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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S BID FOR PUBLIC WORK <br />Project Name Cleveland Road and Ameritech Drive Intersection Improvements <br />Project No. 122-049 <br />For Bids Due August 22, 2023 <br />Date: <br />Address: <br />City/State/Zip: <br />PART I <br />(Must be completed for all bids. Please type or print) <br />August 22, 2023 Bidder (Firm): Selge Construction Co., Inc. <br />2833 South 11 th Street <br />Niles, MI 49120 Telephone Number: 269 684-0842 <br />Agent of Bidder (if Applicable): <br />Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the <br />public works project of: <br />Cleveland Road and Ameritech Drive Intersection Improvements, Project #122-049 <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />A&Z Engineering, LLC <br />and dated August 22, 2023 for the sum of (enter the Total Bid as shown on the Proposal) <br />One Million Six Hundred Thirty Nine Thousand Six Hundred Thirty Dollars and($1.639.630-15 <br />(Enter sum of Total Base Bid plus Alternates shown on Proposal) Fifteen Cents (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 addendums 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 attachVent. <br />By <br />(Signature) <br />JtsButler, Vice President <br />(Printed Name of Person Signing) <br />ACCEPTANCE <br />The above bid is accepted this day of <br />Subject to the following conditions: <br />BOARD OF PUBLIC WORKS <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />Murray L. Miller, Member <br />Joseph R. Molnar, Member <br />Jordan V. Gathers, Member <br />Attest: Theresa Heffner, Clerk <br />Version 09/29/2021 Contractor's Bid for Public Works - 2 <br />20 <br />