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PRE -QUALIFIED BIDDER CHECKLIST <br />(a) Acknowledgements: <br />() )( By checking this box' | hereby acknowledge that | am n pre -qualified bidder with <br />the City ofSouth 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 />(ii) X By checking this box. | hereby acknowledge that the City naoen/eo the right to <br />request supplemental infonna1ion, additional verification of any information <br />provided by me, and may also conduct random inquiries of my current and prior <br />customers. <br />(b) Attachments: <br />() _X_ Indiana Secretary of 8totoo on-line records (i.e.. Business verification) dated <br />within sixty (60) days of the submission of said document showing that business is <br />in existence, current with the Indiana Secretary of State's Business Entity Report, <br />and eligible fore certificate of good standing. (Not applicable to individuals, sole <br />proprietors or partnerships). <br />(ii) lX_ Statement on staffing capabilities, including labor sources. This statement <br />indicates and ensures I have sufficient employees on staff to complete the work. It <br />outlines how | intend tomeet the staffing needs ofthe work. <br />(iii) X 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 project, submit evidence of participation in apprenticeship and training <br />progromm, applicable to the work to be performed on the pnojact, which are <br />approved by and registered with the United States Department of Labor's Office of <br />Apprenticeship, orits successor organization. <br />