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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 />Mus be completed for all bids. Please type or print <br />Date:t { - Bidder (Firm): ChOALAnn <br />Address: f, L <br />City/State/Zip: " Telephone Number: ( t 6rl) <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 f: , -- <br />cup V1 <br />the City of South B d, In Tana, in accordance with pl ns and specifications prepared by: <br />and dated A -'- for tz <br />m of (enter the Tota Bid as shown on the Proposal) <br />J0 ­C� �&� t�n�� v Lol-) — <br />(Enter sum of Division shown on Proposal) 3 (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 sho n on a s par e-a ment. <br />- Ai atu ) <br />g-� <br />(Printed Name 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 />day of <br />20 <br />Joseph R. Molnar, Vice President <br />Breana N. Micou, Member <br />Murray L. Miller, Member Attest: Theresa Heffner, Clerk <br />Version 07/19/2023 Contractor's Bid for Public Works - 2 <br />