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1. BIDDER CHECKLIST <br />(a) <br />(i) _X_ By checking this box, | hereby acknowledge that | am u pre -qualified bidder with <br />the City of South Bend and that I have met the pre -qualification requirements within <br />the last twelve (12) months. A copy of my Pre -Qualification verification letter <br />isattached. <br />(ii) 2j By checking this box, | hereby acknowledge that the City reserves the right to <br />request supplemental information` additional verification of any information <br />provided by mG, and may also conduct random inquiries ofmycurrent and prior <br />customers. <br />MAttaoments: <br />� <br />�) ___ Indiana Secretary of State's on-line records (ie. Business verification) dated within <br />sixty (GO) days of the submission of said document showing that business is in <br />existence, current with the Indiana Secretary of S1ete's Business Entity Report, <br />and eligible form nndi5cmba of good standing. (Not applicable to individua|e, sole <br />proprietors mrpudnemhipo). <br />X <br />Statement on staffing capabilities, including labor sources. This statement <br />indicates and ensures I have sufficient employees on staff to complete the work. It <br />outlines how | intend b)meet the staffing needs ofthe work. <br />X List of projects of similar size and scope of work performed in all areas, including <br />the State of Indiana, within the last three (3) years. <br />(iv) X For every project, submit evidence of participation in apprenticeship and training <br />programs, applicable to the work to be performed on the pnoject, which are <br />approved by and registered with the United States Department of Labor's Office of <br />Apprenticeship, orits successor organization. <br />Vemion5ntV2V19 General Conditions '8 <br />