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Iry V kL <br />4. 1 � <br />lt U, .� RFP 13-015 <br />PRICE SUMMARY FORM Page 2 continued <br />PROPOSER STATFMEN'I': I have read, understood and aVve to the terms and conditions an <br />all pages of the RFP. Upon request I shall trwisferand de[iver goods or services to the City in <br />accordance with said terms and conditions. <br />Maintenance <br />606-2756 (909) 606-6469 <br />15644 Palomino Dr, Chino Hills California 91709 <br />Business Address City/State Zip Code <br />of Authorized Proposer <br />Printed Name Date <br />General Manager _____�909) 606-2756 <br />Tide of Authorized Proposer Pho= Number <br />29 <br />