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Exhibit C — hates <br />CITY Of $A NTA ANA <br />REQUEST FOR PROPOSAL FOR <br />CONSTRUCTION SURVEYING SERVICES <br />PROPOSERS CERTIFICATION and PROPOSAL ITEM PRICING <br />Certification - I certify that. I have read, understand and agree to the Cerins and condlllons of this Request for <br />Proposals. I have examined the Scope o= Services (Exhibll Ay and am familiar with the scope of work locations. I <br />am famifiar with all the ext uing conditions and limitation that may inipoct work requests- I understand and ag ree <br />that I am responsible for reporting any errors, omissions or discrepancies to the City for clarificatlon prior to the <br />submission of my proposal. <br />Prnposat bm Price - Pricing shall be based on an hourly coal for services described Ir Exhibit A. The required <br />contract provisions need to include the California State Prevailing Wages (Federal "Pe,ymsnt of Predetermined <br />Minimum Wage" applies only to tederal•adl coustruPticn contracts). Prevailing wages will apply to services <br />performed for land' surveying, classifications such ss chief of party, Instrumentmarr and chaMmanlrodman. Free <br />must be inclusive of all costs, including but not limited to, direct and indirect costs for labor, overhead, Incidental <br />supplies, travel, mileage, and fuel Any scecfel materials will be purchased by the contractor only after discussed <br />and authorized by the City projects manager or designee in writing. <br />Ct SSI�iCATfc�N <br />HQUIRLY,COST RATS'. <br />— frfnoi aI <br />A 2.0a� <br />ProectSurve lr <br />r :04 <br />Supervising Land Surveyor <br />/00070 00 <br />Surveying Technician <br />100,000 <br />Draflperson <br />,:M'04 <br />Chief of Party (Prevailing Wage) <br />fMcc <br />Insfrumentinaii ;Prevailino Wage) <br />Chalnorrari/Radman (Prevailing Wage) <br />/Sptoo <br />Three Person Survey Crew <br />0V %541004 <br />Two Person Survey Crawup'loAr <br />ADDRESS <br />OF <br />Em <br />-)&oll 3(01� N <br />ERAL ha NUMBER OF APPLICABLE1 .r CONTRAcl'oR LICENSE NUMBER (IF APPLICABLE) <br />THIS FORM MUST BE COMPLETED' ANC INCLUaEt3 WITH TME PROPOSAL. <br />PROPOSALS THAT DO NOT 0014TAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. J <br />