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PROJECT NAME: <br />PROJECT NO. <br />QUOTES DUE <br />Date: <br />Address: <br />City/State/Zip: <br />Northwest Elevated Tank Site Restoration <br />122-018A <br />December 12. 2023 <br />(Must be completed for all quotes. Please type or print) <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 projecii of: � I /7 _ / j <br />Ot <br />PH <br />ra aI <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />The C <br />of South Bend <br />ent of Public Works <br />and dated ,UQ :thp W for the sum of (enter the Total Quote as shown on the Proposal) <br />,rb wt 4-hDiisandsomn old fiO rift dollar f ($ 6 1L 75 q <br />(Ent r Sum of Total Quote plus Alternates shown on Prol osal) (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 Sout If the quote is to be awarded on a unit basis, <br />the itemization of the units shall be shown on a separate achment. <br />By <br />n (Si nature) <br />(Printed Name of Person Signing) <br />ACCEPTANCE <br />The above quote is accepted this day of <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 />20 <br />Joseph R. Molnar, Vice President <br />Alexandra Dolz-Lane, Member <br />Attest: Theresa M. Heffner, Clerk <br />Version 2/14/2020 Page - 1 Public Works Quote <br />