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SEE ATTACHED 96 FORM <br />PART II <br />(For projects of $100,000 or more — IC 36-1-12-4) <br />Attach additional pages for each section as needed. h <br />These statements to be submitted under oath by each bidder with and as part of his/her ' <br />ts bid, <br />SECTION I EXPERIENCE QUESTIONNAIRE <br />1. Attach information regarding, projects your Organization has completed for the period <br />(1) year prior to the date of the current bid, p d of one <br />2. Attach a listing of public works projects currently in process of construction truction by your <br />3. Attach information regarding any failure to complete any work awarded t <br />location thereof, <br />o you and the <br />4. Attach references from private firms for which you have performed work. <br />SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE <br />1 • Attach an explanation of your plan or layout for Performing include a narrative of when you could begin work, complete the project number of <br />g proposed work. (Example could' etc. and any other information which you believe would enable the C, of South <br />consider your bid.) workers <br />Bend to <br />2. Attach a listing of the names and addresses of all subcotltractors i.e. persons <br />your own firm who have performed part of the work) that you have used on public work <br />( p sorts or firms outside <br />Projects during the past five (b) years along with a brief desorlpt�ion of the work done by <br />s <br />y each <br />3, If you intend to sublet any portion of the work, attach the name and address <br />subcontractor„ equipment to be used by the subcontractor, and whether you will <br />bond. However, if of each <br />roust be provided prior torcor�� colt approval,to nbpt ttly ile completion mpl te a ion of Y require a <br />are under a continuing obligation to immediately notify the le listing,please proposed <br />e tlsyou <br />the proposed protect you You subsequently determine that you will use a subcontractor yon Ile Proposed t iteve <br />nt that <br />4. Attach a listing of equipment you have available to use for the proposed project. <br />5. Have you entered into contracts or received offers for all materials which substantiate <br />prices used in preparing your proposal? If not, attach an explanation for the rationale used <br />which would corroborate the prices listed, <br />the <br />SECTION III CONTRACTOR'S FINANCIAL STATEMENT <br />Attachment of bidder's financlal staterrtent is mandatory, <br />financial statement as required by statute shall thereby be rendered Invalid. T <br />statement provided hereunder to the City of South fiend awarAny bid submitted without said <br />enough in detail so than said City of South bend can make a proper he financial <br />oapabillty for completing the Project itif awarded, ding the contract must be idde "s <br />p p determination of the bidder"s <br />Version 10117/2017 Contractor's Bid for Public Works - 3 <br />