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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: �t/ 1 I� Bidder (Firm): 1'GrIAJ4+GCWot-ks <br />Address: 1077 Deo VeQ Mow CDaaxt <br />City/State/Zip: 4XU4 x'&,IS SN Telephone Number: (574 , ava-o13a3 <br />Agent of Bidder (if Applicable): OG&I —Vlo yA ps 14olma-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 />d o;?;I, 5 free{ ay)A 5eweg M C►,%en'al A <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by <br />and dated 91 / ;2— for the sum of (enter the Total Bid as shown on the Proposal) <br />%Ay PIe7►tousonil , Scvcr 4andnel g3r✓yseoeh(s �(OS� 7y7. A6 ) <br />sum of Division shown on Proposal) a-4- xo may. (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 ofT--� <br />d. If the bid Is to be awarded on a unit <br />basis, the itemization of the units shall be shown echment. <br />By <br />I , (Signature) <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 />(Printed Name of Person Signing) <br />ACCEPTANCE <br />day of <br />V411 <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 />