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<br /> <br />fàA ]ÉáxÑ{ VÉâÇàç? \Çw|tÇtfàA ]ÉáxÑ{ VÉâÇàç? \Çw|tÇtfàA ]ÉáxÑ{ VÉâÇàç? \Çw|tÇtfàA ]ÉáxÑ{ VÉâÇàç? \Çw|tÇt <br />WxÑtÜàÅxÇà Éy câuÄ|v jÉÜ~áWxÑtÜàÅxÇà Éy câuÄ|v jÉÜ~áWxÑtÜàÅxÇà Éy câuÄ|v jÉÜ~áWxÑtÜàÅxÇà Éy câuÄ|v jÉÜ~á <br /> <br /> <br />Divisions <br />Highways <br /> Bridges <br /> Surveyors <br /> Drainage <br /> Environmental <br /> <br /> <br /> <br /> <br />County Engineer, Jessica J. Clark, P.E. BOARD OF COMMISSIONERS <br />County Surveyor, John R. McNamara, P.E., L.S. ANDREW T. KOSTIELNEY, DISTRICT 1 <br /> DAVE THOMAS, DISTRICT 2 <br /> DEBORAH A. FLEMING, D.M.D., DISTRICT 3 <br /> <br />227 West Jefferson Blvd., County-City Building, Room 732, South Bend, IN 46601 <br />Telephone (574) 235-9626 (Engineering) (574) 235-9631 (Surveyor), Fax (574) 235-5057 <br /> <br /> <br /> <br />BIDDERS CHECKLIST <br />TO BE FILLED IN COMPLETELY BY BIDDER <br />[PLEASE ATTACH TO PROPOSAL] <br /> <br /> <br />ITEM # DESCRIPTION YES NO <br /> <br />1. Bidder has, and is familiar with a copy of the Indiana Department of <br />Transportation Standard Specification including Recurring Special Provisions <br />and Supplemental Specification as currently revised. <br /> <br />[ ] [ ] <br />2. Bidder has, and is familiar with a copy of St. Joseph County’s Supplementary <br />Specifications as revised August 7, 1989. <br /> <br />[ ] [ ] <br />3. Bidder has enclosed with their bid, or has on file with the County, a completely <br />executed and certified Form 96A “Standard Questionnaire and Financial Statement” <br />with your Form 96 [Revised 2013]. <br /> <br />[ ] [ ] <br />4. Bidder has included with their bid, proof of their pre-qualification with the Indiana <br />Department of Transportation including amount of which they are pre-qualified and <br />INDOT’s HMA Plant certificate. <br /> <br />[ ] [ ] <br />5. Bidder has included with their bid a resume of their previous experience in the type <br />of construction this bid represents. <br /> <br />[ ] [ ] <br />6. Bidder has examined the work site and states that they are throughly familiar with <br />the conditions thereon. <br /> <br />[ ] [ ] <br />7. Bidder has carefully read the Special Provisions and understands there entire contents. <br /> <br />[ ] [ ] <br />8. Bidder states that they understand all the bid items and has no questions regarding them. <br /> <br />[ ] [ ] <br />9. Bidder has shown the insurance requirements to their insurance company and <br />understands the coverage requirements as set out therein, including “Named Insured” <br />portion of requirements. <br />[ ] [ ] <br /> <br /> <br />___________________________________ ______________________________________ <br />COMPANY NAME AREA CODE & TELEPHONE NUMBER <br /> <br />___________________________________ ______________________________________ <br />COMPANY ADDRESS NAME OF PERSON FILLING OUT FORM <br /> <br />___________________________________ <br />CITY/STATE/ZIP