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- -� <br /> '� ' RETURN WITH BID <br /> � <br /> ' Illinois De artme�t Local Public Agency <br /> of Transportation Formal Contract Proposal <br /> ' PROPOSAL SUBMITTED BY <br /> �i ll:2c' r^;}c,�:�� c:.�R�+�'L�2 S c� <br /> � Contractor's Name <br /> hc S . G�1►�.��;5 ,�.� <br /> Street P.O.Box <br /> � ,� ���' r�(,C� �3�1�'� <br /> I� ' City State Zip Code <br /> STATE OF ILLINOIS <br /> I�I ' COUNTY OF Macon <br /> City of Decatur <br /> (Name of City,Village,Town or Road District) <br /> IFOR THE IMPROVEMENT OF <br /> STREET NAME OR ROUTE NO. Various <br /> , SECTION NO. 15-00524-00-SC <br /> TYPES OF FUNDS Motor Fuel Tax <br /> ' �SPECIFICATIONS(required) �PLANS(required) <br /> ' For Municipal Projects Department of Transportation <br /> Submitted/Approved/P ssed eleased for bid based o imite evie <br /> 5�i <br /> ' ❑ Mayor ❑President of Board of Trustees �Municipal O�cial egion I in r <br /> Date Date �� �� <br /> i <br /> For County and Road District Projects <br /> ' Submitted/Approved <br /> Highway Commissioner <br /> , Date <br /> tSubmitted/Approved <br /> County EngineeNSuperintendent of Highways <br /> ' Date <br /> ' Note: A(l proposal documents,including Proposal Guaranty Checks or Proposal Bid Bonds,should be stapled together to prevent loss when bids are <br /> processed. <br /> ' <br /> Printed 4/Sl2016 Page 1 of 7 BLR 12200(01/08/14) <br /> ' <br />