Opening of Bids - Jefferson & Twyckenham Signal Improvements Proj No 116-027 - TGB Unlimited dba ST Bancroft

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• 0 11 . I I I I 0-1 Tie MOS 1 MV J."A ILI CHECKLIST FOR BIDDERS Project Name Jefferson and Twyckenham Signal Improvements Project No. 116-027 For Bids Due JWy4W",-2WDecember l9,2017atgam From time to time the South Bend Board of Public Works finds lit 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 its 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-Diebarment 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 MBEIWBE Participation Goal Form [MWBE-1,O]. If minimum participation goal is not met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0], and MBEANBE Contacted Form [MWBE-2. I], V Acknowledge Receipt of 1 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 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: TGIB Unlimited (dba) S/T Bancroft Electric Date: By Authorized Representative: Signature: FM M, i ! F. ri 11, M. 12-19-2017 Version 10/17/2017 Contractor's Bid for Public Works - I Addendum #1