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Version 09/29/2021 Seller’s Proposal for Public Works -3 <br />PART II <br />(For projects of $100,000 or more –IC 36-1-12-4) <br />These statements to be submitted under oath by each Proposer with and as part of his/her/its <br />Proposal. <br />Attach additional pages for each section as needed. <br />SECTION I EXPERIENCE QUESTIONNAIRE <br />1.Attach information regarding projects your organization has completed for the period of one <br />(1) year prior to the date of the current Proposal. <br />2.Attach a listing of public works projects currently in process of construction by your <br />organization. <br />3.Attach information regarding any failure to complete any work awarded to you and the <br />location thereof. <br />4.Attach references from private firms for which you have performed work. <br />SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE <br />1.Attach an explanation of your plan or layout for performing proposed work. (Examples could <br />include a narrative of when you could begin work, complete the project, number of workers, <br />etc. and any other information which you believe would enable the City of South Bend to <br />consider your Proposal.) <br />2.Attach a listing of the names and addresses of all sub-sellers (i.e. persons or firms outside <br />your own firm who have performed part of the work) that you have used on public works <br />projects during the past five (5) years along with a brief description of the work done by each <br />sub-Seller. <br />3.If you intend to sublet any portion of the work, attach the name and address of each sub-seller, <br />equipment to be used by the sub-seller, and whether you will require a bond. However, if you <br />are unable to currently provide a listing, please understand a listing must be provided prior to <br />contract approval. Until the completion of the proposed project, you are under a continuing <br />obligation to immediately notify the City of South Bend in the event that you subsequently <br />determine that you will use a sub-seller on the proposed project. <br />4.Attach a listing of equipment you have available to use for the proposed project. <br />5.Have you entered into contracts or received offers for all materials which substantiate the <br />prices used in preparing your proposal? If not, attach an explanation for the rationale used <br />which would corroborate the prices listed. <br />SECTION III SELLER’S FINANCIAL STATEMENT <br />Attachment of Proposer’s financial statement is mandatory. Any Proposal submitted <br />without said financial statement as required by statute shall thereby be rendered invalid. The <br />financial statement provided hereunder to the City of South Bend awarding the contract must be <br />specific enough in detail so that said City of South Bend can make a proper determination of the <br />Proposer’s capability for completing the project if awarded.