EXHIBIT C <br /> CITY OF EUGENE <br /> Purchase and Relocation of Surplus Structure <br /> STANDARD REQUEST FOR BID FORM <br /> RFB #95 -0109 <br /> I, the undersigned, and authorized representative / ph to $ <br /> (firm name) <br /> whose address is: 0.-2..0 31r,. `, D r; ✓c. 01 10 4- s -1 -- — 6, 1_1-44 t c of . 7)4 ti-- <br /> (street, city, state, zip cdde) <br /> have read and thoroughly understand the specifications, the special provisions, the bid <br /> instructions and all other conditions of the Call for RFB's issued by the City of Eugene for the <br /> Purchase and Removal of a Surplus Structure and / or outbuildings located at 3865 Royal <br /> Avenue. <br /> Bidder is )C i at a resident Oregon bidder, as defined by ORS 279.029. <br /> ( "Resident bidder" means a bidder that has paid unemployment taxes or income taxes in this state <br /> during the 12 calendar months immediately preceding submission of the bid, has a business <br /> address in this state, and has stated in the bid whether the bidder is a "resident bidder ") <br /> We, therefore, offer and make this bid to purchase and remove the Surplus Structure listed below <br /> in fulfillment of the attached requirements and specifications of the City of Eugene: <br /> Purchase of Surplus Structure <br /> Bid offer for the Purchase and Removal of the Following: ► <br /> be- ti,d 1.411S r t- ; a ..7c.c <br /> 3865 Royal Avenue X House: $ / <br /> )C Garage / shop: $ 3_ a V <br /> O Storage Shed: $ <br /> , TOTAL BID: $ / 9 s'. 3 <br /> Date by which relocation and site cleanup to be completed: /a-p 1k s cy„ At, 4,.1 0 C Arr.;1 7. 111 <br /> I have read and understood the attached Standard Contract Provisions, and agree to abide by and <br /> fulfill the requirements thereof if awarded the contract as a result of this bid. <br /> FIRM NAME: /11.(c S 1c <br /> DATE: /YI .re.. /, 3 / /9 9 3— <br /> SIGNATURE: S_ <br /> TITLE: 1.32,4 <br /> 9 <br />