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PROJECT NAME Hydrant Flow Testing <br />............................ <br />PROJECT NO. 119-041 R <br />QUOTES DUE June 11, 2019, 9:30am, Local Time <br />VM <br />Address <br />City fa e "o <br />(Must be completed for all quotes. Please type or print) <br />Firm: <br />W t ,r- <br />I 1"' 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 />w.. / - N ....... <br />the City of South Bend, Indiana, in accordance \, it'h plans and specifications prepared b <br />The.....,, y .... __ P . Works <br />it of South yry. Department of Public Bend D <br />,- _......... .. ...... a.-. ( the <br />......... s shown on the Proposal) <br />and dated 11 for the sum of enter the Total Quote a ) <br />Enter J L mkib)Wb. ( r I <br />( am of Total Quote shown on Proposal) (Numerical) <br />p ) � /a(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 attachm nI. <br />M <br />BYm_...... _...—.....mmm, <br />� (Printed (Signature) <br />K MA. 1 c;+ <br />nted Name ra�a"4"on Signing) <br />ACCEPTANCE <br />The above quote is accepted this o2 day of <br />Subject to the following conditions <br />:wMw • -- <br />I � j <br />Member <br />Laura L, O'Sullivan, Member <br />Genevieve E. Miller, Member <br />fr°'` <br />tt�est, <br />se J. orau Meenit er <br />,_.. <br />nda M'dwtin, C yk <br />20 / 9 <br />Version 4/2/2019 Page - 7 Public Works Quote <br />