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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC U 0; RK <br />CHECKLIST FOR BIDDERS <br />Project Name Lafayette Building Exterior Renovation <br />Projoct No. 117-10OR <br />For Bids Due October 9, 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 />V 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 />V with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and <br />Certification of use of United States Steel Products or Foundry Products. <br />Proof of MBEIWBE Participation Goal Form jMWBE-1.0]. If minimum participation goal is not <br />met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0) and MBEIVVBE Contacted <br />Form [MWBE-2.11. <br />Acknowledge Receipt of _J Addendum(s) included with the bid. <br />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 />relieve the bidder of the need to read and comply with the specifications. <br />Bidder: C&S MASONRY RFgTnRATIf1N I I r <br />Date: 10/6/2018 <br />By Authorized Representative: <br />Signature: <br />Print Name & Title: 7 EVE FIELDS / PRESIDENT <br />Version 7/20/20-18 Contractor's Bid for Public Works - 1 <br />