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I. PRE.QUALIFIED BIDDER CHECKLIST <br />(a) Acknowledgements: <br />(i) By checking this box, I hereby acknowledge that I am a 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. A copy of my Pre-Qualificatlon verification letter <br />is attached. <br />(ii) By checking'this box, I hereby acknowledge that the City reserves the right to <br />request supplemental information, additional verification of any information <br />provided by me, and may also conducl random inquiries of my current and prior <br />customers. <br />(iii) By checking this box, I hereby acknowledge that apprenticeship and training <br />programs that I participate in have graduated at least five (5) apprentices in each <br />of the past five (5) years. <br />(iv) By checking this box, I hereby acknowledge that all subcontractors performing <br />work greater than $250,000 also meet the qualifications of the Responsible Bidder <br />Ordinance. <br />(b) Attachments: <br />(i) <br />(ii) <br />(iii) <br />(iv) <br />lndiana Secretary of State's on-line records (ie. Business verification) dated within <br />sixty (60) days of the submission of said document showing that business is in <br />existence, current with the lndiana Secretary of State's Business Entity Report, <br />and eligible for a certificate of good standing. (Not applicable to individuals, sole <br />proprietors or partnerships). <br />Statement on staffing capabilities, including labor sources. This statement <br />indicates and ensures I have sufficient employees on staffto complete the work. lt <br />outlines how I intend to meet the staffing needs of the work. <br />List of projects of similar size and scope of work performed in all areas, including <br />the State of lndiana, within the last three (3) years. <br />For every projecl, submit evidence of participation in apprenticeship and training <br />programs, applicable to the work to be performed on the project, which are <br />approved by and registered with the United States Department of Labo/s Ofiice of <br />Apprenticeship, or its successor organization. This includes, but may not be limited <br />to, letters from apprenticeship coordinators detailing the bidder's association with <br />the program, and the United States Department of Labor Office of Apprenticeship <br />Certificates of Registration of Apprenticeship Programs for each type of work to be <br />performed on the project. <br />Version 5l2Ol2O24