HomeMy Public PortalAbout109-2020 - Alpha Demolition Inc. - Blight Demo - Group 1, Part 3odor
AGREEMENT
THIS AGREEMENT made and entered into this day of AP.4, 2020, and referred
to as Contract No. 109-202Q by and between the City of Ric ond, Indiana, a municipal
corporation acting by and through -its Board of Public Works and Safety (hereinafter referred to
as the "City") and Alpha Demolition, Inc., P.O. Box 360, Harrison, Ohio, 45030. (hereinafter
referred to as the "Contractor").
SECTION I. STATEMENT AND SUBJECT OF WORK
City hereby retains Contractor to perform services in connection with the demolition and
removal of certain unsafe structures located in Richmond, Indiana, for the Blight Elimination
Program Project (the "Project"), which services shall. include demolition, removal of debris, and
restoration of the sites as more specifically set forth in the Notice to Bidders. The structures are
as follows:
2020 Part 3, Demo Group 1:
77 NW H Street $6,050.00
304 North 22nd Street $5,500.00
404 South 12'h Street $17,489.00
610 North 9t' Street $4,600.00
TOTAL: $33,639.00
Certain Requests for Proposals (BEP Part 3 Demo Group 1) dated July of 2020, including any
and all addendums, have been made available for inspection by. Contractor, are on file in the
office of the Department of Infrastructure and Development for the City, and are hereby
incorporated by reference and made a part of this Agreement. Contractor agrees to abide by the
same.
Portions of the response of Contractor to said Request for Proposals for demolition dated August
27, 2020, are attached hereto as Exhibit A, which portions consist of nine (9) pages, and which
Exhibit is hereby incorporated by reference and made a part of this Agreement. Contractor
agrees to abide by the same.
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Contract No. 109r2020
This Agreement consists of the following Contract Documents, all of which are as fully a part of
this Agreement as if set out verbatim herein or attached'hereto, and the same as in all particular
become the Agreement between the parties hereto in all matters and things set forth herein and
described:
a. This Agreement;
b. All Addenda issued prior to receipt of Bids, whether or not receipt thereof has been
acknowledged by Contractor in its Bid;
c. General Conditions;
d. Special Conditions;
e. Technical Specifications;
f. City Standards and Specifications;
g. Instructions to Bidders;
h. Advertisement or Notice to Bidders;
i. Performance and Payment Bonds;
j. Contractor's Itemized Proposal and Declarations.
In resolving conflicts, errors, discrepancies, and disputes concerning the nature, character, scope
or extent of Work to be performed or furnished by the Contractor, or other rights and obligations
of the City and Contract, arising from or prescribe by one or more of the Contract Documents,
the following rules shall govern:
a. A requirement occurring in one Contract Document is as binding as though occurring
in all Contract Documents;
b. The Contract Documents shall be given precedence in the order as listed above.
The Contractor shall furnish all labor, material, equipment, and services necessary which are
incidental to the proper completion of all work specified.
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No performance of services shall commence until the following has been met:
1. The City is in receipt of any required certificates of insurance and/or
warranties;
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.
SECTION III. COMPENSATION
City shall pay Contractor an amount estimated not to exceed the total amount of Thirty-three
Thousand Six Hundred Thirty-nine Dollars and Zero Cents ($33,639.00) for complete and
satisfactory performance of the work required hereunder. Demolition permit fees will be waived
by the City and Landfill fees will be discounted by Fifty Percent (50%).
SECTIONN IV. TERM OF AGREEMENT AND LIQUIDATED DAMAGES
This Agreement shall become effective when signed by all parties and shall continue in effect
until completion of the Project, which completion shall be within thirty (30) days of the date of
receipt of the purchase order by Contractor. A penalty will be assessed and deducted from
Contractor's retainage in the event services are still being performed by Contractor under this
Agreement in the amount of One Dollar ($1.00) per day and per structure (for each structure that
remains un-demolished and/or cleared as required by the Contract Documents beyond the date
set forth above) and the same for each day past the date for completion as set forth above.
It is hereby understood and mutually agreed, by and between the Contractor and the City that the
date of the time for completion of the Project as specified in the Contract documents are
ESSENTIAL CONDITIONS of this Agreement. The Contractor and City acknowledge and
agree that the time allotted by this Agreement for the performance and completion of the Project
is reasonable and takes into account any and all risks and adverse conditions assumed by
Contractor. hereunder.
The Contractor and Owner recognize and contemplate that unexcused failure by the Contractor
to complete the Work within the term set forth above will cause the City and the Public to suffer
financial losses or inconvenience, the full and exact extend and character of which cannot be
,measured as a basis for recovery by the City of actual damages, and that liquidated damages as
prescribed in this Agreement represent a fair, reasonable, and appropriate estimate thereof.
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Accordingly, the Contractor agrees that such liquidated damages may be assessed and recovered
by the City, as against Contractor and its Surety, in the event of delayed completion and without
the City being required to present any evidence of the amount or character of actual damages
sustained by reasons thereof.
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 and proper manner its
obligations under this Agreement; .
b. submission by the Contractor to the City of reports that are incorrect or incomplete 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 effective date by Contractor, 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.
This Agreement may also be terminated by the City if a force-maj eure event occurs and the
results or aftereffects of said event causes the performance of this Agreement to become
impossible or highly impracticable. 'Said event or results or aftereffects of said event would
include events or effects which the parties to this Agreement could not have anticipated or
controlled. Examples of a force-maj eure event, or its results, would include, but would not be
limited to, events such as an Act of God, an Act of Nature, an Act of Law, or an Emergency Act
of Executive, Enforcement of the Federal government, the State of Indiana, or local government.
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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 Coritractor 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.
Coverage
A. Worker's Compensation &
Disability Requirements
B. Employer's Liability
C. Comprehensive General Liability
Section 1. Bodily Injury
Section 2.' Property Damage
D. Comprehensive Auto Liability
Section 1. Bodily Injury
Section 2. Property Damage
Limits
Statutory
$100,000
$1,000,000 each occurrence
$2,000,000 aggregate
$1,000,000 each occurrence
$1,000,000 each person
$1,000,000 each occurrence
$1,000,000 each occurrence
E. Comprehensive. Umbrella Liability $1,000,000 each occurrence
$2,000,000 each aggregate
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
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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. 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. 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.
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B. Pursuant to Indiana Code 5-16-6-1, the Contractor agrees:
1. 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 acting 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 monies
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.
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 XI. 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 XII. ADDITIONAL PROGRAM PROVISIONS
The City of Richmond is entering into this Agreement with Contractor with the understanding
that City has been or will be allocated certain funding from the Indiana Housing and Community
Development Authority ("IHCDA") in order that the City can participate in the IHCDA's Blight
Elimination Program (`BEP"). As a result, the following provisions as applicable to City as the
"Program Recipient" and/or as applicable to Contractor are set forth. in this Section. Contractor
agrees that in the event the IHCDA notifies the City and submits any additional applicable laws,
statutes, or guidelines applicable to this Agreement under IHCDA's Program Guidelines for
BEP, said additional provisions shall be attached to this Agreement as an Addendum and
executed by the parties.
Page 7 of 11
A. The Recipient shall carry out the Project in accordance with the conflict of interest
provisions prescribed in 24 CFR 92,356(f).
B. The Recipient and Contractor and any principals of the Recipient and Contractor certify
that (A) it, except for de minimis and nonsystematic violations, has not violated the terms
of (i) IC 24-4.7 (Telephone Solicitation Of Consumers), (ii) IC 24-5-12 (Telephone
Solicitations), or (iii) IC 24-5-14 (Regulation of Automatic Dialing Machines) in the
previous three hundred sixty-five (365) days, even if IC 24-4.7 is preempted by Federal
law; and (B) it will not violate the terms of IC 24-4.7 for the duration of this Agreement,
even if IC 24-4.7 is preempted by Federal law.
C. The Recipient and Contractor and any principals of the Recipient and Contractor certify
that an affiliate or principal of the it and any agent acting on behalf of the it or on behalf
of an affiliate or principal of the Recipient (A) except for de minimis and nonsystematic
violations, has not violated the terms of IC 24-4.7 in the previous three hundred sixty-five
(365) days, even if IC 24-4.7 is preempted by Federal law; and (B) will not violate the
terms of IC 24-4.7 .for the duration of this Agreement, even if IC 24-4.7 is preempted by
Federal law.
D. Meaningful Access for Limited English Proficient Persons. Persons who, as a result of
national origin, do not speak English as- their primary language and who have limited
ability to speak, read, write, or understand English ("limited English proficient persons"
or "LEP") may be entitled to language assistance under Title VI of the Civil Rights Act
of 1964 ("Title VP') in order to receive a particular service, benefit, or encounter. In
accordance with Title VI and its implementing regulations, the Recipient and Contractor
agree to take reasonable steps to ensure meaningful access 'to activities funded with BEP
Funds by LEP persons. Any of the following actions could constitute "reasonable steps",
depending on the circumstances: acquiring translators to translate vital documents,
advertisements, or notices, acquiring interpreters for face to face interviews with LEP
persons, placing advertisements and notices in newspapers that serve LEP persons,
partnering with other organizations that serve LEP populations to provide interpretation,
translation, or dissemination of information regarding the project, hiring bilingual
employees or volunteers for outreach and intake activities, contracting with a telephone
line interpreter service, etc.
E. Lobbying Activities. Pursuant to 5 U.S.C. § 1502 and 31 U.S.C. § 1352, as amended
from time to time , and any regulations promulgated thereunder, the Recipient and
Contractor hereby certify that no Federally appropriated funds have been paid or will be
paid by or on behalf of the Recipient or Contractor to any person for influencing or
attempting to influence an officer or employee of any agency, a member of Congress, an
officer or employee of Congress, or an employee of a member of Congress, in connection
with the awarding of any Federal contract, the making of any Federal award, the making.
of any Federal loan, the entering into of any cooperative agreement, and the extension,
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continuation, renewal, amendment to, or modification of any Federal contract, award,
loan, or cooperative agreement. If any funds other than Federally appropriated funds
have been paid or will be paid to any person for influencing or attempting to influence an
officer or employee of any agency, a member of Congress, an officer or employee of
Congress, or an employee of a member of Congress, the Recipient and/or Contractor
shall complete and submit Standard Form-LLL; "Disclosure Form to Report Lobbying".
F. Non -Discrimination Clause. Pursuant to the Indiana Civil Rights Law, specifically
including Indiana Code § 22-9-1-10, and in keeping with,the purposes of the federal Civil
Rights Act of 1964, the Age Discrimination in Employment Act, and. the American with
Disabilities Act, the Recipient and Contractor covenant that they shall not discriminate
against any employee or applicant for employment relating to this Agreement with
respect to hire, tenure, terms, conditions or privileges of employment or any matter
directly or indirectly. related to employment because of the employee or applicant's race,
age, color, religion, sex, disability, national origin, ancestry, or status as a veteran, or any
other characteristic protected by federal, state, or local law ("Protected Characteristics").
Furthermore, the Recipient and Contractor certify compliance with applicable federal
laws, regulations; and executive orders prohibiting discrimination based on the Protected
Characteristics in the provision of services. Recipient and Contractor understand that
IHCDA is a recipient of federal fends, and therefore, where applicable, the Recipient,
Contractor and subcontractors of both agree to comply with requisite affirmative action
requirements, including reporting pursuant to 41 C.F.R. Chapter 60, as amended and
Section 202 of Executive Order 11246.
G. Maintaining a Drug -Free Workplace (Executive Order No. 90-5). Pursuant to Executive
Order No. 90-5, April 12, 1994,. issued by Governor Evan Bayh, the Indiana Department
of Administration requires the inclusion of this certification in all contracts with and
grants from the State of Indiana in excess of $25,000. No award of a contract or grant
shall be made, and no contract, purchase order or agreement, the total of which amount
exceeds $25,000, shall be valid unless and until this certification has been fully executed
by the Recipient and Contractor and attached to the contract or agreement as part of the
contract documents. False certification or violation of the certification may result in
sanctions including, but not limited to, suspension of contract payments, termination of
the contract payments, termination' of the contract or agreement and/or debarment of
contracting opportunities with the State for up to three (3) years.
The .Recipient and Contractor certify and agree that each will provide a drug -free
workplace by:
1. Publishing and providing to all of its employees a statement notifying
employees that the unlawful manufacture, distribution, dispensing, possession or use of a
controlled substance is prohibited in the Recipient's and Contractor's workplaces and
specifying the' actions that will be taken against employees for violations of such
prohibition; and
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2. Establishing a drug -free awareness program to inform employees about
(1) the dangers of drug abuse in the workplace; (2) the Recipient's and Contractor's
policies of maintaining a drug -free workplace; (3) any available drug counseling,
rehabilitation, and employee assistance programs; and (4) the penalties that may be
imposed upon an employee for drug abuse violation occurring in the workplace;
3. Notifying all employees in the statement required by subparagraph (a)
above that as a condition of continued employment the employee will (1) abide by the
terms of the statement; and (2) notify the employer of any criminal drug- use conviction
for a violation. occurring in the workplace no later than five (5) days after such a
conviction;
4. Notifying in writing the contracting State Agency and the Indiana
Department of Administration within ten (10) days after receiving notice from an
employee under subdivision (c)-(2) above, or otherwise receiving actual notice of a
conviction;
5. - Within thirty (30). days after receiving notice under subdivision (c)-(2)
above of a conviction, imposing the following sanctions or remedial measures on any
employee who is convicted of drug abuse violations occurring in the workplace: (1) take
appropriate personnel action against the employee, up to and including termination; or (2)
require such employee to satisfactorily participate in a drug abuse assistance or
rehabilitation program approved for such purposes by 'a Federal, State or local health, law
enforcement, or other appropriate agency; and
6. Making a good faith effort to maintain a drug -free workplace through the
implementation of subparagraphs (a) through (e) above.
SECTION XIII. 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. It shall be
controlled by Indiana law and shall be binding upon the parties, their successors and assigns. It
constitutes the entire Agreement between the parties, although it may be altered or amended in
whole or in part at any time by filing with the Agreement a written instrument setting forth such
changes signed by both parties..
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 suit arising
under this Contract, if any, must be filed .in said courts. The parties specifically agree that no
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arbitration or mediation shall be required prior to the commencement of legal proceedings in said
Courts.
Any person executing this Contract in a representative capacity hereby warrants'that he 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 due to the enforcement of
this Agreement, including but not limited to City's reasonable attorney's fees, whether or not suit
is filed.
In the event that'an ambiguity or 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 parry 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. '
"CITY"
THE CITY OF RICHMOND, INDIANA BY
AND THROUGH ITS BOARD OF PUBLIC
WORKS AND SAFETY
By: qxye� '
Vicki Robinson, President
By:
ZJ
Emily P lmer, Member
By: � k,
a Evans, Member
APPROVaDavidM.
now, or
Date:
"CONTRACTOR"
ALPHA DEMOLITION, INC.
P.O. Box 360
Harrison, OH 45030
Printed: aJ� c„J r1
Title: G ''L2 /'
Date: ta_ S�—Po
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CONTRACTOR'S BID FOR PUBLIC WORK - FORM 96
6 ` ' State Form 52414 (R2 / 2-13) / Form 96 (Revised 2013)
Prescribed by State Board of Accounts
PART
(To be completed for all bids. Please type or print)
Date (month, day, year):_ $ I� ` 20 "7_0
1. Governmental Unit (Owner):_ Cl�
2. County: gyp',,,,
3. Bidder (Firm): "t'i` ��Y �(1C� �,LCyl�l �C,
Address: PoRmx
City/StatelZIPcode:
4. Telephone Number: r &)o - G9 2�5
5. Agent of Bidder (if applicable):
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete
the public works project of t_ k 1 L C
(Governmental Unit) in accordance with plans and specifications prepared by
and dated J 202-0 for the sum of
The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the
notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the
notice. Any addendums attached will be specifically referenced at the applicable page.
If.additional units of material included in the contract -are needed, the cost of units must be the same as
that shown in the original contract if accepted by the governmental unit. If the bid is to be awarded on a unit
basis, the itemization of the units shall be shown on a separate attachment.
The contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee,
or applicant for employment, to be employed in the performance of this contract, with respect to any matter
directly or indirectly related to employment because of race, religion, color, sex, national origin or ancestry.
Breach of this covenant may be regarded as a material breach of the contract.
CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS
(if applicable)
I, the undersigned bidder or agent as a contractor on a public works project, understand my statutory
obligation to use steel products made in the United States (I.C. 5-16-8-2). 1 hereby certify that I and all
subcontractors employed by me for this project will use U.S. steel products on this project if awarded.
understand that violations hereunder may result in forfeiture of contractual payments.
The above bid is accepted this
following conditions:
Contracting Authority Members:
U1.c
ACCEPTANCE
day of
PART'll
(For projects of $150,000 or more — IC 36-1-12-4)
subject to the
Governmental Unit:
Bidder (Firm) 1V,
Date (month, day, year);
These statements to be submitted under oath by each bidder with and as a part of his bid.
Attach additional pages for each section as needed.
SECTION i EXPERIENCE QUESTIONNAIRE '
1. What public works projects has your organization completed for the period of one (1) year prior to the
date of the current bid?
Contract Amount Class of Work Date Name and Address of Owner
fo C 000 Jw't 20 20 Nu ex & A2d2n VIA o� G , n�0wv>, Oq
; [ 202v 1 I
2. What public works projects are now in process of construction by your organization?
Contract Amount Class of Work CDate
completion Name and Address of Owner
l LA 100 �t'i L� acc, 207-0 0 it Va
151 000 2020 If
MOO O 4f accay 20 20
'1 70U c_4o? txcc,,1 Nov 2a o b
C
0 sluiT,�i P'A.-3'E 3 ��
Have you ever failed to complete any work awarded to you? (�D If so, where and why?
4. List references from private firms for which you have performed work.
Ne��elr
o u Vi (Mn-Sc,IrY r, 5 13 -661 t - 9390 cxl f q
S1-74112-M`40 txt IS-3
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
1. Explain your plan or layout for performing proposed work. (Examples could include a narrative of when
you could begin work, complete the project, number of workers, etc. and any other information which you
believe would enable the govemmental unit to consider your bid.)
2. Please list the names and addresses of all subcontractors (i.e. persons or,firms outside your own firm
who have performed part of the work) that you'have used on public works projects during the past five- (5)
years along with a brief description of the work done by each subcontractor.
3. if you intend to sublet any portion of the work, state the name and address of each subcontractor,
equipment to be used by the subcontractor, and whether you will require a bond. However, if you are
unable to currently provide a listing; please understand a listing must be provided prior to contract
approval. Until the completion of the proposed project, you are under a continuing obligation to
immediately notify the governmental unit in the event that you subsequently determine that you will use a
subcontractor on the proposed project.
. S
4. What equipment do you have available to use for the"proposed project? Any equipment to be used by
subcontractors may also be required to be listed by the governmental unit.
5,. Have you youred to ncts or ot, pleaseived expla n thers for
rationale used which would corrroborateprices
the prices in
preparing your proposal?
listed.
M
SECTION III CONTRACTOR'S FINANCIAL STATEMENT
Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial
statement as required by statute thes onll thereby be tract must be specific enough n detail soinvalid. The 'al that said govement erningded body can hereunder
make
the governing body awarding
a proper determination of the bidder's capability for completing the project if awarded.
t I I A PAGE
SECTION IV CONTRACTOR'S NON — COLLUSION AFFIDAVIT
The undersigned bidder or agent, being duly sworn on oath, says that he 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 include 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.
He 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.
SECTION V OATH AND AFFIRMATION
I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION
CONTAINED IN THE FOREGOING BID FOR PUBLIC WORKS ARE TRUE AND CORRECT.
9-d �0
Dated at ' 1 �' this day of
ACKNOWLEDGEMENT
STATE OF 11f Q� tOl,�l�Ol )
) ss
COUNTY
of
of Person
Before me, a Notary Public, personally appeared the above -named Iy l (1 �G CAdAdI to l and
swore that the statements contained in the foregoing document are true and correct.
Subscribed and sworn to before me this l day of Akql ZO
Notary Public
IL(Z� ��uuinu,, . LISA WEST
My Commission Expires: �����ev pe/ Notary Public, State of Indiana
o • Dearborn County
z:SEAL*c' Commission Number NPD724340
County of Residence: 'DEOW bawl =*'• My Commission Expires
January 06, 2028
E col€ IT _ pAC�E Q'F __;
BIDDER'S ITEmmD PROPOSAL AND DECLARATIONS
City of Richmond
Instructions To Bidders:
This form shall be utilized by all Bidders. Except as otherwise specificallyprovided, all Parts shall be fully and
accurately filled in and completed and notarized.
Project: Removal of Unsafe Structure(s) in Wayne Township
Proposal For Construction of Removal of unsafe structures) in Wayne Township
Date: . C61 n lQD
To: City of Richmond
PART 1
BIDDER INFORMATION
riot
.1.1 Bidder Name: �\ nc,
1.2 Bidder Address: Street Address: ?0 S d)a 3� 45G30
City:' � +rl State: O Lk Zip
Phone #: �oI3 Wo L q 29 Fax #: ( )
1.3 Bidder is alan (mark one]:
_ Individual _ Partnership Indiana Corporation
_ Foreign (Out of State) Corporation
_ Joint Venture _
_ MBE r/ WBE VBE
Other:
1.4 [The following must. be answered if the Bidder or any of its partners or joint venture parties is a foreign
corporation Note: To do business in or with City ofRichmond, Indiana, foreign corporations must register
with the Secretary of the State of'Indiana as required by the 'Indiana Code 23-1-49 et seq" General
Corporation Act as stated therein and expressed in the Attorney General's Opinion #2, dated January 13,
1958.]
.1 Corp oration Name: P� on, ax'0 I Vic
.2 Address:?() &C Y—�D J 4VrL 8M 1Oq
.3 Date registered with State of Indiana: I �. 6 OU I P
.4 Indiana Registered Agent:
Name:
Address:
PART 2
PROPOSAL (BID)
2.1 The undersigned Bidder.proposes to fimiish all necessary labor, machinery, tools, apparatus,
materials, equipment, service and other necessary supplies, and to perform and fulfill all
obligations incident thereto in strict accordance with and within the time(s) provided by. the
terms and conditions of the Contract Documents for the above described 'Work and Project,
including any and all addenda thereto, for the total lump sum of &.Vw sc�
dollars ($ LJ "]$ hurdreA -Qzv-
2.2 By submitting bid the Bidder agrees the bid proposal and price(s) contained herein shall be valid
for ninety (90) days from bid opening.
PART 3
BID GROUP
2020 Demo Group 1
1.
77 NW H St.
2.
304 N 22nd St.
.3.
401 N 17th St.
4.
404 S 12th St.
5.
610N9thSt.
HIBI "—A _ PAGE Get= °!
$ C21050
$ r-,.5OD
$ fg ILI&
$ L .0 6,00
PART 4
CONTRACT DOCUMENTS AND ADDENDA
4.1 The Bidder agrees to be bound by the terms and provisions of -all Contract Documents as defined
in the General Conditions and incorporates such Contract Documents herein by reference
4.2 The Bidder acknowledges receipt of the following addenda:
Addendum Number
Date
XHIBIT A PAGE 9 CB F 9