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PARTKU <br />(For projects of $100,000 or more — IC 36-1-12-4) <br />These statements k>be submitted under oath bveach bidder with and aspart nfhis/her/hobid. <br />Attach additional pages for each section mmneeded. <br />SECTION | EXPERIENCE QUESTIONNAIRE <br />1. Attach information regarding projects your organization has completed for the period of one <br />(1) year prior to the date of the current bid. See attached <br />2. Attach a listing of public works projects currently in process of construction by your <br />organization. See attached <br />3. Attach information regarding any failure to complete any work awarded to you and the <br />location thereof. wx <br />4. Attach references from private firms for which you have performed work. see attached <br />Attach an explanation of your plan Or layout for performing proposed work. (Examples could <br />include a narrative of when you could begin vvork, complete the project, number of workers, <br />etc. and any other information which you believe would enable the City of South Bend to <br />consider your bid] See attached <br />2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside <br />your own firm who have performed part of the vvo/h) that you have used on public works <br />projects during the past five (5) years along with a brief description of the work done by each <br />subcontractor. <br />Kent Stripping o1oyxuaomuDr. asAda, M|400n1 suxnpmo <br />3. If you intend to sublet any portion of the worh, attach the name and address of each <br />subcontractor, equipment to be used by the subcontractor, and whether you will require a <br />bond. Howaver, if you are unable tocurrently provide elisting, please understand e|isting <br />must beprovided prior hocontract approval. Until the completion Vfthe proposed project, you <br />are under a continuing obligation to immediately notify the City of South Bend in the event that <br />you subsequently determine that you will use 8subcontractor onthe proposed project. <br />Touosubmitted attime orcontract. <br />4. Attach alisting ofequipment you have available hmuse for the proposed project. <br />See attached <br />5. Have you entered into contracts or received offers for all nnote/i8|S which substantiate the <br />prices used in preparing your proposal? If not, attach on explanation for the rationale used <br />which would corroborate the prices listed. All material has been negotiated. <br />Attachment of bidder's financial statement is mandatory. Any bid submitted without sa <br />financial statement as required by statute shall thereby be rendered invalid. The financi <br />per d ination of the bidder <br />enough in detail so that said City of South Bend can make a pro 9 eterm 9A <br />capability for completing the project if awarded. <br />VemkmO1/29/2O2O Contractor's Bid for Public Works 3 <br />