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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />RESPONSIBLE BIDDER CHECKLIST <br />Project Name 2021 Contractor Paving Round 3 <br />Project No. 121-049 <br />For Bids Due 9:00 a.m. Local Time, August 10th, to bpwbidsCaD-southbend! n.gov <br />Contractor Name: Rieth-Riley Construction Co., Inc. <br />The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works <br />projects by institution of comprehensive submission requirements in compliance with State law. Quality <br />workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet <br />certain minimum requirements to be responsive and responsible bidders. <br />THIS FORM MUST BE SUBMITTED WITH YOUR BID, <br />INSTRUCTIONS: <br />If you are a pre -qualified bidder, complete Section I only. <br />If you are not a pre -qualified bidder, complete Section 11 only. <br />Section 11 acts as an application for pre -qualification. Submission of Section Il will allow the bidder to be <br />considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre- <br />qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6- <br />63 of The Responsible Bidding Ordinance No. 10594-18 (hereinafter, "Responsible Bidding Ordinance") <br />for a period of twelve (12) 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 Bidder Checklist (1) Pre -Qualified <br />Bidders") by December 31St for.the upcoming calendar year, or within twelve (12) months of obtaining pre- <br />qualified standing. If the status of any item changes within the twelve (12) months, it is the responsibility of <br />the contractor to notify the City. Failure by any pre -qualified contractor to submit its complete application <br />for continuation of "pre -qualified" standing within the time prescribed above shall result in automatic removal <br />of the designation, effective January 1 of the following year, or immediately following the twelve (12) months <br />of pre -qualified standing. <br />However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works <br />projects, though the contractor must submit all required documents under 6-63 until "pre -qualified" status <br />is re-established. <br />Please Note: The City reserves the right to request supplemental information from the bidder, <br />additional verification of any information provided by the bidder, and may also conduct random <br />inquiries of the bidder's current and previous customers regardless of pre -qualified standing. <br />It is the sole responsibility of the potential bidder to comply with all submission 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 />Version 01/13/2021 General Conditions - 6 <br />