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Official Newspaper Bidder Form City of Port Orchard 216 Prospect Street, Port Orchard, WA 98366 (360) 876-4407 ( FAX (360) 895-9029 cityclerk@portorchardwa.gov www.portorchardwa.gov BID FORM ALL INTERESTED BIDDERS MUST COMPLETE AND SUBMIT THE FOLLOWING: RATES AND SERVICES Describe rate(s) to be charged for publications, based on the following: $ ________________per single line (including applicable sales tax), and $ ________________per column inch (including applicable sales tax). Do different rates apply for different types of publication(s) (i.e., legal notices, advertising, etc.)? If so, please describe: ___________________________________________________ ___________________________________________________________________________ Are any charges, surcharges, taxes, or other fees in addition to the above-described rates? If so, please describe: _____________________________________________________________ ___________________________________________________________________________ Are there any charges for expedited publication (i.e., same day or next day publication)? If so, please describe: _____________________________________________________________ ___________________________________________________________________________ Note: Rates may not exceed the national advertising rate as defined in RCW 65.16.091. CIRCULATION What are your paid circulation numbers within City limits, as well as inside the Port Orchard Urban Growth Area: Paid subscriptions within City limits Paid subscriptions within the Port Orchard Urban Growth Area (Zip Codes 98366 and 98367) Does this reflect audited circulation (verified by the Audit Bureau of Circulations)? ______Yes ______No PUBLICATION The City of Port Orchard desires publication on a particular date. How much lead time is required by your newspaper? __________ Confirm you publish in hard-copy at least once a week? ________Yes _______No Confirm you are equipped to provide an original Affidavit of Publication? ______Yes _______No Confirm that you meet all requirements set out in RCW 65.16.020? ____Yes _____No The undersigned states that he or she is authorized to submit a bid on behalf of the corporation, partnership, or sole proprietorship listed below and further states that the corporation, partnership, or sole proprietorship is bound by the above offer. Name of Legal Newspaper: Signed: Title: Typed or printed Name: Address: City/State/Zip: Telephone Number: Date: Email: