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1 0. Chief Executive/Operating Offi cer: <br />Name: <br />Address: <br />Phone Number: <br />FORM C <br />BID SHEET <br />VendorName: <br />Address: <br />Business Telephone: <br />Email <br />Authorized Agent: <br />Used Unit Gross Purchase Price in Words: <br />Used Unit Gross Purchase Price in No.'s ($ <br />Does the Water truck meet specifications exactly as written (check one): Yes E No EI <br />(If no, bidder is required to list ALL deviations on the Equipment Specification Form) <br />Please verifr the following information has been provided: <br />e Equipment Specification FormE Warranty information (if applicable)E Specification of Local Service Facility <br />Signature:Date: