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OYynt' Ty 6��J <br />0 <br />CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />axes <br />Project Name Calvert Street Lift Station Replacement <br />Project No. 116-053 <br />For Bids Due November 22, 2016 <br />PART <br />(Must be completed for all bids. Please type or /p/ri�n/t) <br />Date: L941,Lb/6 Bidder (Firm): Wa4y&r t�'�I erall2 � l o <br />Address: </// 9B i6d <br />City/State/Zip: X'*O.A _ .tN Telephone Number: { 6 7y) 93 V -6 k 5—k <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 />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />and dated tLou `1F 4011b for the sum of (enter the Total Bid as shown on the Proposal) <br />e' ". Aweif � /a .✓ e -%�l.�arorlr/ ($ 4 /73,So0. — ) <br />(Enter sum of Total Base -Bid on Prop al)(Numerical) <br />The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified <br />in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in <br />accordance with the notice. Any addendums attached will be specifically referenced at the applicable <br />page. <br />If additional units of material included in the contract are needed, the cost of units must be the -same as <br />that shown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a <br />unit basis, the itemization of the units shalt be shown separate attachment. <br />By —/7/�ly/ " <br />A// �" (Signature) <br />(Printed Name of Person Signing) <br />ACCEPTANCE <br />The above bid is accepted this day of <br />Subject to the following conditions:. <br />BOARD OF PUBLIC WORKS <br />Gary A. Gilot, President <br />Elizabeth A. Maradik, Member <br />Suzanna M. Fritzberg, Member <br />Therese J. Dorau, Member <br />James A. Mueller, Member Attest: Linda M. Martin, <br />Version 10/18/2016 Contractors Bid for Public Works - 2 <br />ie <br />