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Date: <br />Address: <br />CITY OF SOUTH BEND, INDIANA <br />ltC <br />PROJECT NAME: Four Winds Field Water Softener <br />PROJECT NO. 1083-2019 .mm. <br />QUOTES DUE __M" 14th, 2019A 9:30am-- —W <br />(Must be completed for all ,quotes. Please type or print) <br />Firm: <br />Ci tY/State/Zipr.�""".r' Telephone Number: ✓ " °� <br />. <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 City of South Bend Department of Public Works <br />and dated I for the sum of (enter the Total Quote as shown on the roposal) <br />5 <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 attachmtr <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 />By <br />bra/ v, <br />ACCEPTANCE <br />day of <br />k;' <br />Ced Marne of Person Signing) <br />Suzanna M. Fritzberg, Member <br />Therese J. Dorau, Member <br />Attest: Linda M. Martin, Clerk <br />20 <br />Version 1/17/2019 Page - 7 Public Works Quote <br />