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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />Project Name Cleveland Road and Ameritech Drive Intersection Improvements <br />Project No. <br />For Bids Due <br />Date: <br />Address: <br />City/State/Zip: <br />August 22, 2023 <br />(Must be <br />completed for all bids. <br />Please type or <br />print) <br />8/22/23 <br />Bidder (Firm): <br />PREMIUM <br />CONCRETE SERVICES <br />712 RICHMOND ST <br />ELKHART, IN 46516 Telephone Number: ( 574 ) 264-0196 <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 />CLEVELAND ROAD & AMERITECH DR INTERSECTION IMPROVEMENTS <br />the City so t" Bend, Indiana, in accordance with plans and specifications prepared by: <br />A&Z ENGINEERING, LLC <br />anA dated <br />JULY 2023 <br />for the sum of (enter the Total Bid as shown <br />on the Proposal) <br />ONE MILLION FIVE <br />HUNDRED SEVENTEEN THOUSAND THREE HUNDRED TWENTY-ONE DOLLARS ($ <br />1,517,321.00 ) <br />(Enter sum <br />of Total Base Bid <br />plus <br />Alternates shown on Proposal) <br />(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 b� be awarded on a unit <br />basis, the itemization of the units shall be By shown on a separate attach lSn <br />/'1 4X V�(Si gnature) <br />ririnted Na l (Pe of Person Signing) <br />ACCEPTANCE <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 />Joseph R. Molnar, Member <br />Jordan V. Gathers, Member <br />Attest: Theresa Heffner. Clerk <br />Version 09/29/2021 Contractor's Bid for Public Works - 2 <br />