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A, <br />CITY O�F SOUTH BEND, INDID NA <br />CONTRACTOR'S BID FOR PUBLIC WORK 1365 <br />Project Name Old Clay Utilities Sewer Lining <br />Project Flo. 117-087 <br />Foe Bids Cue December 19,2017 at 9:00 a.m. Local Time <br />PART I <br />(Must be completed for all bids. Please type or print) <br />Date: 12/19/17 Bidder (Firm): Selge Construction Co., Inc. <br />Address: 2833 S. 11th St. <br />City/State/Zip: Niles, MI 49120 Telephone Number: ( 269 ) 684-0842 <br />Agent of Bidder (if Applicable): <br />Pursuant to notices given, the undersigned offers to furnish <br />public works project of: <br />labor and/or material necessary to complete the <br />Cityof South Bend Old.Clqv Utilities Sewer Lining #117-087 <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />City of South Bend Department of Public Works <br />and dated December 2017 for the sum of (enter the TotW Bid as shown on the Proposal) <br />Two Hundred Five Thousand Seven Hundred Forty Five Dollar E($ 205,745.00 <br />(Enter sum of Total Base Bid plus Alternates shown on Proposal) and Zero Cents (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 />J — " --, j <br />if add ifl-nql units of material included in the contact are needed, the cost of units must he 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 shown on a separate attachment. <br />By <br />(Signature) <br />Robert P. Kuhns, P.E. Project Engineer <br />(Printed Name of Person Signing) <br />ACCEPTANCE <br />The above bid is accepted this day of <br />Subject to the following conditions: <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 10/17/2017 Contractor's Bid for Public Works - 2 <br />K% <br />