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0 FtG <br />CITY OF SOUTH BEND INDIANA r <br />CONTRACTOR'S QUOTE FOR PUBLIC WORK <br />PROJECT NAME: 2021 Crack Sealing <br />PROJECT NO. 121-020 <br />QUOTES DUE May 111", 2021 at 9:00am Local Time. Quotes are to be submitted <br />electronically to )pwi)idS(&�sourht,eiicuin. <br />Date <br />Address: <br />City/State/Zip: <br />(Must be completed for all quotes. Please type or print) <br />Firm:.5 <br />295 <br />Agent of Bidder (if Applicable): <br />Pursuant to notices given, the <br />public works project of: <br />2021 Crack Sealing <br />Nq Telephone Number: <br />d offers to furnish labor <br />Li L16 <br />material ndcessary to complete the <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by.- <br />The <br />y: <br />The City of South Bend, Department of Public Works <br />�' <br />and dated � 1 i ' i I for the sum of (enter the Total Quote as shown on the Proposal) <br />4 i"7.1, 3-0o _ _ ($ ) <br />(Enter Su 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 />Ao <br />By <br />ignature) <br />(Printed Name of Person Signing) <br />The above quote is accepted this <br />Subject to the following conditions: <br />BOARD OF PUBLIC WORKS <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />Murray Miller, Member <br />Version 2/14/2020 <br />ACCEPTANCE <br />day of <br />Joseph R. Molnar, Member <br />NA <br />Jordan V. Gathers, Member <br />Attest: Anne Fuchs, Clerk <br />Page - 8 Public Works Quote <br />