Department of general administration



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OFFER AND AWARD


Bidders are required to read and understand all information contained within this entire bid package. There are some standard documents, which are referred to in this bid package that are not automatically printed or sent out with this bid. For example, Competitive Procurement Standards (Standard Terms and Conditions, Instructions to Bidders, Definitions), Sales/Service & Subcontractor Report are binding terms of this contract. It is important that you read and understand these documents. These documents are available on our website at http://www.ga.wa.gov/pca/cps.htm . If you do not have Internet access, you may contact the State Procurement Officer to obtain copies of any and all documents contained in this bid package.
STANDARD DEFINITIONS revised 06/02/03

STANDARD INSTRUCTIONS FOR BIDDERS revised 06/02/03

STANDARD TERMS AND CONDITIONS revised 06/02/03
Bidder further offers to furnish materials, equipment or services in compliance with all terms, conditions, and specifications herein including all amendments. Submitting this document with an authorized signature constitutes complete understanding and compliance with the terms and conditions and certifies that all-necessary facilities or personnel are available and established at the time of bid submittal.



(Company Name)




(Typed or Printed Name)










(Address)




(Title)










(City) (State) (Zip)




(Phone No.)










(Federal Tax Identification Number)




(Bidder’s Signature) (Date)










Email







CONTRACT AWARD



(For State of Washington Use Only)
A contract is hereby awarded between the above company and the State of Washington, Office of State Procurement, Purchasing and Contract Administration, to be effective _____.

This is a Partial / Total award for REFIGERATION PARTS & SUPPLIES CONTRACT #01304.


Authorized Signatures























(State Procurement Officer)




(Date)




(Purchasing Manager)




(Date)



    1. BIDDER INFORMATION

      1. Bidder shall complete and submit the following:

      2. Bidder agrees to sell the goods and services on this contract to political subdivisions which are members of the State of Washington Purchasing Cooperative (WSPC): Yes No

      3. Bidder agrees to sell the goods and services on this contract to self-certified nonprofit corporations which are members of the State of Washington Purchasing Cooperative (WSPC): Yes No

      4. Prompt Payment Discount _______% net 30 days. NOTE: For those bidders who elect to provide a Prompt Payment Discount (PPD) % net 30, that discount will be applied to the bidders bid prices and thereby impact the bidders price point scoring. (See section 4.1 Bid Scoring).

      5. Bidder agrees to sell the goods and services on this contract to political subdivisions and nonprofit organizations which are members of the State of Oregon Cooperative Purchasing Program (DASCPP/ORCPP): Yes No . If yes, please indicate percent increase (if any) to be applied to contract pricing to cover freight charges for State of Oregon DASCPP/ORCPP Members: _________%

      6. Bidder to provide Federal Tax Identification Number: ____________________________


Please identify any OMWBE subcontractors who will perform services in fulfillment of contract requirements and anticipated percentage of participation (based on total dollar) value of each subcontract. Include federal tax identification (TIN) number for each OMWBE subcontractor:




%




Tin:







%




Tin:







%




Tin:



      1. Firms bidding from California only: Is your firm currently certified as a small business under California Code, Title 2, Section 1896.12? Yes No

      2. Purchasing (Credit) Cards accepted? Yes No



(Washington State purchasing card is VISA) If yes, please list major brands below:
































Vendor Contact information:

      1. If available, please indicate Toll free customer telephone number (____) _____ - ________

      2. Website address (which will be published in subsequent award):_______________________





Contract Administration

Alternate - Contract Administration

Name:




Name:




Telephone:




Telephone:




Fax:




Fax:




Email:




Email:




Customer Service/Order Placement

Sales Usage Reports

Name:




Name:




Telephone:




Telephone:




Fax:




Fax:




Email:




Email:



      1. Order Entry and Billing Information:





Orders to be sent to:

Billing will be from:

Payment to be sent to:













































    1. SERVICE AREA

      1. The contract award for a specific region is intended to cover that region and could potentially overlap the boundaries of the surrounding region. The map shown below identifies the geographic area for each region to be bid. Bidders are instructed to refer to the table that follows and check the box of the region(s) bid as well as provide contact information for related regions. To be eligible for award at least one store must be located in the region bid. Contract users (out of the region area) may use the closest practical contractor as long as that contractor will provide product in accord with terms of this contract. (i.e. FOB Destination with freight prepaid and included in the cost of product)








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