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��Ul��' ��0� �����U^��| ��K����� �������V��1 <br />CITY . ,~. SOUTH . . ~~~~.~~~' ~..~~� ...~ . <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />CHECKLIST FOR BIDDERS <br />Project Name Ireland Road and Ironwood Drive Intersection Improvements <br />Project No. 123-050 <br />For Bids Due March 26, 2024,9:00m.rn., Local Time <br />From time to time the South Bend Board of Public Works finds it necessary to reject o bid because <br />it does not comply with statutory requirements. In preparing your bid' p|maom use the following <br />checklist in order to make sure that your bid is done in the proper manner. <br />Proper bid security included. The bidder has the option ofproviding either a Certified Check <br />)( or Bid Bond. <br />Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely <br />X executed. <br />Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments <br />with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and <br />)< Certification ofuse ofUnited States Steel Products orFoundry Products. <br />Proof of MANBE Utilization Plans [MBE-1.0 and WBE-1.0]. Also provide Evidence of Good <br />Faith Efforts Forms [&0BE-2.Oand VVBE-3.O]and yN/VVBEContacted Forms [MBE-2.1 and <br />X Acknowledge Receipt of 1 Addendum(s)included with the bid. <br />X All required additional information isincluded with the bid. <br />Proposal statements and other affidavits all signed by the proper party with name either <br />X_ printed or typed underneath signature. <br />X This checklist submitted with the Bid. <br />This checklist is provided for bidder's use in assuring compliance with required <br />documentation; however, it does not include all specifications requirements and does not <br />relieve the bidder of the need to read and comply with the specifications. <br />Bidder RUeU+FU|oyConstruction Co,Inc. <br />BvAuthorized Representative: <br />Signature: <br />Print Name & <br />Date: March 20'2024 <br />