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TOSHIBA <br />Leadino Innovation <br />6401 Nob Hill Road <br />Tamarac, FL 33321 <br />RFP No. 12.01.10.10 <br />PROPOSER INFORMATION <br />Communications concerning this proposal shall be addressed to: <br />RFP No. 12 -01.10.10 <br />PROPOSAL REQUIREMENTS CHECKLIST <br />Proposer has attached all documents listed in the checklist as provided and any other pertinent <br />information. The documents in this section are to be executed, notarized (if applicable), and submitted <br />as a condition to this Request for Proposals. <br />CHECK LIST <br />FORMS <br />ATTACHED <br />Proposer Information <br />Yes <br />X <br />No <br />Proposal Confirmation <br />Yes <br />X <br />No <br />Schedule of Proposal Prices <br />Yes <br />X <br />No <br />Scope of Services Proposed <br />Yes <br />X <br />No <br />Firm Qualifications <br />Yes <br />X <br />No <br />Reference Sheet <br />Yes <br />X <br />No <br />Indemnification Clause <br />Yes <br />X <br />No <br />Non - Collusive Affidavit <br />Yes <br />X <br />No <br />Proposer's Qualification Statement <br />Yes <br />X <br />No <br />Drug -Free Workplace Form <br />Yes <br />X <br />No <br />Sworn Statement on Public Entity Crimes <br />Yes <br />X <br />No <br />Exceptions to the RFP <br />Yes <br />X <br />No <br />Certificate of Insurance <br />Yes <br />X <br />No <br />One (1) Original and Four (4) Copies are Submitted <br />Yes <br />X <br />No <br />Toshiba's Recommendations for The C1ry of Coconut Creek's RFP Jar Managed Print Services, 12-01-10-10 <br />Page 4 of 42 <br />