Opening of Bids - Milkweed Commons Roof Replacements Proj No 125-021B - Reliable Roofing and Construction

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PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) (a) Acknowlgdements! 0) F By checking this box, I hereby acknowledge that I am not a pre -qualified bidder (ii) Al�j with the City of South Bend. By checking this box, I hereby acknowledge that the City reserves the right to information request supplemental information, additional verification of any current and prior provided, and may also conduct random inquiries of my The City reserved the right to utilize all information provided in this customers. submission and all information obtained in inquiries or requests to determine if a bidder is responsive and responsible. Additionally, I acknowledge that all to the City shall be regarded as public records. (iii) 04 information provided By checking this box, I hereby acknowledge that copies of all Applicable for training programs applicable to the apprenticeship certificates or standards be requested at any time and shall be furnished work performed on the project may /�-� (iv) 1A upon request. all sub - By checking this box, I hereby acknowledge and ensure that I and bid and/or intend to hire to perform work contractors, from whom I have accepted a on the public work project, are properly licensed. Furthermore, I acknowledge my understanding that it is my responsibility to ensure that all sub -contractors have the necessary licenses to undertake the work called for in this bid. If a sub- it is the responsibility of that sub- contractor loses their license at any point, contractor to notify the City. and training By checking this box, I hereby acknowledge that apprenticeshi ntices (v) programs that I participate in have graduated at least five (5) app in each of the past five (5) years. By checking this box, I hereby acknowledge that all subcontractors performing (vi) work greater than $250,000 also meet the qualifications of the Responsible Bidder Ordinance. (b) Attachments: (i) � Indiana Secretary of 5tate's an -line records (ie. Business verification) dated within is in sixty (60) days of the submission of said document showing that business existence, current with the Indiana Secretary of State's Business Entity Report, and eligible for a certificate of good standing. (Not applicable to individuals, sole n proprietors or partnerships). 00 (iii) List identifying all former business names. Any determinations by a court or governmental agency any violations of federal state, or local laws including, but not limited to, violations of contracting or antitrust laws, tax or licensing laws, environmental laws, occupational Safety and Health related Acts, within the preceding five (5) Act (OSHA), or federal Davis -Bacon and (iv) years. Statement about staffing capabilities, including labor sources. This statement on staff to complete the work i indicates and ensures l have sufficient employees am bidding on OR outlines how I intend to meet the staffing needs of the work. (v) Statement that individuals who will perform work on the public work project on my employee or as an independent contractor behalf will be properly classified as an under all applicable state and federal laws and local ordinances. For every project, submit evidence of participation in apprenticeship and training (v) programs, applicable to the work to be performed on the project, which are United States Department of Labor's Office of approved by and registered with the This includes, but may not be limited Apprenticeship, or its successor organization_ to, letters from apprenticeship coordinators detailing the bidder's association with Version 1/3/2025 General Conditions - 14