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Pre -qualification Checklist (for Bidders that are not pre -qualified) Attachments Section; <br />Signed Statements <br />(i) Indiana Secretary of State's on-line records (ie. Business verification) dated within sixty (60) <br />days of the submission of said document showing that business is in existence, current with the <br />Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good <br />standing. (Not applicable to individuals, sole proprietors or partnerships). <br />Pullman SST, Inc. has an Indiana Secretary of State's on-line records (ie. Business verification) <br />dated within sixty (60) days of the submission of said document showing that business is in <br />existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a <br />certificate of good standing. (Not applicable to individuals, sole proprietors or partnerships). <br />Please see attached. <br />(ii) List identifying all former business names. <br />Pullman SST, Inc. was formerly known as Shared Systems Technology, Inc. Please see <br />attached. <br />(iii) Any determinations by a court or governmental agency any violations of federal state, or <br />local laws including, but not limited to, violations of contracting or antitrust laws, tax or licensing <br />laws, environmental laws, Occupational Safety and Health Act (OSHA), or federal Davis -Bacon <br />and related Acts, within the preceding five (5) years. <br />Pullman SST, Inc. has not had Any determinations by a court or governmental agency any <br />violations of federal state, or local laws including, but not limited to, violations of contracting or <br />antitrust laws, tax or licensing laws, environmental laws, Occupational Safety and Health Act <br />(OSHA), or federal Davis -Bacon and related Acts, within the preceding five (5) years. <br />(iv) Statement about staffing capabilities, including labor sources. This statement indicates and <br />ensures I have sufficient employees on staff to complete the work I am bidding on OR outlines <br />how I intend to meet the staffing needs of the work. <br />PULLMAN SST, Inc. will provide a team of labor resources from existing company employees <br />and leveraging our relationship with the local union halls to supplement our crew. We currently <br />employ over 130 field crew members. This project is of relatively short duration and we will <br />easily be able to meet the staffing requirements of this project. <br />(v) Statement that individuals who will perform work on the public work project on my behalf will <br />be properly classified as an employee or as an independent contractor under all applicable state <br />and federal laws and local ordinances. <br />Pullman SST, Inc. <br />10150 Old Columbia Road • Columbia, MD 21046 • Phone: 410-850-7000 - Fax: 410-850-4111 <br />www.puliman-services.com <br />