HomeMy WebLinkAboutExhibit 12City of Miami, Florida Commercial Waste Hauling Services RFQ 03-04-I07
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6.1. RFQ Information Forin
Issue Date: June 14, 2004
RFQ No.: 03-04-107
' Buyer: Pamela Burns, CPPB
Email: pburns i)ci.miami.fl.us
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Commodity Codes: 906-82; 910-27; 926-45; 926-76; 929-65;
929-66; 962-39; 968-71; 988-8; 998-48
TERM CONTRACT
COMMERCIAL SOLID WASTE
HAULING SERVICES
RFQ NO. 03-04-107
I certify that any and all information contained in this Proposal is true; and I further certify that this
Proposal is made without prior understanding, agreement, or connections with any corporation, firm
or person submitting a Proposal for the same materials, supplies, equipment, or services and is in all
respects fair and without collusion or fraud. I agree to abide by all terms and conditions of the RFQ,
and certify that I am authorized to sign for the Proposer. Please print the following and sign your
name:
I propose to provide one or both of the following services: Indicate "x"
Commercial Solid Waste Hauling Services X
Specialized Waste Handling Services
Firm's Name: (4.)R5 rt roc icv Telephone: 5` Cq - 2 3 7 - 3 0�
Principal Business Address: Fax: 54 z 37 — 3 4 o l
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E-mail address: %/al,r;e16► wd5 eseir-vrce. i.u��+w
Name: V fl h ,a -la ; e.
Mailing Address: Title: 0..; c
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Authorized Signature:
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