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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S QUOTE FOR PUBLIC WORK <br />PROJECT NAME: <br />PROJECT NO. <br />QUOTES DUE <br />(Must be completed for all quotes. Please type or print) <br />Date: to /20 /t; Firm: —74.1: &i96e A'4 . /61E. <br />Address: /00- 11'Ar .2L rr <br />=e <br />City/State/Zip: f ;/>o1-te i.J el(3S2 Telephone Number: (21 R ) 32�1 9393 <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 />i <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />The City of South Bend, Department of Public Works <br />land dated October, 2016 for thesum of(enterthe Total Quote as shown on the Proposal) <br />—Jrr/ Eet-,4-o 9,j— ��luvCtk"J . '}"h .-e- �d _($ `yi':�"%`/, 7_- ) <br />(Enter Sum of Total Ouote plus Alternates showh on Proposal) (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 shown <br />in the original contract if accepted by the City of South Bend. If the quote is to be awarded on a unit basis, the <br />itemization of the units shall be shown on a separate attachme <br />By <br />(5 ature) <br />�c�� � /vnAa�� <br />(Printed Nbfne of Person Signing) <br />U0191A /1►[d4 <br />The above quote is accepted this <br />J <br />day of <br />/11 <br />20 <br />Subject to the following conditions: <br />fu? <br />j'C z tj <br />C - �f <br />,L. 1117 Y, <br />32i q. -7 S- <br />BOARD OF P BL�j WOPKS ^ <br />G f t, Pr id t V n/� mbbeerr- ,VZ 4JI,- 4 Ail. );;I �—VWII <br />Elizab,ith A. Maradik, Member Th rese J. DpraU, M mber <br />Jam s' A. Mueller, Member �--pest: Linda M. Martin, Clerc <br />Version 9/1/2016 Page - 16 Public Works Quote <br />