Attachment 2 Industrial Laundry Equipment and Repair Quote Request Form.docx

PQF Form Page 2 of 2

ATTACHMENT 2

QVL Price Quote Form (PQF) for Statewide Industrial Laundry Equipment and/or Repair

Qualified contractors will be notified by state agencies on an as needed basis to provide quotes for Industrial Laundry Equipment and/or Repair Services. This attachment, or a similar method, should be used by agencies to obtain price quotes from the qualified contractors. Qualified contractors shall return the completed form to the agency.

TO BE COMPLETED BY THE STATE AGENCY

State Agency Name:

State Agency’s Address:

Point of Contact at State Agency:

State Agency Point of Contact’s Phone Number:

State Agency Point of Contact’s Email Address:

Return PQF to the Following Email Address:

PQF Issue Date:

PQF Return No Later Than Date:

TO BE COMPLETED BY THE QVL CONTRACTOR

The QVL contractor must provide the following information for the proposed products and/or equipment. The QVL contractor’s pricing quote shall include all applicable costs associated with the provision of the products/repair services specified within the contract, including but not limited to payment of the required administrative fees.

NOTE: Additional lines added for variations of products requested (quantity, brand, uom, etc.)

Qty

Price per piece of Equipment (each)

Utility Requirements for Site Preparation:

Line Item # ______________ Requirement: ______________________________________________

Line Item # ______________ Requirement: ______________________________________________ Line Item # ______________ Requirement: ______________________________________________ Line Item # ______________ Requirement: ______________________________________________ Line Item # ______________ Requirement: ______________________________________________

DELIVERY: QVL contractor should state delivery in days : __________calendar days ARO.

Manufacturer Warranty ______________________________________

Warranty on Repairs: Parts _________________________ Labor________________________ (Minimum of 1 year)

Product Spec Sheet(s): The QVL contractor should attach a spec sheet to their response to the quote that identifies all of the standard specifications of any industrial laundry equipment ordered.

Prompt Payment Discount: The vendor is encouraged to propose price discounts for prompt payment that would benefit the State of Missouri. Any proposed discounts are conditional based upon the state agency’s ability to meet the payment deadline. Therefore, any proposed prompt payment discounts cannot be considered in the cost proposal evaluation. Any prompt payment discount should be listed on the PQF at the time the agency requests pricing.

Prompt Payment Discount

Purchasing Card: The State of Missouri reserves the right to purchase goods and services using the state purchasing card. The vendor should indicate whether payments would be allowed via the state’s purchasing card at no additional cost.

☐No

QVL CONTRACTOR’S INFORMATION

QVL Contractor’s Name:

QVL Contractor’s Address:

QVL Contractor’s Point of Contact:

QVL Contractor’s Point of Contact’s Phone Number:

QVL Contractor’s Point of Contact’s Email Address:

Signature of QVL Contractor’s Point of Contact: