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401 North College Avenue <br />Indianapolis, Indiana 46202 <br />wKERAMIDA6� <br />(317) 685-6600 • Fax (317) 685-6610 <br />1-800-508-8034 <br />Am GLOBAL EHS& SLISTAINABILITY SERVICES info@keramida.com • www.keramida.com <br />AUTHORIZATION SHEET <br />Project Name: City of South Bend — Former Biosolids Landfill <br />Description of Services: Monitoring well Installation, 2020 Semi Annual StatisticalAnalyses/Reporting <br />Project Location: 4340 Trade Drive, South Bend, Indiana 46628 <br />Proposal No. and Date: P23537, Februarg 13, 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: <br />3113 Riverside Drive <br />City/State: <br />South Bend, Indiana Zip: 46628 <br />Attention: <br />Ms. Susan Zeeb Phone: (574) 2714212 <br />Email: <br />,, z cch @ t°ou t��1aegefi <br />PAYMENT TERMS: <br />Pro ect cyst .ump Sum $21,255 <br />Task 1: Monitoring Well Installation: S15,380 <br />Task 2: Statistical Analyses & Semi Annual Reports: $5, 875 <br />Invoicing: All costs will be invoiced on a lump sum basis, with billing concurrent with completion of each item. <br />PROJECT ACCEPTANCE: The Terms and Conditions of this Proposal, including the Terms on this page <br />and the attached General Terms and Conditions are: <br />Accepted this d S day of <br />Print or type name of authorized representative and title <br />Signature of authorized representative <br />INCREASING OUR CLIENTS' PROFITABILITY THROUGH SMART CONSULTING'"" <br />ENGINEERS • GEOLOGISTS • SCIENTISTS • SAFETY PROFESSIONALS • INDUSTRIAL HYGIENISTS - TOXICOLOGISTS • MODELING EXPERTS <br />INDIANAPOLIS, IN • GRANGER, IN • CHICAGO, IL • PITTSBURGH, PA • NEW YORK, NY • LOS ANGELES, CA • SACRAMENTO. CA <br />