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SECTION 21 <br />PROPOSAL CHECKLIST <br />THE FOLLOWING ARE REQUIREMENTS OF THIS PROPOSAL. USE OF THIS CHECKLIST WILL HELP <br />ENSURE THAT YOUR SUBMISSION IS COMPLETE. <br />Place a check mark in the "Done" column as you complete and enclose each item. <br />Required <br />✓ <br />Done <br />Requirement <br />Proposal Response Sheet /Bid Form /Proposal <br />S ecifications <br />✓ <br />Proposal Security — Five Percent (5 %) <br />✓ <br />Certificate(s) of Insurance <br />✓ <br />Certificates of Competencies <br />✓ <br />Local Business Tax (Occupational Business License) <br />✓ <br />State License(s) <br />✓ <br />List of Proposed Sub - Contractors <br />✓ <br />Proposers Qualification Statement <br />✓ <br />Non - Collusion Affidavit <br />✓ <br />Non - Kickback Affidavit <br />✓ <br />Public Entity Crimes Sworn Statement <br />✓ <br />Acknowledgement of Conformance with OSHA Standards <br />✓ <br />�/ <br />Equal Opportunity /Affirmative Action Statement <br />✓ <br />Conflict of Interest Statement <br />✓ <br />Dispute Disclosure Form <br />✓ <br />Proposal Checklist <br />This checklist must be part of the Proposal. Please read the entire Proposal documents thoroughly to <br />ensure that your submission is complete. <br />END OF SECTION <br />PAGE 105 OF 105 <br />PROPOSAL NO. <br />