Laserfiche WebLink
CITY OF SOUTH BEND, INDIANA <br />POTRAPPIQ1306 QUOTE FOR PUBLaRM <br />PROJECT NAME: Hydrant Flow Testing <br />PROJECT NO. 119-041 <br />QUOTES DUE April 23, 2019, 9:30am, Local Time <br />(Must be completed for all quotes. Please type or print) <br />Date: _ Firm: <br />Address: 5(,o5-75 Tw7n 5ya nch %Y. <br />City/State/Zip: M PWW4&/ Telephone Number: <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 />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />The Cit of South Bend De artment of Public Works <br />and dated _ ®, ] for the sum of (enter the Total Quote as shown on the Proposal) <br />D Dgo ($ 6.W-' 19 -% . __ <br />(Enter Sum of Total Quote shown on Proposal) /)) x�;/o (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 />B �..� <br />Y <br />MAW <br />( igna use <br />(Prdnted pane of Person Signing) <br />The above quote is accepted this <br />Subject to the following conditions: <br />BOARD OF PUBLIC WORKS <br />Gary A. Gilot, President <br />Elizabeth A. Maradik, Member <br />Laura L. O'Sullivan, Member <br />ACCEPTANCE <br />day of 20 <br />Genevieve E. Miller, Member <br />Therese J. Dorau, Member <br />Attest: Linda M. Martin, Clerk <br />Version 4/2/2019 Page - 7 Public Works Quote <br />