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1141S tttYletlt Local Public Agency <br /> � .`� Q#Tru�sr#aton Formal Contract Proposal <br /> _ COVER SHEET <br /> Proposal Submitted By: <br /> Contractor's Name <br /> 1 K, CAC)NVU.L�c I i <br /> Contractor's A cess \ Citv State Zip Code <br /> STATE OF ILLINOIS <br /> Local Public Agency Co�nty Section Number _ <br /> Pity.of Decatur Macon t:20-00002-00-13R <br /> Routes Street/Road Name Ty e of Funds <br /> 1 Meadowlark Drive Rebuild Illinois Funds <br /> [� Proposal Only ® Proposal and Plans [] Proposal only,plans are separate <br /> Submitted/Approved <br /> For Local Public Agency: <br /> For a County and Road District Project For a Municipal Project <br /> Submitted/Approved Submitted/Approved/Passed <br /> IHighway Commissioner Signature Date Si nature Date <br /> %Ids)f <br /> 1 i <br /> Submitted/Approved Official Tine <br /> County Engineer/Superintendent of Hiohways Date <br /> IDepartment of Transportation <br /> Released for bid based on limited review <br /> Re ional En ineer Signature Date <br /> \,"J <br /> o ar <br /> 1 <br /> 1 Note:All proposal documents,including Proposal Guaranty Checks or Proposal Sid Bonds.should be stapled together to prevent loss <br /> when bids are processed. <br /> I <br /> 1 <br /> Printed 03117121 Page 1 of S B!_R 12200(Rev.01/29(21) <br /> 1 <br />