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CITY 01F SOUTH BEND, INDIANA <br />It v <br />CONTRACTOR'S BID FOR PUBLIC'( ORK <br />robs <br />CHECKLIST FOR BIDDERS <br />Project Name Berlin Place — Site Concrete, Landscape Plantings, and Bldg. 4 Roof <br />Pavers" <br />Project No. 118-057 <br />For BldsDue 6/12J18 <br />From time to tune 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 foliowing <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 />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-Colluslon 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-2,0] and MBE/WBE Contacted <br />X Form [MWBE-2.1]. <br />X Acknowledge Receipt of 1,213 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: June 12, 2018 <br />By Authorized Representative: <br />Signature: <br />Print Name & Title: <br />Version 10/17/2017 Contractors Bid for Public Works -'I <br />