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PRE -QUALIFIED BIDDER CHECKLIST <br />(a) Acknowledgements <br />(a) By checking this box, I hereby acknowledge that t am a pre -qualified bidder with <br />the City of South Bend and that I have met the pre -qualification requirements within <br />the last twelve (12) months. A copy of my Pre -Qualification verification letter <br />Is attached. <br />(it) By checking this box, I hereby acknowledge that the City reserves the right to <br />request supplemental Information, additional verification of any information <br />provided by me, and may also conduct random Inquiries of my current and prior <br />customers. <br />(b) Attachments <br />(i) _ Indiana Secretary of State's on-line records (le. Business <br />verification) dated within sixty (60) days of the submission of said document <br />showing that business is In existence, current with the Indiana Secretary of State's <br />Business Entity Report, and eligible for a certificate of good standing. (Not <br />applicable to Individuals, sole proprietors or partnerships). <br />(ii) Statement on staffing capabilities, Including labor sources. This statement <br />Indicates and ensures I have sufficient employees on staff to complete the work. It <br />outlines how I Intend to meet the staffing needs of the work. <br />(iia) Evidence that I am utilizing a surety company which Is on the United States <br />Department of Treasury's Lasting of Approved Sureties as required in the bid <br />specifications or contract, <br />(iv) _- _ List of projects of similar size and scope of work performed In all areas, including <br />the State of Indiana, within the last three (3) years. <br />Version 4/1712015 General Conditions - 8 <br />