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•;•:flCITYOFSOUTHBEND,INDIANACONTRACTOR’SBIDFORPUBLICWORKCHECKLISTFORBIDDERSProjectName2024Street&SewerMaterialBidProjectNo.124-004ForBidsDueMarch12,2024,9:00a.m.,LocalTimeFromtimetotimetheSouthBendBoardofPublicWorksfindsitnecessarytorejectabidbecauseitdoesnotcomplywithstatutoryrequirements.Inpreparingyourbid,pleaseusethefollowingchecklistinordertomakesurethatyourbidisdoneinthepropermanner.NJAProperbidsecurityincluded.ThebidderhastheoptionofprovidingeitheraCertifiedCheckorBidBond.NOTREQUIRED./BidpreparedontheCityofSouthBendContractor’sBidforPublicWorkForm,completely7.executed.Contractor’sNon-CollusionandNon-DebarmentAffidavit,CertificationRegarding,InvestmentswithIran,EmploymentEligibilityVerification,Non-DiscriminationCommitment‘\andCertificationofuseofUnitedStatesSteelProductsorFoundryProducts.ProofofMBEUtilizationPlans[MBE-1.0andWBE-1.0],AlsoprovideEvidenceofGoodIAFaithEffortsFormsMBE-2.OandWBE-2.O]andMBEContactedFormsMBE-2.1and____WBE-2.l].NOTREQUIRED_____AcknowledgeReceiptof_____Addendum(s)includedwiththebid._____Allrequiredadditionalinformationisincludedwiththebid.,,,ProposalstatementsandotheraffidavitsallsignedbytheproperpartywithnameeaherAprintedortypedunderneathsignature.ThischecklistsubmittedwiththeBid.Thischecklistisprovidedforbidder’suseinassuringcompliancewithrequireddocumentation;however,itdoesnotincludeallspecificationsrequirementsanddoesnotrelievethebidderofthereedtoreadandcomplywiththespecifications.Bidder:&iDate:—‘/cj/i9ByAuthorizedRepresentat’.SftCOLL)o°clSignature:JJPrintName&Iit1jcoLk.J0,4ucV11ck41eC