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General Porn No, 96-a <br />Prescribed by the State <br />Board of Accounts of Indiana <br />Revised 1949 <br />STANDARD QUESTIONNAIRES AND <br />FINANCIAL STATEMENT FOR BIDDERS <br />Prescribed_ b_y_ <br />THE STATE BOARD OF ACCOUNTS OF INDIANA <br />For use in investigating and determining the qualifications of bidders on public Finance <br />construction when the aggregate cost of any such work or improvement will be <br />Five Thousand Dollars or more. <br />These statements to be submitted under oath by each bidder with and as a part <br />of his bid, as provided by Chapter 306, page 1248, Acts of 1947. <br />OWNER: City of South Bend, Indana <br />227 West Jefferson Blvd <br />South Bend, IN 46601 <br />PROJECT: Three Twenty at the Cascade <br />— Exterior Insulation and Finish System <br />South Bend, IN <br />Submitted by: <br />GIBSON-LEWIS, LLC <br />1001 W. 111". Street <br />Mishawaka, Ind. 46544 <br />DATE: October 9, 2018 <br />Filed: <br />() A Corporation <br />() A Co -partnership <br />() An Individual <br />(X) A Limited Liability Company <br />