REQUEST FOR BID FORM

State of New York
Department of Agriculture and Markets

TRANSFER OF VOLUMETRIC PROVING SYSTEM

BID OPENING Contact: Ross Andersen
DATE: June 17, 2005 (518) 457-3146
TIME: 4:30 P.M.

Bids must be on this form

NOTE: If you are proposing to conduct the work specified in this IFB at a location outside of New York State please identify the closest convenient state border location within New York State for delivery of the two vehicles: _________________________________________________________________________________

ALL BIDS FROM OUT-OF-STATE BIDDERS MUST INCLUDE THE COST, IFANY, OF TRANSPORTING THE VEHICLES TO AND FROM THE CLOSEST CONVENIENT STATE BORDER LOCATION IDENTIFIED BY THE BIDDER.

THE DEPARTMENT RESERVES THE RIGHT TO REJECT ANY/ALL BIDS.

Estimated delivery date, as number of calendar days after taking delivery of the vehicles: _______________

I hereby certify that the prices quoted above are the same as or lower than those quoted other corporations, institutions and government agencies on similar services, quantities, terms and conditions.

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Bidder’s Firm Name

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Federal Identification Number

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Street Address

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City, State, Zip

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Bidder’s Signature

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Official Title

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Printed or Typed Signature‘s Name

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Telephone Number

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E-Mail Address

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Fax Number