Generator_Service_RFP_25.docx
DOCX document 35 KB Posted
- Solicitation number
- BPM050505
- Issued by
- Dorchester County, Capitol Heights Town, Maryland
About this file
This is an Invitation for Bid (IFB) from Dorchester County, Maryland for a Generator Services Request for Proposal (RFP) covering multiple county facilities. The contract is a two-year generator maintenance and service agreement for four generators located at different county sites: County Office Building, County Courthouse, Highway Department, and Dorchester Regional Airport. The bid opening is scheduled for April 21, 2025, at 1:00 PM, with a 30-day notice to proceed after award. The comprehensive service contract includes annual inspections, maintenance, and operational checks for each generator and its associated automatic transfer switch, involving tasks such as oil changes, filter replacements, load bank testing, and comprehensive system evaluations.
The bid requires vendors to provide a detailed service proposal with pricing for each location, with invoicing processed within 30 days and sent to the Dorchester County Department of Public Works. Insurance requirements include comprehensive general liability coverage of $1,000,000 and worker's compensation compliance. Vendors must submit a certificate of insurance, provide an updated W-9 form, and comply with various state and local regulations, including nondiscrimination policies, bribery conviction disclosures, and drug-free workplace certifications. The county reserves the right to reject any bid and select the proposal deemed most advantageous, considering factors such as price, quality, vendor experience, and overall responsiveness to the RFP requirements.
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INVITATION FOR BID
DORCHESTER COUNTY GENERATOR SERVICES RFP FOR COUNTY GENERATORS -
DORCHESTER COUNTY, MARYLAND
SEALED BIDS for 2 year Generator Service Contract for several Dorchester County Generators will be received at the Dorchester County Council Office BID BOX, 501 Court Lane, Room 108, Cambridge, Maryland 21613 until 1:00 p.m. on the date specified below for Bid Opening, at which time they will be publicly opened and read in room 110. The Dorchester County Council hereby notifies all bidders that in regard to any contract entered into pursuant to this advertisement; bidders will be afforded full opportunity to submit bids in response to this notice and will not be subjected to discrimination on the basis of race, color, sex or national origin in consideration for an award.
County: Dorchester Cost of Packet: None Contract: Dorchester County Generator Services RFP Bid Opening Date: 1:00 p.m. prevailing time, Monday April 21, 2025 Contact: Stephanie Newcomb at 410-228-2920 or snewcomb@docogonet.com.
All proposals must be signed by the bidder with his name and address. Each proposal must be enclosed in a sealed envelope marked, "Dorchester County Generator Services RFP”
The Contractor, in furnishing the services provided herein, shall not discriminate against any person seeking employment with or employed by him because of race, creed, color or national origin.
The County reserves the right to reject any and all bids, waive formalities, informalities and technicalities therein, and to take whatever bid they determine to be in the best interest of the County considering the lowest or best bid, quality of goods and work, time of delivery or completion, responsibility of bidders being considered, previous experience of bidders, or any other factors they deem appropriate.
George L. Pfeffer, Jr., President Dorchester County Council
CONTRACT DURATION:
2 Year contract starting with 30 day notice to proceed.
Service Specifications
MAINTENANCE SCHEDULE
Inspections per contract term (Once per 12 months) Major w/oil & filter change that meets or exceeds engine specifications
AUTOMATIC TRANSFER SWITCHES
MAINTENANCE SCHEDULE
One inspection with transfer tests per each contract term (Once per 12 months)
ANNUAL INSPECTION SHALL INCLUDE THE FOLLOWING
All steps performed below:
· Change engine oil.
· Remove and replace oil filter.
· Remove and replace fuel filter.
· Remove and clean air filter as necessary.
· 2 Hour Load Bank test at the time of service
The following inspection, maintenance, and operational checks will be made if applicable:
| BATTERY SYSTEM |
| EXHAUST SYSTEM |
| OPERATIONAL TEST |
| Battery Voltage |
| Leakage |
| Start Operation |
| Electrolyte Level |
| Drain Condensation Trap |
| AC Voltage |
| Terminals Clean & Tight |
| Insulation & Fire Hazards |
| AC Amperage |
| Specific Gravity |
| Exhaust Systems Hanger & Supports |
| HZ |
| Charger Operation |
| Flexible Exhause Section |
| Oil Pressure |
| Charge Rate |
| Excessive Back Pressure |
| DC Alternator Amperage |
Equalize Charge
Transfer Switch Time Delay Start
Load Test for 10 Seconds
Time Delay Retransfer
| FIRE PUMP ONLY |
| Time Delay Cooldown |
| Bearing/Grease |
| Restore System to Automatic Operation |
| COOLING SYSTEM |
| Overflow Bowl |
| Identify Generator Location |
| Level |
| General Condition |
| Water Temperature |
Antifreeze Protection Level
Fan & Alternator Belts
| Flexible Hose & Connections |
| FUEL SYSTEM |
| TRAILER |
| Water Pump |
| Daytank Level |
| General Appearance |
| Jacket Water Heater |
| Daytank Floatswitch |
| Lights |
| Louver, Motor & Controls |
| Supply/Transfer Pump Operator |
| Tires |
| Heat Exchange |
| Solenoid Valve Operation |
| Brakes |
| Radiator |
| Flexible Hose & Connections |
| Hitch |
| Coolant Leaks |
| Piping |
| Security |
| Fuel Strainer |
| Jack Stands |
Injection Pump Lines
| ELECTRICAL SYSTEM |
| Fuel Filter(s) |
Tighten Controls
TRANSFER SWITCH
Wire Chafing
Loose Wires
| Operation of Safeties, Estop & Alarms |
| GENERATOR |
| Contacts |
| Operation of Switch & Rack Solenoid |
| General Condition |
| Relays |
| Relays |
| Brush Condition & Slip Rings |
| Lights |
| P.C. Boards |
| Excitor |
| P.C. Boards |
| Rotor & Stator |
| Service Room/Housing Housekeeping |
| Bearings |
| Exercise Time Set |
| ENCLOSURE |
| Voltage Regulator |
General Appearance
Locks
| Latches |
| LUBRICATING SYSTEM |
Oil Level
Oil Sample Analysis
| ENGINE |
| Oil Change |
| General Condition |
| Oil Leaks |
| Air Filter(s) |
| Lube Oil Heater |
| Ignition System; Plugs, Coil, etc. |
| Crankcase Breather |
| Choke & Carburetor Settings |
| Oil Filter(s) |
| Turbo Charges Rotation & End Play |
| Grease Zerks |
Governor
LOCATION AND GENERATOR INFORMATION
COUNTY OFFICE BUILDING – 501 COURT LANE, CAMBRIDGE, MD 21613
| EQUIPMENT |
| MANUFACTURER |
| MODEL |
| SERIAL NUMBER |
| Size/ Fuel/ Voltage |
| Location |
| GENERATOR |
| CUMMINS |
| 125DGSAB721765 |
| G080196454 |
| 125KW DIESEL |
277/480
OUTDOOR
ATS
| 0TECB-7225205 |
| G080195663 |
| ENGINE |
| CUMMINS |
| QSB7-G3NR3 |
| 46925101 |
COUNTY COURT HOUSE – 206 HIGH STREET, CAMBRIDGE, MD 21613
| EQUIPMENT |
| MANUFACTURER |
| MODEL |
| SERIAL NUMBER |
| Size/ Fuel/ Voltage |
| Location |
| GENERATOR |
| KOHLER |
| 20ROZ |
| 359334 |
| 20KW 120/208 |
| INDOOR |
ATS
| K-168341-104 |
| K 57647 |
ENGINE
| 4039-DF |
| CD4039D182657 |
HIGHWAY DEPARTMENT – 5435 HANDLEY ROAD, CAMBRIDGE, MD 21613
| EQUIPMENT |
| MANUFACTURER |
| MODEL |
| SERIAL NUMBER |
| Size/ Fuel/ Voltage |
| Location |
| GENERATOR |
| MTU |
| DSQ0200D6SJAN0574 |
| 358744-1-1- |
| 200KW DIESEL |
| OUTDOOR GROUND LEVEL |
ATS
| ENGINE |
| JOHN DEERE |
| 6068HF485 |
DORCHESTER REGINAL AIRPORT – 5263 BUCKTOWN ROAD, CAMBRIDGE, MD 21613
| EQUIPMENT |
| MANUFACTURER |
| MODEL |
| SERIAL NUMBER |
| Size/ Fuel/ Voltage |
| Location |
| GENERATOR |
| GENERAC |
| SD250KG178.7D18HPYY3 |
| 300696810 |
| 250KW DIESEL 480V |
| OUTDOOR GROUND |
| ATS |
| GENERAC |
400 AMP LOWVOLTAGE
ENGINE
E002-054969
BID DUE DATE
Sealed Bids that are clearly marked "Dorchester County Generator Services RFP” must be received by the County at 501 Court Lane, Room 108, Cambridge, Maryland, 21613 on or before April 21, 2025, 1:00 PM local time.
Bids shall be opened publicly at the time, date and location designated above (Opened and read in Room 110).
Vendors are responsible for assuring that their bids are delivered to the specified location before the deadline for receipt of bids, including those delivered by U.S. Postal Service or other Carriers.
The bidder shall submit an original Contract Bid Form for this project. The bid shall be submitted on the bid sheet. The bid sheet is not to be altered.
Oral, fax or E-mail bids will not be accepted.
Bids, request for withdraws, and modifications not received by the time and at the place indicated are late and may not be considered.
All proposals must be signed by the bidder with name and address. Each proposal must be enclosed in a sealed envelope marked, "Dorchester County Generator Services RFP”
INVOICING
Invoices may take up to 30 days for processing Each location shall be invoiced separately Send invoices to:
Dorchester County Department of Public Works Highway Department Attention: Stephanie Newcomb 5435 Handley Road Cambridge, MD 21613
Or by email to snewcomb@docogonet.com
TAX EXEMPTION
The Department of Public Works, Highway Division, being a political subdivision, is exempt by law from applicable excise and sales tax.
They County will require an up to date W9 tax form from your company and Certificate of Insurance prior to any work or payments.
INSURANCE REQUIREMENTS
The Contractor shall maintain insurance issued by companies licensed and authorized to do business in the State of Maryland, and acceptable to Dorchester County.
Comprehensive General Liability. Shall be broad form, combined single limit of one million dollars and no cents ($1,000,000.00).
Worker’s Compensation/Employee Liability. To comply with statutory coverage in the State of Maryland, all States’ liability and Employer’s Liability (Coverage B) with the limit of one million dollars and no cents ($1,000,000.00).
The Contractor shall verify that Dorchester County has been named an additional insured to the Contractors above Insurance policies that the insurer, at its own expense, will defend all parties insured, and that coverage is extended to cover all contractual obligations of the Contractor contained in this Contract.
If at any time, the required insurance is cancelled, terminated, or modified so that coverage is not in full force and effect, Dorchester County will obtain additional coverage equal to that required – the cost of which shall be borne by the Contractor.
A Certificate of Insurance meeting the above requirements shall be provided to Dorchester County prior to notice to proceed.
CERTIFICATION REGARDING COMMERCIAL NONDISCRIMINATION
§19-103 of the State Finance and Procurement Article of the Annotated Code of Maryland states that “Discrimination” means any disadvantage, difference, distinction or preference in the solicitation. In preparing its bid on this project, the bidder or offeror has considered all proposals submitted from qualified, potential subcontractors and suppliers, and has not engaged in “discrimination” as defined in selection,, hiring or commercial treatment of a vendor, subcontractor, or commercial customer on the basis of race, color, religion, ancestry, or national origin, sex, age marital status, sexual orientation, or on the basis of disability or any otherwise unlawful use of characteristics regarding the vendors, suppliers’ or commercial customer’s employees or owners. “Discrimination” also includes retaliating against any person or other entity for reporting any incident of “discrimination”. Without limiting any other provision of the solicitation on this project, it is understood that, if the certification is false, such false certification constitutes grounds for the County to reject the bid submitted by the bidder or offeror on this project, and terminate any contract awarded based on the bid. As part of its bid or proposal, the bidder or offeror herewith submits a list of all instances in the past 4 years where there has been a final adjudicated determination in a legal or administrative proceeding in the State of Maryland that the bidder or offeror discriminated against subcontractors, vendors, suppliers, or commercial customers, and a description of the status or resolution of that determination, including any remedial action taken. Bidder or Offeror agrees to comply in all respects with the State’s Commercial Nondiscrimination Policy as described under Title 19 of the State Finance and Procurement Article of the Annotated Code of Maryland.
AFFIRMATION REGARDING BRIBERY CONVICTIONS
I FURTHER AFFIRM THAT:
Neither I, nor to the best of my knowledge, information and belief, the above business (as is defined in Section 16-101(b) of the State Finance and Procurement Article of the Annotated Code of Maryland), or any of its officers, directors, partners, controlling stockholders, or any of its employees directly involved in the business’s contracting activities, including obtaining or performing contracts with public bodies, has been convicted of, or has had probation before judgment imposed pursuant to Criminal Procedure Article §6-220, Annotated Code of Maryland, or has pleaded nolo contendre to a charge of, bribery, attempted bribery, or conspiracy to bribe in violation of Maryland law, or of the law of any other state or federal law, except as follows (indicate the reasons why the affirmation cannot be given and list any conviction, plea, or imposition of probation before judgment with the date, court, official or administrative body, the sentence or disposition, the name(s) of person(s) involved, and their current positions and responsibilities with the business):
AFFIRMATION REGARDING OTHER CONVICTIONS
I FURTHER AFFIRM THAT:
Neither I, nor to the best of my knowledge, information and belief the above business, or any of its officers, directors, partners, controlling stockholders, or any of its employees directly involved in the business’s contracting activities including obtaining or performing contracts with public bodies, has:
1. Been convicted under state or federal statute of:
(a) a criminal offense incident to obtaining, attempting to obtain, or performing a public or private contract; or
(b) fraud, embezzlement, theft, forgery, falsification or destruction of records, or receiving stolen property;
2. Been convicted of any criminal violation of a state or federal antitrust statute;
3. Been convicted under the provisions of Title 18 of the United States Code for violation of the Racketeer Influenced and Corrupt Organization Act, 18 U.S.C. §1961, et seq., or the Mail Fraud Act, 18 U.S.C. §1341, et seq., for acts in connection with the submission of bids or proposals for a public or private contract;
4. Been convicted of a violation of the Section 11-205.1 of the State Finance and Procurement Article of the Annotated Code of Maryland;
5. Been convicted of a violation of the State Minority business Enterprise Law, Section 14-308 of the State Finance and Procurement Article of the Annotated Code of Maryland;.
6. Been convicted of conspiracy to commit any act or omission that would constitute grounds for conviction or liability under any law or statute described in subsection (1) through (5) above;
7. Been found civilly liable under a state of federal antitrust statute for acts or omissions in connection with the submission of bids or proposals for a public or private contract;
8. Been found in a final adjudicated decision to have violated the Commercial Nondiscrimination Policy under the Title 19 of the State Finance and Procurement Article of the Annotated Code of Maryland with regard to a public of private contract; or
9. Admitted in writing or under oath, during the course of an official investigation or other proceedings, acts or omissions that would constitute grounds for conviction or liability under any law or statute described in Section B-C and subsection (1) through (8) above, except as follows (indicate reasons why the affirmations cannot be given, and list any conviction, plea, or imposition of probation before judgment with the date, court, official or administrative body, the sentence or disposition, the name(s) of the person(s) involved and their current positions and responsibilities with the business, and the status of any debarment):
AFFIRMATION REGARDING DEBARMENT OF RELATED ENTITIES
1. The business was not established and it does not operate in a manner designed to evade the application of or defeat the purpose of debarment pursuant to Sections 16-101,et seq., of the State Finance and Procurement Article of the Annotated Code of Maryland; and
2. The business is not a successor, assignee, subsidiary, or affiliate of a suspended or debarred business, except as follows (you must indicate the reasons why the affirmations cannot be given without qualification):
SUB-CONTRACT AFFIRMATION
Neither I, nor to the best of my knowledge, information and belief, the above business, has knowingly entered into a contract with a public body under which a person debarred or suspended under Title 16 of the State Finance and Procurement Article of the Annotated Code of Maryland will provide, directly or indirectly, supplies, services, architectural services, construction related services, leases of real property, or construction.
AFFIRMATION REGARDING COLLUSION
I FURTHER AFFIRM THAT:
Neither I, nor to the best of my knowledge, information, and belief, the above business has:
1. Agreed, conspired, connived, or colluded to produce o a deceptive show of competition in the compilation of the accompanying bid or offer that is being submitted;
2. In any manner, directly or indirectly, entered into any agreement of any kind to fix the bid price or price proposal of the bidder or offeror or of any competitor, or otherwise taken any action in restraint of free competitive bidding in connection with the contract for which the accompanying bid or offer is submitted.
FINANCIAL DISCLOSURE AFFIRMATION
I am aware of, and the above business will comply with, the provisions of Section 13-221 of the State Finance and Procurement Article of the Annotated Code of Maryland, which require that every business that enters into contracts, leases, or other agreements with the State of Maryland or its agencies during a calendar year under which the business is to receive in the aggregate $100,000 of more shall within 30 days of the time when the aggregate value of the contracts, leases, or other agreements reaches $100,000, file with the Secretary of the State of Maryland certain specified information to include disclosure of beneficial ownership of the business.
POLITICAL CONTRIBUTION DISCLOSURE AFFIRMATION
I am aware of, and the above business will comply with Election Law Article, §§14-101---14-108, Annotated Code of Maryland, which requires that every person that enters into contracts, leases, or other agreements with the State of Maryland, including its agencies or a political subdivision of the State, during a calendar year in which the person receives in the aggregate $100,000 or more shall file with the State Board of Elections a statement disclosing contributions in excess of $500 made during the reporting period to be a candidate for elective office in any primary or general election.
DRUG AND ALCOHOL FREE WORKPLACE
(Applicable to all contracts unless the contract is for a law enforcement agency and the agency head or the agency head’s designee has determined that application of COMAR 21.11.08 and this certification would be inappropriate in connection with the law enforcement agency’s undercover operations.)
I CERTIFY THAT:
1. Terms defined in COMAR 21.11.08 shall have the same meanings when used in this certification.
2. By submission of its bid or offer, the business, if other than an individual, certifies and agrees that, with respect to its employees to be employed under a contract resulting from this solicitation, the business shall:
(a) Maintain a workplace free of drug and alcohol abuse during the term of the Contract;
(b) Publish a statement notifying its employees that the unlawful manufacture, distribution, dispensing, possession, or use of drugs, and the abuse of drugs or alcohol is prohibited in the business’ workplace and specifying the actions that will be taken against employees for violation of these prohibitions;
(c) Prohibit its employees from working under the influence of drugs or alcohol;
(d) Not hire or assign to work on the contract anyone whom the business knows, or in the exercise of due diligence should know, currently abuses drugs or alcohol and is not actively engaged in a bona fide drug or alcohol abuse assistance or rehabilitation program;
(e) Promptly inform the appropriate law enforcement agency of every drug-related crime that occurs in its workplace if the business has observed the violation or otherwise has reliable information that a violation has occurred;
(f) Establish drug and alcohol abuse awareness programs to inform its employees about:
| (i) The dangers of drug and alcohol abuse in the workplace; |
| (ii) The business’ policy of maintain a drug and alcohol free workplace; |
(iii) Any available drug and alcohol counseling, rehabilitation, and employee assistance programs; and
(iv) The penalties that may be imposed upon employees who abuse drugs and alcohol in the workplace;
(g) Provide all employees engaged in the performance of the contract with a copy of the statement required by §K(2)(b), above;
(h) Notify its employees in the statement required by §K(2)(b), above that as condition of continued employment on the contract, the employee shall:
(i) Abide by the terms of the statement; and
(ii) Notify the employer of any criminal drug or alcohol abuse conviction for an offense occurring in the workplace not later than 5 days after a conviction;
(i) Notify the procurement officer within 10 days after receiving notice under §K(2)(h)(ii), above, or otherwise receiving actual notice of a conviction;
(j) Within 130 days after receiving notice under §K(2)(h)(ii), above, or otherwise receiving actual notice of a conviction, impose either of the following sanctions or remedial measures on any employee who is convicted of a drug or alcohol abuse offense occurring in the workplace;
(i) Take appropriate personnel action against an employee, up to and including termination;
or
(ii) Require an employee to satisfactorily participate in a bona fide drug or alcohol abuse assistance or rehabilitation program; and
(k) Make a good faith effort to maintain a drug and alcohol free workplace through implementation of §K(2)(a)-(j), above.
3. If the business is an individual, the individual shall certify and agree as set forth in §K(4), below, that the individual shall not engage in the unlawful manufacture, distribution, dispensing, possession, or use of drugs or the abuse of drugs or alcohol in the performance of the contract.
4. I acknowledge and agree that:
(a) The award of the contract is conditional upon compliance with COMAR 21.11.08 and this certification;
(b) The violation of the provisions of COMAR 21.11.08 or this certification shall be cause to suspend payments under, or terminate the contract for default under COMAR 21.07.01.11 or 21.07.03.15, as applicable; and
(c) The violation of the provisions of COMAR 21.11.08 or this certification in connection with the contract may, in the exercise of the discretion of the Board of Public Works, result in suspension and debarment of the business under COMAR 21.08.03.
CERTIFICATION OF CORPORATION REGISTRATION AND TAX PAYMENT
1. The business named above is a (domestic ____) (foreign ___) corporation registered in accordance with the Corporations and Associations Article, Annotated Code of Maryland, and that it is in good standing and has filed all of its annual reports, together with filing fees, with the Maryland State Department of Assessments and Taxation, and that the name and address of its resident agent filed with the State Department of Assessments and Taxation is (IF NOT APPLICABLE, SO STATE):
Name: __________________________________
Address: _________________________________
2. Except as validly contested, the business has paid, or has arranged for payment of, all taxes due the State of Maryland and has filed all required returns and reports with the Comptroller of the Treasury, the State Department of Assessments and Taxations, and the Department of Labor, Licensing and Regulation, as applicable, and will have paid all withholding taxes due the State of Maryland prior to final settlement.
The business has not employed or retained any person, partnership, corporation, or other entity, other than a bona fide employee, bona fide agent, bona fide salesperson, or commercial selling agency working for the business, to solicit or secure the Contract, and that the business has not paid or agreed to pay any person, partnership, corporation, or other entity, any fee or any other consideration contingent on the making of the Contract.
AFFIDAVIT OF QUALIFICATION TO BID
I hereby affirm that
| 1. | I am the ________________________________________________________and the duly authorized | |
| (Title) |
representative of the firm of ____________________________________________________________________ (Name of Firm) whose address is ____________________________________________________________________________ and that I possess the legal authority to make this Affidavit on behalf of myself and the firm for which I am acting.
2. Except as described in paragraph 3 below, neither I nor the above firm, nor to the best of my knowledge, any of its officers, director, or partners, or any of its employees directly involved in obtaining contracts with the State or any county, bi-county or multi-county agency, or subdivision of the State have been convicted of, or have pleaded nolo contendere to a charge of, or have during the course of an official investigation or other proceeding admitted in writing or under oath, acts or omission which constitute bribery, attempted bribery, or conspiracy to bribe under the provision of Article 27 of the Annotated Code of Maryland or under the laws of any state or the federal government (conduct prior to July 1, 1977 is not required to be reported).
3. (State “None” or, as appropriate, list any conviction, plea, or admission described in paragraph 2 above, with the date, court, official, or administrative body, the individuals involved and their position with the firm, and the sentence of disposition if any).
| I acknowledge that this Affidavit is to be furnished to the Dorchester County Council and, where appropriate the Board of Public Works and to the Attorney General under section 16D of Article 78A of the Annotated Code of Maryland. I acknowledge that, if the representations set forth in this Affidavit are not true and correct, The Dorchester County Council may terminate any contract awarded and take any other appropriate action. I further acknowledge that I am executing this Affidavit in compliance with section 16D of Article 78A of the Annotated Code of Maryland, which provides that certain persons who have been convicted of or have admitted to bribery, attempted bribery, or conspiracy to bribe may be disqualified, either by operation of law or after a hearing, from entering into contracts with the State or any of agencies or subdivisions. |
| I do solemnly declare and affirm under the penalties of perjury that the contents of the Affidavit are true and correct. |
| _______________________________________ | |
| Signature | Date |
BID FORM
DORCHESTER COUNTY DEPARTMENT OF PUBLIC WORKS
HIGHWAY DIVISION
5435 HANDLEY ROAD, CAMBRIDGE, MARYLAND 21613
TELEPHONE: 410-228-2920
TO: DORCHESTER COUNTY DEPARTMENT PUBLIC WORKS
| UNDER PROPOSAL NO.: |
| DORCHESTER COUNTY GENERATOR SERVICES |
| FOR: |
| DORCHESTER COUNTY GENERATOR SERVICES |
WE SUBMIT THE FOLLOWING BID:
Year One Year Two
County Office Building $ $
County Court House $ $
Highway Department $ $
Airport $ $
Witness: Bid Submitted By:
Company Name
Representative & Title
Address
Date
| _______________________________________ |
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