22100000-21-STC Acknowledgement of Order Form.docx

DOCX document 53 KB Posted

Attached to
Construction and Industrial Equipment
Contract number
22100000-21-STC
Issued by
Florida

About this file

This document is an Acknowledgement of Order Form associated with the State of Florida State Term Contract Number 22100000-21-STC for Construction and Industrial Equipment. The form is designed to be completed by a contractor to confirm the details of a purchase order, including order placement, manufacturer information, and anticipated delivery date.

The contract appears to cover construction and industrial equipment, with a standardized process for ordering and documenting purchases. The form requires specific details such as the ordering customer's information, purchase order number, manufacturer's production number, and delivery date. The document emphasizes the importance of accurate and complete form submission, noting that repeated failures to submit properly completed forms could result in default proceedings and potential contract termination.

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Text version

Acknowledgement of Order Form

ORDERING CUSTOMER: Click or tap here to enter text.

CONTACT PERSON: Click or tap here to enter text.

ADDRESS: Click or tap here to enter text.

CITY: Click or tap here to enter text. STATE: FL ZIP: Click or tap here to enter text.

☒ ORDER CONFIRMATION NOTIFICATION:

Purchase Order Number Click or tap here to enter text. was received from the Customer on Click or tap here to enter text..

In accordance with State of Florida State Term Contract Number 22100000-21-STC, Construction and Industrial Equipment, the Acknowledgement of Order Form section in the Scope of Work, the order was placed with the Manufacturer on Click or tap here to enter text. and assigned the following Manufacturer’s Production Number(s): Click or tap here to enter text..

We anticipate Delivery to your Delivery Location on or about Click or tap here to enter text..

For any correspondence, please reference your Purchase Order Number or the Production Number(s).

CONTRACTOR: Click or tap here to enter text.

ADDRESS: Click or tap here to enter text.

CITY: Click or tap here to enter text.STATE: FLZIP: Click or tap here to enter text.
SIGNATURE: ________________________________________Date: ____________________

ADDITIONAL COMMENTS (IF ANY): Click or tap here to enter text.

Note to Contractor: This form must be accurately and completely completed with specific information, numbers, dates, signature, etc. Adjustments to the form or alternate forms are not acceptable. Submission of the Acknowledgement of Order Form is to be the responsibility of the Contractor without prompting or notification by the Contract Manager or Customer. Repeated failures by the Contractor to submit completed Acknowledgement of Order Forms to the ordering Customers may be cause for default proceedings and Contract termination.

File details come from the government source that posted it. Updated .