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PROJECT NAME: <br />PROJECT NO. <br />QUOTES DUE <br />Address:� <br />o,�;���b•rsa �, <br />WY0.4�� r <br />186 <br />Cleveland South Well Field — Bulk Fluoride Tank Replacement <br />118-021 B <br />December 19 2019 4y 10:30 AM <br />(Must be completed for all quotes. Please type or print) <br />City/State% ip: 4/61aIr? Telephone Number: W92 -, KAM <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 />DLZ Indiana, LLC <br />and dated December 6, 2019 ] for the sum of (enter the Total Quote as shown on the Proposal) <br />of Total Quote plus Alternates shown on <br />($ 3SO350.00 _._ <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 t quote is to be awarded on a unit basis, the <br />itemization of the units shall be shown on a separate attachrrr�wt. <br />The above quote is accepted this <br />Subject to the following conditions: <br />BOARD OF PUBLIC WORKS <br />By <br />ACCEPTANCE <br />day of <br />Gary A. Gilot, President Genevieve E. Miller, Member <br />Elizabeth A. Maradik, Member <br />Laura L. O'Sullivan, Member <br />Therese J. Dorau, Member <br />Attest: Linda M. Martin, Clerk <br />20 <br />Version 4/2/2019 Page - 30 Public Works Quote <br />Cleveland South Well Field — Bulk Fluoride Tank Replacement <br />