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� !t <br />V � F <br />CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S QUOTE FOR PUBLIC WORK 186; <br />Project Name Fellows Street and Dubail Street Neighborhood Improvements, Phase 1, Division 6 <br />Project No. 116-041A <br />For Quotes Due September 8, 2016 <br />PART <br />'(Must be completed for all quotes. Please type or print) <br />c <br />Date: �A. g -Zot(o Firm: FurlZaQlN eEe LRNDsaAPiNL 4- best(-tilr Ale. <br />Address: szslo P-4ittL eoAD <br />City/State/Zip: 5ovrt4;et4D .Tn1 L(t.t.t I? Telephone Number: (S7LI ) Z7I-4-714 <br />Agent of Quoter (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 />Fellows Street and Dubail Street Neighborhood Improvements, Phase 1 <br />the City of South Bend, Indiana, in accordance with specifications prepared by: <br />Donohue & Associates, Inc. <br />and dated August 2016 for the sum of (enter the Total Quote as shown on the Proposal) <br />- . C mot,..,,. c ... ,d c .. _ I t ... _r.,a.,r A I...� -L. f LI-1 p - In <br />(Enter sum of Total Quote) <br />(Numerical) <br />If alternative quotes apply, the undersigned submits a proposal for each in accordance with the notice. Any <br />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 quote is to be awarded on a unit <br />basis, the itemization of the units shall be shown on a separate attagC imbntBy <br />�^ (Signature) <br />(Printed Name of Person Signing) <br />ACCEPTANCE <br />Version 7/31/2015 Page - 11 <br />