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� _ d <br />U C <br />PF. 1['F (� <br />CIT OF SOUTH BEND INDIANA M65 <br />CONTRACTORS BID FOR PUBLIC WORK <br />CHECKLIST FOR BIDDERS <br />Project Name Fire Station #8 Replacement <br />Project No 122-034 <br />For Bids Due Jul 25 2023 9 00 A M local time <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 />A4 or Bid Bond. <br />/ Bid prepared on the City of South Bend Contractors Bid for Public Work Form, completely <br />V executed. <br />Contractors Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments <br />with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and <br />Certification of use of United States Steel Products or Foundry Products. <br />Proof of M/WBE Utilization Plans MBE-1.0 and WBE-1.0 . Also provide Evidence of Good <br />_ / Faith Efforts Forms MBE-2.0 and WBE-2.0 and M/WBE Contacted Forms MBE-2.1 and <br />V WBE-2.1 . <br />Acknowledge Receipt of 4 Addendum(s) included with the bid. <br />V_ All required additional information is included with the bid. <br />Proposal statements and other affidavits all signed by the proper party with name either <br />printed or typed underneath signature. <br />This checklist submitted with the Bid. <br />This checklist is pro ided for idder s use in assuring compliance ith re uired <br />documentation ho a er it does not include all specifications re uirements and does not <br />relie a the idder of the need to read and comp) ith the specifications <br />Bidder: R. Yoder Construction, Inc. Date: 07/25/2023 <br />By Authorized Representative: <br />Signature: <br />Print Name & Title: Jrson Yod(F, President <br />Version 09/29/2021 Contractors Bid for Public Works - 1 <br />