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Project Name Well No. I Replacement — North Station <br />Project No. 117-031 <br />For Bids Due —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 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 -Discrimination Commitment, and <br />Certification of use of United States Steel Products or Foundry Products. <br />Proof of MBEMBE 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 MBEIWBE Contacted <br />Form [MWBE-2.1]. <br />I— Acknowledge Receipt of _J Addendum(s) included with the bid. <br />V 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 />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 />i <br />relieve the bidder of the need to read and comply with the specifications. <br />Bidder: 9 vohr cowrbc�,��O Date: 7/1 7// <br />MMMMZM� M <br />Signature: <br />Print Name & Title: <br />03029038.0000 0041 13-1 <br />