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0 1 9 <br />NEEM&WINME I <br />to] LI RiMel MINI:] a <br />Project Name Morris Performing Arts Center <br />Morris Bistro Renovation <br />Project No. 1045-2018 <br />For Bids true January 23rd, 2018 9:30 AM <br />(Must be completed for all bids. Please type or print) <br />Date: /Z1 2 Bidder (Firm): A/ <br />Address: ZZ Z4, W WZ--J77T-/2/U AVE <br />City/State/Zip: jS,,Lr7-4 1� ,, Z Telephone Number: _v✓1V ) 23Y-50,-;'C7 <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 />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />//)e- <br />and dated zzfor the sum of (enter the Total Bid as shown on the ProposW) <br />ce ,!-2 &el L—, — <br />(Enter sum of Total Base Bid plus Alternates shown on Prop6sal) (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 S,2 d--If therbld t!F�W-be awarded on a unit <br />basis, the itemization of the units shall be <br />= <br />be shown on a ra, P ,4 achtneriL, <br />0 <br />UW$141111Y-111114p <br />The above bid is accepted this 1 j day of ()K", L,L 20 X' <br />Subject to the following conditlons:4 V <br />r (�) '"I' /K G X, , , <br />BOARD OF PUBYL <br />�[C W�R P <br />/rAV/ <br />Gary A ilof, Presi ent <br />A. <br />1,(—. <br />Elizabeth A. Maradik, Member <br />James A. Mueller, Member <br />U <br />Suianha'ft Frifiberg, Membe'r <br />7 a <br />Yese J. Dork mbar <br />M4 <br />tjbst: Linda M. Martin, Cler <br />When theprospective Conhwetoi- is unable to cedify to any of the statements below, it shall attach an explanation to this Affidavit, <br />Version 7/01/2016 Special Provisions - 9 <br />