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PART 11 <br />(For projects of $100, 000 or more — IC 36-1-12-4) <br />Governmental Unit: City of South Bend <br />Bidder (Firm) Ziolkowski Construction, Inc. <br />Date (month, day, year): November 8, 2016 <br />These statements to be submitted under oath by each bidder with and as a part of his bid. <br />Attach additional pages for each section as needed. <br />SECTION I EXPERIENCE QUESTIONNAIRE <br />1. What public works projects has your organization completed for the period of one (1) year prior to the <br />date of the current bid? <br />2. <br />3. <br />Contract Amount <br />Class of Work <br />Completion <br />Date <br />Name and Address of Owner <br />$16,473,549 <br />General <br />01/2012 <br />IUSB Cancer Research Center <br />$12,274,292 <br />General <br />01/2016 <br />Lake Central High School <br />$16,920,600 <br />General <br />08/2011 <br />Kankakee Valley New Middle School <br />$7,663,700 <br />General <br />02/2013 <br />Mishawaka River Center Apartments <br />What public works projects are now in process of construction by your organization? <br />Contract Amount <br />Class of Work <br />Expected <br />Completion <br />Date <br />Name and Address of Owner <br />$27,366,9 00 <br />General <br />05/2016 <br />Purdue University North Central <br />$21,355,975 <br />General <br />06/2015 <br />Armed Forces Reserve Center <br />$4,824,179 <br />General <br />08/2015 <br />Mishawaka Central Park <br />$9,020,000 <br />General <br />10/2016 <br />South Bend Airport- New Arrivals Termi <br />Have you ever failed to complete any work awarded to you? No If so, where and why? <br />4. List references from private firms for which you have perforned work - <br />University of Notre Dame, Tony Polotto, LEED, AP, 200 Facilities Bldg., Notre Dame, IN 46556 574-631-4200 <br />City of Mishawaka, Ken Prince, 600 East Third Street, Mishawaka, IN 574-258-1625 <br />Fetters Construction Inc., Steven A. Fetters, 5417 County Rd 427, Auburn, Indiana 46706 260-927-8516 <br />Memorial Hospital & Health System, Larry Lies, 615 N Michigan St., South Bend, IN 46601 574-647-1000 <br />