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I. PRE -QUALIFIED BIDDER CHECKLIST <br />(a) Acknowledi-16ments: <br />By checking this box, I hereby acknowledge teat I am apre-qualified bidder with <br />the City of Booth Hend and that I have met the pre -qualification requirements within <br />the last Mel e (1 2) months. A copy of my Pre -Qualification verification fetter <br />is attached. <br />By checking thIs box, I here -acknowledge-acknowledge that the City rs�rve the right to <br />request supplemental information, additional verification of ars information <br />provided by r i , and may also conduct random inquiries of my current and prior <br />c u tomer _ <br />bbl*tinhmen <br />(i) _ _ Indiana Secretary of State's on-line records (ie Bnsinest; verification) dated within <br />sixty (0) days of the submilssion of said document showing that business is in <br />existence, C.4J1 rr r)t with the Indiana Secretary of State's Business Entrt E c ol_ <br />and eltgible for a certificate of good standing. (Not app5cable to individuals_ sole <br />proprietors or partnerships) _ <br />00 Staternent on staffing capabilities, including labor sources_ This ta` rnenl <br />indicates and ensure,; I have sufficient employees on StAff tO CDMplete the work- It <br />outlines hoer I i ntend to meet the staffing reeds of the, work. <br />List of projects of similar size and scope of work performed in all areas, including <br />t ie State of Indian2, within the fast three () years. <br />IV Z For every prefect, submit evidence of participation in apprenticeship and trainin <br />prograrn,s, applicable to the work to be performed on the project, which are <br />approved by and registered with the United States Uepartment of Labor's Office of <br />Apprenticeship, or its suc;cessor organ i atio n _ <br />errgi re 113/2 021 General Canditions - 8 <br />