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PARTUU <br />(For projects of*10l000ormore -IC36-1-12-4) <br />These statements to be submitted under oath by each bidder with and oapart of his/her/its bid. <br />Attach additional pages for each section amneeded. <br />SECTION I EXPERIENCE QUESTIONNAIRE <br />1. Attach information regarding projects your organization has completed for the period of one <br />(1)year prior tothe date ofthe current bid. <br />2. Attach alisting ofpublic works projects cumant|yinpnooemeofoonotruct|onbyyour <br />organization. <br />3, Attach information regarding any failure to complete any work awarded to you and the <br />location thereof. <br />4. Attach references from private firms for which you have performed work. <br />SECTION 11 PLAN AND EQUIPMENT QUESTIONNAIRE <br />1. Attach an explanation ofyour plan ovlayout for performing proposed work. could <br />include m narrative of when you could begin xvork, 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.\ <br />2. Attach $ listing ofthe names and addresses ofall subcontractors U.e.persons orfirms outside <br />your own hnn who have performed pert of the xvod6 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 />3. If you intend to sublet any portion of the vmork, attach the name and address of each <br />mubcontrootor, equipment to be used by the aubcontroxtor, and whether you will require e <br />bond. Hovvever, if you one unable to currently provide o /iet|n@, p|emea understand o listing <br />must be provided prior to contract approval. Until the completion of the 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 asubcontractor onthe proposed project. <br />4. Attach a listing of equipment you have available to use for the proposed project. <br />8. Have you entered into contracts nrreceived offers for all materials which substantiate the <br />prices used in preparing your proposal? If not, attach an explanation for the rationale used <br />which would corroborate the prices listed. <br />SECTION III CONTRACTOR'S FINANCIAL STATEMENT <br />Attachment of bidder's financial statement is mandatory. Any bid submitted without said <br />financial statement as required by statute shall thereby be rendered invalid. The financial <br />statement provided hereunder to the City ofSouth Bend awarding the contract must be specific <br />enough in detail so that said City of South Bend can make a proper determination of the bidder's <br />capability for completing the project if awarded. <br />VersionV9/29/2021 Contractor's Bid for Public Works -3 <br />