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, l lq,l <br />r W <br />CITY OF SOUTH BEND, INDIANA - v. <br />CONTRACTOR'S QUOTE FOR PUBLIC WORK ' <br />PROJECT NAME: 2016 Downspout Disconnect Program <br />PROJECT NO. 116-098 <br />QUOTES DUE June 28, 2016 <br />(Must be completed for all quotes. Please type or print) <br />Date: / 'a2,- Z2 11.40 Firm: <br />Address: &lad e ZZ4 <br />City/State/Zip: Telephone Number: (d-74O <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 />2016 Downtown Disconnect Program <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 �P "/7 -fir%/CO ] for the sum of (enter the Total Quote as shown on the Proposal) <br />y- Ls�llT'Nad�R�/D, T���EE Nyali�,eED Fs�r� 'X�rele �9�c�cScS , > <br />(Enter Sum of Total Quote plus Alternates shown on Proposal) _ge- (Numerical) <br />/,Pv <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 attachments Z , <br />By <br />ACCEPTANCE <br />The above quote is accepted this /,-4 day of <br />Subject to the following conditions: <br />e <br />David P. Relos, ember <br />her se J. D raember <br />at: Linda M. Martin, Cle <br />20D' /� <br />Version 10/1/2015 Page - 7 Public Works Quote <br />