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II. PRE-QUALIFICAITON CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED) <br />(b) Attachements: <br />(i) Referenced enclosed <br />(ii) Peerless Midwest, Inc. has no former business names. This section does not apply <br />(iii) Peerless Midwest, Inc. has had no determinations by a court or governmental <br />agency of any violations of federal, state, or local laws including, but not limited <br />to, violations of contracting or antitrust laws, tax or licensing laws, <br />environmental laws, Occupational Safety and Health Act, or federal Davis -Bacon <br />and related Acts, within the preceding five (5) years <br />(iv) Peerless Midwest, Inc. has 102 employees, including 57 field personnel and 45 <br />office staff. Our field personnel includes four licensed drillers in the state of <br />Indiana, and twenty-four licensed pump installers in the state of Indiana. <br />(v) Peerless Midwest, Inc. will ensure that individuals who will perform work on the <br />public work project on my behalf will be properly classified as an employee or as <br />an independent contractor under all applicable state and federal laws and local <br />ordinances. <br />(vi) Reference enclosed <br />(vii) Reference enclosed <br />(viii) Reference enclosed <br />(ix) Peerless Midwest, Inc. has no federal, state or local tax liens or tax delinquencies <br />owed to any federal, state or local taxing boxy in the preceding three years. <br />(x) Peerless Midwest, Inc. has completed many projects of similar size and scope, some <br />for the City of South Bend itself. In the last three years, we would offer these <br />project for consideration: <br />1. Charleston Corporation — Bremen, IN — New Fire Protection Well - 2017: 26" x 16" <br />Gravel Walled Well to 162' b.g.s., produced 1,500 GPM, 1,000 GPM rated <br />capacity vertical turbine pump, pump house, and underground watermain. <br />2. City of Nappanee, IN — Nappanee, IN — New Production Wells #4 & #5 - 2016: Two <br />(2) 26" x 16" Gravel Walled Wells to 155' and 163' b.g.s. with 1,500 GPM rated <br />capacity vertical turbine pumps. <br />3. Memorial Hospital South Bend — South Bend, IN — 2015 & 2016: Three (3) 30" x 20" <br />Gravel Walled Wells to approximately 143', 130', and 115' b.g.s. with 3,000 <br />GPM rated capacity submersible pumps with pitless adapters. <br />4. Citizens Energy Group — Indianapolis, IN — Production Wells Harbour #12 & #13 — <br />2018: 24" x 16" Gravel Walled Wells to 115' and 121' b.g.s., proposed design of <br />pumps is 700 GPM, pumps are still in submittal phase. <br />55860 Russell Industrial Pkwy., Mishawaka, IN 46545 <br />574.254.9050 phone 574.254.9650 fax www.peerlessmidwest.com <br />