00006725 Bid Pricing Form.doc

BID PRICING FORM XE "SECTION D - BID PRICING SECTION"

ITB #:_________ Name of Firm:_______________________

1. INSTRUCTIONS: Bidders must submit all pricing and any other required information as instructed or the Bid may be rejected. <<For Price Agreement only ODOT makes no representation or guarantee whatsoever as to the amount or type of purchases to be made under this Contract. >> All estimated quantities listed in the ITB, including those listed in this Bid Pricing Form are estimates of the quantities that may be ordered by ODOT <<For Price Agreement only during the initial term of the Agreement>>.

2. MANDATORY BID ITEMS: Items 1 through 31 must be bid, except item 29.

3. OPTIONAL BID ITEMS: <<Other options and additional accessories may be offered. If offered, Bidder should attach a list with description, part/model number, price, lead time and “intended for use on” model numbers for each item. Cost differences, if any, associated with each alternative should be itemized. Options will not be approved prior to Bid Closing. >> If any of the items below are included with the base Unit and there is no cost, indicate by writing the word “included” in the Unit Price column.

QTY.

PRICE

TOTAL

PRICE

11.

TOTAL BID