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["710-22-0009  Day Treatment Transportation"]
[null,"FINAL - OFFICIAL BID PRICE SHEET"]
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[null,"Any cost not identified on the Official Bid Price Sheet are not billable under the contract established from this solicitation unless DHS, at its sole discretion, determines otherwise."]
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[null,"Price proposal must be submitted in a separate sealed envelope. Any reference to cost(s) included with the technical proposal response will result in offeror's response being rejected. "]
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[null,"Instructions"]
[null,"DHS allows a maximum rate of $2.02 per person per mile payable for these services. The per person per mile rate submitted must be within the price range specified below for each region bid. If a bidder's cost proposal is greater than the maximum identified rate, the bidder's submission will be disqualified, unless DHS, in its sole discretion, determines that a higher rate is necessary. Insert pricing only for the regions services may be provided. "]
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[]
[]
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[null,"* Per Person Per Mile Price Range: $1.39 - $2.02"]
[]
[null,"Cost Proposal"]
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[null,null,"Region A"]
[]
[null,null,"Region B"]
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[null,null,"Region C"]
[]
[null,null,"Region D"]
[]
[null,null,"Region E"]
[]
[null,null,"Region F"]
[]
[null,null,"Region G"]
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[null,"AUTHORIZATION SIGNATURE\nBy my signature below, I certify that the aforementioned statements are true and correct and that I accept the Terms and Conditions as presented in this bid, and that I am authorized by the respondent to submit this bid on his/her behalf."]
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[null,"Vendor Name: ",null,null,null,"Date: "]
[null,"Signature: ",null,null,null,"Title: "]
[null,"Printed Name:"]