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LR 109-4 <br /> Page 4 of 4 <br /> Return With Bid <br /> OPTION FOR <br /> STEEL COST ADJUSTMENT <br /> The bidder shall submit this completed form with his/her bid. Failure to submit the form or <br /> properly complete contract number, company name, and sign and date the form shall make this <br /> contract exempt of steel cost adjustments for all items of steel. Failure to indicate "Yes" for any <br /> item of work will make that item of steel exempt from steel cost adjustment. After award, this <br /> 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 plans for the <br /> following items of work? <br /> Metal Piling Yes ❑ <br /> Structural Steel Yes ❑ <br /> Reinforcing Steel Yes ❑ <br /> ' Dowel Bars, Tie Bars and Mesh Reinforcement Yes ❑ <br /> Guardrail Yes ❑ <br /> Steel Traffic Signal and Light Poles, Towers and Mast Arms Yes ❑ <br /> Metal Railings (excluding wire fence) Yes ❑ <br /> ' Frames and Grates Yes ❑ <br /> Signature: _ Date: 01/12/24 <br />