Attachment 3 Motor Vehicle Price Quote Request Form Award Record.docx
DOCX document 23 KB Posted
- Solicitation number
- 300000264023246
- Issued by
- Missouri
About this file
This is a Motor Vehicle Price Quote Request Form Award Record used by Missouri state agencies to document the procurement of new motor vehicles through a Qualified Vendor List (QVL) process. The form serves as the official award record for vehicle purchases across various state departments and agencies operating under the statewide motor vehicle QVL program.
The form captures essential procurement information including state agency details, awarded contractor information, and a comprehensive vendor notification and bid response section. It accommodates multiple bid responses, with fields to record vendor name, response date, contact method (email, phone, mail, or fax), vehicle specifications (brand, model, VIN, year), quantity requested, proposed pricing, and whether vehicles meet minimum specifications. The award determination section allows agencies to document their selection rationale when making awards to single or multiple vendors based on price quote responses. The form requires certification by the purchasing agent that all bid responses are accurately documented and that vendor responses have not been disclosed to competing vendors, with final approval required from the State Fleet Manager before purchase authorization.
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Other files
| File | Type | Posted |
|---|---|---|
| STATE 0000000536SL Statewide New Motor Vehicles QVL (for Additional Vendors).docx | DOCX document | |
| Attachment 1 Price Quote Request Form, New Motor Vehicles.docx | DOCX document | |
| Attachment 2 Domestic Products Procurement Act.docx | DOCX document | |
| Attachment 4 Quarterly Administrative Fee Report.xlsx | XLSX spreadsheet | |
| Attachment 5 MO STATEWIDE QTRLY USAGE REPORT.xlsx | XLSX spreadsheet | |
| Attachment 6 Federal Fund Requirement Language.docx | DOCX document |
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Text version
PQF-Award Record
Attachment 3 Motor Vehicle Price Quote Request Form Award Record
State Agency Information
Agency Name:
Contact Person:
Title:
| Phone Numbers: |
| Primary: |
Email Address:
Awarded Contractor Information
Contractor Name:
Street Address:
City, State, Zip:
Contact Person:
Title:
| Phone Numbers: |
| Primary: |
Email Address:
Vendor List - Include Qualified Vendor Names that were notified of the Price Quote Request Form.
Bid Responses - Include the following information regarding the Price Quote Request Form responses received. (Add additional Bid Responses as needed)
Bid Response 1:
Vendor Name:
Response Date:
Person Contacted
| Bid Type |
Phone
Fax
| Vehicle Brand |
| Vehicle Model |
| Vehicle VIN |
| Vehicle Year |
| Quantity Proposed |
| Vehicle Price |
| Did Vehicle Meet Minimum Specifications (Y/N) |
Bid Response 2:
Vendor Name:
Response Date:
Person Contacted
| Bid Type |
Phone
Fax
| Vehicle Brand |
| Vehicle Model |
| Vehicle VIN |
| Vehicle Year |
| Quantity Proposed |
| Vehicle Price |
| Did Vehicle Meet Minimum Specifications (Y/N) |
Bid Response 3:
Vendor Name:
Response Date:
Person Contacted
| Bid Type |
Phone
Fax
| Vehicle Brand |
| Vehicle Model |
| Vehicle VIN |
| Vehicle Year |
| Quantity Proposed |
| Vehicle Price |
| Did Vehicle Meet Minimum Specifications (Y/N) |
Award Determination: (If awarding by line item and making awards to multiple awards based on responses to a Price Quote Request Form, then the state agency must specifically identify the quantity awarded to each QVL contractor along with any other specific details that would describe the award determination that occurred.)
I HEREBY CERTIFY THAT THE PRICE QUOTE REQUEST FORM RESPONSES IDENTIFIED ABOVE ARE CORRECT AS STATED AND THAT I HAVE NOT REVEALED A VENDOR'S RESPONSE TO ANY OTHER VENDOR OR PERSON.
Purchaser's Printed Name:
Agency Name
Purchaser's Signature
Date
State Fleet Manager Approval of Purchase:
State Fleet Manager's Printed Name
| State Fleet Manager's Signature |
| Approval Date |
File details come from the government source that posted it. Updated .