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[SKM 1. MIN ice] ;J":-J 11!J 191MU11111 :114 LOATITOR-4 Ll <br />41 :19154 1 PA 3301 -.1 -.1111 M 3 M�� <br />Project Name Three Twenty at the Cascade — Exterior Insulation and Finish System <br />Project No. 118-074 B <br />For Bids Due October 9, 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 bidder has the option of providing either a Certified Check <br />X or Bid Boindl. <br />X 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-Debarmenit 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 />X met, also provide Evidence of Good Faith Efforts Form [MWBE-2,0] and MBE/WBE Contacted <br />Form [MWBE-2.1]. <br />X Acknowledge Receipt of 1,2 Addendum(s) included with the bid. <br />X Ali 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 does not <br />relieve the bidder of the need to read and comply with, the specifications. <br />Bidder: Gibson -Lewis, LLC Date: <br />By Authorized Represe <br />Signature: <br />Print Name & Title: Robert A. Lingenfelter, President <br />10/9/18 <br />Version 7/20/2018 Contractor's Bid for Public Works - 1 <br />