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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 I <br />(Must be completed for all bids. Please type or print) <br />Date: � � Bidder (Firm): rl <br />. ? S , A, " <br />Address: li s as � W , So <br />0)i <br />City/State/Zip: Telephone Number: <br />Agent of Bidder (if Applicable): 7aC}.Gs ? r <br />Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the <br />public works project of: <br />'40A ►'hurl cs�,O;r <br />the City of South Bend, Indiana, in,accordance with plans and specifications prepared by: <br />'Ski(_ con(� V1 <br />and dated for the sum of (enter the Total Bid as shown on the Proposal) <br />blql!�Ioyl -Uspw L S (s 0 <br />(Enter sum of Division shown on Proposal) 14 ( merical) <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 a separ to attackhment. <br />By <br />(Signatp re) <br />�e'te G u'ti Y 'f esi Na <br />(Printed Name of Person 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 <br />20 <br />Joseph R. Molnar, Vice President <br />Jordan V. Gathers, Member <br />Murray L. Miller, Member Attest: Theresa Heffner, Clerk <br />Version 09/29/2021 Contractor's Bid for Public Works - 2 <br />lis <br />