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(a) Ackno ernents., <br />0) wV` By checking this box, I hereby acknowledge that I arr'i a 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 />is attached, <br />By checking this box, I hereby acknowledge that the City reserves the right to <br />request SUpplernental information, additional verification of any information <br />provided by me, and may also conduct random inqUirles, of my Current and prior <br />Customers. <br />(b) Attachrrue <br />W Indiana Secretary of State's on-line records (lea Business verification) dated within <br />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, <br />and eligible for a certificate of good standing, (Not applicable to, individuals, solle <br />proprietors or partnerships). <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 I intend to rneet the staffing needs of the work. <br />Ust 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) Nei For every project, SUbrnit evidence of participation in apprenticeship and training <br />programs, 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, or its SUccessor organization. <br />Version W16/2019 General Conditions - 8 <br />