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Request for Proposals Solicitation No. ADEQ18-00007515 Description: Asbestos and Lead Consultant and Abatement Services Arizona Department of Environmental Quality 1410 W. Washington Street Phoenix, AZ 85007 Attachment 1 Offer and Acceptance Form SUBMISSION OF OFFER: Undersigned hereby offers and agrees to provide Asbestos Services in compliance with the Solicitation indicated above and our Offer indicated by ee version below: Original Offer: August §, 2017 date initial Revised Offer: ~ - = ~ date #1 ini bal date #2 initial date #3 initial ) - Best and Final otters ff GLUT eae date initial Western Technologies Inc, ft) hf, XK Cherber esterr gle: tha Company name Signature of pers; one lo sign Offer Initials 3737 East Broadway Road Vicky L. Aviles, an Environmental PM Address Printed name and title Phoenix, Arizona 85404 Vicky L. Aviles, Principal/Senior Environmental PM City | State | ZIP Contact name and title www.wt-us.com Vicky.a@wt-us.com 602-437-3737 ext. 123 Company website Contact Email Address Contact phone number CERTIFICATION: By signature in the above, the Offeror certifies that it: 1, will not discriminate against any employee or applicant for employment in violation of Federal Execulive Order 11246, [Arizona] State Executive Order 2009-9 or A.R.S. §§ 41-1461 through 1465; 2. has not given, offered to give, nor intends to give at any lime hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to a public servant in connection with the submitted offer. Failure to provide a valid signature affirming the stipulations required by this clause will result in rejection of the Offer. Signing the Offer with a false statement will void the Offer, any resulting contract, and may be subject to legal penallies under law; complies with A.R.S. § 41-3532 when offering electronics or information technology products, services, or maintenance; and 4, is not debarred from, or otherwise prohibited from participating in any contract awarded by federal, state, or local government. ACCEPTANCE OF OFFER; State hereby accepts the Offer. Offeror is now bound (as Contractor) to sell the Materials and perform the Services under the attached Contract, of which the Accepted Offer forms a par. Contractor is cautioned not to commence any billable work or to provide any material or perform any service under the Contract until Contractor receives the applicable purchase order, release document, or written Notice to proceed. State's Contract No. is:__ DEQI8-186330 The effective date of the Contract is: November 1, 2017 (for all correspondence and invoices) Contract awarded this _ 2314 day ot_ October 2017 Teena Ziegler, crfo, gers // Chief Procureme: icer PART 4 of the Solicitation Documents: Offer Forms (Attachments) Date: July 18, 2017 4 Page 2 of 33 lab on nie at Rt oe. Ue. AL yoy