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Exhibit A <br /> RETURN WITH BID <br /> 1111noLs Department Local Public Agency <br /> of Transportation Formal Contract Proposal <br /> i <br /> P OPOSAL SUBMITTED BY <br /> '�o 411.1 �M P , � <br /> ctor's Na���-t� . <br /> Contractor's Name <br /> Street P.O.Box <br /> city State Zip Code <br /> STATE OF ILLINOIS <br /> COUNTY OF Macon <br /> _City of Decatur <br /> (Name of City,Village,Town or Road District) <br /> j <br /> FOR THE IMPROVEMENT OF <br /> STREET NAME OR ROUTE NO. Various Streets <br /> , <br /> SECTION NO. 21-00108-00-FP <br /> TYPES OF FUNDS Motor Fuel Tax <br /> ®SPECIFICATIONS(required) ®PLANS(required) <br /> . i <br /> I For Municipal Projects Department of Transportation <br /> SubpaittedlApprove JWassW gReleasyed f r bid based on limited review <br /> �W <br /> ❑Mayor❑President oard of Trustees ®Municipal Official e !E eer <br /> Date 5�2 ��,I Date <br /> !!JZvl <br /> llyp_ <br /> For County and Road District Projects <br /> Submitted/Approved <br /> l <br /> Highway Commissioner <br /> s <br /> Date <br /> 3 <br /> Submitted/Approved <br /> j <br /> County Engineer/Superintendent of Highways <br /> I <br /> j Date <br /> Note: All proposal documents,including Proposal Guaranty Checks or Proposal Bid Bonds,should be stapled together to prevent loss <br /> when bids are processed. <br /> Printed 5121/2021 Page 1 of 6 SLR 12200(01/08114) <br />