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MTA - NEW YORK CITY TRANSIT 2 BROADWAY NEW YORK, NY 10004 DIVISION OF MATERIEL web.mta.info/nyct/procure/nyctproc.htm [email protected] 0000104123 NOTICE -OF- ADDENDUM ADDENDUM #2 BID OPENING/DUE DATE: 10/27/16

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Page 1: 2 BROADWAY NEW YORK, NY 10004 DIVISION OF MATERIEL …web2bw.mta.info/nyct/procure/addenda/104123add2.pdfRemmder: Be sure to attach tb,s addendum to your proposal or acknowledge

MTA - NEW YORK CITY TRANSIT 2 BROADWAY

NEW YORK, NY 10004

DIVISION OF MATERIEL web.mta.info/nyct/procure/nyctproc.htm

[email protected]

0000104123 NOTICE

-OF­ADDENDUM

ADDENDUM #2

BID OPENING/DUE DATE: 10/27/16

Page 2: 2 BROADWAY NEW YORK, NY 10004 DIVISION OF MATERIEL …web2bw.mta.info/nyct/procure/addenda/104123add2.pdfRemmder: Be sure to attach tb,s addendum to your proposal or acknowledge

2 Broadway Veroruque Hakim New York, NY 10004 President

I) New York City Transit

October 13,2016

ADDENDUM NO.2 CONTRACT # RFQ104123

RENTAL OF AERIAL AND CONSTRUCTION EOUIPMENT NEW BID OPENING DATE: OCTOBER 27, 2016

All prospective bidders are advised of the following:

L The Bid Opening Date has been rescheduled for October 27, 2016, The time set for the bid opening is 2:00PM.

2. The Price Schedule has been revised. Please discard the original Price Schedule and replace it with the enclosed revised Price Schedule labeled Addendum #2.

Questions and Answers

Below are questions and/or requests for clarifications raised by Prospective Proposers and the Authority's responses. Prospective Proposers' questions are restated for convenience only.

Question I: Will NYC Transit be responsible fortheft, vandalized or stolen equipment or damage to equipment while in its possession?

Answer I: See Article 107 in theSpecific Contract Provisions.

Reminder: Be sure to attach this addendum to your proposal or acknowledge it in the place provided in the Bid. Failure to do so may result in rejection of your bid.

If you have any questions, please contact Susan Kronenfeld at (646)252-6265.

Sincerely,

Steven Picillo Acting Assistant Chief Procurement Officer

MTA New York City Transit is an agency of the Metropolitan Transportation Authority, State of New York

Page 3: 2 BROADWAY NEW YORK, NY 10004 DIVISION OF MATERIEL …web2bw.mta.info/nyct/procure/addenda/104123add2.pdfRemmder: Be sure to attach tb,s addendum to your proposal or acknowledge

--- ------

AERIAL AND CONSTRUCTION EQUIPMENT - CONTRACT RFQ104123 PRICE SCHEDULE

ITEM # EQUIPMENT DESCRIPTION, MAKE AND MODEL NO.

RENTAL TERM

IUSAGE I EST.

UNIT PRICE TOTAL

ARTICULATED BOOM LIFTS WITH JIBS· DIESEL 1 45FT articulated boom- JLG Model 450AJ or GENIE Model Z45/25J RT WEEK 10 2 " MONTH 15 3 60FT articulated bocm- JLG Model 600AJ or GENIE Model Z60/34 WEEK 10 4 " MONTH 15 5 80FT articulated bocm- JLG Model 800AJ or GENIE Model Z80/60 WEEK 10 6 .. MONTH 6

7 135FT articulated boom- JLG Model 135 or GENIE Model 135' WEEK 10 8 .. MONTH 6

ARTICULATED BOOM LIFT· ELECTRIC 9 30FT articulated boom with iib ­ JLG Model E 300AJP DAY 15 10 " WEEK 10 11 " MONTH 10

S Lifts -Lifts - Rouah T, DScissor Rouoh Terrain - Diesel 12 43FT scissor lift - JLG Model 4394RT, Skviack Model SJ 8841, Genie Model GS-4390 RT WEEK 10 13 " MONTH 10 14 50FT scissor lift - Skviack Model SJ 9250 or Genie Model GS·5390 RT WEEK 10 15 " MONTH 15

Scissor Lift - Comoact Narrow Width - Electric 20FT scissor lift • Skviack Model SJ 3220 or Genie Model GS-2032 I WEEK 10 I I16

" I MONTH 15 I CONSTRlJv IIUN t:UUII II· ts

17

TRAFFIC CONTROL Arrow Board - ISola,

18 Traffic Arrow Board· Wanco Model WTor Solar Tech Model Silent Sentinel

SP75·LSAC, Allmand Model 2200/SE ALT, WEEK 10

19 " MONTH 15 Messa~e Sian - /Solar) Messaae Board· Solar Tech Model Silent Messenaer MB 4048

"

Liaht Tower, 4000 watts Genie Model TML-4000Genie Model TML -4000N WEEK 15 " MONTH 25

TRAFFIC CONTROL· CONTINUED Liaht Tower - tDieser

Addendum #2 10-1

Page 4: 2 BROADWAY NEW YORK, NY 10004 DIVISION OF MATERIEL …web2bw.mta.info/nyct/procure/addenda/104123add2.pdfRemmder: Be sure to attach tb,s addendum to your proposal or acknowledge

AERIAL AND CONSTRUCTION EQUIPMENT - CONTRACT RFQ104123 PRICE SCHEDULE

liTEM IEQUIPMENT DESCRIPTION, MAKE AND MODEL NO. I RENTAt;] USAGE I UNIT ! TOTAL I ao •

AIK I,;UMI"'KfSSORS - (DIESEL) WEEK i 1024 lAir Compressor, 185cfm - Ingersoll Rand Model P185WJD or Model XP185WJD

MONTH I 1525 26 lAir Compressor, 375cfm - lnqersoll Rand Model P375WCU or Model P375WJD WEEK I 10

MONTH I 1527 28 lAir Compressor, 750cfm - lnqersoll Rand Model XHP750WCAT WEEK I 10

MONTH i 15 I i29 30 lAir Compressor, 825cfm -Jnqersoll Rand Model XHP825WCAT WEEK I 15 I : 31 MONTH I 15 I I ~Air Compressor, 1600cfm -Ingersoll Rand Model P1600WCU WEEK I 10 I --j

MONTH i 15 I33 " GENERATORS - PORTABLE. TRAILER MOUNTED - (DIESELI

34 IMQ Power Ultra Silent Series WhisperWatt 45 - Prime: 36kW (45kVA) Model: DCA45USI 35 36 MQ Power Ultra Silent Series WhisperWatt 70 - Prime: 56kW (70kVA) Model: DCA70USI 37 38 MQ Power Ultra Silent Series WhisperWatt 125-Prime: 100kW (125kVA) Model:DCA125US 39

GENERATORS - PORTABLE. TRAILER MOUNTED - (DIESEL)

42 MQ Power Ultra Silent Series WhisperWatt 400 - Prime: 320kW (400kVA) Model: DCA400S 43 "

TRACK LOADER - (DIESEL)

44 ITrack Loader - Bobcat Model T300, Takeuchi Model TL130 45 46 ,

SKID-STEER LOADER - (DIESEL) £..jSkid-steer loader - Bobcat Model S175 48 49

DAY : 10 I WEEK: 15

MONTH! 20 I HIGH REACH FORKLIFT - (DIESEL)

~h Reach Forklift -10K 51

DAY i 2 I f I WEE;<; , 5

52

Addendum #2 10-2

Page 5: 2 BROADWAY NEW YORK, NY 10004 DIVISION OF MATERIEL …web2bw.mta.info/nyct/procure/addenda/104123add2.pdfRemmder: Be sure to attach tb,s addendum to your proposal or acknowledge

AERIAL AND CONSTRUCTION EQUIPMENT - CONTRACT RFQ104123 PRICE SCHEDULE

liTEM IEQUIPMENT DESCRIPTION, MAKE AND MODEL NO. I RENTAg USAGE I UNIT L TOTAL I COLLISION/ATTENUATOR TRUCK

53 Colllsion/Attenuator Truck DAY 2 54 "

" WEEK i

MONTtU 4 4

-I55

56 57

58 59 60

61 I 62

I 63 I 64

DUCT LIFT - (MANUAL) IGenie "Superlift Contractor", Model: SLC-24 I "

, II'{Ul" I IV'" I:.UU~I -I"I ,I"

WHEEL LOADER - (DIESEL) Wheel loader - John Deere Model 544K

" "

GENERATORS - POWER GENERATION UNITS - (DIESEL) ICummlns Power Generation-Series - Prime Rating: 455kW (569kVA) Model C500D6RG ICummins Power Generation-Series - Prime Rating: 900kW (1125kVA) Model C1000D6RG POWER TROWEL - (GAS)

ITrowel, 36" dla., MQ Model: JA-4-5H, Wacker, Model: CT 36ADT E 36" I " WALK-BEHIND SAWS - (PNEUMATIC)

65 Walk-behind saw, 18" maximum blade capacity 66 "

Walk-behind saw, 12" to 14" blade capacity - Sawtec/Blastrac, Model: FS 60 67 68 "

Walk-behind saw, 12" to 20" blade capacity - Sawtec/Blastrac, Model: FS 150 69 70 "

MORTAR MIXER - (GAS/ELECTRIC)

WEEi', 9 I MONTH 12 I =r

DAY WEEK

MONTH

1 1

10

MONTH i 3 MONTH 31 L3 WEE,'

MONTH

WEEK 1

MON'iH !

WEEK i

MONTH! WEEK 1

MONTH I

6 ~ I 3 I I

3 6 3 6 3 6

~ 18 J71 Mortar mixer, 8 HP, 9 cu.ft. - MQ Model: WM-900P-H8, MQ Model: WM-900P-B8 WEE, 72 " MONT

73 Mortar mixer, electric, 230 volt, 9 cu.ft. - MQ Model: WM-900P-E WEE 74 " MONT

CONCRETE MIXER, MINI - (GAS)1"_-_._<- _'_ft. ., ft.... __ 1 ..... portableft< - _MQ Model: SB-4-H, MQ Model: SB-4--B

" CONCRETE MIXER, MINI (ELECTRIC)

77 Concrete mixer, electric, 3 cu.ft. - MQ Model: Belle SB-4-E WEE

78 " MONl

Addendum #2 10-3

Page 6: 2 BROADWAY NEW YORK, NY 10004 DIVISION OF MATERIEL …web2bw.mta.info/nyct/procure/addenda/104123add2.pdfRemmder: Be sure to attach tb,s addendum to your proposal or acknowledge

AERIAL AND CONSTRUCTION EQUIPMENT - CONTRACT RFQ104123 PRICE SCHEDULE

The estimated quantities are for bid evaluation purposes only. The Authority reserves the rigl-t to increase/decrease the quantities

required and the dollar value of expenditures at its discretion.

All models specified shall be considered as the minimum requirement for that particular caterorv.

"Or-Equal" equipment may be accepted only if the machinery or equipment specification mer's or exceeds the rnodells) specified in

the Contract documents.

THE TOTAL GROSS SUM BID (The sum of Class A, Items 1-17) IN FIGURES & WORDS:

IN FIGURES: $ _ IN WORDS: DOLLARS

AND CENTS

THE TOTAL GROSS SUM BID (The sum of Class B, Items 18-57) IN FIGURES & WORDS: IN FIGURES: $, _

IN WORDS: DOLLARS

AND CENTS

THE TOTAL GROSS SUM BID (The sum of Class C, Items 58-78) IN,FIGURES & WORDS: IN FIGURES: $, _

IN WORDS: DOLLARS

AND CENTS

VENDOR'SNAME _

PHONE EMAIL _

SIGNATURE _ DATE. _

Addendum #2 10-4

Page 7: 2 BROADWAY NEW YORK, NY 10004 DIVISION OF MATERIEL …web2bw.mta.info/nyct/procure/addenda/104123add2.pdfRemmder: Be sure to attach tb,s addendum to your proposal or acknowledge

MTA - NEW YORK CITY TRANSIT 2 BROADWAY

NEW YORK, NY 10004

DIVISION OF MATERIEL

web.mta.info/nyct/procure/nyctproc.htm

[email protected]

0000104123 NOTICE

-OF-

ADDENDUM

ADDENDUM # 1

BID OPENING/DUE DATE: 10/18/2016

Page 8: 2 BROADWAY NEW YORK, NY 10004 DIVISION OF MATERIEL …web2bw.mta.info/nyct/procure/addenda/104123add2.pdfRemmder: Be sure to attach tb,s addendum to your proposal or acknowledge

2 Broadway Veromque Haknu New York. NY 10004 President

D New York City Transit September 30, 2016

ADDENDUM NO.1

CONTRACT # RFQI04123

RENTAL OF AERIAL AND CONSTRUCTION EOUIPMENT

NEW BID OPENING DATE: OCTOBER 18, 2016

All prospective bidders are advised of tbe following:

I. The Bid Opening Date has been rescheduled for October 18, 2016. The time

set for the bid opening is 2:00PM.

2. The Price Schedule has been revised. Please discard the original Price Schedule and

replace it with tbe enclosed revised Price Schedule labeled Addendum #1.

Questions and Answers Below are questions and/or requests for clarifications raised by Prospective Proposers and the Authority's

df.or converuence only. responses. ProspectIve Proposers' guestlOns are restate I

Question I: Will the authority refuel equipment at the end of the rental? It is an industry standard for equipment to deliveredwith a full tank of fuel and refueled by the lessee?

NYC Transit attempts to refuel or the Contractor is able to charge for the fuel. Answer I:

Question 2: After equipment is called off rent, will NYC Transit secure the equipment until is picked up by the Contractor?

Answer 2: NYC Transit removes the key and will put safety bunting around the equipment if it is on the street.

Question 3: Will NYC Transit be responsible for theft or damage to equipment while in its possession?

Answer 3: See Article 107 in the Specific Contract Provisions.

While the equipment is not in use, will NYC Transit store the equipment in a fenced, secured or monitoredarea? Question 4:

Answer 4: NYC Transit attempts to move the equipment on to NYC Transit locations, but there are times the equipmentmust remain at a work location.

In regards 10 the page, titled "Damages" of the Technical Specification, would you confirm if the 48 hours will exclude weekends and NYCT observed holidays? This would align with the "5 business days" requirement mentioned later in the same paragraph.

Yes, this excludes weekends and NYC Transit Holidays

Question 5:

Answer 5:

Remmder: Be sure to attach tb,s addendum to your proposal or acknowledge It ID the place provided in the Bid. Failnre to do so may resnlt in rejection oeyour bid.

If you have any questions, please contact Susan Kronenfeld at (646)252-6265.

MTA New York City Transit is an agency 01 the Metropolitan Tranaportatton Authontv. State of New York

~f!-(U-012jllIS

Page 9: 2 BROADWAY NEW YORK, NY 10004 DIVISION OF MATERIEL …web2bw.mta.info/nyct/procure/addenda/104123add2.pdfRemmder: Be sure to attach tb,s addendum to your proposal or acknowledge

AERIAL AND CONSTRUCTION EQUIPMENT - CONTRACT RFQ104123 PRICE SCHEDULE

RENTAL TERM

IUSAGE EST.

UNIT PRICE TOTAL

-ARTICULATED BOOM LIFTS WITH JIBS - DIESEL

1 45FT articulated boom - JLG Model 450AJ or GENIE Model Z45/25J RT . WEEK 10 $ -2 " MONTH 15 $

$ $ $ $

-----

3 60FT articulated boom - JLG Model 600AJ or GENIE Model Z60/34 WEEK 10 4 " MONTH 15 5 80FT articulated boom - JLG Model 800AJ or GENIE Model Z80/60 WEEK 10 6 " MONTH 6 7 135FT articulated boom - JLG Model 135 or GENIE Model 135' WEEK 10 $

$ · ·8 " MONTH 6

16 17

18 19

20

ARTICULATED BOOM LIFT - ELECTRIC 9 30FT articulated boom with iib ­ JLG Model E 300AJP DAY 15 $ -10 " WEEK 10 $

$ · -11 " MONTH 10

Scissor Lifts - Rouah Terrain - Diesel 12 43FT scissor lift ­ JLG Model 4394RT, Skviack Model SJ 8841, Genie Model GS-4390 RT WEEK 10 13 " MONTH 10 14 50FT scissor lift ­ Skyjack Model SJ 9250 or Genie Model GS-5390 RT WEEK 10 15 " MONTH 15

Scissor Lift - comeact Narrow Width - Electric 20FT scissor lift - Skyjack Model SJ 3220 or Genie Model GS-2032

" ~I KUL; (IUN EQUI IT- S

TRAFFIC CONTROL Arrow Board - lDiesf-. Traffic Arrow Board - Terex Amida Model DBL 15-FA-DLO/4, Wanco Model WTD2B8-SA

" Arrow Board - ISolarl Traffic Arrow Board - Wanco Model WTSP75-LSAC, Allmand Model 2200/SE ALT, or Solar Tech Model Silent Sentinel

" Messaae Sian -ISolarl

WEEK I 10 MONTH 1 15

WEEK 15 MONTH 20

$ $ $ $

1$ 1$

1$ 1$

$ $

WEEK 10 MONTH 15

--· -

--

--

--

1 1

1 1

Messaae Board - Solar Tech Model Silent Messenaer MB 4048 $ $

Addendum #1 10-1

21

Page 10: 2 BROADWAY NEW YORK, NY 10004 DIVISION OF MATERIEL …web2bw.mta.info/nyct/procure/addenda/104123add2.pdfRemmder: Be sure to attach tb,s addendum to your proposal or acknowledge

AERIAL AND CONSTRUCTION EQUIPMENT - CONTRACT RFQ104123 PRICE SCHEDULE

ITEM

# EQUIPMENT DESCRIPTION, MAKE AND MODEL NO.

RENTAL

TERM USAG

EST. E UNIT

PRICE TOTAL

TRAFFIC CONTROL - CONTINUEDTRAFFIC CONTROL - CONTINUEDLiaht Tower - lDiesell

24 Light Tower, 4000 watts Genie Model TML-4000Genie Model TML -4000N WEEK 15 I 1$ · I 25 .. MONTH 25 I 1$ - I

AIR COMPRESSORS - IDIESELI 26 Air Compressor, 185cfm - Ingersoll Rand Model P185WJD or Model XP185WJD WEEK 10 27 .. MONTH 15 28 Air Compressor, 375cfm - Ingersoll Rand Model P375WCU or Model P375WJD WEEK 10 29 .. MONTH 15 30 Air Compressor, 750cfm -Ingersoll Rand Model XHP750WCAT WEEK 10 31 .. MONTH 15 32 Air Compressor, 825cfm • Ingersoll Rand Model XHP825WCAT WEEK 15 33 .. MONTH 15 34 Air Compressor, 1600cfm ·Inaersoll Rand Model P1600WCU WEEK 10 35 .. MONTH 15

$ ­$ ­$ ­$ ­$ ­$ ­$ ­$ ­$ ­$ ·

GENERATORS - PORTABLE TRAILER MOUNTED -IDIESEL! 36 MQ Power Ultra Silent Series WhisperWatt 45 - Prime: 36kW (45kVA) Model: DCA45USI WEEK 10 37 .. MONTH 15 38 MQ Power Ultra Silent Series WhisperWatt 70 - Prime: 56kW (70kVA) Model: DCA70USI WEEK 8 39 .. MONTH 15 40 MQ Power Ultra Silent Series WhisperWatt 125-Prime: 100kW (125kVA) Model:DCA125US WEEK 8 41 MONTH 15

$ ­$ ­$ · $ ­$ ­$ ­

GENERATORS - PORTABLE. TRAILER MOUNTED ·IDIESELIGENERATORS - PORTABLE. TRAILER MOUNTED ·IDIESELI42 MQ Power Ultra Silent Series WhisperWatt 22o-Prime:176kW (220kVA) Model: DCA220SS WEEK 8 43 .. MONTH 15 44 MQ Power Ultra Silent Series WhisperWatt 400 - Prime: 320kW (400kVA) Model: DCA400S WEEK 8 45 .. MONTH 15

$ ­$ · $ · $ ·

GENERATORS - POWER GENERATION UNITS - (DIESEL) 1 46 lcummlns Power Generation-Series - Prime Rating: 455kW (569kVA) Model C500D6RG MONTH 3 1 1$ ­

47 ICummins Power Generation-Series - Prime Rating: 900kW (1125kVA) Model C1000D6RG MONTH 3 1 1$ · I

48 Track Loader· Bobcat Model T300, Takeuchi Model TL130 DAY 1049 .. WEEK 1550 .. MONTH 10

TRACK LOADER - (DIESEL) $ · $ ­$ ­

Addendum #1 10-2

Page 11: 2 BROADWAY NEW YORK, NY 10004 DIVISION OF MATERIEL …web2bw.mta.info/nyct/procure/addenda/104123add2.pdfRemmder: Be sure to attach tb,s addendum to your proposal or acknowledge

AERIAL AND CONSTRUCTION EQUIPMENT - CONTRACT RFQ104123 PRICE SCHEDULE

ITEM # EQUIPMENT DESCRIPTION, MAKE AND MODEL NO.

RENTAL TERM

USAGE EST.

UNIT PRICE TOTAL

51 52 53

WHEEL LOADER - (DIESEL} Wheel loader - John Deere Model 544K

" "

54 55 56

SKID-5TEER LOADER - (DIESEL) Skid-steer loader· Bobcat Model S175

" "

HIGH REACH FORKLIFT - (DIESEL) _. ......,--_... _........ . ___.....___. 534, Lull Model 944E-42

I 58 I " I 59 I "

COLLISION/ATTENUATOR TRUCK

DAY 1 WEEK 1

MONTH 10

DAY 10 WEEK 15

MONTH 20

$ ­$ ­$ ­$ ­$ ­$ ­

DAY 2 $ · WEEK 5 $

$ · ·MONTH 20

60 Coliision/Attenuator Truck DAY 2 $ -61 " WEEK 4 $

$ -·62 " MONTH 4

DUCT LIFT - (MANUAL} I 63 IGenie "Suoerlift Contractor", Model: SLC-24 I WEEK 9 $ I· I 64 I " I MONTH 12 1$ I·

POWER TROWEL - (GAS} I 65 ITrowel, 36" dia., MQ Model: JA-4-5H, Wacker, Model: CT 36ADT E 36" I WEEK I 6 1$ - I

66 I " I MONTH I 3 1$ - I WALK-BEHIND SAWS - (PNEUMATIC}

67 Walk·behind saw, 18" maximum blade caoacitv - Taraet, Model: MC185A WEEK 3 68 " MONTH 6 69 Walk-behind saw, 12" to 14" blade capacity - Sawtec/Blastrac, Madel: FS 60 WEEK 3 70 " MONTH 6 71 Walk-behind saw, 12" to 20" blade caoacitv - Sawtec/Blastrac, Model: FS 150 WEEK 3 72 " MONTH 6

$ ­$ · $ · $ ­$ · $ ·

MORTAR MIXER - (GAS/ELECTRIC) 73 Mortar mixer, 8 HP, 9 cu.ft. - MQ Model: WM·900P·H8, MQ Model: WM-900P-B8 WEEK 5 $ -74 " MONTH 5 $

$ $

· --

75 Mortar mixer, electric, 230 volt, 9 cu.tt, - MQ Model: WM·900P·E WEEK 5 76 " MONTH 5

Addendum #1 10-3

Page 12: 2 BROADWAY NEW YORK, NY 10004 DIVISION OF MATERIEL …web2bw.mta.info/nyct/procure/addenda/104123add2.pdfRemmder: Be sure to attach tb,s addendum to your proposal or acknowledge

I

AERIAL AND CONSTRUCTION EQUIPMENT - CONTRACT RFQ104123 PRICE SCHEDULE

liTEM IEQUIPMENT DESCRIPTION, MAKE AND MODEL NO. IRENTAL IUSAGE I UNIT I TOTAL

CONCRETE MIXER, MINI - (GAS) Concrete mixer, 3 cu.ft., steel drum, portable· MQ Model: SB-4-H, MQ Model: SB-4-B $

$" CONCRETE MIXER, MINI- (ELECTRIC)

I 79 IConcrete mixer, electric, 3 cu.ft.• MQ Model: Belle SB-4·E I WEEK I 5 I $ . I 80 I " I MONTH I 5 I $ .

TOTAL FOR YEARS 1-2

The estimated quantities are for bid evaluation purposes only. The Authority reserves

the right to increase/decrease the quantities required and the dollar value of

expenditures at its discretion.

THE TOTAL GROSS SUM BID ((he sum of Class A, Items 1-17)

IN FIGURES & WORDS:

IN FIGURES: $, _

IN WORDS: DOLLARS AND CENTS

THE TOTAL GROSS SUM BID (The sum ofClass B, Items 18-80) IN FIGURES & WORDS: IN FIGURES: $, _

IN WORDS: DOLLARS

AND CENTS

VENDOR'S NAME _

PHONE EMAIL _

Addendum #1 10-4