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O) s rst <br />1w t <br />11 <br />CITY OF SOUTH BEND, INDIANA .x.` <br />CONTRACTOR'S -QUOTE FOR PUBLIC WORK <br />rr,t+ <br />PROJECT NAME: Hydrant Flow Testi <br />PROJECT NO. 119-041 R <br />QUOTES DUE June 11, 2019, 9:30am Local Time <br />(Must be completed for all quotes. Please type or print) <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />City of South Bend, Department of Public Works e ..,,..—--------- ................-- <br />and dated ®1i for the sum of (enter the Total Quote as shown on the Proposal) <br />Tff <br />1 (Enter Quote shown on Pr ,h. ($ 00 <br />(Proposal)�10// <br />(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 attachrn - nt, <br />By........... - <br />Printed Na Nc r� �ture) <br />).�� <br />( e art I (6t,66t 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 />