Attachment G - Activation Quote Form.pdf
PDF 368 KB Posted
- Attached to
- Emergency Standby Materials and Services State and local contract opportunity
- Solicitation number
- RFP-05620
- Issued by
- Leon County, Florida
About this file
This document is the Attachment G - Activation Quote Form for the State of Florida Division of Emergency Management Logistics Section's Request for Quote for Goods and/or Services. The form includes line items for contractors to provide descriptions, quantities, units of measure, unit prices, and extended prices for various goods and services. Contractors are instructed to submit any supporting documentation with the form for clarification purposes, but cannot add any assumptions or additional terms and conditions without prior written approval from the Florida Division of Emergency Management. The division may modify the form at its discretion.
The related state and local contract opportunity is for Emergency Standby Materials and Services, which the Florida Division of Emergency Management is issuing a Request for Proposals to establish contracts for. These contracts are intended to be used in preparation for, or in response to, emergencies or disasters. The opportunity involves the state of Florida and the jurisdictions of Leon County and the City of Tallahassee. The solicitation and related attachments provide additional details on this contract opportunity.
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Text version
ATTACHMENT G - ACTIVATION QUOTE FORM
STATE OF FLORIDA
DIVISION OF EMERGENCY MANAGEMENT
LOGISTICS SECTION
REQUEST FOR QUOTE – GOODS AND/OR SERVICES
Date Issued: ________________ Date Due: ________________ Time Due: ________________
CONTRACTOR INFORMATION
Company Name:
Representative:
Street Address:
City, State, Zip:
Telephone:
Email:
Quote Number:
Lead Time:
Line Description of Goods and/or Services Qty UOM Unit Extended
Price Price
Total
*Note: Additional line items provided on page 2 of 2.
Contractor Representative (Print) FL Division of Emergency Management
(FDEM) Authorized Signature
X____________________________________
Contractor Authorized Signature
Date: _____________________________
X____________________________
ATTACHMENT G - ACTIVATION QUOTE FORM
STATE OF FLORIDA
DIVISION OF EMERGENCY MANAGEMENT
LOGISTICS SECTION
REQUEST FOR QUOTE – GOODS AND/OR SERVICES
Line Description of Goods and/or Services Qty UOM Unit Extended
Price Price
Subtotal
Grand Total
**Additional Note: Contractor may submit supporting documentation with Attachment G –
Activation Quote Form for clarification purposes. Vendor will not add assumptions or additional terms and conditions to this quote without prior written approval from the Florida Division of
Emergency Management. See Scope of Work Section 3.1.6 for reference.
The Division may modify Attachment G, Activation Quote Form, at its descretion.
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| Date Due: |
| Time Due: |
| Company Name: |
| Representative: |
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| Telephone: |
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| Lead Time: |
| Description of Goods andor Services1: |
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| Extended Price1: |
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| Contractor Representative Print: |
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| Description of Goods andor Services11: |
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| Description of Goods andor Services27: |
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| Description of Goods andor Services28: |
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| Description of Goods andor Services30: |
| Qty30: |
| UOM30: |
| Unit Price30: |
| Extended Price30: |
| Extended PriceSubtotal: |
| Extended PriceGrand Total: |
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