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City of South Bend, Indiana <br />Contractor's Bid for Public Work <br />Responsible Bidder Checklist — 501 & 506 South Main Street <br />(Former Salvation Army Building Roof Repairs) <br />February 9, 2021 <br />II. Pre -Qualification Checklist Attachments (For Bidders That Are Not Pre -Qualified) <br />(b) Attachments: <br />(i) Indiana Certificate of Existence — See Attached <br />(ii) None — Does not apply. <br />(iii) See attached for OSHA. <br />(iv) We are signatory to United Union of Roofers, Waterproofers and Allied <br />Workers Local #23 as well as Sheet Metal Workers Local #20. We have <br />sufficient employees on staff to complete the work we are bidding. If we <br />should require any additional staff we will draw from the pool of union <br />workers. <br />(v) Any individuals who perform work on the public work project on my behalf <br />will be properly classified as an employee or as an independent contractor <br />under all applicable state and federal laws and local ordinances. <br />(vi) See attached evidence of participation in apprenticeship and training <br />programs applicable to our work performed on this project attached. <br />(vii) Written plan for employee drug testing covering all our employees who will <br />perform work upon the public work project meets or exceeds requirements <br />set forth in IC 4-13-18-5 or IC 4-13-18-6 and is attached. <br />(viii) Evidence attached of our surety company which is on the Bureau of Fiscal <br />Service "Department of Treasury's Listing of Approved Sureties". <br />(ix) None — Does not apply. <br />(x) List of projects of similar size and scope of work performed in all areas <br />including the State of Indiana, within the three (3) years prior to bid due. <br />Elkhart High School — Freshman Division, Elkhart, IN <br />El Campito Child Development Center, South Bend, IN <br />Memorial Medical Plaza, South Bend, IN <br />cam <br />501 & 506 So Main St Fonncr Salvation Almy (2-9-21) <br />