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is <br />CITY OF SOUTH BEND, INDIANA <br />C N 'R C E FOR PUBLIC <br />MIA <br />PROJECT NAME: Bendix Theater Floorii <br />PROJECT NO. 119-106 <br />QUOTES DUE November 26, 2019 by 9:30 AM <br />(Must be completed for all quotes. Please type or print) <br />Date: — - `� Firm: 4?,rj � � <br />........_ .......................... . �....... "�_......._.. .. /.. _. <br />Address: <br />City/State/Zip; J- Telephone Number: _ 7 __ ... <br />Puesuannt ftio noticidder ies Applicable): <br />undersigned offerr., <br />g g ors to/furnish labor and/or material necessary to complete the <br />public works project of: <br />r <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />The Cit <br />y of South Bend Department of Public Works <br />and dated ' ,/1 - 2I j ] for the sum of (enter the Total Quote as shown on the Proposal) <br />of Total i Quote plus°Alternates shown on <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 />Y <br />(Sigture) <br />✓ d aµ � a, ,� Xre <br />(Printed Name of Plerson 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 <br />Genevieve E. Miller, Member <br />Therese J. Dorau, Member <br />Attest: Linda M. Martin, Clerk <br />20 <br />Version 4/2/2019 Page - 7 Public Works Quote <br />