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WTI <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />CITY OF SOUTH BEND" NNDUANACHECKLIST FOR BIDDERS <br />Project Name 2020 Curb and S,idewalk Construction <br />Project No. 120-001 <br />For Bids Due May 12, 2020 at 9:30am, Local Time <br />From time totime the South Bend Board ofPublic Works finds itnecessary to rejectobid because <br />it does not comply with statutory requirements. In preparing your bid, please use the following <br />checklist inorder 10make sure that your bid |sdone inthe proper manner. <br />Proper bid security included. The bidder has the option ofproviding either oCertified Check <br />X or Bid Bond. <br />Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely <br />X <br />Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments <br />with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and <br />Certification mfuse ofUnited States Steel Products orFoundry Products. <br />Proof of MVVBE Utilization Plan [K8VVBE-1.0]. If minimum participation goal is not met, also <br />provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MWBE Contacted Form <br />X <br />WA Acknowledge Receipt ofAddandum(s)included with the bid. <br />X All required additional information is included with the bid. <br />Proposal statements and other affidavits all signed bythe proper party with name either <br />]{ printed nrtyped underneath signature. <br />X This checklist submitted with the Bid. <br />This checklist is provided for bidder's use in assuring compliance with required <br />documentation; however, bdoes not include all specifications requirements and does not <br />relieve the bidder of the need to read and comply with the specifications. <br />Ziolkowski Construction, Inc. <br />By Authorized <br />8' D@tUne: <br />Bill Pr�n[dcm1 <br />Print Nama����e� �^"m� ' <br />Vers|omO1/2S/2D2O Contractor's Bid for Public Works I <br />Date: May 12, 2020 <br />