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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: 12)1. i�3' I (1 Firm: I i+' l ii Ct�( ` I t)o <br />Address: S.Haob ,C,,,,e Rel1 <br />City/State/Zip: 60A 6entJ:fJi4bWTelephoneNumber: (i-qq) AgL4 .i]54 <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 />the City df South Bend, Indiana, in aceordance with plans and specifications <br />The City of South Bend, Department of Public Works <br />and dated i a - l i - I (0 1 for the sum of (enter the Total Quote as shown on the Proposal) <br />Hhr-Inu�ldcet�,->en _($ `35,S�lb ) <br />(EnWr Sum of Total Quote pkis Alternates shown 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 attachment. <br />By <br />Y3ignature) <br />1 Y III l4l <br />(Printed Name of Person Signing) <br />ACCEPTANCE <br />The above quote is accepted this day of <br />Subject to the following conditions: <br />BOARD OF PUBLIC WORKS <br />Gary A. Gilot, President <br />Elizabeth A. Maradik, Member <br />James A. Mueller, Member <br />Suzanne M. Fritzberg, Member <br />Therese J. Dorau, Member <br />Attest: Linda M. Martin, Clerk <br />20 <br />Version 10/18/2016 Page - 9 Public Works Quote <br />