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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />CHECKLIST FOR BIDDERS <br />Project Name HOARD PARK REDEVELOPMENT <br />Project No. 117-047-B <br />For Bids Due August 28, 2018 9:,30 a.m. EST <br />From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply <br />with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your <br />bid is done in the proper manner. <br />X Proper bid security included. The bidder has the option of providing either a Certified Check or Bid Bond. <br />2j_ Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely executed. <br />X Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, <br />Employment Eligibility Verification, Non -Discrimination Commitment, and Certification of use of United States <br />Steel Products or Foundry Products. <br />X Proof of MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not met, also <br />provide Evidence of Good Faith Efforts Form [MWB,E-2.0] and MBE/WBE Contacted Form [MWBE-2.1 1. <br />X Acknowledge Receipt of 5 Addendum(s) included with the bid. <br />X All required additional information is included with the bid. <br />X Proposal statements and other affidavits all signed by the proper party with name either printed or typed <br />underneath signature. <br />_X This checklist submitted with the Bid. <br />This checklist is provided for bidder's use in assuring compliance with required documentation; however, it <br />does not include all specifications requirements and does not relieve the bidder of the need to read and <br />comply with the specifications. <br />Bidder. Ziolkowski Construction, Inc. Date: August 28, 2018 <br />By Authorized Representative: <br />Signature: <br />F9111111111110.0INY.-SM <br />Bill Favors, President <br />HOWARD PARK REDEVELOPMENT 004000-1 <br />Project No. 117-047-B CONTRACTOR'S BID FOR PUBLIC WORK <br />