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m fly <br />PROJECT NAME: 2017 Riverside Sidewalk & Drivewlqy_ <br />PROJECT NO. 118-050 <br />QUOTESDUE 24 April 2018,9:30AM <br />(Must be completed for all quotes. Please type or print) <br />Date: ql#741118 FirmPre lsv'l64 " 6007cldr- 5.or olc-e5 -7;1 e- <br />Address: -2 42 I&CAroo4 <br />City/State/Zip: E Telephone Number: (3-2q) <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, Department of Public Works <br />and dated for the sum of (enter the Total Quote as shown on, the Proposal) <br />-0 A I - 4011�0 - - <br />eve, -r"orgd h do 1141 (s 5`165 <br />(Enter Sum of Total Quote shown on Propos6l) (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_,Jo0be awarded on a unit basis, the <br />itemization of the units shall be shown on a separate attachment. <br />By <br />0-dr (Signature) <br />��4;lllll �- <br />(Printed Name of Person Signing) <br />ACCEPTANCE 14-1 <br />The above quote is accepted this day of 20 <br />Subject to the following conditions: <br />BOARD OF PUBLIC WORKS <br />Glary A. Gilot, President Suzanna M. Fritzberg, Member <br />Elizabeth, A. Maradik, 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 />