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PRE -QUALIFIED BIDDER CREC KLI3T <br />(a) Acknowledgements: <br />(i) y 6y chocking this box, 1 hereby acknowledge that 1 am apre-qualified bidder with <br />the City of South Band antl that 1 have met the pre -qualification requirements within <br />the last twelve (t2) months. A Dopy of my Pr¢ -Qualification verification 1¢tt¢r <br />is attach¢d. <br />(ii) � By checking this box, I hereby acknowledge that the City reserves [ha right to <br />raqu¢st supplemental information, additional verification of any information <br />provitled by me, and may also conduct random inquiries of my current and prior <br />customers. <br />(b) Attachments: <br />(i) tL Indiana Secretary of State's on-line records (ie. Business v¢riflca[ion) dated within <br />sixty (60) days of the submission of said document showing that business is in <br />existence, currant with the Indiana Secretary of State's Business Entity Report, <br />and eligible for a certificate of good stantlin9. (Not applicable to individuals, sole <br />proprietors or partnerships). <br />(ii) `� Statement on staffing capabilities, Including labor sources. This statement <br />Indicates and ensures I have sufficient amploya¢s on staff to complete the work. It <br />outlines how 1 intend Yo meet th¢ staffing needs of the work. <br />(iii) `� List of projects of similar size and scope of work partormed in all areas, including <br />the State of Indiana, within the last three (3) years. <br />(iv) �/ For ovary project, submit evidence of participation in apprenticeship and training <br />programs, applicable to the work to be pertormed on the project, which are <br />approved by and regist¢red with the Vnitetl States Department of Labor's Otflce of <br />Apprenticeship, or its successor organization. <br />Version n2/23/2022 Ganaral Conditions - t2 <br />