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CHECKLIST r. BIDDERS <br />Project Name Jefferson and Twyckenham Signal Improvements <br />Project No. 116-027 <br />For Bids Due jUFy-26'h December 19, 2017 at gam <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, Nan -Discrimination Commitment, and <br />Certification of use of united States Steel Products or Foundry Products. <br />Proof of MBEMBE Partiolpatiop 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 MBE/WBE Contacted <br />Form [MWBE-2,1]. <br />Acknowledge Receipt of 1 Addendum(s) included with the bid. <br />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 specifications, <br />Bidder; Hawk Enterprises, Inc. <br />By Authorized <br />Signature: <br />Print Name & Title: <br />President <br />12/19/17 <br />Version 10117/2017 Contractor's Bid for Public Works -1 Addendum #/1 <br />