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CITY OF SOUTH BEND, INDIANA U <br />CONIRAC-MR, � y <br />a - <br />M <br />PROJECT NAME: Ziker Sample Street Building: Restroom Remodel <br />PROJECT NO. 117-123A <br />QUOTES DUE Janua F 9 2019 9.30 a.m. Local Time <br />(Must be completed for all quotes. Please type or print) <br />Date: <br />Address: <br />City/State/Zip: <br />Agent of Bidder (if Applicable): +'„ <br />Pursuant to notices given, the unde signed offers to furnish labor and/or material necessary to complete the <br />public works project of: <br />l 0 <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />The '01ty of South B nd Department of Public Works <br />and dated for the sum of (enter the Total Quote as shown on the Proposa <br />t f <br />(Entr 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 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 <br />ignsture) <br />(Ponte h .ion. , of Person Signing) <br />ACCEPTANCE <br />The above quote is accepted this day of <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 />Suzanna M. Fritzberg, Member <br />Therese J. Dorau, Member <br />Attest: Linda M. Martin, Clerk <br />20 <br />Version 10/31/2017 Page - 7 Public Works Quote <br />