Opening of Bids - Pulaski Park Improvements Proj No 118-056 - Larson Danielson Construction Co

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CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Project No. For Bids Due Pulaski Park Improvements 118-056 June 25, 2019 From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. X Proper bid security included. The bidder has the option of providing either a Certified Check or Bid Bond. X Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments X with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and Certification of use of United States Steel Products or Foundry Products. Proof of MBE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not X met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBE/WBE Contacted Form [MWBE-2.1]. X Acknowledge Receipt of 1 Addendum(s) included with the bid. X All required additional information is included with the bid, X Proposal statements and other affidavits all signed by the proper party with name either printed or typed underneath signature. X This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. Bidder: Larson Danielson Const . Co . , Inc . Date: 6/25/19 By Authorized Representative: Signature: X L Print Name & Title: Timothy F . Larson, President , LARSON DANIELSON CONSTRUCTION CO, Version 1/17/2019 Contractor's Bid for EPublic Works - 1 40W.0go .PAP INC.