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O\ 7H Itp. <br />CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK n <br />Project Name 2016 Curb and Sidewalk Construction Phase II <br />Project No. 116-029A <br />For Bids Due November 8'h, 2016 <br />PART <br />(Must be completed for all bids. Please type or print) <br />Date: � OYcM Ucr $ 201 b Bidder (Firm): LO POric C0hSiNC,+T0 i1 Go., �C ` <br />Address: QQ �oX JrI r <br />City/State/Zip: L4 P6V 1c IN Al 35Z Telephone Number: ( D 4 55 <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 />MG Curb 4htl Sidewalk Cons+r coon Phosc 1L Pr xi 116- 02 7A <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />MrA C tcrr for b+;tiorfhxn4 of Public. works" City of booth &-h 14)3i6nd <br />and dated I o / 13 / I b for the sum of (enter the Total Bid as shown on the Proposal) <br />)I)c 6-h VC4 ml,6iwn -r aox(nl Pi& 4j4w tro, s)10 Nbs dhd r* con (s 11 L S Z 6 `8 ) <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 o se ate attachmtt <br />By <br />(Si nature) <br />Lori S r✓k" Prey i J 0-n+ <br />(Printed Name of Person Signing) <br />ACCEPTANCE <br />The above bid is accepted this day of <br />Subject to the following conditions: <br />BOARD OF PUBLIC WORKS <br />Gary A. Gilot, President <br />Elizabeth A. Maradik, Member <br />P. Relos, Member <br />Therese J. Dorau, <br />James A. Mueller, Member Attest: Linda M. Martin, Clerk <br />Version 7/28/2016 Contractor's Bid for Public Works - 2 <br />20 <br />