER71F��T'� 11Q�,13EfiE. NAPORT Eto a: Hdtdor mtbogdod,BO3A tOL, n. N7 WAVED, sub ec to iheti►ms end•Gf tt�eoNdY, po8clos ir>,cequke an aneitwr�t. A•rtatement an ttrFs ceitlficate'iJoes nvf ciuifw rights to the c*ttif>CaMi botQei In lieu of Suctr�clo�s . �j. 'w PER IT CwAhtE RNp/Patiti Insuravice ,& FfnaKull— $ rvi a PFiQNE No 765.966.7 31 No. 765.935.2476 3b South 4t:h S't:reet Bax 1167 ADOix-, INSURERMAFFYIRDINGCOYERAGE NAIC► Richmond, IAi #x375 n�su[a Ar Cincinnati Insur4nce Company 10677 Wet INSUREDzel Twb r�C: INSURER 8. CinclnnatJ :Casualty `Ca. 28665 QBA Wetzel; Gevrrslet; ;mac::. Auto -Owners Insurance Company 18988 4700.Nat ipmT •Road Easy xrs m': :Rictwmd',, IN 47374 COVERAGES.INSURERF; T—F1Q-.- A Martiar mme1n1iw all rffEnrs: • •— r ??unwvs a vref.�nutu ass rts oESt:RJED,HERN DTTO ALL THE 'TERMS 7TIONS5�S1RCLAIMS:EXCLJSO WDb. 1 aMYxuCAe LTR.; rl" of-muRvicE 1N rM1t4 ROucvF NIjNIBER r C f POLICY l mrrs /, c stutme�mr : iERF}hL citJERAi_L44$IL[i is CE 41W- my DE : OC> LRR, EPP 0Z7 - 7 35 $500 000 .LIMIT 1 VI07/-01s 09101=19, _ EACH ocuty S 1, 000: 00. X FftEMlses Ea occaimencei4 . 100,00( AHED EXP: (Aty one peen) g 5 , 00 PER56,Nk & ADV tNWRY $ 1, 000 OD X EPL3 GENERAC:AGGREGATE , $ 21000,00 ¢L tS7E LAyfIT APP�aES PER. POLICY l X .WC PROD--:C%&ybP AC $ 2', 000 , . . A xurolxftae ussajTv Af�YiQ77O �Ll.OiARED $fiiEDi7l ED AUTOS ()$ l+t1fOS %t ALITb3 EPP 027':17 35 $1,000,000 LIMIT 08/D9/2013 081ovRq (Ea accidertl $ 1,000,00C BbMY PdjLpy (Per per} $ X BODILY'NJLRY (Per accident) 3 ;Per accident} $. XsarageK s A LWNVUALAS 'EXCESS:LIAB HqLM4WOE oCVJR EPP 021 17 1 Rasrosl2013 09f0i/2016 ocrtvcE cuaa c 10,000, A P45REIGATE t 10,000.00C f2EfwnON..: g $ C wscoM ' IIN tPR RIUORFAFowI E it 0 S i3P RATIONS t�albvt ;c7g ei4r Sond, NIA, f�7MC 026 00 37-0 i6s05i32 49/4t/2095 0T/17/Za13 0$101/2016. o7/rrnc1e X 70RYLIMT6 E2 E.L. E�ccriacc[oenir g 500 oo Ei ofStAse E0*tOYEE $ Soo o ' .L DRSEASE w,PCLICY LIMIT $ 5001000 Szs; 000 Limit 4ESC�!77D(90FPPERAI:�GC1l7pNS.fi1�1j�;LEs� jAUa�hACOF�(f1Q7;A�14Mm�MRemarkcSchsdiA�,:Kteiotat evRfl zs�FcuvS); Tha.ACORY? name aisd Eogo die rdgistered mantis of ArQtD WETZEL AUTO COLLISION CENTER Wetzel Rate and Information Sheet 1.) Parts Mark-up - 30% 2.) Refinish Rate - $46/hour 3.) Body Rate - - $46/hr 4.) Frame Rate - $60/hr 5.) Collision related Mechanical - $78/hr 6.) Storage - $20/day— can be waived given circumstances 7.) Highest priority would be given to City vehicles 5500 NATIONAL ROAD EAST I RICHMOND, INDIANA 47374 1 765/966-7000 WETZELAUTO.COM f WETZEL. AUTO COLLISION CENTER Wetzel Family Auto Cruise is pleased to offer a limited lifetime warranty on all body repairs performed at our Collision Centers. We are proud of our training, equipment, and workmanship and will stand behind our repairs from beginning to end. Our technicians are ICAR Gold -Glass certified as well as ASE and factory trained. Our state of the art facility offers the latest in frame equipment with a Chief frame rack and Velocity laser measuring system; ensuring your vehicle is returned to exact factory specifications. We also boast a down -draft bake paint booth that allows.us to return your vehicle's finish to factory standards. Thank you for choosing our facility to repair your vehicle. We are confident that you will be completely satisfied with all work performed. If you have any questions or concerns please feel free to give us a call. We will guarantee our workmanship and paint for as long as you own your vehicle. All parts have a 12 month/12,000 mile warranty, or as specified by manufacturer. If you have a warranty issue, please contact the body shop manager and we will assist you in anyway we can. Again, thank you for allowing us the opportunity to assist you, and we look forward to working with you in the future on all of your vehicle needs. Tifa ' iller Body Shop Manager 5500 NATIONAL ROAD EAST I RICHMOND, INDIANA 47374 1 765/966-7000 WETZE -AUTO.COM