Exhibit C (1 of 4) BID SHEET BID #: ITB-DOT-10/ TB FOB: Various Locations as indicated

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1 Exhibit C (1 of 4) ITBTERMSHELLCOMM 1/11b Indian River and St Lucie County Limerock Base Unit Price (Per Ton) Vendor Pit Location (Physical Address) Broward County $ /Ton Total in Words $ Total in Dollars $ Grand Total $ Limerock Stabilized Base Unit Price (Per Ton) Vendor Pit Location (Physical Address) Broward County $ /Ton Total in Dollars $ Grand Total in Words $ Grand Total in Dollars $ DELIVERY: Delivery will be specified when order is placed Delivery will be either to the Maintenance Yard or Job sites located within the specified Counties Delivery will be made within 48 hours after request Transaction Fee in accordance with the attached Form PUR 1000 General Contract Condition #14 terms and conditions and their submission is made in conformance with those terms and conditions solicitation and that I am authorized to sign for the bidder I certify that the response submitted is made in conformance with all requirements of the solicitation Bidder: Printed/Typed: Title: C-1

2 Exhibit C (2 of 4) Indian River and St Lucie County Aggregate Material Pick-UP Limerock Base Unit Price (Per Ton) Vendor Pit Location (Physical Address) Pick-up Area Palm Beach County $ /Ton Total in Words $ Total in Dollars $ Grand Total $ Limerock Stabilized Base Unit Price (Per Ton) Vendor Pit Location (Physical Address) Palm Beach County $ /Ton Total in Dollars $ Grand Total in Words $ Grand Total in Dollars $ DELIVERY: To be picked up at various locations throughout the listed counties by DPT from point closest to maintenance yard or job site, whichever is in the best interest of the Department Transaction Fee in accordance with the attached Form PUR 1000 General Contract Condition #14 terms and conditions and their submission is made in conformance with those terms and conditions solicitation and that I am authorized to sign for the bidder I certify that the response submitted is made in conformance with all requirements of the solicitation Bidder: C-2

3 Printed/Typed: Title: Exhibit C (3 of 4) Indian River and St Lucie County Aggregate Material- Delivery Cemented Coquina Shell Material Unit Price (Per Ton) Vendor Pit Location (Physical Address) Martin County $ /Ton Total in Words $ Total in Dollars $ Grand Total $ C-3 Indian River County $ /Ton Total in Dollars $ Grand Total in Words $ Grand Total in Dollars $ St Lucie County $ /Ton Total in Dollars $ Grand Total in Words $ Grand Total in Dollars $ DELIVERY: Delivery will be specified when order is placed Delivery will be either to the Maintenance Yard or Job sites located within the specified Counties Delivery will be made within 48 hours after request Transaction Fee in accordance with the attached Form PUR 1000 General Contract Condition #14 terms and conditions and their submission is made in conformance with those terms and conditions

4 solicitation and that I am authorized to sign for the bidder I certify that the response submitted is made in conformance with all requirements of the solicitation Bidder: Printed/Typed: Title: C-4

5 Exhibit C (4 of 4) Indian River and St Lucie County Aggregate Material- Pick-Up Cemented Coquina Shell Material Unit Price (Per Ton) Vendor Pit Location (Physical Address) Martin County $ /Ton Total in Words $ Total in Dollars $ Grand Total $ Indian River County $ /Ton Total in Dollars $ Grand Total in Words $ Grand Total in Dollars $ C-5 St Lucie County $ /Ton Total in Dollars $ Grand Total in Words $ Grand Total in Dollars $ DELIVERY: To be picked up at various locations throughout the listed counties by DPT from point closest to maintenance yard or job site, whichever is in the best interest of the Department Transaction Fee in accordance with the attached Form PUR 1000 General Contract Condition #14 terms and conditions and their submission is made in conformance with those terms and conditions solicitation and that I am authorized to sign for the bidder I certify that the response submitted is made in conformance with all requirements of the solicitation

6 Bidder: Printed/Typed: Title: C-6

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