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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S QUOTE FOR PUBLIC WORK <br />Project Name: <br />Project No. <br />For Quotes Due: <br />Demolition of 622 and 718 East Sample Street <br />111 -063 <br />September 12, 2011 <br />PART I <br />(Must be completed for all quotes. Please type or print) <br />Date: Firm: <br />Address: <br />City /State /Zip: Telephone Number: ( ) <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 />and dated ( j for the sum of (enter the Total Quote as shown on the Proposal) <br />(Enter Sum of Total Quote plus Alternates shown on Proposal) <br />(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 />The above quote is accepted this <br />Subject to the following conditions: <br />BOARD OF PUBLIC WORKS <br />Gary A. Gilot, President <br />Donald E. Inks, Member <br />Carl P. Littrell, Member <br />By <br />ACCEPTANCE <br />day of <br />gnature) <br />(Printed Name of Person <br />ATTEST: <br />Linda M. Martin, Clerk <br />200 <br />