140P1221Q0064_Att 2 Price Schedule.pdf

Name of Firm:

DUNS:

Base Period Option Year 1 Option Year 2 Option Year 3 Option Year 4

Rocky Mountain Nationa Park

$ $ $ $ $Diesel for Alpine VC

Spring Removal and Disposal

Fall Removal and Disposal

Removal and reuse credit per gallon*

DateAuthorized Signature

Price Schedule ‐ Solicitation Number 140P1221Q0064

Price quotes should reflect the add‐on amount per gallon. The quote shall be in currency format ($0.00) to the nearest cent. Amount will be added to the local rack price for the Denver, CO location for the price effective date, rounded to the nearest cent. Your quote must include pricing for the base and all option periods for each item quoted.

Address:

Phone # / Email Address:

*For removal and recuse credit, provide either price per gallon over rack pricing at time of removal and/or specify method of determining credit.

Method of determining credit:_____________________________________________________________________________________________