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'Jacobi, Toombs & Lanz, Inc.
Consulting Engineers & Land Surveyors
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February 12, 2010
Mr. Clark Nickles
Clark Nickles, Inc.
1501 Tunnel Mill Road
Charlestown, IN 47111
RE: Job No. 0689R
Winn Dixie Ditch Storm Rehabilitation Project
Dear Sir:
See attached original signed State Form No. 96 Contract accepted and signed by the
Jeffersonville Drainage Board on February 3,2010.
You are hereby given NOTICE TO PROCEED with the above captioned project. You
"start date" is February 22,2010 and your "completion date" is June 20,2010.
Sincerely,
JUOBI TOOMBS AND LANZ, INC.
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, J9 H. Toombs Jr., P.E., P.L.( J
~~~.Project Engineer ~
cc: Jeffersonville Drainage Board
File
120 Bell Avenue
C1arksville, rN 47129
812-288-6646
812-288-6656 Fax
1060 N. Capitol Avenue, Ste E360
Indianapolis, rN 46204
317-829-3474
317 -829-34 73 Fax
1400 Soutlll ~ Street
Louisville, KY 40208
502-583-5994
502-583-7321 Fax
('!ark\l'illc', IN -indianapolis. /N . Louisl'il/e, KY
www.jtleng.com
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Prescribed by State Board of Accounts
Form No. 96 (Revised 2005)
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CONTRACTOR'S BID FOR PUBLIC WORK - FORM 96
PART I
(To be completed for all bids)
(Please type or print)
Date: Januarv 19, 2010
1. Governmental Unit (Owner): Citv of Jeffersonville
2. County: CLARK
3. Bidder (Firm): CLARK NICKLES, INC.
Address: 1501 TUNNEL Mill ROAD
City/State: CHARlESTOWN, IN 47111
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4. Telephone Number: (812) 256-3477
5. Agent of Bidder (if applicable): N/A
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete
the public works project of Citv of Jeffersonville (Governmental Unit) in accordance with plans and
specifications prepared by JACOBI TOOMBS AND LANZo and dated DECEMBER 2009 for the sum of
FOUR HUNDRED SEVENTY NINE THOUSAND NINE HUNDRED FORTY THREE DOLLARS
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,$474.086.00
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). I hereby certify that I
and all subcontractors employed by me for this project will use U.S. steel products on this project if
awarded. I understand that violations hereunder may result in forfeiture of contractual payments.
CLARK NICKLES, INC.
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ACCEPTANCE
The above bid is accepted this 3 ~Pi day of re bytJ~ 'f".j
, 201 0 , subject to the
following conditions:
Contracting Authority Members:
PART II
(For projects of $100,000 or more - Ie 36-1-12-4)
Governmental Unit: City of Jeffersonville
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Bidder (Firm) CLARK NICKLES, INC.
Date: JANUARY 19, 2010
These statements to be submitted und.er 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 Class of Work When Completed Name and Address of Owner
Amount
896,000.00 Site/Utilities/Paving January 2009 Indiana University SE
New Albany, Indiana
396,000.00 Site/Utilities/Paving January 2009 Purdue University Research
New Albany, Indiana
824,450.00 Site/Uti! ities February 2009 Greater Clark Schools
Jeffersonville, Indiana
145,188.00 Sidewalk Installation September 2009 City of Jeffersonville
Jeffersonville, Indiana
58,000.00 Utility Installation September 2009 City of Charlestown
Charlestown, Indiana
18,000.00 Drainage Work October 2009 Town of Sellersburg
Sellersbura, Indiana
CLARK NICKLES, INC.
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2. What public works projects are now in process of construction by your organization?
Contract Class of Work When To Be Completed Name and Address of Owner
Amount
$234,000.00 Site/Utilities January 2010 City of Louisville
Louisville, Kentucky
545,000.00 Levee Trail .January 2010 Town of Clarksville
Clarksville, Indiana
3. Have you ever failed to complete any work awarded to you? NO If so, where and why?
4. List references from private firms for which you have performed work.
WHITTENBERG CONSTRUCTION, MARK EICHBERGER - (502) 361-8891
WEHR CONSTRUCTION, TODD WOOLDRIDGE - (502) 491-9250
PARCO CONSTRUCTION, ED PARSLEY - (502) 266-7877
ABEL CONSTRUCTION, RON RICHARDSON - (502) 451-2235
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 governmental unit to consider your bid.)
PER PLANS AND SPECIFICATIONS.
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.
GOHMANN ASPHALT, P.O. BOX 2429, CLARKSVILLE, INDIANA 47129 - PAVING
WINGHAM PAVING, 477 HUTCHINSON LANE, MADISON, IN 47250 - PAVING
STRIEGEL ASPHALT, 6575 ST. MARY'S RD., FLOYDS KNOB, IN 47119 - PAVING
KAUFMANN CONCRETE, 1113 W. MAIN ST., LOUISVILLE, KY 40203 - CONCRETE
KNABLE CONCRETE, 3005 FOXHILL DR., FLOYDS KNOB, IN 47119 - CONCRETE
IMPACT DRILLING, P.O. BOX 397,CHARLESTOWN, IN 47111 - DRILLING & BLASTING
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.
WILL FORWARD A COMPLETE LIST OF ALL SUBS ON AWARD
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.
CLARK NICKLES, INC.
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SEE ATTACHED AVAILABLE EQUIPMENT LIST
5. Have you entered into contracts or received offers for all materials which substantiate the prices
used in preparing your proposal? If not, please explain the rationale used which would
corroborate the prices listed.
YES
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 shall thereby be rendered invalid. The financial statement provided
hereunder to the governing body awarding the contract must be specific enough in detail so that said
governing body can make a proper determination of the bidder's capability for completing the project if
awarded.
SEE ATTACHED FINANCIAL STATEMENT
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CLARK NICKLES, INC.
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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.
CLARK W. NICKLES. OWNER
ACKNOWLEDGEMENT
STATE OF INDIANA
SS:
COUNTY OF CLARK
Before me, a Notary Public, personally appeared the above-named CLARK W. NICKLES and swore that
the statements contained in the foregoing document are true and correct.
Subscribed and sworn to before me this ~ da~ 2010 . L
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Notary Public
My Commission Expires: JUNE 4.2016
County of Residence: CLARK
CLARK NICKLES, INC.
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BID
OF:
Clark Nickles, Inc.
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Clark Nickles, Inc.
CONTRACTOR
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