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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />Project Name 2016 Manhole and Sewer Lining <br />Project No. 116-026 <br />For Bids Due December 13, 2016 <br />PART <br />(Must be completed for all bids. Please type or print) <br />Date: December 22, 2016 Bidder (Firm): Insituform Technologies USA LLC <br />Address: 17988 Edison Avenue <br />City/State/Zip: Chesterfield, MO 63005 Telephone Number: (636 ) 530-8000 <br />Agent of Bidder (if Applicable): Corporation Service Comnanv <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 />the City of South Bend <br />and dated December 2016 for the sum of jenterthe Total Bid as shown on the Proposal) <br />S,14v4N Fk+NO O ��� Ef 7)}Ws A 7?.o <br />#Vw462ED F16 ��s�h/E a 'y`f"O' --- ($ i 23� 259 <br />(Enter sum of Total Base Bid plus -Alternates shown on Proposal) (Numerical) <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 cost of units must be the same as that <br />shown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a unit <br />basis, the itemization of the units shall be showp-on a separate attachment. <br />By <br />(Signature) <br />Jana Lause, Contracting & Attesting Officer <br />(Printed Name of Person signing) <br />ACCEPTANCE <br />The above bid is accepted this day of l� Q r� t 20 <br />Subject to the following conditions: p, A a-� <br />BOARD <br />PUaBLC S <br />Gary A. Gilot, President Suzanna M. Fritzberg, Member <br />Elizabeth A. Maradik, Member They se J. Dorau, em r <br />James . Mueller, Member At est—Linda M. Martin, Clerk <br />Version 7/28/2016 Contractor's Bid for Public Works - 2 <br />