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<br />All other terms and conditions of the above-referenced contract are incorporated herein <br />by reference and remain in full force and effect. <br /> <br />EXECUTED the date last below signed. <br /> <br />WITNESS: <br /> <br />NAME (TYPE OR PRINT) <br /> <br />SIGNATURE <br /> <br />To be signed by Owner; Partner; Corp. Pres., Vicel <br />Pres., or other authorized Corp. Officer. (If signed <br />by other author. ized Corp. Officer, please attach copy <br />of Power of Attorney or other documentation showing <br />authorit to si n.) <br /> <br />WITNESS: <br /> <br />NAME (TYPE OR PRINT) <br /> <br />SIGNATURE <br /> <br />DOT 52494 (Div. 06) <br />L.D. Approved 5-19-00; 5-03 <br /> <br />CONTRACTOR: <br /> <br />COMPANY NAME <br /> <br />OFFICER'S NAME (TYPE OR PRINT) <br /> <br />SIGNATURE <br /> <br />TITLE <br /> <br />DATE <br /> <br />NORTH DAKOTA DEPARTMENT <br />OF TRANSPORTATION <br /> <br />DIRECTOR (TYPE OR PRINT) <br /> <br />SIGNATURE <br /> <br />DATE <br /> <br />APPROVED as to substance by: <br /> <br />, <br /> <br />/Jl/A;es 1/ A 1lI!. LPm6k <br />DIVISION DIRECTOR (TYPE OR PRINT) <br /> <br />l./'~ /h- ~ <br /> <br />SIGNATURE <br /> <br />4i'~-D~ <br /> <br />DATE <br /> <br />2 of 2 <br /> <br />DOT 52494 (Div. 06) <br />