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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />Project Name (Name here) Ir., PrpgSr VGkv1s,ain,& Hydtco, <br />Project No. (Number here) (2b 0 L <br />For Bids Due JDate here) /V ov2yv, Inev 2 c(+h 20--0 <br />PART <br />(Must be completed for all bids. Please type or print) <br />Date: /Vo,,.e23,20 idder(Firm): Ft�tuSn �va�Prwcx kS <br />Address: 1()'1-1 wd I10� t=n'."r-t <br />City/State/Zip: S041n agaI N L((p I Telephone Number: (5 7 y) Ze2—Z3L 3 <br />Agent of Bidder (if Applicable): DQ„'i v� AJ L,,,.p f <br />Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the <br />public works project of: !� n <br />Dut �rlf Iyu� (/AILds! Atn�js .,f (Y e_d-41_ )2_o-6Gc( <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />APrutiso wo d tr works <br />and dated f.1 •ve . Ler z Irti, zo t > for the sum of (enter the Total Bid as shown on the Proposal) <br />tk"Jy­PA 4,,,,e 4.4 ? . ",1 s4....elt Hew kN JoJ k6l(A� OM-( $.]z g' <br />sum of Total Base Bid plus Alternates shown on Proposal) 6j,k grc,.wty (Numerical) <br />The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified <br />in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in <br />accordance with the notice. Any addendums attached will be specifically referenced at the applicable <br />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 City of South Bend. If the bid is to be awarded an a <br />unit basis, the itemization of the units shall be sh wn on a separate attachment. <br />By r.� 1 /Z__ -✓C <br />(Signature) <br />(J 4,i i yi Ntn ine C <br />(Printed Name of Person Signing) <br />ACCEPTANCE <br />The above bid is accepted this _ <br />Subject to the following conditions: <br />Gary A. Gilot, President <br />Elizabeth A. Maradik, Member <br />Joseph R. Molnar, Member <br />day of <br />Jordan V. Gathers, Member <br />Therese J. Dorau, Member <br />Attest: Linda M. Martin, Clerk <br />ce <br />