Johnston Street Sweeper
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BIDDING FORM
DATE SUBMITTED: ;fk;(./. /1 . 0 %"
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NAME OF BIDDER: [--"''l,,"cY f\. lP1u1l\.'~
ADDRESS: '7:1.3 - <<'0 r'5(~j ~O
PHONE: c;( L(5' - ~ ~ I - / :r :!3
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MIN. BID
$ 100
1994 OLDSMOBILE CUTLASS 0
ST A TIONW AGON
1996 JOHNSTON VANGUARD >f' 7/00 .
STREET SWEEPER
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$ 7,000
Please indicate the item you are bidding on by placing a bid amount next to the item.
Please place a "0" next to the item you are NOT bidding on.
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NON-COLLUSIVE BIDDING CERTIFICATION
The bidder certifies that:
a) the bid has been arrived at by the bidder independently and has been
submitted without collusion with any other vendor of materials, supplies or
equipment of the type described in the invitation for bids, and
b) the contents of the bid have not been communicated by the bidder, nor to the
best of his knowledge and belief, by any of his employees or agents, to any
person not an employee or agent of the bidder to its surety on any bond
furnished herewith prior to the official opening of the bid.
The signature of the contractor to this bid shall be deemed a specific
subscription to the certificate required pursuant to Section 139-d of the State
Finance Law and the contractor affirms that the statements therein contained are
true under the penalty of perjury.
Dated: /1- / '7 - 0 ~
By:ktJ/f~
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TITLE