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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 Proposals. <br />I have examined the Scope of Services (Exhibit A) and am familiar with the scope of work locations. I am familiar with all <br />the existing conditions and limitation that may impact work requests. I understand and agree that I am responsible for <br />reporting any errors, omissions or discrepancies to the City for 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 services <br />described in Exhibit A. Fee must be inclusive of all costs, including but not limited to, direct and indirect costs for labor, <br />overhead, incidental supplies, travel, mileage, and fuel. Any special materials will be purchased by the contractor only <br />after discussed and authorized by the City projects manager or designee in writing. <br />Provide &Install <br />Line <br />Description <br />Quantity <br />Unit <br />Unit Price <br />Unit Price <br />Extended Total <br />Extended Total <br />w /Globe <br />w/o Globe <br />Price w /Globe <br />Price w/o Globe <br />1 <br />150W EQUIVALENT -Post Top <br />55 <br />EA <br />Retrofit "Single" <br />��- <br />2 <br />15OW EQUIVALENT -Post Top <br />544 <br />EA <br />�3a <br />Retrofit "Double King" <br />3 <br />150W EQUIVALENT Surface <br />113 <br />EA <br />Mount Structure Luminaire <br />4 <br />P50W Equivalent Shoe Box <br />10 <br />EA <br />/ <br />Luminaire <br />i <br />Total Extended Cost <br />• $ <br />l�F� ©I QO <br />ALTERNATE PROPOSAL <br />Provide Only <br />Line <br />Description <br />Quantity <br />Unit <br />Unit Price <br />Unit Price <br />Extended Total <br />Extended Total <br />w /Globe <br />w/o Globe <br />Price w /Globe <br />Price w /o 'Globe <br />1a <br />15OW EQUIVALENT -Post Top <br />55 <br />EA <br />Retrofit "Single" <br />��- <br />2a <br />15OW EQUIVALENT -Post Top <br />544 <br />EA <br />�3a <br />Retrofit "Double King" <br />15OW EQUIVALENT Surface <br />113 <br />EA <br />Mount Structure Luminaire <br />Aa <br />25OW Equivalent Shoe Box <br />10 <br />EA <br />Luminaire <br />Total Extended CosttC"e� r 9 ' tCasC <br />sl&y CJ <br />• $ <br />l�F� ©I QO <br />LEGAL NAME OF COMPANY , _ PHONE AND FAX NUMBERS <br />NESS <br />PRINTED NAME OF AUTHORIZED AGENT TITLE <br />SIGNATURE OF AUTHORIZED AGENT DATE E -MAIL ADDRESS <br />_aJ�JN aas \ 10 c) c1\0. <br />FEDERAL ID NUMBER (IF APPLICABLE) CONTRACTOR LICENSE NUMBER (IF APPLIC{ <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. <br />RFP FOR LED COBRAHEAD STREETLIGHTS ADDENDUM #1 Page 117 <br />