HomeMy WebLinkAboutBid Information and Packets Form No.90)Rov.sod 2000)
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(Contractor)
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(Address)
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FOR
PUBLIC WORKS PROJECTS
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Action taken
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Yrescr.oed by Sm:e cord of Accour0s Boyce Forms•Syslem5,Muncie,IN 1240 Form No.96(Revised 2000)
CONTRACTORS BID FOR PUBLIC WORKS
PART I
(To be completed for all bids)
(Please type or print)
Date: /°_ 9
1. Governmental Unit (Owner): -�y v F' C1//•', cJ
2. County: /-7/74.7J: /7)`os
3. Bidder (Firm): NO iz 77, A-I e�.�% ✓�9 / /
Address: cD L)Z4J 7"C
City/State: ///lir>.'/ / . 9—(e o 2_3
4. Telephone Number: 31 7/ 26-3
5. Agent of Bidder (if applicable): ��'%�
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the
public works project of f./:17 te /� /f c// .0 ,'
(Governmental Unit) in accordance with plans and specifications prepared by
-- /0 ocic %," Lv . ��-r,2J and dated for the sum of
'7.2 ooa. " -ice.. / 24 /" 77 o j76 jf_)c go$ 9a, 6° ,‘",e
The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the
notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the
notice. Any addendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed, the cost of units must be the same as that
shown in the original contract if accepted by the Governmental Unit. If the bid is to be awarded on a unit basis,
the itemization of the units shall be shown on a separate attachment.
The Contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee, or
applicant for employment, to be employed in the performance of this contract, with respect to any matter directly
or indirectly related to employment because of race, religion, color, sex, national origin or ancestry. Breach of this
covenant may be regarded as a material breach of the contract.
CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS
(If applicable)
I,the undersigned bidder or agent as a contractor on a public works project, understand my statutory obligation
to use steel products made in the United States. I.C.5-16-8-2. I hereby certify that I and all subcontractors employed
by me for this project will use U.S. steel products on this project if awarded. I understand that violations hereunder
may result in forfeiture of contractual payments.