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PAY THE
SUM OF
PAY
TO THE
ORDER
OF
REF
P.O. Box 6000, Waterloo, IA 50704
credit union 800.235.3228 • www.veridiancu.org
TWO THOUSAND AND .00 DOLLARS
CITY OF WATERLOO
FRICKSON BROS EXCAVATING
DATE
03-01-18
PAYABLE THROUGH
FIRST INTERSTATE BANK
BILLINGS, MT
93-541
920
CHECK NO :101914067
OFFICIAL CHECK
2739
AMOUNT
********2,000.00
AUTHORIZED SIGNATURE
i
II' LO L9L4067" 1:0920094LL1:01400L0049352"
EXHIBIT "A"
SIGNATURE PAGE
807 East 4th Street and 809-811 East 4th Street- Minimum of 98% Compaction
Required.
The undersigned Proposer/Bidder, having examined these documents and having full knowledge of the
condition under which the work described herein must be performed, hereby proposes that they will fulfill the
obligations contained herein in accordance with all instructions, terms, conditions, and specifications set forth;
and that they will furnish all required services and pay all incidental costs in strict conformity with these
documents for the stated process as payment in full.
Our bid, for demolition, site clearance and minimum of 980/0 back fill compaction of the site is, and
will not exceed:
807 East 4th Street
$
809-811 East 4th Street
$
Submitting Firm: F ytic moo;-. 1R n.aA rKts-e,iq
Address. '73"1 Co -Q. adA., 0434_Q
City: EN/0mila ° State. ..Qe~sa. Zip: 457) 07
Authorized Representative (print) raberi Fr(c_t< n
Authorized Representative Signature 1&.-i Ver
Date : 3- I- ao ($ Email: deb -9r I c@t\c itoo .Goin
Phone: 314- a,3S OU 8p Fax: 319 - 8 33- $&-f
EXCEPTIONS/DEVIATIONS to this Request for Proposal shall be listed in writing on an attached document
provided by the Bidder. Please be as specific as possible. Please check one:
Our company has no exceptions/deviations.
Our company does have exceptions/deviations which are listed on an attached document.
GENERAL INFORMATION. Freight and/or delivery charges, if any, shall be included in the price.
FIRM PRICING. Offered prices shall remain firm for a minimum of sixty (60) days after the due date of this
solicitation unless indicated otherwise. Accepted prices shall remain firm for the duration of the contract.
ADDENDA (It is the Bidder's responsibility to check for issuance of any addenda). The authorized
representative herby acknowledges receipt of the following addenda:
We choose not to bid at this time but would like to be considered for future requests for bid
Addenda Number Date Addenda Number Date
Addenda Number Date
Addenda Number Date