T202606601 Diesel Fuel Cost Price Adjustment Form.pdf

This is a Diesel Fuel Cost Price Adjustment Form for Contract No. T202606601. The form requires bidders to submit it with their bid proposal at the time of bid opening. Bidders must select either OPTION-IN to participate in the diesel fuel cost price adjustment under special provision 763626, or OPTION-OUT to decline participation. If a bidder fails to submit the form at bid opening, the OPTION-OUT will be automatically selected, and no diesel fuel cost adjustments will be made for the duration of the contract. The form must be completed, signed by an authorized representative of the bidding organization, sealed, and notarized.

The form establishes a mechanism for potential price adjustments related to diesel fuel costs during contract performance. Bidders who elect OPTION-IN acknowledge their participation in the fuel cost adjustment provision, while those selecting OPTION-OUT accept a fixed price with no adjustments for fuel cost fluctuations. The submission of this form is mandatory as part of the bid package, and the bidder's failure to provide it constitutes an automatic election to decline fuel cost adjustment provisions. The form requires corporate seal, authorized signature, attestation, and notarization to be valid.