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Z A;l <br />CHECKLIST FOR BIDDERS <br />MZMCEMLA� <br />M <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 MBEtWBE 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 MBE/WBE Contacted <br />L/ Form [MWBE-2.1]. <br />A41-1 City of South Bend, Indiana Contractor's Bid for Public Work Responsible Bidder Checklist. <br />Z Acknowledge Receipt of _41— Addendum(s) included with the bid. <br />Al All required additional linformation is included with the bid. <br />L/ Proposal statements and other affidavits all signed by the proper party with name either <br />printed or typed underneath signature, <br />Z 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 />Signature: <br />Version 10/17/2017 <br />Contractor's Bid for Public Wod(s, - 1 <br />