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PROJECT NAME: _City of South Bend Wa f Inding Si rta ie Program Phase 1 <br />PROJECT NO. 119-062 <br />QUOTES DUE August 13, 2019 9:30am local time <br />(Must be completed for all quotes. Please type or print) <br />Date: <br />Address: <br />City/State/Zip <br />10 7-1 Zo d` Firm: Ct <br />"" d•.� _ . .. .....� <br />.�' Telephone Number: (" _) t, <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 />S m �".�w-�a( a 9� '. 2"v <br />Po f t B�� t�t b„ �4 f� t�fttti-. w�._.. - <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />The City of South Bend, De <br />and dated q I-L ( in <br />of Public Works <br />for the sum of (enter the Total Quote as shown on the Proposal) <br />(Enter Sum of Total Quote plus Allernatesshown on Proposal)' <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 attachment. <br />By 1K, 1211., �. r _._........ <br />�......�. <br />(Sign ure <br />_............... <br />..... <br />(Printed Name of Person 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," 2019 Page - 28 Public Works Quote <br />