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PART II <br />(For projects of $100,000 or more - IC 36-1-12-4) <br />These statements to be submitted under oath by each bidder with and as part of his bid. <br />Attach additional pages for each section as needed. <br />SECTION I EXPERIENCE QUESTIONNAIRE <br />1. Attach information regarding projects your organization has com leted for the period of one <br />(1) year prior to the date of the current bid. Se Q f bC_ch ec*� <br />2. Attach a listing of public works projects currently in process of construction by your <br />organization. See (Lb -ham <br />3. Attach information regarding any failure to complete any work awarded to you and the <br />location thereof. 30-e cz - <br />SEE <br />4. Attach references from private firms for which you have performed work. <br />SECTION 11 PLAN AND EQUIPMENT QUESTIONNAIRE <br />1. Attach an explanation of your plan or layout for performing proposed work. (Examples could <br />include a narrative of when you could begin work, complete the project, number of workers, <br />etc. and any other information which you believe would enable the City of South Bend to <br />consider your bid.) -7&er) -Jo Prnuu+'tn nee e 55c-� 4 <br />• 2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside <br />your own firm who have performed part of the work) that you have used on public works <br />projects during the past five (5) years along with a brief description of the work done by each <br />subcontractor. See Spect4=e-of Sve>cj)nt-rc2C*/S,VO-c— W5 G+S <br />3. If you intend to sublet any portion of the work, attach the name and address of each <br />subcontractor, equipment to be used by the subcontractor, and whether you will require a <br />bond. However, if you are unable to currently provide a listing, please understand a listing <br />must be provided prior to contract approval. Until the completion of the proposed project, you <br />Sis� are under a continuing obligation to immediately notify the City of South Bend in the event that <br />iq lr If you subsequently determine that you will use a subcontractor on the proposed project. <br />S e e SLPe c, 6 L4 S u b c L n e c+-c-i'o I i sl' CL3 <br />f�'�A �CAl7C�Att�ac� I! listing <br />Y LG�9sP n2i�you <br />'have <br />f ru tlabletoG(--n the the project. rc( <br />5. Have you entered into contracts or received offers for all materials which substantiate the <br />prices used in preparing your proposal? If not, attach an explanation for the rationale used <br />which would corroborate the prices listed. ye 5 <br />SECTION III CONTRACTOR'S FINANCIAL STATEMENT <br />Attachment of bidder's financial statement is mandatory. Any bid submitted without said <br />financial statement as required by statute shall thereby be rendered invalid. The financial <br />statement provided hereunder to the City of South Bend awarding the contract must be specific <br />enough in detail so that said City of South Bend can make a proper determination of the bidders <br />capability for completing the project if awarded. <br />Version 10/1812016 Contractor's Bid for Public Works - 3 <br />