Opening of Bids - WWTP Final Clarifiers 4 & 5, Aeration Tanks 1-4 and Disinfection Improvements Proj No. 119-069A - Kokosing Industrial Inc.

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OUT" CIT:Y OF: SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name WWTP Final Clarifier Nos. 4-6, Aeration Tank Nos. 1-4 and Disinfection I-tunrovements ROMMUMMINQ= From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not co,mpl y with statutory requirements, In preparing your bid, please use the following -hecklist 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 x or Bid Bond. Bid prepared on, the City of South Bend Contractor's Bid for Public Work Form, completely x executed, x Responsible Bidder's Checklist. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Noon Commitment, and x Certification of use of United States Steel Products or Foundry Products. Proof of MBENVBE Participati on Goal Form IMWBE-1.01. If minimum participation goal is not met, a�so provide Evidence of Good Faith Efforts Form [MWBE-2,011 and M�BE/WBE Contacted Form [MWBE-2.1]. X Acknowledge Receipt of Addendurn(s) included with the bid. All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either printed or typed underneath signature, x This checklist submitted with the Bid. Thiis 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. Kokosing Industrial, Inc, By Authorized Representative, Signature, Print Name & Title: Chad R. Lampe, Vice President �= 03029045.0000 0041 13-6