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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />CHECKLIST FOR BIDDERS <br />Project Name <br />Project No. <br />For Bids Due <br />Sewer and Manhole Rehabilitation <br />122-019 <br />July 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 statulory requirements. ln preparing your bid, please use the <br />following 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 of providing either a Certified Check or <br />Bid Bond. <br />,/ Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completelyV executed. <br />Contractor's Non-Collusion and Non-Debarment Affidavit, Certification Regarding lnvestments <br />with lran, Employment Eligibility Verification, Non-Discrimination Commitment, and <br />Certification of use of United States Steel Products or Foundry Products./ <br />,/ <br />,/ <br />/ <br />/ <br />Acknowledge Receipt of 1 nOdendum(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 paCI with name either <br />printed or typed underneath signature. <br />This checklist submitted with the Bid. <br />Thie 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: Visu-Sewer, LLC Date:Julv 9.2024 <br />By Authorized Representative: <br />Signature: <br />Print Name & Title: Keith M. Alexander PresidenVCEO <br />Version 611112024 <br />Contractor's Bid for Public Works - 1