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CITY OF SOUTH BEND, INDIANA <br />CONTRACTOR'S..QUOTE FOR PUBLIC WORK <br />PROJECT NAME: Erskine Well Variable Freauenc /mDrivemmInstallation <br />PROJECT NO. 1mmmm ...._. <br />19-032 <br />QUOTES DUE Tuesday, Mayr 28th, 9 30 a.m. <br />(Must be completed for all quotes. Please type or print) <br />Date: Firm:�V..� ... t�t m.............. .... <br />Address: 6Jcxj__Si _..._...__... . <br />City/State/Zip; Laj�f Telephone Number: <br />p ...... ...... <br />Agent of Bidder (if Applicable): <br />Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to µcomplete the <br />public works project of: <br />the City of South Bend, Indiana, in accordance with plans and specifications prepared by: <br />ThemCity of South Bend, Department of Public Works—,..—,-,,,,,,,,,.... .....„m ..........._ _. ......... <br />and dated 5/15/2019 for the sum of (enter the Total Quote as shown on the Proposal) <br />rater Sum of Total Quote Flu A e Hates shw" �t' Ey1�S�:...._ . <br />( plus o n on Proposal) AAA(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 r n <br />(9 ) <br />....................................... ' f , " ......... <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 4/2/2019 Page - 1 Public Works Quote <br />