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Illinois Department Local Public Agency Formal Contract <br /> 00 <br /> of Transportation ° ' <br /> Contractor's Name <br /> ' C-Hill Civil Contractors, Inc. <br /> Contractor's Address Cit State Zip Code <br /> P.O. Box 58 Camp Hill IL 62916 <br /> STATE OF ILLINOIS <br /> Local Public Agency Count Section Number <br /> City of Decatur Macon 19-00934-00-BR <br /> Street Name/Road Name T e of Funds <br /> Grove Road (FAU 7401) Motor Fuel Tax <br /> ® CONTRACT BOND (when required) <br /> For a County and Road District Project For a Municipal Project <br /> Submitted/Approved Submitted/Approved/Passed <br /> Hiqhwav Commissioner Signature Date Sin Date <br /> 1 IL <br /> ' Offi 'al Title <br /> Submitted/Approved Mayor <br /> County Engineer/Superintendent of High s Date <br /> Department of Transportation <br /> Concurrence in approval of award <br /> Re ional Engineer Signature Date <br /> i <br /> 1' <br /> i� <br /> 1 <br /> i <br /> 1 <br /> ' Printed 01/31/24 Page 1 of 2 BLR 12320(Rev.01/21/21) <br />