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G�.I Ic1, <br />1= F <br />CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />CHECKLIST FOR BIDDERS <br />Project Name 905-907-909 Michigan Demolition <br />Project No. 120-063R <br />For Bids Due June 8th, 9:00a.m. (local time) via email bpwbids@southbendin.gov <br />From time to time the South Bend Board of Public Works finds it necessary to reject a bid because <br />it does not comply with statutory requirements. In preparing your bid, please use the following <br />checklist in order to make sure that your bid is done in the proper manner. <br />Proper bid security included. The bidder has the option of providing either a Certified Check <br />or Bid Bond. <br />Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely <br />executed. <br />Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments <br />/ with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and <br />Certification of use of United States Steel Products or Foundry Products. <br />Proof of MWBE Utilization Plan [MWBE-1.0]. If minimum participation goal is not met, also <br />/ provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MWBE Contacted Form <br />[MWBE-2.1]. <br />_—Z Acknowledge Receipt of 0 Addendum(s) included with the bid. <br />All required additional information is included with the bid. <br />Proposal statements and other affidavits all signed by the proper party with name either <br />printed or typed underneath signature. <br />r� This checklist submitted with the Bid. <br />This checklist is provided for bidder's use in assuring compliance with required <br />documentation; however, it does not include all specifications requirements and does not <br />relieve the bidder of the need to read and comply with the specifications. <br />Bidder: Ti-. 1' cln j Et -_r ", Date: C --7 —Q, <br />By Authorized Repr( <br />Signature: <br />Print Name & Title <br />MIwr k �S/�r Pres; dt, <br />Version 01/13/2021 Contractor's Bid for Public Works - 1 <br />