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k <br />Date: <br />Address: <br />• • <br />rw". w011!jg L <br />PROJECT NAME: CodeEnforcement Office Door <br />PROJECT NO. 19-032 ._._�._..__.�... <br />QUOTES DUE 6/11/2019_ - <br />(Must be completed for all quotes. Please type or print) <br />Firm: <br />City/State/Zip: �CW /' Telephone Number: <br />Agent of Bidder if Applicable): _ �� <br />9 ( pp le): &0 [L <br />Pursuant to notices given, the and signed offers to furnish labor and/or material necessary to complete the <br />public works project of: <br />rZ—o� <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />The Cl t of South B and De artrnent of Public Works <br />] (enter the Total Quote as shown on the Proposal) <br />and dated <br />IA AD, <br />for the sum of <br />(enter Sum of Total to lust Alternates shoe non Prop <br />osal) posal) (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 Ben uote is to be awarded on a unit basis, the <br />itemization of the units shall be shown on a separate attach eh A — <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 />James A. Mueller, Member <br />By <br />Name <br />ACCEPTANCE <br />day of 20 <br />Suzanna M. Fritzberg, Member <br />Therese J. Dorau, Member <br />Attest: Linda M. Martin, Clerk <br />Version 10/18/2016 Page - 1 Public Works Quote <br />