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{ <br />CITY OF SOUTH BEND, INDIANA w, <br />C I I C OIL' ..._. E FQ FLUB W wRK� . <br />PROJECT NAME: Colfax Water Works Build inciRe aintina <br />PROJECT NO. 118-055 <br />QUOTES DUE December 11, 2018, 9:30AM Local Time <br />(Must be completed for all quotes. Please type or print) <br />Date: v tt <br />Address: . E �Ua. ' ) <br />City/State/Zip: � ......._a.- � ..�...__.. ��... <br />�1� .. L t� Telephone Number: <br />Agent of Bidder (if Applicable); �- .�........Y�fill�...::_.. G..._....... <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 Bendy Department of Public Works <br />... .. _ e <br />and dated la d j for the sum of (enter theo the _______m.�... <br />Total Quote as shown on the Proposal) <br />a. .. hd <br />Enter Sum of Total Quote plus Alt ate shown on Proposal) (,pi, ur <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 />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 />M <br />BYE" 4' '.t <br />auoatwe)b�P � ..m ..... <br />(Printed Na efPeson 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 10/31/2017 Page - 9 Public Works Quote <br />