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EXHIBIT B <br />CITY OF SANTA ANA <br />REQUEST FOR PROPOSALS FOR <br />SECURE BIKE PARKING FACILITIES <br />Installation and Service Agreement <br />RFP #13-019 <br />PROPOSERS CERTIFICATION and PROPOSAL ITEM PRICING <br />Certification - I certify that I have read, understand and agree to the terms and conditions of this Request for Proposals. <br />I have examined the Scope of Services (Exhibit A) and am familiar with the scope of work locations. I am familiar with all <br />the existing conditions and limitation that may impact work requests. I understand and agree that I am responsible for <br />reporting any errors, omissions or discrepancies to the City for clarification prior to the submission of my proposal. <br />Proposal Item Price - Pricing shall be based on scope of services as described in Exhibit A. Fee must be inclusive of all <br />costs, including but not limited to, direct and indirect costs for labor, overhead, incidental supplies, travel, mileage, and <br />fuel. Any special materials will be purchased by the contractor only after discussed and authorized by the City projects <br />manager or designee in writing. <br />LINE DESCRIPTION m QUANTITY' UNIT EXTENDED TOTAL PRICE <br />1 12-Bike Secure Parking System, <br />i <br />t <br />hi <br />i <br />i <br />I <br />l <br />di 2 EA <br />c, 0 <br />)03 <br />?`? O <br /> ng <br />ax, s <br />pp <br />ng, eng <br />neer <br />nc <br />u <br />ng . <br />, <br />2 24-Bike Secure Parking System <br />including tax, shipping, engineering 1 EA <br />3 Bike Stand, <br />Including tax, shipping 3 EA ?v <br /> Site-work (each location), <br />4 Including new concrete pad, 3 EA 00 <br /> hardware, installation of units <br />5 1-year Service Agreement 1 LS ( oo 0 w <br />b Reservation and Management <br />tf <br />S <br />ft <br />Pl 1 LS <br />(© <br />?O' ?`? <br /> orm <br />o <br />ware <br />a r <br />kiy . 11Cor oy <br />LEGAL NAME OF COMP/ <br />11- tCt <br />BUSINESS ADDR S <br />zl_ <br />Jreffw, )at,\ <br />TE M AUTHORIZED AGENT <br />A <br />SIGN U E OF OR1; AGENT ATE <br />AND FAX NUMBERS <br />r TITLE <br />4 <br />(Y-e o QClrec\Kc.e VU1 <br />E-MAIL ADDR <br />1?0 - ?V90 7-3-11 <br />FEDERAL ID NUMBER (IF APPLICABLE) CONTRACTOR LICENSE NUMBER (IF APPLICABLE) <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. <br />City of Santa Ana RFP 13-019 <br />Page 20 <br />01+7- r <br />-Lv to <br />b <br />25H-37