4_-_Exhibit_B_-_Cost_Worksheet_10846575.pdf

STATE OF CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION

REQUEST FOR QUOTATION - IT GOODS/SERVICES -VALUE EFFECTIVE

SOLICITATION # _______________________

EXHIBIT B: LINE-ITEM COST WORKSHEET

BUSINESS NAME: _______________________________________ For Software only: New Request Renewal

Term Start Date and End Date: ____________________________

LINE

NUMBER

QUANTITY UNIT

PRODUCT OR SERVICES DESCRIPTION

(Commodity Information/Description/Specifications)

UNIT PRICE

EXTENDED

PRICE

CASH DISCOUNTS: Cash discounts will not be considered when evaluating bid responses for award purposes.

However, cash discounts may be offered and taken by the State when processing invoices within the specified timeframe. Discount offered must be at least one percent and a minimum of $50.00.

Discount Payment Offer: ______ % cash discount for payment within ______ days.

SUBTOTAL:

SHIPPING &

HANDLING:

TOTAL:

BIDDER SIGNATURE AUTHORIZATION

By virtue of submitting a bid, the Authorized Representative signing this RFQ accepts all terms and conditions expressed herein. Bidder offers and agrees that if this response is accepted within forty‐five (45) calendar days following the date the response is due to furnish all the items upon which prices are quoted, at the prices set opposite each item, delivered at the designated point(s) by the method of delivery and within the times specified and subject to the attached General Provisions. DECLARATIONS UNDER PENALTY OF PERJURY: By signing above, with the inclusion of the date of signature, the above signed bidder DECLARES UNDER PENALTY OF PERJURY under the laws of the State of California as follows: (1) (STATEMENT OF COMPLIANCE). The above signed complied with the non‐discrimination program requirements of Government Code 12990 and Title 2, California Administrative Code Section 8103, and such declaration is true and correct. (2) The National Labor Relations Board declaration set forth in Paragraph 48 of the General Provisions is true and correct. (3) If a claim is made for the Small Business or Disabled Veterans Business preference, the information set forth within is true and correct.

SIGNATURE: DATE: