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PART <br />UU <br />(For projects of$10O.00Ucvmore —|C38-1'12'4) <br />These statements tobmsubmitted under oath by each bidder with and as part ofhis/her/itabid. <br />Attach additional pages for each section onneeded. <br />SECTION I EXPERIENCE QUESTIONNAIRE <br />1. Attach information regarding projects yourorQmnizaUonhoeoommphetedforthe periodofone <br />(1)year prior tothe date ofthe current bid. <br />2. Attach olisting ofpublic works projects cunanUyinproceaoufoonmtruotionbyyour <br />organization. <br />3. Attach information regarding any failure to complete any work awarded to you and the <br />location thereof. <br />4.Aftaohreferences from private firms for which you have performed vvurh. <br />SECTION NPLAN AND EQUIPMENT QUESTIONNAIRE <br />1. Aftach an explanation of your plan or layout for performing proposed work. (Examples could <br />include a narrative of when you could begin work, complete the project, number of workers, <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 xvmrk> that you have used on public vvorhe <br />projects during the past five (S) years along with obrief description ofthe work done bveach <br />subcontractor. <br />' <br />3. If you intend to sublet any portion of the work, attach the name and address of each <br />muboontnactor, equipment to be used bvthe subcontractor, and whether you will require <br />bond. Hovwaver, if you are unable to currently provide u |ict|ng, please understand o listing <br />must beprovided prior tocontract approval. Until the completion ofthe proposed project, you <br />are under mcontinuing ob|igmbontoirnrnedimba|ynot�vthe <�KyufSouth Bend inthe event that <br />you subsequently determine that you will use msubcontractor onthepnmpooedp 'eot. <br />4. Attach mlisting ofequipment you have available touse for the proposed project. <br />5. Have you entered into contracts or received offers for all mnabahe|a which substantiate the <br />prices used in preparing your proposal? If not, attach an explanation for the rationale used <br />which would corroborate the 9,ioeo listed. <br />SECTION III FINANCIAL STATEMENT <br />Attachment ofbidder's financial statement ha[nendaton/.Any b�subn�k1edvv�houdma� <br />financial statement as required by statute shall thereby ' rendered invalid. The financial <br />statement providedhereunder tothe City pfSouth Bend awarding the contract must be specific <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 />VersionO9/2R/2U21 Contractor's Bid for Public Works '3 <br />