POTABLE WATER BID SCHEDULE
Vendors must complete this bid schedule and submit as part of the
bid packet.
Line
Item
0001
l Description
IQty. I
Issue
Potable Water Truck
1.00
IU~it
I Total cost
or1~
Day $
ll)'l9.°'$
Per $ ~.OD $____nii I t
Mile
Period of Performance: Extended Description
Type PWT#:
~
Tank Capacity in Gallons:
License: R c,, I la~.'3>
State: _;t.,D,
VIN: .1f i"X 3. rn.P BQ )(PR a B Pl 31
Year: 1999
Make: fn'.ij'h)LiM.. r Model: (LD
Proximity to Host Unit (miles radius):
Dispatch Zone Coordination Center:
0002
3l 5 ()
l l ;;;\
~;;:/ft
;I
Potable Water Truck
1.00
Day $
$_ __
Per $
Mile
$_ __
Period of Performance: Extended Description
Type PWT#:
Tank Capacity in Gallons: _ _ _ _ _ __
License:
State: _ __
VIN: _ _ _ _ _ _ _ _ _ __
Year:
Make:
Model:------
Proximity to Host Unit (miles r a d i u s ) : - - - - - - - - Dispatch Zone Coordination Center: _ _ _ _ _ _ _ __
0003
Potable Water Truck
1.00
Day $
$ _ __
Per $
Mile
$_ __
Period of Performance: Extended Description
Type PWT#:
Tank Capacity in Gallons: _ _ _ _ _ __
License:
State: _ __
VIN: _ _ _ _ _ _ _ _ _ __
Year:
Make:
Model:------
Proximity to Host Unit (miles radius): - - - - - - - - Dispatch Zone Coordination Center: _ _ _ _ _ _ _ __
1.00
0004 Potable Water Truck
Day $
$_ __
Per $
Mile
$_ __
Period of Performance: Extended Description
Type PWT#:
Tank Capacity in Gallons:. _ _ _ _ _ __
License:
State: _ __
VIN: _ _ _ _ _ _ _ _ _ __
Year:
Make:
Model:------
Proximity to Host Unit (miles radius): _ _ _ _ _ _ _ __
Dispatch Zone Coordination Center: _ _ _ _ _ _ _ __
0005
1.00
Potable Water Truck
Day $
$_ __
Per $
Mile
$- - -
Period of Performance: Extended Description
Type PWT#:
Tank Capacity in Gallons: _ _ _ _ _ __
License:
State: _ __
VIN: _ _ _ _ _ _ _ _ _ __
Year:
Make:
Model: _ _ _ _ __
Proximity to Host Unit (miles radius): _ _ _ _ _ _ _ __
Dispatch Zone Coordination Center: _ _ _ _ _ _ _ __
TYPE
TANK GALLON CAPACITY
PWTl
PWT2
PWT3
PWT4
4,000+
2,500 to 3,999
1,000 to 2,499
400-999
Vendor Information
Extended Descriptiop
_
Business Name: c.Je}\tJ.A)Pi,Q,r Te:,c,h LLc,
DBA (if applicable):-----~-----­
Address: aq<i --f.. HA71.zA /
LtJ& 21 SJ0 r" .I{) 'i"i' so I
R.J
y
i