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Scope of Work and Cost Proposal for Beck's Lake NPL/LaSalle Park Area <br />October 12, 2018 <br />Page 4 of 4 <br />SCOPE CHANGE ACCEPTANCE <br />This SCOPE OF WORK CHANGES AND COST ADJUSTMENTS, BECK'S LAKE NPL <br />SITE/LASALLE PARK AREA, SOUTH BEND, INDIANA <br />(PROJECT No. 2018-0225) is hereby accepted and authorization to proceed hereby <br />granted: <br />Accepted By: <br />Printed name and title: <br />Business name: <br />Billing address: <br />Billing/account manager: <br />Date: <br />Phone No.: Fax No.: E-mail:: <br />Point of Contact for Gaining Access to Property: <br />Phone No. for Point of Contact: <br />Please note: Jones Petrie Rafinski offers electronic invoicing if requested. Please sign <br />below if you would prefer that option. <br />1 prefer to have my invoice transmitted through electronic email: <br />The party who signs this Proposal is directly responsible for the charges incurred <br />during the completion of our work. <br />4 1 P a g e <br />