HomeMy WebLinkAbout9.1 Motion to accept bid for 2023 Debris Hauling and Aggregate Delivery in an amount not to exceed $267,000.Mr�GauC �'d'+rt;�iect
Subject Motion to accept bid for 2023 Debris Hauling and
Aggregate Delivery in an amountnot to exceed
$267,000.
Meeting January 10, 2023 - SPECIAL MEETING OF THE MOUNT
PROSPECT VILLAGE BOARD -
Fiscal Impact true
Dollar Amount $267,000.00
Budget Source General Fund and Water & Sewer Enterprise Funds
Category VILLAGE MANAGERS REPORT
Type Action Item
The proposed contract provides for the transportation and disposal of spoils
generated in the course of routine Public Works operations. It also includes
procurement and delivery of aggregate material used in everyday work. The scope
of work includes delivery of CA -6 crushed aggregate stone, FA -2 torpedo sand; 3/4 -
inch diameter wash stone, pulverized top soil and cartage of spoil material in 21 -
ton dump trucks.
Staff has determined that the municipal partnering initiative (MPI) joint bid for
debris hauling and aggregate material delivery provides the most competitive and
cost effective means to procure these services. MPI is a regional collective of
municipalities that jointly procure a range of commodities, services and projects to
better leverage economies of scale.
The MPI Bid includes $1,462,568.50 of debris hauling and aggregate material
delivery work. The Village of Mount Prospect is administering this bid and the
Villages of Glenview, Kenilworth, Lincolnshire, Niles, Winnetka and the Cities of
Evanston and Highland Park are participants. This contract is for three (3) years
and may be extended for up to two one (1) year extensions beyond the
termination date by mutual, written agreement between the Village and the
Contractor.
1
Participation in the MPI joint bid satisfies the Village's public bidding requirements.
Bid is
A notice to bidders was posted on Demandstar by Onvia website on December 5,
2022. Sealed bids were received on December 19, 2022.
Two (2) contractors submitted bids for this project. The Village of Mount
Prospect's portion of the bids ranged from a low of $267,000 from G & L
Contractors to $502,000 from The Sivi Group. The results are indicated in the
table below. Prices shown are only for anticipated Mount Prospect quantities.
Both bidders submitted a bid bond in the amount of 10% of the total bid as
required in the bid proposal. The bids were checked for accuracy and both bidders
correctly singed their bid and bid bonds. Below is a summary of bids.
Bidder
G & L Contractors, Inc. Skokie, IL
Sivi Group, LLC. Elgin, IL
Total Bid
$267,000
$502,000
Based on the bid review, G & L Contractors of Skokie, Illinois is a responsible
bidder that meets all of the bid qualifications and requirements. G & L Contractors
has previously held the MPI debris hauling and aggregate contract. All of the
participating MPI communities found the firm's work acceptable. All reference
checks indicate the company has consistently performed work of this scale and
scope with acceptable results.
These bid results represent a 19% increase for material delivery and a 7%
increase for debris hauling when compared to 2021 prices.
Alternatives
1. Accept lowest cost responsive bid for Debris Hauling and Aggregate Delivery
by G & L Contractors of Skokie, Illinois in the amount not to exceed
$267,000.
2. Action at discretion of Village Board.
2
Staff recommends accepting the results of the Municipal Partnering Initiative joint
bid for Debris Hauling and Aggregate Delivery and award a three (3) year contract
with two (2) annual extensions to G & L Contractors, Inc. of Skokie, Illinois in an
amount not to exceed $267,000.
Expenditures in subsequent years will be at the contract rates, but limited to funds
appropriated in future budgets.
ATTACHMENTS:
Debris Hauling and Aggregate Material Del ivery_2023.pdf.pdf
G_and_L_Contractors_Bid.pdf
KI
Item Description
Unit
Evanston
Glenview
Highland
Kenilworth
Lincolnshire
Mount
Niles
WInnertka
Total
Park
Prospect
CA -7 Crushed Aggregate
Virgin (rushed
Ton
Limestone Delivered
Delivered
595
595
CA -7 (3/4) Chip (no
Ton
fines)
Delivered
60
1,000
1,060
CA -6 Crushed Aggregate
Ton
Stone Delivered
Delivered
1,600
4,000
4,000
100
2,500
1,000
30
13,230
Pulverized Top Soil
21 -ton
Delivered
Truckload
40
100
10
150
FA -2 Torpedo Sand
Ton
Delivered
Delivered
200
1,000
50
2,000
500
200
3,950
FA -6 Clean Brown Beach
Ton
Sand
Delivered
5
5
3/4 inch diameter Wash
Ton
Stone
Delivered
300
75
500
875
21 -ton
Hauling of Spoil
Truckload
330
500
1,000
60
500
500
95
2,985
Hauling of Spoil —
21 -ton
Concrete Only
Truckload
10
3
5
18
Hauling of Spoil -
21 -ton
Asphalt Only
Truckload
10
40
5
55
Hauling of Street
21 -ton
Sweeping Debris
Truckload
50
2
15
67
EXHIBIT A
(Upon award of contract, to be attached to Debris Hauling and Aggregate Material Delivery For the
municipalities of Evanston, Glenview, Highland Park, Kenilworth, Lincolnshire, Mount Prospect, Niles, &
Winnetka as Exhibit A)
-0 we A 0 -
ii
OWNER INFORMATION
Owner Name: /moi elfDfc 60.t4
Address: p q *J 7.exI - /e 0.4. Af elvex It y 714
Buiness Name: G 6Co A,?,e4c rort, l ,tic.
Buiness Address: 7�a/ J' T Z ovi,t
Phone: ,07- 8/d -,) G,?.? Buiness Phone: X91 _6 9' ' 79Ba
This Business is a: 0 Individual Proprietorship
El Joint Venture
Partnership
L)' Corporation
If applicable, give names, addresses, and dates of all partners, officers or directors.
Name
Address
Has the applicant, business, or member of the business ever had a
R YES WNO license or contract revoked, suspended or cancelled?
If yes, explain in full detail on a separate sheet of paper.
Debris Hauling and Aggregate Material Delivery for the municipalities Evanston, Glenview, Highland Park,
Kenilworth, Lincolnshire, Mount Prospect, Niles, & Winnetka
22
5
Does the business currently hold a license or have a contract with any other
municipality for service? LkIYES E] NO
If yes, explain in full on a separate sheet of paper. Have any complaints against the
business been filed with the Illinois Commerce Commission, the Office of the Illinois
Attorney General, or, any other governmental body during the period of one year prior to
the date of this proposal? R YES O
If yes„ explain in full on a separate sheet of paper.
Please note, the Village reserves the right to conduct its own search with the Illinois
Commerce Commission, the Illinois Attorney General, or any other governmental
body, and may take into consideration any complaints and/or pending complaints
made against the business or owner.
Services will be either full service cleaning, both inside and outside, or just outside
cleaning.
In submitting this Proposal Form requesting award of the Debris Hauling and Aggregate
Material Delivery For the municipalities of Evanston, Glenview, Highland Park,
Kenilworth, Lincolnshire, Mount Prospect, Niles, & Winnetka, I hereby certify that:
I will not assign or subcontract delivery or debris hauling services for the Village
without prior written approval of the Corporate Authorities of the Village of Mount
Prospect;
2. Neither I, nor any person who will be working on my behalf, has been convicted
under the laws of Illinois or any other state of an offense which under the laws of this
state would be a felony involving the theft of property, violence to persons, or criminal
damage to property. Please note that in the case of a person whose last conviction
was more than two years past, and can demonstrate a compelling showing that
he/she is nevertheless fit, such person or operator may be approved by the Village
Manager if otherwise eligible;
3. 1 am not barred by law from contracting with the Village because of a conviction for
prior violations of either Sections 33E-3 or 33E-4 of the Illinois Criminal Code of 1965
(720 ILCS 5/33E-3 (Bid Rigging) or 720 ILCS 5/33-4 (Bid Rotating));
4. 1 am not delinquent in payment of any taxes to the Illinois Department of Revenue
pursuant to Section 11-42.1-1 of the Illinois Municipal Code (65 ILCS 5/11-42.1-1)
or in any payment, fee or tax owed to the Village;
5. 1 provide a drug free workplace pursuant to the Drug Free Workplace Act (30 ILCS
580/1, et sea.);
6. 1 shall comply with Article 2 of the Illinois Human Rights Act (775 ILCS 5/2-101, et
seq.), and the Rules and Regulations of the Illinois Department of Human Rights,
including establishment and maintenance of a sexual harassment policy as required
by Section 2-105 of that Article and Act;
Debris Hauling and Aggregate Material Delivery for the municipalities Evanston, Glenview, Highland Park,
Kenilworth, Lincolnshire, Mount Prospect, Niles, & Winnetka
23
1J
7. 1 shall comply with the Americans with Disabilities Act;
8. 1 shall comply with the Illinois Public Works Employment Discrimination Act (775 ILCS
10/1 et seq.); and
9. All of the information I have provided in this Application has been truthful and given in
good faith.
I have read and understand the information provided with this Proposal Form, including
the Notice to Bidders, Instructions to Bidder, the General Conditions, the Specifications
and Debris Hauling and Aggregate Material Delivery for the municipalities of Evanston,
Glenview, Highland Park, Kenilworth, Lincolnshire, Mount Prospect, Niles, & Winnetka
Contract, and agree to abide by the conditions set forth therein. My signature below
indicates my acceptance of all such conditions and my bid for award of the Village of
Mount Prospect Debris Hauling and Aggregate Material Delivery For the municipalities of
Evanston, Glenview, Highland Park, Kenilworth, Lincolnshire, Mount Prospect, Niles, &
Winnetka.
Name of Company: SOl <'oAi Tit r;roorf, IAC.
Bid submitted by: /W 6V IES Go oe.4
Position in company: 7
Phone number: 7 7 0
Date: ?- 07
Bidder must use the official firm name and an authorized representative must sign,
Debris Hauling and Aggregate Material Delivery for the municipalities Evanston, Glenview, Highland Park,
Kenilworth, Lincolnshire, Mount Prospect, Niles, & Winnetka
24
7
Debris Hauling and Aggregate Material Delivery
Village of Mount Prospect
Department of Public Works
FROM: 6 4L CO3,& 7ih4 c 7 azf, lNc.
790! r7 [ ov u
(f, ,f'AfbKiF
(hereinafter called "Bi
CoDo7r.
TO: Office of the Village Manager, 3rd Floor
50 South Emerson Street
Mount Prospect, Illinois 60056
(hereinafter called "Village" or "Village of Mount Prospect")
Debris Hauling and Aggregate Material Delivery
The bidders have familiarized themselves with the services to be performed and probable
work conditions required under this Bid affecting the cost of the performance of the
required services and with the Bid Documents which include:
Notice to Bidders
Table of Contents
Instructions for Bidders
General Conditions and Special Provisions
Specifications
Bid Form
Affidavit — Bid Certification Form
Bid Security
Bid Sheet — Cleaning Service Contract
Contract Document
Therefore, the Bidder hereby proposes to furnish all supervision, technical personnel,
labor, materials, tools, equipment, and services (including all utility and transportation
services) required to perform the required services, all in accordance with the above listed
documents.
Bidder agrees to perform all of the required services and provide the equipment and
materials described in the Bid Documents, as follows:
Bidder has bid on all items and has provided a price for all requested services. The
Bidder acknowledges it understands all the requested services for which it has submitted
a bid.
The Bidder will complete and provide all labor, equipment, materials and mobilization (if
applicable) to perform the required services as incidental to the fixed item price for each
item proposed.
Debris Hauling and Aggregate Material Delivery for the municipalities Evanston, Glenview, Highland Park,
Kenilworth, Lincolnshire, Mount Prospect, Niles, & Winnetka
25 8
In submitting this bid, the Bidder understands that the Village reserves the right to add to
or subtract from the estimated quantities.
The Village intends to award one (1) contract (if at all) for the items bid. If written notice
of award of this bid is mailed, emailed or otherwise delivered to the Bidder at any time
before this bid is withdrawn, the Bidder agrees to execute and deliver the contract in the
prescribed form and furnish payment and performance bonds, or letter of credit, and the
insurance certificates required by the Bid Documents to the Village within ten (10)
business days after receipt.
The Bidder, and as successful bidder/contractor upon award of the contract, understands
and agrees to the following:
1) The contractor agrees to provide all required services and items and material to the
Village as noted in the Bid Documents and comply with the requirements of the Bid
Documents.
2) The contractor agrees to comply with all applicable federal and state laws, rules and
regulations, and county and municipal ordinances, as described in the General
Conditions.
All Addenda pertaining to this project shall be acknowledged by the Bidder in the spaces
provided below:
Addendum Addendum -Date Acknowledgement by Bidder or Authorized Date
No.Representative Acknowled ed
�a ylicy�� oz,q /d_/C ,fid
Failure to acknowledge receipt, as provided above, may be considered sufficient grounds
for disqualification of the bidder and rejection of his/her bid submittal. A record of all
Addenda and copies of same will be available to all qualified bidders from the Village of
Mount Prospect Public Works Department, 1700 West Central Road, Mount Prospect,
Illinois two (2) days prior to the letting. It shall be the Bidder's responsibility to become
fully advised of all Addenda prior to submitting its bid.
Upon award of the contract, the Village will send Notice of Award to the successful Bidder,
the Bidder must then execute the contract and provide the required bonds or letter of
credit and certificate of insurance to the Village within ten (10) business days. The Village
will then issue a written Notice to Proceed. Failure to complete the work in the designated
time frame may result in the Director of Public Works withholding compensation due the
contractor for failure to complete the said work in the designated time frame, calling the
bonds, or taking such other action as may be available.
Security in the sum often (10%) percent of a amount bid inform of (check one):
Bid Bond Certified Check Bank Cashier's Check is attached hereto in
accordance with the "Instructions for Bidders".
Debris Hauling and Aggregate Material Delivery for the municipalities Evanston, Glenview, Highland Park,
Kenilworth, Lincolnshire, Mount Prospect, Niles, & Winnetka
26
9
This Bid Submittal contains the following.-
1)
ollowing:
1) Bid Form
2) Affidavit - Bid Certification Form
3) Bid Security
4) BID SHEET(S) - Debris Hauling and Aggregate Material Delivery
Respectfully submitted:
Name of Firm/Bidder: '" e 0 & 7d 4 C T 0." /X-C,
(Signature
Title:
Date: /,)' /?-.) .1
Contact Information:
Official Address: 7-01'a/ -r 7 z O e1,V 4&A
60074
Telephone: *47 6 7 4'- 7 y 80
Email IV6r0.*CA ® Gl — Co,voedc-ra,,e ' . O 0
ONE (1) SIGNED COPY OF THIS BID FORM AND BID SHEETS (Pages 29-36) ALONG WITH THE
AFFIDAVIT — BID CERTIFCATION FORM, AND BID SECURITY SHALL BE SUBMITTED IN A SEALED
MARKED ENVELOPE.
Debris Hauling and Aggregate Material Delivery for the municipalities Evanston, Glenview, Highland Park,
Kenilworth, Lincolnshire, Mount Prospect, Niles, & Winnetka
27 10
AFFIDAVIT — BID CERTIFICATION FORM
Bidder:
Company/Firm Name: 610 Z CO& 7/l4 c 7 o /?.t /A#C.
Address: 7yo/ .17 L o vif & jf 4 X -t o iG GoQ7G
As a condition of entering into a contract with the Village of Mount Prospect, and under
oath and penalty of perjury and possible termination of contract rights and debarment, the
undersigned, o07 /e 6z Go�e4 being first duly sworn on oath, deposes
and states that he or she is tis (sole owner,
partner, joint ventured, President, Secretary, etc.) of
CP44 Cov .0 crozl -t*c. and has the authority to make all
(Name of Company)
certifications required by this affidavit.
Section I
Non -Collusion
The undersigned certifies that this bid is genuine and not collusive or a sham, that said
bidder has not colluded, conspired, connived or agreed, directly or indirectly, with any
bidder or person, to put in a sham bid or to refrain from bidding, and has not in any
manner, directly or indirectly, sought by agreement or collusion, or communication or
conference with any person, to fix the bid price element of this bid, or of that of any other
bidder, or to secure any advantage against any other bidder or any person interested in
the proposed contract.
Section II Bid Riciging and Rotating
The undersigned further states that G Qz C oAv ;r e /1 t -r o
(Name of Company)
is not barred from bidding or contracting as a result of a conviction for violations of state
laws prohibiting bid rigging or bid rotating or any similar offense of any state of the United
States, as provided in Sections 33E-3 and 33E-4 of the Illinois Criminal Code, 720 ILCS
5/33E-3, 33E-4.
Section III Drug Free Workplace
The undersigned further states that C 4t c C ti 70 .t t /NC.
(Name of Company)
provides a drug free workplace pursuant to the Drug Free Workplace Act, 30 ILCS 580/1,
et seq., and has, to the extent not covered by a collective bargaining agreement that deals
with the subject of the Substance Abuse Prevention in Public Works Projects Act, 820
ILCS 265/1 et seq., a substance abuse prevention program that meets or exceeds these
requirements of that Act.
Section IV Tax Payment
The undersigned further states that C ft /Nc. is
(Name of Company)
Debris Hauling and Aggregate Material Delivery for the municipalities Evanston, Glenview, Highland Park,
Kenilworth, Lincolnshire, Mount Prospect, Niles, & Winnetka
28
11
not delinquent in payment of any taxes to the Illinois Department of Revenue, in
accordance with Illinois Compiled Statues, 65 ILCS 5/11-42.1. The undersigned
understands that making a false statement regarding delinquency in taxes is a Class A
Misdemeanor and, in addition, voids the contract and allows the municipality to recover
all amounts paid to the individual or entity under the contract in civil action.
Section V l 811rassment Policy
Pursuant to Section 2-105(A) of the Illinois Human Rights Act, 775 ILCS 5/2-105 (A),
every party to a public contract must:
"Have written sexual harassment policies that shall include, at a minimum, the following
information: (1) the illegality of sexual harassment; (11) the definition of sexual harassment
under State law; (111) a description of sexual harassment, utilizing examples; (IV) the
vendor's internal complaint process including penalties; M the legal recourse,
investigative and complaint process available through the Department (of Human Rights)
and the Commission (Human Rights Commission); (VI) directions on how to contact the
Department and Commission; and (VII) protection against retaliation as provided by
Section 6-101 of the Act. (Illinois Human Rights Act)."
A "public contract" includes: ... every contract to which the State, any of its political
subdivisions or any municipal corporation is a party." 775 ILCS 5/1-103 (M) (2002),
The undersigned further states that 60L aw � arc ,r r' �, has
(Name of Company)
a written sexual harassment policy in place in full compliance with 775 ILCS 5/2-105 (A)
(4)•
It is expressly understood the foregoing statements and representations and promises
are made as a condition to the right of the bidder to receive payment under any award
made under the terms and provisions of this bid.
The undersigned certifies that all information contained in this Affidavit is true and correct.
Signed by: Title:
Signature
Name Printed: � ` AfAC G P Aro
Signed and sworn to before me this !G day of DEeE AvO , 202Z
7My mmissio a fres:
Notary Public OFFICIAL SEAL
JANET CASCELLA
NOTARY PUBLIC, STATE OF ILLINOIS
My Commission Expires 4111125
Debris Hauling and Aggregate Material Delivery for the municipalities Evanston, Glenview, Highland Park,
Kenilworth, Lincolnshire, Mount Prospect, Niles, & Winnetka
29
12
Included with this bid is a bank cashier's check, certified check or bid bond in the amount
of , l 0 6 & , ao , being ten percent (10%) of the total amount bid by
9 G j o tv-rA# c 7 o aJ Itic-, the bidder, in favor of the Village of Mount Prospect. It is
hereby agreed that, should bidder be awarded the contract for services contemplated
under this bid and fail or refuse to execute a contract for the performance of said services,
or to provide the required payment and performance bonds, or letter of credit, and
certificate of insurance, then this security, in the amount stipulated above, shall be
forfeited and may be retained by the Village of Mount Prospect as liquidated damages
and not as a penalty. All bids to remain firm for a period of ninety (90) days after bid
opening date.
SUBMITTED THIS /9
SEAL (if corporation)
DAY OF C1 E c.,f wt B E.t , 2022.
6+/ L C Dk 7dti!�
Bidder's Agent and Agent's Title
it fJ if ArZ
Title
Note: If bidder is a partnership, the bid must be signed by at least two of the partners.
Note: If bidder is a corporation, the bid must be signed by an authorized officer of the
corporation, attested and sealed by the secretary or other authorized officer.
If a corporation, note here the state of incorporation:
Incorporated under the laws of the State of
Debris Hauling and Aggregate Material Delivery for the municipalities Evanston, Glenview, Highland Park,
Kenilworth, Lincolnshire, Mount Prospect, Niles, & Winnetka
30 13
Debris Hauling and Aggregate Material Delivery for the municipalities of Evanston,
Glenview, Highland Park, Kenilworth, Lincolnshire, Mount Prospect, Niles, & Winnetka
The undersigned herewith submits a bid on Debis Hauling and Aggregate Delivey for the
municipalities of Mount Prospect, Evanston, Glenview, Kenilworth, Lincolnshire, Niles &
Winnetka in accordance with the attached documents. All bids are to be delivered to
the office of the Village Manager at 50 South Emerson Street 3rd Floor, Mount Prospect,
Illinois, 60056, prior to 1:00p.m. on Monday, December 19, 2022.
SCHEDULE OF PRICES
We will perform the services as outlined Debris Hauling and Aggregate Material
Delivery for the municipalities of Evanston, Glenview, Highland Park, Kenilworth,
Lincolnshire, Mount Prospect, Niles, & Winnetka:
We will perform the service as outlined on the Task Schedule sheets for sums as
follows.
Debris Hauling and Aggregate Material Delivery for the municipalities Evanston, Glenview, Highland Park,
Kenilworth, Lincolnshire, Mount Prospect, Niles, & Winnetka
31
14
,iii...
... ..
„ ;
/%
Estimated
Item
Item Description
Unit of Measure
Quantities *Ali
Unit Price
Extended Price
Number
Municipalities
_.__.._..
CA -7 Crushed Aggregate Virgin
$ 30, do
$ 07,85`0. 00
1
Crushed Limestone Delivered
Ton Delivered
59.5,
2
CA -7 3/4" Chip (no fines)
Ton Delivered
1,060
$ - 0.00
$ ,�/, 8 oa, no
CA -6 Crushed Aggregate Stone
$ ) 1� 7
$.),),3, eco, 00
3
Delivered
Ton Delivered13,230
4
Pulverized Top Soil Delivered
21 -ton Truckload
170
$ ro0
$ ei f Sao , o0
5
FA -2 Torpedo Sand Delivered
Ton Delivered
3,950
$ 09, O1,f
$ 76. OY7 , So
6
FA -6 Clean Brown Beach Sand
Ton Delivered
5
$ 9>.p
$
7
Wash Stone
Ton Delivered
875
$ ,2 C. So
$
8
Hauling of Spoil
21 -ton Truckload
2,985
$ ?60
$ 90/ 970 ,00
9
Hauling of Spoil — Concrete Onl
21 -ton Truckload
28
$ ) Sb
$ 7 pro , o0
10
1 Hauling of Spoil - Asphalt Only21-ton
Truckload
55
$ d �O
$ fa GSD
Hauling of Street Sweeping
$ �00
$ 3, S00 .00
11
Debris
21 -ton Truckload
67
TOTALAMOUNT
BASE BID
lij?,S68,S
Debris Hauling and Aggregate Material Delivery for the municipalities Evanston, Glenview, Highland Park,
Kenilworth, Lincolnshire, Mount Prospect, Niles, & Winnetka
31
14
Total Base Bid of Debris Hauling and Aggregate Material Delivery for
the municipalities of Evanston, Glenview, Highland Park, Kenilworth,
Lincolnshire, Mount Prospect, Niles, & Winnetka:
$ _r&8 ..fO per year
*The estimated quantities listed in the bid table for each community are for reference
only. The contractor is hereby made aware that the bid prices shall apply to work in all
municipalities participating in this bid even if no restimated quantity is listed for that
municipality.
Supplemental Rates
Item Item Description Unit of measure Unit Price
No. _
1 Emergency purchase and delivery of CA -7W Ton Delivered _$ .3.�
2 Emergency purchase and delivery of CA -6 Ton Delivered $ oi3
Additional Hauling Services (non -hazardous, non -special waste,
3 non-organic, non -street sweeping) _ — — 21 -ton Truckload $ 60
4 Hauling of S ecial Waste 21 -ton Truckload $
Hauling of Spoil — CCDD Facility (testing and PE certification by
5 Municipality) 21 -ton Truckload
Time and materials rate for one (1) 21 -ton truck and one (1)
driver -straight time (regular business hours 7 a.m. to 4 p.m., !!r
6 Monday through Friday) I Hour
Time and materials rate for one (1) 21 -ton truck and one (1)
7 driver—outside of regular business hours I Hour $ lss
Submitted this (qday of 2022.
Mark outside of envelope: "Debris Hauling and Aggregate Material Delivery for the
municipalities of Evanston, Glenview, Highland Park, Kenilworth, Lincolnshire,
Mount Prospect, Niles, & Winnetka," and deliver to the Village Manager's office at 50
South Emerson Street 3rd Floor, Mount Prospect, Illinois, 60056, by 1:00 p.m., MONDAY,
December 19, 2022.
�t � o�ti T�.S L 7or1, lliG .
Name of Company/Firm
790/ IT, e 4ymj d &E X el 0 k ,,or iL
Address of Company/Firm
,
Debris Hauling and Aggregate Material Delivery for the municipalities Evanston, Glenview, Highland Park,
Kenilworth, Lincolnshire, Mount Prospect, Niles, & Winnetka
32
15
EXHIBIT B
CONTRACT
VILLAGE OF MOUNT PROSPECT
Debris Hauling and Aggregate Material Delivery
THIS AGREEMENT (hereinafter the "Contract") is entered into by and between the
Village of Mount Prospect, an Illinois home rule municipality (hereinafter the "Village"),
and 641, CokfficrKf 11 Ix. an IAAI*#rr C60#004l1i0 OL. , located at
74a1.rt Aoto Apt �r�raer , r , Illinois, (hereinafter the "Contractor").
GENERAL As stated in the bid document.
2. SPECIFICATIONS As stated in the bid document.
3. CONTRACTOR RESPONSIBILITY FOR PROPERTY/HOLD HARMLESS
Contractor agrees to defend and hold harmless the Village from and against all
demands, claims, suits, costs, expenses, damages and adjustments based upon
any infringement of any patent relating to goods specified in the contract, and on
account of the Village's use of any copyrighted or uncopyrighted, composition,
trade secrets, secret process, proprietary rights, patented of unpatented invention,
article or appliance furnished or used under the proposal Specifications.
4. ADHERENCE TO LAWS
Employees and agents of Contractor shall obey all federal, state, county and
municipal laws and ordinances during the execution of their duties under this
Contract. The existence of this Contract does not exempt such individuals from
compliance with such laws or ordinances, nor does it convey any special rights or
privileges upon those individuals.
Contractor shall meet all applicable licensing requirements of the Village.
In addition, Contractor is required to comply with all federal, state, county and
municipal laws and ordinances, including the following:
a. Provide a drug free workplace pursuant to the Illinois Drug Free Workplace
Act (30 ILCS 580/1, et seq.);
b. Comply with the Illinois Public Works Employment Discrimination Act (775
ILCS 10/1 et seq.);
C. Comply with Article 2 of the Illinois Human Rights Act (775 ILCS 5/2-101, et
sea.), and the Rules and Regulations of the Illinois Department of Human
Rights, including establishment and maintenance of a sexual harassment
policy as required by Section 2-105 of that Article and Act;
d. Comply with the Americans with Disabilities Act; and
Debris Hauling and Aggregate Material Delivery for the municipalities Evanston, Glenview, Highland Park,
Kenilworth, Lincolnshire, Mount Prospect, Niles, & Winnetka
33
16
e. Comply with the provisions of the EQUAL EMPLOYMENT OPPORTUNITY
CLAUSE required by the Illinois Department of Human Rights as a material
term of all public contracts, which states as follows:
Title 44, Part 750, Section 750, APPENDIX A, Illinois Administrative Code,
Equal Employment Opportunity Clause
EQUAL EMPLOYMENT OPPORTUNITY
In the event of contractor's non-compliance with the provisions of this Equal
Employment Opportunity Clause, the Illinois Human Rights Act or the Rules and
Regulations of the Illinois Department of Human Rights ("Department"), contractor
may be declared ineligible for future contracts or subcontracts with the State of
Illinois or any of its political subdivisions or municipal corporations, and the contract
may be cancelled or voided in whole or in part, and such other sanctions or
penalties may be imposed or remedies invoked as provided by statute or
regulation. During the performance of this contract, the contractor agrees as
follows:
1) That it will not discriminate against any employee or applicant for
employment because of race, color, religion, sex, marital status, national origin or
ancestry, age, physical or mental handicap unrelated to ability, or an unfavorable
discharge from military service; and further that it will examine all job classifications
to determine if minority persons or women are underutilized and will take
appropriate affirmative action to rectify any such underutilization.
2) That, if it hires additional employees in order to perform this contract or any
portion thereof, it will determine the availability (in accordance with the
Department's Rules) of minorities and women in the area(s) from which it may
reasonably recruit and it will hire for each job classification for which employees
are hired in such a way that minorities and women are not underutilized.
3) That, in all solicitations or advertisements for employees placed by it or on
its behalf, it will state that all applicants will be afforded equal opportunity without
discrimination because of race, color, religion, sex, marital status, national origin
or ancestry, age, physical or mental handicap unrelated to ability, or an
unfavorable discharge from military service.
4) That it will send to each labor organization or representative of workers
with which it has or is bound by a collective bargaining or other agreement or
understanding, a notice advising such labor organization or representative of the
contractor's obligations under the Illinois Human Rights Act and the Department's
Rules. If any such labor organization or representative fails or refuses to
cooperate with the contractor in its efforts to comply with such Act and Rules, the
contractor will promptly so notify the Department and the contracting agency and
will recruit employees from other sources when necessary to fulfill its obligations
thereunder.
5) That it will submit reports as required by the Department's Rules, furnish
all relevant information as may from time to time be requested by the Department
Debris Hauling and Aggregate Material Delivery for the municipalities Evanston, Glenview, Highland Park,
Kenilworth, Lincolnshire, Mount Prospect, Niles, & Winnetka
34
17
or the contracting agency, and in all respects comply with the Illinois Human Rights
Act and the Department's Rules.
6) That it will permit access to all relevant books, records, accounts and work
sites by personnel of the contracting agency and the Department for purposes of
investigation to ascertain compliance with the Illinois Human Rights Act and the
Department's Rules.
7) That it will include verbatim or by reference the provisions of this clause in
every subcontract it awards under which any portion of the contract obligations are
undertaken or assumed, so that such provisions will be binding upon such
subcontractor. In the same manner as with other provisions of this contract, the
contractor will be liable for compliance with applicable provisions of this clause by
such subcontractors; and further it will promptly notify the contracting agency and
the Department in the event any subcontractor fails or refuses to comply
therewith. In addition, the contractor will not utilize any subcontractor declared by
the Illinois Human Rights Commission to be ineligible for contracts or subcontracts
with the State of Illinois or any of its political subdivisions or municipal corporations.
With respect to the two types of subcontracts referred to under paragraph 7 of the
Equal Employment Opportunity Clause above, following is an excerpt of Section
750.30 of the Department of Human Right's Rules and Regulations for Public
Contracts:
Title 44, Part 750, Section 750.30, Illinois Administrative Code, Subcontracts
Each public contractor and subcontractor shall in turn include the Equal
Employment Opportunity Clause set forth in Appendix A of this Part in each of its
subcontracts under which any portion of the contract obligations are undertaken or
assumed, said inclusion to be either verbatim or by reference so that the provisions
of the clause will be binding upon such subcontractors.
5. FEE SCHEDULE
The charges to be assessed by Contractor under this Contract are set forth in the
fee schedule contained in Exhibit A.
6, LOG BOOK RECORDS & REPORTS RE UIRED
The Contractor shall provide the Village with a written status report on its provision
of services required by the Contract. This report shall be due before the tenth day
of the following month.
7. METHODS OF PAYMENT
Payment under the Contract will be made in accordance with the Illinois Local
Government Prompt Payment Act, 50 ILCS 505/1 et seq.
8. HOLD HARMLESS AGREEMENT CONTRACTUAL LIABILITY
Contractor assumes full responsibility for the acts and omissions of its employees
and agents while engaged in performing services under the Contract. Contractor
agrees, to the greatest extent permitted by Illinois law, to protect, indemnify, save
Debris Hauling and Aggregate Material Delivery for the municipalities Evanston, Glenview, Highland Park,
Kenilworth, Lincolnshire, Mount Prospect, Niles, & Winnetka
35 18
and hold forever harmless the Village, its officers, appointed and elected officials,
Mayor and Board of Trustees, employees, volunteers, attorneys and agents from
and against any and all liabilities, obligations, claims, losses, damages, penalties,
and costs and expenses resulting from any suit, claim, demand, judgment, or
cause of action initiated by any person, including Contractor and its officers,
officials, employees, subcontractors, volunteers and agents, arising out of,
connected with, or in any way associated with the performance of services covered
by this Contract or the equipment used in connection therewith.
9. CONTRACTOR'S LIABILITY INSURANCE
Contractor shall not commence with the performance of services under this
Contract until it has obtained all insurance required hereunder and such insurance
has been approved by the Village. Certificates of such insurance shall be filed with
the Village prior to commencing work. Additionally, Contractor will provide the
Village with a letter from the insurance carrier that the Village will be notified within
thirty (30) days of the pending cancellation of any policy relating to this Contract.
Each insurance company shall be subject to approval by the Village, and the
respective policies shall name the Village as an additional named insured.
Approval of the insurance by the Village shall not relieve or decrease the liability
of Contractor hereunder. Such insurance is primary and in no event will be
considered contributory to any insurance purchased by the Village. Such
insurance will not be canceled, reduced, or materially changed without providing
the Village thirty (30) days advance written notice, via certified mail.
Contractor shall maintain all insurance required under subsections a through h of
this Section for not less than one (1) year after completion of this contract.
10. CONTRACT TERMINATION
The Village and Contractor reserve the right to terminate the Contract at any time
upon ten (10) days advance written notice to the other party. In addition to the
provisions set forth in Section General conditions (A,6) for immediate termination,
failure of Contractor to perform any aspect of this Contract properly and/or to
provide proper treatment to the general public, in the sole discretion of the Vilage,
is cause for immediate termination of the Contract without prior notice.
11. LENGTH OF CONTRACT
This Contract shall be in effect for three (3) years beginning January 2023, and
shall remain in effect until December 2025, unless terminated by either party under
the conditions specified in Section 10, Contract Termination. The Contract may be
extended for up to two one (1) year extensions beyond the termination date by
mutual, written agreement between the Village and the Contractor.
12. COMPLIANCE WITH FREEDOM OF INFORMATION ACT REQUEST
The Illinois Freedom of Information Act (FOIA), 5 ILCS 140/1 et seq., applies to
public records in the possession of a party with whom the Village has contracted.
The Village will have only a very short period of time from receipt of a FOIA request
to comply with the request, and there is a significant amount of work required to
process a request including collating and reviewing the information.
Debris Hauling and Aggregate Material Delivery for the municipalities Evanston, Glenview, Highland Park,
Kenilworth, Lincolnshire, Mount Prospect, Niles, & Winnetka
36 19
Contractor acknowledges the requirements of FOIA and agrees to comply with all
requests made by the Village for public records (as that term is defined by Section
2(c) of FOIA) in its possession and to provide the requested public records to the
Village within two (2) business days of the request being made by the Village.
Contractor agrees to indemnify and hold harmless the Village from all claims,
costs, penalty, losses and injuries (including but not limited to, attorney's fees,
other professional fees, court costs and/or arbitration or other dispute resolution
costs) arising out of or relating to its failure to provide the public records to the
Village under this Contract.
13. Contractor shall not assign this Contract or any part thereof without the prior written
consent of the Village. Approval, if any, for such assignment shall be made by the
Corporate Authorities of the Village. This Agreement shall be binding upon and
inure to the benefit of the parties hereto and their respective assigns, legal
representatives and successors in interest.
14. GOVERNING LAW
This Contract shall be governed by and construed in accordance with the laws of
the State of Illinois and applicable federal law. Venue shall only be proper in a
court of competent jurisdiction located within the County of Cook, Illinois.
15. SEVERABILITY
The invalidity or unenforceability of one or more of the terms or provisions
contained in this Contract shall not affect the validity or enforceability of the
remaining terms and provisions of this Contract so long as the material purposes
of this contract can be determined and effectuated.
16. INTERPRETATION
Any headings of the Contract are for convenience of reference only and do not
define or limit the provisions thereof. Words of gender shall be deemed and
construed to include correlative words of other genders. Words importing the
singular shall include the plural and vice versa, unless the context shall otherwise
indicate. All references to any person or entity shall be deemed to include any
person or entity succeeding to the rights, duties and obligations of such person or
entity succeeding to the rights, duties and obligations of such person or entity in
accordance with the terms and conditions of the Contract.
17. WAIVER OF BREACH
If either party waives a breach of any provision of this Contract by the other party,
that waiver will not operate or be construed as a waiver of any subsequent breach
by either party or prevent either party from enforcing such provisions.
18. MERGER - AMENDMENT
This Contract sets forth the entire understanding of the parties relative to the
subject hereof and supersedes any and all prior agreements, express or implied,
oral or written. No amendment or modification of this Contract shall be effective
unless reduced to writing and executed by the parties.
Debris Hauling and Aggregate Material Delivery for the municipalities Evanston, Glenview, Highland Park,
Kenilworth, Lincolnshire, Mount Prospect, Niles, & Winnetka
37 20
19.' COUNTERPARTS
This Contract may be executed in several counterparts each of which shall be an
original and all of which shall constitute but one and the same instrument.
20. EFFECTIVE DATE
The Effective Date of this Contract shall be the date executed by the Village
President, and attested by the Village Clerk.
In Witness thereof, the said parties have executed and signed this contract on
, 2022.
BY:
Attest,
Karen Agoranos, Village
Clerk
VILLAGE OF MOUNT PROSPECT, an
Illinois Municipal Corporation
Corporate Name: 6d1- e0X-r4AcT0-?J tiG
Its 104 f1"o ,E'.
Attest;
4
cretary
(Corporate Seal)
Debris Hauling and Aggregate Material Delivery for the municipalities Evanston, Glenview, Highland Park,
Kenilworth, Lincolnshire, Mount Prospect, Niles, & Winnetka
38 21
Table of Contents
1. Equipment Documentation
2. Disposal Location
3. Material Supply Location
4. Delivery and disposal Tickets
5. References
6. Additional Contract Explanation for Exhibit A
22
Equipment Documentation
23
G & L CONTRACTORS INC
7401 N ST LOUIS
SKOKIE IL 60076-4043
Registration ID: 1010 4737 PIN: 7860
2023 Illinois Registration Identification Card
Jesse White, Illinois Secretary of State
CNVL06/22/22:02:2131: 2519.00 MU
21896V 3FVL22131 SHVR 0623
Vehicle Yea
2002
Weight or C
73280
Axles ea
river's Lice
Renewal Fe
2519.01
MF199wff:
like to recefve �or�r licen6e folate renewaq notgces b en'raiq, visit s. v and follow the instrr�ctions to enrogq in the ecrefry ofr esa�i�ense frlate renewal program. (Yo1� wlgl Head youargstratian qG3 and PgNV qumbat frltwnd on the above Lloense PlateCard),
it ondmandl (01/12/2022)
CNVL06/22/22:02:2131: 2519.00 MU
21896V 3FVL22131 SHVR 0623
321896V+++80623V1++SHVR2519001
Printed by authority of the State of Illinois. December 2021 - VSD 63E 24
This report remains the property of the ilinois Department of Transportation. A copy must be filed numerically and
chronologically at the Official Testing Station for a period of eighteen (18) months and must be available for inspection
by employees of the Illinois Department of Transportation. Mark each field below Pass or Fail with an' X'. If any item
on this form does not apply, leave it blank. The submission of this form certifies the accuracy and completeness of the
inspection in accordance with 49 CFR 396.21 Thiq ingnPrtinn dnPg not mPPt i i.qnnT mntnr rh inancrtlnn
Vehicle Inspection Report
In
N
1. MX6 Month 3, US DOT Number 4. E] Reject over 30 days
6. Station
17. License Plate 18. Vehicle Identification Number
9. Certificate of Safety Number
2. Ej 12 Month
5. � ReplacementC/S
X
42321V
1M2P267Y01M062057
X1692899
10. Company Name
111. Company City
112.Odometer Reading
113. Date of Testj
14. Start Time
15 End Time
O L CONT
SKOKIE
3881343
11/21/22
7:50 ❑x AM ❑ PM
8:00 Ox AM []PM
16. Model Year 17. Vehicle Type
7X1�71
18. Trailer Make 119. Vehicle Make
120. Single Wheel Axle 1
22. Test Fee23.
Date C/S Applied
24. Time C/S Applied
2001 Truck Tractor
Discharge Excess W Forward
IMach
21. Double Wheel Axle 2
$59.00
11/21/22
8:00 Ox AM []PM r
2 s.CST Name
26. ST Sn 27. CST ID#
28. Retest CST Name
29. Retest CST Signature
30. Retest CST ID#
J MERAZ
�i _ 25
lass Fait /
XAbsence of Braking
X Aarnarg
Breakaway Device
X or Rotors
X or Tubes
X
X
X
X
X
X I
Coupling Devicas
Pass Fail 1
(Air or Fluid)
or Pads
"Across Axle
g Brake
Assist Unit
r Protection Valve
exrenor
Pass Feil
Back Up Alarm (Refuse Hauler Only)
Frame
Pass Fail
Axle Assemblies
X or Broken Member
X Loose or Missing Fasteners
X Tire Wheat Clearance
Fuel System
Pass Fall
X Fuel Cap
X [Leaks
X Missing or Loose Components
Instruments and indicator Panel
Pass Fail
Brake Failure Indicator Light
X Low Prds.Nacuum Warning Device
::j Ind. Light
Lighting Devices and Reflectors
Pass Fail
X Bads tip
X
X
X is
X
_..X Plate
X I Reflectors
X Side Marker
X Slop (Brake)
X Tall
X
Turn Signal
Safe Loading
Pass Fail
XCargo Secure
Front End Structure
SpareTire
Steering Mechanism
Drawbar or Towbar Eye
Wheels and Rims
Pass I Fail
x Cracked or Welded Repairs
Lock Rings
x Lugs or Fasteners
x Locating (Bolt) Hole
Windshield
Pass I Fal
I X f jimmasmeto
Windshield Wiper
Pass Fall
X 1winawtvaid \Viper
E] Special Vehicles Only
Drawbar or Towbar Tongue
X
Fifth Wheel
X
Pinlle Hook
X
Saddle Mounts
X
Safety Devices
Engfirte and Underbody Components
Pass
Fail
X
=Air
Compressor
Exhaust System
7X1�71
LeaksIccated
as not to cause damage
Bus - Gas Powered:
Discharge Excess W Forward
from Rear
Bus - Other than Gas Powered
Disclhwarge Excess 15" Forward
from Rear
Discharge Forward of Door or
OperMg Window
exrenor
Pass Feil
Back Up Alarm (Refuse Hauler Only)
Frame
Pass Fail
Axle Assemblies
X or Broken Member
X Loose or Missing Fasteners
X Tire Wheat Clearance
Fuel System
Pass Fall
X Fuel Cap
X [Leaks
X Missing or Loose Components
Instruments and indicator Panel
Pass Fail
Brake Failure Indicator Light
X Low Prds.Nacuum Warning Device
::j Ind. Light
Lighting Devices and Reflectors
Pass Fail
X Bads tip
X
X
X is
X
_..X Plate
X I Reflectors
X Side Marker
X Slop (Brake)
X Tall
X
Turn Signal
Safe Loading
Pass Fail
XCargo Secure
Front End Structure
SpareTire
Steering Mechanism
SAA and Socket Joint
Binding, Jamming or Loose Parts
Grog Links
FrPlay
Pitman Arm
Power Assist Unit
Steenog Column
Suiering Gear BOX
Steemig System Modification
Tie Rods
Wheels and Rims
Pass I Fail
x Cracked or Welded Repairs
Lock Rings
x Lugs or Fasteners
x Locating (Bolt) Hole
Windshield
Pass I Fal
I X f jimmasmeto
Windshield Wiper
Pass Fall
X 1winawtvaid \Viper
E] Special Vehicles Only
Pass Fall
X
X
X
X
X
X
X
X
X
XSteeringiWheat
X
v
X lAxia, Positioning Parts
Cod Sprue
Rubber Springs
X Springs or Shaddes
X TorquerRadiusiTracking Components
Tina -Non Steeling_ Axle
Pass Fail
X Contact with Vehicle
X "fall or leak
X- Load, Size or Use
X Tire Condition
X Tread Depth
Tires- Steerfaq Axle
r
Bumper
Color
Door or Latches
Dual Brake
Emergency Exits
FWe Extinguisher
Hamer or Defroster
Hom
Hoses,or Cables
KM Pins
Lettering
Minors
ifteel
Boot or Pty Repair
Bus -Recap or Retread
_Cameo!with Vehkde
Fiat or leak
Improper Load, Size or Use
Mismatch Raul or Bias
Regrooved (Untess Urban or Suburban)
Tire Condition
Tread Depth
Seat Anchoring
Seat Belt
Shocks ._.and Struts
Splash Guares
Steps or Floor Covering
Warning devices
Alignment
Vftoi Beanrg
other than Windshield
Washer
ifteel
Printed 11121/22 For further information regarding this inspection, call (217) 785-1181. This inspection may not include all the required equipment to operate a vehicle on Illinois' highways. BIC 3000 (Rev. 12/08/17)
This report remains the property of the Illinois Department of Transportation. A copy must be filed numerically and
chronologically at the Official Testing Station for a period of eighteen (18) months and must be available for inspection
by employees of the Illinois Department of Transportation. Mark each field below Pass or Fail with an "X". If any item
on this form does not apply, leave it blank. The submission of this form certifies the accuracy and completeness of the
inspection in accordance with 49 CFR 396.21. This inspection does not meet USDOT motorcoach inspection.
• i •
1. x❑ 6 Month 13. US DOT Number
4. ❑ Reject over 30 days
6. Station
Breakaway Device
17. License Plate
18. Vehicle Identification Number
9. Certificate of Safety Number
2. ❑ 12 Month
5. ❑ Replacement C/S
10663
Lealm (Air or Fluid)
T1
or Pads
H9A3E3A9P1015025
4003055404
10. Company Name
. Company City
12. Odometer Reading
13. Date of Test 14. Start Time
15. End Time
GL CONT
�SKOKIE10
11/21/22 8:10 ❑x AM ❑ PM
18:20 ❑x AM ❑ PM
16. Model Year 17. Vehicle Type
18. Trailer Make 19. Vehicle Make
20. Single Wheel Axle
22. Test Fee 23. Date C/S Applied
24. Time C/S Applied
1993 ITraller
Other
21, Double Wheel Axle 2
$40.00 11/21/22
8:20 ❑x AM ❑ PM
25. CST Name
126. CST Signature 27. CST ID# 28. Retest CST Name
29. Retest CST Signature
130. Retest CST ID#
J MERAZ
25
Brakes
Pass Fail
X
IAS
Breakaway Device
X
Drums or Rotors
X
Hoses or Tubes
Hydraulic Master
X
Lealm (Air or Fluid)
X
or Pads
X
MWnaitch Across Axle
Brake
Assist Unit
Protection Valve
Coupling Devices
Pass Fail
X Drawbar or Towbar Eire
Drawbar or Towbar Tongue
Fifth Wheel
Pintle Hook
Saddle Mounts
X Devices
Engine and Underbody Components
Pass I Fail
Air Compressor
Exhaust System
Pass Fail
as not to case damage
Bus - Gas Powered:
Discharge Excess 6" Forward
from Rear
Bus - Other than Gas Powered
Discharge Excess 15' Forward
from Rear
Discharge Forward of Door or
Opening Window
Exterior
--F Fait
Up Alarm (Refuse Hauler Only)
Frame
Pass Fail
Ackustaba,Axle Assemblies
X Cracked or Broken Member -
x Loose or Missing Fasteners
X Tae Wheel Clearance
Fuel System
Pass Fail
Fuel Cap
Missiing or Loose Components
Instruments and Indicator Panel
Pass Fall
Brake Failure Indicator Light
Lose Pribs.Aracuum Warning Device
kul Light
Lighting Devices and Reflectors
Pass Fail
Back Up
X Clearance
X Hazards
X Identification
X I License Plate
X Ke11BCtorS
X Side Marker
X Slop (Brake)
X lTafl
X Turn Signal
Safe Loading
Pass Fail
X Cargo Secure
From End Structure
Spam Tire
Steering Mechanism
84 and Socket Joint
B_ ` , Jamming or Loose Parts
Drag Links
Free Play
Pitman Arm
Power Assist Unit
Steering Column
Steering Gear Box
Steering System Modification
Steering Wheel
Tie Rods
X Axle Positioning Parts
Cod Springs
Rtttw Springs
X or Shackles
X T . d rl-Components
Three- Non Stooring Axle
Pass Fall
X Cordect with Vehicle
X Fka or Leak
X improper Load, Size or Use
X rue Condition
x Tri Depth
Tires- Steering Axle
or Ply Repair
Recap or Retread
ad with Vehicle
Flat or Leak
Improper Load, Sae or Use
Mismatch Radial or Bias
Regrooved (Unless Urban or Suburban)
Tire Condition
Tread Depth
Wheels and Rims
Pass I Fail
x Cracked or Welded Repairs
Lock Rings
X I ILugs or Fasteners
X Wheel Locating (Bolt) Hole
Windshield
Pass I Fail
Windshield aper
F--PassT Fail
jAkdoxid Wiper
❑ Special Vehicles Only
Pass I Fail
Door or Latches
Dual Brake
Eme£ Exits
Fire Extinguisher
Heater or Defroster
Hoses or Cables
King Pins
Lettering
Mirrors
Muffler
Seal Anchoring
Seal Belt
Shocks and Salts
Splash Guards
Steps or Floor Covering
Warning devices
Wheel Alignment
Wheel Bearing
Wridow other Than Windshield
Wrxishick!Washer
F_N d 11/21/22 For further information regarding this inspection, call (217) 785-1181. This inspection may not include all the required equipment to operate a vehicle on Illinois' highways. BIC 3000 (Rev. 12/08/17)
to
2023 Illinois Registration Identification Card
Jesse White, Illinois Secretary of State
CNVH09/21/22:01:9905: 2519.00 CK01
10769V 3FVH19905 SHVR 0623
�d Yesr Vel'�cle Mse VIN ...._
2000 MACK 1 M2AA13Y9YW130632
Weight or CC"s Forty
Sty
� AlSla4l etlon '1 ype
73280 TRACTR TK TRl1rK-TPArTnD
G L CONTRACTORS INC 3 esseorrt
3
nverw L cense N
7401 N ST LOUIS 11
SKOKIE IL 60076-4043
Registration ID: 1010 4059 PIN: 3461 ll Re2519 Fee
♦ a
51COOK
or M Ni
z 00
N
This report remains the property of the Illinois L p rt e t of Transportation. A copy must be filed numerically and
INWKAS DqMtTNMt chronologically at the Official Test Station for a peri of eighteen (18) months and must be available for inspection
by employees of the Illinois Department of Tran . tiop- each fiefbelow Pass or Fail with an" "• If any item Vehicle Ens ection Re Ort
of Thawp&tatlon Won this form does not apply, leave it blank. The submis fn`of this form t rtifles, ate racy and completeness of the E? p
inspection in accordance with 49 CFR 396.21. This inspection does not meet USDOT motorcoach inspection.
❑x 6 Month 3. US DOT Number 4. ❑Reject over 30 days 6. Station
7. License Plate 8, Vehicle Identcation Number
9. Certificate of Safety Number
'.. ❑ 12 Month
5. ❑ Replacement CIS
110769V
JIM2AA13Y9YW130632
301622025
0. Company Name
111. Company City
112. dometer Reading
13. Date of Test 14. Start Time
115. End Time
3L CONT
SKKIE
17611400
09/20/22 8:20 ❑x AM ❑ PM
8:30 NAM ❑ PM
6. Model Year 17. Vehicle Type
118. Trai 'r Make19.
Vehicle Make
20, Single Wheel Axle 1
22. Test Fee 23. Date C/S Applied
24. Time C/S Applied
:000 jTruck Tractor
IMack
2'F. Double Wheel Axle 2
$59.00 09/20/22
8:30 ❑x AM ❑ PM
:5. CST Name
126. ttT Signature
127. CST ID#
128. Retest CST Name
129. Retest CST Signature
130. Retest CST ID#
MERAZ
Irakes Exterior'' Mechanism
Pass Fail mss` Fag Fall
X Absence of Braking �Lj Up Alarm (Refuse Hauler Only) , X Ball and Socket Joint
X - , Frame 1 X Binding, Jamming or Loose Parts
Breakaway Device Pass Fall x Drag Links
x Drums or Rotors $ Axle Assemblies ( x Free Piaf
X Hoses or Tubes X croclked or Broken Member X Pitman Arm
Hydraulic Master X Loose or Missing Fastenersx Power Assist Unit
X Leaks (Air or Fluid) x T Wheel Clearance 4X Steering Column
X Linings or Pads Fuel System _X Steering Gear Box
X Mismatch Across Axle PaSS FeII X Steering System Modification
X Missing/Broken/Loose X Fuel Cap X Steering Wheel
Components/ABS X i 11-eaks ) X Te Rods
X Parking Brake ; X M or Loose Components
Power Assist Unit Instntments and Indicator Panel Fall
X Tractor Protection Valve Pass Fail A r Suspension
:oupling Devices Brake Failure Indicator Light X Aum Positioning Parts
F 1 ;Low Pres.Nacuum Warning Device Cce Springs
I Drawbar or Towbar Eye X ° Ind, Light R- Springs
t Drawbar or Towbar Tongue Lighting Devices and Reflectors
X Springs or Shackles
X Fifth Wheel Pass Fail „ X jTorqLWRadkisffrackvv Components
Pinna Hook X Back Up
'Eta Non Steering Axle
i Saddle Mounts X Clearance, Pass Fail
1 Safely Devices X Hazards
I X with Vehicle
sttgne and Underbody Components X Headlights
X I Fiat or Leak
Pass F Fail x 11dentification
X Imprope- Load, Size or Use
x
ArCompressor X License Plate
X ITtra Condition
!xhaust System Parking - x - - ' Depth
Pass Fall X Reflectors
:Tires- Steering Axle
X Leaks X 'Side Marker Pass Fail
X 11-ocated as not to cause damage t X Stop (Brake)
X Boat or Pty Repair
Bus - Gas Powered: X - JTWBus-Recap or Retread
Discharge Excess 6" Forward XTurn Signal
X ; Contact with Vehiclefrom Rear
Safe Loading i
Bus - Other than Gas Powered _ X Flat or Leak
PASS Fall X Improper Load, Size or Use
Discharge Excess 15" Forward x Secure
from Rear X Mismatcr Radial or Bias
Discharge Forward of Door or Front End Structure X Regrooved (Unless Urban or Suburban)
Opening Window Sere Tire ;
Tire Condition
temarks i x Tread Depth
What" and Riots
Pass Fail
X Cracked or Welded Repairs
i Lock Rings
x Lugs or Fasteners
Lx �dWlheel - Locating (Bolt) Hole
Windshield
jWrxishield
Pass Fail
X
Windshield Wiper
Pass FaII
X Windshield Wiper
E] Special Vehicles Only
Door or Latches
Douai Brake
Ernes` Exits
Fire Extinguisher
Heater or Defroster
s or Cables
Pins
SeatAnchodng
Seat Belt
Shocks and Struts
Splash Guards
Steps or Floor Covering
Warning devices
Wheel Alignment
Wheel Bearing
Window other than Windshield
V*Ws Washer
Tinted 09/20/22 For further information regarding this inspection, call (217) 785-1181, This insppe` ani may not include all the required equipment to operate a vehicle on Illinois' highways. BIC 3000 (Rev. 12/08/17)
M
N
2023 Illinois Registration Identification Card
Jesse White, Illinois Secretary of State
CNVL46/22122:02:2132: 2519.00 MU
40942V 3FVL22132 SHVR 0623
Vehicle Year 1 venicse rvtanc
MACK
1 M2AA18Y2VW077972
1997
Weight or CC's B _ We
Appfication T ype
TRUCK -TRACTOR
72380 TRUCK
Axles Leased/Re nfal rrit Nu File a County
35
COOK
G & L CONTRACTORS INC
Drives urribe or
IN{s En5ate
JUNE 30, 2023
7401 N ST LOUIS AVE
Plate urriber
40942V
SKOKIE IL 60076-4043
SPECIAL HAULING VEHICLE PERMIT PAID
Renewal Fee Due
2519.00
HvuT PIIsUSPIED
Registration ID: 3216 8477 PIN: 4756
0
M
This report remains the property of the Illinois Department of Transportation. A copy must be filed numerically and
chronologically at the Official Testing Station for a period of eighteen (18) months and must be available for inspection
by employees of the Illinois Department of Transportation. Mark each field below Pass or Fail with an "X". If any item Vehicle Inspection Report
on this form does not apply, leave it blank. The submission of this form certifies the accuracy and completeness of the
inspection in accordance with 49 CFR 396.21. This inspection does not meet USDOT motorcoach inspection.
1. x❑ 6 Month 3. US DOT Number 14. ❑ Reject over 30 days 16, Station
7. License Plate 18. Vehicle Identification Number 19.
Certificate of Safety Number
2. ❑ 12 Month
5. E]Replacement CJS 10663
4092v
1M2AA18Y2VW077972 1301692576
X
110. Company Name
11. Company City
12. Odometer Reading
113. Date of Test 14. Start Time
15. End Time
G L CONT INC
SKOKIE
858,383
10110122 7:50 AM ❑ PM
8:00 ❑x AM ❑ PM
16. Model Year 117.VehicieType
Pass
118. TrailelMMake 119. Vehicle Make
120. Single Wheel Axle 1
22. Test Fee
123. Date C/S Applied
24. Time C/S Applied
1997 1Truck
'
£' Mack
121. Double Wheel Axle 2
$59.00
10/10/22
3:00 ❑x AM ❑ PM
2. CST Name
Signature
27. CST ID#
28. Retest CST Name
29. Retest CST Signature
30. Retest CST ID#
J MERAZ
l26:,CST
25
X
!Back Up
1 X ,
Brakes
Pass Fail
X jamikwg
_JAdust.:.ant
Breakaway
x Drums or Rotors
x I Hoses or Tubes
Hydraulic Master
X Leaks (Air or Fluid)
X !Linings or Pads
x Mmintatch Across Axle
X�-Qke 1=
X E �' Brake
o erAssist Unit
— Tm0 Protection Valve
Coupling Devices
Pass Fail
Drawbar or Towbar Eye
z Drawbar or Towbar Tongue
Fifth Wheel
l [Pintle Hook
' Saddle Mounts
Safety Devices
Engine and Underbody Components
Pass Fail
X Ai3 Compressor
Exhaust System
I Pass Fail
1 X ILeaks
X �Locateo as not to cause damage
Bus -GP
! 1DmOnarge Excess 6" Forward
`rwr Rear
Bus - Other than Gas Powered
I
Dis—hame Excess 15" Forward
t ;from Rear
iDischarge Forward of Door or
Opening Window
Remarks
Extedor---s I
��PasFail
I Fail
x
Up A� (Refuse Hauler Only)
Frame
X
Pass t=ail
Axle Positioning Parts
Adjustable Axle Assemblies
X
Cracked or Broken Member
X
Loose or Missing Fasteners
X
Tire Wheel Clearance
Fuel System
Springs or Shackles
Pass
Fail
X
Tires- Non d Axle
Fuel Cap
X
Pass I Fail
Leaks
x
Improper Load, Size or Use
Missing or Loose Components
Instruments and Indicator Panel
Pass Fail
Triaso Depth
Tires- Steering Axle
Brake Failure Indicator Light
�—
!Low Pres /Vacuum Warning Device
i
;Ind Light
Lighting Devices and Reflectors
Pass Fail
X
!Back Up
1 X ,
X
Hazards
X
Headlights
X
!Identification
X
License Plate
=P
i X -..--_ --_ iR_-. c
ors
X Marker
X Stop(Brake)
XX TiEa
1 -rum Signal
Safe Ling
Pass Fail
X Cargo Secure
- ---- (F`orn End Structure
Spare Tire
Steering Mechanism
Pass Fail
X Ball and Socket Joint
X Bind ng, Jamming or Loose Parts
X Drag Links
X Free Play
X Pitman Ann
X Power Assist Unit
X Steering Column
I x Stee-ing Gear Box
X Steering System Modification
x Stee ing Wheel
X i ITie Rods
Suspension
Pass
I Fail
x
CrackeJ or Welded Repairs
Suspension
X
x
Axle Positioning Parts
I
Wheel 'Locating (Bolt) Hole
Coil Springs
Pass I Fail
Rubber Springs
X
Windshield
Springs or Shackles
z
Pass Fail
Tr- Components
Tires- Non d Axle
Pass Faii !
X Contact with Vehicle
Pass I Fail
; Flat or Leak
P.—
X
Improper Load, Size or Use
X
Te Condition
X
Triaso Depth
Tires- Steering Axle
Scott or Ply Repair
or Retread
COMaCt with Vehicle
Fla or Leak
Improper Load, Size or Use
Mwr icon Radial or Bias
Rte. (Unless Urban or Suburban)
Tae Condition
Trow Depth
Wheels and Rims
Pass I Fail
x
CrackeJ or Welded Repairs
Look Rings
x
Lugs or Fasteners
x
Wheel 'Locating (Bolt) Hole
Windshield
Pass I Fail
X
Windshield
Windshield Wiper
Pass Fail
X
Windshield Wiper
❑ Special Vehicles Only
Pass I Fail
or Latches
Brake
rgency Exits
Extinguisher
:er or Defroster
s or Cables
Pins
Anchoring
Bel:
ks and Struts
Guards
t or Floor Covering
ing devices
A ignment
r Baring
ow ether than Windshield
sivaid Washer
Printed 10/10/22 For further information regarding this inspection, call (217) 785-1181. This inspection may not include all the required equipment to operate a vehicle on Illinois' highways. BIC 3000 (Rev. 12108/17)
NO. .. PLATE TYPE REQUESTED E' T OFFICE USE ONLY
• ST �E W
JESSE WHITE_Ilj:f_I �.00I.191_I
SECRETARY OF SLATE "F, r I qI.,I T
STATE OF ILLINOIS ' TR
VEHICLE IDENTIFICATION CARD
q G & L Contractors, Inc.
ILLINOIS INSURANCE IDENTIFICATION CARD
COMPANY NUMBER
22543 COMPANY
7401 North
St. Louis Avenue
E PERSOpiAL
A3128361
YEAR.
EFPECTIVE DATE
148/17/2017 08/1
Skokie
IL 60076
20001 HILSILT TRAILER
VEHICLE OETMNJITION NUMBER
A0ENCY?COW jSWN4CARo
Josa a A& VV;adenMann A FNM Inc.
"
awRc ad
SOW
UW. DUMBER
,IL
51L MCCTORS INC
Anal
FOR OW'NER'S USE
MA3E3AMO15022
PEAR
MWSE OF VEHCIE
MODEL
BODY STYLE
2000
HTT- n T
MONGOOSE
DUMP TRAILER
REBW VEHICLE
ypaDRLy
VEHKXE COLOR
RENTAL
VEHICLE
VEHK
� NUMBEDUPPEA
(
ElFLOOD •
ElRESULT
�-y
V_ t YES
p�^�
i ❑YES
p
I
f
.FOR WRE .
SS VVEISIfT
iYPEVF1iCl1:
OPERTEO
.,..
Q''
q
❑ TE ❑VES ' ❑ NO
ILLINOIS INSURANCE IDENTIFICATION CARD
COMPANY NUMBER
22543 COMPANY
X❑ COMMERCIAL
Secure Insurance
POLICY NUMBER
E PERSOpiAL
A3128361
YEAR.
EFPECTIVE DATE
148/17/2017 08/1
MOOp„I
/201DATE
08J17N201S
20001 HILSILT TRAILER
VFJNCLS IDENTIFICATION NUMBER
A0ENCY?COW jSWN4CARo
Josa a A& VV;adenMann A FNM Inc.
1NO'AMA1Y1015022
awRc ad
SOW
,IL
51L MCCTORS INC
Anal
���4 � �� • IYr �F'orm DOals N+Di Cta �puD�lC •
1 o p+�u�rence Policy.
7-X L 7 3
sr/
G&LCONT.01
II
0
31
This report remains the property of the Illinois Department of Transportation. A copy must be filed numerically and
chronologically at the Official Testing Station for a period of eighteen (18) months and must be available for inspection
by employees of the Illinois Department of Transportation. Mark each field below Pass or Fail with an "X". If any item
on this form does not apply, leave it blank. The submission of this form certifies the accuracy and completeness of the
inspection in accordance with 49 CFR 396.21. This inspection does not meet USDOT motorcoach inspection.
N
M
Vehicle Inspection Report
1. 6 Month
13. US DOT Number 14. ❑ R*ct over 30 deyps76.Station
7. License Plate 8. Vehicle Identification Number
9, Certificate of t Number
2. ❑ 12 Month
5. ❑ Replacement CS11
51580S
j1H9A3E3A1Y1015022
14002&W7
10. Company Name
11. Company City
12. Odometer Reading
13. Date of Test 14. Start Time
15. End Time
G L CONT
SKOKIE 10
10/10/22 8:00 0 AM ❑ PM
8:10 AM ❑ PM
16. Model Year 17. Vehicle Type
118. Trailer Make
119. Vehicle Make
120. Single Wheel Axle
22. Test
Date C/S Applied
24. Time C/S Applied
2000 Trailer
Other, f
21. Double Wheel Axle2
!923.
$40.0010/10/22
8:10 AM ❑ PM
25. CST Name _j267i.CST
SignafurvL1 1
27. CST ID# 128.
Retest CST Name
29. Retest CST Signature
30. Retest CST ID#
J MERAZl
Brakes tic Steering Mechanism
Pass Fail Pan Fail Pass Fail
Abserice of 18ack Up Alarm (Refuse Hauler Only) Ball and Socket Joint
X Atsllxsi-- Frame Saxibrig. Jamming or Loose Parts
BreakewayDevice Pass Fall DTaq Links
' x Drwns or Rotors A4uslabta Axle Assemblies Free Play
X Hoses or Tubes X Cracked or Broken Member Peron Arm
Hydraulic Master X Loose or Missing Fasteners Assist Unit
X Leaks (Air or Fluid) X --ve Wheel Clearance i Steering Column
XLinings or Pads Fuel Systern Steering Gear Box
XMismatch Across Axle Pass Fail Steering System Modification
X Missing/Broken/Loose I Fuel Cap Steering Wheel
ComponenWABS Leaks
Tie :::::d
Rods
Parking Brake Missing or Loose Components ;
Power Assist Unil
uspension
1-1ractor Protection Valve
Instruments and Indicator Panol Pass Fail
Coupfin
Pass Fall Suspension
S Devices Brake Failure Indicator Light X Axis Positioning Parts
Pass Fail Low Pres./Vacuum Warning Device Cog Springs
X or Towbar Eye Ind, Light
Crowbar or Towbar Tongue RubberSprings
9 Lighting Devices and Reflectors x Sprop or Shackles
Fifth Wheel Pass Fail X Torque/Radiusrrracking Components
Pkvie Hook Up
Saddle Mounts X Clearance Tires- Non Axle
X [ Safely Devices X Hazards Pass Fail
X Contact with Vehicle
Engine and Underbody Components Headlights
Pass Fail x IdentificationX F or Leak
X Improper Load, Size or Use
Air Compressor X License Plate X TiceCondition
Exhaust Systiort ParkftX lT. Depth
Pass Fail x ccs
Tires- Stewing Axle
Leaks X jSide Marker Pass Fail
Located as not to cause damage X (Brake)
Bus - Gas Powered: X T B or Ply Repair
or Retread
Excess 6" Forward X T»t Signal
from Rear C with Vehicle
Safe Loading Fiat or Leak
Bus -Other than Gas Powered pass Fail
Discharge Excess 15" Forward X Ca o Secure Load, Size or Use
frorn Rear I IMismatch Radial or Bias
Discharge Forward of Door or Front End Structure Regrooved (Unless Urban or Suburban)
Opening Window Spare Tire
Tire Condition
Remarks Tread Depth
Wheels and Rims
Pass I Fail
X Cracked or Welded Repairs
::--JLock Rings
X j Lugs or Fasteners
X Wheel Locating (Bolt) Hole
Windshield
Pass I Fail
Windshield Wiper
Pass Fail
Wiper
❑ Special Vehicles Only
Pass Fail
Battery
Body
Door or Latches
Dual Brake
Ems,geancy Exits
Fire Extinguisher
Heater or Defroster
Horn
Hoses or Cables
King Pins
Lettering
Mirrors
Belt
ks and Salts
-h Guards
r or Floor Covering
ing devices
d Alignment
d Bearing
aw oft _V*,dshield
striold Washer
Printed 10/10/22 For further information regarding this inspection, call (217) 785-1181. This inspection may not include all the required equipment to operate a vehicle on Illinois' highways_ BIC 3000 (Rev. 12/08/17)
M
M
2023 Illinois Registration Identification Card
Jesse White, Illinois Secretary of State
CNVL06/22/22:02:2133: 3015.00 MU
3
31068Z 3FVL22133 SHVR 0623
hicle Yea2SPeihtOr
VMake VIN
007gC11
TRACTR TK I TRUCK -TRACTOR
JUNE 30, 2023
31.0682
l0
[R!en�e�walFee
Due SPE�CIALAULWG VEHICLE PERMIT PAID
i UT PAID/SUSPENDED
This report renreft the property of ttte Illinois Depa of Transportation, A copy must be filed numerically and
chm-4logicatly at the Official Testing Stag a p - - of a (18) monft and must be available for inspection,
by emodyges of the Ildridis Capadmant of Trans tion, Matic each fie d betow, Pass or Fail with an ")C, if any item
on this form does not apply, leave it blark The sutirrifssicith of this form dies the accuracy and Completeness of th
insnentinn in accordance with 49 CFR 39621. This misoectlor does not meet USDOT «btorcoach inspection. i
M
Vehicle inspection Report
1. Z 6 Month
3. US DOT Number
4. � Reject over 30 days
X
. Station i
7. License Plate
8. Vehicle Identification, Number
.Certificate of fety Number
2. ❑ 12 Month
X
X
5. ❑ Replacement CIS
X
Safe Loading
Pass Fail
10663
131068Z
t Sr Gear Box
1M1AK06Y07NO2
301621475
10. Company Name
11. Company City
X
12.Odometer Reading
113. Date of Test
114. Start Time
15. End Time
G & L CONTRACTORS # 63
SKOKIE
463,472
06!30!22
07:50 ! ❑x AM ❑ PM
07:58 ❑X AM ❑ PM
16. Model Year 117.VehicieType
118. Trailer Make
120. Single Wheel Axle 1
22. Test Fee
23. Lute CIS Applied
24. Time CIS Applied
2007 ITruck Tractor
?1. Double Wheel Axle 2
$59.00
0661m
07:58 x❑ AM ❑ PM
25. CST Name
126. CST Signature
� ID# 2 . Retest CST Name
29. Retest CST Signature
130. Retest CST ID#
D PINEDA
35
Brakes
X
lAbsence of Braking
Breakaway Device
Orwns or Rotors
Hoses or Tubes
HY&autiGmaster
(Air or Fluid)
Uirtmgs or Pads
Mmmitch Across Axle
_o
X
X
X
X
X
X
X
X
X Parking Brake
Power Assist Unit
X Tractor Protection Valve
Coupling Devices
Pass Fail
Drawbar or Towbar Eye
Drawbar or Towbar Tongue
X Fifth Wheel
JPntle Hook
Saddle Mounts
Safety Devices
Engine and Underbody Components
Pass Fail
X Air Compressor
Exhaust Systm
Pass Fall
X Leaks
X Located as not to cause damage
Bus - Gas Powered:
DfOrscharge Excess 6" Forward
Rear
Bus - Other than Gas Powered
Discirrarge Excess 15" Forward
from Rear
Discharge Forward of Door or
Opening Window
Remarks
P111 Fail
-j Back Up Alarm (Refuse Hauler Only)
Frame
Pass Fail
Axle Assemblies
X Cracked or Broken Member
X Loose or Missing Fasteners
X Tire Whatu Clearance
Fuel System
Pass Fail
X Fuel Cap
X Leaks
X Missing or Loose Components
Instruments and Indicator Panel
Pass Fail
Brake Failure Indicator Light
X Low Pres./Vacuum Warning Device
Ind. Light
Ughting Devices and Reflectors
Pass Fail
X
. Up
C
Hazards
kwaication
Lksorm Plate
os
Side Market
Stop (Brake)
Tag
Tunr Signal
Cargo Secure
From End Structure
Spam Tire
X
X
X
X
X
Free Play
X
X
X
X I
X
Safe Loading
Pass Fail
X
X
t Sr Gear Box
Mechanism
X
Ball and Socket Joint
X_....
Binding, Jamming or Loose Parts
X
Drag Links
X
Free Play
X
Pitman Arm
x
Power Assist Unit
X
Steering Column
X
t Sr Gear Box
X
j Steering System Modification
I x
Steering Wheel
X
=Tie Rods
'ass 1 Fail 1
!"suspension
X Ax Positioning Parts
rCod Springs
Rubber Springs
x Springs or Shackles
X T • _ T Components
as- Non Steering Axle
'ass I Fait
X�Contact with Vehicle
X Flat or leak
X Improper Load, Sze or Use
X T xe Condition
X Treac Depth
Axle
Boot or Ply Repair
Bus -Recap or Retread
Contact with Vehicle
Flat or Leak
Improper Load, Size or Use
Mismatch Radial or Bias
Regrooved(Unless Urban or Suburban)
Tire Condition
Tread Depth
Wheits and Rims
Pass Fail
X( Cracked or Welded Repairs
Lock Rings
X{ Lugs or Fasteners
xrWilheel Locating (Bolt) Hole
Windshield
Pass Fag
X 1a3
Wiper
Fad
I X Wiper
0 Special Vehicles Only
Door or Latches
Dual Brake
Emergency Exits
Fire Extinguisher
Heater or Defroster
Horn
Hoses or Cables
King Pins
Lettering
Seat Anchoring
Seat Bell
Shocks aid Struts
Splash Guards
Steps or Floor Covering
Warning devices
Alignment
Wheat Bearing
Wrxiow other than Windshield
Windshield Washer
PrintPri ns/3n/99 For further information reaardino this insoection, call (2171785-1181. This insoection°rrlatr not include all the required equipment to operate a vehicle pn Illinois' highways. BIC 3000 (Rev. 12108117)
L0
M
This report remains the property of the I the of Tran. A must - numeric* and
at the T Station fora � (eighteen (18) and gust be avai r inspection
by employees of the Illinois Department ofTrartspo Mark each field below Pass or Fail with an 'X'. If any item Vehicle Inspection Report
on this form does not apply, leave it blank. The submission of this form certfies the accuracy and completeness of the
incnartinn in ar nnrdance with 49 CFR 396.21- This irisciebtkin does not meet LISDOT motorcoach inspection.
1. ❑x 6 Month
13. US DOT Number 14. ❑ Reject over 30 days 16. Station
x
7. License Plate 18, Vehicle 1 tifi(xt ° 'n Number
9 Certificate of Safety Number
2
Closes or Tubes
Hydraufia Master
15. ❑ Replacement C/S 10663
x
L (Air or Fluid)
11H9A3E4CX71015048400285592
Lirurns or Pads
Ksmolich Across Axle
Morsingisrokerl/Loose
10. Company Name
11. Company City
12. Odometer Reading
113. Date of Testj
14. Start Time
15. End Time
G L CONT
Tsaclor Protection Valve
ISKOKIE
0 I
07/06122
7:50 0 AM ❑ PM
8:00 x❑AM ❑ PM
16. Model Year 17. Vehicle Type
18. Trailer Make 19. Vehicle Make
120. }Single Wheel Axle
22. Test Fee 23. Date C/S Applied
24. Time C/S Applied
2007 Trailer
r
21.'Double Wheel Axle 2
$40.00 07/06(2
8:00 ❑x AM E) PM
25. CST Name 26,
re
27. CST ID#
28. Retest CST Name
29. Retest CST Signature ?
30. Retest CST ID#
JJ MERAZ
25
k
Brakes
Coupling Devices
Pass Fail
X Drawbar or Towbar Eye
Crowbar or Towbar Tongue
1Fifth Wheel
PKto Hook
Sadft Mounis
X Sah ;y Devices
Engine and Underbody Components
Pass Fail
Compressor
Exhaust System
Pass Fail
It.eaks
as not to cause damage
Bus - Gas Powered:
Discharge Excess 6" Forward
from Rear
Bus - Other than Gas Powered
Discharge Excess 15" Forward
from Rear
Forward of Door or
Opening Window
Remarks
�c t
Up Alarm (Refuse Hauler Orly)
XI lGracked or Broken Member
XI li-oose or Missing Fasteners
ExTire Wheel Clearance
Fuel System
Pass Fail
IFtsin
ul Cap
aks
or Loose Components
Instruments and Indicator Panel
bass Fall
Broke, Failure Indicator Light
LOW Pres./Vacuum Warning Device
Light
Lighting Devices and Reflectors
Fail
I�
Pass ]Backup
X _ C _ _
x
HeadVft
x
X Lomseplate
_ P
x f .-
xSide Marker
X (Brake)
X- Tn Signal
Safe Loading
Pass Fail
X ; Secure
IFrk End Structure
iSpare-Tire
Mechanism
Bal and Socket Joint
Bkxiing, Jamming or Loose Parts
Drag Links
Free Play
Pitman Arm
Power Assist Unit "
Steering Column
Steering Gear Box
Stewing System Modification
Air Suspension
Axe Positioning Parts
Cod Springs
Rubber Springs
%Springs or Shackles
Ta quairt2dkisfTradong Components
`as -Non Steaning Axle
'ass Fail
x Conusft with Vehicle
x Fl€t or Leak
x t - Load, Size or Use
X T Corukbon
x Tread Depth
ai- Steering Acis
i or Ply Repair
or Retread
red with Vehicle
or Leak
,oper Load, Size or Use
natch Radial or Bias
rvoved (Unless Urban or Suburban)
Conditlon
Wheels am Rims
Pass Fail
x Cracked or Welded Repairs
Lock Rings
x Lugs or Fasteners
x f Wheef Locating (Bolt) Hole
Windshield
Pass Fag
Meld Wiper
P Fail
lWinostrualoWiper
❑ Special Vehicles Only
Door o- Latches
DualB-ake
Emergency Exits
Fire Extinguisher
Heater or Defroster
Horn
Hoses or Cables
King Pans
Lettering
Mirrors
Muffler
Seat Anchoring
Seat Bait
Shocks and Struts
Splash Guards
Steps or Floor Covering
g devices
WhealAlignment
Wheat Bearing
Window other than Windshield
Wiridshield Washer
nir+ onnn ro.,., an€norm%
Ab"01 Braking
er
Dnons or Rotors
x
x
x
Closes or Tubes
Hydraufia Master
x
L (Air or Fluid)
x
Lirurns or Pads
Ksmolich Across Axle
Morsingisrokerl/Loose
x
X
ParkkV Brake
Assist Unit
Tsaclor Protection Valve
Coupling Devices
Pass Fail
X Drawbar or Towbar Eye
Crowbar or Towbar Tongue
1Fifth Wheel
PKto Hook
Sadft Mounis
X Sah ;y Devices
Engine and Underbody Components
Pass Fail
Compressor
Exhaust System
Pass Fail
It.eaks
as not to cause damage
Bus - Gas Powered:
Discharge Excess 6" Forward
from Rear
Bus - Other than Gas Powered
Discharge Excess 15" Forward
from Rear
Forward of Door or
Opening Window
Remarks
�c t
Up Alarm (Refuse Hauler Orly)
XI lGracked or Broken Member
XI li-oose or Missing Fasteners
ExTire Wheel Clearance
Fuel System
Pass Fail
IFtsin
ul Cap
aks
or Loose Components
Instruments and Indicator Panel
bass Fall
Broke, Failure Indicator Light
LOW Pres./Vacuum Warning Device
Light
Lighting Devices and Reflectors
Fail
I�
Pass ]Backup
X _ C _ _
x
HeadVft
x
X Lomseplate
_ P
x f .-
xSide Marker
X (Brake)
X- Tn Signal
Safe Loading
Pass Fail
X ; Secure
IFrk End Structure
iSpare-Tire
Mechanism
Bal and Socket Joint
Bkxiing, Jamming or Loose Parts
Drag Links
Free Play
Pitman Arm
Power Assist Unit "
Steering Column
Steering Gear Box
Stewing System Modification
Air Suspension
Axe Positioning Parts
Cod Springs
Rubber Springs
%Springs or Shackles
Ta quairt2dkisfTradong Components
`as -Non Steaning Axle
'ass Fail
x Conusft with Vehicle
x Fl€t or Leak
x t - Load, Size or Use
X T Corukbon
x Tread Depth
ai- Steering Acis
i or Ply Repair
or Retread
red with Vehicle
or Leak
,oper Load, Size or Use
natch Radial or Bias
rvoved (Unless Urban or Suburban)
Conditlon
Wheels am Rims
Pass Fail
x Cracked or Welded Repairs
Lock Rings
x Lugs or Fasteners
x f Wheef Locating (Bolt) Hole
Windshield
Pass Fag
Meld Wiper
P Fail
lWinostrualoWiper
❑ Special Vehicles Only
Door o- Latches
DualB-ake
Emergency Exits
Fire Extinguisher
Heater or Defroster
Horn
Hoses or Cables
King Pans
Lettering
Mirrors
Muffler
Seat Anchoring
Seat Bait
Shocks and Struts
Splash Guards
Steps or Floor Covering
g devices
WhealAlignment
Wheat Bearing
Window other than Windshield
Wiridshield Washer
nir+ onnn ro.,., an€norm%
-STI ER`
. .4 00"-
F
vnm
�a
f = T = _MOFTa
a
t
4
TF -OF
a �
- . ®.. p .. '
� jb
F_
5
•_� o _ °
n
�i
- - _ - t= t F �` .:
_ft
'. a
_
�.
0 76
a NONE ; 1H9A3E4CX7101
z
� _ 7�tli�
�
IL �;, t
lz�
t, HILB T3
T ��
3 _
ILEA
uwr
W# 10 Mil 44
`s _'
-
2�F01
r
a
Tri11►d�BNO*
a e'
-r- OF
• w
s�-
MATERIAL SUPPLY LOCATIONS:
LOCATIONS:
VILLAGE OF MOUNT PROSPECT
Thelen Materials: 28957 IL -173, Antioch, IL 60002. 40 Miles
Prairie Materials: 1S680 N Lorang Rd, Elburn, IL 60119. 50 Miles
Vulcan: 3910 S Racine Ave, Chicago, IL 60609. 32 Miles
Midwest Aggregate: 28435 W, IL -173, Antioch, IL 60002. 40 Miles
37
DISPOSAL LOCATIONS
Village of Mount Prospect Public Works
Bluff City: 1245 Gifford Rd, Elgin, IL 60120. 22 Miles
Prairie Materials: 15680 N Lorang Rd, Elbum, IL 60119. 50 Miles
CHDS: 25199 west, It,120, Round lake, IL 60073. 24 Miles
38
CAMBRIDGE PRINTING CORP. (630) 510-2100
CUSTOMER .—........-
JOB#
LOCATION
MATERIAL: FROM ._.
SAND GRAVEL
SPECIFY TYPE —
QUANTITY --
LOADS HAULED
wZ C,
DATE _.._
DRIVER _.._
EQUIPMENT#
DESC.
TO
STONE DIRT PIPE
TICKET# ._....... ......................�.w..
TIME START TIME FINISH LUNCH TOTAL HOURS
112
NO
Received By:
39
References
Kenilworth Public Works Department
Attn: Donald Leicht
Address: 347 Ivy Ct, Kenilworth, IL 60043.
Phone: 847-257-2354
Email: DI,eich!j@voki1.o1'g
Niles Public Works Department
Attn: Jack Grana
Address: 6849 W Touhy Ave, Niles, 11,60714.
Phone: 847-588-7905
Email: gg gjLlc..com
Winnetka Public Works Department
Attn: Nick Narhi
Address: 1390 Willow Rd, Winnetka, 1L 60093.
Phone: (847) 716-3553.
Email: M1A!b!(dmWi!MqkAM
40
Other Munici ali Service
G&L Contractors currently holds a similar hauling contract with The Village of Morton Grove. That
Contract expires on 12/31/22
41