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REQUEST FOR PROPOSALS <br />DOWNTOWN SANTA ANA <br />GENERAL MAINTENANCE SERVICES <br />BIDDERS STATEMENT and BID ITEM PRICING <br />Certification <br />I certify that I have read, understand and agree to the terms and conditions of this Request for Proposal. I <br />have examined the Scope of Work (Exhibit A) and am familiar with the scope of work locations. I am familiar <br />with all the existing conditions and limitation that may impact work requests. I understand and agree that I am <br />responsible for reporting any errors, omissions or discrepancies to the City for clarification prior to the <br />submission of my proposal. <br />Bid Item Price <br />Pricing shall be based on a time and material charge. Fee must be inclusive of all costs, including but not <br />limited to, direct and indirect costs for labor, overhead, incidental supplies, travel, mileage, hardware, screws, <br />bolts, welding material, paint, wires, disposal of material and concrete, etc. Any special materials will be <br />purchased by the Contractor only after discussed and authorized by the City Project Manager or designee in <br />writing. The City has the option to purchase and provide materials. Special material will be purchased <br />and /or by the City or the City will reimburse the Contractor after authorization by City. <br />Price for Maintenance Services: $ per hour. <br />Percentage for Material Markup: <br />Minimum Service Call Charge: $ per Service Call. <br />LEGAL NAME OF COMPANY <br />BUSINESS ADDRESS <br />PRINTED NAME OF AUTHORIZED AGENT <br />SIGNATURE OF AUTHORIZED AGENT <br />FEDERAL IDENTIFICATION NUMBER (IF AVAILABLE) <br />CONTRACTOR LICENSE NUMBER AND CLASSIFICATION <br />(CSLB — B General Contractor License Required) <br />PHONE AND FAX NUMBER <br />TITLE <br />DATE <br />THIS FORM MUST BE COMPLETED AND INCLUDED IN THE PROPOSAL. <br />PROPOSALS THAT DO NOT CONTAIN THIS FROM WILL BE CONSIDERED NON- RESPONSIVE <br />EXHIBIT B <br />15 <br />25B -17 <br />