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CITY OF SOUTH BENS►, INDIANA Y\.,� ��, <br />CONTRACTOR'S BID FOR I UBLIC WORK T. ` �°'• <br />CHECKLIST FOR (BIDDERS <br />Project Name ironwood Drive Sidewalk Edison Road to S.R. 23 <br />ProjectNo. 117.033A <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 mangier. <br />Proper bid security Included. The bidder has the option of providing either a, Certified Check <br />X or Bid Bond. <br />Bid prepared on the City of South BendContractorrs Bid for Public Work Form, completely <br />X executed. <br />Contractor's Non-Coliusi'on and Non -Debarment Affidavit, Certification Regarding Investments <br />with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and <br />X Certification of use of united States Steel Products or Foundry Products. <br />Proof of MBEIWBE Participation Goal Form [MWWBE-1.01, If minimum participation goal is not <br />met, also provide Evidence of Good Faith Efforts Form [MWVBE-2,01 and MBE/WBE Contacted <br />X Form (MBE-2,1). <br />X Acknowledge Receipt of 2 Addendum(s) included with the (bid, <br />X 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 />X printed or typed underneath signature. <br />X 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 specifications.. <br />Bidder: Rieth-Riley Construction Co., Inc. Date: December 12, 20147 <br />By Authorized Representative: ..amm D <br />Signature: <br />Print Name & Title: Joshu A.—WdCormick, Sales Manager <br />Version 10117/201 B Contractor's Bid for Public Works -1 <br />