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t <br />CITY OF SOUTH BEND, INDIANA x <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />CHECKLIST FOR BIDDERS <br />Project Name 2026 Neighborhood Services & Enforcement Demolitions <br />Project No. 125-043 <br />For Bids Due Tuesday, August 12, 2025 @ 9:00 A.M. (E.D.T.) <br />From time to time the South Bend Board of Public Works finds it necessary to reject a bid because <br />it does not comply with statutory requirements. In preparing your bid, please use the following <br />checklist in order to make sun: that your bid is done in the proper manner. <br />Proper bid security included. The bidder has the option of providing either a Certified Check <br />or Bid Bond. <br />- I—/ <br />Bid prepared on the City of South Bend Contractors Bid for Public Work Form, completely <br />executed. <br />Contractors Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments <br />with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and <br />Certifcafion of use of United States Steel Products or Foundry Products. <br />Prof of MNVBE Utilization Plans [MBE-1.0 and WBE-1.01. Also provide Evidence of Good <br />Faith Efforts Forms [MBE-2.0 and ME-2.0] and MIWBE Contacted Forms [MBE-2.1 and <br />WBE 2.1]. <br />Acknowledge Receipt of 2 Addendum(s) included with the bid. <br />2Z All required additional information is included with the bid. <br />VProposal statements and other affidavits all signed by the proper party with name either <br />printed or typed underneath signature. <br />This checklist submitted with the Bid. <br />This checklist Is provided for bldder's use In assuring compliance with required <br />documentation; however, it does not include all specifications requirements and does not <br />relieve the bidder of the need to read and comply with the specifications. <br />Bidder: Green Demolition Contractors, Inc. Date: August 11, 2025 <br />By Authorized Representative: <br />Signature: <br />Print Name & Title: Michael A&rough, Priden <br />Version 07/1912023 Contractors Bid for Public Works -1 <br />