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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />Project Name 3400 Block S. Michigan Street Improvements <br />Project No. 120-062 <br />For Bids Due February 23, 2021 <br />PART I <br />(Must be completed for all bids. Please type or print) <br />Date: 2/23/21 Bidder (Firm): <br />Address: <br />City/State/Zip: <br />712 RICHMOND ST <br />PREMIUM CONCRETE SERVICES, INC <br />ELKHART Telephone Number: ( 574 ) 264-0196 <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 />3400 BLOCK S MICHIGAN STREET IMPROVEMENTS <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />JONES PETRIE RAPINSKI <br />and dated 1/27/21 <br />IIAke- I�UAO C.4) SOlin <br />(Enter sum of Total Base Bid r <br />_ for the sum of (enter the Total Bid as shown on the Proposal) <br />i/lou44n/0 /Gras& IAO&44E0 10T A ($ 3'73, 909 °" ) <br />,Iternates shown on Proposal) ✓e",ej (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 a�separate attachment. <br />By /r9 <br />(Signature) <br />RD(S �JE�Ac�jZ <br />(Printed Name of Person Signing) <br />ACCEPTANCE <br />The above bid is accepted this day of <br />Subject to the following conditions: <br />BOARD OF PUBLIC WORKS <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />Jordan 1. Gathers, Member <br />Joseph R. Molnar, Member Attest: Anne Fuchs, Clerk <br />Version 01/13/2021 Contractor's Bid for Public Works - 2 <br />20 <br />