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•a-m toNJ go] ZA all U] I Ilya <br />CHECKLIST FOR BIDDERS <br />Project Name Great Lakes Capital Spec Building, 6545 Chet Waggoner Court Paving <br />Project No. 1118-058 <br />For Bids Due September 25, 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 iincluded. The bidder has the option of providing either a Certified Check <br />it/ 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 MBE/WBE Participation Goall 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 />Form [MWBE-2.1]. <br />.11 Acknowledge Receipt of '0 Addendum(s) included with the bid, <br />W, All requiired additional information is included with the bid. <br />Proposal statements and other affidavits WI signed by the proper party with name either <br />printed or typed underneath signature. <br />W, 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: Niblock Excavating Inc. Date: 9-25-18 <br />By Authorized' Representative: <br />Signature: A LZ2 <br />Print Name & Title: Gary Niblogk, President <br />Version 7/2 0/2018 Contractor's Bid for Public Works - 1 <br />