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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />CHECKLIST FOR BIDDERS <br />Project Name <br />Project No. <br />For Bids Due <br />2025 Community Crossings Matching Grant HMA Projects <br />125-004 <br />27, 2025 <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 />Proper bid security included. The bidder has the option of providing either a <br />X Certified Check or Bid Bond. <br />Bid prepared on the City of South Bend Contractor's Bid for Public Work <br />X Form, completely executed. <br />Contractor's Non -Collusion and Non -Debarment Affidavit, Certification <br />Regarding Investments with Iran, Employment Eligibility Verification, Non - <br />Discrimination Commitment, and Certification of use of United States Steel <br />X Products or Foundry Products. <br />Proof of M/WBE Utilization Plans [MBE-1.0 and WBE-1.0]. Also provide <br />Evidence of Good Faith Efforts Forms [MBE-2.0 and WBE-2.0] and M/WBE <br />X Contacted Forms [MBE-2.1 and WBE-2.1]. <br />X Acknowledge Receipt of 2 Addendum(s) included with the bid. <br />X All required additional information is included with the bid. <br />X Proposal statements and other affidavits all signed by the proper party with <br />name either printed or typed underneath signature. <br />X 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 <br />and does not relieve the bidder of the need to read and comply with the <br />specifications. <br />Bidder: Rieth-Riley Construction Co., Inc. Date: May 27, 2025 <br />By Authorized Representative: <br />Version 1/3/2025 Contractor's Bid for Public Works -1 <br />