Form 96 - Contractors Bid For Public Work - Indiana Page 2

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ACCEPTANCE
The above bid is accepted this _____________ day of _________________, ________, subject to the
following conditions: _______________________________________________________________________
________________________________________________________________________________________
Contracting Authority Members:
______________________________________
_______________________________________
______________________________________
_______________________________________
______________________________________
_______________________________________
PART II
(For projects of $1 0,000 or more – IC 36-1-12-4)
Governmental Unit: ___________________________________________________________
Bidder (Firm)
___________________________________________________________
Date (month, day, year): _______________________________________________________
These statements to be submitted under oath by each bidder with and as a part of his bid.
Attach additional pages for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
1.
What public works projects has your organization completed for the period of one (1) year prior to the
date of the current bid?
Completion
Contract Amount
Class of Work
Date
Name and Address of Owner
2.
What public works projects are now in process of construction by your organization?
Expected
Contract Amount
Class of Work
Completion
Name and Address of Owner
Date

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