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Fort Walton Beach Council agenda — 03-12-13--regular — reading text

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IIOW WeaYlloY 6eea m a+ r:'.Pn,. m am„ M aw„ wm aa: tttt re 1 o:v ra tt nomnom sesw.e revw.reva.a. tac>oamreu Ooh 7 Pavwe) d MOP S..S.. ZIP_ZIP_ ca— ch- ch- > > 11—— I 7,bi~ p genryam 1 unl anrry C 1J, Lam CmNLI' +N m v.. I I II126 TIII NI WV 1Z2 1126 1 6007 644 9 N v I - M y loll Z O N a Off; T+1Tp C T r C" N M, 03 a CA 0 1 I CD s 0z v o_ r w cNn m manx L o m P. 03 FEB - 04 - 2013 15: 25 PSV PNS 15.2.h.;. FortWalton Loiding Sound SVSt RFP # 13 -070 PROPOSER' S CERTIFICATION —RFP 13A10 I have carefully examined the Request for Proposal, Instructions to Proposers, General and Special Conditions, Vendor's Notes, Scope of Work, proposed agreement and any other documents accompanying or made a part of this Proposal. I hereby propose to furnish the goods or services specified in the Request for Proposal. I agree that my proposal will remain firm for a period of up to nine 90 days in order to allow the City adequate time to evaluate the proposals. I certify that all information contained in this proposal is truthful to the best of my knowledge and belief. I further certify that I am duly authorized to submit this proposal on behalf of the vendor /contractor as its act and deed and that the vendor /contractor is ready, willing and able to perform if awarded the proposal. I further certify, under oath, that this proposal is made without prior understanding, agreement, connection, discussion, or collusion with any other person, firm or corporation submitting a proposal for the same product or service; no officer, employee or agent of the City of Fort Walton Beach or of any other proposer interested in said proposal; and that the undersigned executed this Proposer's Certification with full knowledge and understanding ofthe matters therein contained and was duly authorized to do so. Pro Sound and NAME OF BUSINESS or black ink) Arian Smith NAME & TITLE ( type or print) bsmithCvprosound net EMAIL ADDRESS ( type or print) 8812 Grow Dr. MAILING ADDRESS Pensacola, FL 32514 CITY, STATE, ZIP CODE 850 ) 476 - 7600 ( 850 1 476 - 0600 TELEPHONE NUMBER FAX NUMBER 2013, Acknowledged & subscribed before me on the 4 day of by C sc. fl SMn Aj \ , as thelM . 5.4. Ytra InT of SEE 02M Signature of Notary Notary Public, State of R u k AOI Personally Known , - OR- Produced Identification of. Pg: P. 09 FEB - 04 - 2013 15: 25 PSV FNS 152.h Foil Walton Unding Sou dSyste m # 13- 010 13 -010 - PRICING SHEET - Include sheet with proposal REP 13 -010 FORT WALTON LANDING SOUND SYSTEM Item No. Descn tlon Unit PpIOe KEA 1 20

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