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ur,� A <br />CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />Project Name 2021 Street and Sewer Material Bid <br />Project No. 121-018 <br />For Bids Due April 13, 2021, 9:00 a.m., Local Time <br />PART I <br />(Must be completed for all bids. Please type or print) (J <br />Date: q -&- a t Bidder (Firm): Aa(^('k tn7 <br />Address: 61:7a3 3 ,rn i%l'kyc.y, wV--u-) <br />City/State/Zip: 11�v 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 />L-2621 `_�A a►ii SouerJ�i� <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />n <br />a:tmC-,n} G � W r�� " i�Ji `\0 Y) J Eyl( 1yx-(r IV-, <br />and dated <br />for the sum of (enter the Total Bid as shown on the Proposal) <br />(Enter sum of Total Base Bid plus Alternates hown 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.. parate attach ent. l <br />By <br />(Signatuie) <br />(Printed Name of Pe <br />rs Signing) <br />The above bid is accepted this <br />Subject to the following conditions: <br />BOARD OF PUBLIC WORKS <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />ACCEPTANCE <br />day of <br />Joseph R. Molnar, Member <br />Jordan V. Gathers, Member <br />Attest: Anne Fuchs, Clerk <br />20 <br />Version 01/13/2021 Contractor's Bid for Public Works - 2 <br />