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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />Project Name <br />Project No. <br />For Bids Due March 9, 2021 at 9:OOam Local Time <br />PART I <br />(Must be completed for all bids. Please type or print) <br />Date: 3/9/21 Bidder(Firm): Larson Danielson Const . Co. Inc <br />Address: 302 Tyler Street <br />City/State/Zip: LaPorte, IN 46350 <br />Ignition Park: EV Charging Park <br />120-044 <br />Agent of Bidder (if Applicable): <br />Pursuant to notices given, the u <br />public works project of: <br />Telephone Number: ( 219 ) 362-2127 <br />uersigneu otters to turnish labor and/or material necessary to complete the <br />Ignition Park: EV Charging Park <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />Jones Petrie Rafinski, 325 S. Lafayette Blvd., South Bend, IN 46601 <br />and dated 2/4/21 for the sum of (enter the Total Bid as shown on the Proposal) <br />(Enter sum of Total 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 separate attachmen <br />, .ate Axa �w — e__-1 <br />By X <br />�.11, <br />LARSON DANIELSON <br />{Signature) <br />CONSTRUCTION CO" INC. Timothy F. Larson, President <br />o;AaP (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 />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />Joseph R. Molnar, Member <br />Jordan V. Gathers, Member <br />Therese J. Dorau, Member <br />Attest: Anne Fuchs, Clerk <br />Version 4/2/2019 Contractor's Bid for Public Works - 2 <br />