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M Ma -1" <br />CHECKLIST FOR BIDDERS, <br />Project Name Fire Station #9 <br />For Bids Due February 27, 2018 at 9:30 AM Local Time <br />From time to time the South Bend Board of Public Works finds it necessary to reject a bid <br />because it does not comply with statutory requirements. In preparing your bid, please use the <br />following 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 />X or Bid Bond, <br />Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely <br />X executed. <br />Contractor's Non -Collusion 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 MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not <br />met, also provide Evidence of Good Faith Efforts Form [MWBE-2,O] and MBE/WBE Contacted <br />X Form [MWBE-2.1 ]. <br />_X_ Acknowledge Receipt of 1,2,3 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 />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: - Ziolkowski Construction, Inc., Date: February 27, 2018 <br />By Authorized Representative: <br />Signature: <br />Print Name & Title: Bill Favors, President <br />Version 10/1712017 Contractor's Bid for Public Works - 1 <br />