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<br />Page 17 of 23 <br />FORM 4 .02 PRICE SHEET <br />REQUEST FOR PROPOSAL #2023-057 PAVEMENT ASSESSMENT <br />Supplier Name: <br />Prices must include providing all services as detailed in the Scope of Work. <br />1. Complete the price sheet. <br />2. This project will be paid on milestones. Provide a firm fixed, not to exceed, lump sum amount for the entire <br />Pavement Conditions assessment and plan. Provide a cost break down for each deliverable. As each <br />deliverable is completed, this is the amount that will be paid for completing that milestone. <br />3. Clearly identify any services mentioned in your response that are not included in your proposed fee such as <br />services that would be an additional expense. <br />A. Pavement Condition Assessment Firm Fixed, <br />Not To Exceed <br />$ <br /> <br /> <br />Task Breakdown # of hours for <br />task <br />Cost <br />Deliverable: Pavement Assessment Plan (PAP) - Draft and Final <br />Deliverable: Data Quality Assurance/Quality Control (QA/QC) Plan <br />- Draft and Final <br /> <br />Deliverable: Inventory & Condition Assessment Draft Report - <br />Draft and Final <br /> <br />Deliverable: Maintenance, Strategy and Rehabilitation Plan - Draft <br />and Final <br /> <br />Deliverable: Inventory & Condition Assessment Draft and Final <br />Report <br /> <br />Deliverable: Maintenance, Strategy and Rehabilitation Draft and <br />Final Plan <br /> <br />Deliverable: Council Presentation Materials (as needed) <br />Deliverable: Other Services: Training <br />Deliverable: Final data for importing into Cityworks <br />