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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />Project Name Beacon Health Parking Lot, 530 N. Lafayette Blvd. South Bend, IN <br />Project No. 123-076A <br />For Bids Due 10 December 2024 <br />PART I <br />(Must be completed for all bids. Please type or print) <br />Date: Z2- � - aw!z Bidder (Firm): <br />Address: / <br />City/State/Zip: �Sll IQ,.�/A/ �G��%� Telephone Number: (,<7' �) G'� -(d41 frk <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 />Beacon Health Parking Lot as described in the documents. <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />American Structurepoint, Inc. <br />and dated 11/13/2024 for the sum of (enter the Total Bid as shown on the Proposal) <br />wo4110oA.11-rr uSIA651 Six�� ,�eVeP auS-J- /v/rrt�+ ($131e7,070 , ®b ) <br />(Enter sum of Total Base Bid plus Altern tes shown on Proposal) (Numerical) <br />,Cb <br />The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified <br />in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in <br />accordance with the notice. Any addendums attached will be specifically referenced at the applicable <br />page. <br />If additional units of material included in the contract are needed, the cost of units must be the same as <br />that shown in the original contract if accepted by the City of South Bend. If the bid is to be awarded on a <br />unit basis, the itemization of the units shall be shown on a se arate hm t. <br />By <br />/J Signature <br />(Printed Name of Person Signing) <br />The above bid is accepted this <br />Subject to the following conditions: <br />ACCEPTANCE <br />day of <br />BOARD OF PUB CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />vl�4 <br />Elizabeth A. Maradik, President <br />Gfs�Cit, t <br />Gary A. Gilot, Member <br />Version 07/19/2023 Murray L. Miller, Member <br />2 <br />7�t <br />Joseph R. Molnar, Vice President <br />Breana Micou, Member <br />Attest: Theresa M. Heffner, Clerk <br />Date: January 14, 2025 <br />99, <br />