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O-q� KERAMIDA <br />nj= ENGINEERS SCIENTISTS PLANNERS <br />GLOBAL EHS & SUSTAINABILITY SERVICES <br />401 North College Avenue <br />Indianapolis, Indiana 46202 <br />(317) 685-6600 • Fax (317) 685-6610 <br />1-800-508-8034 <br />info@keramida.com • www.keramida.com <br />AUTHORIZATION SHEET <br />Project Name: City of South Bend — Former Biosolids Landfill <br />Description of Services: 2017 Semi Annual Statistical Aaalyses/Repotting <br />Project Location: 4340 Trade Drive, South Bend, Indiana 46628 <br />Proposal No. and Date: P20907X March 14, 2017 <br />FOR APPROVAL AND PAYMENT OF CHARGES: If approval and payment are not handled by the same <br />individual, please indicate the appropriate name(s). <br />Firm/Company: City of Soulb Bend — Environmental Services <br />Address: 3113 Riverside Drive <br />City/State: South Bend, Indiana Zip: 46628 <br />Attention: Ms. Michelle Smitb Phone: (574) 235-5797 <br />Email: msmitb@.ronthbendingov <br />PAYMENT TERMS: <br />Project Cost (Lump Sum): $4,650 (billed as detailed below) <br />Semi -Annual Event #1 - $2,325 lump sum following report submittal <br />Semi -Annual Event #2 - $2,325 lump sum following report submittal <br />Retainer Fees — A retainer in the amount of $0 is to be paid to KERAMIDA prior to the commencement of <br />the work, with the remainder of the fees due when invoiced upon completion of the project. For on -going <br />projects, the remainder of the fees will be billed monthly based upon work performed. <br />Professional Fees & Expenses — If payment is by credit card, please use: American Express, Visa or <br />MasterCard. Please call our office with credit card information for payment. A late payment charge of 1.5% per <br />month will be added, if payment is not made Within 30 days after invoice date. <br />PROJECT ACCEPTANCE: The Terms and Conditions of this Proposal, including the Terms on this page <br />and the attached General Terms and Conditions are: <br />Accepted this Ae day of 2017. <br />APPR+OVEI) <br />Board of Puklic Works <br />Print or type name of authorized representative and title <br />Signature of authorized representative <br />INCREASING OUR CLIENTS' PROFITABILITYTHROUGHS'MARTGONSULTING7-M <br />ENGINEERS • GEOLOGISTS • SCIENTISTS • SAFETY PROFESSIONALS • INDUSTRIAL HYGIENISTS • TOXICOLOGISTS • MODELING EXPERTS <br />INDIANAPOLIS, IN • ELKHART, IN • CINCINNATI, OH • CHICAGO, IL • NEW YORK, NY • SACRAMENTO, CA • LOS ANGELES, CA • PITTSBURGH, PA <br />