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CI <br />Project Name (Name ere) <br />Project No. (Numb r her <br />For Bids Due (Date h re) <br />(Must <br />Date: o <br />Address: 63 <br />City/State/Zip: <br />Agent of Bidder (if Applicable): <br />Pursuant to notices given, the u <br />public works project of: <br />SOUTH BEND, INDIANA <br />R'S BID FOR PUBLIC W( <br />Voc1 'heS <br />ao a5g <br />PART I <br />pleted for all bids. Please type or print) <br />_ Bidder (Firm): US­Dyit.r <br />.215 1'e-e <br />1� Telephone Number: (23- ) 183- i) Ab <br />ned offers to furnish labor and/or material necessary to complete the <br />the City of South Bend, Indiana, if� accordance with plans and specifications prepared by: <br />and dated <br />(Enter sum of Total Base Bid plu Alte <br />for the sum <br />jof (enter the Total Bid as shown on the Proposal) <br />f(13 <br />tes shown on Proposal) (Numerical) <br />The undersigned further agrees t fur ish a bond or certified check with this bid for an amount specified <br />in the notice of the letting. If al ema ive bids apply, the undersigned submits a proposal for each in <br />accordance with the notice. Any add ndums 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 contrac if accepted by the City of South Bend. If the bid is to be awarded on a <br />unit basis, the itemization of the u iits s iall be shown on a separate attachment. " ,, p� <br />g r , ���1 f�"J�dl-L�6 <br />Y ' <br />(Si a <br />(Printed Name of Person Signing) <br />ACCEPTANCE <br />The above bid is accepted this day of 20 <br />Subject to the following condition <br />BOARD OF PUBLIC WORKS <br />Gary A. Gilot, President <br />Elizabeth A. Maradik, Member <br />Joseph R. Molnar, Member <br />Jordan V. Gathers, Member <br />Therese J. Dorau, Member <br />Attest: Linda M. Martin, Clerk <br />