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[Kai 111 g a-ael reln" --] I amm ;M;J!J:J M <br />CHECKLIST FOR BIIDDETS <br />Project Name Ravina Park — Bowman Creek Stabilization <br />Project No. 117-073A <br />For Bids Due -July Myth, 2018 <br />From time to time 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 following <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 />or Bid Bond. <br />Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely <br />executed, <br />Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments <br />with Iran, Employment Eligibility Verification, Non-Discrim i nation Commitment, and <br />Certification of use of United States Steel Products or Foundry Products. <br />Proof of MBEANBE 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 MBEANBE Contacted <br />Form [MWBE-2.1]. <br />X Acknowledge Receipt of /--- Addendum(s) included with the bid". <br />Y 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 />printed or typed underneath signature. <br />Y This checklist submitted with the Bid. <br />This checklist is provided for bidder's use in assuring complliance 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: <br />,ozrtxrwvT1i,,J Date: <br />By Authorized Repr( <br />Signature: <br />aunt Name& i itie: ~16" elfils'Le-i <br />Versbn 10/17/2017 Contractor's Bid for Public Works - 27 <br />