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CITY OF SOUTH BEND, INDIANA <br />(;ONTRACTOR'S QUOTE FOR PUBLIC WORK Y <br />PROJECT NAME: <br />PROJECT NO. <br />QUOTES DUE <br />Date: <br />Address: <br />City/State/Zip: <br />2017 Crack Sealing <br />117-102 <br />December 19. 2017 at 9:00 am EST <br />(Must be cornpleted for all quotes. Please type or print) <br />Agent of Bidder (if Applicable): <br />Pursuant to notices given, the <br />public works project of: <br />ma, . .... ........... <br />Telephone Number: (A�) aA 2 — 0 9� <br />offers to furnish labor and/or material necessary to complete the <br />- Pro' <br />the City of South Bend, Indiana, in actZrdance with plans and specifications prepared by: <br />The City of South Bend, Department of Public Works <br />and dated W il'k a n n j for the sum of (enter the Total Quote as shown on the Proposal) <br />cr <br />nter Sum of Total Quote 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 (41'ew� <br />(Si nature) <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. Gllot, President <br />Elizabeth A. Maradik, Member <br />,lames A. Mueller, Member <br />Version 10/31/2017 <br />20 <br />Suzanna M. Fritzberg, Member <br />Therese J. Dorau, Member <br />Attest: Linda M. Martin, Clerk <br />Page - 7 Public Works Quote <br />