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401 North College Avenue <br />Indlanapolls, Indiana 46202 <br />(317) 685.6600 - Fax (317) GB5.6610 <br />11-800-508-8034 <br />info#keramida.com - www.keramida.com <br />AUTHORIZATION SHEET <br />Project Name: City of South Bend — Foi mer• 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 Drzve <br />City/State: South Bend, Indiana Zip: 46628 <br />Attention: Ms. Susan Zeeb Phone: (574) 27I -42I2 <br />Email: szeeb(ct�,southbendin.gov <br />PAYMENT TERMS: <br />Project Cost: $19,125 not to exceed <br />Task I Investigation fFoik Plan Prowation: $1,000 <br />Task 2 Field 1Vork: $9, I85 <br />Task 3: Investigation R porgy• $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 13th. day of October, , 2020. <br />BOARD OF PUBLIC WORKS <br />Gary A. Gilot, President <br />Elizabeth A. Maradik, Member <br />Joseph R. Molnar, Member <br />Therese J. Dorau, Member <br />Jordan V. Gathers, Member <br />ATTEST: <br />�trlda GP�fialPrr <br />Linda M. Martin, Clerk <br />INCREASING OUR CLIENTS' PROFITABULITY THROUGH SMART CONSULTING — <br />ENGINEERS - GEOLOGISTS - SCIENTVSTS - SAFETY PROFESSIONALS • INDUSTRIAL. HYGIENISTS - TOXICOLOGISTS - MODEIUNG EXPERTS <br />INDIANAPOLIS, IN • GRANGER, IN • CHIICAGO, IIL . PITTSBURGHI, PA • NEW YORK, NY . LOS ANGELES, CA • SACRAMENTO, CA <br />