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oUT114ua <br />CITY OF' SOUTH' BEND, INDIANA MACK <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />,46'5 <br />CHECKLIST FOR BIDDERS <br />Project Name Miami Basin Drainage Improvement Project <br />Project No. 116-082C <br />For Bids bue July 24,2018 <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 requiremenits. 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 />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' ligibility Verification, Edon -discrimination Commitment, and <br />X Certification of use of United States Steel Products or Foundry Products, <br />Proof of MBEA1VBE 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 IVIBE[WBE Contacted <br />X Form [MWBE-2,1]. <br />X Acknowledge Receipt of N/A 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: July 24, 2018 <br />By Authorized Repr <br />Signature: <br />Print Name & Title: <br />Version 10/17/2017 Contractor's Bid for public Works - 1 <br />