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I <br /> Local Public Agency <br /> I* Ilinois Department 9 v <br /> `� of ltansportation Formal Contract Proposal <br /> I <br /> COVER SHEET <br /> I <br /> Proposal Submitted By: <br /> Contractor's Name <br /> Di <br /> k y,A-potisio1 lnt4)1,I, . <br /> I <br /> Contractor's Address City State Code <br /> '1)-4 N, 0.0- S7 ( �� -(u,� ' (.0Z5 <br /> ' STATE OF ILLINOIS <br /> Local Public Agency County Section Number <br /> City of Decatur Macon 26-00608-00-FP <br /> IRoute(s)(Street/Road Name) Type of Funds <br /> Various Motor Fuel Tax <br /> ' I=1 Proposal Only ® Proposal and Plans 0 Proposal only, plans are separate <br /> Submitted/Approved <br /> For Local Public Agency: <br /> I <br /> For a County and Road District Project For a Municipal Project <br /> I Submitted/Approved Submitted/Approved/Passed <br /> Highway Commissioner Signature&Date Signature&Date , <br /> ---e— r,(7/i 0 6) <br /> 1 Official Title <br /> Submitted/Approved <br /> t": <br /> ,Al C J(l,c.-- <br /> ' County Engineer/Superintendent of Highways Signature&Date <br /> Department of Transportation <br /> Released for bid based on limited review <br /> Regional Engineer Signature&Date <br /> (, -17U4A4✓ ocl/)L <br /> S <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 /> I <br /> I <br /> I <br /> Completed 04/20/26 Page 1 of 6 BLR 12200(Rev.01/19/23) <br /> I <br />