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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />Project Name 2024 Street & Sewer Material Bid <br />Project No. 124.004 <br />For Bids Due March 12, 2024, 9:00 a.m., Local Time <br />PART I <br />(Gust be completed for all bids. Please type or print) <br />Date: Bidder (Firm),y,-CCAn A�1L P <br />Address; j l �) 3 tSsbc �► �. ��, dvu <br />.1 <br />City/State/Zip: &`'J'V(& 1 pL} qq; pi,;�, Telephone Number: (��` ) , � D 3 i -7 <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 />.2 v 2A_ 5-'cc--&� 'A IS (k <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />— Ja_soy) W i `tit <br />and dated for the sum of (enter the Total Bid as shown on the Proposal) <br />(Enter sum of Division shown on 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 9p,'a separata at hment. <br />a <br />of PJrson Signing) <br />ACCEPTANCE <br />The above bid is accepted this day of 20 <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, Vice President <br />Breana N. Micou, Member <br />Attest: Theresa Heffner, Clerk <br />