No. 3030 approving/authorizing the execution of an amendment to the addendum to the master agency agreement (Ignition Park Phase 1A Infrastructure - Supplement #1)

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PROPOSAL ACCEPTANCE FORM ']'his Agreement is made by acceptance below of the Contract Document dated September 21, 2011 by and between ( "Client ") BSA Life Structures of (Address) 9365 Counselors Row, Indianapolis, Indiana 46240 and ATC Group Services Inc. d /b /a ATC Associates Inc. of Highland, IN. Client and ATC agree as follows: 1. CONTRACT DOCUMENT - Referred to as the "Contract Document" or "Agreement." Defined as: PROPOSAL ACCEPTANCE FORM, the GENERAL TF;RMS AND CONDITIONS, and any proposals that include a scope of services, fee schedules and other documents listed below under PROFESSIONAL, SERVICES. 2. PROI*I?SSIONAL SERVICES — ATC will provide professional services ( "Services ") for the Client as indicated in the proposal (No. 23G -2011 -0176 dated September 21, 2011) for the proposed Development at Ignition Park in South Bend, Indiana for a lump sum fee of $9,750.00. 3. DESIGNATED REPRESENTATIVES -- The parties designate the following named individuals as their authorized representatives to provide approvals, directives, and permissions, Including changes, and to receive notices or outer communications under this agreement at the following addresses: DESIGNATED RI PRESENTATIVE ATC GROUP SERVICES INC. d /b /a ATC Associates Inc. Name: Akhtar Zaman Address: 2224 Industrial Drive Suite A Highland, IN 46322 Phone: 219- 922 -7235 DESIGNATE:[) REPRESENTATIVE CLIENT: BSA Life Structures Name: Address: 9365 Counselors Row Indianapolis, Indiana 46240 Phone: 317 -688 -6989 YOUR SIGNATURE INDICATES ACCEP'T'ANCE OF THE CON'T'RACT DOCUMENT, AS DEFINED ABOVE, UNI..ESS EXPRESSLY MODIFIED IN WRITING. ACCEPTED BY: ATC GROUP SERVICES INC. CLIENT: d /b /a ATC Associates Inc. 13y: Person authorize n • cute contracts & payment) Name: Titl Date: 1'itle:�_ - oi►..! cry /yr��..- Date: T, 1� Page 1 of 4 �/ 5191 r ,.. _;;