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2021003 Annual Bid for Telecommunications and Fiber Service <br />Bid Form <br />Annual Bid for Telecommunication Systems Equipment, Material, Supplies, <br />Maintenance, and Installation <br />Bid #: <br />Bid Opening Date and Time: <br />2021003 <br />October 22, 2020 2:00 P.M. <br />Bid Opening Location: Purchasing Division <br />1800 27t' Street <br />eF Vero Beach, FL 32960 <br />Bidder Name: Ili e U61-Ij i L(� �1 .iii 01-l"J/4w Y /4 <br />The following addenda are hereby acknowledged: <br />Add n um Number Date <br />JU <br />The following forms are attached to this bid form: <br />E�K' W-9 <br />Drug Free Workplace Certification <br />Affidavit of Compliance <br />Sworn Statement under 105.08 County Code on Disclosure of Relationships <br />G2' Certification Regarding Prohibition against Contracting with Scrutinized Companies <br />P Certification Regarding Lobbying <br />Indian River County Fiber Infrastructure Non -Disclosure Acknowledgement <br />LB Bidder Questionnaire <br />In accordance with all terms, conditions, specifications, and requirements, the bidder offers the following <br />(Bidders are not required to bid on all groups, but are required to bid on all items within each group they choose <br />to bid on): <br />Item Code Group 1 <br />Technical Labor <br />Per Unit Price <br />851-3 Comm Cable -Electronics Technician (Onsite) <br />HR <br />851-4 Communication Cable Installer (Onsite) <br />--._ <br />HIR $ 9S DO <br />851-5 Communication Duct Installer (Onsite) <br />HR $ -75.00 <br />Page 20 of 58 <br />