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zxo', 141 11 <br />D <br />CITY OF sou" rH BEND, INDIANA <br />tit N'll'RACTOR' S BID FOR PUBLIC WORK <br />CH CKLIST FOR BIDDERS <br />Project Narne South Bend Fire Department 'rraining Center Classroom Bu ilding <br />Project No. 117-127 <br />For Bids Due, March 27, 20118 at 9:30 AM Local Time <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 />followings checklist in order to MMW 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 MBEANBE Participation Goal Form [MWBE-1.0], If minimum participation goal is not <br />Vmet, also provide Evidence of Good Faith Efforts Form [MWBE-2.01 and MBE/WBE Contacted <br />Form [MWBE-2.1], <br />Acknowledge Receipt of -'A-- 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 />L/ 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: <br />By Authorized Representative: <br />Signature: At <br />Print Name & Title: <br />Vorqion 1011712017 <br />Contractor's Md for Pub0c Works - I <br />Date-. Ai-a- 0-1 + <br />