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P ROPOSAL F ORM 19: M ASTER A GREEMENT S IGNATURE F ORM <br />BIDDERS MUST SUBMIT THIS FORM COMPLETED AND SIGNED WITH THEIR RESPONSE TO BE CONSIDERED <br />FOR AWARD. <br />The undersigned hereby proposes and agrees to furnish Products & Services in strict compliance with the <br />terms, specifications, and conditions contained within this RFP and the Master Agreement at the prices <br />proposed within the submitted proposal unless noted in writing. The undersigned further certifies that he/she <br />is an officer of the company and has authority to negotiate and bind the company named below and has not <br />prepared this proposal in collusion with any other Bidder and that the contents of this proposal as to prices, <br />terms or conditions of said proposal have not been communicated by the undersigned nor by any employee <br />or agent to any person engaged in this type of business prior to the official opening of this proposal. <br /> <br />Company Name Company Name <br />Address Address <br />City/State/Zip City, State, Zip <br />Phone Number Phone Number <br />Email Address Email Address <br />Printed Name Print Name <br />Job Title Job Title <br />Authorized Signature <br />Initial Term of the Master Agreement <br />Contract Effective Date: May 1, 2023 <br />Contract Expiration Date: April 30, 2027 <br />Contract Number: <br />(Note: Contract Number will be applied prior to CCOG and Equalis Group <br />countersigning.) <br /> <br /> <br />The Cooperative Council of Governments, Inc. Equalis Group, LLC. <br />6001 Cochran Road, Suite 333 5550 Granite Parkway, Suite 298 <br />Cleveland, Ohio 44139Plano, Texas 75024 <br /> <br /> <br />By: By: <br />Name:Franklyn A. Corlett Name:Eric Merkle <br />As: CCOG Board President As: EVP, Procurement& Operations <br />Date: Date: <br />Page | 46 <br /> <br /> <br />