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Project Name <br />Project No. <br />For Bids Due <br />Date: <br />Address: <br />X0 • = 0 ;: s <br />Airport Annexation Area Water Main Extension <br />120-026 <br />November 9, 2021 <br />PART 1 <br />(Must be completed for all bids. Please type or print) <br />November 9, 2021 Bidder (Firm): HRP CONSTRUCTION INC. <br />5777 Cleveland Road, P.O. Box 266 <br />City/State/Zip: South Bend, IN 46624-0266 Telephone Number: ( 574 ) 271-7800 <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 />Airport Annexation Area Water Main Extension Project No. 120-026 <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />A & Z Enqineerinq, LLC <br />dated 07/09/2021 <br />J- F4 LtjO rlaADd <br />for theme sum of <br />tY-1k.VL15 <br />(Enter sum of Total Base Bid plus Alternates shown on Proposal <br />Total Bid as shown on the Proposal) <br />4s ($ t -l3 6, ISM '0 ) <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 outh Bend a bid is to be awarded on a unit <br />basis, the itemization of the units shall be shown on ; to e <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 />B <br />y <br />(Sig ture) <br />Matthew D. Cain, President <br />(Printed Name of Person Signing) <br />ACCEPTANCE <br />day of <br />Joseph R. Molnar, Member <br />Jordan V. Gathers, Member <br />Attest: Anne Fuchs, Clerk <br />Version 08/25/2021 CONTRACTOR'S BID FOR PUBLIC WORK - 2 <br />20 <br />