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PROPOSAL FORM'— PART I <br />Responding to a Request For Proposal due. not later than 5:00p.m., October 29, 2001 the undersigned Offeror <br />agrees to furnish VETERINARY SERVICES in aocordance 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 there is a discrepancy between words and figures WORDS SHALL GOVERN. <br />ITEM UNIT DESCRIPTION <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />8 <br />Hourly <br />Veterinary treatment visit at shelter <br />iii, iATiq� .,• % 'T3; +' i : t'_' 1 <br />(8 am to 7 pm, no portal-to-portal <br />charges allowed) <br />Hourly <br />Emergency veterinary treatment visit <br />at.shelter (between 7 pm and 8 am, no <br />portal-to-portal charges allowed) <br />Hourly <br />Veterinary treatment at vendors <br />facility'(8 am to 7 pm) <br />Hourly <br />Veterinary technician treatment visit <br />at shelter (8 am to 7 pm, no <br />portal-to-portal charges allowed) <br />Hourly Emergency veterinary technician <br />treatment visit at shelter (between <br />7 pm and 8 am, no portal-to-portal <br />charges allowed)) <br />Hourly Veterinary technician treatment at <br />vendors facility (8 am to 7 pm) <br />Each Euthanasis and carcass disposal <br />Each Necropsy and carcass disposal <br />O <br />ate <br />NAME OF F ROR <br />(PERSON, FIRM, CORP.) <br />COST <br />i <br />it i 3 <br />iii, iATiq� .,• % 'T3; +' i : t'_' 1 <br />SMKATURE OF AUTHORIZ REP <br />DR. WILLIAM A. GRANT II <br />COMMUNITY VETERINARY HOSPITAL, INC, J <br />ADDRESS BANOE 0EUCUD .?8;3 NAME &TLE (please print) <br />ADD SS <br />/0 3 7- o <br />TELE HONE NUMBER <br />Person authorized to bind bid: <br />ANY AND ALL ADDITIONA <br />—'— L Ia%-U1Y1L,:1Y 1.7, Ct%1LUJILM 1 U <br />STIPULATE SHALL BE CAUSE FOR DISHONORING ANY ADDITIONAL CHARGES. <br />�'77� Fu,�,✓ Cr/ <br />cZ� -ZZ76/ C47,—,V as <br />U <br />DATE <br />FA IMILE NUMBER <br />.5-o vp <br />Z viaws <br />