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....CITYOFSOUTHBEND,INDIANAICYCONTRACTOR’SBIDFORPUBLICWORKCHECKLISTFORBIDDERSProjectName2023StreetandSewerMaterialBidProjectNo.123-019ForBidsDueMarch28,2023,9:00a.m.,LocalTimeFromtimetotimetheSouthBendBoardofPublicWorksfindsitnecessarytorejectabidbecauseftdoesnotcomplywithstatutoryrequirements.Inpreparingyourbid,pleaseusethefollowingchecklistinordertomakesurethatyourbidisdoneinthepropermanner.N/AProperbidsecurityincluded.ThebidderhastheoptionofprovidingeitheraCertifiedCheckorBidBond.NOTREQUIREDBidpreparedontheCityofSouthBendContractor’sBidforPublicWorkForm,________completelyexecuted.Contractor’sNon-CollusionandNon-DebarmentAffidavit,CerUficationRegardingInvestmentswithIran,EmploymentEligibilityVerification,Non-DiscriminationCommitment,andCertificationofuseofUnitedStatesSteelProductsorFoundryProducts.ProofofM3EUtilizationPlans[MBE-1.0andWBE-1.0J.AlsoprovideEvidenceofGoodFaithEffortsForms[MBE-2.0andWBE-2.0]andMBEContactedFarms[MBE2.1andWBE-2.1].NOTREQUIRED________AcknowledgeReceiptofIAddendum(s)includedwiththebid.________Allrequiredadditionalinformationisincludedwiththebid.ProposalstatementsandotheraffidavitsallsignedbytheproperpartywithnameeitherXprintedortypedunderneathsignature.ThischecklistsubmittedwiththeBid.Thischecklistisprovidedforbidder’suseinassuringcompliancewithrequireddocumentation;however,itdoesnotincludeallspecificationsrequirementsanddoesnotrelievethebidderoftheneedtoreadandcomplywiththespecifications.Bidder:SfrIxDate:ByAuthorizedRepresentative:Woo4Signature:KZ..wt._PrintName&TiDe:Afec/39