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N EM TieTTEM <br />Project Name Gemini Washington -Colfax Apartments — MASONRY& STAIR REPAIR <br />Project No. 118-08013 <br />For Bids Due October 4, 2018, <br />From time to time the South Bend Board of Public Works finds it necessary to reject a bid <br />because it does not comply with statutory requ�irements. In preparing your blid, please use the <br />following 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 />or Bid Bondl. <br />Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely <br />V execulted. <br />Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments <br />with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and <br />V Certification of use of United States Steel Products or Foundry Products. <br />Proof Of IMBEANBE Participation Goal Form [MWBE-1.0]. If milnimuirn participation goal is not <br />met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted <br />NA Form [MWBE-2.1]. <br />NA Acknowledge Receipt of Addendum(s) included with the bid. <br />V 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 />V printed or typed underneath signature, <br />V 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 />refieve the bidder of the need to read and comply with the specifications. <br />Bidder: PWI Date: 10/5/18 <br />By Authorized Repr <br />Signature: <br />Print Name & Title: Kyle Miller - Project Manganer / Sales <br />Version 7/20/2018 Contractor's Bid for (Public Works - 1 <br />