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4' <br />CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />CHECKLIST' FOR BIDDERS, <br />Project Name 2017 Demolitions, Phase 2 <br />Project No. 117-121 <br />For Bids Due December 12, 2017 <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 />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 MBE/WBE Participation Goal Form [MWBE-1.01. If minimum participation goal is not <br />met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0],and MBEANBE Contacted <br />Form [MWB E-2, I], <br />Acknowledge Receipt of 1�1 LI Addendum(s) included with the bid, <br />"111"°A 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 Pjdder of the ne4kd to read and comp <br />105 M=11111=1 <br />By Authorized Repri <br />Signature: <br />Print Name & tl <br />Version 10117/2018 <br />with the specifications. <br />.3, Date: <br />Contractor's Bid for Public Works - 1 <br />