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yh t <br />"abiryf <br />CITY OF iBEND, INDIANA <br />CONTRACTOR'S BID • w PUBLIC WORK <br />CHECKLIST FOR BIDDERS <br />Project Name Downtown South Bend to Notre Dame Trail —Hill St. and South Bend Ave. <br />Project No. 122-040B <br />For Bids Due April 9, 2024 <br />From time to time the South Bend Board of Public Works finds it necessary to reject a bid <br />because it does not comply with statutory requirements. In preparing your bid, please use the <br />following checklist in order to make sure that your bid is done in the proper manner. <br />J Proper bid security included. The bidder has the option of providing 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 />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 of use of United States Steel Products or Foundry Products. <br />Proof of M/WBE Utilization Plans [MBE-1.0 and WBE-1.01. Also provide Evidence of Good <br />Faith Efforts Forms [MBE-2.0 and WBE-2.0] and M/WBE Contacted Forms [MBE-2.1 and <br />✓ WBE-2.1]. <br />Acknowledge Receipt of 1 Addendum(s) included with the bid. <br />All required additional information is included with the bid. <br />Proposal statements and other affidavits all signed by the proper party with name either <br />printed or typed underneath signature. <br />✓ 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: HRP Construction Inc. Date: April 9, 2024 <br />By Authorized Representa <br />Signature: <br />nL- <br />Print Name & Title: Matthew D. Cain, Presi ent <br />Version 07/1912023 Contractor's Bid for Public Works - 1 <br />