Opening of Bids - 2022 Curb and Sidewalk, Round I Proj No. 122-001 - Selge Construction Co., Inc.

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s- x CITY OF SOUTH BEND, INDIANA ' H" CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name 2022 Curb and Sidewalk Construction – Round 1 Project No. For Bids Due 122-001 July 1211, 2022 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 X or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely X executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and -X _ Certification of use of United States Steel Products or Foundry Products. Proof of M/WBE 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 X WBE-2.1]. X Acknowledge Receipt of 1 Addendum(s) included with the bid. X - All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either X printed or typed underneath signature. X 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: Selge Construction Co., Inc. By Authorized Representative. Signature: —�j A—_,_ Print Name & Title: Robert Kuhns. Professional Engineer Version 09/29/2021 Contractor's Bid for Public Works - 1 Date: July 12, 2022