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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />RESPONSIBLE BIDDER CHECKLIST <br />Project Name 2021 Curb and Sidewalk Construction <br />Project No. 121-001 <br />For Bids Due Jure 8, 2021 at :00arn Local Time to bPwbids(q)sout11bendin.qo <br />Contractor NameFx.I� <br />The City seeks to enhance 114s ability to identify responsive and responsible bled rs on all City public work <br />projects by institution of comprehensive submission requirements in COMplian with State law, Quality <br />workmanship, efderit operation, .safety, and tirnely completion of projects requires that all bidders meet <br />certain rninimum requirements to be. responsive and responsible bidders. <br />THIS FORM MUST BE SUBMITTED WITH YOUR BID. <br />INSTRUCTIONS - <br />If <br />N TRU Tl N:If you are a pre -q ualifted bidder, Complete Section I only. <br />If you are not a pre -qualified bidder., complete Section fl only. <br />Section II acts as an application for pre-cluall ifi cation. Submission of Section JI will allow the bidder to be <br />considered for pre -qualification for gids with the City of South Bend Department of Public Works. Pre- <br />qualified bidders will thea be exempt from a portion of the submission requirements outlined in Section6- <br />63 of The Responsible Bidding Ordinance No. 10594-18 (hereinafter, "Responsible Bidding Ordinance-') <br />for a period of twelve. (1 2) months. <br />Thereafter, contractors who are pre -qualified must submit a complete application for continuation of ''pre- <br />qualified'' standing, on a form provided by the City ("Responsible Bilader Checklist (1) Pre -Qualified <br />BIdder ") by D cernber 31 "-C for the upcom Ing calendar year, or within t e.Iv (1 2) ulorths of obtaining pro - <br />qualified standing_ If the status of any item changes within the twelve (1 2) months, it is the responsibility of <br />the contractor to notify the City. Failure by any pre -qualified contractor to submit its complete apphca6on <br />for continuation of ``pre -qualified" standing with In the Iiine prescribed above shall result in automatic removal <br />of the designation, effective January I of the follow -[ng year, or immediately following this twelve (1 2) months <br />of pre -qualified standing. <br />However. the "rernoved" contractor or subcontracft r sha[l still be p rmitted to bid on City public works <br />projects, though the contractor must submit all required document under - until ' pry: -qualified" status <br />is re-established. <br />Please Note: The City <br />reserves the right <br />to request <br />supplemental information <br />from the <br />minder, <br />additional verification <br />of any information <br />provided by <br />the bidder, and may also <br />conduct <br />random, <br />inquiries of the bidder's current and previous customers regardless of pre -qualified standing <br />Jt is the sole responsibility cif the potential bidder t comply with {SII sul)rr�is ion requirements applicable to <br />the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the, date of the public bid <br />opening. <br />Vers ion 0 1113 /2021 General Conditions - 5 <br />