1 Toyota Electric Forklift Truck - Model 7FBE018, Serial #29387 2 $0.00 0.0 2 Toyota Electric Truck - Model 8HBW23, Serial #10175 2 $0.00 0.0 3 Toyota Electric Truck - Model 8HBW23, Serial #10178 2 $0.00 0.0 4 Hyster Forklift Truck - Model 50 XT, Serial #A380V14967X 2 $0.00 0.0 5 Komatsu Forklift USA - Model MWL22, Serial #MWL3030045005 2 $0.00 0.0 6 EKKO Stand-Up Rider Forklift - Model EK18RRL, Serial #EK2211RRL0007/702207008844 2 $0.00 0.0 7 EKKO Stand-Up Rider Forklift - Model EK18RRL, Serial #EK2211RRL0006/702207008843 2 $0.00 0.0 8 Toyota Forklift Truck - Model 8FGU25, Serial #89418 2 $0.00 0.0 9 Genie Scissor Lift - Model GS1930, Serial #GS30P-176475 2 $0.00 0.0 10 Genie Scissor Lift - Model N/A, Serial #N/A, Blue 2016 Model 2 $0.00 0.0 11 Genie Man Lift - Model AWP-24, Serial #3893-4097 2 $0.00 0.0 Deliverables Subtotal 0.0 Unanticipated Tasks (Not to exceed 10-percent of the Total Amount) 0.0 Total Amount 0.0 Bidder Acknowledgment / Certification The Bidder hereby certifies that the price(s)/rate(s) offered on this Bid Form are true and accurate to the best of the Bidder's knowledge. The undersigned Contractor, as bidder, declares that they have carefully reviewed the proposed work as described, examined the specifications and general conditions, read the instructions to Bidders, and is familiar with all proposal requirements. Contractor agrees, if the proposal is accepted, to complete the above project in accordance with the Contract Documents, in the time stated herein. This is a deliverables-based agreement in accordance with State Contracting Manual Volume 1, Section 7.30. The total amount of this agreement shall not exceed $149,999.99. The Bidder agrees that the price(s)/rate(s) offered herein shall remain in effect until CDPH awards the agreement and throughout the duration of the agreement. Any cost over runs or increases in services, if allowed, shall be billed at the price(s)/rate(s) stated for the appropriate budget period. Contract extensions, if any, shall be billed at the price(s)/rate(s) stated for the last budget period/year if more than one budget period/year is shown. The Bidder further understands that the above quoted rate(s) must include all of the Bidders costs including operating expenses, labor, taxes, insurance, overhead, certification, equipment costs, supplies, annual inflation costs/rate adjustments, profit margin, software, permits, licenses, shipping & handling and/or any other overhead expenses necessary to perform all the work required for qualified services in accordance with the terms and conditions contained herein. By submitting this Bid Form, the Bidder hereby claims its willingness to certify to and comply with all requirements and terms and conditions cited in this bid and any attachments thereto. The Bidder understands that its bid response will become a public document and will be open to public inspection. Bidder's signature: Date signed Printed/typed name Title