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If delivered via email, please include as subject line: “Request for Proposal for Cleaning Services.” Proposals should be mailed or delivered in person to: Town of Embden Attn: Request for Proposal for Cleaning Services 809 Embden Pond Road Embden, ME 04958 Or emailed to: embden-clerk roadrunner.com Proposals must be received no later than 2:00PM on June 3, 2016 4 Proposal Form Request for Proposals for Cleaning Services The undersigned hereby submits the following proposal for the weekly cost of cleaning services for the Town of Embden buildings: Embden Town Office / week Community Center / week 5 Signature Page Request for Proposal for Cleaning Services By: Name and Title (please print) Signature: Vendor Address: Contact (please print): Phone: Fax: E-mail: 6 Worker’s Compensation Certification I hereby certify that effective the date of my Contract with the Town of Embden and at all times in the performance of such Contract that: □ I have and will maintain in full force and effect policy of Workers Compensation Insurance in compliance with the Laws of the State of Maine with the following insurance company: Company Name Agent’s Name, Address and Telephone Number Policy Number and Effective Date OR □ I will perform said Contract myself and do not have and will not have any employee or employees assisting me with the performance of the Contract and am not required by the Laws of the State of Maine to obtain and maintain a poli