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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />Project Name Berlin Place Site <br />Project No. 116-089 <br />For Bids Due November 1T, 2016 <br />PART <br />(Must be completed for all bids. <br />/ <br />Date: { i ll(o 116 Bidder (Firm): <br />Address: !d 241.2 k,-. la.. %Fr <br />Please type or print) //� <br />Z„ �r i G Z4- •LL <br />, <br />City/State/Zip: ,/„ 4/== -(,/ Telephone Number: S7 _G7y_ G yQ� <br />Agent of Bidder (if Applicable): <br />Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the <br />public works project of: <br />/!L 40e(rCIO an <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />and dated %v d 2 for the sum of (enter the Total Bid as shown on the Propose[) <br />�$ Cg�g <br />(Enter sum of Total Bade Bi shown on Proposal) e, 5O eM "J 3oce.,�J (N(imerical) <br />The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in <br />the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance <br />with the notice. Any addendums attached will be specifically referenced at the applicable page. <br />If additional units of material included in the contract are needed, the co t of units must be the same as that <br />shown in the original contract if accepted by the City of South Be . If Ih bid 's to be awarded on a unit <br />basis, the itemization of the units shall be shown on par to at a I. <br />By _ <br />G r k ask (Signatur) d f <br />(Printed Nam of Person Signing) <br />ACCEPTANCE <br />The above bid is accepted this day of 20 <br />Subject to the following conditions: <br />BOARD OF PUBLIC WORKS <br />Gary A. Gilot, President <br />Elizabeth A. Maradik, Member <br />Suzanne M. Fritzberg, Member <br />Therese J. Dorau, Member <br />James A. Mueller, Member Attest: Linda M. Martin, Clerk <br />Version 10/18M16 Contractor's Bid for Public Works - 2 <br />