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• • <br />* .., , .gin ..� : „ �. 0 <br />PROJECT NAME: Lafa et�te Building Drain Replacement <br />PROJECT NO. 119-042A <br />QUOTES DUE Aril 23, 2019, 9:30am, Local Time <br />(Must be completed for all quotes. Please type or print) <br />Date: _h ) Firm: c. . <br />Address: o� <br />City/State/Zip: � � , ? Telephone Number: 51y c9 - <br />Ant of <br />idder <br />PurB'len, the undersigned offers to furn1W labora <br />suantto notices given, nd/or material necessarY to complete then <br />public works project of: <br />the City of South Bend, Indiana, M accordance with plans and specifications prepared by: <br />The City of South Bend, Department of Public Works <br />and dated ! for the sum of (enter the Total Quote as shown on the Proposal) <br />t Enter Sum of Total Quote shown e Proposal) m �27. o mm <br />uen cn Ac ideal <br />(p ) 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 />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 />Laura L. O'Sullivan, Member <br />�p <br />By t <br />.._ � me at Person <br />. Printed Nall nature) <br />( on signing) <br />ACCEPTANCE <br />day of 20 <br />Genevieve E. Miller, Member <br />Therese J. Dorau, Member <br />Attest: Linda M. Martin, Clerk <br />Version 4/2/2019 Page - 7 Public Works Quote <br />