A02 21Q0061 Attachment 3 - Commercial Sales Pricing Form.pdf

Commercial Sales Pricing Form

Company: ____________________________________________

Address: _____________________________________________

Phone: ______________________________________________

Point of Contact: ______________________________________________

Email: ______________________________________________

CAGE Code: ___________________ DUNS: ____________________

1. Identify your Company’s method of pricing for this solicitation/contract:

__________________ Per Order Fee / Set Mark up (list Amount/Percentage) __________________ Mark up on each Item (list Amount/Percentage) __________________ Percentage of Order Amount (list percentage) __________________ Other (type and amount)

2. Price list which is the basis for this Offer, and attach 1 copy of the catalog(s) / price list(s) if available.

Manufacturer’s Price list dated: _______________________ ________

Catalog Price list dated: ______________________________________

Chicago Merchandise Exchange: ______________________________

Other: ____________________________________________

(List all catalogs/price lists used if more than one)

(If your method of pricing is not based on established catalog or market prices, actual cost or pricing data may be requested.)

3. Identify the Inventory Valuation Method you employ:

First-in first-out (FIFO): ____________

Last-in first-out (LIFO): _____________

Just in time (JIT): _________________

Average cost or weighted average cost (AVCO): __________

Other: ____________________________

4. Other Discounts/Rebates

a. Do you have, receive, or grant any type of discounts and/or concessions including but not limited to the following, regardless of price list which results in lower net prices than those that will be offered to the Government (USACE)?

Yes ____ No __ Rebates of any kind, including year-end or end of contract

Yes __ No _____ Cumulative discounts of any type

Yes ___ No _____ Other (specify) ________________________________

If the answer to any of the above is "YES", will you be passing this discount, rebates, savings, concessions, and/or other on down to the Government (USACE) under this solicitation/contract?

Yes ____ No ____ Rebates of any kind

Yes ____ No ____ Cumulative discounts of any type

Yes ____ No ____ Other (specify) ________________________________

b. List below the best discount, using percentages, you’ve provided to the list of concerns shown below. If Not Applicable, please indicate N/A for that category. Provide any price change criteria or requirements needed for the discount.

Regular Quantity Aggregate Prompt FOB Discount Discount Discounts Payment Point Other

National /Chain Accounts ______ ______ _______ _______ _____ _____ Non-profit Institutions ______ ______ _______ _______ _____ _____

State, County, or Local Gov'ts ______ ______ _______ _______ _____ _____

Other Federal/ Military ______ ______ _______ _______ _____ _____

Buying Groups ______ ______ _______ _______ _____ _____ (Specify)

Distributor’s ______ ______ _______ _______ _____ _____

COMPLETE THE STATEMENTS BELOW AS APPROPRIATE TO YOUR COMPANY BUSINESS:

1. (Company name) does____ does not______ have established commercial catalog pricing for its products.

If you do not have established commercial catalog pricing, what is your standard business practice for establishing your pricing? ______________________________________ .

2. ________________________ (company name) represents the prices offered are fair market priced and will continue to be so through the life of the contract.

3. _________________________ (company name) agrees its product pricing will be subject to periodic review and approval by the Government (USACE), which will determine pricing to be fair and reasonable, primarily through, but not limited to, your catalog pricing, the use of government pricing records, market research, Chicago Mercantile Exchange listings, or other means.

4. ________________________ (company name) represents the prices to be offered under this contract and charged on invoices are priced the same as for similar customers, while applying the appropriate and customary discounts and rebates for the commercial buyer category where applicable.

5. ________ __________________ (company name) agrees the Government (USACE) is afforded the same discounts and rebates as other commercial customers for the same commercial buyer category as represented.

6. Your pricing/cost records for audits and verification are available from (name)

______________________________, (title) ________________________________ who can be reached via email at __________________________________, or via phone at

__________________________________ (Printed name)

(Signature) (Date Signed)