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CONTRACTOR'S BID FOR PUBLIC WORK - FORM­96 <br />State Form 52414 (R2(2-13)1 Form 96 (Revised 2013) <br />Prescribed by State Board of Accounts <br />PART I <br />(To be completed for all bids. Please type or print) <br />Date (month, day, year): May14,2019 <br />1. Governmental Unit (Owner): City of South Bend, Indiana <br />2, County,.- St. Joseph <br />3. Bidder (Firin), Rieth-Riley Construction Co., Inc. <br />Address: 25200 State Road 23 <br />City/State/ZIPcode;_South Bend, In, 46614 <br />4, Telephone Number, (574) 288-8321 <br />5. Agent of Bidder (if Joshua A. McCormick <br />Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete <br />the public works project of 2019 Curb and Sidewalk Construction Project No. 119-004 <br />(Govemmental Unit) In accordance with plans and specifications prepared by <br />and dated n/a - for the sum of <br />see itemized proposal --$-See itemized proposal <br />The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the <br />notice of the totting. If alternative bids apply„ the undersigned submits a proposal for each in accordance with the <br />notice. Any addendurns attached will lie 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 <br />that shown in the original contract if accepted by the governmental unit. 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 />The contractor and his subcontractors, if any, shalt not discriminate against or intimidate, any employee, <br />or applicant for employment, to be employed In the performance of this contract, with respect to any matter <br />dlrectty or Indirectly related to employment because of race, religion, rotor, sex, national origin or ancestry, <br />Breach of INS covenant may be regarded as a material breach of the contract, <br />CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS <br />(ff applicable) <br />1, the undersigned bidder or agent as a contractor on a public works project, understand my Statutory <br />obligation to use steel products made in the United States (I.C. 5-16-8-2). 1 hereby certify that I and all <br />subcontractors employed by me for this project will use U.S. steel products on this project ff awarded. I <br />understand that violations hereunder may result in forfeiture of contractual payments. <br />