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UNIVERSAL ENGINEERING SCIENCES , INC . <br /> Work Authorization/ Proposal Acceptance Form <br /> PROPOSAL NO . : Universal Number 1910 . 0209 . 00008 rev4 Change Order for Construction Materials Testing <br /> PROJECT : 66th Avenue and 16th Street Improvements <br /> CLIENT NAME : Indian River County Engineering Division <br /> CLIENT ADDRESS : 1801 27th Street, Vero Beach , FL <br /> Contract Documents . The following documents form part of this Agreement and are incorporated herein by referral : <br /> A. Indian River County Continuing Services Agreement <br /> B . Universal Change Order Dated : September 9 , 2010 <br /> C . Plans , reports , specifications and other documents provided by the Client prior to this agreement date . <br /> D . Other exhibits marked and described as follows : <br /> In the event of any inconsistency or conflict among the Contract Documents , the provision in the Contract Document <br /> first listed above shall govern . <br /> Authority to proceed and for payment . (To be completed by Client ) <br /> If the invoice is to be mailed for approval to someone other than the account charged , please indicate where , below . <br /> Social Security Number or <br /> Firm : Federal Identification No . : <br /> Address : <br /> Attention : Title : <br /> Notes : <br /> ( 1 ) You will only be invoiced for work actually performed , at the unit rates provided herein . <br /> ( 2 ) Any service required to be performed outside of the scope of work indicated in this proposal will be invoiced <br /> at normal unit <br /> rates . The clients authorization will be obtained before any such additional services are performed . <br /> ( 3 ) The prices in this proposal will remain effective for 90 days from the date of proposal . Three copies of the <br />final <br /> testing report are included in this cost estimate . <br /> ( 4 ) All testing and inspection services on a will call basis . We would appreciate a minimum notice of 24 hours <br />to properly <br /> schedule services . <br /> ( 5 ) All unit fees are for normal work hours , Monday through Friday from 7 : 00 a . m . to 4 : 00 p . m . , daily . <br /> Saturday, Sunday <br /> and holidays will be invoiced at the standard rate x 1 . 5 <br /> ( 6 ) If no other work is performed during the site visit , sample pickups will be invoiced at the technicians normal hourly <br /> rate . <br /> ( 7 ) A minimum of four ( 4) in - Place Density Tests are required per site visit . <br /> ( 8 ) All new clients must pay in advance for proposed work totaling less than $ 1 , 000 . 00 . <br /> ( 9 ) All new clients must apply for credit for proposed work totaling more than $ 1 , 000 . 00 <br /> IN WITNESS WHEREOF , the parties have caused this agreement to be executed by their duly authorized representatives <br /> CLIENT : UNIVERSAL ENGINEERIN C CES , INC . <br /> BY ( Signature ) :Si : BY ( Signature) : <br /> TYPED NAME : TYPED NAME : Keith A. Ellis , P . E . <br /> TITLE : TITLE : Branch Manager <br /> DATE : DATE : September 9 , 2010 <br /> REVIEWED BY: REH <br /> PREPARED BY: KAE <br /> RETURN EXECUTED COPIES TO <br /> UNIVERSAL ENGINEERING SCIENCES , INC . <br /> 820 BREVARD AVENUE , ROCKLEDGE , FL 32955 <br /> TELEPHONE : ( 321 ) 63&08081 FAX : ( 321 ) 638-0978 <br /> Page 2 of 2 <br />