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C IT Y O F S O U T H B E N D , IND IA N A <br />C O N T R A C T O R 'S B ID FO R P U BLI C W O R K <br />C H E CK LI ST FO R B ID D E R S <br />gr <br />~ i <br />2a <br />Project Name <br />Pro ject No. -------------------------------- <br />South Well Field, Water Treatment Plant, and Distribution System Improvements <br />Contract A- Well Field and Water Treatment Plant Improvements (Bid Package 2 -Division A- Rebid) <br />117-059A <br />For Bids Due June 10, 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 Certified Check <br />or Bid Bond. <br />X <br />X <br />X <br />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 Investments <br />with Iran, Employment Eligibility Verification, Non-Discrimination Commitment, and <br />Certification of use of United States Steel Products or Foundry Products. <br />Proof of M/W BE Utilization Plans (MBE-1.0 and WBE-1.0]. Also provide Evidence of Good <br />Faith Efforts Forms [MBE-2.0 and WB E-2.0] an d M/W BE Contacted Form s [M BE-2.1 and <br />WB E-2.1] <br />X Acknowledge Receipt of Adden dum(s) included with the bid. <br />X All required additional information is included with the bid. <br />X <br />Proposal statements and other affidavits all signed by the proper party with name either <br />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 and does not <br />relieve the bidder of the need to read and comply with the specifications. <br />dder. Bowen Engineering Corporation pate 06/10/2025 <br />By Authorized Representative: <br />Signature: <br />Print Name & Title: ---------------------------- <br />Version 09/29/2021 Contractor's Bid for Public Works - 1 <br />1