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APPENDIX A Proposal Response Form (Concluded) Sample Job #2: Scope of Work: Contractor shall provide and install one (12/6)-multi-mode / single mode, fiber optic cable running from the basement Equipment Room ERB.2 to the 8lh floor Telecommunications Closet TC8.1. Fiber optic cable will terminate in ERB.2 onto an appropriately configured CommScope SYSTIMAX LGX Fiber Optic Distribution System, using an LST1U-072/7 shelf with ST-type connectors. In TC8.1, fiber optic cable should terminate onto an appropriately configured CommScope SYSTIMAX Sliding Combination Shelf, using a 60082 One-Unit High type shelf with ST-type connectors. Rack space required exists at both termination points. One, empty 4-inch conduit exists between ERB.2 and TCB.1 (the Basement Telecommunications Closet that is vertically stacked with the rest of the floors including our destination closet, TC8.1). Contractor shall provide and install (4) one inch, non-plenum, corrugated innerduct from ERB.2 to TCB.1 via existing 4-inch conduit noted above which is 150 ft in length. At exit point of conduit, transition (1) of (4) installed innerduct to (1) one inch, riser-rated, corrugated innerduct, which will traverse from the basement, stacked Telecommunications Closet, TCB.1, up to TC8.1. Contractor shall provide (1) 4-inch core hole between TCB.1 and TC1.1. Building Facilities Management has determined that floor is clear of obstruction for 4-inch core. Core hole shall be sleeved, and fire stopped per local, state, and industry standard codes. 1) Provide a breakdown of hours to be billed. Innerduct and Fiber optic Cable Placement - 24 hours Layout and Sleeve for one core, fire stop riser - 10.3 hours Terminate, Install Housings, Testing and Labeling - 15.7 hours Total - 50 Hours 2) Provide a breakdown of cost of materials. • 400' Fiber optic cable 12/6 f12-strand 50um mm / 6-strand single-mode: $689.60 Note: Minimum purchase of composite fiber optic cable is 1640' • 1240' Fiber optic cable 12/6 r12-strand 50um mm / 6-strand single-mode for stock: $2,137.66 • 800' Riser Rated Innerduct based on (4) runs x 150' plus(1) run of 200' to route up riser from TCB.1, up to TC8.1 $547.02 • Termination Material: $1.331.92 • Sleeve and Fire Stop Material: $369.28 • Total Material: $5,075.78 • Sales Tax: A.06.05 3) Provide details and amounts of any and all other charges that would be billed to the City. Sub-contract for concrete coring services $1,233.33 TOTAL Cost of Project including Labor, Materials and sub-contract: $9,200.11 4) Provide approximation of elapsed time to complete work, beginning from authorization Page 8 of 9 25F-19