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•11 � 1, 9 "is I A <br />Me, i'Ll <br />PROJECT NAME: Kelly Park Bike Rack Pad <br />PROJECT NO. 1053-2018 <br />QUOTES DUE April 24tr, 2018 A- 9:30arn <br />(Must be completed for all quotes. Please type or print) <br />Date: 110-3 z o ( Firm: t Y (60K�w-h-­ <br />Address: c tt I( I I atyyc 12-d <br />City/State/Zip: qb (o I (A Telephone Number: ( 5-W <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 />. ...... .. ...... <br />(Enter Sum of Total Quotdplul,s 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 <br />shown in the original contract if accepted by the City of South Bend. If the quote is to be awarded on a unit basis, <br />the itemization of the units shall be shown on a separate attachment. <br />By <br />ignature) <br />(-) k <br />1 GG <br />(Printed Name of erson Signing) <br />The above quote is accepted this <br />Subject to the following conditions: <br />B RD OF PU JC rB� O KS <br />mm <br />U6 <br />Gary A Gilgit,President <br />1 - k A I Tl� <br />Elizabeth A. Maradik, Member <br />James A. Mueller, Member <br />r-'T*Tw -1 1 �15 <br />day of <br />Suzanna M. Fritzberg, Member <br />Thdfese J. D9fau, Member <br />Attest: Linda M, Martin, Clerk <br />NEI <br />Version 10/31/2017 Page - 8 Public Works Quote <br />