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•"/ 1 rtir. ., �/ �r ire <br />CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />CHECKLIST FOR BIDDERS <br />Project Name 2025 Street & Sewer Material Bid <br />Project No. 125-005 <br />For Blds Due April 8, 2025, 9:00 a.m., Local Time <br />From time to time the South Bend Board of Public Works finds it necessary to reject a bid because <br />it does not comply with statutory requirements. In preparing your bid, please use the following <br />checklist in order to make sure that your bid is done in the proper manner. <br />NIA Proper bid security included. The bidder has the option of providing either a Certified Check <br />or Bid Bond. NOT REQUIRED <br />J Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely <br />executed. <br />Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding <br />/ Investmentswith Iran, Employment Eligibility Verification, Non -Discrimination Commitment, <br />and Certification of use of United States Steel Products or Foundry Products. <br />Proof of M/WBE Utilization Plans [MBE-1.0 and WBE-1.01. Also provide Evidence of Good <br />Faith Efforts Forms [MBE-2.0 and WBE-2.0] and MMIBE Contacted Forms [MBE-2.1 and <br />N WBE-2.11. NOT REQUIRED <br />J 9 Acknowledge Receipt of Addendum(s) included with the bid. <br />�LL All required additional information is included with the bid. <br />Proposal statements and other affidavits all signed by the proper party with name either <br />printed or typed underneath signature. <br />�L 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: o f S o/(--, Date: <br />By Authorized Represe <br />Signature: <br />Print Name & Title: 7Me,0 IW 146&i k , OW CL <br />