Part I the solicitation

Appendix C, Bid Information and Bidder Profile

1. 
   Company Name: _________________________________________________
   

City: ________________________ State: _______________________ Zip: ________________

Phone: ______________________ Fax (if any): _______________________

Company Internet URL Address (if available): ______________________________

WA State Department of Revenue Registration Tax number: ______________________

Federal Tax Identification Number (TIN): ________________________(Attach a completed IRS Form W-9 “Request for Tax Payers Identification Number and Certification”)

State of Washington Vehicle Dealer License No.: ______________________

State of Washington sales tax rate to be charged ____________% (per the Engrossed Substitute Senate Bill 6170, all electric vehicles are sales tax exempt through January 1, 2011 or unless extended).

Representing Manufacturer(s): ________________________

2. 
   Bidder’s Authorized Representative: (Reference IFB Solicitation Document section 4.3 and section 2.3 of the Part II, Model Contract)
   

Title: ___________________________________

Phone: _____________________ Fax: ____________________

E-mail: _______________________

Name: ___________________________________

Title: ___________________________________

Telephone: _____________________ Fax: ____________________

3. 
   Manufacturer(s) Contact:
   

MFG
Name
Title
Address
City						State		Zip
Telephone
E Mail

MFG
Name
Title
Address
City						State		Zip
Telephone
E Mail

MFG
Name
Title
Address
City						State		Zip
Telephone
E Mail

4. 
   Minority/Women Owned Business (MWBE): (Reference section 1.10 of the IFB Solicitation Document and section 6.4 of the Part II, Model Contract)
   

Washington State Certification No: ______________

Self Certified: ____ (check if applicable) (Will be referred to the Office of Minority and Women Business)

Please identify any minority or women owned subcontractors who will perform services in

__________________ %____________ Tin:_______________________

5. 
   Payment Methods and Term:
   

Note: Prompt payment discount periods equal to (or greater than) 20 calendar days will receive consideration and bid pricing will be reduced (for evaluation purposes only) by the amount of that discount(s). Bids that require advance payment or payment in less than 30 days after delivery will be rejected.

6. 
   Warranty and Repair Service: Purchasers may obtain warranty and repair service from the following company who supports Vehicles, Model Year 2011/2012 Automobiles, Vans, Trucks, and Police Vehicles sales to contract customers of (Reference IFB Solicitation Document section 5.7 and section 7.2 and 7.3 of Part II, Model Contract)
   

Yes: ____

No: ____ (Not applicable to cab and chassis trucks or alternative fuel, hybrid, and high MPG vehicles)

7. 
   Non Contract Options: Are you willing to sell additional factory options not listed on contract at “Dealer Cost” shown in AIS New Car Cost Guide Publication? Yes: ____ No: ____
   
8. 
   Non-Lead Wheel Weights: Does your manufacturer offer alternative metal or non metallic wheel weights instead of lead? Yes No . If yes, identify material and upcharge, if any.
   

Bidders are to also indicate the wheel weight material to be used for each vehicle. See bid category. Price sheets “Required Equipment, All Vehicles”.

9. 
   Safety Option: Fire Extinguisher. 2.5# Dry chemical ABC rated w/ mounting bracket, delivered w/vehicle, uninstalled $____________ea.
   

10. 
    Safety Option: Flare Kit, 3 Piece Triangle w/ storage box for roadside emergency use, delivered w/vehicle, uninstalled $____________ea.
    

11. 
    Quantity Price Break(s): for same vehicle, same equipment, single point of delivery multiple vehicle PO: Deduct ($-____________) for PO Qty of ______or more (if only applicable to certain categories so indicate)__________________________
    

12. 
    Order Acknowledgement: Are you willing to fax or email Manufacturer to Dealer order acknowledgement documents (at no cost) upon specific customer request?
    

13. 
    Purchasing Cooperative Members:
    

1. 
   Political Subdivision: Bidder agrees to sell the goods and services on this contract to political subdivisions who are members of the State of Washington Purchasing Cooperative (WSPC): Yes___ No____ (if reply is “No” attach letter to this bid response explaining reason(s) for declining participation by these members).
   
2. 
   Nonprofit Corporations: Bidder agrees to sell the goods and services on this contract to self-certified nonprofit corporations who are members of the State of Washington Purchasing Cooperative (WSPC): Yes___ No____ (if reply is “No” attach letter to this bid response explaining reason(s) for declining participation by nonprofit organizations).
   
3. 
   Oregon Purchasing Cooperative Purchasing Program: Bidder agrees to sell the goods and services on this contract to political subdivisions and nonprofit organizations who are members of the State of Oregon Cooperative Purchasing Program (ORCPP ): Yes___ No____ (if reply is “No” attach letter to this bid response explaining reason(s) for declining participation by these members).
   

14. 
    For informational purpose: please indicate estimated % or $ savings per vehicle achieved through this consolidated volume term contract bid rather than repetitive single vehicle Purchase Orders bids________________.
    

15. 
    Savings: Please indicate the percent savings that your bid pricing represents compared to price agencies would pay without benefit of a state contract:
    

Bid discounts offered by your firm average ____________% lower than (please check one):

B. ____ Manufacture’s current suggested retail price

C. ____ Other (please specify):________________________________________

16. 
    Do you currently offer free training, if so, please descript in some detail:
    

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