Laserfiche WebLink
CONTRACTOR'S BID FOR PUBLIC WORK - FORM`96 <br />State Form 52414 tR212-i3)/ Form 96 (Revrsad 2013) <br />Prescribed by State Board of Accounts <br />PART <br />(To be completed for all bids. Please type or print) <br />Date (month, day, year), July 23, 2019 <br />1. Governmental Unit (Owner): City of South Bend, Indiana <br />2. County _ St. Joseph <br />3. Bidder (Firm): Y Co., Inc. <br />let -Rile Construction <br />Address: 25200 State Road 23 <br />City/State/2`IPcode: South Bend, In 46614 <br />4. Telephone Number. (574) 288-8321 <br />5. Agent of Bidder (if applicable): 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 Fire Station Parking Lot Improvements, Project No. 119-059 <br />(Govemmental Unit) In accordance with plans and specifications prepared by n/a <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 />nodoe of the lotting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the <br />notice. Any addendums attached will bra 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, shall 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 />directly or indirectly related to employment because of race, religion, color, sex, national origin or ancestry, <br />Breach of this covenant may be regarded as a material breach of the contract. <br />CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS <br />(tf applicable) <br />1, the undersigned bidder or agent as a contractor on a public works project, understand my statu(ory <br />obligation for use steel products made in the United States (1.C.1 hereby certify that I and all <br />subcontractors employed by me for this project will use U.S, steel products on this project If awarded. <br />understand that violations hereunder may result in forfeiture of contractual payments. <br />