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$7r parr <br />CITY OF SOUTH BEND, INDIANA <br />CONTRACTQR'S QUOTE FOR PUB C WORK <br />PROJECT NAME: Mishawaka Avenue Tree Replacement <br />PROJECT NO. 118-111 <br />QUOTES DUE November w27� 201w8 9 30 a.m ,, Local Time <br />(Must be completed for all quotes. Please type or print) <br />Date: ... Firm: ZZ (' <br />.... <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 />The Ci of South Bend Department of Public Works <br />wwW <br />and dated // —11161'lf a for the sum of (enter the Total Quote as shown on the Proposal) <br />(Enter Sum of Total Quote plus 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, t e cost of nits must be the same as that shown <br />in the original contract if accepted by the City of South Bend. If hd quote i to be awarded on a unit basis, the <br />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 />Elizabeth A. Maradik, Member <br />James A. Mueller, Member <br />By <br />(Printed Name of Person Signing) <br />ACCEPTANCE <br />day of 20 <br />Suzanna M. Fritzberg, Member <br />Therese J. Dorau, Member <br />Attest: Linda M. Martin, Clerk <br />Version 10/18/2016 Page - 4 Public Works Quote <br />