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PROPOSAL <br />The Board of County Commissioners <br />Kittitas County Courthouse, Room 110 <br />Ellensburg, WA 98926 <br />Honorable Chairman and Members <br />The undersigned hereby certifies he has thoroughly examined and understands the specifications as set forth for this bid of <br />furnishing fuel by a card lock system and/or lubricants for 2023. He further certifies he understands the type and quality of <br />materials to be furnished, the conditions under which availability/delivery is to be made and the method of payment. <br />We certify we have not entered into any agreement of any nature whatever to fix, maintain, increase, or reduce the prices or <br />competition regarding the products covered by this bid invitation, or perform any acts which could have a similar effect. <br />Additional information to be furnished (these answers may be the basis for bid rejection) <br />FUEL BIDDERS - Schedule "A" and Schedule "B" <br />1. Brand name of gas offered Diesel <br />2. Mftr. of gas offered Diesel <br />3. Min. octane of reg. Gas Diesel <br />4. Address of plant where card lock system is installed <br />LUBRICANT BIDDERS - Schedule "C <br />5. Brand name of oil offered <br />6. Manufacturer of oil offered <br />DATED this day of 2023. <br />of Authorized Official <br />Address <br />City/State/Zip <br />Telephone: <br />(Lower County) <br />(Upper County) <br />BID: FURNISHING FUEL AND/OR LUBRICANTS FOR 2023 Page 3 <br />