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� 4SpUTH 8��d <br />r� <br />CITY OF SOUTH BEND, INDIANA <br />rrAcr <br />CONTRACTOR'S QUOTE FOR PUBLIC WORK <br />1865 <br />PROJECT NAME: <br />PROJECT NO. <br />QUOTES DUE <br />2024 Installation of Electric Vehicle Supply Equipment (EVSE) <br />124-052 <br />October 22, 2024, by 9:OOAM Local Time — electronic quotes <br />should be submitted to bpwbids(c_southbend in.gov <br />(Must be completed for all quotes. Please type or print) <br />Date: Firm: <br />Address: <br />City/State/Zip: <br />Email Address: <br />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 Citv of South Bend <br />and dated <br />nt of Public Works <br />for the sum of (enter the Total Quote as shown on the Proposal) <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 />The above quote is accepted this <br />Subject to the following conditions: <br />By <br />ACCEPTANCE <br />day of <br />BOARD OF PUBLIC WORKS <br />President <br />Members <br />(Signature) <br />(Printed Name of Person Signing) <br />20 <br />Version 3/15/2024 Page - 11 Public Works Quote <br />