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PART II <br />(For projects of $150, 000 or more – IC 36-1-12-4) <br />Governmental Unit: Board of Public Works, City of South Bend, Indiana <br />Bidder (Firm) Northern Indiana Construction Companv Inc. <br />Date (month, day, year): December 8, 2020 <br />These statements to be submitted under oath by each bidder with and as a part of his bid <br />Attach additional pages for each section as needed. <br />SECTION I EXPERIENCE QUESTIONNAIRE <br />1. What public works projects has your organization completed for the period of one (1) year prior to the <br />date of the current bid? <br />Contract Amount Class of Work <br />Completion <br />Date <br />January, 2015 <br />Name and Address of Owner_ <br />INDOT-B-34332-A LaPorte Dist <br />557 606.86 <br />Bridge Replacement <br />__2&2,&6.3,50 <br />Bridge Replacement <br />May, 2017 <br />Starke Coun Bridge No. 78 <br />27 531.20 <br />Bridge Replacement <br />Au_gust, 2017 <br />Starke Coun Bridge No. 50 <br />414 314.45 <br />Bridge Replacement <br />I May, 2017 <br />Fulton County Bridge No. 503 <br />2. What public works projects are now in process of construction by your organization? <br />Expected <br />Lcontract Amount Class of Work Completion J Name and Address of Owner <br />_ _} Date <br />526,525.06 JBriAge Replacement December, 2020 Elkhart County Highway Dept. <br />493 107.35 (Bridge Deck Overlay September, 20211 Bridge Deck Overlay & Str. Repl <br />3. Have you ever failed to complete any work awarded to you? No _ If so, where and why? <br />4. List references from private firms for which you have performed work. <br />Niblock Excaygting, Inc.,]'. I Box 211 is of ltidiaBA46507 <br />C & E Excavating, Inc. 53767 CR 9 Elkhart Indiana 46514 <br />Ritschard Brothers Inc. 1204 W. Sample Street ,South Bend, Indiana 46619 <br />_ — <br />John Bae her Sewer & Fycavating Contractor, 3305 N. Home Strcct Mishawaka IN. 46545 <br />