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1 T � <br /> UVJ L5 De�fIPJ11k Local Public Agency <br /> of <br /> Ttr"'�t15'pt?1" Qt1 Formal Contract Proposal <br /> Proposal Submitted By; COVERSHEET <br /> Contractor's Name <br /> Poh,' CD A+� �lS DF <br /> Contractor's Address City state ZJp Code <br /> 44 Ill <br /> STATE OF ILLINOIS <br /> ' Local Public AgeAgen Coun Section Number <br /> City of Decatur Macon 3-00308-00-FP <br /> Routes Street/Road NamelY of Funds <br /> Various Motor Fuel Tax Fund <br /> n Proposal Only Z Proposal and Plans © Proposal only,plans are separate <br />' SubmittedlApproved <br /> For Local Public Agency; <br />' For a County and Road District Project For a Municipal Project <br /> Submitted/Approved Submitted/Approved/Passed <br />' Hiqhwav Commissioner Signature&Date Si nature&Date <br /> U� ����� Digitally signed by Paul Caswell <br /> Date:2023.07,25 10:38:56 <br />' -Q5't�' <br /> Official Tice <br /> Submitted/Approved City Engineer <br /> County Engineer/Superintendent of Highways Signature&Date <br /> Department of"transportation <br />' Released for bid based on limited review <br /> Regional Engineer Si nature&Date <br /> Note;All proposal documents,including Proposal Guaranty Checks or Proposal Bid Bands,should be stapled together to prevent loss <br /> when bids are pressed, <br />' Completed 07,12S,23 Page 1 of 6 3LR 12200(Rev.01119123) <br />