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Date: <br />Address: <br />CITY OF SOUTH BEND, INDIANA <br />M ))qq <br />PROJECT NAME: Leighton Plaza Improvements -- Phase 2 <br />PROJECT NO. 117-054A <br />QUOTES DUE 05.18.2017 at 10:30 am local time <br />(Must be completed for all quotes. Please type or print) <br />1l3� Z�a12 Firm: L tC> r`' 0CSo'+ <br />i25 J i 0j,-JAvi -T%o-) G`T. <br />City/State/Zip: S, a �, -x_AJ . & 618 <br />Agent of Bidder (if Applicable): A)A <br />RCS Tom Yt o.3 l...LC <br />tA . \ c A—,& <br />Telephone Number: (S'Al Z 0 9 -- y <br />Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the <br />public warns project 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 _5 I I %L z 1 0 for the sum of (enter the Total Quote as shown on the Proposal) <br />� er Sum of Total Quote for Division A shown on Proposal) (Numerical) <br />(Enter Sum of Total Quote for Division R shuuvn 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 � C S M450rJ1Y R a IN"i <br />(signature) <br />(Printed Name of Person S[gning) <br />The above quote is accepted this <br />Subject to the following condltlona: <br />ACCEPTANCE <br />,;? 3 day of <br />Nvv5tA � -Diu <br />Suzanne M. bfitzberg, Mem r <br />Th se .i. D rau, Member <br />A- -Wa-)x- <br />test, Linda M. M in, Cl rk <br />Version 10/18/201 B Page - 10 Public Works Quote <br />