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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK 1865 <br />Project Name "Berlin Place --Site Concrete, Landscape Plantings, and Bldg. 4 Roof Pavers" <br />Project No. 118.057 <br />For Bids Due 6112/18 <br />�PART 1 <br />(MJSt be completed for all bids. Please type or print) <br />'Y Bidder (Firm): k _d Date: rf) I LA I'Tj <br />Address: Atc�w) <br />City/State/Zip: .) Telephone Number: (,S /(h, JFG cf-o <br />Agent of Bidder (if Appficable): <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 />A <br />and dated for the sum of (enter the Total Bid as shown on the Proposal) <br />NZA is <br />(Enter sum of Total Division A Bid on Proposal) (Numerical) <br />qFoci". E 11111e4 e,J, r/ ($ <br />(Enter sum of Total Division B BW on Proposal) <br />sum of Total Division C Bid on Proposal) <br />is <br />sum of Total Division D 131d on Proposal) <br />I ejol 1,5� <br />(Numerical) <br />(Numerical) <br />(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 addendurns 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 trt f outh Bend. If the bid ' to be awarded on a unit <br />r,vg,ity o2 <br />basis, the itemization of the units shall be sho n a arate adachmefit. <br />The above bid is accepted this <br />Subject to the following conditions: <br />By I&Z4 (_./// <br />ign6fure) <br />t (Printed Name of arson Signing) <br />ACCEPTANCE <br />day of 20 <br />Version 10/17/2017 Contractor's Bid for Public Works - 2 <br />