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<br />Version 4/2/2019 Page - 12 Public Works Quote <br /> <br />CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR’S QUOTE FOR PUBLIC WORK <br /> <br />PROJECT NAME: Edison Well#4 Refurbishment – Well Cleaning <br />PROJECT NO. 120-060 <br />QUOTES DUE November 24, 2020 <br /> <br /> (Must be completed for all quotes. Please type or print) <br /> <br />Date: Firm: <br />Address: <br />City/State/Zip: 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 /> <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />The City of South Bend, Department of Public Works <br />and dated ] for the sum of (enter the Total Quote as shown on the Proposal) <br /> ($ ) <br />(Enter Sum of Total Quote plus Alternates shown on Proposal) (Numerical) <br /> <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 /> <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 /> <br /> <br /> <br /> <br /> <br /> <br />ACCEPTANCE <br />The above quote is accepted this day of 20 <br />Subject to the following conditions: <br /> <br />BOARD OF PUBLIC WORKS <br />Gary A. Gilot, President Member, <br />Elizabeth A. Maradik, Member Jordan V. Gathers, Member <br />Joseph R. Molnar, Member Attest: Linda M. Martin, Clerk <br />By <br /> (Signature) <br /> <br /> (Printed Name of Person Signing)