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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 />(Must be completed for all quotes. Please type or print) <br />Date: December 13, 2016 Firm: Insituform Technologies USA, LLC <br />Address: 17988 Edison Avenue <br />City/State/Zip: Chesterfield, MO 63005 Telephone Number: ( 636 ) 530-8000 <br />Agent of Bidder (if Applicable): N/A <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 City of South Bend, Department of Public Works <br />and dated 1 Z i?-16 I for the sum of (enter the Total Quote as shown on the Proposal) <br />' Ti ftuf 7{W94-&M 7A964F /%eJ0.eE0 7-04 a ��.'S ($ P--54 ,.jO ) <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 />By <br />(Signature) <br />Jana Lause, Contracting &Attesting Officer <br />(Printed Name of Person Signing) <br />ACCEPTANCE <br />The above quote is accepted this <br />Subject to the following conditions: <br />BOARD OF PUBLIC WORKS <br />Gary A. Gilot, President <br />Elizabeth A. Maradik, Member <br />James A. Mueller, Member <br />day of <br />Suzanna M. Fritzberg, Member <br />Therese J. Dorau, Member <br />Attest: Linda M. Martin, Clerk <br />20 <br />Version 10/18/2016 <br />*wb,r6 m;-:®.Jdci F=o2 ovo1-6I vhi geojr <br />Page -15 <br />Public Works Quote <br />