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PROJECT NAME: 2024 Microsurfacing Quote <br />PROJECT NO. 124-049 <br />QUOTES DUE July 9, 2024 at 9:00am Local Time. Quotes are to be submitted <br />electronically to bpwbids@southbendin.gov <br />(Must be completed for all quotes. Please type or print) <br />Date. 7 ? 1 Firm: N ►4 7'1 UIN A L 1�i� �t W.t►c�" iti1� 11'4 "r" tt NC'A <br />Address: <br />City/State/Zip: wr►►� e�,2 1 IN qt- Telephone Number: (3 i 73 <br />Email Address. - z r a 11 1)1" c Lw� <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 />2024 Microsurfacing Quote <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 7 A/d for the sum of (enter the Total Quote as shown on the Proposal) <br />l�vLy.� �.`�;i -k �b�uLWx S �i�ur�af .+ST !Z ($ <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 />(Signature) <br />(Printed Name of Person Signing) <br />ACCEPTANCE <br />The above quote is accepted this day of 20 <br />Subject to the following conditions. <br />BOARD OF PUBLIC WORKS <br />President <br />Members <br />