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a CONTRACTOR'S BID FOR PUBLIC WORK - FORM­96 <br />Stale Form 52414 (R212-13)1 Form 96 (Revised 2013) <br />ti <br />Prescribed by State Board of Accounts <br />PART I <br />(To be completed for all bids. Please type or print) <br />Date (month, day, year),,w August 27, 2019 <br />1. Governmental Unit (Owner): City of South Bend, Indiana <br />Z County : St. Joseph <br />3 Bidder (Firm,): Rieth-Riley Construction Co., Inc. <br />Address: 25200 State Road 23 <br />City/State/ZlPcode: South Beind, In. 46614 <br />4. Telephone Number: (574) 288-8321 <br />5. Agent of Bidder (if appdrealade) : Joshua A. McCormick <br />� <br />Pursuant to notices given, the undersigned offers to fumish labor and/or material necessary to complete <br />the public works project of East Bank Trail Storm Repairs <br />(Governmental Unit) in accordance with plans and specifications prepared by, n/a <br />and dated n/a for the sum of <br />see itemized proposal $ see itemized proposal <br />The undersigned further agrees to furnish a Mond 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 />notice. Any addendums attached will [Ye 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 the 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, seam, national origin or ancestry. <br />Breach 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 anent as a contractor on a public works project,„ understand my statutory <br />obligation to use steel products made in the UnitedStates (I.C, 16-8-2). 1 hereby certify that I and all <br />subcontractors employed by me for this project wilt use U,& steel products on this project if awarded. <br />understand that violations hereunder may result in forfeiture of contractual payments, <br />