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L BIDDER CHECKLIST <br />(a) <br />0) __ By checking this box, | hereby acknowledge that | am e pre -qualified bidder with <br />the City of South Bend and that I have met the pre -qualification requirements within <br />the last twelve (12)months. Acopy nfmy Pre -Qualification verification letter <br />is attached. <br />(ii) ___ By checking this box, | hereby acknowledge that the City reaamou the right to <br />request supplemental information, additional verification of any information <br />provided byme, and may also conduct random inquiries nfmycurrent and prior <br />customers. <br />(b) Attachments: <br />0) __ Indiana Secretary ofGtata on-line records (ie.Business verification) dated within <br />sixty (60) days of the submission of said document showing that business is in <br />existenoe, current with the Indiana Secretary ofGtme'o Business Entity Report, <br />and eligible fora certificate of good standing. (Not applicable to indivNucdo, sole <br />proprietors orpadnmmhipo). <br />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 bzmeet the staffing needs cf the work. <br />List cfprojects ofsimilar size and scope ofwork performed inall areas, including <br />the State cf Indiana, within the last three (3)years. <br />(iv) For every pnoject, submit evidence of participation in apprenticeship and training <br />programs, applicable to the wmMh 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 />\ersionV7U9/2023 General Conditions -13 <br />