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YROJEC�TNAME: 2017 Brick Column Repairs <br />PROJECT NO. 1117-IN6 <br />QUOTES DUE December 12, 2017 <br />(Must be completed for all quotes. Please type or print) <br />Date: December 12, 2017 Firm: Ziolkowsk! Construction, Inc. <br />address: 4050 Ralph Jones Drive <br />City/State/Zip: South. -Bend, IN 46628 Telephone Number: (57,4) 287-1811 <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 />2017 Brick Column Repairs <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />The City _qf §_quth Bend,_Q rks <br />and dated N/A for the SLIM of (enter the Total Quote as shown on the Proposal) <br />E hteen Thousand N.iineJHundred -Eddy —Semen -, — L$ 18947 00 ---- --) <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 />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 />7 (Signature) <br />Bill Favors. _Rrers -d . eat <br />(printed Narne of Person Signing) <br />ACCEPTANCE <br />The above quote is accepted this day of 20 <br />Subject to the following conditions: <br />BOARD OF PUBLIC WORKS <br />-� Gary A. Gilot, President Suzanna M. Fritzberg, Member <br />Elizabeth A. MaLadik, Member Therese J, Dorau, Member <br />James A, Mueller, Member Attest: Linda M. Martin, Clerk <br />Version 10/18/2016 Page - 1 Public Works Quote <br />