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T 0 1 <br />OnEdUUMAMS R P I <br />A IMMAI-JIMNAWMA <br />Project Name Morris Performing Arts Center <br />Morris Bistro Renovation <br />Project No. 1045-2018 <br />For Bids Due January 23,d,, 2018,9:30 AIM <br />(Must be completed for all bids. Please type or print) <br />Date: 22 Bidder (Firma): <br />Address: ZZ 2,!� w E-zF- IL, A vE <br />City/State/Zip; <br />is / -CAI Telephone Number: <br />Agent of Bidder (if Applicable): W, "/ <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 Bond, Indiana, in accordance with plans and specifications prepared by: <br />and dated: 7 for the sum of (enter the Total Bid as shown on the Proposal) <br />") C& C4 ye V � 9e/ — ($272 56 <br />(Enter sum of Total Base Bid plus Alternates shown on Pirop6sal) X/�, '(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 addenclums 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 S - "Aa cl�-,if-the. 'bl"-I"e awarded on a unit <br />, raie,-d achm nt, <br />0 I'll Za <br />basis, the itemization of the units shall be shown on a sel;Nt'9 , e <br />M <br />The above bid is accepted this <br />Subject to the following conditions: <br />Gary A. Gilot, President <br />Elizabeth A. Maradik, Member <br />James A. Mueller, Member <br />day of <br />Suzanna M. Fritzberg, Member <br />Therese J. Doralu, Member <br />Attest: (Linda M. Martin. Clerk <br />9E <br />When the prospective Contractor is unable to certify to any ofthe statements below, it shall attach an explanation to thisAffidavit <br />Version 7/0112016 Special Provisions - 9 <br />