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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />RESPONSIBLE BIDDER CHECKLIST <br />Project Name <br />Project No. j a 1- O 5% <br />For Bids Due 7-v 1 4 \\ -Q <br />Contractor Name: ► it <br />The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works <br />projects by institution of comprehensive submission requirements in compliance with State law. Quality <br />workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet <br />certain minimum requirements to be responsive and responsible bidders. <br />THIS FORM MUST BE SUBMITTED WITH YOUR BID. <br />INSTRUCTIONS: <br />K you are a pre -qualified bidder, complete Section I only. <br />If you are not a pre"quallfied bidder, complete Section II only. <br />Section II acts as an application for pre -qualification. Submission of Section II will allow the bidder to be <br />considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre - <br />qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6- <br />63 of The Responsible Bidding Ordinance No. 1059448 (hereinafter, "Responsible Bidding Ordinance") <br />for a period of twelve (12) months. <br />Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre - <br />qualified" standing. on a form provided by the City ('Responsible Bidder Checklist (1) Pre -Qualified <br />Bidders") by December 3151 for the upcoming calendar year, or within twelves (12) months of obtaining Pre - <br />qualified standing. If the status of any item changes within the twelve (12) months, it is the responsibility <br />the contractor to notify the City. Failure by any pre -qualified contractor to submit its complete application <br />for continuation of "prequalified' standing within the time prescribed above shall result in automatic removal <br />ng year, or immediately following the twelve (12) months <br />of the designation, effective January 1 of the followi <br />of pre -qualified standing. permitted to bid on City public works <br />However, the "removed' contractor or subcontractor shall still be <br />Projects, though the contractor must submit all required documents under 6-63 until "pre -qualified" status <br />is re-established. <br />Please Note: The City reserves the right to request supplemental information from the bid r, <br />Iaddinal nquirire bidder's currentinformationification of any nd prevl us cust mers regardless of pre -qualified standingdom <br />es of t <br />It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to <br />the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the date of the public bid <br />opening. <br />