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BIDDER CHECKLIST <br />(a) <br />0) __ Bychecking this box, ! hereby acknowledge that |omopre-qualified bidder with <br />the City ofSouth Bend and that | have met the requirements within <br />the last twelve (13) months. A copy of my Pre -Qualification verification letter <br />Is attached. <br />(ii) ___ By checking this box, | hereby acknowledge that the City reserves the right to <br />request supplemental infonmadion, additional verification of any information <br />provided by me, and may also conduct random inquiries of my current and prior <br />customers. <br />(b) Attachments: <br />N __ Indiana Secretary of State's on-line records (ie. Business verification) dated within <br />andy (GO) days of the submission of said document mhcmvnQ that bmminoum is in <br />existence, current with the Indiana Secretary of State'o Business Entity Report, <br />and eligible for a oedifiuobs of good standing. (Not applicable to indivhjua|s, moka <br />proprietors orpadnenohips). <br />Statement on staffing capabilities, including labor sources. This statement <br />indicates and ensures | have sufficient employees onstaff tocomplete the work. |t <br />outlines how | intend humeet the staffing needs ofthe work. <br />List of projects of similar size and scope of work performed in all areas, including <br />the State ofIndiana, within the last three (3)years. <br />(iv) For every project, submit evidence ofparticipation inapprenticeship and training <br />prmgramo, applicable to the work to be performed on the project, which are <br />approved byand registered with the United States Department ofLabor'mCffioeof <br />Apprenticeship, orits successor organization. <br />VersionV2/23/2022 South Bend General Conditions '12 <br />