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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S QUOTE FOR PUBLIC WORK <br />PROJECT NAME: Edison Production Well #2A Rehabilitation <br />PROJECT NO. Ir-10 <br />QUOTES DUE November 13, 2018, 9:30 AM <br />(Must be completed for all quotes. Please type or print) <br />Date: % % — / ,3 — /- Firm: Q �tVhdtwl JIB i i hit 111 G <br />Address: /V .3C�6 (!l% 1 <br />City/State/Zip:t,tal Telephone Number: g / <br />7 � <br />Agent of Bidder u h Q <br />(if Applicable): <br />Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public <br />works project of: <br />Ed i.c"Y, �rUdUG -Cr1 we # 24 <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 Ala Ve M r12 Wj for the sum of (enter the Total Quote as shown on the Proposal) <br />it V At <br />(Enter Sum of Total Quote plus Alternates s own 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 L <br />(Sconat0.irC) <br />(Printed Name of Person Signing) <br />The above quote is accepted this <br />Subject to the following conditions: <br />BOARD OF PUBLIC WORKS <br />Gary A. Gilot, President <br />Elizabeth A. Maradik, Member <br />James A. Mueller, Member <br />ACCEPTANCE <br />day of <br />Suzanna M. Fritzb lrg, Member <br />Therese J. Dorau, Member <br />Attest: Linda M. Martin, Clerk <br />20 <br />Version 10/31/2017 Page - 11 Public Works Quote <br />