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PARTUU <br />(For projects of$10l00mmore -iC36442-4) <br />These statements to be submitted under oath by each bidder with and as part ofhis/her/its bid. <br />Attach additional pages for each section amneeded. <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 numonUyinprocemaofconatructionbvyour <br />organization. <br />3. Attach information regarding any failure tocomplete any work awarded tuyou and the <br />location thereof. <br />4. Attach references from private firms for which you have performed work. <br />SECTION|1 PLAN AND EQUIPMENT QUESTIONNAIRE <br />1. Attach an explanation ofyour plan orlayout for performing proposed work. (Examples could <br />include a narrative of when you could begin work, complete the orm�ect, number of worhene, <br />etc. and any other information which you believe would enable the City of South Bend to <br />consider your bid.) <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 />subcontractor. <br />I If you intend to sublet any portion of the work, attach the name and address of each <br />euhoontnaotor, equipment to be used bvthe subcontractor, and whether you will require m <br />bond. Hovvever, if you are unable to numandv provide e Usbng, please understand o UeUn0 <br />must beprovided prior tocontract approval. Until the completion ofthe proposed project, you <br />are under a continuing obligation to immediately notify the City of South Bend in the eventthet <br />you subsequently determine that you will use asubcontractor onthe proposed project. <br />4. Attach alisting ofequipment you have available touse for the proposed project. <br />5. Have you entered into contracts or naoaivad offers for all materials which substantiate the <br />phoom 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 ehmU thereby be rendered invalid. The financial <br />statement provided hereunder huthe City of South Bend awarding the cordnoot must bespecific <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 />VorsionV9/23/2O21 Contractor's Bid for Public Works -J <br />