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'lH <br />G <br />T k <br />CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />CHECKLIST FOR BIDDERS <br />Project Name Sewer and Manhole Rehabilitation <br />Project No. 122-019 <br />For Bids Due July 9, 2024 <br />From time to time the South Bend Board of Public Works finds it necessary to reject a bid <br />because it does not comply with statutory requirements. In preparing your bid, please use the <br />following 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 or <br />V/ Bid Bond. <br />/ Bid prepared on the City of South Bend Contractors Bid for Public Work Form, completely <br />V executed - <br />Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments <br />with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and <br />s% Certification of use of United States Steel Products or Foundry Products - <br />Acknowledge Receipt of 1 Addendum(s) included with the bid- <br />f All required additional information is included with the bid. <br />r Proposal statementsif and other adavits all signed by the proper party with name either <br />v printed or typed underneath signature. <br />V This checklist submitted with the Bid. <br />This checklist is provided for bidder's use in assuring compliance with required <br />documentation; however, it does not include all specifications requirements and does not <br />relieve the bidder of the need to read and comply with the specifications. <br />Bidder: SAK Construction, LLC <br />By Authorized <br />Signature: <br />Print Name & Title: Boyd HFrtz, VicekF <br />Contractor's Bid far Public Works - 1 <br />Version 6/11 /2024 <br />Date: July 9, 2024 <br />