Attachment 3 Price Quote Request Form (PQF) Award Record.docx
DOCX document 22 KB Posted
- Solicitation number
- 300000295666351
- Issued by
- Missouri
About this file
This is a Price Quote Request Form (PQF) Award Record used by a Missouri state agency for procuring boat trailers under the statewide Boats and Boat Trailers Qualified Vendor List (QVL) program. The document serves as the official award determination record for competitive bidding among qualified vendors notified of the procurement opportunity. The form captures comprehensive bid response data including vendor information, trailer specifications (brand, model, VIN, year), quantities proposed, and pricing, along with verification that submitted trailers meet minimum specifications. The purchasing agency certifies the accuracy of all PQF responses and confirms that vendor responses were maintained confidentially throughout the evaluation process.
The award record requires documentation of all qualified vendors contacted, detailed bid response information from each participating vendor, and a formal award determination statement specifying quantities awarded to each selected contractor and any other relevant award criteria. The form includes signature and certification lines for the purchaser, confirming the integrity of the procurement process. No pricing terms, set-asides, contract renewal options, or funding information is specified within this template document.
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Text version
Price Quote Request Form (PQF) 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 PQF.
Bid Responses - Include the following information regarding the PQF responses received. (Add additional Bid Responses as needed)
Bid Response 1:
Vendor Name:
Response Date:
Person Contacted
| Bid Type |
Phone
Fax
Trailer Brand
Trailer Model
Trailer VIN
Trailer Year Quantity Proposed
Trailer Price Did Trailer Meet Minimum Specifications (Y/N)
Bid Response 2:
Vendor Name:
Response Date:
Person Contacted
| Bid Type |
Phone
Fax
| Trailer Brand |
| Trailer Model |
| Trailer VIN |
| Trailer Year |
| Quantity |
Proposed
| Trailer Price |
| Did Trailer Meet Minimum |
Specifications (Y/N)
STATE 0000000619SL Attachment 3 Page 1
Bid Response 3:
Vendor Name:
Response Date:
Person Contacted
| Bid Type |
Phone
Fax
| Trailer Brand |
| Trailer Model |
| Trailer VIN |
| Trailer Year |
| Quantity |
Proposed
| Trailer Price |
| Did Trailer Meet Minimum |
Specifications (Y/N)
Award Determination: (If awarding by line item and making awards to multiple awards based on responses to a PQF, 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 PQF 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
File details come from the government source that posted it. Updated .