R-1691 - 01/09/2018 - AGREEMENTS - Resolutions ExhibitsL':'A'.
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REVIEW OF CONT.RACTS
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90 Village of Oak Brook
West Wing Carpet Removal and
ReplacementGO
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Bid Package
QUNT
November 2017
Table of Contents
Section
A. Notice to Bidders
B. Bid
C. Instructions
D. Specifications
E. General Conditions
F. Statement of Contractor's Qualifications
G. References
H. Bid Certification
I.Contract
J.Contract Bond
Section A Notice to Bidders
Posted on the Village Website on November 15, 2017
NOTICE TO BIDDERS
VILLAGE OF OAK BROOK
The Village of Oak Brook will receive bids for:
West Wing Carpet Removal and Replacement
A Pre-Bid meetinq will be held at 10:00 a.m. on Tuesdav, November 21, 2017 at the
Village of Oak Brook Butler Government Center, 1200 Oak Brook Road, Oak Brook,
Illinois 60523, in the Samuel E. Dean Board Room. Prospective bidders must be in the
Samuel E. Dean Board Room at 10:00 a.m. to be considered an attendee. Attendance
at this meetinq is mandatorv. The purpose of the meeting is to give all prospective
bidders the opportunity to view and inspect the site, and verify square footage. Any
questions or concerns can be addressed at this time.
Sealed bids will be received by Rania Serences, Senior Purchasing Assistant, Village of
Oak Brook, 1200 Oak Brook Road, Oak Brook, IL 60523 until 11:00 A.M., Wednesday,
November 29, 2017, prevailing time, and publicly opened in the Samuel E. Dean Board
Room at that time. Bids received after this date and time will not be accepted and will be
returned to the vendor.
A complete bid package, of which this notice is a part, is on file for inspection and may be
downloaded from the Village's website www.oak-brook.orq or picked up at the Butler
Government Center, 1200 Oak Brook Road, Oak Brook, Illinois 60523, between the
hours of 8:30 A.M. and 4:30 P.M. Monday through Friday. There is no charge for the
package.
No bid shall be withdrawn after opening of bids without the consent of the Village of Oak
Brook for a period of ninety (90) days after the scheduled time of opening bids.
The Village of Oak Brook reserves the right to reject any or all bids and to waive any
informalities in bidding and to accept the bid deemed most advantageous to it.
Charlotte K. Pruss
Village Clerk
Section B Bid
West Wing Carpet Removal and Replacement
1. COST OF WORK:
The undersigned, acting for and on behalf of contractor and having familiarized
himself with conditions affecting the cost of the work and its perFormance and
having carefully examined and fully understood the entire bid package, hereby
affirms and agrees to enter into a contract with the Village of Oak Brook, Oak
Brook, IL.
To provide all supervision, labor, material, equipment and all other expense items
to completely perform the work covered by all specifications for the work.
The undersigned submits herewith his bid for the indicated item as follows:
Purchase Carpet Only:
33,500.00
The Village anticipates purchasing the carpet in 2017 and installing in 2018)
Complete the West Wing Carpet Removal and Replacement Project Installation as
contained in Section D:
ump Sum Total$ 60,990.00
In words Sixty-thousand nine hundred ninety and no/100 dollars
Total Project Cost (Carpet Purchase and Installation)
94,490.00
In words Ninety-four thousand four hundred ninety and no/100 dollars
Alternate Bid #1
Complete the West Wing Carpet Removal and Replacement Project as contained
in Section D during normal business hours Monday— Friday 8:00 a.m. —5:00 p.m.
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Lump Sum Total$ 88,000.00
In words Eighty-eight thousand and no/100 dollars
Alternate Bid #2
Complete the West Wing Carpet Removal and Replacement Project as contained
in Section D on Saturdays and Sundays only 7:00 a.m. — 7:00 p.m.
Lump Sum Total$ 104,000.00
In Words One hundred four thousand and no/100 dollars
The Village of Oak Brook reserves the right to reject any or all bids and to waive any
informalities in bidding and to accept the bid deemed most advantageous to it.
2. COSTS:
The undersigned contractor hereby affirms and states the prices quoted herein
constitute the total cost to the Village for all work involved in the respective items
and that this cost also includes all insurance, royalties, transportation charges, use
of all tools and equipment, superintendence, overhead expense, all profits and all
other work, services and conditions necessarily involved in the work to be done
and materials to be furnished in accordance with the requirements of the contract
documents considered severally and collectively. This bid shall be held valid for a
period of ninety (90) days after the bid due date.
3. INSTRUCTIONS:
The undersigned contractor shall comply with all provisions and requirements of
this Bid Package.
4. TIME OF COMPLETION:
The undersigned affirms and declares that if awarded the contract for this work he
will completely perform said contract in strict accordance with its terms and
conditions by March 30, 2018, unless additional time shall be granted by the
Village in accordance with the provisions of the specifications. Should the
contractor fail to complete the work by said date or within such extended time as
may have been allowed, the contractor shall be liable to the Village in the amount
set forth in the specifications.
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5. BID GUARANTEE:
N/A
Firm Name:Douglas Floor Covering
Address: 200 Alder Drive
City, State, ZIP: North Aurora, IL 60542
Signature:
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Name Printed: Mike Douglas
Title: President
Telephone:630-892-8620 Date: 11'29'1
If a Corporation:
ATTEST:
r''U v%' -r « it. /ti=4 -f-t:..v S
Secretary
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Section C Instructions
1. RECEIPT OF BID: Wednesday, November 29, 2017, 11:00 A.M.
2. BASIS OF BID: Sealed bids will be received until the above noted time and date.
3. PROJECT DESCRIPTION: West Wing Carpet Removal and Replacement.
4. PREPARATION AND SUBMISSION OF BID:
A. A Pre-Bid meetinq will be held at 10:00 a.m. on Tuesdav, November 21, 2017, at the
Village of Oak Brook Butler Government Center, 1200 Oak Brook Road, Oak Brook, Illinois
60523, in the Samuel E. Dean Board Room. Attendance at this meetinq is mandatorv.
The purpose of the meeting is to give all prospectiVe bidders the opportunity to view and
inspect the site, and verify square footage. Any questions or concerns can be addressed at
this time.
B. The bid must be delivered to the office of the Senior Purchasing Assistant, Village of Oak
Brook, 1200 Oak Brook Road, Oak Brook, IL 60523 on or before Wednesdav, November
29, 2017, at 11:00 A.M., prevailinq time, at which time it will be publicly opened and read
in the S. E. Dean Board Room of the Village Hall. Bids received after this time will not be
considered and will be returned unopened.
C. The bid shall be submitted on the exact form furnished. All blank spaces for bid price, unit
cost and alternates must be filled in--in ink--in both words and figures (as stipulated). In
case of any discrepancy in the amount proposed, the prices expressed in written words
shall govern.
D. A complete bid package must be submitted, including, but not limited to, the following items:
1. Bid
2. Statement of Qualifications
3. References
4. Bid Certification
5. Signed Contract
E. The Contract and Contract Bond (Performance and Payment) are provided as information,
and will be completed only upon acceptance of the bid by the Village. The surety company
issuing the Contract Bond must be listed and approved by the U.S. Department of the
Treasury. Letters of Credit will not be accepted in place of the Contract Bond.
F. Separate sheets may be attached to the bid for the purpose of explanation, exception,
alternate bid and to cover the unit price, if needed.
G. In submitting this bid, the contractor further declares that the only person or party interested
in the bid as principals are those named herein, and that the bid is made without collusion
with any other person, firm or corporation.
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H. The contractor further declares that he has carefully examined this entire Bid Package and
he has inspected in detail the site of the proposed work, and that he has familiarized himself
with all of the local conditions affecting the contract and the detailed requirements of this
work and understands that in making the bid he waives all rights to plead a
misunderstanding regarding same.
I. The contractor further understands and agrees that if his bid is accepted, he is to furnish
and provide all necessary machinery, tools, apparatus, and other means to do all of the
work and to furnish all of the materials specified in the contract, except such materials as
are to be furnished by the owner (Village), in the manner and at the time therein prescribed,
and in accordance with the requirements therein set forth.
J. The contractor declares that he understands that the quantities listed on the Bid are
approximate only and that they are subject to increase or decrease; and that he will take in
full payment thereof the amount and the summation of the actual quantities, as fully
determined by the Village.
K. The contractor further agrees that the price submitted within the bid is for the purpose of
obtaining a gross sum, and for use in computing the value of extras and deductions. If
there is a discrepancy between the gross sum bid and that resulting from the summations of
the quantities multiplied by the unit price, the latter shall apply.
L. The contractor further agrees that if the Village decides to extend or shorten the work, or
otherwise alter it by extras or deductions, including elimination of one or more of the items,
as provided in the specifications, he will perform the work as altered, increased or
decreased, at the contract unit price.
M. The contractor further agrees that the Village representative may at any time during the
progress of the work covered by this Contract, order other work or materials incidental
thereto and that all such work and materials as do not appear in the bid or contract as a
specific item covered by a lump sum price, and which are not included under the bid price
for other items in the Contract, shall be performed as extra work, and compensation shall be
as set forth in the specifications.
N. The contractor further agrees to execute all documents within this Bid Package, obtain a
Certificate of Insurance for this work and present all of these documents within fifteen (15)
days after the receipt of the Notice of Award and the Contract by him.
O. The contractor further agrees that he and his surety will execute and present within fifteen
15) days after the receipt of the Notice of Award and the Contract, a Contract bond
satisfactory to and in the form prescribed by the Village, in the penal amount of 100% of the
Contract amount, guaranteeing the faithful perFormance of the work and payment for labor,
material supplies, and subcontractors in accordance with the terms of the Contract.
P. The contractor further agrees to begin work not later than ten (10) days after receipt of the
Notice to Proceed, unless otherwise provided, and to execute the work in such a manner
and with sufficient materials, equipment and labor as will insure its completion within the
time limit specified within the Bid, it being understood and agreed that the completion within
the time limit is an essential part of the contract.
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Q. By submitting a Bid, the contractor understands and agrees that, if his bid is accepted, and
he fails to enter into a contract forthwith, he shall be liable to the Village for any damages
the Village may thereby suffer.
R. No bid will be considered unless the party offering it shall furnish evidence satisfactory to
the Village that he has necessary facilities, ability and pecuniary resources to fulfill the
conditions of the Contract.
S. If the contractor is in doubt as to the true meaning of any part of the plans, specifications or
other proposed contract documents, he may submit to the Public Works Director a written
request for an interpretation thereof. The person submitting the request will be responsible
for its prompt delivery. Any interpretation of the documents will be made only by addendum
duly issued by the Village. The Village will not be responsible for any other explanation or
interpretation of the Bid Package. I
5. SUBSTITUTIONS:
A. Certain materials and equipment are specified by a manufacturer or trade name to establish
standards of quality and performance and not for the purpose of limiting competition.
Bidders are invited to submit bids not only on named items but also on items which they
propose for substitution of named items. Products of other manufacturers may be
substituted, if, in the opinion of the Village, they are equal to those specified in quality,
performance, design and suitability for intended use. Where finro or more items are
specified, the selection among those specified is the bidder's option, or he may submit his
bid on all such items.
B. Bids shall be based on materials included in the specifications. Substitutions for the
purpose of evaluating bids will be considered only if proposed substitutions are set forth in
the sealed bid and will only be accepted prior to the award of the contract. The offer of
substitutions shall be an integral part of the bid, appearing immediately after all requested
bids and before the signature of the bidder.
C. Substitutions of materials other than those specified will not be considered in the base bid
price. However, other substitutions may be listed in the specified place in the Bid Form, with
the indication of the change in the base bid price for the total cost.
D. In addition to the requirements heretofore mentioned, in order for substitutions to qualify for
consideration, the following shall accompany each bid:
1. Each proposed substitution shall be itemized showing manufacturer name,
catalog number, quantity, unit cost and total cost. The bidder shall prepare
the necessary forms to list his substitutions in the manner outlined.
2. Each bid offering substitutions shall be accompanied by descriptive
literature, catalog data, complete technical specifications and reports
of all pertinent tests concerning the bidder's proposed substitutions
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6. BASIS OF AWARD:
The Village of Oak Brook reserves the right to reject any or all bids and to waive any informality or
technical error and to accept any bid deemed most favorable to the interests of the Village of Oak
Brook. In addition to price, the Village will consider:
A. Ability, capacity and skill to fulfill the contract as specified.
B. Ability to supply the commodities, provide the services or complete the construction
promptly, or within the time specified, without delay or interference.
C. Character, integrity, reputation, judgment, experience and efficiency.
D. Quality of performance on previous contracts.
E. Previous and existing compliance with laws and ordinances relating to the contract.
F. Sufficiency of financial resources.
G. Quality, availability and adaptability of the commodities, services or construction, in
relation to the Village's requirements.
H. Ability to provide future maintenance and service under the contract.
I. Number and scope of conditions attached to the bid/proposal.
J.Record of payments for taxes, licenses or other monies due the Village
7. CONDITIONS:
A. The Village is exempt from Federal excise tax and the Illinois Retailer's Occupation Tax.
This bid cannot include any amounts of money for these taxes.
B. To be valid, the bids shall be itemized so that selection for purchase may be made, there
being included in the price of each unit the cost of delivery(FOB Destination).
C. The Village shall reserve the right to add or to deduct from the base bid and/or alternate bid
any item at the prices indicated in itemization of the bid.
D. All bids shall be good for ninety(90) days from the date of the bid opening.
8. WARRANTY:
Upon completion the Contractor shall supply a one-year warranty covering material and
workmanship.
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9. PAYMENT:
The Village of Oak Brook authorizes the payment of invoices on the second and fourth Tuesday
of the month. For consideration on one of these dates, payment request must be received no
later than fourteen (14) days prior to the second or fourth Tuesday of the month.
10. INDEMNIFICATION:
The Contractor shall protect, indemnify, save, defend and hold forever harmless the Village
and/or its officers, officials, employees, volunteers and agents from and against all liabilities,
obligations, claims, damages, penalties, causes of action, costs and expenses, including without
limitation court costs, insurance deductibles and attorney's fees and expenses, which the Village
and/or its officers, officials, employees, volunteers and agents may incur, suffer or sustain, or for
which the Village and/or its officers, employees and agents may become obligated by reason for
any accident, injury to or death of persons or loss of or damage to property, or civil and/or
constitutional infringement of rights (specifically including violations of the Federal Civil Right
Statutes), arising indirectly or directly in connection with or under, or as a result of, this or any
Agreement by virtue of any act or omission of any of the Contractor's officers, employees,
subcontractors, and/or agents, provided that the Contractor shall not be liable for claims,
obligations, damages, penalties, causes of action, costs and expenses arising solely by any act or
omission of the Village's officers, officials, employees, volunteers and/or agents.
The contractor shall hold the Village harmless for any and all claims for labor, material, apparatus,
equipment, fixtures or machinery furnished to the contractor for the purpose of performing the
work under the contract; and the payment of all direct and indirect damages to any person, firm,
company or corporation suffered or sustained on account of the performance of such work during
the time the contract is in force.
11. INSURANCE:
Certificates of Insurance shall be presented to the Village within fifteen (15) days after the receipt
by the contractor of the Notice of Award and the unexecuted contract, it being understood and
agreed that the Village will not approve and execute the contract until acceptable insurance
certificates are received and approved by the Village.
Each contractor performing any work pursuant to a contract with the Village of Oak Brook and
each permittee working under a permit as required pursuant to the provisions of Title 1 of Chapter
8 of the Code of Ordinances of the Village of Oak Brook (hereinafter referred to as "Insured")
shall be required to carry such insurance as specified herein. Such contractor and permittee shall
procure and maintain for the duration of the contract or permit insurance against claims for
injuries to persons or damages to property which may arise from or in connection with the
performance of the work under the contract or permit, either by the contractor, permittee, or their
agents, representatives, employees or subcontractors.
A contractor or permittee shall maintain insurance with limits no less than:
A. General Liability - $2,000,000 combined single limit per occurrence for bodily injury,
personal injury and property damage, provided that when the estimated cost of the work in
question does not exceed $5,000, the required limit shall be $500,000;
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B. Automobile Liability (if applicable) - $1,000,000 combined single limit per accident for bodily
injury and property damage;
C. Worker's Compensation and Employer's Liability - Worker's Compensation limits as
required by the Labor Code of the State of Illinois and Employer's Liability limits of
1,000,000 per accident.
Any deductibles or self-insured retention must be declared to and approved by the Village. At the
option of the Village, either the insurer shall reduce or eliminate such deductible or self-insured
retention as respects the Village, its officers, officials, employees and volunteers; or the Insured
shall procure a bond guaranteeing payment of losses and related investigations, claim
administration and defense expenses to the extent of such deductible or self-insured retention.
The policies shall contain, or be endorsed to contain, the following provisions:
D. General Liability and Automobile Liability Coverage -
1) The Village, its officers, officials, employees and volunteers are to be covered as
additional insureds as respects: liability arising out of activities performed by or on
behalf of the Insured; premises owned, occupied or used by the Insured. The
coverage shall contain no special limitations on the scope of protection afforded to the
Village, its officers, officials, employees, volunteers, or agents.
2) The Insured's insurance coverage shall be primary insurance as respects the Village,
its officers, officials, employees, volunteers and agents. Any insurance or self-
insurance maintained by the Village, its officers, officials, employees, volunteers or
agents shall be in excess of the Insured's insurance and shall not contribute with it.
3) Any failure to comply with reporting provisions of the policies shall not affect coverage
provided to the Village, its officers, officials, employees, volunteers or agents.
4) The Insured's insurance shall apply separately to each covered party against whom
claim is made or suit is brought except with respect to the limits of the insurer's liability.
E. Worker's Compensation and Employer's Liability Coverage
The policy shall waive all rights of subrogation against the Village, its officers, officials,
employees, volunteers and agents for losses arising from work performed by the
insured for the Village.
Each insurance policy shall be endorsed to state that coverage shall not be suspended, voided,
canceled by either party, reduced in coverage or in limits except after thirty(30) days prior written
notice by certified mail has been given to the Village. Each insurance policy shall name the
Village, its officers, officials and employees, volunteers and agents as additional Insureds.
Insurance is to be placed with insurers with a Best's rating of no less than A: VII.
Each Insured shall furnish the Village with certificates of insurance and with original
endorsements effecting coverage required by this provision. The certificate and endorsements
for each insurance policy are to be signed by a person authorized by that insurer to bind
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coverage on its behalf. The certificates and endorsements are to be on forms approved by the
Village and shall be subject to approval by the Village Attorney before work commences. The
Village reserves the right to require complete, certified copies of all required insurance policies,
at any time.
Each insured shall include all subcontractors as insureds under its policies or shall furnish
separate certificates and endorsements for each subcontractor. All coverages for
subcontractors shall be subject to all of the requirements stated herein.
12. SAFETY:
The contractor and any subcontractors shall comply with all the provisions of the Federal
Occupational Safety and Health Act of 1970 (84 Stat. 1590), as amended.
13. EQUAL OPPORTUNITY:
The Contractor will not discriminate against any employee or applicant for employment because
of race, color, religion, sex, ancestry, national origin, place of birth, age or handicap unrelated to
bona fide occupational qualifications.
14. PREVAILING RATE OF WAGES:
All wages paid by the Contractor and each subcontractor shall be in compliance with The
Prevailing Wage Act (820 ILCS 130), as amended, except where a prevailing wage violates a
federal law, order, or ruling, the rate conforming to the federal law, order, or ruling shall
govern. The Contractor shall be responsible to notify each subcontractor of the wage rates set
forth in this contract and any revisions thereto. If the Department of Labor revises the wage
rates, the revised rate as provided by the public body shall apply to this contract and the
Contractor will not be allowed additional compensation on account of said revisions.
Contractor will comply with the Illinois prevailing wage law, as amended from time to time. Not
less than the prevailing rate of wages as found by Owner or the Illinois Department of Labor
shall be paid to all laborers, workers and mechanics performing work under the Contract. If the
Department of Labor revises the prevailing rate of wages to be paid laborers, workers or
mechanics under the Contract, Owner will notify Contractor and each Subcontractor of the
change in the prevailing rate of wages; provided, however, regardless of whether Owner gives
such notice, the revised prevailing rate of wages shall apply to the Contract and Contractor shall
have the sole responsibility and duty to pay, and ensure that all Subcontractors pay, the revised
prevailing rate of wages to each person to whom a revised rate is applicable. Revision of the
prevailing wages shall not result in an increase in the Contract sum or other cost to Owner.
Contractor shall indemnify, defend and hold Owner harmless from any loss, including but not
limited to Owner's attorney's fees, resulting from Contractor's failure to comply with this
prevailing wage clause. All bonds applicable to the Contract shall include a provision as will
guarantee the faithful performance of the obligation to pay the prevailing rate of wages.
The Contractor and each subcontractor shall make and keep, for a period of not less than 3
years, records of all laborers, mechanics, and other workers employed by them on the project;
the records shall include each worker's name, address, telephone number when available,
social security number, classification or classifications, the hourly wages paid in each period,
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the number of hours worked each day, and the starting and ending times of work each day.
The Contractor and each subcontractor shall submit monthly, in person, by mail, or
electronically a certified payroll to the public body in charge of the project. The certified payroll
shall consist of a complete copy of the records. The certified payroll shall be accompanied by
a statement signed by the contractor or subcontractor which states that:
i) such records are true and accurate;
ii) the hourly rate paid to each worker is not less than the general prevailing rate of hourly
wages required; and
iii) the contractor or subcontractor is aware that filing a certified payroll that he or she
knows to be false is a Class B misdemeanor.
Upon 2 business days' notice, the contractor and each subcontractor shall make available for
inspection the records to the public body in charge of the project, its officers and agents, and
to the Director of Labor and his deputies and agents at all reasonable hours at a location
within this State. The Contractor and each subcontractor shall permit his/her employees to be
interviewed on the job, during working hours, by compliance investigators of the Department or
the Department of Labor.
15. EMPLOYMENT OF ILLINOIS WORKERS DURING PERIODS OF EXCESSIVE
UNEMPLOYMENT:
The Contractor shall comply with all Illinois statutes pertaining to the selection of labor.
Whenever there is a period of excessive unemployment in Illinois, which is defined herein as any
month immediately following 2 consecutive calendar months during which the level of
unemployment in the State of Illinois has exceeded 5 percent as measured by the United States
Bureau of Labor Statistics in its monthly publication of employment and unemployment figures,
the Contractor shall employ only Illinois laborers. "Illinois laborer" means any person who has
resided in Illinois for at least 30 days and intends to become or remain an Illinois resident.
Other laborers may be used when Illinois laborers as defined herein are not available, or are
incapable of performing the particular type of work involved, if so certified by the Contractor and
approved by the Municipality. The Contractor may place no more than 3 of his regularly
employed non-resident executive and technical experts, who do not qualify as Illinois laborers, to
do work encompassed by this Contract during a period of excessive unemployment.
This provision applies to all labor, whether skilled, semi-skilled or unskilled, whether manual or
non-manual.
16. COPIES OF DOCUMENTS
The number of copies of Contract and Bond required to be executed is as follows:
a)Two (2) original counterparts of the Contract documents will be required
to be executed.
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17. EXECUTION OF DOCUMENTS
The Contractor, in signing his Bid on the whole or on any portion of the work, shall conform to
the following requirements:
A Bid signed by an individual other than the individual represented in the Bid documents shall
have attached thereto a power of attorney evidencing authority to sign the Bid in the name of the
person for whom it is signed.
A bid signed for a partnership shall be signed by all of the partners or by an attorney-in-fact. If
signed by an attorney-in-fact, there shall be attached to the Bid a power of attorney evidencing
authority to sign the bid, executed by the partners.
A bid signed for a corporation, shall have the correct corporate name thereof and the signature
of the President or other authorized officer of the corporation manually written below the
corporate name.
If such Bid is manually signed by an official other than the President of the Corporation, a
certified copy of a resolution of the board of directors evidencing the authority of such official to
sign the Bid should be attached to it. Such Bid shall also bear the attesting signature of the
Secretary of the corporation and the impression of the corporate seal.
The Contract shall be deemed as have been awarded when formal notice of award shall have
been duly served upon the intended awardee.
18. NON-DISCRIMINATING:
The Vendor, its employees and subcontractors, agrees not to commit unlawful discrimination
and agrees to comply with applicable provisions of the Illinois Human Rights Act, the U.S. Civil
Rights Act and Section 504 of the Federal Rehabilitation Act, and rules applicable to each.
19. INDEPENDENT CONTRACTOR:
There is no employee/employer relationship between the CONTRACTOR and the VILLAGE.
CONTRACTOR is an independent contractor and not the VILLAGE'S employee for all
purposes, including, but not limited to, the application of the Fair Labors Standards Act
minimum wage and overtime payments, Federal Insurance Contribution Act, the Social
Security Act, the Federal Unemployment Tax Act, the Worker's Compensation Act (820 ILCS
305/1, et seq.). The VILLAGE will not (i) provide any form of insurance coverage, including
but not limited to health, worker's compensation, professional liability insurance, or other
employee benefits, or (ii) deduct any taxes or related items from the monies paid to
CONTRACTOR. The performance of the services described herein shall not be construed as
creating any joint employment relationship between the CONTRACTOR and the VILLAGE,
and the VILLAGE is not and will not be liable for any obligations incurred by the
CONTRACTOR, including but not limited to unpaid minimum wages and/or overtime
premiums, nor does there exist an agency relationship or partnership between the VILLAGE
and the CONTRACTOR.
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20. ASSIGNMENT
Neither the VILLAGE nor the CONTRACTOR shall assign or transfer any rights or obligations
under this Agreement without the prior written consent of the other party, which consent shall
not be unreasonably withheld.
21. GOVERNING LAW
This Agreement shall be governed by the laws of the State of Illinois as to interpretation,
perFormance and enforcement. The forum for resolving any disputes concerning the parties'
respective performance or failure to perform under this Agreement shall be the Circuit Court
for the Eighteenth Judicial Circuit, DuPage County, Illinois.
Page 10
Section D Specifications
West Wing Carpet Removal and Replacement
Labor and material to install approximately 10,700 SF of Artist II #884 Philosopher
Collection carpet tiles, tufted nylon, 24"X24", hard back. Carpet is to be supplied by the
contractor. The Village anticipates purchasing the carpet in 2017 and have it installed by
March 31, 2018. The contractor shall furnish all labor, materials, tools, supervision,
equipment, transportation, insurances, overhead, and all other items of expense or service
necessary for and incidental to construction of this project.
Work is to be completed on week days between 5:00 p.m. — 7:00 a.m., and weekends
between 7:00 a.m. — 7:00 p.m.
Provide labor to remove and discard approximately 10,700 SF of existing carpet and base
approximately 1700 LF of 4" vinyl base (score along top of base to prevent drywall paper from
running) in the Village of Oak Brook West Wing area. The carpet in the IT Server Room is not
to be replaced.
Provide labor to relocate and place back to original location ALL OFFICE FURNITURE file
cabinets, chairs, desk, printers/shredders, refrigerators, book shelves, tables, etc.
Remove and install all transition strips.
Provide labor and material to patch, repair, or level floor. Full skim coat of the floor is required
by the manufacturer.
Provide labor and carpet low VOC adhesive (volatile organic compounds) to install carpet tile
as recommended by the manufacturer.
Provide labor and material to install approximately 1700 6" vinyl base as recommended by the
manufacturer. Adhesive to be low VOC and base color is to be determined. Provide and
install rubber stair nosing as removed in place.
Provide and install aluminum threshold and/or transition strips and new nosing as needed or
where previously removed. Color is to be determined.
Work shall include everything requisite and necessary to finish the work properly,
notwithstanding that every item of labor, materials, equipment or accessories required to make
said project complete may not be specifically mentioned.
Daily clean-up is mandatorv. Remove all debris from the building and place in an approved
on-site dumpster. No Village trash receptacles shall be used at any time during the
performance of the requested work.
1
All personal items will be boxed up placed atop desks. All electronic equipment to be
unplugged. Overhead bins will be emptied by Village employees. File cabinets will not be
emptied.
Contractor shall provide the name and phone number (cell number) of the on-site
superintendent responsible for all on-going work activities as well as a list of all persons
scheduled to perform work on site.
2
Section E General Conditions
1. Contractor shall have five (5) years of experience which is comparable in type and scope to this
project.
2. Work hours are between 5:00 p.m. — 7:00 a.m. Monday through Friday, and between 7:00 a.m. —
5:00 p.m. Saturday through Sunday. Any deviation is subject to the approval of the Village
representative.
3. The project will be done on consecutive days until completed, delays only to inclement weather.
4. Contractor is required to obtain all necessary permits from the Village of Oak Brook, and schedule
required inspections through Community Development. M
5. The contractor shall supply to the Village, phone numbers where he/she can be reached after
normal working hours.
6. The contractor must submit with the bid proposal five (5) references, names and phone numbers
of similar projects completed within the last two (2) years.
7. The contractor must submit all manufacturers' literature on all materials that will be used on this
project, including M.S.D.S. (Material Safety Data Sheets) prior to any work beginning.
8. A storage location for supplies, ladders and scaffolding shall be mutually agreed upon between
the Village and the contractor before any material is stored on site. Deliver material with
manufacturers labels intact and legible, store material on raised platforms and cover material with
protective covering.
9. Before work is started, deliver to the job site sufficient material to complete the project.
10.If a dumpster is required, the location of the dumpster placement shall be mutually agreed upon
between the Village and the contractor.
11.A11 ladders and scaffolding shall be maintained during the course of this project and shall be
secured at the end of each workday.
12.Provide barricades to ensure that falling debris will not injure anyone, and to prevent public
access to the work area at all times. Yellow "CAUTION" tape will be placed below the immediate
work areas of laborers and scaffolds to warn the public of inen working overhead.
13.At all times the work and storage areas shall be kept in a clean, orderly, and a picked up manner.
Daily material and debris not placed into dumpster will be removed from the site.
14.Upon completion of the project the work area shall be cleaned. All debris and remaining material
and supplies shall be removed from the jobsite, including the dumpster within 72 hours of
completion.
1
Section F Statement of Contractor's Qualifications
All questions must be answered and the data given must be clear and comprehensive.
This statement must be notarized. If necessary, questions may be answered on separate
attached sheets. The Contractor may submit any additional information he or she desires.
1. Name of Contractor: Douglas Floor Coverinq
2. Permanent main office address:200 Alder Drive, North Aurora, IL 60542
3. When organized:
1964
Illinois
4. If a corporation, where incorporated:
5. How many years have you been engaged in the contracting business under your
present firm or trade name: 53 years
6. Contracts on hand: (Schedule these, showing amount of each contract and the
appropriate anticipated dates of completion)
7. General character of work performed by your company: Flooring
8. Have you ever defaulted on a contract: No
9. List, on an attached sheet, the more important projects recently completed by your
company, stating the approximate cost for each, and the month and year
completed. Include a contact person and phone#for each.
10. List your major equipment available for this contract:
Furniture Lifts, 2 Wheel Carts
11. Experience in work similar in importance to this project:
Section G
12. Background and experience of the principal members of your organization,
including the officers.
13. Credit available: $400,000.00
14. Bank reference: Old Second National Bank, Jane Miller 630-966-2434
Page 1
Customer Job Name Contract Amt. Amt.Paid Balance
DAN WHEATON CONTST. NORTHSTAR METAL FAB $ 11,625.00 $ 11,625.00
HIGHLAND PK
HARGRAVE BUILDERS,INC. MAINTENANCE FACILITY $ 5,100.00 $ 5,100.00
COLLEGE OF DUPAGE
INTEGRAL CONSTUCTION MAILROOM 5,400.00 $ 5,400.00
NAPERVILLE NORTH
L.J. DODD CONST. LOCKERROOM 23,200.00 $ 20,880.00 $ 2,320.00
L.J.DODD CONST. INDIAN CREEK 1,200.00 $ 1,200.00
OPUS/RENISHAW INC OPUS/RENISHAW INC 602,358.00 $ 598,193.00 $ 4,165.00
R.C.WEGMAN CONST. FERMILAB WILLSON HALL $ 159,392.00 $ 55,755.00 $ 103,637.00
R.C.WEGMAN CONST. SHEET METAL UNION 3,000.00 $ 3,000.00
R.C.WEGMAN CONST. CREATIVE SERVICES 19,975.00 $ 19,975.00
FERMI HEAVYASSEMBLY
R.C.WEGMAN CONST. BUILDING 46,100.00 $ 46,100.00
RENISHAW,INC RENISHAW INC 600.00 $ 600.00
SHALES MCNUTT LLC ALGONQUIN LIBRARY 216,000.00 $ 7,830.00 $ 208,170.00
GEFCC SENECA HEALTHCARE-
SHALES MCNUTT LLC A 5,730.00 $ 5,730.00
SHALES MCNUTT LLC GEFCC SENECA-B 74,950.00 $ 8,082.00 $ 66,868.00
SHALES MCNUTT LLC ELGIN FAMILY EYECARE 27,350.00 $ 27,350.00
SHALES MCNUTT LLC GLEN ELLYN LIBRARY 45,500.00 $ 45,500.00
SHALES MCNUTT LLC GIVAUDAN FLAVORS REPAIR $ 1,700.00 $ 1,700.00
1,376,359.00 $ 817,919.00 $ 558,440.00
Customer Job Name Inv Amount Amt.Paid Balance
1000 LAKE SHORE DRIVE 1000 LAKE SHORE DRIVE $ 142,277.79 $ 128,050.01 $ 14,227.78
BOLDT CONSTRUCTION ADVOCATE LIBERTYVILLE ICC $ 6,411.00 $ 5,586.00 $825.00
BOLDT CONSTRUCTION ADVOCATE-ORLAND PK $ 30,000.00 $ 13,950.00 $ 16,050.00
ADVOCATE MEDICAL GRP-
BOLDT CONSTRUCTION SYKES CLINC 247,500.00 $ 112,500.00 $ 135,000.00
ADOCATE GOOD SHEPHERD-
BOLDT CONSTRUCTION CRYSTAL LAKE 38,665.00 $ 34,798.50 $ 3,866.50
KANE COUNTY TEACHERS
LAMP INC. CREDIT UNION-ELGIN 3,236.50 $ 3,236.50
L.J.MORSE CONSTRUCTION WILLOWBROOK POLICE
C0. FACILITY 161,914.00 $ 153,818.30 $ 8,095.70
MARQUARDT SCHOOL DIST. STANLEY HALL ELEMENTARY
15 SCHOOL 264,490.00 $ 264,490.00
OAK LAWN PUMP STATION OAK LAWN PUMP STATION $ 22,000.00 $ 22,000.00
PEPPER CONSTRUCTION HIGHLAND PK HOSPITAL-
COMPANY SURGERY PAVILION 143,449.00 $ 139,862.77 $ 3,586.23
PEPPER CONSTRUCTION HIGHLAND PK HOSPITAL-
COMPANY 3RD FLOOR SE 158,464.00 $ 136,092.60 $ 22,371.40
HIGHLAND PK
PEPPER CONSTRUCTION HOSPITAL/SUPPORT SVC
COMPANY LOCKER 10,000.00 $ 9,750.00 $250.00
HIGHLAND PK
PEPPER CONSTRUCTION HOSPITAL/WEST BLDG
COMPANY WAITING ROOM 96,189.00 $ 54,000.00 $ 42,189.00
WITTENSTEIN US WITTENSTEIN US 25,800.00 $ 25,800.00
1,399,932.92 $ 837,944.81 $ 561,988.11
Customer Job Name Inv Amount Amt.Paid Balance
AURORA UNIVERSITY AU PERRY THEATER 29,775.00 $ 14,887.50 $ 14,887.50
AURORA UNIVERSITY DAVIS HALL 3,175.00 $ 3,175.00
AURORA UNIVERSITY PHILLIPS LIBRARY 67,795.00 $ 67,795.00
AURORA UNIVERSITY ICE BUILDING-Room 125 $ 4,585.00 $ 4,585.00
CRB COMMERCIAL INTERIORS FOX VALLEY MALL 30,890.00 $ 14,642.50 $ 16,247.50
CRB COMMERCIAL INTERIORS FOX VALLEY MALL SECURITY $ 2,925.00 $ 2,925.00
CRB COMMERCIAL INTERIORS SEARS-NORTH RIVERSIDE 680.00 $ S 680.00
DRIESSEN CONSTRUCTION POWER PACKAGING 16,475.00 $ 16,475.00
POWER PACKAGING-VENDING
DRIESSEN CONSTRUCTION AREA 4,465.00 $ 4,465.00
GALLERY AT GATEWAY GALLERY AT GATEWAY 3,870.00 $ 3,870.00 $
HEARTLAND BLOOD
CENTER HEARTLAND BLOOD CENTER $ 17,950.00 $ 8,987.50 $ 8,962.50
INTERIORS HEIMANN,JIM 594.00 $ 594.00
HOLLYWOOD CASINO&
HOLLWOOD CASINO HOTEL 7,135.00 $ 7,135.00
HOLLWOOD CASINO HOLLOWOOD CASINO 348,725.00 $ 348,725.00
L.J.DODD CONST. MARMION OFFICES 1,950.00 $ 1,950.00
L.J.DODD CONST. WATERMAN JR.HIGH 1,104.00 $ 1,104.00
L.J.DODD CONST. WATERMAN JR.HIGH 880.00 $ 880.00
MIKE RUSS CONST. PERFORMANCE FOOD GROUP $ 2,500.00 $ 2,500.00
MIKE RUSS CONST. Exel- Storage&Bathrooms $ 4,400.00 $ 4,400.00
MILLBROOK JUNIOR HIGH MILLBROOK JUNIOR HIGH $ 52,661.25 $ 46,185.00 $ 6,476.25
CAROL STREAM MUNICIPAL
MTI CONSTRUCTION CENTER 486,000.00 $ 486,000.00
PANSING,RON PASING,RON 110.00 $ 110.00
PLANO HIGH SCHOOL
PLANO SCHOOL DIST.#88 SANITARY COVE BASE 6,200.00 $ 3,100.00 $ 3,100.00
RADIAC ABRASIVES RADIAC ABRASIVES 131,255.00 $ 100,686.25 $ 30,568.75
SENTINELTECHNOLOGIES NOCRENOVATION-SENTINEL $ 16,750.00 $ 8,375.00 $ 8,375.00
ST CHARLES SCHOOL ST.CHARLES SCHOOL
DISTRICT 303 DISTRICT 303 125.00 $ 125.00
SUGAR GROVE PARK DIST. SUGAR GROVE PD CONF.ROOM $ 1,965.00 $ 1,965.00
SUPERIOR BEVERAGE SUPERIOR BEVERAGE 4,485.00 $ 4,485.00
TAK MARIAN 10,535.00 $ 10,535.00
WEGMAN,CARL&MARY WEGMAN,CARL&MARY $ 34,315.00 $ 34,315.00
1,294,274.25 $ 200,733.75 $ 1,093,540.50
15. Will you, upon request, fill out a detaiied financial statement and furnish any other
information that may be required by the Village of Oak Brook: Yes
16. The undersigned hereby authorizes and requests any person, firm, or corporation
to furnish any information requested by the Village of Oak Brook in verification of
the recitals comprising this Statement of Contractor's Qualifications.
DATED at North Aurora , lilinois this 29 day of November 2017.
U.J
By: -.F...-i._ k; , ,L—.-,«._ E_t '
Title
STATE OF ILLINOIS
SS.
COUNTY OF
f`-'1 i;L s being duly sworn deposes and says that he is the
c, .,ti of _;> ,',; ;,-, - r and that the answers to the
foregoing questions and'alll statements therein contained are true and correct.
SUBSCRIBED and sworn to before me this =" day of s/ er3 i,t.t:; _'•`'i i ,
2017.
r"
I .C;:!-'- . <,i .-f L' _
Notary Public
s
Af#' i E 't !' V 1-1.3.r—ei..
1I ia'P,E:V
isJ:rn Y "a IC't,Qfi£'(4 tCt`tYl'i7!cJ
sr s c 1 I O;8
kv;,R
Page 2
Section G References
Bidder shall supply the following information listing at least five customers for which the
bidder has supplied a similar type of comm,odities, service, or construction.
1. Company Name: Glambia Performance Nutrition
Address: 948 Meridian Lake Dr., Aurora, IL
Phone #: 630-210-4156
Contact: Matt Rubek
2. Company Name:Aurora University
Address: 2245 Sequoia Dr., Aurora, IL
Phone #: 630-227-1399
Contact: Chuck Fuller
3. Company Name: Radiac
Address: 101 Kendall Pt. Drive, Oswego, IL
Phone #: 630-566-9789
Contact: Erin Wenecek
4. Company Name: loomingdaie Police Department
Address: 201 S. Bloomingdale Rd., Bloomingdale, IL
Phone #: 630-529-9868
Contact:
5. Company Name: Old Second Bank
Address: 475 River Bend Rd., Naperville, IL
Phone #: 630-778-7675
Contact: Ronya
Pa e 1
Section H Bid Certification
The undersigned, being first duiy sworr an oath, deposes and states that he has the
authority to make this certification on behalf of the bidder for the construction, product,
commodity, or service briefly described s follows:
West Wing Carpet Ftemoval and Replacement
A) The undersigned certifies that, pursuant to Chapter 720, Section 5/33E of the
Illinois Compiled Statutes, 1993, the b9dder is not barred from bidding on this
contract as a resu t of a convictian for the violation of State of fllinois laws
prohibiting bid-rigging or bid-rotating.
B) The undersigned states under oath that, pursuant to Chapter 65, Section 5/11-
42.1-1 of the Illinois Compiled Statutes, 1993, the bidder is not delinquent in the
payment of any tax administered by the Illinois Department of Revenue.
C) The undersigned certifies that, pursuant to Chapter 775, Section 5/2-105. of the
Illinois Compiled Statutes, 1993, the bidder has a written sexual harassment policy
in place including the following inforr a8ian:
1. An acknowledgment of the illegality of sexual harassment.
2. The definition of sExual harassment under State law.
3. A description of sexual harassment, utilizing examples.
4. The contractor's ir ternal complaint process including penalties.
5. The legal recourse, investigative and complaint process available
through the lilir ois Department of Human Rights and the Human
Rights Commission.
6. Directions on how to contact the Department or the Commission.
This business firm is: (check or e)
x Corporatian Partnership Individual
Firm Name: Douglas Ffaor Covering
Address: 200 A1der ri e
City, State, ZIP: North Aurora, IL 60542
Signature:
Name Printed: Mike Douglas
Title: residen
Telephone: 630-892-8620 pafe: November 29, 2017
Page 1
ATTEST:
SEAL-
SUBSCRIBED AND SWORN Tf
before me th is ..'''"'- day
of - 5._--- ;20 r
t. " t. ,r t t:: :.__
Notary Public
OF SCIA S`;",L
RC?S A I 1,Iv;KI
r ta r F';hli-St t;t5fi;il n ss
F`f.+.i!'iYilu'aiis!'t r_;:jJl??v;»c s('i}
r.d;' °.<,..
Page 2
Section H Bid Certification
The undersigned, being first duly sworn an oath, deposes and states that he has the
authority to make this certification on behalf of the bidder for the construction, product,
commodity, or service briefly described as follows:
West Wing Carpet Removal and Replacement
A) The undersigned certifies that, pursuant to Chapter 720, Section 5/33E of the
Illinois Compiled Statutes, 1993, the bidder is not barred from bidding on this
contract as a result of a conviction for the violation of State of Illinois laws
prohibiting bid-rigging or bid-rotating.
B) The undersigned states under oath that, pursuant to Chapter 65, Section 5/11-
42.1-1 of the Illinois Compiled Statutes, 1993, the bidder is not delinquent in the
payment of any tax administered by the Illinois Department of Revenue.
C) The undersigned certifies that, pursuant to Chapter 775, Section 5/2-105. of the
Illinois Compiled Statutes, 1993, the bidder has a written sexual harassment policy
in place including the following information:
1. An acknowledgment of the illegality of sexual harassment.
2. The definition of sexual harassment under State law.
3. A description of sexual harassment, utilizing examples.
4. The contractor's internal complaint process including penalties.
5. The legal recourse, investigative and complaint process available
through the Illinois Department of Human Rights and the Human
Rights Commission.
6.Directions on how to contact the Department or the Commission.
This business firm is: (check one)
Corporation Partnership Individual
F
Firm Name: j.:s ,' C.=.;';..
Address: u a f v-
City, State, ZI P: ttn iv;:.= , .,l- .'y-
Signature:_ /`'`—....
Name Printed: - ..-->
Title: ';s l,
Telephone: ° '`- Date: t '`t-I
Page 1
ATTEST:
SEAL-
SUBSCRIBED AND SWORN TO
OFFICIAL SEALbeforemethis . % -- day C MARCIA L LEEm'.+' 3
Of J B ;;,i d"j,t' , ZO g. N07ARY PUBUC-STATE OF ILUNOISc,
r MY COMMISSION EXPIRES:02/26/21
1
I,.'.._ . ,
k-ti._
Notary Public
Page 2
Section I Contract
West Wing Carpet Removal and Replacement
L1. THIS AGREEMENT, made and concluded this ' ---. day of 1,'L , 2017,
between the Village of Oak Brook, a municipal corporation, acting by and,thr ugh
its President and Board of Trustees, known as VILLAGE, and` 1 r cx:k' -''`'
his executors, administrators, successors or assigns, known as CON ACTOR.
2. WITNESSETH: That for and in consideration of the payments and agreements
mentioned in the Bid hereto attached, to be made and performed by the VILLAGE,
and according to the terms expressed in the Bond (if applicable) referring to these
presents, the CONTRACTOR agrees, at their own proper cost and expense, to do
all work, furnish all materials and all labor necessary to complete the work in
accordance with the plans and specifications hereinafter described, and in full
compliance with all of the terms of this Contract.
3. And it is also understood and agr ed.that the re Bid Package hereto attached,
approved by the VILLAGE this day of nrG , 2017, are all essential
documents of this contract and are a part hereof.
4. IN WITNESS WHEREOF, the said parties have executed these presents on the
above mentioned date.
ATTEST: VILLAGE OF OAK BROOK
r,l
1/l.f,d. B Y
Village Clerk Village Manager
ATTEST:
Douglas Floor Covering
Corporate Name
w
f . i " ' . >
r,,. . - _ . w____. BY
Secretary Contrac or
Page 1
SEXUAL HARASSMENT CERTIFICATE
Douglas Floor Covering hereinafter referred to as "Contractor"
having submitted a bid/proposal for West Win.Car e placement to the Village of
Oak Brook, DuPage/Cook Counties, Illinois, hereby certifies that said Contractor has a
written sexual harassment policy in place in full compliance with 775 ILCS 5/2-105(A)(4)
including the following information:
1. An acknowledgment of the illegality of sexual harassment.
2. The definition of sexual harassment under State law.
3. A description of sexual harassment, utilizing examples.
4. The contractor's internal complaint process including penalties.
5. The legal recourse, investigative and complaint process available through the Illinois
Department of Human Rights and the Human Rights Commission.
6. Directions on how to contact the Department or the Commission.
7. An acknowledgment of protection of a complaint against retaliation as provided in
Section 6-101 of the Human Rights Act.
Each contractor must provide a copy of such written policy to the Illinois Department of
Human Rights upon request.
By: t,.
Authorized Agent of Contractor
Subscribed and sworn to
before me this . '%-day
oflt v't='_y r{E>,.-. ,- ""?
C- .5- ! .- 'r,_- ..1a 7
Notary Public
k.,.,..y........<
C16=i 9C.'In6 `.s-',
ROS A R`;71p;:lV S I
i7Yc°/ `''..;L'#t'- *=sTc. Cl ii'1 SPS
w rn ?
y.,,;;v;;: .:,r,pv;A .
Page 3
CONTRACTOR'S CERTIFICATIONS
CONTRACT EXECUTION)
Douglas Floor Covering , having executed a contract forWW Carpet Repalcementwith
the VILLAGE, hereby certifies that said contractor is not barred from executing said
contract as a result of a violation of either Secfion 5/33E-3 or 5/33E-4 of Chapter 720 of
the Illinois Compiled Statutes.
DRUG-FREE WORKPLACE)
Contractor deposes, states and certifies it will provide a drug free workplace by complying
with Section 3 of the IIlinois Drug Free Workplace Act, being 30 ILCS 580/3.
Attest/Witness: Contractor
By: By:
Name of Contractor's Executing
Officer
Title: /o e //' Title: President
Title of Contractor's Executing
Officer
Subscribed and Sworn to
before me this ;Y`"-day
of , ,;v: it%.,-_ , 20 ;_:
i
y^ f
t `' My Commission Expires: -
1
u. z__--- C ' .T
Notary Public
6.. .E.
a
s<;. SEAL-
a't Rl!r?PK$luSK!
Y`i _`k .d'ti- Z. tc, 9 1C1f S
r
v ` 1,., ,.
r # a U'i c?i
s..,
Page
PREVAILING WAGE AFFIDAVIT
I, ('e( ;,.:.t,name of signatory), on oath hereby state
and certify that b u j:;: r.L:- ;;,-ri'r; name of Contractor), pursuant to
a Contract dated /-7-/ , 2017, with the Village of Oak Brook for the
vu,+fi t.;-,=:` Project, has complied and will comply with all laws,
including those relating to the employment of labor, the payment of the current general
prevailing rate of hourly wages for each craft or type of worker or mechanic needed to
execute the Contract or perform such work, and also the current general prevailing rate
for legal holiday and overtime work, as ascertained by the Illinois Department of Labor
for DuPage County, Illinois, and those prevailing rates are paid and shall be paid for
each craft or type of worker or mechanic needed to execute the aforesaid Contract or to
perform such work.
wr ..."-%: . name of Contractor) has
also complied and will comply with all record keeping requirements established in the
Prevailing Wage Act (820 ILCS 130/0.01, et seq.
CONTRACTOR:
By:_J /''``--., ..
Title: 'i"a-<=i-
SUBSCRIBED AND SWORN TO BEFORE
ME THIS DAY OF ); t'7t r r 201' OFFICIAL SEAL
f ,r, ,,
MARCIA L LEE
NOTARY PUBLiC-STATE OF ILLINOIS
NO RY PUBLIC MYCOMMISSIONEXPIRES:02/26/21
Page 5
CERTIFICATION OF PAYROLL RECORDS
7 L-' ` ? name of person executing this certificate), do hereby
certify that I am the duly qualified and acting „E,,; , - ,__ title) for
f:,:_.f name of contractor) and, as such, am authorized to certifypayrollrecordsasteandaccurateforsuchcompanyinaccordancewiththe ErequirementsofSection5ofthePrevailingWageAct (820 ILCS 130/5) (the "Act").
I do hereby further certify that the following document is a true and accurate copy
of the records of all laborers, mechanics, and other workers employed by
name of contractor on the ; <.:.i,.,, : ..
k... , -.,_ -_.,r- t.lect (the "Project")
for'the Village of Oak Brook (the "Village"), including each such worker's name,
address, telephone number, sociat security number, classification or classifications; and
the hourly wages paid in each pay period, hours worked each day, and the starting and
ending times of work each day for each such worker on such Project.
I do hereby further certify that the hourly rate paid to each worker is not less than
the general prevailing rate of hourly wages required by the Act, and that
s.:,f i f-r -.-.-r'{:- name of contractor), and I on behalf of such
contr ctor, are fully aware that filing a certified payroll that we know to be false is a
Class B misdemeanor. I further certify that upon two (2) business days' notice, if
requested, we and any subcontractor hired by us shall make available for inspection the
records required in the Act to the District, its officers and agents, and to the Director of
Labor, his deputies and agents, at reasonable ht urs at a location within the State of
Illinois.
Date: 201
t,iiS }'1' l.i; ,...
Name f Contractor)
w
Signature)
X
Printed N me)
y
Title)
R;.:e..,
QFFICIAL SEALSubscribe,d and sw rn to before me MARCIA L LEE
tI11S ``Clay Of -..C.l i t-3'' , ZQ'. NOTARY PUBLIC-STATE OF ILLINOIS
MY COMMISSION EXPIRES:02/26121
j y
t-' .°,,
l''L C-1 c .Y• :-.-
Notary Public
Page 6
s
Section J Contract Bond
West Wing Carpet Removal and Replacement
Bond # 2375971
Subject to Adjusfiment
Based on
Final Contract Price
e Douglas Floor Covering, Inc. as PRINCIPAL,
and West Bend Mutual Insurance Company 5 SURETY, are
held and firmly bound unto the Vil(age of Oak Braok (hereafter referred to as "VILLAGE"}
Ift fh penal SUR1 Of Eiqhtv-Eiqht Thousand and no/100 Dollars ($ 88,000.00
lawfiuf money af the United States, well and truly to be paid unto said VILLAGE, for the
payment of which we bind ourselves, our heirs, executors, administrators, successors,
jointly ta pay to VILLAGE th€s sum under the conditions of this instrument.
WHEREAS THE CONDITION OF THE FOREG ING BLIGATI N IS SUCH that, the
said Principal has entersd into a written contract with the Village acting through its
awarding authority for tha above stated project, which cQntract is hereby referred to and
made a part hereof, as if written herein at length, and whereby the said Principal has
promised and agreed to eprformsaidworkinaccordancewiththetermsofsaidcontract,
including, but not limited to the term requiring the payment at the prevailinq rate of hourlv
wa es, and has promised to pay all sums of money due for any Eabor, materials,
a paratus, fixtures or machinerv fumished to such Principal for fhe purpose of performing
such work and has further agreed to pay all direct and indirect damages to any person,
firm, company, or corporation sufFered or sustained on account of the p rFarmance of
uc ork urirg the time thereof a d un#i! s c 4vork ;s completed and accepted, axce t
as modified by the Guarantee section of the Bid; and has further agreed that this bond
shall insure to the bene t of any person, firm, company or corporation, to whom any
money may be due firom the Principal, subcontractor or otherwise, for any such labor,
materials, apparatus, fixtures or machinery so furnished and that suit may be maintained
on such bond by any such person, firm, company, or corporation, for the recovery of any
such money.
M
NOW, THEREF4RE, if the said Principal shall well and truly perform said work in
accordance with the terms af said contract, and shall pay all sums of money due or to
became due for any labor, materials, apparatus, fixtures or machinery furnished to him for
the purpose ofi performing such work, and shall commence and complete the work within
the time prescribed in said contract, and shall pay and discharge all damages, direct and
Page 7
indirect, that may be suffered or sustained on account of such work during the time of the
perf rmance thereof and until the said work shall have been accepted, and shalf hold
VILL.AGE harmless on account of any such damages and shall in all respects fu11y and
faithfully comply with ail the provisions, conditions, and requirements of said contract,
then this obligation to be void; otherwise to remain in fufl force and effect.
IN TESTIMONY WHEREOF, the said PRINCIPAL and the said SURETY have caused
this instrument to be signed by their respective officers this st day of Februarv ,
2o a.
PRINCIPAL
Douglas Floor Covering, Inc.
Company Name) Company Name)
sBy (
Signa uret )
y. (
Signature)
President
Title} Title)
If PRINCiPAL is a joint venture ofi two or more contractors, the company names and
authorized signatures of each contractor must be afFixed.)
SURETY
West Bend Mutual Insurance Company By:
Name of Surety) Sign re of Attarney i Fact)
Eliza th Simpson
I
i
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V1/'S'rT B ID T+ si v R t iNiN
A MUTUAI. INSURANCE CQMPANY"'
B011d NO.2375971
POWER OF ATTORNEY
Know all men by these Presents,That West Bend Mutual Insurance Company, a corporation having its principal office in the City of West
Bend, Wisconsin does make,constitute and appoint:
Elizabeth Simpson
lawful Attorney(s)-in-fact, to make, execute, seal and tleliver for and on its behalf as surety and as its act and deed any and all bonds,
undertakings and contracts of suretyship, provided that no bond or undertaking or contract of suretyship executed under this authority
shall exceed in amount the sum of: Four Hundred Thousand Dollars($400,000)
This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted
by the Board of Directors of West Bend Mutual Insurance Company at a meeting duly called and held on the 215 day of December,
1999.
Appointment ofAttorney-In-Fact, The president or any vice presrdent,or any other officer of West Bend Mutual Insurance
Company may appoint by written certificate Attorneys-In-Fact to act on behalf of the company in the execution of and attesting of
bonds and undertakings and other wrrtten obligatory instruments of like nature. The signature of any officer authorized hereby
and the corporate seal may be affixed by facsimile to any such power of attorney or to any certificate relatrng therefore and any
such power of attorney or certificate bearing such facsimile signatures or facsimiie seal shall be valid and binding upon the
company,and any such power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon
the company in the future with respect to any bond or undertaking or other writing obligatory rn nature to which it is attached.
Any such appointment may be revoked,for cause,or without cause,by any said offrcer at any time.
In witness whereof, the West Bend Mutual Insurance Company has caused these presents to be signed by its president undersigned
and its corporate seal to be hereto duly attested by its secretary this 22nd day of Se tember, 2017.
Attest
iY -:r'"'YP Y1.h;Y } `,.ryyc'Ilvai;; 3'r,ti (.!. .
lti.r--
Christopher C. Zwygart Kevin A. Steiner
Sh;AL ,:Secretary Chief Execurive Officer/Presidents;
State of Wisconsin
County of Washington
On the 22nd day of September, 2017, before me personally came Kevin A, Steiner,to me known being by duly sworn,tlid depose and
say that he resides in the County of Washington, State of Wisconsin;that he is the President of West Bend Mutual Insurance Company,
the corporation described in and which executed the above instrument;that he knows the seal of the said corporation;that the seal
affixed to said instrument is such corporate seal;that is was so affixed by order of the board of directors of said corporation antl that he
signed his name thereto by like order,
r,,
y t'RY' = Juli A nedum
N;•..Flua.tc;',; Senior orporate Attorney
y'"t'- •'c,`'.•' Notary Public,Washington Co.,WIorwis,.
My Commission is Permanent
The undersigned, duly elected to the office statetl below, now the incumbent in West Bend Mutual Insurance Company,a Wisconsin
corporation authorized to make this certificate, Qo Hereby Certify that the foregoing attached Power of Attorney remains in full force
effect and has not been revoketl and that the Resolution of the Board of Directors, set forth in the Power of Attorney is now in force,
Signed and sealed at West Bend, Wisconsin this st day of February , 2o s
f
ys.irrs
r
i2P6Rh 1'
K/tV
y
a,t../,(,CeLt,r7...,
r' . ;
Heather Dunn
Vice President—Chief Financial Officer
Notice: Any questions concerning this Power of Attorney may be directed to the Bond Manager at NSI, a division of West Bend
Mutual Insurance Company.
7900 S. 18 ,ve. West Bend,WT 53095 ph(262) 334-6430 1-800-236-5004 fax(262) 338-5058 www.thesilverlining.com
e
State of Illinois
SS.
COUCIty of Kendall }
Sandra L. Marchesi a Notary Public in and for said county, da hereby cer ify
fhat Michael Douqlas and Elizabeth Simpson names of individuals signing on
behalf of Principal and Surety} who are each personally known to me to be the same
persons whose names are subscribed to the foregoing instrument on behaif of
PRINCIPAL and SURETY, appeared befare me this day in person and acknowledged
respectively, that they signed and delivered said instrument as their free and voluntary act
for the uses and purposes therein set farth.
Given under my hand and natarial seal this st day of February PX 20 s
z _ _ :.- ' '..c/
Notary Public
My commission expires:
c _ `,c _:j OFFICIAL SEAL
SANDRA L MARCHESI
NOTAI Y f UBLIC,STA7E Of ILLINOIS
MY GQMMf S10N EXA. y 1/09/2021
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