Opening of Bids - Madison Street Trail Connector Proj No 125-031 - Premium Concrete Service

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��l. nz nor lilt . `� CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Madison Street Trail Connector Project No. 125-031 For Bids Due March 10, 2026 From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. / Proper bid security included. The bidder has the option of providing either a Certified Check or Bid Bond. / Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments / with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and Certification of use of United States Steel Products or Foundry Products. Proof of MANBE Utilization Plans [MBE-1.0 and WBE-1.0]. Also provide Evidence of Good / Faith Efforts Forms [MBE-2.0 and WBE-2.0] and M/WBE Contacted Forms [MBE-2.1 and WBE-2.1]. >/ Acknowledge Receipt of 1-2 Addendum(s) included with the bid. ✓ All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either V printed or typed underneath signature. V This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. Bidder: PREMIUM CONCRETE SERVICES Date: 3/10/2026 By Authorized Representative: Signature: Print Name & Title: ROB BECKER - SENIOR ESTIMATOR Version 5/20/2024 Contractor's Bid for Public Works - 1