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<br />SECTION 21 <br />PROPOSAL CHECKLIST <br /> <br />THE FOLLOWING ARE REQUIREMENTS OF THIS PROPOSAL. USE OF THIS CHECKLIST WILL HELP <br />ENSURE THAT YOUR SUBMISSION IS COMPLETE. <br /> <br />Place a check mark in the "Done" column as you complete and enclose each item. <br /> <br />( <br />( <br /> <br />Required Done Requirement <br />-/ Proposal Response Sheet/Bid Form/Proposal <br /> Soecifications <br />-/ proposal Security - Five Percent (5%) <br />-/ Certificate(s) of Insurance <br />-/ Certificates of Competencies <br />-/ Local Business Tax (Occupational Business License) <br />-/ State License(s) <br />-/ List of Proposed Sub-Contractors <br />-/ Proposers Qualification Statement <br />-/ Non-Collusion Affidavit <br />-/ Non-Kickback Affidavit <br />-/ Public Entity Crimes Sworn Statement <br />-/ Acknowledgement of Conformance with OSHA Standards <br />-/ Equal Opportunity/Affirmative Action Statement <br />-/ Conflict of Interest Statement <br />-/ Dispute Disclosure Form <br />-/ Proposal Checklist <br /> <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 /> <br />( <br />( <br />( <br /> <br />( <br />( <br /> <br />END OF SECTION <br /> <br />( <br /> <br />c <br /> <br />( <br />( <br /> <br />PAGE 105 OF 105 <br />PROPOSAL No. <br /> <br />( <br />'- <br />