Opening of Bids - Spec V Four More or Less 2017 or Newer Mid-Size Four Door Hybrid Sedan Automobiles - Lake Shore Ford

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Pre-lbed by the State Board Of AoWurts Farm No.95 (revised IS97) Bid, Offer or Proposal for Sale or lease of Materials (Defined at I.C. 36-1-2-9.5) (Please Type or Print) J // � 7 —/1 r I t� Date (j 7 1. Governmental Unit: Yit It 1 j�..{t• ll `L]f 1/1 2. County: 3. Bidder{ Firm) Address 4, v'l City /State: lk 0 nJ 5 #— — a -P-,t Li Ica 3 ✓;s 4. Telephone Number: "-1 p 7 " 2 6, "�11t3 5. . Agent If Bidder (if applicable)h Pursuant to the notices given, the undersigned offers bid(s) to (Governmental Unit) in accordance with the following attachment(s) which specify the class or item number or description, quantity, unit, unit price and total amount. The contract will be awarded by classes or Items, in accordance with specifications. Any changes or alterations In the items specified will render such bid void as to that class or Item. Bidder promises that he has not offered not received a less price that the price stated in his bid for materials included in said bid. Bidder further agrees that he will not withdraw his bid from the office in which it is filed. A certified check or bond shall be filed with each bid if required, and liability for breach shall be enforceable upon the contract, the bond or I I fe ck or both a the so maybe. Si star a iddaro not Bid Offer or Proposal Attach separate sheet listing each item bid based on specifications published by governing body. Following is an Class or Item Quantity Unit Description Unit Price Amount 4 2-019 C--M.ax N��b�i� ao 31 Non -Collusion Affidavit STATE OF INDIANA URSULA E. CAST } SS: Notary Public - Seal State COUNTY OF State of Indiana i Lake County The undersigned bidder or agent, being duty swMy ember, representative, or agent of the firm, company, carp any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. He further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale. " 6?- .S A' _�-wO' S Firm) Si nat.r.&BidderorAgent Subscribed and sworn to before me this day of 20 f ublic My Commission Expires: County of Residence: Acceptance There now being sufficient unobligated appropriated funds available, the contracting authority of (Governmental Unit) hereby accepts the terms of the attached bid for classes or items numbered and promises to pay the undersigned bidder upon delivery the price quoted for the materials stipulated in said bid. Date: Contracting Authority Members: