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4Cm <br />401 Nol-th College Avenue <br />KERAMIDA Indianapolis, Indiana 46202 <br />ENGINEERS • SCIENTISTS - PLANNERS (317) 685-6600 • Fax (317) 685-6610 <br />1-800-508-8034 <br />GLOBAL EHS & SUSTAINABCILTTY SER`v'ICES info cr keramida.com a www.keramida.com <br />AUTHORIZATION SHEET <br />Project Name: Call of',S`outh Bend — .17,owler.Biosofids Lcrrrcfll <br />Description of Services: 2018 Se.Uzi-.Annual Sta is ical l rra#se.r/ Aefioaing <br />Project Location: 4340 Tiade Drive, South Bend, Indiana 46628 <br />Proposal No. and Date: P21656, Alairh 22, 2018 <br />FOR APPROVAL, AND PAYMENT OF CHARGES: If approval and payment are not dandled by the Same <br />individual, please indicate the appropriate name(s). <br />Firm/Company: <br />Address: <br />City/State:. <br />Attention: <br />Email: <br />0-'y of Solid) Beare!— 1 nvialauaaaerrtal Services <br />3113 Rh)erside Dive <br />Seath Bend, Indiana <br />Ms. Michelle 3vuli'.a <br />rya,g�arit/a�a).�orit/�d�errtla'ir.k�r�a, <br />PAYMENT TERMS: <br />Zip: 46628 <br />Phone: (57) 235-57.97 <br />Project Cost (Lump Sum): $4,700 (billed as detailed below) <br />Semi -Annual Event #1 - $2,350 lump sum following report submittal <br />Semi -Annual Event 42 - $2,350 lump sutra following report submittal <br />Retainer Fees — A retainer in the amount of $0 is to be paid to ICE RAMIDA 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: Ti-,e `T'erms and Conditions of this Proposal, including the Terms on this page <br />and the attached General Terms and Conditions are: <br />Accepted this day of , 201.8. <br />.PP. ' <br />Print or type name of authorized representative and title o-iM <br />Signature of authorized representative <br />INCREASING OUR CLIENTS' PROFITABILITY <br />rVa <br />ENGINEERS • GEOLOGISTS • SCIEN'CIS'F'S + SAFETY PROFESSIONALS + INDUSTRIAL HYGIENISTS T'S • 'TOXICOLOGISTS MODELING EXPERTS <br />INDIANAPOLIS, IN • ELKHART, IN « CINCINNATI, OH + CHICAGO, IL 9 NEW YORK, NY + SACRAMENTO, CA • Lo5 ANGELES, CA 9 PITTSBURGH, PA <br />