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AUTHORIZATION SHEET <br />Project Name: City of South Bend Former Biosolids Landfill <br />Description of Services:Nitrate Source Investigation <br />Project Location: 4340 Trade Drive, South Bend, Indiana 46628 <br />Proposal No. and Date: P24080R, September 24, 2020 <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 South Bend <br />Address: 3113 Riverside Drive <br />City/State: South Bend, Indiana Zip: 46628 <br />Attention: Ms. Susan Zeeb Phone: (574) 271-4212 <br />Email: szeeb @southbendin.gov <br />PAYMENT TERMS: <br />Project Cost: $19,125 not to exceed <br />Task 1Investigation Work Plan Preparation: $1,000 <br />Task 2 Field Work: $9,185 <br />Task 3: Investigation Report: $2,340 <br />Additional: Day rate of $3,300 for additional investigations (2 maximum) for not to exceed cost <br />Invoicing: All costs will be invoiced on a time & materials not to exceed basis, with billing concurrent with <br />completion of each item. <br />PROJECT ACCEPTANCE: The Terms and Conditions of this Proposal, including the Terms on this page and <br />the attached General Terms and Conditions are: <br />Accepted this _____ day of ____________________________________, 2020. <br />Print or type name of authorized representative and title <br />Signature of authorized representative <br /> <br />