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1316 COUNTY-67v BUILDING <br />227 W. JrFFaRSON BomrVARD <br />SOUTH BFND, INDIANA 46601-I830 <br />Date: <br />To: <br />From <br />Subject <br />Project Narcic: <br />Project <br />Number: <br />CITY OF SOUTH BEND <br />PHONH 574/235-9251 <br />FAX 574/235-9171 <br />TDD 574/235-5567 <br />PETE BUTTIGIEG, MAYOR <br />BOARD OF PUBLIC WORKS <br />t,net waggoner Court <br />116-005 <br />ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM <br />Date Received: <br />This addendum is being forwarded to you for the above referenced project. <br />Please sign below and acknowledge receipt of this Addendum <br />by faxing this sheet to the Board of Public Works at (574) 235-9171. <br />A copy MUST also be included with your bid package upon <br />submittal. <br />THIS ADDENDUM MAY AFFECT YOUR BID. <br />Note: <br />The attached documents are hereby added to the Specifications and Contract <br />Documents and become a part of herein. <br />Company: -4- rl > <br />Authorized Signature: y, <br />Date: — <br />