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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR S QUOTE FOR PUBLIC WORK <br />PROJECT NAME: <br />PROJECT NO. <br />QUOTES DUE <br />2025 MicrosurfacingQuote _ <br />1 25-042 <br />July 22, 2026 at 9:00am Local Tlmo. Quotes are to be submitted <br />electronically to_bpwbidsL&southbendin.gov _ <br />(Must be completed for all quotes. Please type or print) <br />Date:Firm: p-Inal}.Q� rn�t' nL <br />Address: _ ,Q . 'ma y Zgf5L1 City/State/Zip: K1 t-i (nr� Telephone Number, _ [51 q) 817 (4 -- (p io❑ t <br />Email Address: <br />Agent of Bidder {if Applicable): M 1 <br />Pursuant to notices given, the undersigridd offers to fumish labor andlor material necessary to complete the <br />public works project of. <br />2026 Microsurfacing Quote <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by. <br />The Glty of South Bend, Department of Public Works <br />rtal Quote as shown on the Proposal) <br />fS 9&, la 1e o , OO <br />(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 Send_ 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 <br />(Signature) <br />(Prinled Name of Person Sgnmg) <br />ACCEPTANCE <br />The above quote is accepted this day of <br />Subject to the following conditions: <br />BOARD OF PUBLIC WORKS <br />President <br />Members <br />dc <br />Verslon IrMO25 Page - a Public Works Quote <br />