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<br /> <br /> <br />Housing Authority of the City of Santa Ana <br />Request for Proposals for Case Management Services <br />Page 12 <br />TO BE INCLUDED IN PROPOSAL <br />EXHIBIT B <br /> <br />REQUEST FOR PROPOSALS (RFP) FOR CASE MANAGEMENT SERVICES FOR THE <br />HOUSING CHOICE VOUCHER PROGRAM <br /> <br />PROPOSERS STATEMENT AND QUALIFICATION FEE SCHEDULE <br /> <br />Certification – I certify that I have read, understand and agree to the terms and conditions of this Request <br />for Proposals. I have examined the Scope of Services (Exhibit A) and I am familiar with the scope of work <br />requirements. I am familiar with all of the existing conditions and limitations that may impact work <br />requests. I understand and agree that I am responsible for reporting any errors, omissions or <br />discrepancies to the Housing Authority for clarification prior to the submission of my proposal. <br /> <br />FEE SCHEDULE <br />Please provide a proposed fee schedule. <br /> <br /> <br />LEGAL NAME OF COMPANY PHONE AND FAX NUMBER <br /> <br />BUSINESS ADDRESS <br /> <br />PRINTED NAME OF AUTHORIZED AGENT TITLE <br /> <br />SIGNATURE OF AUTHORIZED AGENT DATE E-MAIL ADDRESS <br /> <br />FEDERAL ID NO. (IF APPLICABLE) CONTRACTOR LICENSE NO. (IF APPLICABLE) <br /> <br /> <br />EXHIBIT 1