T202504902-02 Diesel Fuel Cost Price Adjustment Form.pdf
PDF 154 KB Posted
- Attached to
- SUBDIVISION PAVING, NEW CASTLE COUNTY II, 2025
- Solicitation number
- T202504902.02
- Issued by
- New Castle County, Delaware
About this file
This is a Diesel Fuel Cost Price Adjustment Option form for Contract No. T202504902.02. The form presents bidders with the option to either participate in or decline participation in the 763626 - Diesel Fuel Cost Price Adjustment program. Bidders must submit this form with their Bid Proposal at the time of bid opening, with automatic opt-out being applied if the form is not submitted.
The form requires the bidder to make a clear selection between "OPTION-IN" or "OPTION-OUT" by checking the appropriate box. The document must be signed by an authorized representative of the bidding organization, include the organization's corporate seal, and be notarized. If a bidder fails to submit this form at the time of bid, they automatically forfeit the opportunity to participate in the diesel fuel cost adjustment program, with no further options available to modify this choice during the contract period.
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Text version
Contract No. T202504902.02
Diesel Fuel Cost Price Adjustment Option
The Bidder is required to submit this form with his/her Bid Proposal at the time of bid opening.
When this form is not provided by the Bidder at the time of Bid, the OPTION-OUT will be automatically selected and no further option is available to the Contractor and no Diesel Fuel Cost Adjustments will be made.
OPTION-IN
Checking here selects the option to participate in the 763626 - Diesel Fuel Cost Price Adjustment.
OPTION-OUT
Checking here declines the option to participate in the 763626 - Diesel Fuel Cost Price Adjustment.
The undersigned hereby certifies that he/she is authorized to make this Option on behalf of the bidder in compliance with the special provision 763626 - Diesel Fuel Cost Price Adjustment.
Sealed and dated this day of in the year of our Lord two thousand and
( 20 ).
Name of Bidder (Organization)
Corporate
Seal
By:
Authorized Signature
Attest
Title
SWORN TO AND SUBSCRIBED BEFORE ME this day of , 20 .
Notary
Seal
Notary
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