Opening of Bids - Fire Station No. 9 Demolitions Proj No 117-088 -John Boettcher Sewer and Excavating Contractor

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,KSi�[a � p'lSilj CITY OF SOUTH BEND INDIANA t CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Fire Station #9 Demolitions Project No. 117-088 For Bids Due November 28th, 2017 at 9:30 AM local time From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. Proper bid security included. The bidder has the option of providing either a Certified Check X or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely X executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and X Certification of use of United States Steel Products or Foundry Products. Proof of MBEIWBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not met, also provide Evidence of Good Faith Efforts Form [MWBE-2,Q] and MBEIWBE Contacted X Form [MWBE-2.1 ]. X Acknowledge Receipt of I Addendum(s) included with the bid. X All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either X printed or typed underneath signature. X This cheekilst submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. Bidder: John Boettcher Sewer & Excavating Contractor Date: November 28 2017 By Authorized Rer Signature: Print Name & Title Version 10/17/2016 Boettcher. President Contractor's Bid for Public Works - 1