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CITY OF SOUTH BEND, INDIANA <br />1 iWA 1 <br />PROJECT NAME: 2020 Signal Knock Down & Wirin Investi ation <br />www <br />PROJECT NO. 119-110 <br />QUOTES DUE Thursday, December 19�'', 2019 at 10:30am local time <br />Date: <br />Address: <br />City/State/Zip: <br />(Must be completed for all quotes. Please type or print) <br />Firm:. <br />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 />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />The Cit of South Bend, Department of Public Works <br />and dated for the sum of (enter the Total Quote as shown on the Proposal) <br />(Enter Sum of Total Quote 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 />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 />By <br />(Signature) <br />(Printed Name of Person Signing) <br />ACCEPTANCE <br />day of 20 <br />Genevieve E. Miller, Member <br />Therese J. Dorau, Member <br />Attest: Linda M. Martin, Clerk <br />Version 4/2/2019 Page - 1 Public Works Quote <br />