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oYsoui'x eF,4� <br />d <br />rr <br />,, a s <br />-I-- If <br />CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />CHECKLIST FOR BIDDERS <br />Project Name Sewer and Manhole Rehabilitation <br />Project No. 122=019 <br />For Bids Due July 9, 2024 <br />From time to time the South Bend Board of Public Works finds it necessary to reject a bid <br />because it does not comply with statutory requirements. In preparing your bid, please use the <br />following checklist in order to make sure that your bid is done in the proper manner. <br />Proper bid <br />security included. <br />The bidder has the option <br />of providing either a Certified Check or <br />X Bid Bond. <br />Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely <br />X executed. <br />Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments <br />with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and <br />X Certification of use of United States Steel Products or Foundry Products, <br />X Acknowledge Receipt of r Addendum(s) included with the bid. <br />X 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 />X printed or typed underneath signature. <br />X 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 specificatio uirements and does not <br />relieve the bidder of the need to read and comply with pecificatio s. <br />Bidder: National Power <br />By Authorized Representative: <br />Signature: <br />Print Name &Title: <br />Contractor's Bid for Public Works - 1 <br />Version 6/11/2024 <br />July 9, 2024 <br />