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19161il laa" Lei aIolac moull <br />CHECKLIST FOR BIDDERS <br />Project Name South Bend Fire Department Trainiing Center Classroom Building <br />Project No. 117-127 <br />For BIdsDue March 27,20118 at9:30 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- Discri rn !nation 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 />x met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted <br />Form [MWBE-2.1]. <br />x Acknowledge Receipt of I.,?_ Addendum(s) included with the bid, <br />x All required additional information is included with the bid. <br />x Proposal statements and other affidavits all signed by the proper party with name either <br />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: Gibson -Lewis, LLC Date: 3/27/18 <br />By Authorized Rep <br />Signature: <br />.OIL - <br />Print Name & Title: _ Robert A. Lingenfc1ter, President - <br />Version 10/17/2017 <br />Contractor's Bid for Public Works - I <br />