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In addllon, proposers shall provide breakdown details supporting the above costs, <br />b(* -Pz3 <br />BUSINESS ADDRESS <br />21-OZ606 -IT g6gi)6.7 6 -ICS <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. (in separate sealed envelope), <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. <br />25L -38 <br />