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DocuSign Envelope ID:5FA4B1AC-B897-4C32-A1E4-4B4A8885A341 <br /> Pry oser"s Bid Certification Form <br /> To Whom It May Concern: <br /> I have carefully examined the Request for Proposal and any other documents accompanying or make a part of this <br /> Request for Proposal. <br /> I hereby propose to perform the following Services as specified in this Request for Proposal No. Q19-39 at the rates <br /> described on SCHEDULE 1-UNIT RATE PRICE SCHEDULE and SCHEDULE 2-HOURLY EQUIPMENT AND LABOR PRICE <br /> SCHEDULE. <br /> I certify that all information contained in this proposal is truthful to the best of my knowledge and belief. I further <br /> certify that I am duly authorized to submit this proposal an behalf of the company as its act and deed and that the <br /> company is ready,willing and able to perform if awarded the contract. <br /> I further certify, under oath, that this proposal is made without prior understanding, agreement, connection, <br /> discussion, or collusion with any other person, firm or corporation submitting a proposal for the same product or <br /> service; no officer employee or agent of the Town or any other proposer is interested in said proposal; and that the <br /> undersigned executed this Proposer's Certification with full knowledge and understanding of the matters therein <br /> contained and was duly authorized to do so. <br /> This is an acknowledgement that FEMA financial assistance will be used to fund the contract only. The Contractor will <br /> comply with all applicable federal laws regulations, executive orders, and the latest version of FEMA policies, <br /> procedures,and directives. <br /> It is distinctly understood that the Town reserves the right to reject any or all proposals. <br /> CrowderGulf, LLC Federal Tax ID: 61-6626019 <br /> Camp y N <br /> Phone: 800-992-6207 <br /> orized Signature Fax: 251-459-7433 <br /> John Ramsay, President & CEO Email: rarrrsa Crowder ulf.com <br /> Printed or Typed Name and Title <br /> NOTARIZE <br /> 5435 Business Parkwa Subscribed and sworn to before me this 13th <br /> Mailing Address day of 2019 <br /> Theodore AL 36582 Notary Pub'� <br /> City/State/Zip Code -e R <br /> My Commission expires:�4 5 ;2-/ <br /> (SEAL,if Corporation) <br /> Disaster Debris Clearance and Removal Services <br /> Bid: 5266, Orange County,North Carolina <br /> July 29, 2019 Page 42 <br />