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UT11 <br />NOV.- <br />CITY OF SOUTH BEN�D, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />CHECKLIST FOR BIDDETS <br />Project Name St. Joseph Street Improvements <br />Project No. 118-008 <br />For Bids Due August 28,2018 <br />From time to time the South Bend Board 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 Uldder has the option of providing either a Certified Check <br />X or Bid Bond. <br />Bid prepared on the City of South Bend Contractors Bid for Public Work Form, completely <br />X executed. <br />Contractor's Non-Colluslon and Non -Debarment Affidavit, Certification Regarding Investments <br />with Iran, Employment Eligibility Verification, Non -Discrimination 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 MBEMBE Contacted <br />X Form [MWBE-2.1]. <br />X Acknowledge Receipt of 1,2,3 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 />X printed or typed underneath signature, <br />X 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 doles not <br />relieve the bidder of the need to read and comply with the specifications. <br />Bidder: Rieth-Riley Construction Co., Inc. Cate: August 28, 2018 <br />By Authorized Representative: <br />Signature-, <br />Print Name & Title: Joshua A. grqqmrtk, �Sales Manager <br />Version 7120/2G18 Contractor's Bid for Public Works - 1 <br />