Opening of Bids - Off Street Parking Lot at Wayne St and St Louis Blvd Proj No 117-083B - Rieth Riley Construction

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CITY OF SOUTH BEND, INDIANA ("it,, TMM 11, CONTRACTOR'S BID FOR PUBLIC'S ORK w-M 1865, CHECKLIST FOR BIDDERS Project Name OffsIte Parking Lot at Wayne St. and St. Louis Boulevard Project No. 117-083B For Bids Due July 10, 2018 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 Contractors 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-Discriminalion Commitment, and X Certification of use of United States Steel Products or Foundry Products. Proof of IMBEMBE Participation Goal Form, [MWBE-1.0). If minimum participation goal is not met, also provide Evidence of Good! Faith Efforts Form [MWBE-2.0] and MBE)WBE Contacted X Form JMWBE-2.11. X Acknowledge Receipt of #1 Addendum(s) included with the bid. X Ail 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 documentations; 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: Rieth-Riley Construction Co., Inc. Date: July 10, 2018 By Authorized R Signature: Print Name & Ti, Version 10/17/2016 Contractor's Bid for Public Works - I