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Date <br />Address: <br />CITY OF SOUTH BEND, INDIANA <br />Oil <br />CONTRACI-Om <br />1865 <br />PROJECT NAME: Erskine Well Variable .Installation <br />PROJECT NO. 119-032 <br />QUOTES DUE Tuesda , May 28'�', 9:30 a.m. (E.D.T.) <br />�_ _ ......__�_ <br />City/State/Zip: <br />(Must be completed for all quotes. Please type or print) <br />May 28, 2019 Firm: Herrman & Goetz, Inc. <br />225 S. Lafayette Blvd. <br />.South Bend. IN Telephone Number: 574 282-2596 <br />Agent of Bidder (if Applicable): Nx601 <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, De artment of Public Works <br />and dated 5/15/2019 _m for the sum of (enter the Total Quote as shown on the Proposal) <br />Six thousand one hundred seventy=five Dollars $ 6,175.00 <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 attach .end <br />., .,.m <br />By <br />tgnatur� <br />(Printed Name of Person Signing) <br />ACCEPTANCE <br />The above quote is accepted this ? V. day of <br />Subject to the following conditions: <br />BOARD OF PUBLIC WORKS <br />ary : , ilot„ r si nt Genevieve E. Miller, Member <br />Beth A. Member h ese J.06rau, M rrl er <br />ura L. O'Sti iv a „ Meg est: Linda M. M tin, CIA <br />20 / 7 <br />Version 4/2/2019 Page - 1 Public Works Quote <br />