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0 L17rra All <br />01 <br />CITY OF SOUTH BEND, INDIANAC-ONTRACTORIS QUOTE FO"UBLIC WORK <br />" <br />J865 <br />PROJECT NAME: 2019 City Cemetery Paths <br />PROJECT NO. 1084-2019 <br />QUOTES DUE May 281h,2019 9:30am <br />(Must be completed for all quotes. Please type or print) <br />Date: �— _ ZeY Firm: <br />Address: �� l/ < ( ye <br />City/State/Zip: f0 lr h, Telephone Number: <br />Agent of Bidder (if Applicable): 2)/ f <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 Ci of South Bend Department of Public Works <br />and dated��. _ for the sum of (enter the Total Quote as shown on the Proposal) <br />Enter Sum o�al l,uote lus Alternates shown on Pro Deal '` Nu <br />(, p p ) '(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 nee d, the co t of units must be the same as that shown <br />in the original contract if accepted by the City of South Be d. If the q ote is to be awarded on a unit basis, the <br />itemization of the units shall be shown on a separate attach ent, <br />By <br />ACCEPTANCE <br />The above quote is accepted this —J day of <br />Subject to the following conditions: <br />BOARD OF PUBLIC O KS <br />V <br />GaN A. QU,,Presid nt <br />EFzab`6th A. Mara ik, Member <br />Ge✓l��i���% ����Mern+ber <br />(Signature) <br />(Printed Name of Person Signing) <br />Member <br />., W <br />T prese J. WbTA, M ber <br />Attest', Linda M, Martin, CI rk <br />20 <br />Version 10/31/2017 Page - 8 Public Works Quote <br />