164-22 Exhibits to Agreement for Workers Compensation Third Party Administration - 2022.pdf

PROPOSAL TO THE TOWNSHIP COUNCIL, TOWNSHIP OF WEST ORANGE, NEW JERSEY Dear Council Members: In accordance with and subject to all stipulations, conditions, requirements, and instructions to bidders, specifications so far as they relate to this proposal are made part of it, submit a bid of: Amount of: $ COMPANY NAME ADDRESS DATE PHONE EMAIL BY. (Signature and Title of Officer of Company authorized to execute a contract) PROPOSAL TO BE SUBMITTED IN DUPLICATE