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ACCEPTANCE OF WORKING AGREEMENT <br />Effective from April 1, 2022 through March 31, 2027 <br />The undersigned has read and hereby approves the Contractors -Laborers Working Agreement by and between the <br />Laborers' International Union of North America, State of Indiana District Council, for and on behalf of LIUNA Locals <br />#120, #204, #213, #274, #561, #645, 4741, H795 and #1112 and Indiana Constructors, Inc. — Labor Relations Division <br />(ICI-LRD) operating in the State of Indiana and herewith accepts same and becomes one of the Parties thereto. Any <br />deletions, exceptions or alterations to this Acceptance will be void and of no force or effect. <br />EMPLOYER- <br />DATED THIS ` DAY OF &.m <br />20 <br />-0MPANY NAME L )\,\I \ 000\L r,. E E 1, N\ En \ n i - f, s <br />TITLE OR AUTHORITY <br />' STREET ADDRESS <br />CITY & STATE)`V 21P \^�R1�' <br />MAILING ADDRESS (IIfdiJjerentthan above) nfV,—JL <br />CITY & STATF <br />PHONE ) S�l)` O3a I FEDERAL ID_�S� <br />FAX <br />E-MAIL_�VV\CC'P 4�tC-i�t`lA.._!a r- hR t� <br />ARE YOU A CERTIFIED MBE, WBE, VBE OR DBE CONTRACTOR? PLEASE CHECK AND COMPLETk. <br />E: <br />MBE � DATE CERTIFIED <br />_AI<WBE o DATE CERTIFIED <br />VBE DATE CERTIFIED <br />_DBE �Q �'� DATE CERTIFIED <br />UNION: <br />LOCAL UNION REPRESEN ATIV <br />BY <br />_ BY WHOM <br />BY WHOM <br />_ BY WHOM <br />BY WHOM <br />USORERS' INTERNATIONAL UNION OF NORTH AMERICA <br />STATE OF INDIANA DISTRICT COUNCII <br />.sssomr.aw..smn <br />TW: Wxl'lairyr, <br />ICI-LRD <br />