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Trench Safelv <br />- Bidder acknowledges that included in the various items of the Proposal and in the total <br />Bid Price are costs for complying with the Florida Trench Safety Act (90-96, Laws of Florida), <br />effective October 1, 1990. Bidder further identifies the Costs to be summarized below: <br />Trench Safety Units of Unit Unit Extended <br />Measure Measure (Quantity) Cost Cost <br />(Description) <br />A. Trench Shield IN Inn— I no <br />B. 51„N bank T. _L09— .1.g0— —wp.ga-- <br />C. <br />D. <br />Total T 200.00 <br />Failure to c(tplplele the above may result in the Bid being declared non-responsive. <br />P. 0. Box 653 <br />ignature 3ason T. Chambers Address <br />Vila Prncidce♦ Auburndale, P1 33823 <br />Title <br />C0 CO 40079 11/25/00 <br />License Number (If Applicable) Date <br />(SEAL- if Bid is by a corporation <br />ATTEST:r� <br />Glenda M. Chambers, Secretary <br />If Bidder is: <br />An Individual <br />.. By: (SEAL) <br />(Individual's Name) <br />doing business as: <br />V <br />V <br />L00310-6 <br />i <br />V <br />