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Lakeside Industries Inc. 6/21/2021
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Lakeside Industries Inc. 6/21/2021
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Last modified
9/7/2021 10:40:20 AM
Creation date
7/9/2021 10:08:04 AM
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Contracts
Contractor's Name
Lakeside Industries Inc. 6/21/2021
Approval Date
6/21/2021
Council Approval Date
5/19/2021
Department
Public Works
Department Project Manager
Jim Souder/Gael Fisk
Subject / Project Title
2021 Pavement Maintenance Overlay Project
Public Works WO Number
PW3751
Total Compensation
$2,881,595.60
Contract Type
Capital Contract
Retention Period
10 Years Then Transfer to State Archivist
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I <br /> I <br /> I Lakeside Industries, Inc. <br /> AUTHORIZED SIGNATURES <br /> -MONROE Division- <br /> ' List the name and title of those individuals in your organization who are authorized to <br /> execute proposals,contracts, bonds and other documents and/or instruments on behalf of the <br /> organization. Specify if more than one signature is required. <br /> Note: Signature must appear next to name. <br /> NAME I SIGNATURE i TITLE <br /> Jason Dempsey i <br /> I w.+ { Regional Manager <br /> I Loren Tonsgard _- _------f_--___.__-----_-_..—. <br /> I Operations Manager <br /> ---- - ---- — <br /> a07-7741117 <br /> Matt Cooper / I - T1i; 1IT1 <br /> ject Manager <br /> Jack Carmichael Project Manager <br /> IThe undersigned, being d y sworn, deposes and says that the foregoing is a true statement of <br /> facts concerning the individual, corporation, co-partnership or joint venture herein named, as of <br /> Ithe date indicated: <br /> LAKESIDE INDUSTRIES, INC. <br /> I <br /> (Name of Finn,be tract) <br /> I <br /> (A o ' kgnatwre(s)) <br /> 1. <br /> SworlIn,p before me t is ``�O OT�..•;,..........F`` i,% <br /> t l Ftp <br /> day of 10 <br /> k y Camrn.Expim t <br /> I <br /> = Mart 8,2023 i <br /> y CA ti No.488,52 2 <br /> I <br /> Notary Public �"e <k'O B E.�G f,'�:- <br /> 1,/�l i t tW AS1 A`��1�`•' <br /> itt <br /> 10/20/20 Authorized Signers 060 Monroe <br />
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