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PART 11 <br />(For projects o[*10O.00Ooxmore —|C36'1'12-4) <br />These statements to be submitted under oath by each bidder with and as part ofhis/her/its bid. <br />Attach additional pages for each section msneeded. <br />SECTION |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 currentk/inprocemoofcongtructionbyyour <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 NPLAN AND EQUIPMENT QUESTIONNAIRE <br />1. Attach onexplanation ofyour plan orlayout for performing promedvvork.(Exmn1o�acould <br />��udeanoro��eofvvhenyou could begin 'complete ' proposed <br />num <br />ber ' workers,etc.�. and any other information which you believe would enable the Citv of South Bend to <br />nonm|deryourbid] - <br />2. Attach a listing ofthe names and addresses ofall subcontractors U.m. persons nrfirms outside <br />your own firm who have performed part of the vvmrh> that you have used on public works <br />projects during the past five (5)years along with abrief description ofthe work done bveach <br />subcontractor. <br />' <br />3. If you intend to sublet any portion of the work, attach the name and address of each <br />ouboontnautor, equipment to be used by the subcontractor, and whether you will require m <br />bond. Hoxvewer, if you are unable to currently provide o listing, please understand a listing <br />must boprovided prior tocontract approval. Until the completion ofthe proposed project, you <br />are under econtinuing obUgotionhzirnmediahe|ynot�y theC�dxofSouthBandintheeevent that <br />you subsequently determine that you will use asubcontractor onthe proposed project. <br />4. Attach alisting ofequipment you have available bouse for the proposed project. <br />5. Have you entered into contracts or received ofhany 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 FINANCIAL STATEMENT <br />Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial <br />statement as required by statute mho| thereby be rendered invalid. The financial statement <br />provided hereunder to the City of South Bend awarding the contract must be specific enough in <br />detail oothat said City ofSouth Bend can make aproper determination ofthe bidder's cepmbi|itV <br />for completing the project if awarded. <br />^ <br />Vesion07U9/2023 Contractor's Bid for Public Works -3 <br />