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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S QUOTE FOR PUBLIC WORK <br />PROJECT NAME: Specialty Pavement Markings <br />PROJECT NO. 117-039 <br />QUOTES DUE June 13V', 2017 at 9:30 am Local Time <br />(Must be completed for all quotes. Please type or print) <br />Date: ��-Dtnl Firm: �b&' 's—'rVt cs _ adL' - <br />Address: let) Ai . Qum m )?J <br />City/State/Zip: h11gl �/� . t �[p �j Telephone Number: 57 <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 City of South Bend, Department of Public Works <br />and dated J }p Pf 2U I, r1 j for the sum of (enter the Total Quote as shown on the Proposal) <br />i is ars ($ 22 146.1 ! <br />(Ent um of Total Quote plus Alternates shown oi4 Proposal) 'ele--yffAl 0 fS (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 />401�� <br />��(si_gr�ature_)_ <br />PS V1 �t� oc <br />(Printed Name of Person Signing) <br />ACCEPTANCE <br />The above quote is accepted this day of <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 />Version 10/18/2016 <br />20 <br />Suzanna M. Fritzberg, Member <br />Therese J. Dorau, Member <br />Attest: Linda M. Martin, Clerk <br />Page - 9 Public Works Quote <br />