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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />CHEMLIST FOR BIDDERS <br />Project Name VIETNAM VETERANS MEMORIAL RELOCATION <br />Project No. 117-047-A <br />For Bids Due May 22, 2018 9:30 a.m. EST <br />From time to time the South, Bend Boardl of Public Works finds it necessary to reject a bid because <br />it does not comply with statutory requirements. In preparing your bid, please use the following <br />checklist in order to make 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 />X 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 Verificaflon, Non-DiscHmination Commitment, and <br />X Certification of use of United States Steel Products or Foundry Products, <br />Proof of MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not <br />met, also provide Evidence of Good Faith Efforts Form [MWBE-2,0] and MBE/WBE Contacted <br />x Form [MWBE-2.1]. <br />Acknowledge Receipt of 1 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 />printed or typed underneath signature. <br />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: C&S Masonry Restoration LLC <br />By Authorized Representative: <br />Signature <br />Print Name & Title: <br />Steve Fields President <br />Date: 5/21/2018 <br />Version 10/17/2017 Contractor's Bid for Public Works - 1 <br />117-047-A Vietnam Veteran's IMernorial Relocation <br />