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PROPOSAL FORM—PART 1 <br /> esponding to a Request For Proposal due not later than 5:00p.m., October 29,2001 the undersigned Offeror <br /> a• ees to furnish VETERINARY SERVICES in accordance with RFP 01-127. I/We have stated herein the <br /> price. s) shown at which I/we will furnish and deliver the specified services, <br /> Where th. e is a discre.anc between words and fi:u es WORDS SHALL GOVERN, <br /> ITEM UN ' DESCRIPTION COST <br /> Hourly; Veterinary trea''ent 'sit at he - $ _ <br /> (8 am to 7 p n+ p. al-to . <br /> charges alllo ed <br /> 2,, Hourly' merien:1 veteri .ry eat 1 ent v sit $ <br /> a'.helte (between 7 m an: 8 am, .o <br /> po I-to-portal chi oes allowed) <br /> 3 Hourly Veterin.$ treat nt at vendors $ <br /> facility (8 'm to 7 pm) <br /> 4 Hourly Veterinary tec• ician treatment visit _ <br /> at shelter(8 am . 7 pm, no <br /> portal-to-portal charges allowed) <br /> 5 Hourly Emergency veterina echnician $ <br /> treatment visit at•shelte (betwee • <br /> 7 pm and 8 am,no porta o-p. al ' <br /> charges allowed)) <br /> 6 Hourly Veterinary technician tr.tmen at $_ <br /> • ' ' vendors facility(8 a o 7 pm) <br /> 7 Each Euthanasia and c cass disposal , $ <br /> 8 Each Necropsy an: carcass disposal $ <br /> Date <br /> NAME OF OFFEROR SIGNA L RE OF AUTHORIZED REP. <br /> (PERSON, FIRM, CORP.) <br /> ADDRESS NAME&TITLE(plea - print) <br /> ADDRESS DATE <br /> TELEPH E NUMBER FACSIMILE NUMBER <br /> Perso authorized to bind bid: <br /> Print Name • Sign Name <br /> A -AND ALL ADDITIONAL COST MUST BE INDICATED IN BID DOCUMENTS; PAILU '' TO <br /> 'IPULATE SHALL BE CAUSE FOR DISHONORING ANY ADDITIONAL CHARGES. <br />