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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />Project Name Ewing Avenue and Fellows Street Intersection Traffic Signal <br />___--------------- <br />_. ............... ...� <br />Project No. 118-097 <br />For Bids Due November 12, 2019 <br />Date: <br />Address: <br />City/State/Zip: <br />PART I <br />(Must be completed for all bids. Please type or print) <br />Bidder (Firm): <br />Telephone Number: <br />Agent of Bidder (if Applicable): <br />Pursuant to notices undersigned <br />, g� iventhe rsi ned offers to furnish lab ��mmmmmmmmmmmmmmmm � g or and/or material necessary to complete the <br />the <br />public works project of: <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />and dated for the sum of (enter the Total Bid as shown on the Proposal) <br />( pt 900�� O ( a <br />,,. , f, { (f , , ,,, ; , t ,() (Numerical) <br />( ...... <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..._...... WWW_ <br />(Signature) <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 Suzanna M. Fritzberg, Member <br />Elizabeth A. Maradik, Member Therese J. Dorau, Member <br />Laura L. O'Sullivan, Member Attest: Linda M. Martin, Clerk <br />Version 1/17/2019 Contractor's Bid for Public Works - 2 <br />