Laserfiche WebLink
PROPOSAL ACCEPTANCE SHEET <br />Description of Services: Water Works 2019 Semiannual Groundwater Sampling <br />Project Name/Client Name: City of South Bend <br />Project Location: Various locations, South Bend, IN <br />Proposal No. and Date: Proposal # 2-3284-19, February 20, 2019 <br />Your signature or an authorized representative's signature on this form will provide authorization for <br />EnviroSolutions, Incorporated (EnviroSolutions) to proceed and constitutes acknowledgment of the scope of <br />work and costs up to $12,725.00. If the City of South Bend chooses for EnviroSolutions to perform the <br />South Well Field Monitoring Well Elevation Survey task for an additional $460.00. Please indicate this <br />choice in the "special instructions" blanks below. AP <br />K and of PuWk Works <br />Authorized <br />Representative MAR 2J3 Z 1.9 <br />Signaatua.e t <br />FOR PAYMENT OF CHARGES: <br />Charge Invoice to the Account of: <br />Firm <br />............................... <br />StreetAd...................................................................................�A... ,,,,, ��A.._��,_�.�A,,.. . <br />Attention.._._._ . ...................................... <br />.........................................................1"eGcplac�aae <br />FOR APPROVAL OF CHARGES: <br />Send Invoice To: <br />Firm <br />Street Address <br />Attention <br />°1"c6�l�l�o�ae <br />Zip Code <br />If invoice is to be mailed for approval to someone other than the account charged, please indicate in the <br />space above. Invoices for completed work will be issued every four weeks for continuous or extended <br />projects unless otherwise agreed. <br />SPECIAL <br />INSTRUCTIONS <br />