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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />Project Name Airport Annexation Area Water Main Extension <br />Project No. <br />For Bids Due <br />120-026 <br />November 9, 2021 <br />PART I <br />(Must be completed for all bids. Please type or print) <br />Date: it— 15--d-i Bidder (Firm): <br />Address: t0347' //✓�c,/c•h /ems, <br />City/State/Zip: Oj e-a&k ����/' / 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 />J� I I J <br />•'i L� n `i r1 2. ❑ If'- k L/F_r / �1 R •'"� �k / �./7 f ', '> -� <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />and dated �� -a / /r for the sum of (enter the Total Bid as shown on the Proposal) <br />�r•e / "J-e�1 h`h -%vim ���/tiw,cl 9%�Yr�wc� I8y/�aRr� (s c7 7�. dl . (n <br />(Enter sutn of Total Base Bid plus Alternates shown 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 a Be h bid is to be awarded on a unit <br />basis, the itemization of the units shall be 7on e c e t. <br />By <br />(Signal e)E.� eY r e ,i JAn <br />(Printed Name of lFerson 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 20 <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 />