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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S QUOTE FOR PUBLIC WORK <br />PROJECT NAME: Specialty Pavement Markings <br />PROJECT NO. 117-039 <br />QUOTES DUE June 13th. 2017 at 9:30 am Local Time <br />(Must be completed for all quotes. Please type or print) <br />Date: , `�Olni Firm: W>� &_YV (�S <br />Address: <br />City/State/Zip: htl 'J 1A . 4(p S Telephone Number: (5r%�)-JL- <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 of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />The City of South Bend, De artment of Public Works <br />and dated o,j 2 Z) I n j for the sum of (enter the Total Quote as shown on the Proposal) <br />a a (s 2-2,14&-rr L <br />(Ent um of 1rotal Quote plus Alternates shown o Proposal) rl,-Vey &,nf'S (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 />The above quote is accepted this <br />Subject to the following conditions: <br />BOARD OF PUBLI W K <br />Gary A. Gil , President <br />Eliza eth A. Maradik, Member <br />Jarlo <br />s A. Mueller, Member <br />Version 10/18/2016 <br />401��By c�.�..�.JL <br />(� (5ig ature) <br />J I� V 1 ►� L Q�- oz <br />(Printed Name of Person Signing) <br />ACCEPTANCE <br />,� 7 day of <br />Suzanna M. Fritzbe M mber <br />Therese J. Dorau, ember <br />20 f :Z <br />Attest: Linda M. Martin, Clerk <br />Page - 9 Public Works Quote <br />