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PEACK <br />CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />CHECKLIST FOR BIDDERS <br />Project Name WWTP Masonry Improvements Gallery Buildings 1-4 <br />Project No. 120-036 <br />For Bids Due October 13'2O2O <br />From time to time the South Bend Board of Public Works finds it necessary to reject abid because <br />it does not comply with statutory requirements. In preparing your bid, please use the following <br />checklist inorder tomake sure that your bid iadone inthe proper manner. <br />� Proper bid security included. The bidder has the option ofproviding either aCe�i�adCheck <br />VnrBid Bond. <br />Bid prepared onthe City ofSouth Bend Contractor's Bid for Public Work Form, completely <br />Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding |nvnobnantm <br />with Iran, Employment Eligibility Verification, Non-D isohminetion Commitment, and <br />Certification of use of United Sbabae Steel Products or Foundry Products. <br />Proof of MBEANBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not <br />met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted <br />Form[[NVVBE-2.1]. <br />Acknowledge Receipt of2 Addendum(o)included with the bid. <br />All required additional information is included with the bid. <br />Proposal statements and other affidavits all signed by the proper party with name either <br />printed or typed underneath signature. <br />N/ This checklist submitted with the Bid. <br />This checklist is provided for bidder's use in assuring compliance with required <br />documentation; however, it does not include all specifications requirements and does not <br />relieve the bidder ofthe need toread and comply with the specifications. <br />Bidder: Sl8[ile Roofing d Sheet Metal Co.,INC. Date: 10-9-2020 <br />BvAuthorized Rep : <br />Signature: <br />Print Name &Title: Gerald Loriq8Kot-President <br />Vorsion4/2/2O19 Contractor's Bid for Public Works -1 <br />