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P8.1.D. - Page '17 thool District GASOLINE AND DIESEL FUEL Bid No. 16-P-04-MOT <br /> IiAar, BID FORM—(Award of bid will be based on the BASE BID) <br /> Bid Form <br /> (Include with Proposal) <br /> Title of Proposal: Gas & Diesel Fuel <br /> Bid No. 16-P-04-MOT <br /> Name of Firm <br /> Business Address <br /> To Palo Alto Unified School District: <br /> The undersigned, as bidder, certifies that the only persons or parties interested in this bid as <br /> principals are those named herein as bidder; that this bid is made without collusion with any other <br /> person, firm, or corporation; and in submitting this proposal that the firm has examined the <br /> "Instructions to Bidders," the "Specifications" and related documents, and the firm proposes and <br /> agrees, if this bid is accepted, that the firm will execute and fully perform the contract for which bids <br /> are called; and that all work specified in the contract will be completed in the manner and time herein <br /> prescribed, and according to the requirements of the Purchasing Agent as therein set forth; and that <br /> the firm will take in full payment therefore, the prices set forth in the below schedule. <br /> Bid—Guaranteed profit over <br /> OPIS posted price per gallon <br /> Tank Location Type of Tank Usage as per delivered to the District. <br /> Fuel Size 2015-2016 (Including all taxes, fees & <br /> (Est.) freight, Example: $.0210 per <br /> gallon) <br /> Palo Alto Unified School Unleaded 4,000 39,950 (about <br /> District Gasoline 19 deliveries) <br /> 85 Churchill Ave. 87 Octane <br /> Palo Alto, CA 94306 (In Figures) <br /> (Next to Bus Garage) <br /> (In Words) <br /> Palo Alto Unified School Red 2,000 12,510 (about <br /> District Dyed 18 deliveries) <br /> 85 Churchill Ave. Diesel <br /> Palo Alto, CA 94306 (In Figures) <br /> (Next to Bus Garage) <br /> (In Words) _ <br /> Total Amount of Base Bid <br /> (In Figures) <br /> (In Words) <br /> 14 OF 15 <br /> Bid No. 16-P-04-MOT <br />