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�1 it kF, <br />CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S QUOTE FOR PUBLIC WORK <br />PROJECT NAME: 430 Cotta a Grove Ave. TIF Project - Roof Repairs <br />PROJECT NO, 123-062D <br />QUOTES DUE 9.00 A.M. (E.D.T.) on Tuesday, October 24, 20-2 <br />(Must be completed for all quotes. Please type or print) <br />ft <br />Date: to 2 ` �� Firm, <br />Address: _ 1j`)3-' G10-V4-rit% 1 Q P27 - <br />CitylStatelZip: t+� 1Po� J / �T�IpYphone Number: ( j �1 - S�7 CS <br />Agent of Bidder (if Applicable): JJ tf <br />Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the <br />public works project of: <br />430 Cottage Grove Ave. TIF Project — Roof Repairs <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 10/16/2023 for the sum of (enter the Total Quote as shown on the Proposal) <br />$--+, SC'0 (s '3-5v0 ) <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 />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 />By :�Xj <br />(Snature) <br />i U <br />(Printed Name of Person Signing) <br />ACCEPTANCE <br />The above quote is accepted this <br />day of 20 <br />Subject to the following conditions: <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />-tea <br />e'4Z, P1 <br />Elizabeth A. Maradik, President <br />Joseph R. Molnar, Vice President <br />Gary A. Gilot, Member <br />Alexandra Dolz-Lane, Member <br />Murray L. Miller, Member <br />Attest: Theresa M. Heffner, Clerk <br />Date: November 14, 2023 <br />