Award Bid - 2020 Curb & Sidewalk Construction Proj No. 120-001 - Premium Concrete Services, Inc.

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y CITY OF SOUTH BEND, INDIANA x CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name 2020 Curb and Sidewalk Construction Project No. 120-001 For Bids Due May 12, 2020 at 9:30am Local Time From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. ,}Proper bid security included. The bidder has the option of providing either a Certified Check or Bid Bond. �, , O Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely �j executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments I! with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and Certification of use of United States Steel Products or Foundry Products. Proof of MWBE Utilization Plan [MWBE-1.0]. If minimum participation goal is not met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MWBE Contacted Form [MWBE-2.1]. !� Acknowledge Receipt of Addendum(s) included with the bid. JJ�� L J All required additional information is included with the bid. /J Proposal statements and other affidavits all signed by the proper party with name either h printed or typed underneath signature. O This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. Bidder:)V[QMxe4A.)cA&7E AV-Z5 =0C_ Date: 5-// .2 /.2 C-� By Authorized Representa ive: Signature: Print Name & Title: W�i,A��ey Version 01/29/2020 Contractor's Bid for Public Works - 1