Laserfiche WebLink
BID BOND (PENAL SUM FORM) <br />Bidder <br />Surety <br />Name: Selge Construction Co., Inc. <br />Name: The Cincinnati Insurance Company <br />Address (principal place of business): <br />Address (principal place of business): <br />2833 South 11th Street <br />P.O. Box 145496 <br />Niles, MI 49120 <br />Cincinnati, OH 45250-5496 <br />Owner <br />Bid <br />Name: City of South Bend Board of Public Works <br />Project (name and location): <br />Address (principal place of business): <br />227 West Jefferson Boulevard <br />Fellows Street Booster Station - Contract B -Station <br />South Bend, IN 46601 <br />Installation and Site Work - Project No. 121-070B <br />Bid Due Date: April 9, 2024 <br />Bond <br />Penal Sum: 5% Five Percent of Amount Bid <br />Date of Bond: April 9, 2024 <br />Surety and Bidder, intending to be legally bound hereby, subject to the terms set forth in this Bid Bond, <br />do each cause this Bid Bond to be duly executed by an authorized officer, agent, or representative. <br />Bidder <br />Surety <br />Sel a Construction Co., Inc. <br />The Cincinnati Insurance Company <br />( rmaf name of Bidder) <br />(Full jar al name ofSu ty1 (corporate seaf7 cos <br />c r <br />�[u(! <br />By: <br />By: <br />I <br />(Signature) <br />(Signature) (Attach Power ofAttome <br />Name: Robert Kuhns <br />Name: Tracie House <br />(Printed or typed) <br />(Printed or typed) <br />Title: Pr ject Engineer <br />Title: Attorney -In -Fact <br />Ia6 /, <br />Attest: <br />Attest,-,,,�► P <br />(Signature) <br />(Signature) <br />Name: Allison Swinehart <br />Name: Tracey Heiss <br />(Printed or typed) <br />(Printed or typed) <br />Title: Secretary <br />Title: Witness <br />Notes. (1) Nate: Addresses are to be used for giving any required notice. (2) Provide execution by any additional parties, such as <br />joint venturers, if necessary. <br />EJCDC® C-430, Bid Bond (Penal Sum Form). <br />Copyright® 2018 National Society of Professional Engineers, American Council of Engineering Companies, <br />and American society of Civil Engineers. All rights reserved. <br />Page 1 of 2 <br />