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CITY OF SOUTH BEND, INDIANA <br />CONTRAGTOR'S BID FOR PUBLIC WORK <br />RESPONSIBLE BIDDER CHECKLIST <br />Sewer and Manhole RehabilitationProject Name <br />Project No. <br />For Bids Due <br />Gontractor Name: <br />122-019 <br />July 9,2024 <br />Visu-Sewer LLC <br />The City seeks to enhance its ability to identiff responsive and responsible bidders on all City public works <br />pro1ects by institution of comprehensive submission requirements in compliance with State law, Quality <br />workmanship, efficient operation, safety, and timely completion of projects reguires that all bidders meet <br />certain minimum requirements to be responsive and responsible bidders. <br />THIS FORM MUST BE SUBMITTED wlTH YOUR BID. <br />*THIS FORM ONLY APPLIES TO BIDS GREATER THAN $25O,OOO. * <br />INSTRUCTIONS: <br />lf you are a pre-qualified bidder, complete Section I only. <br />lf you are not a pre-qualified bidder, complete Section ll only. <br />Section ll acts as an application for pre-qualification. Submission of Section ll will allow the bidder to be <br />considered for pre-qualification for bids with the City of South Bend Department of Public Works, Pre- <br />qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6- <br />71 of The Responsible Bidding Ordinance No. 10975-23 (hereinafrer, "Responsible Bidding Ordinance") <br />for a period of twelve (12) months. <br />Thereafter, contractors who are pre-qualified must submit a complete application for continuation of "pre- <br />qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre-Qualified <br />Bidders") within twelve (12) months of obtaining pre-qualified standing. lf the status of any item changes <br />within the twelve (12) months, it is the responsibility of the contractor to notify the City. Failure by any pre- <br />qualified contractor to submit its complete application for continuation of "pre-qualified" standing within the <br />time prescribed above shall result in automatic removal of the designation, effective immediately following <br />the twelve (12) months of pre-qualified standing. <br />However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works <br />projects, though the contractor must submit all required documents under 6-71 until "pre-qualified" status <br />is re-established. <br />Please Note: The City reserves the right to request supplemental information from the bidder, <br />additional verification of any information provided by the bidder, and may also conduct random <br />inquiries of the bidder's current and previous customers regardless of pre-qualified standing. <br />It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to <br />the bidder in Section 6-71 of the Responsible Bidding Ordinance no later than the date of the public bid <br />opening. <br />Version 5l2Ol2O24