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Home My WebLink AboutOpening of Bids - 2021 Curb and Sidewalk Proj No. 121-001 - TX Concrete LLCCITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name 2021 Curb and Sidewalk ConstrUCtion Project No. 121-001 For Bids Duo J u rte 8a 2021 at :00am Local Time to by b id(d,)oythbend i n ov From timefime to time the South Bead Board of Public Works finds rids it necessary to reject a bid because it does riot comply with statutory requirements. In prepar'ing your bid, please use the fol to ci n checklist i n order to make sure that your bid is done in the proper manner. Proper bid security included. The bidder has the option of pro id'Ing other a Certified Check or Bid Bond. Bid prepared on the City of South BendContractor's Bid for Public Work Farm, completely executed, Contractor's ton -Collusion and Non -Debarment Affidavit, Certification Regarding Inve Iment with Iran, Employment Eligibility V r-ifi at'lon, fon-Di Brim-Ination Commitment, and Certification of use of United States Steel Products or Foundry Products, Proof of MWBF Utilization Plan [I I BB -1.0]_ If minimum participation goal is not met, also provide Evidence of Good Faith Efforts Fora [M B E- . 0] and MWBE Contacted Form [M BB- .1]. Acknowledge ledge 1 ec ipt of Addendum(s) included with the bid, All required additional information is included with the hid. Proposal statements and other affidavits all signed by the proper party with name either printed ort ped underneath signature. 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; _ (� l' � -� � . � Date- 7 - By � Authorized Representative: Signature - Print Name & Title: Ver ion 01 /13/2021 .I' 9f e3 Cr 51 de _n u) i- CZ d c, Contractor's Bid for Public Works - 1 CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK RESPONSIBLE BIDDER CHECKLIST Project Name 2021 Curb and Sidewalk Construction Project No. 121-001 For Bids Due Jure 8, 2021 at :00arn Local Time to bPwbids(q)sout11bendin.qo Contractor NameFx.I� The City seeks to enhance 114s ability to identify responsive and responsible bled rs on all City public work projects by institution of comprehensive submission requirements in COMplian with State law, Quality workmanship, efderit operation, .safety, and tirnely completion of projects requires that all bidders meet certain rninimum requirements to be. responsive and responsible bidders. THIS FORM MUST BE SUBMITTED WITH YOUR BID. INSTRUCTIONS - If N TRU Tl N:If you are a pre -q ualifted bidder, Complete Section I only. If you are not a pre -qualified bidder., complete Section fl only. Section II acts as an application for pre-cluall ifi cation. Submission of Section JI will allow the bidder to be considered for pre -qualification for gids with the City of South Bend Department of Public Works. Pre- qualified bidders will thea be exempt from a portion of the submission requirements outlined in Section6- 63 of The Responsible Bidding Ordinance No. 10594-18 (hereinafter, "Responsible Bidding Ordinance-') for a period of twelve. (1 2) months. Thereafter, contractors who are pre -qualified must submit a complete application for continuation of ''pre- qualified'' standing, on a form provided by the City ("Responsible Bilader Checklist (1) Pre -Qualified BIdder ") by D cernber 31 "-C for the upcom Ing calendar year, or within t e.Iv (1 2) ulorths of obtaining pro - qualified standing_ If the status of any item changes within the twelve (1 2) months, it is the responsibility of the contractor to notify the City. Failure by any pre -qualified contractor to submit its complete apphca6on for continuation of ``pre -qualified" standing with In the Iiine prescribed above shall result in automatic removal of the designation, effective January I of the follow -[ng year, or immediately following this twelve (1 2) months of pre -qualified standing. However. the "rernoved" contractor or subcontracft r sha[l still be p rmitted to bid on City public works projects, though the contractor must submit all required document under - until ' pry: -qualified" status is re-established. Please Note: The City reserves the right to request supplemental information from the minder, additional verification of any information provided by the bidder, and may also conduct random, inquiries of the bidder's current and previous customers regardless of pre -qualified standing Jt is the sole responsibility cif the potential bidder t comply with {SII sul)rr�is ion requirements applicable to the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the, date of the public bid opening. Vers ion 0 1113 /2021 General Conditions - 5 I. PRE -QUALIFIED BIDDER CHECKLIST (a) Acknowledi-16ments: By checking this box, I hereby acknowledge teat I am apre-qualified bidder with the City of Booth Hend and that I have met the pre -qualification requirements within the last Mel e (1 2) months. A copy of my Pre -Qualification verification fetter is attached. By checking thIs box, I here -acknowledge-acknowledge that the City rs�rve the right to request supplemental information, additional verification of ars information provided by r i , and may also conduct random inquiries of my current and prior c u tomer _ bbl*tinhmen (i) _ _ Indiana Secretary of State's on-line records (ie Bnsinest; verification) dated within sixty (0) days of the submilssion of said document showing that business is in existence, C.4J1 rr r)t with the Indiana Secretary of State's Business Entrt E c ol_ and eltgible for a certificate of good standing. (Not app5cable to individuals_ sole proprietors or partnerships) _ 00 Staternent on staffing capabilities, including labor sources_ This ta` rnenl indicates and ensure,; I have sufficient employees on StAff tO CDMplete the work- It outlines hoer I i ntend to meet the staffing reeds of the, work. List of projects of similar size and scope of work performed in all areas, including t ie State of Indian2, within the fast three () years. IV Z For every prefect, submit evidence of participation in apprenticeship and trainin prograrn,s, applicable to the work to be performed on the project, which are approved by and registered with the United States Uepartment of Labor's Office of Apprenticeship, or its suc;cessor organ i atio n _ errgi re 113/2 021 General Canditions - 8 Date: Written statement of any federal, state or local tax lions or tax delinquencies ow -ed to any federal, .state. or local) taxing body in the preceding three years. List of projects of similar size Arid scope of work performed in all areas, including the State of Indiana, within three () years prier to the date on which the bid is due (SignY re) (Print Mame Here) ix ( Name of Company) etc ,�� 69q -hllrnu'e fid. (Address ofCompany) (City) I� (State) �(J.q�cqo (Telephone Number) Version 01 / 13/2021 General Conditions - 10 CITY OF SOUTH BEAD, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK Project Name 2021 Curb and Sidewalk Construction Project Flo_ 121-001 For Bids Due June 8, 2021 at 9:00am Local Tirric_ Sealed electronic bids shall be SLJbrnitted Date: Address: i f tateZp- to tbv_�bidSPS0LAhbencJi n. clog. PART I (M Ust be completed for all bids. Plea e. type or print) Bidder ( Firm)- T C) na_e te,_ LLC_ 24899 F111more Road 0u B IC�1�4�1 Te I�k��n� �lurr�l��r Agent of Bic -der (if Ap placable): Pursuant to notices given, the undersigned offers to furnish labor ano/or material necessary to currt)lL-tf: thti public works project of: the City of South B nri, I rid i ana, in accordance with pians and specifications prepared by: and dated for the sum of (eater the Total Bid as shown on the Proposal) 4 7 �Bn+, SLJT1f Tt Ei1 l ItrntIV�+r?r�� s�aly7r a'��y �Iumericjl) I I W The undersigned furtbef agrees to furnish a bond or certified cheQk with this bid for an amo-int specifi-ed in the rofiae of the lotting. If alternative bids apply. the undersign -ed submits a proposal for each ire accordance with the notice. Any ad den Burris attached will be specifically referenced at the applicable page. It additional units of material included in (lie contract are needed, the cost of units must be the same: t� � tb� shown in the original contract if accepted by the City of South Bend. if the bid- is to be awarded on a unit bnsas, the itemization of the units shall be shown on a sed e atta Tho above bid is accepted this Subject to the following condihons- BOARD OF PUBLIC WORK Elizabeth A. Maradik, President Gary A. Gilot, Member Murray L_ Miller, Member Ve rsron 01113/2021 Uy ��.Lire Prinked Clem c��prn Signi k g ACCEPTANCE (f a y Uf 20 Josepr N_ klolnar. Member Jordan V. Gathers, Member Attest- Anne Fuchs, Clerk onlractor's Bid for Pablic Works - BID+ PROPO AL CITY OF SOUTH BEND Project Name: 2021 Curb and Sidewalk ConstrUCtiOn Project Ntirvibr: 121-001 For Bids Due: June 8, 2021 7at :OOam Lo Tire to rk)i s s.outh1)endin, ov Contractor hlmem DIVISION Al — T item Non LDescri- 5 Item No, FC ratio n - ` — 1 CONCRETE SIDEWALK, REMOVE Qua intit 205 _2 CONCRUE SIDEWALK, 4 -III CONCRETE CURB, REMOVE _205 365_ 4 CONCRETE CURB, MC PED 365 _ _ CONCRETE APPROACH, REMOVE E - - PCCP FOR APPROACHES, -IN _ 7 _ T_ TOPSOIL AND SEEDING200 _22 — TREE, REMOVE, 6 IN � rTREE, FEIJI1E, 18 1N - - - - 1 STUMP, REMOVE 1 PLANT, DECIDLJOUS TREE, SINGLE STEM, 14 -IN TO 2-5 IN 15 CURB RAMP, REMOVE 16_ r_ 1 1 --PAIRED PERPENDI UL F URB RAMP P DIVISION B1 — T item Non LDescri- 1 CONCRETE SIDEWALK, REMOVE OVE CONCRETE SIDEWALK, 4 -IN E - - CONCRETE CURB, REMOVE 4 CONE -RETE CURB, MODIFIED 7 TOPSOIL AND SEEDING _ 11 . TREE, REMOVE, 30 IN — 13 STUMP, REMOVE PLANT, DECIDUOUS TREE, SINGLE STEM, 14 -IN TO .:5 I 15 CURB RAMP' RE -MOVE _ 1 ONE- AY PERPENDICULAR CURB RAMP 81r* Item No.—Des. bion _ -- 1 _ CONCRETE SIDEWALK, REMOVE Co NC ETA SIDEWALK, 4 -IN CONCRETE GARB. REMOVE - 4 CONCRETE CURB, MODIFIED 5 CONCRETE APPROACH. REMOVE PCCP FOR PPF A HE , -IN -- 7 TOPSOIL AND SEEDING 10 TREE, REMOVE, 18 IN PLANT, DECIDUOUS TREE, SINGLE STEM, 14 -IN TO 2 5 IN _ y Unit Unit Price Total Amount SY5 I Z'MT 00 55 3 5• uo ; SYS 67-1 dC7 � t 1 Ca$S c� LFT �� _ .� �i 5�o Z • vo _LFT _5Y 5 0 0� S� • L70 SYS Lro 5Y5 2.5'• 5D 51EA Lp-� ET, 0 0_ (�f3 • Ub� Ea �1I1S_�t7. ij-75.a�7 EA (POD- no EA oo � ('0a5�o SYS- a3_•c�o _ SYS �o oa ._0 4 _ . � 1 �- 6Q-00_ DIVISION Al TOTAL �L,2_a9 • 0o Qyan!!t( 320 320 575 575 r _ 320 2 Unit SYS SYS LFT LFT SYSJ EA f EA � Unit Price Z"7. o 0T'i� U>L? Total Amount o- C)o 0 C�> 16-a q 0 - C'�D 5_0 05�� 00-1 a�5- Z5 . 5D N(PO - Q0._• Co 11 -if D. -I �D - QO , 4 EA `�5 (7� 35CjD_ac, 5 srs „�a3 . oo . oo _ 5.0 SYS Lt c6Q. UD QIViSION BI TOTAL. � � � t � ❑� Quantity Unit Unit Price Total Amountj 170 SYS a� • CSU UQ 170 Sys Do , 240 LFT 1Z.� t-.3701Uo � Od 240 � LFT 3°i .;�Ut 9 LI�D �o 90 SYS DQ t � 0`1 o. 00 . 94 SYS V60 . no 1-7_2,00•uo 135 SYS 5D 34.��'7a z f EA_ 1 � ��+ s. od 1 � r � �o • oa_� oivisioN Bz rorAt ersior) 01/1312021 c)nlractor•s Birt for Public Works - 7 BIDiPROPOSAL CITY OF SOUTH BEND Project Na nie; 2921 Curb and Sidewalk Construction Project Number.- 121-001 For Dills Due: June 8, 2921 at 9-.00am Lova Time to b wbicJs(}•southhendin. ov Contractor Name, F LLC - UI I loh1 0.) _ Item No. Description 1 CONCRETE ID El LF ,E MOVE �1 �F�ETE SIDEWALK. 4-IN'� •� - _ CONCRETE CURB, REMOVE _ - 4 CONCRETE CURB, MODIFIED TOPSOIL ANBD SEEDING _ _ TREE, REMOVE, 6_IN TREE, REMOVE, 10 IN - - 1�TREE,REMOVE, 1BI — 1STUMP, RAE -' PLANT, DECIDUOUS TREE, SINGLE 14 STEIN, 2 -IN TO 2.5 [N1 _ - - 1 _ _1 RBI P, REMOVE 1 , ONE-WAY PERPENDICULAR CUR13 RAMP -DIVISION 1 _ _Its M N o. Derip# inn I CONCRETE SIDEWALK, REMOVE _2 _CONCRETE SIDEWALK, 4 -IN t -CON RETE CURB, REMOVE - - - - 4 CONCRETE CURB, MODI F1ED _ TOP SOJL AND SEEDING _10- TREE, , RE OVE, 18 Ill - - - 11 TREE, REMOVE, 30 IN PLANT, DECIDUOUS UOU TREE, SINGLE J 14 STEM, -IN TO 2,5 IN _ 15 CURB RIP, REMOVE — 17 PAIRED PERPENDICULAR CURB RAMP DIVISION D1 _ Item No. Description _ _ — 1� CONCRETE SIDEWALK, REMOVE —„ CONCRETE SIDEWALK, 4 -Irk _J N RETE CURB, REM'O'VE 4 CONCRETE CURB, MODiFJED k�ONCRETE APPROACH, REMOVE _ 6 PCCP FOR APPROACHES,6-IN 7 II TOPSOIL AND SEEDING 11 TREE, REE, 0 IN 12 TREE, REMOVE, 48 IN 13 STUMP, REMOVE PLANT. DECIDUOUS I REE, SINGLE 14 STEM, 2 -IN T -5 IN 1 - CURB RAMP, REMOVE - - 1� ONE-WAY PERPENDICULAR URB RAMP 18 _- _ DEPRESSED CORNER CURB RAMP Quantity�S Unit Unit Price 240 SY - --2.�7 - - rt 4 F -A I t V-) 5. - 00 10 sys �a�s o DIVISION 83 TOTAL Total Amount �q_60 UD �X08 d • ix� t�12-SU . 015. 15, 0C)i D� J Db zoo. oo Ivo . oo la-i��q57 . o� Quart! Unit Unit Price- -TotaJ Amount 240 _ 240 SYS — 145 { LFT 50 145 - - 405 LFT Vkci + — o -- - Y 15- —, E�l L 5 00 115 9 q. EA -7 5 • C�b SYS_ . E _75, 00 E E DD -00 rt 4 F -A I t V-) 5. - 00 10 sys �a�s o DIVISION 83 TOTAL Total Amount �q_60 UD �X08 d • ix� t�12-SU . 015. 15, 0C)i D� J Db zoo. oo Ivo . oo la-i��q57 . o� Quart! Unit Unit Price- -TotaJ Amount 240 - SYS * _ ` C f �a 240 { SYS '� r - - 405 LFT 7 5-0 �.• 405 LFT _� 2>9-5 115 9 q. 225_ SYS_ . �9 -7 -1 5-L) _ E _ 5.GO E L- 1 - 00 Quanti 425 425, 675 675 75_ 7 375 3 15.5 -- 6.5 Version 01.13; 2021 Ciontractor's Bid for PUbliC Works - EA sys 27o.cx>.oQ—` SYS so''00'' DIVISION C1 TOTAL 5715-, Lp2>0_� Unit knit Price Total Amount BY `7. { LFT+_� LIT - _U sys moo. vu � otx). o 0 5Y5 L5 5`0 9 5 -to 2 - 5Z�) EA LDx)_C)o L� . DDZQEA co {CO O , EA 0 vr�uo' oc� D)() , EA tb-75 �c.b �LPas.0o srs a_3 L)o_ SYS ��Q.UD �$'��U OD DIVISION D1 TOTAL � 9'6,UDq - QQ BIBIPRPOBL CITY OF SOUTH BEND Project Name-. 2021 Curb anid Sidewalk ConstrUCtion Project Number: 121-001 For Bids Dui. Jure 8, 2021 at 9:00am Local Contractor dame' (�xrt +e,_ LL, DIVISION D Item No, Description 1 CONCRETE SIDEWALK, REMOVE CONCRETESIDEWALK, _4=.I -... CONCRETE CURB, REMOVE CONCRETE CURB, MODIFIED 7 TOPSOIL AND SEEDING DIVISION E1 Item No. Description 1 CONCRETE SIDEWALK, REMOVE CONCRETE SIDEWALK, 4 -IN CONCRETE CURB, REMOVE 4 CONCRETE IRB, MODIFIED 7T TOPSOIL AND SEEDING 12 TREE, REMOVE, 48 IN _ PLANT, DECIDUOUS TREE, SINGLE 14 STEAM, Ifs TO 2.5I DIVISION F1 Item No. Description 1 CONCRETE SIDEWALK, REMOVE 90 CONCRETE SIDEWALK.4-IN- CONCRETE CURB, REMOVE 4 CONCRETE CURB, MODIFIED S CONCRETE APPROACH, REMOVE 6 PCCP FOR APPROACHES, -I 7 TOPSOIL AND SEEDING 10 TREE, _REMOVE, 18 IN 11 TREE, REMOVE, 30 I 13 STUMP, REMOVE PLANT, DECIDUOUS TREE3'SINGLE 14 STEM, 2 -IN TO 2.5 IN 15 1 CURB RAMP, RLOE _ 1 DEPRESSED CORNER CURB RAMP ime to bwbids southbendin. av quantit 90 Unit Unit Price 2'1. 0 C $`j • Cx) Unit Price SYS 1 21. 90 SY5 �j 1 - pp 225 LFT i 2 - �D 225 136 LFT 3q sys Z,E;. j5_0 87-0 DIVISION E1 TOTAL Quantity Unit sYs 5Y5 Unit Price 2'1. 0 C $`j • Cx) 105 105 200 LFT LFT SYS 12. • Sa 39 . 5D 200 110 1 t 25 • SD , 3 Df�. oQ EA _ 1I EA � `x`15 Qo DIVISION E7 TOTAL _ Quantity Unit SYS SYS ' 255 S5 SYS SYS 400 T LF1' 400 1 LFT 75 SYS 75 SYS SYS 225 _ 1 EA 1 EA • 5D.OO EA 4 10 10 Bidder (Firm), 1�.�.ii9-Le_4j—L� Address: �� F-41 t th ore �oa� CitylStatelZip: _41 T�U_d Telephone Number: quwq By u r s io n 0 1/1 T20 1 ontracicr's Bid for Publ kc Works - f R _ Total Amount ` Total Amount 00 C� D cl> -2-500 o0 _T:�do. o❑ '78 05". oo L4. Unit Price Total Amount �• �Lf 5-3 '. 00 tz.5o 'C' OC) -_oo 1 SSao . oo � Z3. coo 1 `7 2.S". Oc� • 5D.OO 311 1.08 00. 2- 2- ) -12- 8. C�o ` Total Amount 00 C� D cl> -2-500 o0 _T:�do. o❑ '78 05". oo L4. Unit Price Total Amount �• �Lf 5-3 '. 00 tz.5o 'C' OC) 1 SSao . oo � Z3. coo 1 `7 2.S". Oc� • 5D.OO (.c UU a . O b 2.50 ;5737.5D I i 5. oa 11 -15-. coo -11 uo .moo -2,10 o,, 00 w1 I a1 `j. �•Z EA 00 SYS7�60 SYS D • W DIVISION F1 TOTAL r�iy,aa�y�oyo 35'M. o0 Z 30 . caa bocD' 01 Zv� 5 � Pri ntc- i N, irvw of Per(FV ng'l {ItIirtil ki11du the 1),�I74tltiL~� oI IAC 1.1111 �, th:II II1L itac is and inC( -nasi n contained in the foregoing bid t4�!• �1M�1� lic w()Fks are irLie ;inn corrcc1. I awd thi's V_., V� day of 2(1_Zj ubs�:ribcd and sworn to befotc me this - — My Commission Expircs C,,7 WCH AL L a KOT'rKkUP Notary,' P-ubk - Seal St Joseph Counte - State a'-^ciana Commossic?n Numt>e NPO,&544 my C;%�' lsvon Expirvi �6.r 27, 2029 COLIT11Y Of csidCTICC C r� torlBjdtIcr (f �irrn i �nalujre of Cofl tmoor/Bidd r or Its Agent -- z Q) L U rinsed Namc and the — day of i ;j -- () -z [ Notary 1"Alit S� Version 0111312021 Contractor's Bid (of Public Works - 6 CITY OF SOUTH BET MINORITY AND WOMEN BUSINESS E ENTERPRISE INCLUSION PROGRAM PI -AN FORM 11 BE- ,0 i r 11 EVIDENCE OF GOOD FAITH EFFORT This cornpleted form should be included as part of the Bids d0rUrT1er1ts related to City of Borah Berld Public Works Projects regUirim Good Faith Efforts to obtain MWBE participat.roRi, Pryr ect Numer Project Name - 121-1301 2021 Carb and Sidewalk Construction Bidder � _ LLL Contact Person. V 1a j5J r4, - Addressr�l 0r C City' —`t 6,� G t.. -,Lk State. _Jn , Ck f% zip. /9 Email- I4 s 4 'lie I g e n (4 To determine, whether a bidder has demonstrated good faith efforts to reach the MWBE utilizal:Dn goals set forth in the City of South Boric, Public Works Pr jestpec:Ifc la cons, tho City and its -agencies, boards, or cornmissions, REQUIRE ALL of the following Good Fath Efforts as listed in the table be -ow` EVIDE �.E OF GOOD FAITH EFFORTS . MWBE LIST(S), The hir der reviewed 1) the City of South Beads Knonty and Women RUSi ness Eriterpr1�;e Ir7olosion Prograrn Plar , ) lt)e list of cortrfir~O. M BEs provided by tt)o (,'ity, and 3) the Indiana Department of Administration list of Minority and Women vfv.-d Rr,sinesses (both certified and non- nertifir:d,1 found at- ft:vv in. viid. GOOD FAITH EFFORTS TO OBTAIN MWBE PARTICIPATION — _ — d Tt)e bidder shall initial each item befog, as evidence of its good faith efforts t�) oK3 r) MWBE participation rri the awarded contract - S -Z _ _ 4 1 affirm t)al I reviewed the City of South Bend's Minomy and Women Business Enterprise Inclusion Program Plan and the Indiana Departmer,J of Administration's certifiec list of Iridiar)e Minonity and Women Enterprises, found on their welusito affirm that I have mace good failh offorts to select portions of Ilie clontract work to be performed by M BEs. including, where appropriate, breaking out contract work rterns into economically feasible ,inits to facilitate M'A'1317- participation. affirm 'hat I Frage made good faith efforts to solicit through X3;1 masonab;e and avai't35 C: means the interu,}�t of all IVlVVBEs in the scupr:s of work of the contract. I affirm that I attended al pre-hld meeti rigs scheduled by the City of South Bend to inform N1WBF s of contracting -a rid subconIracIii ng opportunities affirm that I advertised in general circulation andler Uade association publications f conc..or*n inn subcontract opporkinities and Wowed KIWBF-, reasonatle time to Tospond to such adverfii oments. I affirm that I perfarmod any anc: ali necessary steps to provide written notices in a manner reascmably calcilated to infofm 1 BES o' subcontracting opportunities and allowed sufficient lime for MWBEs to participate effectively, affirm that I followed up on initial solicitations will.1i interested M BEs V/ JI affirm that I negotiated with interested MVVBEs in good faith, irlCluding PrOVIding SUCh MVIM Es with adequale lriformation about trig: planisi specifications and other requirements i of the subcontract. affirm that I have made good faith efforts to assist interested MWBEs in ohtaining Mending, lines f credit, or insuranco as required try the Citi+ or the bldc�cr, vwhere propri��te. Version 011112021 c ntractor's Bid for Peb[ic Worms - 1 CITY of SOUTH BEND MINORITY AND WOMEN BUSINESS ENTE PRi E INCLUSION PROGRAM PLAN FORM MBE -.0 EVIDENCE OF GOOD FAITH EIFFOI T affirm th c-�i P have made good faith effurts to assist interested MWEES in Obtaining i necessary egUipment, supplies, materials. or related assistances or services, where ah)prop6ate. I affirm that I did [lot reject any NIWBEs as unqualified without sound busitness reasons based on a thorough wvesti atian of their capabilities. CONTRACT RECORDS.- The bidder has maintained the follo inq records for each MWBE that has bid or) the subcontracting opportunity'. 1. Narre. address, and telephone number; desc6ption of _ f o rrn a tion provided by the biddy -r or subcontractor, and . A statement of whether an agreement was reached, and if net, why riot, including any reasons for L concluding that the MVVBE was unqualified to perform the job. *Proper demonstration of Good Faith Efforts requires your initials next to all of the above bones. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bead reserves the right to request additional information. Version 0111312021 oritTaclor•s Bid for PUblic Worms , 13