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CITY OF SOUTH BEND, INDIANA <br />i <br />SELLER'S BID FOR SALE OR LEASE OF MATERIALS <br />;a reacv y <br />CHECKLIST FOR BIDDERS 5 <br />Project Name Equipment Purchase For Nello Corporation Phase XV <br />Project No. 116-136 <br />For Bids Due January 10, 2017 at 9:30 am <br />From time to time the South Bend Board of Public Works finds it necessary to reject a bid <br />because it does not comply with statutory requirements. In preparing your bid, please use the <br />following checklist in order to make sure that your bid is done in the proper manner. <br />Proper bid security included. The bidder has the option of providing either a Certified <br />i/ Check or Bid Bond. <br />Z- ' Bid prepared on the City of South Bend Bid/Proposal Form, completely executed <br />Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding <br />Investments with Iran, Employment Eligibility Verification, Non -Discrimination <br />Commitment, and Certification of use of United States Steel Products or Foundry <br />Products. <br />Proof of a minimum two (2) prior successful installations of a plural component <br />proportioner used to apply high performance coatings. <br />L--' Acknowledge Receipt of Addendum(s) included with the bid. <br />c/ All required additional information is included with the bid. <br />Proposal statements and other affidavits all signed by the proper party with name <br />either printed or typed underneath signature. <br />,This checklist submitted with the Bid. <br />This checklist is provided for bidder's use in assuring compliance with required <br />documentation; however, it does not include all specifications requirements and does <br />not relieve the h,�ibidder of the need to read and comply with the specification . <br />Bidder: c-nn.v(. &.k1bor..�kL' Date: i <br />By Authorized Representative: A <br />Signature: <br />Print Name & Title: <br />CITY OF SOUTH BEND, INDIANA <br />c�1. <br />FI <br />OF <br />,rx. <br />1865„ <br />