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r �trwz�� <br />CITY OF SOUTH BEND, INDIANA� <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />CHECKLIST FOR BIDDERS <br />Project Name Eagle Way Sewer Extension <br />Project No. 119-095 <br />For Bids Due March 10, 2020 <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 sure 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 />Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely <br />executed. <br />Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments <br />with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and <br />• Certification of use of United States Steel Products or Foundry Products. <br />Proof of MWBE Utilization Plan [MWBE-1.0]. If minimum participation goal is not met, also <br />provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MWBE Contacted Form <br />• [MWBE-2.1 ]. <br />Acknowledge Receipt of 1,2 Addendum(s) included with the bid., <br />All required additional information is included with the bid. <br />Proposal statements and other affidavits all signed by the proper party with name either <br />printed or typed underneath signature. <br />V This checklist submitted with the Bid. <br />This checklist is provided for bidder'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: HRP CONSTRUCTION INC. <br />By Authorized Rep <br />Signature: <br />Print Name & Title: Matthew D. Cain, President <br />Version 01/29/2020 Contractor's Bid for Public Works - 1 <br />Date: 3/10/2020 <br />