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CONTRACTOR'S BID FOR PUBLIC WORK - FORM"96 <br />State Form 52414 (R212-i3)1 Form 96 (Revised 2013) <br />Prescribed by State Board of Accounts <br />PART I <br />(To be completed for aff bids. Please type or print) <br />Date (month, day, year): July 23, 2019 <br />1, Governmental Unit (Owner)- City of South Bend, Indiana <br />2. Counly:_St. Joseph <br />1 51dder (Mart): Rieth-Riley Construction Co., Inc. <br />Address, 25200 State Road 23 <br />City/State/ZlPcode: South Bend, In. 46614 <br />4., Telephone Number: (574) 288-8321 <br />5. Agent of Bidder (if applicable): Joshua A. McCormick <br />Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete <br />the public works project of 2019 Contractor Paving Project No. 119-062 <br />(Govemmental Unit) In accordance with plans and specifications prepared by n/a <br />and dated n1a for the sum of <br />see itemized proposal see itemized proposal <br />VA- --- $ <br />The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the <br />notice of the letting. If alternative bids apply, the undersigned submits a proposal for each In accordance with the <br />noUce. Any addenclurns 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 <br />that shown in the original contract If accepted by the governmental unit- If the bid is to be awarded on a unit <br />basis, the itemization of tile units shall be shown on a separate attachment. <br />The contractor and his Subcontractors, if any, shall not discriminate against or intimidate any employee, <br />or applicant for employment, to be employed in the performance of this contract, with respect to any matter <br />directly or Indirectly related to employment because of race, religion, color, sex, national origin or ancestry. <br />Broach of this covenant may be regarded as a material breach of the contract, <br />CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS <br />(if applicable) <br />1„ the, undersigned bidder or agent as a contractor on a public works project, understand my statutory <br />obligation to use steel products made in the United States (I.C, 5-16-8-2). 1 hereby certify that I and all <br />subcontractors employed by me for this project will use U.S. steel products on this project If awarded. I <br />understand that violations hereunder may result in forfeiture of contractual payments. <br />