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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 />(Must be completed for all bids, Please type or print) <br />Date: '3 -12 - -Z- y <br />Bidder (Firm): 0-2 1 /11 CL 0 <br />Address: `7 t - Q i dz etiiji) <br />City/State/Zip: 5t_-f.1 1�'��..� �,( yy Telephone Number.- Z 9 1 70 <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 />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <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 on a separate attachment. <br />By„A/e_� <br />Signature) <br />(Printed Name of Person Signing) <br />ACCEPTANCE <br />The above bid is accepted this ) Z TP day of i71,C:� 20 2- tJ <br />Subject to the following conditions: <br />BOARD OF PUBLIC WORKS <br />Elizabeth A. Maradik, President Joseph R. Molnar, Vice President <br />Gary A. Gilot, Member <br />Murray L. Miller, Member <br />Breana N. Micou, Member <br />Attest: Theresa Heffner, Clerk <br />