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C oVT11 iJgip <br />A, 01 <br />U <br />CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S QUOTE FOR PUBLIC WORK <br />1 1865 <br />PROJECT NAME: Charles Black MqnMMppt Sign <br />PROJECT NO. 1072-2018 <br />(Must be completed for all quotes. Please type or print) <br />Date: Zo <br />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 iabor and/or material necessary to complete the <br />public works project of: <br />the City of South: Bond, Indiana, in accordance with plans and specifications prepared by: <br />The I -ity of South Bend, Department of Public Works <br />,I Quote as shown on the Proposal) <br />(s ly, �z;o J- <br />I '(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 attac' ent. <br />By <br />ignalu re <br />(Printed'Nam6 of Person Signing) <br />The above quote is accepted this _ day of <br />Subject to the following conditjops: <br />BOARD OF PUBLIC WORKS <br />Gary A. Gilot, President <br />Elizabeth A. Maradik, Member <br />James A. Mueller, Member <br />Version 10/31/2017 <br />20 <br />Suizanna M. Fritzberg, Member <br />Therese J. Dorau, Member <br />Attest: Linda M. Martin, Clerk <br />Page - 7 Public Works Quote <br />