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CITY OF SOUTH BEND, INDIANA <br />C T C 'OR'''S QUOTE FOR PUBLIC WORK <br />PROJECT NAME: Edison Well 0A Rehabilitation <br />PROJECT NO. 119-097 �..... <br />...................................................... <br />QUOTES DUE November 12, 2019 <br />(Must be completed for all quotes. Please type or print) <br />Date: November 8 2019 Firm: Peerless Midwest lnc <br />_..__ _ _...�.......__u___ _ ...... ... .... <br />Address: 5.5Sffi.Russefl..1n ustri Pnrkway <br />City/State/Zip; Mlshawak IN �454.5_ Telephone Number: <br />Agent of Bidder (if Applicable);. <br />Pursuant to notices given, the undersigned offers to furnish labor and/or material µnecessary to complete the <br />public works project of: <br />n- - <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by; <br />The Citv of South Bend. Department of Public Works <br />and dated Qct�e;2_2019 ]_ for the sum of (enter the Total Quote as shown on the Proposal) <br />sixt -six thousand nine hundred dollars and zero cents <br />(Enter Sum of Total Quote plus Alternates shown on Proposal) WW <br />66,900.00 <br />(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 />Frank Williams <br />(Printed Name of Person Signing) — <br />ACCEPTANCE <br />The above quote is accepted this day of 20 <br />Subject to the following conditions: <br />BOARD OF PUBLIC WORKS <br />Gary A. Gilot, President Genevieve E. Miller, Member <br />Elizabeth A. Maradik, Member Therese J. Dorau, Member <br />Laura L. O'Sullivan, Member Attest: Linda M. Martin, Clerk <br />Version 4/2/2019 Page - 11 Public Works Quote <br />