Opening of Bids - 2022 Street and Sewer Material Bid Proj No. 122-028 - Bit-Mat Products of Indiana

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� d CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name 2022 Street and Sewer Material Bid Project No. 122-028 For Bids Due March 22, 2022, 9:00 a.m., Local Time From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. NIA Proper bid security included. The bidder has the option of providing either a Certified Check or Bid Bond, NOT REQUIRED X Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding X Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and Certification of use of United States Steel Products or Foundry Products. Proof of MIWBE Utilization Plans [MBE -1.0 and WBE-1.0]. Also provide Evidence of Good X Faith Efforts Forms [MBE -2.0 and WBE-2.0] and MANBE Contacted Forms [MBE -2.1 and WBE-2.1]. NOT REQUIRED BU STRONGLY ENCOURAGED X Acknowledge Receipt of Addendum(s) included with the bid. X All required additional information is included with the bid. X Proposal statements and other affidavits all signed by the proper party with name either printed or typed underneath signature. X This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. Bidder: Bit -Mat Products of Indiana By Authorized Representative: Signature: Print Name & Title: Date: 3/21/2022 Version 0912912021 Contractor's Bid for Public Works - 1