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11findis.D a Local Public Agency <br /> tf 4p <br /> Formal Contract Proposal <br /> COVER SHEET <br /> Proposal Submitted By: <br /> Contractor's Name <br /> Contractor's Address Cit state Zip Code <br /> I C::-- 1L 11 <br /> STATE OF ILLINOIS <br /> Local Public Agency....... Coun Section Number <br /> lCity of Decatur IMacon Il.22-00237-00-1c <br /> Route(s) Street/Road Name) T pe of Funds <br /> u7 <br /> lEast William Street ==Tand GCPF <br /> [:] Proposal Only N Proposal and Plans F7, 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 /> HiqhwayCommissioner Signature&Date Signature&Date <br /> Official Title <br /> Submitted/Approved City Engineer <br /> Count y En ineer/Supenntendent of Hi hwa s Si nature&Date <br /> Department of Transportation <br /> Released for bid based on limited review <br /> Regional E neer Signature&Date <br /> 1!1 En i <br /> ' 'r 1 <br /> L A <br /> if 9 rl <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 /> Completed 10102/23 Page 1 of 0 BLR 12200(Rev,01/19/23) <br />