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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 <br />I DESCRIPTION m <br />QUANTITY' <br />UNIT <br />EXTENDED TOTAL PRICE <br />1 <br />12 -Bike Secure Parking System, <br />Including tax, <br />2 <br />EA <br />)03 �`� O c, 0 <br />shipping, engineering <br />, . <br />2 <br />24 -Bike Secure Parking System <br />including tax, shipping, engineering <br />1 <br />EA <br />3 <br />Bike Stand, <br />Including tax, shipping <br />3 <br />EA <br />�v <br />Site -work (each location), <br />4 <br />Including new concrete pad, <br />3 <br />EA <br />00 <br />hardware, installation of units <br />5 <br />1 -year Service Agreement <br />1 <br />LS <br />( oo p w <br />b <br />Reservation and Management <br />1 <br />LS <br />( ©r �O' C70 <br />Software Platform <br />kly . 11Cor oy <br />LEGAL NAME OF COMP/ <br />11- tCt <br />BUSINESS ADDR S <br />-Lv to <br />. Jreffw, )at,\ <br />TE M AUTHORIZED AGENT <br />A <br />SIGN U E OF OR1; AGENT OATE <br />01+7- r <br />AND FAX NUMBERS <br />b <br />r TITLE <br />4 <br />(Y-e o k QCirec \Kc.evU1 <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 />25H -37 <br />