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l` <br />CITY OF SOUTH BENDValk <br />, INDIANA ; <br />CONTRACTQR'S QUOTE FOR PUBLIC WORK <br />PROJECT NAME: SBFD Parking Lot Rehab <br />PROJECT NO. 123-049 <br />QUOTES DUE May 9th, 2023 at 9:00am (Local Time) <br />(Must be completed for all quotes. Please type or print) <br />Date: Jis Firm: A: h 1 \L5}I OAA-iOn C <br />Address: <br />City/State/Zip: <br />Agent of Bidder (if Applicable): <br />Pursuant to notices given, the undersign <br />public works project of: <br />Telephone Number: (--fly) ag q — 0M) <br />offers to furnish labor and/or material necessary to complete the <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />The Citv of South Bend. Department of Public Works <br />and dated f 0for the sum of (enter the Total Quote as shown on the Proposal) <br />ve h alort-� c� ($ L09 ) <br />(Enter Sum of Tot I 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 <br />shown in the original contract if accepted by the City of South Bend. If the quote is to be awarded on a unit basis, <br />the 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 03/15/2023 <br />By 2" — <br />!� r� (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 - 12 <br />Public Works Quote <br />Scanned with CamScanner <br />