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PRE -QUALIFIED BIDDER CHECKLIST <br />(a) Acknowledgements: <br />(i) — By checking this box, I hereby acknowledge that I am a pre -qualified bidder with <br />the City of South Bend and that I have met the pre -qualification requirements <br />within the last twelve (12) months. A copy of my Pre -Qualification verification <br />letter is attached. <br />_ By checking this box, I hereby acknowledge that the City reserves the right to <br />request supplemental information, additional verification of any information <br />provided by me, and may also conduct random inquiries of my current and prior <br />customers. <br />(b) Attachments: <br />(i) Indiana Secretary of State's on-line records (ie. Business verification) dated <br />within sixty (60) days of the submission of said document showing that business <br />is in existence, current with the Indiana Secretary of State's Business Entity <br />Report, and eligible for a certificate of good standing. (Not applicable to <br />individuals, sole proprietors or partnerships). <br />Statement on staffing capabilities, including labor sources. This statement <br />indicates and ensures I have sufficient employees on staff to complete the work. <br />It outlines how I intend to meet the staffing needs of the work. <br />Evidence that I am utilizing a surety company which is on the United States <br />Department of Treasury's Listing of Approved Sureties as required in the bid <br />specifications or contract. <br />(iv) List of at least three (3) projects involving CIPP pipe lining of pipes with a <br />diameter of 36 inches or greater, within the state of Indiana in the last three (3) <br />years. <br />Version 7/20/2018 General Conditions - 8 <br />