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CITY OF SOUTH BEND, INDIANA <br />r"M <br />CONTRACTOR'S 131D FOR IPUBLIC WORK <br />CHECKLIST FOR BIDDERS <br />X& <br />ProjectName 2M Street Paving <br />Project No. 118-070 <br />For Bids Due August 9, 2018 at 9:30 am Local Time <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 />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 Eligibility Verification, Non -Discrimination Commitment, and <br />X Certification of use of United States Steel Products or Foundry Products, <br />Proof of MBENVBE Participation Goal Form [MWBE-1.01], If minimum participation goal Is not <br />met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0) and MBEJWBIE Contacted <br />X Form [MWBE-2.1]. <br />X Acknowledge Receipt of #1 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 />documentatlon; 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: August 9, 2018 <br />By Authorized Representative: <br />Signature: <br />Print Name & Title: Joshua <br />ck, Sales Ma <br />er <br />Version 1011712017 Contractor's Bid for Public Works - I <br />