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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />Project Name 2021 Demolitions <br />Project No. 121-036 <br />For Bids Due November 23, 2021 @ 9:00 A.M. (E.S.T.) - bpwbids@southbendin.gov <br />PART I <br />(Must be completed for all bids. Please type or print) <br />Date: �i—oli - a( Bidder (Firm): J. 4n y c -r4 4 Tom, c <br />a <br />Address: <br />City/State/Zip: 01st � /u,. a- yv.S� j Telephone Number: (,5 ?y ) C <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 />Demolition of various residential houses and one commercial structure in South Bend <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />City of South Bend — Division of Engineering <br />and dated 10/28/2021 for the sum of (enter the Total Bid as shown on the Proposal) <br />1,1,)r -)_A (s ss <br />(Enter <br />�Ce:iZ°C� ) <br />(Enter sum of Total Base Bid plus Alternates showh onProposal) (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 Be�►d"tfj;he bid is to be awarded on a unit <br />basis, the itemization of the units shall be shown on 4�4 ate Etack e t. <br />By <br />0(Sigrfure/l <br />(Prin ed Name of Person Signing) <br />ACCEPTANCE <br />The above bid is accepted this day of <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 />Murray L. Miller, Member Attest. Anne Fuchs, Clerk <br />Version 09/29/2021 Contractor's Bid for Public Works - 2 <br />20 <br />