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WIN i <br />v. <br />CITY OF A A / A PUBLIC WORKS <br />STATEMENTQUOTE PROPOSER ITEM PRICING <br />EXHIBIT A <br />Certification <br />1 certify that I have read, understand and agree to the terms and conditions of this quote. I have <br />examined the Scope of Services and am familiar wIth the scope of work and locations, I am familiar <br />with all the existing conditions and limitation that may impact work requests. I understand and agree <br />that I am responsible for reporting any errors, omissions or discrepancies to the City for clarification <br />prior to the submission of my quote, <br />Quote Item Price <br />Pricing shall be based on the items listed below and described in the Scope of Services. Fee muUst be <br />supplies travel mirage, and fuel. Any special materials will be purchased by the Contractor only <br />after discussed and authorized by the City Projects Manager or designee in writing. The City has tha <br />o tion- r hose an�rpvide materials. Special material will be purchased and/or by the City or the <br />City will reimburse the Contractor after authorization by City, <br />fi <br />c! L(%�i -C- d K. /1V %-) PJI- I A k V ee14146<d`IA4 tt1G 1 L <br />LEGAL NAME OF COMPANY (1 <br />BUSINESS ADDRESS 117le PHONE AND FAX NUMBER <br />MEOWL <br />TITLE <br />` /-; e h <br />DATE <br />D fc..�� f �iSG� / _/✓1,..$�/�TC�%�C.�..IU.2�%G—C'c�. �/JM <br />FEDERAL IDENTIFICATION NUMBER OR TAX ID (IF APPLICABLE) EMAIL ADDRESS <br />TYPE AND CONTRACTOR ID NUMBER <br />a A r• � A •* s r• '� <br />City of Santa Ana Public Works Agency <br />Request for Quotes for Homeless Encampment and Debris Clean Up Services <br />11 of 17 <br />