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4,11: Ttf g� <br />CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S QUOTE FOR PUBLIC WORK <br />I1165 <br />PROJECT NAME: Potawatomi Zoo Parking Lot Si <br />PROJECT NO. 115-129B <br />QUOTES DUE December 13, 2016 at 9:30 a.m. <br />(Must be completed for all quotes. Please type or print) <br />Date: Dec• H, 2oi1,2 Firm: Dl5i SE V IC -ES <br />Address: /,P// C�- 6(."E,- ) Z- <br />City/State/Zip: MKh. /AI �( 5qS Telephone Number: 3 2-+1 % <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 proj?Ft of: / <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 />and dated e . 81 <Q/1 p j for the sum of (enter the Total Quote as shown on the Proposal) <br />suaTi7Du '�E �l.rrlvec>%/1(� �Fin�rl � 4 ($ //JS98.?S ) <br />(Enter Sum of Total Quote plus Alternates sh(wn Proposal) (Numerical) <br />F� v� -rris <br />If alternative quotes apply, the undersigned submits 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 attachment. <br />By D C�'A ljt� <br />d(Signature) <br />��t1nP r <br />(Printed Name of Person Signing) <br />ACCEPTANCE <br />The above quote is accepted this day of <br />Subject to the following conditions: <br />20 <br />Suzanna M ritzberg, M mbar / <br />Therese , MrAbet \ <br />Attest: Linda M. Martin, Clerk <br />Version 9/1/2016 Page - 7 Public Works Quote <br />