Attachment M. RFR 2508 - Cost Table~1.doc

COST TABLE

RFR LOT # 2508. Acrylic Dispensers and Displays Costs which are not specifically identified in the bidder’s response and accepted by the MSLC as part of a contract, will not be compensated under any contract awarded pursuant to this RFR. Neither the MSLC nor the Commonwealth will be responsible for any costs or expenses incurred by bidders responding to this RFR.

Firm Name

Address

City/Town

Zip code

Telephone

Facsimile

Email address

Contact person

Authorized signature (must be handwritten at time of signature)

Title

Name (print or type)

Date (date must be handwritten at time of signature)

Please note: Responses and documentation must be in English and all cost proposals or figures in U.S. currency and it is the Vendor’s responsibility to inform the PMT or Contract Manager of any changes in their Vendor Contact Information by resubmitting this form with any changes during the RFR process or during the contract term, if awarded a contract.

IMPORTANT

THIS COST TABLE FORM MUST BE SUBMITTED AS A SEPARATE ATTACHMENT IN COMMBUYS - CLEARLY MARKED: BID LOT # 2508 Acrylic Dispensers.

Provide the costs for the Acrylic Dispensers as specified herein.

IMPORTANT: Costs must include shipping. Please complete the information required below. The Cost must be valid for each Year One (1), Year Two (2), and Year Three (3). Please also include the same data for the option Year Four (4) and Year Five (5.) The rates must include the costs of all direct expenses, including, for example, photocopying, training if applicable, travel, etc. All bidders responding to this procurement should agree to offer Prompt Payment Discounts (“PPD”) through participation in the Commonwealth PPD initiative for receiving early and/or on-time payments.

The Cost Table must include the cost for all sizes and designs of the acrylic dispensers and any item or feature that has an additional cost. Any size, design, feature or item not assigned a cost or stated affirmatively to be N/C will not be eligible to be purchased under any contract awarded under this RFR.

I. Single Unit Dispensers

Estimated Quantity - 20,000 per year

Year 1

Year 2

Year 3

Option Year (1)

Option Year (2)

Order Lead Time (Calendar Days) _____________________________ II. Super Ticket Dispensers

Estimated Quantity - 20,000 per year

Year 1

Year 2

Year 3

Option Year (1)

Option Year (2)

Order Lead Time (Calendar Days) _____________________________ III. Nine (9) Game Acrylic Dispensers

Estimated Quantity - 500 per year

Year 1

Year 2

Year 3

Option Year (1)

Option Year (2)

Order Lead Time (Calendar Days)_______________________________ IV. Twelve (12) Game Acrylic Dispensers

Estimated Quantity - 500 per year

Year 1

Year 2

Year 3

Option Year (1)

Option Year (2)

V. Twenty-Four (24) Game Acrylic Dispensers

Estimated Quantity - 500 per year

Year 1

Year 2

Year 3

Option Year (1)

Option Year (2)

VI. Keno Table Tent Double Display Unit

Estimated Quantity - 25,000 per year

Year 1

Year 2

Year 3

Option Year (1)

Option Year (2)

VII. New Concept - Single Acrylic Dispenser

Estimated Quantity - 1,500 per year

Year 1

Year 2

Year 3

Option Year (1)

Option Year (2)

VIII. Table Top Bet Slip Tower

Estimated Quantity – 5,000 per year

Year 1

Year 2

Year 3

Option Year (1)

Option Year (2)

Order Lead Time (Calendar Days

IX. Vertical Keno Bet Slip Holder

Estimated Quantity – 750 to 1,000 per year

Year 1

Year 2

Year 3

Option Year (1)

Option Year (2)

Order Lead Time (Calendar Days Alternatives (Optional)

(Enter Alternative Dispenser Description Here)

Year 1

Year 2

Year 3

Option Year (1)

Option Year (2)

(Enter Alternative Dispenser Description Here)

Year 1

Year 2

Year 3

Option Year (1)

Option Year (2)

(Enter Alternative Dispenser Description Here)

Year 1

Year 2

Year 3

Option Year (1)

Option Year (2)

(Enter Alternative Dispenser Description Here)

Year 1

Year 2

Year 3

Option Year (1)

Option Year (2)

Vendors may provide any explanations for the above Cost submissions on separate sheets, but they must be attached to and included with the Cost Table. Vendors may also reproduce the cost table as needed.

�Add in additional designs here if needed.

�Add in additional designs here if needed.