R2021-219 Resolution Accepting the Bid and Authorizing the Execution of a Contract with Kinney Contractors, Inc. for the Replacement of the Meadowlark Bridge over the Caterpillar Ditch

Home Browse Search

Instructions for BLR 12320 - Page 1 of 2 Instructions are not to be submitted with the form. This form shall be used to execute Local Public Agency(LPA)contracts.The successful bidder must complete this form for formal contract proposals. Refer to Chapter 12 of the Bureau of Local Roads and Streets Manual (BLRS)for more information. For signature requirements, refer to Chapter 2, Section 3.05(b)of the BLRS Manual. When filling out this form electronically, once a field is initially completed,fields requiring the same information will auto-populate. Contractor's Name Insert Contractor's name. Contractor's Address Insert Contractor's address. Local Public Agency Insert the name of the LPA. County Insert the name of the County in which the LPA is located. Section Number Insert the section number assigned to this project without dashes. Street Name/Road Name Insert the name of the street/road on which the project is located. For projects that include several streets or routes insert various. Type of Funds Insert the type of funds being used to fund this project. For a County and Road District Project Highway Commissioner Signature For a Road District Project the Highway Commissioner shall sign and date here. County Engineer/Superintendent of Highways For a road district project or county project,the County Engineer/Superintendent of Highways shall sign and date here. For a Municipal Project Signature and Date For a Municipal project the appropriate municipal official shall sign and date here. Official Title Insert the title of the official who signed above. Department of Transportation Regional Engineer Signature& Date Upon a limited review the Regional Engineer shall sign and date here. Day Insert the Day the contract is made between the two parties. Month,Year Insert the month and year that corresponds to the date listed to the left. Local Public Agency Type From the drop-down, select the LPA type. Local Public Agency Insert the name of the LPA. #3 Section Number Insert the section number without dashes that applies to this project. I Local Public Agency This field is automatically completed based on previous entries. Date Insert the date the documents for bidding were approved by IDOT. #4 ' Local Public Agency Type From the drop-down list, select the LPA type. Local Public Agency Insert the name of the local public agency. i 1 Printed 12/02/21 BLR 12320(Rev.01/21/21)