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*� CONTRACTOR'S BID FOR PUBLIC WORK W FORM"96 <br />State Form 52414 (R212-12)1 Form 96 (Rmised 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): <br />November 26, 2019 <br />1. Governmental Unit (Owner): City of South Bend, Indiana <br />2, Country St. Joseph_ <br />3. Bidder (Firm). Rieth-Riley Construction Co., Inc, <br />Address: 25200 State Road 23 <br />City/State2lPcode, South Bend, In. 46614 <br />4.. "Telephone Number: (574) 288-8321 <br />Drew D. Snodderly <br />5. Agent of Bidder (if apapticable); IT <br />Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete <br />the public works project of ...ireStations- Parking Lot Repairs Project No. 119-099 <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 brand or certified check with this bid for an amount specified in the <br />notice of the letting. if alternative bids apply, the undersigned ;submits a proposal for each in accordance with the <br />noticed Any addendurns 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 <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, shail not discriminate against or Intimidate any employee, <br />or applicant for employment, to be employedIn 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 />(if 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 (LC- 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 If awarded, <br />understand that violations hereunder may result in forfeiture of contractual payments, <br />