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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />Project Name 2020 Street and Sewer Department Materials <br />Project No. 120-005 <br />For Bids Due April 14, 2020, 9:30 a.m., Local Time <br />PART I <br />(Must be completed for all bids. Please type or print) <br />Date: 4 C I'l i aaa6 Bidder (Firm): <br />Address: 1077 ObVer plow 4,4 <br />Cityl5tate/Zip: 5&,A ] r 1d Telephone Number: <br />Agent of Bidder (if Applicable):�ihanc; <br />Pursuant to notices given, the undersigned offers to furnish labor and/or <br />public works project of: <br />anal &---w <br />necessary to complete the <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />and dated <br />(Enter sum of T <br />for the sum of (enter the Total Bid as shown on the Proposal) <br />Base Bid plus Alternates shown on Proposal) <br />(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 s t hment. <br />By ) / <br />(signature} <br />(Printed Name of Person Signing) <br />The above bid is accepted this <br />Subject to the following conditions: <br />BOARD OF PUBLIC WORKS <br />Gary A. Gilot, President <br />Elizabeth A. Maradik, Member <br />Jordan V. Gathers, Member <br />ACCEPTANCE <br />day of <br />Joseph R. Molnar, Member <br />Therese J. Dorau, Member <br />Attest: Linda M. Martin, Clerk <br />20 <br />Version 01/29/2020 Contractor's Bid for Public Works - 2 <br />