Opening of Bids - Jefferson & Twyckenham Signal Improvements Proj No 116-027 - Martell Electric LLC

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0 0 1 : W=1111 wel LIN I= to] a" :.]III a*J ;A gli gq mffly CHECKLIST FOR BIDDERS Project Name Jefferson and Twyckenham Signal Improvements Project No. 116-027 For Bids, Due JuJy4W11-,-2M December 19, 2017 at 9am 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 CertiflcaUon of use of United States Steel Products or Foundry Products. Proof of MBEANBE Participation Goal Form [MWBE-1,O]. If minimum parficip,ation goal is not met, also provide Evidence of Good Faith Efforts Form [MWBE-2,O] and MBEANBE Contacted x Form [MWBE-2,1], x Acknowledge Receipt of 1, Addendum(s) included with the bid, x All required additional information is included with the Ibid. Proposal statements and other affidavits all signed by the proper party with name either printed or typed underneath signature, X This checklist submitted with the Bid.. This checklist Is provided for bidders 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: Martell, Electric, LLC_ Date: December 19, 2017. By Authorized Signature: Print Name & I Version 10/17/2017 Contractor's Bid for Public Works - 1 Addendum #1