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EXHIBIT H <br />PROPOSER'S STATEMENT AND FEE SCHEDULE <br />Certification — I certify that I have read, understand and agree to the terms and conditions of this Request for <br />Proposals and I am familiar with all the existing conditions and limitations that may impact work. I understand <br />and agree that I am responsible for reporting any errors, omissions or discrepancies to the City for clarification <br />prior to the submission of my proposal. <br />ITEM <br />DESCRIPTION <br />ITEM COST <br />1 <br />710 E. 6 th Street <br />2 <br />714 E. 6 th Street <br />3 <br />720 E. 6 th Street <br />TOTAL COST * <br />" Total cost includes all labor, material, tools, equipment, supervision, overhead and profit. <br />LEGAL NAME OF COMPANY PHONE AND FAX NUMBER <br />BUSINESS ADDRESS <br />PRINTED NAME OF AUTHORIZED AGENT TITLE <br />SIGNATURE OF AUTHORIZED AGENT DATE E -MAIL ADDRESS <br />FEDERAL ID NO. (IF APPLICABLE) CONTRACTOR LICENSE NO. (IF APPLICABLE) <br />This document must be completed and included in the proposal. Proposals that do not contain this document <br />will be considered non - responsive and rejected. <br />City of Santa Ana <br />Request for Proposals— Demolition of Three Single - Family Homes <br />10'0 <br />