HomeMy WebLinkAbout2022-4079DocuSian Envelope ID: F385A3RF-CC69-4E73-R5R4-47RF79F793FF
CONTRACT 2022-4079
ITT
INDEPENDENT TESTING TECHNOLOGIES, INC.
337 31st AVENUE SOUTH, WAITE PARK, MN 56387
PH: (320) 253-4338 FAX: (320) 253-4547
Email: info@ittmn.com Website: www.independenttestingtech.com
AUTHORIZATION FOR SERVICES
INVOICES TO BE PAID BY:
Client: City of Columbia Heights
Contact: Amanda Marquez Simula (Mayor)
Address: 637 38th Avenue NE
Columbia Heights, MN 55421
Phone #: 763-706-3700
Mobile #:
Send Reports to: the Mailing Address listed above.
OR X the following E-Mail Address:
amar uersimula(cDcolumbiahei htsmn. ❑v
* PLEASE NOTE: Test results will be submitted to client
via USPS OR E-Mail. If you request I.T.T. to send them to
additional addresses, a fee may be charged.
PROJECT INFORMATION:
I.T.T. Project#: 22-173
Service: Construction Materials Testing
Project Desc.: 2022 Street Rehab - 47th Ave Mill 8 Overlay
City Project # 2206
SAP #113-117.001
Columbia Heights, MN
Payment shall be submitted upon receipt of invoice
unless other arrangements have been made.
NOTES: kbour eois columbiahei htsmn, ov: k oun ftcvlumbiahei htsmn. ov
SCHEDULING PROCEDURES:
We request that you call our office to schedule testing 24 hours prior to needing service.
Please call j320) 253-4338 and ask for "SCHEDULING ". You will then be directed to the person
that can ensure that the best service possible is provided.
r r r — Minnesota Pre -Lien Notification r — -
This notice is to advise you of your rights under Minnesota law in connection with the improvement to your property. Any person or company supplying
labor or materials for this improvement may file alien against your property if that person or company is not paid for the contributions. We, Independent
I Testing Technologies, Inc., 337 31 st Avenue South, Waite Park, Minnesota have been hired to provide Geotechnical / Construction Materials Testing
Services for this improvement by you: CCU of Columbia Heights 637 38th Avenue NE Columbia Heights, MN 5:
If we are not paid by you, we can file a claim against your property for the price of our services_ _ ^ ! r ' _ — _ — _ i ^ i — _ _ _
❑ncvSigned by: DoeuSlgnod by:
FA-44, M,�.,"".GE �,., 6/1/2022
Client Signature: � Date:
(By signing above, 1 acknowledge and agree to the terms of this "Authorization For Services")
Please note: This is the information sheet we reference to address test results and invoices. If you are NOT to be invoiced,
please notify us immediatelv or vou WILL be held responsible for the invoices submitted to vou. Thank vou.