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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />Project Name Two -Way Conversion of Colfax Avenue — Phase II <br />Project No. 115-053B <br />For Bids Due November 26, 2019 <br />PART I <br />(Must be completed for all bids. <br />Date: I✓ ®I Bidder (Firm): <br />Address: t L L <br />City/State/Zip: Q <br />Please type or print) <br />1 N.�. <br />Telephone Number <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 />' i s ft & <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />12 L Z <br />.� he Prccrssb') <br />and dated for the sum of enter the T al <br />i �s sl 'wnont <br />� A, <br />Enter sum of Total B Alternat ( ase t3� lus es shown on Proposal) � (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 attachmen <br />By �.... <br />ign ur s. <br />®_ (Printed #rani of Perso Sigining) <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 Jitin Kain, Member <br />Elizabeth A. Maradik, Member Therese J. Dorau, Member <br />Laura L. O'Sullivan, Member Attest: Linda M. Martin, Clerk <br />Version 4/2/2019 Contractor's Bid for Public Works - 2 <br />