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CITY OF SOUTH BEND, INDIANA k"MA K <br />NTRACIOR <br />e <br />ASS <br />PROJECT NAME: Erskine Clubhouse Basement Floorin <br />PROJECT NO. 087-2019 <br />QUOTES DUE June 251", 2019 ...:°_......._m <br />@ 930am _ <br />(Must be completed for all quotes. Please type or print) <br />Date: Firm: �t.t ..'.�_ _ .,.� / A , <br />Address: <br />City/State/Zip: K � / Telephone Number: $ ..`�.).... ...... ... <br />Agent of Bidder (if Applicable):J' S __..�.... <br />Pursuant to notices given, the undersigned off s to furnish labor and/or material necessary to complete the <br />public works project of: <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />The City of South Bend, Department of Public Works.. mmmmmm mmmmmmmITIT .. _......... <br />for the sum of w 4- <br />an dated enter the Total Quote as shown on the Proposal) <br />� / � � � � •�� � � � <br />�1 <br />(Enter Sum of Total uote plus Alternates sho) 11 on Pr osal) (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�.........m.......,. i .;. M"' .....-------.................. _. <br />ISignstr,ii <br />(Printed Nam n Signing) <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 />ACCEPTANCE <br />day of ............ 20 <br />Genevieve Miller, Member <br />Therese J. Dorau, Member <br />Attest: Linda M. Martin, Clerk <br />Version 1 /17/2019 Page - 8 Public Works Quote <br />