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BID FORM CUSTODIAL SERVICES

Santa Rosa County Procurement Department 6495 Caroline Street, Suite G Milton, Florida 32570

Date

__________________________

Dear Sir:

The undersigned agrees to furnish the service as requested by you for Santa Rosa County in your invitation to bid and certifies that the service bid meets or exceeds the specifications called for, except as set out in “Exceptions to Bid Conditions” and attached to this form.

N a m e & A d d r e s s o f B i d d e r _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Administrative Annex Animal Services Building

Chumuckla Community Center Clerk Annex Co-Operative Extension Office Council On Aging/Library Admin Court Administration Courthouse Emergency Management Engineering Department Fidelis Community Center Gulf Breeze Library Milton Library Navarre Library Pace Library Peter Prince Field Restrooms Probation Services Public Defender’s Office Public Services Buildings Public Works Building Santa Rosa Archives

United States Department of Agriculture Veterans Memorial Office

per month ___________ ___________ per month ___________ per month ___________ per month ___________ per month ___________ per month ___________ per month ___________ per month _____________ per month ___________ per month ___________ per month ___________ per month ___________ per month ___________ per month ___________ per month ___________ per month ___________ per month ___________ per month ___________ per month ___________ per month

per month ___________ ___________ per month ___________ per month

TOTAL

____________ per month

____________________________

_________________________

Company Representative Signature

Telephone

NOTE: Please return this bid form to the above address. NO OTHER BID FORM WILL BE ACCEPTED.

COMMENTS:

_______________________________________________________________

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