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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S QUOTE FOR PUBLIC WORK <br />PROJECT NAME: 1201 Western Ave. Sidewalk Vault Repair <br />PROJECT NO. 120-019 <br />QUOTES DUE Seplember 8, 2020 <br />(Must be completed for all quotes. Please type or print) <br />Data: All�"'� Lz 0 Firm. <br />Address: <br />City/State/Zip: �(, It/1 1', '14;, 5A Telephone Number: (51q) V-e,'0�(,, <br />s <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 />1201 Western Ave. Sidewalk Vault Repair <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />L <br />and dated (_5 for the sum of (enter the Total Quote as shown on the Proposal) <br />'jw"'T'i;ry -'LgL?cd� (s 36, <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 <br />addendurns 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 />iternization of the units shall be shown on a separate attachment. <br />By <br />(Signature) <br />(Printed Name of Person Signing) <br />The above quote is accepted this <br />Subject to the following conditions: <br />Gary A. Gilot, President <br />Elizabeth A. Maraclik, Member <br />Joseph R. Molnar, Member <br />Version 2/14/2020 <br />ACCEPTANCE <br />day of <br />20 <br />Therese J. Dorau, Member <br />Jordan V. Gathers, Member <br />Attest: Linda M. Martin, Clerk <br />Page - 7 Public Works Quote <br />