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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />Project Name 2022 Street and Sewer Material Bid <br />Project No. 122-028 <br />For Bids Due March 22, 2022, 9:00 a.m., Local Time <br />PART <br />(Must be completed for all bids. Please type or print) <br />Date: 3,4 - a'�. Bidder(Firm):rn � ��1C�hwC �ri��,�y5 <br />Address: t i 11.3 ­-Ay-a, "1,, (2A A it.I <br />City/State/Zip:LiSa�? (�{r l�t� j 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: �C <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />� I", <br />and dated y .. for the sum of (enter the Total Bid as shown on the Proposal) <br />.%J. ksfipj LC h xndaj sbc� t (,Ilc;- o316 $ a, 9 `71 .-gas ) <br />(Enter sum of Division shown oH 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 o separate attachment. <br />By <br />(Signature) <br />(Printed Nam �f Person Signing) <br />ACCEPTANCE p <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 />Murray L. Miller, Member <br />day of <br />20 <br />Joseph R. Molnar, Vice President <br />Jordan V. Gathers, Member <br />Attest: Theresa Heffner, Clerk <br />Version 09/29/2021 Contractor's Bid for Public Works - 2 <br />