Opening of Bids - Ductile Iron Pipes, Valves and Hydrant Material Specs Proj No. 120-054 - Utility Supply Company

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II. PRE -QUALIFICATION QHEC (a) Acknowledgements: (i) — By checking with the City — By checking request sup provided at custome s. bidder it res (iii) — By checking work pe form furnished upo (iv) — By chec ing contractors, fr work or the acknowl dge contract rs h,, bid. If a ub-c that sub ontr (b) Attachments: (i) — Indiana Secr within sixty (60) dal existence, cu and eligi le f proprietors or List iden ifyin Any detE rmir state, or loc antitrust laws Health Act preceding five Statement al indicates and am biddi g o Stateme it th; behalf w II be under all app For eve prc program;, al approved by of Appre tice Copy of a wr who will per requirements Service the bid T (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) its box, I hereby acknowledge that I am not a pre -qualified bidder f South Bend. its box, I hereby acknowledge that the City reserves the right to emental information, additional verification of any information may also conduct random inquiries of my current and prior ie City reserved the right to utilize all information provided in this d all information obtained in inquiries or requests to determine if a )onsive and responsible. Additionally, I acknowledge that all wided to the City shall be regarded as public records. this box, I hereby acknowledge that copies of all Applicable certificates or standards for training programs applicable to the sd on the project may be requested at any time and shall be r request. his box, I hereby acknowledge and ensure that I and all sub- Dm whom I have accepted a bid and/or intend to hire to perform public work project, are properly licensed. Furthermore, I ny understanding that it is my responsibility to ensure that all sub- ve the necessary licenses to undertake the work called for in this Dntractor loses their license at any point, it is the responsibility of actor to notify the City. ry of State's on-line records (ie. Business verification) dated ; of the submission of said document showing that business is in -ent with the Indiana Secretary of State's Business Entity Report, a certificate of good standing. (Not applicable to individuals, sole )artnerships). all former business names. tions by a court or governmental agency any violations of federal laws including, but not limited to, violations of contracting or tax or licensing laws, environmental laws, Occupational Safety and )SHA), or federal Davis -Bacon and related Acts, within the (5) years. )ut staffing capabilities, including labor sources. This statement Insures I have sufficient employees on staff to complete the work I OR outlines how I intend to meet the staffing needs of the work. individuals who will perform work on the public work project on my iroperly classified as an employee or as an independent contractor ;able state and federal laws and local ordinances. sct, submit evidence of participation in apprenticeship and training >licable to the work to be performed on the project, which are nd registered with the United States Department of Labor's Office hip, or its successor organization. en plan for employee drug testing that covers all of my employees rm work on the public work project and meets or exceeds the ,et forth in IC 4-13-18-5 or IC 4-13-18-6. 1 am utilizing a surety company which is on the Bureau of Fiscal rtment of Treasury's Listing of Approved Sureties" as required in rations or contract.