Opening of Bids - LWW and Charles Martin Sr Drive Improvements Proj No 117-072A - Rieth Riley Construction

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o CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Lincoln Way West and Charles Martin Sr. Drive Improvements Project No. 117-072A For Bids Due June 12, 2018 From time to time the South Bend Board of Public Works finds it necessairy to reject a bid because it doles 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 Contractors Bid for Public Work Form, completely X executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Vedfication, Non -Discrimination Commitment, and X Certification of use of United States Steel Products or Foundry Products. Proof of MBEAMBE Participation Goal Form [MWBE-1.01. If minimum participation goal is not met. also provide Evidence of Good Faith Efforts Form [MWBE-2.01 and MBENVBE Contacted X Form JMWBE-2.11 X Acknowledge Receipt of 1 Addendum(s) included with the bid, X Ali required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either X printed or typed underneath signature. X This checklist submitted with the Bid, This checklist Is provided for bidder's 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: Rieth-Riley Construction Co., Inc. Date: June 12, 2018 By Authorized Representative: Signature: Print Name & Title: Joshua A. les Man Version 101171201116 Contractor's Bid for Public Works - 1