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CPS SERVICE COMPANY

Quote Worksheet

Client:_________________________________________________Date:_____________

Physical address:  _________________________________________________________

________________________________________________________________________

Telephone no. ______________________________ Other:  _______________________

Type of business: _________________________________________________________

Reason for survey: ________________________________________________________

Additional: ______________________________________________________________

________________________________________________________________________


===============================================================

Building sq. ft.: _______________________x $____ =  __________________

Warehouse sq. ft.: _____________________x $____ =  __________________

Telco lines: _up to 9_ lines @ $135.00 per line =   __________________

Additional telco:  _10 to 25_ lines @ $110.00 per line =  __________________

Additional telco instruments: _______instruments @ $145.00 ea. = __________________

Additional: ________________________________   __________________

Time & mileage @ $.65 per mile & $165.00 per hour
   
(Outside of area)
Per Diem expenses @ $350.00 per technician per 24 hour period    __________________

Air Travel         __________________

Additional 20% of sub total (if applicable)    __________________

Total         __________________

Minimum survey fee @ $1500.00 (if applicable)   __________________

CPS Services is a New York Corporation in business for nearly 30 years. Due to the nature of our business and the equipment
that is used by our technicians we are able to serve only the continental United States. Call us by phone at 800-797-2787 now!

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