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BIDDER CHECKLIST <br />(a) <br />W __ By checking this box, |hereby acknowledge that |amapre-qualified bidder with <br />the City of South Bend and that |have met the pre -qualification requirements within <br />the last twelve (12) months. A copy of my Pre -Qualification verification letter <br />is attached. <br />___ By checking this box, | hereby acknowledge that the City reserves the right to <br />request supplemental inYomma\ion, additional verification of any information <br />provided byme, and may also conduct random inquiries ofmycurrent and prior <br />customers. <br />(b) Attachments: <br />0) __ Indiana Secretary ofState'son-line records (ie.Business verification) dated within <br />sixty (60) days of the submission of said document showing that business is in <br />existence, current with the Indiana Secretary ofEKohs'e Business Entity Report, <br />and eligible for certificate of good standing. (Nod applicable to individua|o, ooka <br />proprietors orpadnerahipo). <br />Statement on staffing capabilities, including labor sources. This statement <br />indicates and ensures | have sufficient employees onstaff tocomplete the work. It <br />outlines how | intend homeet the staffing needs ofthe work. <br />List of projects of similar size and scope of work performed in all areas, including <br />the State ofIndiana, within the last three (3)years. <br />(iv) For every pnojed, submit evidence of participation in apprenticeship and training <br />programs, applicable to the work to be performed on the projact, which are <br />approved by and registered with the United States Department of Labor's Office of <br />Apprenticeship, orits successor organization. <br />VorsionO7/19/2O23 General Conditions '13 <br />