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PRE -QUALIFIED BIDDER CHECKLIST <br />(a) Acknowledgements: <br />(i) 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 met the pre -qualification requirements within <br />the last twelve (12) months. A copy of my Pre -Qualification verification letter <br />is attached. <br />(ii) 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 (i.e., Business verification) dated <br />within sixty (60) days of the submission of said document showing that business is <br />in 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 />(ii) X Statement on staffing capabilities, including 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 />(iii) 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 01/13/2021 General Conditions - 9 <br />