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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />Project Name Mishawaka Ave. Traffic Signals at Fire Station No. 9 <br />Project No. 117-120A <br />For Bids Due February 12, 2019 <br />PART <br />(Must be completed for all bids. Please type or print) <br />Date: Bidder (Firm): AI <br />Address: <br />City/State/Zip: Telephone Number: _Li24.) t <br />Agent of Bidder (if Applicable); <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 m for the sum of (enter the Total Bid as shown on the Proposal) <br />(Enter sum of Total Base Bid of Divisions A-B) (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 shown on a separate attachment. <br />By Qom, <br />(Signature) <br />ACCEPTANCE <br />The above bid is accepted this r"� 6 day of <br />Subject to the following conditions: <br />BOARD OF PUBLIC WORKS <br />Gary A. a"i <br />t„ Presid nt <br />AMaraEliza <br />ura <br />ara <br />dik mbeinber <br />MUQ, <br />rated Name of Person Signing) <br />Suzann VM. Fritzberg, Member <br />lhe <br />w <br />fesMember <br />a or tt <br />A e st. Linda M. Ma in, Cle ;k <br />Version 7/20/2018 Contractor's Bid for Public Works - 2 117-120A <br />