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»'w <br />CITY OF SOUTH BEND, INDIANAa ; <br />CONTRACTOR"S BID FOR PUBLIC 'CORK W a4�b�. 4 <br />CHECKLIST FOR BIDDERS <br />Project Name Main & Colfax Parking Structure Repairs 2019 <br />_._.... ....... .._ <br />Project No. 115-143a <br />For Bids Due December" 11, 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 />c,.. �°°°""" 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 />_.m...._ Certification of use of United States Steel Products or Foundry Products. <br />Proof of MBENVBE 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 MBENVBE Contacted <br />Form [MWBE-2.1]. <br />Acknowledge Receipt of 1 Addendum(s) included with the bid. <br />All required additional information is included with the bid. <br />,r Proposal statements and other affidavits all signed by the proper party with name either <br />printed or typed underneath signature. <br />[el"I 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: D. C. Byers Co./Detroit Inc. Date: 12/10/2018 <br />By Authorized <br />Signature: <br />Print Name & Title: ateph (V, Davis, General Manager <br />Version 7/20/2018 Contractor's Bid for Public Works - 1 <br />