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Date: <br />Address: <br />CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S QUOTE FOR PUBLIC WORK <br />PROJECT NAME: Emergency Sewer Lining — Notre Dame Avenue <br />PROJECT NO. 116-139 <br />QUOTES DUE December 13, 2016 at 9:30 am local time <br />(Must be completed for all quotes. Please type or print) <br />December 13, 2016 Firm: Insituform Technologies USA, LLC <br />17988 Edison Avenue <br />City/State/Zip: Chesterfield, MO 63005 Telephone Number: ( 636 ) 530-8000 <br />Agent of Bidder (if Applicable): N/A <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 of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />The <br />and <br />of Public Works <br />y/t Z/{o ] for the sum of (enter the Total Quote as shown on the Proposal) <br />/./i,44a 560 70i I 4' ��d.'S ($ 'LSi 3/0 , 30 ) <br />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 />By2 2 <br />J Att((Signature) <br />Jana Louse, Contracting & esting Officer <br />(Printed Name of Person Signing) <br />The above quote is accepted this <br />Subject to the following conditions: <br />BO,AARRDD'�O�F�PUBLIC WO S <br />Gary' A. Gilot, President <br />Elizabeth A. Maradik, Member <br />1�,-- <br />Jame A. Mueller, Member <br />ACCEPTANCE <br />J �4 day of " 20 `C. <br />Suzanna M. Fritzberg, Member <br />Theyese J. DorauLNbrilber <br />test: Linda M. Marti , Clerk <br />Version 10118/2016 <br />*bNr6 1' ...itcr FovL avoi-su vhi gccjr <br />Page -15 <br />Public Works Quote <br />