Attachment 2 - Price Quote Form.docx
DOCX document 25 KB Posted
- Solicitation number
- 300000265844284
- Issued by
- Missouri
About this file
This is a Price Quote Form (PQF) attachment for a statewide Qualified Vendor List (QVL) program for biohazardous waste pick-up and disposal services. The form serves as a template for state agencies to request pricing from pre-qualified contractors on an as-needed basis. State agencies using this form must provide their requesting entity information, a designated point of contact with phone and email details, a quote issue date, a response due date, and specific requirements including pick-up date, location, and any special handling instructions. The form allows agencies to request pricing for multiple biohazardous waste container categories with specified quantities.
QVL contractors are required to provide firm, fixed pricing for all requested container categories and applicable administrative fees, including a minimum pick-up charge, surcharges for out-of-route pick-ups, and weekend pick-up fees. Contractors must complete their company information section with their name, address, point of contact information, and phone and email details, along with an authorized signature. The contractor's pricing quote must encompass all costs associated with the specified biohazardous waste container categories and related services as outlined in the underlying contract terms.
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Other files
| File | Type | Posted |
|---|---|---|
| STATE 0000000520SL SW Biohazardous Waste Pick-Up and Disposal Services QVL.docx | DOCX document | |
| Attachment 1 - Regional Map.docx | DOCX document | |
| Attachment 3 - Missouri Statewide Quarterly Admin Fee Report and Instructions.xlsx | XLSX spreadsheet | |
| Attachment 4 - Missouri Statewide Contract Quarterly Admin Fee Usage Report.xlsx | XLSX spreadsheet | |
| Attachment 5 - Federal Funds Requirements.docx | DOCX document |
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Text version
ATTACHMENT 2
QVL Price Quote Form (PQF) for Statewide Biohazardous Waste Pick-Up and Disposal Services QVL
Qualified contractors will be notified by state agencies on an as needed basis to provide quotes for pick-up and disposal 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
Requesting Entity Name and Address: _____________________________________________________________
State Agency Point of Contact: __________________________________________________
State Agency Point of Contact’s Phone Number: ____________________________________
State Agency Point of Contact’s Email Address: __________________________________________________
Quote Issue Date: _______________________________
Quote Response Due Date: _______________________________
Return Quote to the following Email Address: ____________________________________________________
Pick-Up Date Requested (if applicable): __________________________________________
| Pick-Up Location: | ___________________________________________________________ | |
| ___________________________________________________________ |
Specific Pick-Up Requirements (if needed): _________________________________________________
Price Quote Form (PQF) Page 3 of 3
TO BE COMPLETED BY THE QVL CONTRACTOR
The QVL contractor must provide pricing for the following requested pick-up and disposal services indicated by the state agency. The QVL contractor’s pricing quote shall include all applicable costs associated with the provision of the biohazardous waste container categories specified within the contract, including but not limited to payment of the required administrative fees.
| Line Item |
| Requested Container Category(ies) |
Qty Firm, Fixed Price per container
* agency may utilize additional pages, if needed Applicable Fees
Qty Firm, Fixed Fee
Minimum Pick-Up Charge (for all containers listed above)
| 1 |
| $ |
| Pick-Up outside of normal route schedule |
| 1 |
| $ |
| Weekend Pick-Up |
| 1 |
| $ |
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:
File details come from the government source that posted it. Updated .