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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 <br />(Signature) <br />Michael W. Frahn, CPA - President CEO CFO <br />�_ _.._._._._.....___.. — <br />(Printed Name of Person Signing) <br />ACCEPTANCE <br />The above bid is accepted this day of 20 <br />Subject to the following conditions: <br />BOARD OF PUBLIC WORKS <br />Gary A. Gilot, President Genevieve E. Miller, Member <br />Elizabeth A. Maradik, Member <br />Laura L. O'Sullivan, Member <br />Therese J. Dorau, Member <br />Attest: Linda M. Martin, Clerk <br />PART II <br />(For projects of $100.000 or more — IC 36-1-12-4) <br />These statements to be submitted under oath by each bidder with and as part of his/her/its bid. <br />Attach additional pages for each section as needed. <br />SECTION I EXPERIENCE QUESTIONNAIRE <br />1. Attach information regarding projects your organization has completed for the period of one <br />Y) year prior to the date of the current bid. <br />ee Attached <br />2. Attach a listing of public works projects currently in process of construction by your <br />organizafon <br />See Attached <br />3. Attach information regarding any failure to complete any work awarded to you and the <br />Vton thereof. <br />- None <br />4. Attach references from private firms for which you have performed work. <br />See Attached <br />SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE <br />1. Attach an explanation of your plan or layout for performing proposed work. (Examples could <br />include a narrative of when you could begin work, complete the project, number of workers, <br />etc. and any other information which you believe would enable the City of South Bend to <br />consider your bid.) <br />Work is to be performed as per the plans and specifications. <br />Version 4/2/2019 Contractor's Bid for Public Works - 3 <br />