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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />Project Name 2022 Curb and Sidewalk Construction —Round 1 <br />Project No. <br />For Bids Due <br />122-001 <br />July 121h, 2022 <br />PART <br />(Must be completed for all bids. Please type or print) <br />Date: *1,21,2/�2Bidder (Firm): <br />Address: %�� ;u -,n'o'r wa ST <br />City/State/Zip: [LKNRRiyTiJ q(,ISV4 Telephone Number: (57N ) o26 Y-019 <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 />2022 Curb and Sidewalk Construction — Round 1 <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />of South Bend <br />Division of <br />and dated Wfl.zZ for the sum of (enter the Total Bid as shown on the Proposal) <br />TNa,F,s *Wj9xZD n0vey-7 0X_YA&". ,0D SsX /kWORCD Csr, ?Y-F=oE ($ 393/ 68S ) <br />(Enter sum of Total Base Bid plus Alternates 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 <br />Sgnature) <br />Rob 3� <br />(Printed Name of Person Signing) <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 />ACCEPTANCE <br />day of <br />20 <br />Joseph R. Molnar, Vice President <br />Jordan V. Gathers, Member <br />Murray L. Miller, Member Attest: Theresa Heffner, Clerk <br />Version 09/29/2021 Contractor's Bid for Public Works - 2 <br />