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6C (7)
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04-24-12 Packet
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6C (7)
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11/1/2012 10:27:14 AM
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4/20/2012 12:33:16 PM
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PROPOSAL ACCEPTANCE FORM <br />']'his Agreement is made by acceptance below of the Contract Document dated September 21, 2011 by and between <br />( "Client ") BSA Life Structures of (Address) 9365 Counselors Row, Indianapolis, Indiana 46240 and ATC Group <br />Services Inc. d /b /a ATC Associates Inc. of Highland, IN. <br />Client and ATC agree as follows: <br />I. CONTRACT DOCUMENT — Referred to as the "Contract Document" or "Agreement." Defined as: <br />PROPOSAL ACCEPTANCE FORM, the GENERAL TERMS AND CONDITIONS, and any proposals that <br />include a scope of services, fee schedules and other documents listed below under PROFESSIONAL, SERVICES. <br />2. PROI'ESSIONAL SERVICES — ATC will provide professional services ( "Services ") for the Client as indicated <br />in the proposal (No. 23G- 2011 -0176 dated September 21, 2011) for the proposed Development at Ignition Park <br />in South [lend, Indiana for a lump surn fee of $9,7.50.00. <br />3. DESIGNATED REPRESENTATIVES — The parties designate the following named individuals as their <br />authorized representatives to provide approvals, directives, and permissions, including changes, and to receive <br />notices or other communications under this agreement at the following addresses: <br />DESIGNATED REPRESENTATIVE <br />ATC GROUP SERVICES INC. <br />d /b /a ATC Associates Inc. <br />Name: Akhtar Zaman <br />Address: 2224 Industrial Drive <br />Suite A <br />Highland, IN 46322 <br />Phone: 219- 922 -7235 <br />DESIGNATED REPRESENTATIVE <br />CLIENT: BSA Life Structures <br />Name: E -M AVa44• a_ V%+Y2_6'�Z <br />Address: 9365 Counselors Row <br />Indianapolis, Indiana 46240 <br />Phone: 317- 688 -6989 <br />YOUR SIGNATURE INDICATES ACCEPTANCE OF'THE CONTRACT DOCUMENT, AS DEFINED ABOVE;, <br />UNLESS EXPRESSLY MODIFIED IN WRITING. <br />ACCEPTED BY: <br />ATC GROUP SERVICES INC. CLIEN "I': <br />d /b /a ATC Associates Inc. <br />13y: <br />Person authorize cute contracts & payment) <br />Nam <br />Title: <br />Date: <br />A'14 'A lk�lyl <br />ir:p., i•:.:j <br />PAT <br />L t <br />Title: r� � �y'r��,' t - <br />e S' 0 <br />Date: <br />Page 1 of 4 <br />
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