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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />RESPONSIBLE BIDDER CHECKLIST <br />Project Name 2025 Community Crossings Matching Grant HMA Projects <br />Project No. 125-004 <br />For Bids Due May 27, 2025 <br />Contractor Name: Milestone Contractors. L.P. <br />The City seeks to enhance its ability to identify responsive and responsible bidders on all <br />City public works projects by institution of comprehensive submission requirements in <br />compliance with State law. Quality workmanship, efficient operation, safety, and timely <br />completion of projects requires that all bidders meet certain minimum requirements to be <br />responsive and responsible bidders. <br />THIS FORM MUST BE SUBMITTED WITH YOUR BID. <br />**THIS FORM ONLY APPLIES TO BIDS GREATER THAN $250,000. ** <br />INSTRUCTIONS: <br />If you are a pre -qualified bidder, complete Section I only. <br />If you are not a pre -qualified bidder, complete Section II only. <br />Section II acts as an application for pre -qualification. Submission of Section II will allow <br />the bidder to be considered for pre -qualification for bids with the City of South Bend <br />Department of Public Works. Pre -qualified bidders will then be exempt from a portion of <br />the submission requirements outlined in Section 6-71 of The Responsible Bidding <br />Ordinance No. 10975-23 (hereinafter, "Responsible Bidding Ordinance") for a period of <br />twelve (12) months. <br />Thereafter, contractors who are pre -qualified must submit a complete application for <br />continuation of "pre -qualified" standing, on a form provided by the City ("Responsible <br />Bidder Checklist (1) Pre -Qualified Bidders") within twelve (12) months of obtaining pre - <br />qualified standing. If the status of any item changes within the twelve (12) months, it is <br />the responsibility of the contractor to notify the City. Failure by any pre -qualified contractor <br />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 <br />immediately following the twelve (12) months of pre -qualified standing. <br />However, the "removed" contractor or subcontractor shall still be permitted to bid on City <br />public works projects, though the contractor must submit all required documents under 6- <br />71 until "pre -qualified" status is re-established. <br />Please Note: The City reserves the right to request supplemental information from <br />the bidder, additional verification of any information provided by the bidder, and <br />may also conduct random inquiries of the bidder's current and previous customers <br />regardless of pre -qualified standing. <br />Version 1/3/2025 General Conditions - 12 <br />