T202504901-02 Diesel Fuel Cost Price Adjustment Form.pdf

This is a Diesel Fuel Cost Price Adjustment Option form for Contract No. T202504901.02, which appears to be a government contract document requiring bidders to make an election regarding fuel cost adjustments. The form must be submitted with the bidder's proposal at the time of bid opening, and requires the bidder to either opt in or opt out of participating in the 763626 - Diesel Fuel Cost Price Adjustment provision.

The form presents two clear options: OPTION-IN to participate in the fuel cost adjustment program or OPTION-OUT to decline participation. If a bidder fails to submit this form with their bid, they are automatically opted out with no further opportunity to participate in fuel cost adjustments. The document requires an authorized signature from the bidding organization, must be notarized, and includes spaces for corporate seal application. The form must be properly executed with the bidder's organizational name, authorized signature, title, and notary verification to be considered valid.