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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />Project Name Dubail Avenue Streetscape <br />Project No. 120-009 <br />For Bids Due August 10, 2021 <br />PART I <br />(Must be completed for all bids. Please/ type or print) <br />Date: 8>'- J �'�Bidder (Firm): 1 ry d, �, „r - , -7,11CAddress: I© 3�3 liue:" Ic.., moi. <br />City/State/Zip: C�sc !, lz,,� At(, � Telephone Number. (S7` ) "7Y - <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 />the City of South Bend, Indiana, in accordance with plans and specifications prepared by <br />�9 <br />/ //// /and dated / /� /l// .fin-' ;�� �� �l � for the sum of (enter the Total Bid as showQn on the Proposal) <br />H l i'Y�'FLib� 'T'F. �✓rv'J" "!�" rai 0��•�"�.Yl rd� �-�'w�'1'{V .l'!w't�.d�1 '�'����1�`7 (�V�s-1, �%-• � ) <br />(Enter sum of Total'B'a7se Bid plus Alternates sho n o Proposal) <-41J (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 CityJo South Ben pe bid is to be awarded on a <br />unit basis, the itemization of the units shall be show��r}�aJeparate a a;,h I qnt. <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 />By <br />ACCEPTANCE <br />day of <br />nature) <br />(PrintecrName of Person Signing) <br />Joseph R. Molnar, Member <br />Jordan V. Gathers, Member <br />Version 01/13/2021 Contractor's Bid for Public Works - 2 <br />20 <br />