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TO# & <br />41, <br />CITY OF SOUTH BEND, INDIANA <br />,e <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />Project Name Erskine Clubhouse Renovation <br />Project No. 116-108 <br />For Bids Due August 14, 2108 <br />PART I <br />(Must be completed for all bids. Please type or print) <br />Date: August 14, 2018 Bidder (Firm): Ziolkowski Construction, Inc. <br />Address., 4050 RalplaJones Drive <br />City/State/Zip: South Bend, IN 46628 Telephone Number: ( 574 ) 287-1811 <br />Agent of Bidder (if Applicable): n/a <br />Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the <br />public works project of: <br />Erskine Clubhouse Renovation <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />E it Architecture/Planning <br />and dated 5/22/18 for the sum of (enter the Total Bid as shown on the Proposal) <br />(Enter sum of Total Base Bid pluA Alternates shown on Proposal) (AL nxxvi (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 a,ddendums 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 />(Signature) <br />Bill Favors, President <br />(Printed Name of Person Signing) <br />ACCEPTANCE <br />Elizabeth A. Maradik, Member <br />,tameA. Mueller, ber <br />PART 11 <br />Ter �sJ.. Dordu, Member (I mn <br />AtWs?. Linda M. Martin C 41R"-�' <br />Version 10/17/2017 Contractor's Bid for Public Works - 2 <br />