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CITY OF SOUTH BEND, INDIANA
<br />PROJECT NAME" North & South Cleveland W00 Fields Roof Rqqp#
<br />i"" . s,
<br />PIROJEr.T NO. '-"i ii-bl D-"--. ....... .. . .. ....... ..... ...... - - ------- . . . .......... ------
<br />QUOTES DUE . .... ..... - — -- -- ---- . . . ............. -------- . ...... .. .. .. ------ AM Local Tinne
<br />. .. . .......
<br />(MIust Ike oon,ipfeted for all quotes,Plezisety,pe, or print)
<br />Date., 0 Addrpss� . . . ... .........
<br />. ..... . .. ......... . . . ....... ... . ......
<br />city/state,alp: J�
<br />Telephone Number:
<br />Agent offfidder (if, pplicable ..... .....
<br />Puts uail R to� riotices, given,, thie un,dersigned offers to Fri n, , d`-/-o--r,-,i`n--ai e ri,a-`-1,---1. ... .... ------ . ......
<br />pubfic works profect of: recessarY to, conv[eta the
<br />$vy-ki\ QA-V4 I 4\ � (�k -A
<br />the Cit ,y of South Bend, Indiana, in accorctance with plans and specificatioas prepared by�
<br />tt of S h Bond'
<br />or
<br />and dated
<br />...... .1L for ffie SUITI of (entor the Qiuote a,s shown on the Propo,%,ol)
<br />j
<br />'iw 6
<br />(Enter Sum of'Total Quote plus lter Anate$ .... . .... .. ...... o a) (NkAm,erical)
<br />Prop2 l
<br />If alternative quotes aapplly, the rigldersigned submits, a proposal for each in accordance wHh the nolice, Any
<br />addendurns MUlched will be specificailly, referenced al the appl'icable page,,
<br />If additiorml ortils of mat eriat irvcludod in th,e Corgract are- needed, the, cost of urijts must be the sarne as that shown
<br />in this original contract if accepted by the City of Sc)util Bead, If the quate is too ble awarded ogj a rinit basis, thie
<br />iloMizafion of the, units shall be shown 001 a, seParate aftq,hjner'a..
<br />By
<br />.,I r)atury
<br />de z
<br />0(pemn Siio-ii-jn(
<br />The above! qjjo,te, ilzp accepted ffils (lay of
<br />Sijb)ect to, the followiq coil (Jjjlor)8;
<br />BOARD PUBLIC WORKS,
<br />3ary A, of f resi�dant
<br />�ic '6 i;lxll----� . . ...... . ...... .
<br />N .....
<br />kl'aradik, Member
<br />J, il ... .. ....... --.- ................
<br />. Molnar, Mernber
<br />the.
<br />J. Dora,.tj, Mernber
<br />o' rd-a-n , Member
<br />li-e-s--1
<br />t-:T. i", n"", d, --M--1 Mar 1--1i C 11 el r k ------
<br />IM
<br />Verslon '031/2017 j!JWje - 7 PILAAC Wrirk$ Qkjoj,e
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