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Date: <br />Address: <br />PROJECT NAME: <br />PROJECT NO. <br />QUOTES DUE <br />City/Stateop: <br />(Must be completed for all quotes. Please type or print) <br />s w µ IWAW <br />Agentof ww: 'ww <br />w w w,lete <br />:. given, wx a :w ♦" . :ww -: w w w a <br />w +' project w <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />The Cltv of South Bend Department of Public Works <br />and dated 05'-13-20tq for the sum of (enter the Total Quote as shown an the Proposal) <br />(Enter Sum of Tota t«luote plus Alternates s own on Propms l) (Numerical) ( umen <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 an a separate attachment. A <br />By <br />ACCEPTANCE <br />The above quote Is accepted this_ day of <br />SubJect to the following conditions: <br />BOARD OF PUBLIC WORKS <br />20 <br />�yl/rcv� N4�e} Member <br />Do u, a I�er <br />. <br />est: 4.inda M. M din, Cler <br />Veralon 1117=9 Page-7 Putt Woft Quote <br />