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EXHIBIT B <br />CITY OF SANTA ANA <br />REQUEST FOR PROPOSALS FOR LED POST TOP RETROFIT STREETLIGHTS <br />PROPOSERS CERTIFICATION and PROPOSAL ITEM PRICING <br />Certification - I certify that I have read, understand and agree to the terms and conditions of this Request for <br />Proposals. I have examined the Scope of Services (Exhibit A) and am familiar with the scope of work <br />locations. I am familiar with all the existing conditions and limitation that may impact work requests. I <br />understand and agree that I am responsible for reporting any errors, omissions or discrepancies to the City for <br />clarification prior to the submission of my proposal. <br />Proposal Item Price - Pricing shall be based on a per each, (removed, disposed and installed) for <br />services described in Exhibit A. Fee must be inclusive of all costs, including but not limited to, direct and <br />indirect costs for labor, overhead, incidental supplies, travel, mileage, and fuel. Any special materials will be <br />purchased by the contractor only after discussed and authorized by the City projects manager or designee in <br />writin <br />. <br />Provide & Install <br />Extended <br />Extended <br />Unit Price Unit Price Extended Total Total Price <br />Line <br />Description <br />Quantity. <br />Unit w /Globe w/o Globe. Price wlGlobe w/o Globe <br />1 <br />15OW EQUIVALENT -Post Top Retrofit <br />368 <br />EA <br />w/o Globe <br />Price wlGlobe <br />w/o Globe <br />1 <br />150W EQUIVALENT -Post Top Retrofit <br />15OW EQUIVALENT Surface Mount <br />113 <br />EA <br />2 <br />Structure Luminaire <br />IVI <br />2 <br />Structure Luminaire <br />3 <br />25OW Equivalent Shoe Box Luminaire <br />10 <br />EA <br />3 <br />250W E quivalent Shoe Box Luminaire <br />Total Extended Cost <br />EA <br />ALTERNA I t FJKUt USP.L <br />Provide Only <br />Extended <br />Unit Price <br />Extended Total <br />Total Price <br />Line <br />Description <br />Quantity <br />w/o Globe <br />Price wlGlobe <br />w/o Globe <br />1 <br />150W EQUIVALENT -Post Top Retrofit <br />368 <br />150W EQUIVALENT Surface Mount <br />113 <br />IVI <br />2 <br />Structure Luminaire <br />3 <br />250W E quivalent Shoe Box Luminaire <br />10 <br />EA <br />Total Extended Cost <br />Go Green LED Alternatives, LLC <br />LEGAL NAME OF COMPANY PHONE AND FAX NUMBERS <br />P.O. Box 277 Yorkville IL 60506 O: (630)551 -1533 F:(630)554 -8518 <br />BUSINESS ADDRESS <br />Sandra Goeken President &Owner <br />PRINTED NAME OF AUTHORIZED AGENT TITLE <br />smiles @gogreenled.com <br />SSI- Gr7N'ATURE OF AUTHORIZED AGENT DATE E -MAIL ADDRESS <br />26- 3224144 <br />FEDERAL ID NUMBER (IF APPLICABLE) CONTRACTOR LICENSE NUMBER (IF APPLICABLE) <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. <br />FOR LED <br />Page 114 <br />