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CITY OF SOUTH BEND, INDIANA <br />3A f%"r^1n$0 ^11 1^V11T r!^rh r%11 1r%1 1^ 1 <br />PROJECT NAME: Century Center North Restroorn Renovation <br />PROJECT NO. 118-104CR <br />ouoTES DUE April 28,2020:9:36AM Local time. <br />UT11 10 <br />01 <br />1865 <br />(Must be completed for all quotes. Please type or print) <br />Date: I!.. _0 Firm; r m: A&MJeJL oil <br />JJZ 9 12no— [ K's fa 141 <br />Address: 10 S- 6 - 94- C)k'l 14d. !1460 1 <br />City/State/Zip: 5M4� T0010 "tA) Telephone Number: <7LO <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 orks;oject of'. /I 4�t "T <br />�!- V!�7 (_ JVA Poo, <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />American StruSturepolnt, Inc. <br />and dated for the sum of (enter the Total Quote as showr i on the Proposal) <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 addendums attached <br />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 sal as that shown in the original <br />contract if accepted by the City of South Bend. If the quote is; to on a unit basis, the temization of the units shall be <br />shown on a separate attachment. By Ir <br />ign Ure) <br />(ape of Peron 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 Joseph R. Molnar, Mem er <br />Elizabeth A. Maradik, Member <br />Jordan V. Gathers, Member <br />Therese J. Dorau, <br />Attest: Linda M. Martin, I <br />Version 4/2/2019 Page - 7 1 Public Works Quote <br />