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FORM B: PROPOSAL TABLE OF CONTENTS AND CHECKLIST <br />Legal Business Name of <br />Respondent: <br />This form is provided as your Table of Contents and to ensure the proposal is complete, proper signatures are included, and the required <br />assurances, certifications, and attachments have been submitted. Be sure to indicate page number. <br />FORM DESCRIPTION Included Page # Not <br />Applicable <br />A Face Page - completed, and proper signatures and date included ? <br />B Proposal Table of Contents and Checklist - completed and included ? <br />C Contact Person Information - completed and included ? <br />D Administrative Information - completed and included (with supplemental documentation <br />attached if required) ? <br />E Medical Director Signature Page - if applicable ? ? <br />F Organization Statement of Financial Resources - complete and included ? <br />H Work Plan - complete and included ? <br />I Funding Request Budget Page - completed and included ? <br />J Minimum Computer Specifications Form - if applicable ? ? <br />K Child Support Form - if applicable ? ? <br />L Ambulance Request Form - if applicable ? ? <br />M Education Program Request Form - if applicable ? ? <br />Page 29 RFP# EMS/LPG - 0328.1