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PROJECT NAME: 2017 Brick Column Repairs <br />PROJECT NO. 117-126 <br />11 ;=HKIMA <br />(Must be completed for all quotes, Please type or print) <br />Date: Firm-, <br />Address: 1-)2.�- A). <br />City/State/Zip: N-c4 TA) H 625 Telephone Number: y Z01B <br />Agent of Bidder (if Applicable): A)IA --- Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to completethe <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, Department cif Public Works <br />and dated for the sum of (enter the Total Quote as shown on the Proposal) <br />(Enter Sum of Total Quote plus Alternates shown on Proposal) (Numerical) <br />If alternative quotes apply, the undersigned submits a proposal for each in accordance with the notice. Any <br />addenclums 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 />/P-ignature) <br />(Printed Name of Person Signing) <br />The above quote is accepted this day of 20 <br />Subject to the following conditions: <br />13t3 RD OF PUBLIC WORKS <br />nary.A <br />i1of, Pr sident <br />Elizabeth A. Maradik, Member <br />James A. Mueller, Member <br />Suzanna IK Fritzberg, Member <br />Tf e <br />le se J. Dorauem, M — ber <br />--AlYest: Linda M. Marfirt, de'rkl(_ <br />Version 10/18/2016 Page - 1 Public Works Quote <br />