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/0 04�tSTH <br />2, <br />CITY OF SOUTH BEND, INDIANA „ <br />CONTRACTOR'S QUOTE FOR PUBLIC WORK <br />PROJECT NAME: Century Center Parking Lot Seal and Stripe <br />PROJECT NO. 122-060B <br />QUOTES DUE March 14t'', 2023 at 9:00am EST to bpwbids(a-southbendin.gov <br />(Must be completed for all quotes. Please (type or print) <br />Date: <br />l `-� -1 '� Firm: 1 A+16 NFA PA tJ E ll-t /141 61VY l Nt f N A've £ U C <br />Address: / /A tv r` Ay-i o 8,�-L( 4 U <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 />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 / _ -3 for the sum of (enter the Total Quote as shown on the Proposal) <br />($ <br />Lw l�-i-Lv-� ) <br />GlfamnttpS -ghown On rocosal) (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 />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 L. Miller, Member <br />Version 06/01/2022 <br />By -G� t <br />(Signature) <br />(Printed Name of Person Signing) <br />ACCEPTANCE <br />day of <br />20 <br />Joseph R. Molnar, Vice President <br />Jordan V. Gathers, Member <br />Attest: Theresa Heffner, Clerk <br />Page - 8 Public Works Quote <br />