Request for Proposals Part 1 Instructions for Offerors January 8, 2014 I-77 ATSMS Carroll County, Virginia Project No. 0077-017-792, C501 Contract ID # C00104814DB69 ATTACHMENT 4.3.1 PRICE PROPOSAL FORM 4.3.1 Offeror shall specify the pricing information for the items below, the dollars amount shall be in whole numbers: Price Proposal Cost Breakdown Summary; Design Services, LS $____________ Mobilization (Construction), LS $____________ Quality Assurance (Construction) LS $____________ Quality Control (Construction), LS $____________ Conduit Systems, LS $____________ Structures and Poles, LS $____________ Power and Communications, LS $____________ Dynamic Message Signs (DMS), LS $____________ Closed Circuit Televisions (CCTV), LS $____________ Weather Sensors/Detections, LS $____________ Roadside/Safety Improvements, LS $____________ All Other Costs, LS $____________ Proposal Price; (Specify the Total Lump Sum price in both numbers and words, this price shall equal to the total sum of the items listed above) Lump Sum (LS): ___________________________________________________ _______________________________________________ ($________________) SIGNATURE DATE PRINTED NAME TITLE _____________________________________________________________________________________________ Commonwealth of Virginia Virginia Department of Transportation