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LR 109-2 <br /> Page 3 of 3 <br /> Return With Bid <br /> OPTION FOR <br /> BITUMINOUS MATERIALS COST ADJUSTMENT <br /> ' The bidder shall submit this completed form with his/her bid. Failure to submit the form, or failure <br /> to fill out the form completely, shall make this contract exempt of bituminous materials cost <br /> adjustments. After award, this form,when submitted, shall become part of the contract. <br /> Contract No.: 19-00934-00-BR <br /> Company Name: C-Hill Civil Contractors, Inc. <br /> Contractor's Option: <br /> Is your company opting to include this special provision as part of the contract? <br /> ' Yes ❑ No ❑ <br /> Signature: '��' � Date: 01/12/24 <br />