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PART 11 <br />(For projects of$1OU.U0Oormore —|C3G- 43'4) <br />These statements to be submitted under oath by each bidder with and aspart ofhis/her/itsbid. <br />Attach additional pages for each section meneeded. <br />SECTION UEXPERIENCE QUESTIONNAIRE <br />1. Attach information regarding projects your organization has completed for the period of one <br />(1) year prior tothe date mfthe current bid. <br />2. Attach olisting ofpublic works projects uunanUyinpnoceanofconstructionbvyour <br />organization. <br />3. Attach information regarding any failure to complete any work awarded to you and the <br />location thereof. <br />4. Attach references from privatefinnaforxvhichyouhave performed work. <br />SECTION WPLAN AND EQUIPMENT QUESTIONNAIRE <br />1. Attach an explanation of your oban 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 finn who have performed port 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 />3. If you intend to sublet any portion of the work, attach the name and address of each <br />eubcontnaotor, equipment to be used by the subcontractor, and whether you will require o <br />bond. Hovvever, if you are unable to currently provide a |isdng, please understand m UaUnQ <br />must heprovided 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 event that <br />you subsequently determine that you will use msubcontractor onthe proposed project. <br />4. Attach alisting ofequipment you have available touse for the proposed project. <br />G. Have you entered into contracts or received offers for all materials which substantiate the <br />phuom used in preparing your proposal? If not, attach an explanation for the rationale used <br />which would corroborate the prices listed. <br />SECTION III FINANCIAL STATEMENT <br />Attachment of bidder's financial statement is mandatory. Any bid submitted without said <br />financial statement as required by statute shall thereby be rendered invalid. The financial <br />statement provided hereunder to the City of South 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 bidders <br />capability for completing the project if awarded. <br />Vorsion07U812V23 Contractor's Bid for Public Works -J <br />