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L PRE -QUALIFIED BIDDER CHECKLIST <br />(a) Acknowledgements: <br />By checking this box { hereby acknowledge that | am a pre-qua|ified bidder with <br />the City of South Bend and that I have met the pre -qualification requirements within <br />the last twelve (12) months. Acopy ofmmy Pre -Qualification verification letter <br />is attached. <br />(ii) By checking this box. I hereby acknowledge that the City n»norveo the right to <br />request supplemental informstion, 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 (ie. Business verification) dated within <br />nkdy (60) days of the submission of said document showing that business is in <br />nxisience, current with the Indiana Secretary of 8tate'a Business Entity Report, <br />and eligible for a certificate of good standing. (Not applicable to individua|s, su|a <br />proprietors orpahnenehips). <br />(ii) Statement on staffing capabilities, including labor sources. This statement <br />indicates and ensures ihave sufficient employees omstaff tocomplete the work. |t <br />outlines how | intend tomeet the staffing needs ofthe work. <br />(iii) List ofprojects ofeimi|uroizeandaoopeofvvorkpedbnnedinaUaraes'induding <br />the State of Indiana, within the last three (3) years. <br />(iv) For every project, submit evidence of participation in apprenticeship and training <br />ppognoma, applicable to the work to be performed on the project, which are <br />approved by and registered with the United States Department of Labor's Office of <br />Apprenticeship, orits successor organization. <br />VereionO1/29V2O2O General Conditiono-O <br />