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Site Services
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1621 East Commercial
Algona , IA 50511
o � i X423
EXHIBIT "A"
SIGNATURE PAGE
The undersigned Proposer/ Bidder, having examined these documents and having full knowledge of the
condition under which the work described herein must be performed, hereby proposes that they will fulfill the
obligations contained herein in accordance with all instructions, terms, conditions, and specifications set forth ;
and that they will furnish all required services and pay all incidental costs in strict conformity with these
documents for the stated process as payment in full .
928 Mulberry Street, 1526 E 4t" Street, 1527 E 4"' Street, 114 E 10th Street, and 105 E inti Street.
Total " lump sum" bid : $ Z/O/ /MEN �
The correct summation of the actual bid tabulation figures will supersede the listed total,
Submitting Firm :
Address :
City : I /X7 State : Zip : 0511
Authorized Representative ( print) �L
Authorized Representative Signature
Date : Email : s.��s � - S � r' � f1 e, SGZGcle- j/yl*L ,
Phone : '5 i C5 Fax : TIS' r � c
EXCEPTIONS/ DEVIATIONS to this Request for Proposal shall be listed in writing on an attached document
provided by the Bidder. Please be as specific as possible . Please check one :
Our company has no exceptions/deviations .
Our company does have exceptions/deviations which are listed on an attached document.
GENERAL INFORMATION . Freight and/or delivery charges, if any, shall be included in the price .
FIRM PRICING . Offered prices shall remain firm for a minimum of sixty (60) days after the due date of this
solicitation unless indicated otherwise . Accepted prices shall remain firm for the duration of the contract.
ADDENDA (It is the Bidder's responsibility to check for issuance of any addenda ) . The authorized
representative herby acknowledges receipt of the following addenda .
Addenda Number _L Date � - )" . Addenda Number Date
❑ We choose not to bid at this time but would like to be considered for future requests for bid
RFB FOR ASBESTOS ABATEMENT SERVICES : Contract: AB-2021 - 11 -05P: 928 Mulberry Street, 1526 E 4' Street, 1527 E 4' Street, 114 E ] 0l
Street, and 105 E 111 Street
Page 8 of 9
Our " not to exceed " bid price for each property is :
928 Mulberry Street
1526 E 4th Street
35
1527 E 4th Street
Allk
114 E 10th Street
105 E 11th Street
Total
00
RFB FOR ASBESTOS ABATEMENT SERVICES : Contract: AB-2021 - 11 -05P: 928 Mulberry Street, 1526 E 4'' Street, 1527 E 4 h Street, 114 E 10th
Street, and 105 E 11 'n Street
Page 9 of 9