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�'r1V`C"rP y <br />CITY OF SOUTH BEND, INDIANA " a <br />CONTRACTOR'S QUOTE FOR PUBLIC WORK <br />PROJECT NAME: Walnut Grove and North wRiverside Traffic Ca Ring �w <br />PROJECT NO. 119-071 <br />......__ —.... ...... <br />QUOTES DUE August 13, 2019, 9:30 A.M. <br />(Must be completed for all quotes. Please type or print) <br />Date: l Firm: <br />_-- ............... .._._W..—-_.�.... _.._ ..... <br />Address: 20, �-re-N ,4 R <br />City/State/Zip 1+� `e+`� Telephone Number: - <br />Agent of Bidder (if Applicable): <br />.......... ......__ �� <br />Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the <br />public works project of: <br />wT G, Rou.og-l-fi5.Z C� r—,cCAS-tea ' <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />Tl w w ety" South (Bend, Department of Public Works, En ineerin Division <br />and dated ] for the sum of (enter the Total Quote as shown on the Proposal) <br />- SE06i --r1Vper,° N flu <br />(Enter Sum of Total Quote plus Alternates shown on Proposal) (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 />(Signature) <br />(Printed Name of Person Signing) <br />ACCEPTANCE <br />The above quote is accepted this day of <br />Subject to the following conditions: <br />D OF PUBLIC <br />Gary a, tjlotd P <br />Genevieve E. Miller, Member <br />i A. Maradi e r 4t"U <br />J, D r a Mlif"Vhnn <br />tuber <br />O'SuIlWW diem er -" " ttest: Linda M. Martin, Ier <br />I <br />Version 4/2/2019 Page - 7 Public Works Quote <br />