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PART 11 <br />(For projects of$10\00mmore —kC 36-1-12-4) <br />These statements tohasubmitted under oath byeach bidder with and mapart ofhis/herlhmbid. <br />Attach additional pages for each section eoneeded. <br />SECTION 0EXPERIENCE 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 a listing of public works projects currently in process of construction by your <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 If PLAN AND EQUIPMENT QUESTIONNAIRE <br />1.Attach an explanation of your plan orlayout for performing proposed work. (Examples could <br />include m narrative of when you could begin work, omnmmbte the project, number of workers, <br />mtc and any other information which you believe would enable the City of South Bend to <br />consider your bid.) <br />2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside <br />your own finn who have performed part nfthe work) 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 work, attach the name and address of each <br />eubcontractor, equipment to be used by the auboontnactor, and whether you will require <br />bond. However, if you are unable to currently provide a |ioting, pkaome understand o ||mbng <br />must beprovided prior tocontract approval. Until the completion ofthe proposed project, you <br />are under a continuing obligation to immediately notify the City of South Bend in the eventthat <br />you subsequently determine that you will use msubcontractor onthe proposed project. <br />4. Attach mlisting nfequipment you have available tmuse for the proposed project. <br />5. Have you entered into contracts or received mffeno for all materials which substantiate the <br />prices used in preparing your proposal? If not, attach an enp|oneUmn for the rodmne|e used <br />which would corroborate the phnma listed. <br />SECTION III CONTRACTOR'S FINANCIAL STATEMENT <br />Attachment of bidder's financial statement iamandatory. Any bid submitted without said <br />financial statement an required by statute shall thereby be rendered invalid. The financial <br />statement provided hereunder tothe City ofSouth Band 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 />VersionO7/1g/2023 Contractor's Bid for Public Works -3 <br />