All proposals submitted in response to this Request shall be ...

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Network design for atypical Anchor Institutionwith a multi-strand cableDesktopComputerTVMedical10 GbpsConnectionto CoreNode 9UC2BTA-5000SwitchiPadSmartPhoneWi-FiIPTV Set-Top BoxGatewaySchoolTypicalBackboneRing - 216Fiber StrandsNode 8UC2BTA-5000SwitchSpliceCaseLaptopONTOSP FiberTermination36-144 StrandLateral Fiber CableServiceBoxSingle Strand CableMulti-StrandFiber Drop CableMulti-StrandFiber CableMulti-StrandFiber CableMulti-StrandFiber CableBusinessSplice Case6/20/12
DISCLOSURE AFFIDAVIT(NOTE: This Affidavit must be completely filled out and signed by any party doing business with the City. This Affidavitassists the City in making determinations relative to conflict of interest and other laws.)(Fill in state and county in which affidavit is being signed)STATE OF )COUNTY OF )) ss.I, the undersigned, being duly sworn, do state as follows:SECTION 1. BUSINESS STATUS STATEMENTA. (hereafter "Contractor” or “Vendor") is a Corporation:Contractor’s Federal Tax Identification Number, or in the case of an individual or soleproprietorship, Social Security Number:(If a Corporation, complete B; If a Partnership or LLC, complete C; If an Individual, complete D)B. CORPORATIONThe State of Incorporation is .Registered Agent of Corporation in Illinois:NameAddressCity, State, ZipTelephoneBusiness Information (If Different from RegisteredAgent):Company Address, Principal OfficeCity, State, ZipTelephoneWebsiteFacsimileThe corporate officers are as follows (list and identify all corporate officers - attach additionalsheets if necessary):President:Vice President:Secretary:D-5 01/09
Page 2: All proposals submitted in response
Page 5: G. Section and subsection numbering
Page 9: 1.12 Acceptance of Proposal Content
Page 12 and 13: materials, supplies, and equipment
Page 14 and 15: XI.Cost ProposalThis section shall
Page 16 and 17: For the 11 multi-strand drop cable
Page 18 and 19: C. The removable outdoor protective
Page 20 and 21: device and will also connect to the
Page 24 and 25: C. PARTNERSHIP OR L.L.C.The busines
Page 26 and 27: Community Relations Office102 North
Page 28 and 29: K. Is your company certified with I
Page 30 and 31: DEFINITIONS OF TERMINOLOGY LISTED I
Page 32: DUAL REPRESENTATION AFFIDAVIT(Note:

All proposals submitted in response to this Request shall be ...

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