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10=011aw-0 <br />Appendix <br />ATTACHMENT 2: COST PROPOSAL, FORM <br />Pricing must be inclusive of all costs, including but not limited to, direct and indirect costs for labor, overhead, <br />incidental supplies, travel, mileage, taxes as applicable, and fuel. <br />1. TOTAL CHARGE PER ITEM, PER 2 -WEEK PERIOD <br />Please list the full value of each item on separate sheet. Items will be pro -rated based on the number of years <br />in service. <br />3. STATE IF YOUR COMPANY BILLS WEEKLY A ORB:. <br />a. For only the shirts and pants worn per week: <br />b. For entire number of shirts & pants provided per employee: X <br />I hereby agree to perforin said work in accordance with the terms and conditions set forth in the above reference Invitation for Bul for• the <br />uniiprice(s) setforth in this schedule. <br />Mission Linen & Uniform Supply <br />LEGAL NAME OF COMPANY CSLE LICENSE NO. <br />Robert Evans <br />AUTHORIZED SIGNATURE NAME (PRINT) <br />revans@mission linen.com (909)313-1063 <br />EMAIL ADDRESS PHONE NUMBER <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br />City of Santa Ann RFP 17.094 <br />Page 17 <br />25B-16 <br />No. of <br />No. of Items <br />Cost Per Unit <br />Extended Total <br />Item <br />per 2 -Week <br />Per 2 -Week <br />Cast Per 2 -Week Period <br />Employees <br />Period <br />Period <br />x 26 Bili Periods ) <br />1. <br />Pants or shorts & shht <br />130 <br />11 sets <br />$858.00 <br />$22,308.00 <br />2. <br />Pants or shorts & shirt <br />10 <br />7 sets <br />$42.00 <br />$1092.00 <br />3. <br />Pants or shorts & shirt <br />25 <br />5 sets <br />$75.00 <br />$1950.00 <br />4. <br />Jackets <br />47 <br />2 jackets <br />$56.40 <br />$1466.40 <br />5. <br />Towels <br />- <br />100 towels <br />$4.00 <br />$104.00 <br />TOTAL <br />BID : ....................... <br />:............ <br />$ $26,920.40 <br />2. <br />REPLACEMENT COST (FOR LOST OR DAMAGED ITEMS) <br />Please list the full value of each item on separate sheet. Items will be pro -rated based on the number of years <br />in service. <br />3. STATE IF YOUR COMPANY BILLS WEEKLY A ORB:. <br />a. For only the shirts and pants worn per week: <br />b. For entire number of shirts & pants provided per employee: X <br />I hereby agree to perforin said work in accordance with the terms and conditions set forth in the above reference Invitation for Bul for• the <br />uniiprice(s) setforth in this schedule. <br />Mission Linen & Uniform Supply <br />LEGAL NAME OF COMPANY CSLE LICENSE NO. <br />Robert Evans <br />AUTHORIZED SIGNATURE NAME (PRINT) <br />revans@mission linen.com (909)313-1063 <br />EMAIL ADDRESS PHONE NUMBER <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br />City of Santa Ann RFP 17.094 <br />Page 17 <br />25B-16 <br />