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a� 'Ifs <br />CITY OF SOUTH BEND, INDIANA W Pr L I <br />C LIC _WKMt" <br />IH;S <br />PROJECT NAME: 2024 Microsurfacing Quote <br />PROJECT NO. 124-049 <br />QUOTES DUE July 9, 2024 at 9:00am Local Time. Quotes are to be submitted <br />electronically to bpwbids@south bond in.gov <br />(Must be completed for all quotes. Please type or print) <br />Date: 7 S Jf)J_' Firm: PW �rrx �011- - fir ULC e S <br />Address:-�7-U-� d1� 7LH KY <br />City/State/Zip: L [�J0(ao Telephone Number: 657 f_L $9le <br />Email Address: a r S L L C� @ f_arY1�Qi I-. Yi 9 <br />Agent of Bidder (if Applicable): N 1 <br />Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the <br />public works project of: <br />2024 Microsurfacina Quote <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 gj��at for the sum of (enter the Total Quote as shown on the Proposal) <br />{Enter Sum of Total C�uote plus A errs Shawn on Propo )((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 quo b ded on a unit basis, the <br />itemization of the units shall be shown on a separate attachment. <br />By <br />(Signature) <br />._ QP_Y1 � . V 4n _ <br />(Printed Name of Person'S g ing) <br />ACCEPTANCE <br />The above quote is accepted this <br />Subject to the following conditions: <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />tat�4 <br />Elizabeth A. Maradik, President <br />E. <br />Gary A. Gilot, Member <br />Version 311512024 pg,, t- <br />day of <br />r/ M <br />Joseph R. Molnar, Vice President <br />Briana,(MMiicou, Member <br />% <br />Murray L. Miller, Member Attest: Theresa M. Heffner, Clerk <br />Date: July 23, 2024 <br />20 <br />Public Works Quote <br />armed with CamScarrer <br />