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a y.l I11 flf,l <br />CITY OF SOUTH BEND, INDIANA" <br />CONTRACTOR'S QUOTE FOR PUBLIC WORK <br />PROJECT NAME: 430 Cottage Grove Ave. TIF Project —Misc Repairs <br />PROJECT NO. 123-062G <br />QUOTES DUE 9:00 A.M. E.S.T. on Tuesday, November 14 2023 <br />Date: <br />Address: <br />City/State/Zip: <br />(Must be completed for all quotes. Please type or print) <br />f ` Firm: <br />WfGgrelephone Number: (5� T} 3 <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 />430 Cottage Grove Ave. TIF Project — Misc. 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 11/0312023 for the sum of (enter the Total Quote as shown on the Proposal) <br />$ 0 G <br />(Enter Sum of Total Quote plus Alternates shown on Proposal) <br />( umerical) <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. Ifthequote is to be awarded on a unit basis, the <br />itemization of the units shaii be shown on a separate attachment y <br />By <br />(SignaS eyj <br />(Printed Name of erson 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 />Elizabeth A. Maradik, President <br />Joseph R. Molnar, Vice President <br />49�a Q�&� <br />Gary A. Gilot, Member <br />Briiaana MMiiic„ou, Member <br />Murray L. Miller, Member <br />Attest: Theresa M. Heffner, Clerk <br />Date: December 12, 2023 <br />