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way rra cep <br />t <br />CITY OF SOUTH BEND, INDIANA <br />CQNTRACTOR'S QUOIE EOR PUBLIC WQRK <br />PROJECT NAME: Ivy Tech Pod Disposal <br />PROJECT NO. 119-091 <br />QUOTES DUE October 8, 2019, 9:30am, Local Time <br />(Must be completed for all quotes. Please type or print) <br />Date: - 8'/.. Firm: <br />Address:'. <br />City/State/Zip: C��� /q Telephone Number: m G <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 />Ivv Tech Pod Disposal <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />The City of South Bend, Department of Public Works <br />and dated 10/1/2019 for the sum of (enter the Total Quote as shown on the Proposal) <br />Q J , <br />(Ent r 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 attachment. <br />By <br />(Sinature) <br />(Printed h4 me f Person Signing) <br />ACCEPTANCE <br />The above quote is accepted this day of 20 <br />Subject to the following conditions: <br />BOARD OF PUBLIC WORKS <br />Gary A. Gilot, President Genevieve E. Miller, Member <br />Elizabeth A. Maradik, Member Therese J. Dorau, Member <br />Laura L. O'Sullivan, Member Attest: Linda M. Martin, Clerk <br />Version 4/2/2019 Page - 15 Public Works Quote <br />