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Geotechnical Engineering I Construction Materials Testing and Inspections Fort Pierce, FL Panarna City. FL
<br />Building Code Compliance I Environmental. Health & Safety I Facilities Consulting Gainesville, FL Pelham. AL
<br />Description of Services: Testing Services
<br />Project Name: Indian River Boulevard Resurfacing
<br />Project Location: 53rd Street to The Merrill Barber Bridge, Vero Beach, FL 32967
<br />GFA Proposal No.: 18-7910.02 REVISED 3
<br />Proposal Date: October 24, 2022
<br />APPROVAL & PAYMENT OF CHARGES
<br />0 1 CERTIFY THAT THE CLIENT BILLING INFORMATION LISTED ON PAGE 2 OF THIS DOCUMENT IS ACCURATE
<br />CLIENT BILLING INFORMATION: (if different from page 2 of this document)
<br />Company:
<br />Attention:
<br />Address:
<br />City, State, Zip:
<br />Phone:
<br />Email:
<br />Permit No.: (please fill
<br />PROPERTY OWNER IDENTIFICATION: (If other than above)
<br />Name:
<br />Address:
<br />Title:
<br />Fax:
<br />Telephone: Fax:
<br />GFA terms are C.O.D. unless prior credit history has been established with GFA. All GFA services must be PAID IN FULL prior to receipt of any Letters,
<br />Reports or Results.
<br />PAYMENT METHOD: (Note: Credit card charges will include a 2.5% administrative fee)
<br />❑ Check payable to GFA International, Inc. / Check Number:
<br />❑ Visa ❑ Master Card ❑ Discover ❑ American Express
<br />Credit Card Number
<br />Card Holder Name
<br />CVV Code Exp. Date
<br />Card Holder Signature
<br />GFA International (GFA) reserves the right to withhold all reports until such time as we receive a signed Proposal Acceptance Agreement or other written
<br />authorization referencing this in its entirety. This AGREEMENT, the proposal and terms and conditions constitute the entire agreement between the client
<br />and GFA, and supersede all prior written or oral understanding. Please note that pricing is valid for a period of ninety (90) days from proposal date.
<br />The below signed, having full legal authority to bind the Client identified in the foregoing Proposal Agreement, has read the foregoing Proposal Agreement
<br />and hereby agrees to all of the terms and conditions contained in GFA's Standard Terms and Conditions attached hereto as Exhibit "A" which are
<br />incorporated herein by reference as a fundamental and material pert of the Proposal Agreement. The Client agrees and understands that GFA's Standard
<br />Terms and Conditions have been established in a large measure to allocate certain risks between Client and GFA, and GFA will not initiate services
<br />without Client's execution of agreement to the terms of the Proposal Agreement and the Standard Terms and Conditions and other terms and conditions
<br />set forth in this Agreement.
<br />PURSUANT TO FLORIDA STATUTE 558.0035, A DESIGN PROFESSIONAL, AS DEFINED IN
<br />FLORIDA STATUTE 558.002, ACTING AS AN INDIVIDUAL EMPLOYEE OR AGENT OF GFA
<br />INTERNATIONAL, INC. MAY NOT BE HELD INDIVIDUALLY LIABLE FOR NEGLIGENCE.
<br />AUTHORIZED SIGNATURE:
<br />PRINTED NAME 8r TITLE:
<br />DATE ACCEPTED: (See below for service line acceptance)
<br />SERVICES ACCEPTED: TESTING
<br />(Check accepted service line{s). If none are selected, GFA assumes all services have been accepted.)
<br />LOCATIONS
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<br />am an
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<br />Geotechnical Engineering I Construction Materials Testing and Inspections Fort Pierce, FL Panarna City. FL
<br />Building Code Compliance I Environmental. Health & Safety I Facilities Consulting Gainesville, FL Pelham. AL
<br />Description of Services: Testing Services
<br />Project Name: Indian River Boulevard Resurfacing
<br />Project Location: 53rd Street to The Merrill Barber Bridge, Vero Beach, FL 32967
<br />GFA Proposal No.: 18-7910.02 REVISED 3
<br />Proposal Date: October 24, 2022
<br />APPROVAL & PAYMENT OF CHARGES
<br />0 1 CERTIFY THAT THE CLIENT BILLING INFORMATION LISTED ON PAGE 2 OF THIS DOCUMENT IS ACCURATE
<br />CLIENT BILLING INFORMATION: (if different from page 2 of this document)
<br />Company:
<br />Attention:
<br />Address:
<br />City, State, Zip:
<br />Phone:
<br />Email:
<br />Permit No.: (please fill
<br />PROPERTY OWNER IDENTIFICATION: (If other than above)
<br />Name:
<br />Address:
<br />Title:
<br />Fax:
<br />Telephone: Fax:
<br />GFA terms are C.O.D. unless prior credit history has been established with GFA. All GFA services must be PAID IN FULL prior to receipt of any Letters,
<br />Reports or Results.
<br />PAYMENT METHOD: (Note: Credit card charges will include a 2.5% administrative fee)
<br />❑ Check payable to GFA International, Inc. / Check Number:
<br />❑ Visa ❑ Master Card ❑ Discover ❑ American Express
<br />Credit Card Number
<br />Card Holder Name
<br />CVV Code Exp. Date
<br />Card Holder Signature
<br />GFA International (GFA) reserves the right to withhold all reports until such time as we receive a signed Proposal Acceptance Agreement or other written
<br />authorization referencing this in its entirety. This AGREEMENT, the proposal and terms and conditions constitute the entire agreement between the client
<br />and GFA, and supersede all prior written or oral understanding. Please note that pricing is valid for a period of ninety (90) days from proposal date.
<br />The below signed, having full legal authority to bind the Client identified in the foregoing Proposal Agreement, has read the foregoing Proposal Agreement
<br />and hereby agrees to all of the terms and conditions contained in GFA's Standard Terms and Conditions attached hereto as Exhibit "A" which are
<br />incorporated herein by reference as a fundamental and material pert of the Proposal Agreement. The Client agrees and understands that GFA's Standard
<br />Terms and Conditions have been established in a large measure to allocate certain risks between Client and GFA, and GFA will not initiate services
<br />without Client's execution of agreement to the terms of the Proposal Agreement and the Standard Terms and Conditions and other terms and conditions
<br />set forth in this Agreement.
<br />PURSUANT TO FLORIDA STATUTE 558.0035, A DESIGN PROFESSIONAL, AS DEFINED IN
<br />FLORIDA STATUTE 558.002, ACTING AS AN INDIVIDUAL EMPLOYEE OR AGENT OF GFA
<br />INTERNATIONAL, INC. MAY NOT BE HELD INDIVIDUALLY LIABLE FOR NEGLIGENCE.
<br />AUTHORIZED SIGNATURE:
<br />PRINTED NAME 8r TITLE:
<br />DATE ACCEPTED: (See below for service line acceptance)
<br />SERVICES ACCEPTED: TESTING
<br />(Check accepted service line{s). If none are selected, GFA assumes all services have been accepted.)
<br />
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