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The above bid is accepted this <br />following conditions: <br />Contracting Authority Members: <br />ACCEPTANCE <br />day of , subject to the <br />PART II <br />(For projects of $15 0, 000 or more — !C 36-1-12-4) <br />Governmental Unit: City of South Bend, Indiana <br />Bidder (Firm) Insituform Technologies USA, LLC <br />Date (month, day, year), December 11, 2018 <br />These statements to be submitted under oath by each bidder with and as a part of his bid. <br />Attach additional pages for each section as needed. <br />1. <br />2. <br />SECTION I EXPERIENCE QUESTIONNAIRE <br />What public works projects has your organization completed for the period of one (1) year prior to the <br />date of the current bid? <br />Contract Amount <br />$724,063.20 <br />Class of Work <br />Insituform <br />Completion <br />Date <br />05-25-17 <br />Name and Address of Owner <br />City of Fort Wane, IN <br />$2,851,903.60 <br />Insituform <br />12-12-17 <br />Citizens (fka Cty of Indianapolis <br />$1,239,382.70 <br />Insituform <br />08-04-17 <br />Town of Highland, IN <br />$ 81,074.50-­­--J <br />Insituform <br />01-08-18 <br />Town of Brownsburg, IN <br />What public works projects <br />are now in process <br />of construction <br />by your organization? <br />Expected <br />Contract Amount <br />Class of Work <br />Completion <br />Name and Address of Owner <br />Date <br />$365,148.00 <br />Insituform30J-1 <br />INDOT,Marion Cnty, IN <br />$325 000 <br />Insituform <br />08/15/18 <br />INDOT, Hagerstown, IN <br />$471,530.35 <br />Insituform <br />08/30/18 <br />Columbus City Utilities, Columbus, IN <br />$554,592.25 <br />Insituform <br />Town of Redke , IN <br />4621 INDIANA FORM NO. 96 004110-3 <br />