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ptTFI g a... <br />CITY OF SOUTH BEND, INDIANA J' <br />I,ya rencr: a;j <br />CONTRACTORS QUOTE FOR PUBLIC WORK <br />1865 <br />PROJECT NAME: Howard Park Lodge HVAC Installation <br />PROJECT NO. 1009-2017 <br />QUOTES DUE August 8u', 2017 <br />(Must be completed for all quotes. Please type or print) <br />Date: <br />Address: (O C -0 <br />City/State/Zip: fni6 QAL)Qk — <br />Agent of Bidder (if Applicable): QA I <br />Pursuant to notices given, the undersigns <br />public works project of: <br />Lc�a-riA Pik �,oA. <br />Firm: <br />ne Number: (59J) ate— Oj -3 <br />to furnish labor and/or material necessary to complete the <br />v AG <br />U <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 _iy j+--x <br />_ � okAz <br />(Enter Sum of Total Quote plus <br />for the sum of (enter the Total Quote as shown on the Proposal) <br />CY1 t a ($ <br />Alternates shown on Proposal) Cq1CD (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 qttachmeo. t®� <br />By <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 />(Signature) <br />of Person <br />Suzanna M. Fritzberg, Member <br />Therese J. Dorau, Member <br />Attest: Linda M. Martin, Clerk <br />20 <br />Version 10/18/2016 Page -11 Public Works Quote <br />