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M X✓ By checking this box, i hereby acknowledge that I am'a pre -qualified bidder with <br />the City of South Bend and that I have metthe pye-qualification requirements within <br />the last twelve (12) months. A copy of my Pre -Qualification verification letter <br />is attached..';, <br />X By checking this box, I hereby acknowledge that the City reserves the right to <br />request .supplemental information, additional verification of any ` information <br />provided by me, and may also conduct random inquiries of my current .and prior <br />customers. <br />(b) Attachments: <br />(i) X Indiana Secretary of State's on-line records (ie. Business verification) datedwithin <br />sixty (60) days of the submission of said document showing that business is in <br />existence, current with the Indiana. Secretary of State's Business Entity Report, <br />and eligible for a certificate of good standing. (Not applicable to individuals, sole <br />proprietors or partnerships). <br />Statement on staffing capabilities jncluding labor sources. This statement <br />indicates and ensures I have sufficient employees on staff to complete the work. It <br />outlines how I intend to meet the staffing needs of the work. <br />X List of projects of similar size and scope of work performed in all areas, including <br />the State of Indiana, within the last three (3) years. <br />(iv) X For every project, submit evidence of participation in apprenticeship and training <br />programs, applicable .to the work to be; performed on the project,which are <br />approved by and registered with the United States Department. of Labor's Office of <br />Apprenticeship, or its successor organization. <br />Version 5/16/2019 <br />