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THE ROBERT HENRY CORPORATION <br />General and Utility Contractors <br />January 6, 2023 <br />City of South Bend <br />227 W. Jefferson Blvd. <br />South Bend, IN 46601 <br />Per the Pre -Qualification Checklist, the following "attachments" are addressed below: <br />Item (b)(i): IN Secretary of State's on-line records, copy attached, verifying our business existence <br />Item (b)(ii): There are no other `former business names' <br />Item (b)(iii): The only violation is one IOSHA citation that was received by The Robert Henry Corporation in the <br />past 5 years, on October 15, 2018. The citation was directed toward work conducted within our <br />company's Utility Division. The citation was under the special industry classification where an <br />employee brought a bucket truck within Minimum Approach Distance of an energized line. [29 CFR <br />1910.269(I)(3)(iii)] Corrective measures and abatement took place, and the company is currently in <br />good standing with IOSHA. <br />Item (b)(iv): <br />We are signatory with the Carpenter, Labors, and Cement Finisher Unions and have sufficient <br />employees and availability of tradesmen to perform this work. <br />Item (b)(v): <br />Individuals on this project will be properly classified as employees or independent contractors as <br />required. <br />Item (b)(vi): <br />We participate in Unions' Apprenticeship Programs, which are recognized by the U.S. Department of <br />Labor's Office of Apprenticeship <br />Item (b)(vii): <br />Attached please find a copy of the "RHC Drug Free Workplace policy", including support from <br />BCRC (Building & Construction Resource Center, Inc.) <br />Item (b)(viii): <br />Attached please find a copy of the U.S. Department of Treasury's Listing of Approved Sureties for <br />"Fidelity and Deposit Company of Maryland" <br />Item (b)(ix): <br />There are no federal, state, or local tax liens or tax delinquencies in the preceding three years <br />Item (b)(x): <br />See attached Lis of Projects of similar size and scope of work in the past three years <br />Please contact the undersigned with any questions. We trust these documents are satisfactory. <br />Respectfully Submitted, <br />Brian S. Henry, Preside <br />The Robert Henry Co oration <br />Attachments <br />404 South Frances Street • P.O. Box 1407 -South Bend, Indiana 46624 <br />www.roberthenrycorp.com • Tel. 574-232-2091 • Fax 574-232-3979 <br />