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vrFIIT-`HEAC)OUARTER3 0 <br /> STATE OF CALIFORNIA Sheet 1 . . . . of 48.. . . . . . . . . . <br /> YET- "- °NTRACTOR DEPARTMENT OF <br /> GF'r E.v-Crrv'7"RCILUER SJ-4 <br /> -R1 •4 <br /> '[-NpiOtJNT,NG TRANSPORTATION . . <br /> � . <br /> G:JLi]i=NROD-ORIGINATOR/ADMWISTRATOR Co. Route P.M• <br /> LLUF-exTRA FEDERAL FUNDS INVOLVED <br /> EXP.RUTH SPECIAL DESIGNATION Cat <br /> OUNCE .CHARGE ENCUMBRANCE; <br /> SGR JOB NO OBJECTANIDU FISCAL GOCUM�%T Sin; <br /> uFN LFu sul;-nccl _ urw rAICEt No DEAR Ofl CREDIT YEAR NUMIiE`r <br /> 11151 UNO DISI UNIT LOCATION SIC <br /> wOBN OROCR NO BRIDGE NO.ESC. <br /> 6os� ETI, <br /> . 10400 i - 049839 ' $62,400 1986 na�J%jG FSS <br /> .-------- MYR <br /> I <br /> I Rut <br /> ITEC! �Qp7D CHAPTER STATUTES FISCAL YEAR <br /> 2660-301-042-20 111 1985 85/86 <br /> CONTRACT NO. .. . . .10A5.14.. . . . . . :.. .. . .. . .. . . . . <br /> This number to be placed on all invoices <br /> hereby cer[ify upon my own personal knowfedge that budgeted hinds are available <br /> for the period and Our use of the expenditure stated above. <br /> SIGNATURE OF CCOU TNG OFFICER PATE . . . . .$t 0Ckton. , . . _ , , . . , , CALIFORNIA, <br /> v . . . . . . . . . . .Qp.tober. 23. . . . . . . <br /> CONSTRUCTION916) 372-133 <br /> Contractor's Name . . . . . . . .O.•. . . ... . . . TER�ALS ,C,Q P�.J3�f. . . . . . . . . . . . . Phone . . . <br /> (Please bill as above) <br /> Address . .3.900 . .1UatJ .tr-ia.l . &IMd...� . we.$t. :5Aq,raR(�pt9:.. .�A. .95.'69;1 . . . ... . . . . ..: . . .... . . . :.,. <br /> . . . . . .e' �' �o-8fl{t CIa55 <br /> The Contractor hereby agrees to furnish the service or rental as hereinafter set forth to the Department of Transportation <br /> in accordance with the provisions on BOTH SIDES of this form and on the attached sheets, if any, and he agrees to receive <br /> and accept as full compensation therefor the prices named herein: <br /> All labor, materials, tools and equipment required to perform demo-1 iti: ft;-,. work to remove "an <br /> underground : tank.. and .to. obtain and analyze, product, water and. soil : samples <br /> to determine possible .contamination.. If required, remove .and properl.y.i;di.s <br /> Nose of contaminated material. <br /> Amount of Bid - $62,400 <br /> Total Amount Authorized Under This 'Contract . . $IS 2:,400 <br /> Approv -nded EXEMYT.FROM, DEPARI'MEW Of . <br /> GaiP' AL SERVICES APPRCyII.AL <br /> CR ESOI�I ON ST?Z 15 ANO,hIGHWr�YS COQ . <br /> E: . t�� --RR,, - . <br /> D�'Rie> uvk RjtRV StirPaM6AFA?erWitR N�Yti�e to Bidders,and Special Provisons No.. 86-1 and General <br /> Specifications therein referred to and with the Proposal attached hereto and made a part hereof. <br /> By my signature hereunder, as Contractor, I certify that I am aware of the provisions of Section 3700 of the Labor Code <br /> which require every employer to be insured against liability for workmen's compensation or to undertake self-insurance in <br /> accordance with the provisions of that code, and I will comply with such provisions before commencing the.performance of <br /> the work of this contract. <br /> The said Department of Transportation hereby agrees'to the terms as above set forth, and hereby agrees to pay the same, <br /> provided that by mutual consent this agreement may be modified or terminated at any time. <br /> IN WITNESS WHEREOF, the parties to these presents have hereunto set their hand the year and date"first above written. <br /> r=�, D - ARTMENT OF TRANSPORTATION CONTRACTOR <br /> jf <br /> B . . H.. . . .MATERIALS . . . ..COMPANY <br /> R. KSOil Firm Na <br /> ` District Contracts officer By . . . . . <br /> ASST DEPARTWA+ ��- <br /> aures 5 . . Walker <br /> c CONTRAGT OFFIG�R 4 <br /> p . -. .Marke.t ing. .8. .S :1�.� . . . . . . . . . . . <br /> . . . . . . . . . . . . .... . . . . . . . . . . . . . . November ' 1�g lC�g�j Title arPosition <br /> . <br /> Approved by . . .�.- MAIL BILLS IN TrRIPLICATE TO: <br /> Department of Transportation <br /> P. 0. Bax 2043 <br /> DAS-()HM-1284PW(MV.11831 CA 95201.204$ 8715-�0 4/133 2.970 —OSP <br /> Stockton, <br />