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PART 11 <br />(For projects of $100,000 or more — IC 36-1-12-4) <br />These statements tobesubmitted under oath by each bidder with and as part of his/her/its bid. <br />Attach additional pages for each section omneeded. <br />SECTION I EXPERIENCE QUESTIONNAIRE <br />1. Attach information regarding projects your organization has completed for the period of one <br />(1)year prior tothe date ofthe current bid. <br />2. Attach alisting ofpublic works projects ourrent|vinprooessofconatruotionbvyour <br />organization. <br />3. Attach information regarding any failure to complete any work awarded to you and the <br />location thereof. <br />4. Attach references from private firms for which you have performed work. <br />SECTION DPLAN AND EQUIPMENT QUESTIONNAIRE <br />1. Attach an explanation of your plan or layout for performing proposed work. (Examples could <br />include onarrative ofwhen you could begin work, complete the project, nunmbarofvvorkono. <br />etc. and any other information which you believe would enable the City of South Bend to <br />consider your b1d.) <br />2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside <br />your own firm who have performed part of the work) that you have used on public works <br />projects during the past five (5) years along with a brief description of the work done by each <br />3. |fyou intend to sublet any portion of the work, attach the name and address of each <br />auboontreotor, equipment to be used by the subcontractor, and whether you will require a <br />bond. However, if you one unable to currently provide o |iating, p|egao understand o listing <br />must be provided prior to contract approval. Until the completion of the proposed project,you <br />are under continuing obligation to immediately notify the City of South Bend in the event that <br />you subsequently determine that you will use asubcontractor onthe proposed project. <br />4.Attach alisting of equipment you have available to use for the proposed <br />5. Have you entered into contracts or received offers for all rnotaha\m which substantiate the <br />prices used in preparing your proposal? If not, attach on explanation for the rationale used <br />which would corroborate the prices listed. <br />SECTION III CONTRACTOR'S FINANCIAL STATEMENT <br />Attachment of bidder's financial statement is mandatory. Any bid submitted without said <br />financial statement as required by statute ahoU thereby be rendered invalid. The financial <br />statement provided hereunder to the City of South Bend awarding the contract must be specific <br />enough in detail so that said City of South Bend can make a proper determination of the bidder's <br />capability for completing the project if awarded. <br />Vemion09/20/2U21 Contractor's Bid for Public Works '3 <br />