CONTRACT 6534 One Page Service Agreement CLOSEDDocuSign Envelope ID: 93177920-E8F3-4CE2-B676-627AA809A937 Agreement No. 6534
ry' services Agreement
rvµ*
CONTRACTOR: Tan ram Interiors DATE MAILED: 10/3112022
Below you will find a checklist relating to Insurance and other requirements that are required for doing business with the City of El
Segundo. Only those items checked -off are MANDATORY, however if your standard policies exceed the minimum requirements please
include. Commercial general liability insurance must meet or exceed the requirements of ISO-CGL Form No. CG 00 01 1185 or
88. The amount of insurance set forth below will be a combined single limit per occurrence for bodily injury, personal injury, and property
damage for the policy coverage. Liability policies will be endorsed to name the City, its officials, and employees as "additional
insured's" under said insurance coverage and to state that such insurance will be deemed "primary" such that any other
insurance that may be carried by the City will be excess thereto. Such insurance must be on an "occurrence," not a "claims
made," basis and will not be cancelable or subject to reduction except upon thirty (30) days prior written notice to the City.
Please find additional Terms and Conditions on the reverse side of this Services Agreement. This is not a purchase order or an
authorization to begin work.
®Comprehensive General Liability, including coverage for premises, products and completed operations, independent contractors,
personal injury and contractual obligations with combined single limits of coverage of at least $1,000,000 per occurrence.
® Auto Liability, including owned, non -owned and hired vehicles with at least:
® 1 000 000 per occurrence.
❑ $100,000 - 300,000 per occurrence,
❑ As required by State Statutes. A copy of your current policy must be submitted naming yourself and or your company.
® Workers' Compensation Insurance: as required by State Statutes. (Not needed if Self-employed with no employees and
CONTRACTOR signs statement to this effect,)
® Business License: The CONTRACTOR shall agree to have a current City of El Segundo license on file at City Hall or purchase
said license (at no cost to the City).
❑ Permits: Plans must be approved and permit(s) issued (no fee) by the Planning and Building Safety if appropriate. Call the
Planning Manager @ (310) 524-2340 if you have questions.
❑ Copy of valid picture I.D., (Drivers license etc.)
PLEASE NOTE: ALL APPLICABLE INFORMATION LISTED ABOVE MUST BE OBTAINED AND ON FILE, PRIOR TO THE ISSUANCE OF A CITY
PURCHASE ORDER BEING SENT TO YOU (VIA FAX OR HARD COPY) BY THE RISK MANAGERIPURCHASING AGENT, THUS AUTHORIZING
COMMENCEMENT OF WORK FOR THE CITY.
Submitted b (complete all blanks): COLOR COPY REQUIRED BACK TO THE CITY
Company Name:
Tan ram Interiors
�Pkin�seenkoitle):
Company Street Address:
n its 'uthorized Signature required:
9200 Sorensen Avenue'�N�
City, State, Zip:
Santa Fe Springs, CA 90670
Phone:
FAX:
562.365.5000
562.777.9742
Vendor's Email address:
Vendor's Web site:
a utierrez tan raminteriors.com
wwww,tan raminteriros.com
Mail original agreement and insurance to: City of El Segundo — City Clerk 350 Main Street, Room 5, El Segundo, CA 90245-3813
1, 11«
DocuSign Envelope ID: 93177920-E8F3-4CE2-B676-627AA809A937
Agreement No. 6534
1.GENERALLY. The materials, supplies, or services (collectively, "Purchase")
covered by this services agreement and purchase order ("order") must be
furnished by Seller subject to all the terms and conditions contained in this order
which Seller, in accepting this order, agrees to be bound by and comply with in
all particulars. No other terms or conditions are binding upon the parties unless
subsequently agreed to in writing. Written acceptance or shipment of all or any
portion of the Purchase covered by this order constitutes unqualified acceptance
of all terms and conditions in this order. The terms of any proposal referred to in
this order are included and made a part of the order only to the extent it specified
the Purchase ordered, the price, and the delivery, and then only to the extent
that such terms are consistent with the terms and conditions of this order.
2.INSPECTION. The Purchase furnished must be exactly as specified in this
order, free from all defects in Seller's performance, design, workmanship, and
materials, and, except as otherwise provided, is subject to inspection and test by
City at all times and places. If, before final acceptance, any Purchase is found to
be incomplete, or not as specified, City may reject it, require Seller to correct it
without charge, or require delivery of such Purchase at a reduction in price that
is equitable under the circumstances. If seller is unable or refuses to correct
such items within a time deemed reasonable by City, City may terminate the
order in whole or in part. Seller bears all risks as to rejected Purchases and, in
addition to any costs for which Seller may become liable to City under other
provisions of this order, must reimburse City for all transportation costs, other
related costs incurred, or payments to Seller in accordance with the terms of this
order for unaccepted Purchases. Notwithstanding City's acceptance of any
Purchase, Seller is liable for latent defects, fraud, or such gross mistakes as
constitute fraud.
&CHANGES. City may make changes within the general scope of this order in
drawings and specifications for specially manufactured supplies, place of
delivery, method of shipment or packing of the order by giving notice to Seller
and subsequently confirming such changes in writing. If such changes affect the
cost of or the time required for performance of this order, an equitable
adjustment in the price or delivery or both must be made. No change by Seller is
allowed without City's written approval. Any claim by Seller for an adjustment
under this section must be made in writing within thirty (30) days from the date of
receipt by Seller of notification of such change unless City waives this condition
in writing. Nothing in this section excuses Seller from proceeding with
performance of the order as changed.
4. TERMINATION. City may terminate this order at any time, either verbally or in
writing, with or without cause. Should termination occur, City will pay Seller as
full performance until such termination the unit or pro rata order price for the
performed and accepted portion of the Purchase. City may provide written
notice of termination for Seller's default if Seller refuses or fails to comply with
this order. If Seller does not cure such failure within a reasonable time period, or
fails to perform the Purchase within the time specified (or allowed by extension),
Seller will be liable to City for any excess costs incurred by City.
5.TIME EXTENSION. City may extend the time for completion if, in City's sole
determination, Seller was delayed because of causes beyond Seller's control
and without Seller's fault or negligence. In the event delay was caused by City,
Seller's sole remedy is limited to recovering money actually and necessarily
expended by Seller because of the delay; there is no right to recover anticipated
profit.
&REMEDIES CUMULATIVE. City's rights and remedies under this order are not
exclusive and are in addition to any rights and remedies provided by law.
7.TITLE. Title to materials and supplies purchased under this order pass directly
from Seller to City upon City's written acceptance following an actual inspection
and City's opportunity to reject.
&PAYMENT. City will pay Seller after receiving acceptable invoices for
materials and supplies delivered and accepted or services rendered and
accepted. City will not pay cartage, shipping, packaging or boxing expenses
unless specified in this order. Drafts will not be honored.
9.INDEMNIFICATION. Seller agrees to indemnify and hold City harmless from
and against any claim, action, damages, costs (including, without limitation,
attorney's fees), injuries, or liability, arising out of the Purchase or the order, or
their performance. Should City be named in any suit, or should any claim be
brought against it by suit or otherwise, whether the same be groundless or not,
arising out of the Purchase or order, or their performance, Seller will defend City
(at City's request and with counsel satisfactory to City) and indemnify City for
any judgment rendered against it or any sums paid out in settlement or
otherwise. For purposes of this section "City" includes City's officers, elected
officials, and employees. It is expressly understood and agreed that the
foregoing provisions will survive termination of this order. The requirements as
to the types and limits of insurance coverage to be maintained by Seller, and any
approval of such insurance by City, are not intended to and will not in any
manner limit or qualify the liabilities and obligations otherwise assumed by Seller
pursuant to this order, including, without limitation, to the provisions concerning
indemnification.
10.WARRANTY. Seller agrees that the Purchase is covered by the most
favorable commercial warranties the Seller gives to any customer for the same
or substantially similar supplies or services, or such other more favorable
warranties as is specified in this order. Warranties will be effective
notwithstanding any inspection or acceptance of the Purchase by City.
11.ASSIGNMENT. City may assign this order. Except as to any payment due
under this order, Seller may not assign or subcontract the order without City's
written approval. Should City give consent, it will not relieve Seller from any
obligations under this order and any transferee or subcontractor will be
considered Seller's agent.
12.NSURANCE. Seller must provide the insurance indicated on the face sheet
of this Services Agreement.
13.PERMITS. Seller must procure all necessary permits and licenses, and abide
by all federal, state, and local laws, for performing this order.
14.NDEPENDENT CONTRACTOR. City and Seller agree that Seller will act as
an independent contractor and will have control of all work and the manner in
which is it performed. Seller will be free to contract for similar service to be
performed for other employers while under contract with City. Seller is not an
agent or employee of City and is not entitled to participate in any pension plan,
insurance, bonus or similar benefits City provides for its employees. Any
provision in this order that may appear to give City the right to direct Seller as to
the details of doing the work or to exercise a measure of control over the work
means that Seller will follow the direction of the City as to end results of the work
only.
15.WAIVER. City's review or acceptance of, or payment for, work product
prepared by Seller under this order will not be construed to operate as a waiver
of any rights City may have under this Agreement or of any cause of action
arising from Seller's performance. A waiver by City of any breach of any term,
covenant, or condition contained in this order will not be deemed to be a waiver
of any subsequent breach of the same or any other term, covenant, or condition
contained in this order, whether of the same or different character.
16.NTERPRETATION. This Agreement was drafted in, and will be construed in
accordance with the laws of the State of California, and exclusive venue for any
action involving this agreement will be in Los Angeles County.
17.PREVAILING WAGES. If required by applicable state law including, without
limitation Labor Code §§ 1720 (as amended by AB 975 (2001)), 1771, 1774,
1775, and 1776, CONTRACTOR must pay its workers prevailing wage. It is
CONTRACTOR'S responsibility to interpret and implement any prevailing wage
requirements and CONTRACTOR agrees to pay any penalty or civil damage
resulting from a violation of the prevailing wage laws. In accordance with Labor
Code § 1773.2, copies of the prevailing rate of per diem wages are available
upon request from CITY's Engineering Division or the website for State of
California Prevailing wage determination at htt 1Nvww.dir,ca. ov/DLMPWD. A
copy of the prevailing rate of per diem wages must be posted at the job site.
18.CONSIDERATION. As consideration, CITY agrees to pay CONTRACTOR
for CONTRACTOR's services not to exceed a total of $(18,700.00_Dollars)
for the work. CITY will pay for work as specified in the attached Exhibit 'A" which
is incorporated by reference.
Services to include:
Refer to attached Exhibit "A"
Tangram Interiors_One-Page Services Agreement _Prevailing Wages_Economic Development Project 638946_10-25-2022
11 /1 /22
DocuSign Envelope ID: 93177920-E8F3-4CE2-B676-627AA809A937 Agreement No. 6534
Exhibit "A"
9200 SORE,,,;,,✓NAVENUE Quotation 641627
OF sANTA FE Sc' RINGS, CA 90670 Quote Date 10/19/22
LangiramrF..!..: 562 36.5,5000
FAX. 562.777,9 tit Project 638091
WWWTANGRAWNTERIOMCOMI Customer CIT069
Terms CPO#/NET 30 DAYS
Quote To
Accounts Payable
City of El Segundo
350 Main St
El Segundo CA 90245-3813
Phone +1 5242339
Fax +1 3222756
accountspayable@elsegundo_org
Quote valid for 30 days.
Lead times: 8 weeks
Lead times may change without notice
Pricing per Sourcewell contract
121919-STI/ 19Z08621
Account Representative Angela Gutierrez
Ship To
Maria Cerritos
City of El Segundo
350 Main St
El Segundo CA 90245-3813
Phone +1 (310) 524-2331
mcerritos@elsegundo.org
Sales Location SANTA FE SPRINGS SALES
All product is made to order. No changes or cancellations after order placement. No returns.
Client is responsible for proper care and cleaning of products. Please consult your Tangram representative for further information on
appropriate cleaning procedures. Products whose materiality or appearance is affected by improper use of cleaning agents will not
be
covered by manufacturer warranty.
Please call Angie with any questions 562-547-2871
Thank you for the opportunity to provide this quote.
1 TS772HFS - Frame, Horizontal package, Stacking, 72W 1 29.25 29.25
STEELCASE
Tag For HFS72
2 TS724HF - Frame -Oval, Horizontal package, 24W 2 72.93 145.86
BASIC: 4752 STEEL METALLIC
TC OPT: "OPT:TOP CAP OPTIONS
STD CAP: STD:STANDARD TOPCAP
CABLEOPT: 'OPT:CABLE TRAY OPTION
CBL TRAY: CABLE TRAY
o
Accepted by . ', �. a Title f i Il::::� �te� /C
DocuSign Envelope ID: 93177920-E8F3-4CE2-B676-627AA809A937
Agreement No. 6534
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tangram.
2 BASE OPT: *OPT:BASE TRIM OPTIONS
KO BOTH: STD:KNOCKOUT BASE BOTH SIDES
TRAY OPT: *OPT:BASE TRAY OPTION
BASETRAY: BASE TRAY
STEELCASE
Tag For 24/42c
3 TS724HF - Frame -Oval, Horizontal package, 24W
BASIC: 4752 STEEL METALLIC
TC OPT: *OPT:TOP CAP OPTIONS
COH 1END: COH TOPCAP 1 END
CABLEOPT: *OPT:CABLE TRAY OPTION
CBL TRAY: CABLE TRAY
BASE OPT: *OPT:BASE TRIM OPTIONS
KO BOTH: STD:KNOCKOUT BASE BOTH SIDES
TRAY OPT: *OPT:BASE TRAY OPTION
BASETRAY: BASE TRAY
STEELCASE
Tag For 24/42sc
4 TS772HF - Frame -Oval, Horizontal package, 72W
BASIC: 4752 STEEL METALLIC
TC OPT: *OPT:TOP CAP OPTIONS
STD CAP: STD:STANDARD TOPCAP
CABLEOPT: *OPT:CABLE TRAY OPTION
CBL TRAY: CABLE TRAY
BASE OPT: *OPT:BASE TRIM OPTIONS
KO BOTH: STD:KNOCKOUT BASE BOTH SIDES
TRAY OPT: *OPT:BASE TRAY OPTION
BASETRAY: BASE TRAY
STEELCASE
Tag For 72/54-18c
5 TS742EPJ - Junction -End of run, Oval, 42H
TOP -CAP: 6696 STERLING
UPRIGHT: 4752 STEEL METALLIC
TRIM: *OPT:TRIM PACKAGE
PAINT: STD:PAINTED TRIM PKG
STEELCASE
9200 SORENSEN AVENUE
SANTA FE SPRINGS, CA 90670
TEL: 562,365.5000
FAH: 562.777 9742
W W W.TANGRAM I NTERIORS.CO M
2
1
4
Quotation 641627
Page 2 / 7 (cont'd)
75.66
165.75
90.87
fib, r f �, � P o �/�I t, ��n '
,
Accepted key,' i� ���_ � � � � w Tltle � �� � � Date � � 4
151.32
165.75
363.48
DocuSign Envelope ID: 93177920-E8F3-4CE2-B676-627AA809A937
Agreement No. 6534
Quotation
.-
I 2
..S.:
hli PORT BEACH 949 955 6700 li- 3AlCERS E�I� C�1 3?7 Ste! vFRESNO SS4 275 d111'�' DA1 lA5 214 4(12 72 //9i ,,
5
Tag For E42
6
TS754TPJ - Junction-T, Oval, 54H
1
140.01
140.01
TOP -CAP: 6696 STERLING
UPRIGHT: 4752 STEEL METALLIC
TRIM:'OPT:TRIM PACKAGE
PAINT: STD:PAINTED TRIM PKG
STEELCASE
Tag For T54
7
TS718TPJS - Junction-T, Stacking, 18H
1
219.18
219.18
TRIM:'OPT:TRIM PACKAGE
PAINT: PAINTED TRIM PKG
UPRIGHT: UPRIGHT
METALLIC:'UPRIGHT:METALLIC PAINT
4752: STEEL METALLIC
STEELCASE
Tag For 18S
8
TS742WPJ - Junction -Wall start, 42H
2
125.97
251.94
STEELCASE
Tag For WS42
9
TS754WPJ - Junction -Wall start, 54H
1
125.97
125.97
STEELCASE
Tag For WS54
10
TS718WPJS - Junction -Wall start, Stacking, 18H
1
189.54
189.54
STEELCASE
Tag For 18S
11
TS712CHS - Trim -Change of height, Oval, Slim profile, 12H
2
56.94
113.88
TOP -CAP: 6696 STERLING
TRIM: *OPT:TRIM PACKAGE
PAINT: PAINTED TRIM PKG
UPRIGHT: UPRIGHT
METALLIC: *UPRIGHT:METALLIC PAINT
4752: STEEL METALLIC
JUNCTION: 'OPT:JUNCTION CAP OPTIONS
STD CAP: CAP - COH CORNER APPLICATION
STEELCASE
Tag For COW 12
Accepted by � �r 1 � '� ��`� Title � 'L. �
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. c :Date
DocuSign Envelope ID: 93177920-E8F3-4CE2-B676-627AA809A937
Agreement No. 6534
Quotation 641627
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FAX: 562.777.9742
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�%�/�� j"�4c�hb��RT �+EACk?'949.r1Sy�67�� 1 AXcc� �cin �srjo7 c�nn � FRESN0 554 275 4111 1 DALLA5214.902 7200 „���!
12 TS718CHST - Trim -Stacking, Change of height, Slim profile, 18H
TRIM: *OPT:TRIM PACKAGE
PAINT: PAINTED TRIM PKG
UPRIGHT: UPRIGHT
METALLIC: *UPRIGHT:METALLIC PAINT
4752: STEEL METALLIC
STEELCASE
Tag For COH 18
13 TS73072TA - Panel skin -Performance tackable acoustical, 30H x
72W
SURFACE: P422 RAIN
FAB DIR: *OPT:FABRIC DIRECTION
HORZ: HORIZONTAL APPLICATION ONLY
STEELCASE
14 TS73624TA - Panel skin -Performance tackable acoustical, 36H x
24W
SURFACE: P422 RAIN
FAB DIR: *OPT:FABRIC DIRECTION
HORZ: STD:HORIZONTAL APPLICATION
STEELCASE
15 TS73672TA - Panel skin -Performance tackable acoustical, 36H x
72W
SURFACE: P422 RAIN
FAB DIR: *OPT:FABRIC DIRECTION
HORZ: HORIZONTAL APPLICATION ONLY
STEELCASE
16 USSBR - Bracket -Side support
STEELCASE
Tag For SS
17 UCL - C legs -Double post, Glides, 28 1/2H
LEGS: 4752 STEEL METALLIC
STEELCASE
Tag For UCL
18 UPL - Post leg, Glides, 28 1/2H
LEGS: 4752 STEEL METALLIC
STEELCASE
Tag For PL
3
I►
KA
8
E
47.58
157.17
106.86
199.29
1 22.62
4 247.65
2 85.41
95.16
314.34
854.88
398.58
22.62
990.60
170.82
..�
Accepted : , P ��;a / d Title a Ax. l a r, „ka a°r Date �'� :,
DocuSign Envelope ID: 93177920-E8F3-4CE2-B676-627AA809A937
Agreement No. 6534
9200 SORENSEN AVENUE Quotation 641627
ra
SANTA FE SPRINGS, CA 90670 Page 5 / 7 (cont'd)
TEL: 562,365.5000 .ry, -1,FAX: 562.777.9742
WWW.TANGRA I ORS.CO
19 UPI-4 - Post leg, Package quantity 4, Glides, 28 1/2H
LEGS: 4752 STEEL METALLIC
STEELCASE
Tag For PL
20 TS7TIEPLATE - Tie plate, Package quantity 6, Side by side
worksurface application
STEELCASE
Tag For TP
21 USWS - Works u rfa ce-Stra ig ht, Laminate, Plastic edge profile
Size Option: Parametric
Depth: 24.00000
Width: 58.00000
Top Surface Finish: Woodgrain HPL 2HCN - CLAY NOCE
(HPL)
Grain Direction: Long Grain
Edge Finish: Plastic - PG1 6709 - CLAY NOCE
Power Access: No Power Access
Scallop: No Scallop
Grommet: No Grommet
Cord Drop: With Cord Drop
Depth with Cord Drop: 23.50000
STEELCASE
Tag For 24/51
22 USWS - Worksurface-Straight, Laminate, Plastic edge profile
Size Option: Modular
Depth: 24.00000
Width: 72.00000
Top Surface Finish: Woodgrain HPL 2HCN - CLAY NOCE
(HPL)
Grain Direction: Long Grain
Edge Finish: Plastic - PG1 6709 - CLAY NOCE
Power Access: No Power Access
Scallop: With Scallop
Grommet: No Grommet
Cord Drop: With Cord Drop
Depth with Cord Drop: 23.50000
STEELCASE
1 341.64
1 61.62
2
5
171.60
226.98
341.64
61.62
343.20
1,134.90
Tag For 24172
Accepted by Title
. Itti �.
a u J,
DocuSign Envelope ID: 93177920-E8F3-4CE2-B676-627AA809A937
Agreement No. 6534
9200 SORENSEN AVENUE Quotation 641627
SANTA FE SPRINGS, CA 90670 Page 6 / 7 (cont'd)
EL:562.5000
tangram FAX: 562.777.9742
WW W.TANGRAMINTERIORS.COM
23 TS7WKSPT39 - Reinforcing channel, 39W
STEELCASE
Tag For RC39
24 TS7WKSPT51 - Reinforcing channel, 51 W
STEELCASE
Tag For RC51
25 RPCW - Counterweight -Pedestal
STEELCASE
Tag For CW
26 LOCK9201 FR - Lock Cylinder-FR Series, Polished Chrome
LOCK: 9201 POLISHED CHROME
KEYS: SK SPEC
2-FR500
2-FR501
1-FR502
STEELCASE
27 RPF2427AF - Pedestal -Fixed, 2 box / 1 file, Flush steel front, 22 5/8D
x 15W x 27H
BASIC: 4752 STEEL METALLIC
LOCK: 9201 POLISHED CHROME
KEYS: SK PLUG
DWR OPT: *OPT:DRAWER FEATURE OPTIONS
FULL DWR: STD:FULL DRAWER
DWR ACC: *OPT:FILE DWR ACCESSORIES
RAIL: DRAWERS WITH RAILS
PULLS: *OPT:PULL OPTIONS
INT PULL: STD:INTEGRAL J, PULL
LOCK OPT: *OPT:LOCK OPTIONS
SINGLELK: STD:SINGLE LOCK
STEELCASE
Tag For BBF/15
2 29.64
3 29.64
3 86.19
5 N/C
3 411.84
59.28
88.92
258.57
N/C
1,235.52
28 RLF24302F - Universal; Lateral file, 2 drawers, Flush steel front, 24D 2 759.45 1,518.90
x30Wx28H
BASIC: 4752 STEEL METALLIC
LOCK: 9201 POLISHED CHROME
KEYS: SK PLUG
TOP OPT: *OPT:TOP OPTIONS
NO TOP: NO TOP�b
Accepted b � �"` R' �°d � .( �" ( � niCla 1""i), ..�. / � ��� P � �d'� s`r tr ' �� �' I" Date
d�
DocuSign Envelope ID: 93177920-E8F3-4CE2-B676-627AA809A937
Agreement No. 6534
9200 SORENSEN AVENUE Quotation 641627
PF SANTA FE SPRINGS, CA 90670 Page 7 / 7 (cont'd)
TEL: 562 365.5000
FAX: 562.777.9742
W W W.TANGRAMI NTERI ORS.COM
28 LOCK OPT: *OPT:DRAWER LOCK OPTIONS
CENTRAL: STD:CENTRAL LOCKING DWR
DWR ACC: *OPT:FILE DWR ACCESSORIES
HF: DRAWERS WITH HF'S
CNTRWT: *OPT:COUNTERWEIGHT PKG
UNIV: UNIVERSAL COUNTERWEIGHT
BASE OPT: *OPT:BASE OPTIONS
UNIVBASE: UNIVERSAL BASE
STEELCASE
Tag For LF/2/30
29 GROMMET 6X6 STANDARD - PANEL GROMMET 6"H X 6"W X 3" 1 196.00 196.00
THICK
PAINT: 4752 STEEL METALLIC
ONSITEREFU
30 SHIM 66H UPCHARGE - SHIM ONSITE UPCHARGE PAINT 1 233.71 233.71
HEIGHT: 66"
WIDTH: 2 3/4" deep
THICKNESS: 3"
ONSITE UPCHARGE PAINT NAME: 4752 STEEL METALLIC
ONSITEREFU
31 Fee to receive, deliver and install. 1 6,212.00 6,212.00
Work performed during normal business hours.
Prevailing Wage Labor.
Stair carry not included. If required, additional fees to apply.
Area to be free and clear at time of install. (FEE)
Quotation Totals
Sub Total 16,427.44
STEELCASE STEELCASE SURCHARGE 618.03
LOS ANGELES, COUNTY OF 596.66
CALIFORNIA, STATE OF 1,022.73
Grand Total 18,664.86
End of Quotation
D1,R t
Accepted � � � � ' "� Title , , � � o , � z