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tr d. <br />CITY OF SOUTH BEND, INDIANA <br />CONTRACTORS BID FOR PUBLIC WORK <br />CHECKLIST FOR BIDDERS <br />Project Name Fire Station #9 Demolitions <br />Project No. 117-088 <br />For Bids Due November 28th, 2017 at 9:30 AM local time <br />From time to time the South Bend Board of Public Works finds it necessary to reject a bid because <br />it does not comply with statutory requirements. In preparing your bid, please use the following <br />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 Check <br />or Bid Bond. <br />J/ Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely <br />executed. <br />Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments <br />{ with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and <br />Certification of use of United States Steel Products or Foundry Products. <br />Proof of MBEIWBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not <br />met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBEIWBE Contacted <br />Form [MWBE-2.1]. <br />V Acknowledge Receipt of _L Addendum(s) included with the. bid. <br />V All required additional information is included with the bid. <br />% Proposal statements and other affidavits all signed by the proper party with name either <br />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 not <br />relieve the bidder of the need to read and comply with the spe ' is tions. <br />Bidder: Date: //- A 7- / <br />By Authorized Representativ . <br />Signature: lep <br />Print Name & Title: �fc <br />Version 10/17/2016 Contractor's Bid for Public Works - 1 <br />