Bidders Worksheet12.xlsx
XLSX spreadsheet 14 KB Posted
- Attached to
- RQ24-008 Bridge Maintenance Material Region 9
- Solicitation number
- 2119139
- Issued by
- Broome County, New York
About this file
This is a cost proposal worksheet for NYSDOT Request for Quotes RQ24-008 &12 for Bridge Maintenance Material in Region 9. The worksheet requests pricing for three items: 200 units of 2.68CF Kits, 100 units of Gallons Primer, and one delivery charge. Bidders must specify their lead time ARO (After Receipt of Order) for the materials.
The worksheet includes questions about vendor certifications and classifications, including M/WBE certification status under NYS Executive Law Article 15-A, SDVOB certification under Article 17-B, NYS Small Business Enterprise self-certification under Finance Law 179-F, and NYS resident business status. Vendors must also indicate if they are independently owned and operated, and provide employment information for both total company employees and those employed in New York State. The form requires signature, printed name, title, and date of completion.
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Text version
Sheet1 ENTER FULL COMPANY NAME and ADDRESS:
| Item # | Type | Qty | UOM | Unit Price | Total |
| 1 | 2.68CF Kits | 200 | each | $ - 0 | $ - 0 |
| 2 | Gallons Primer | 100 | each | $ - 0 | $ - 0 |
| 3 | Delivery | 1 | each | $ - 0 | $ - 0 |
| GRAND TOTAL | $ - 0 | ||||
| Lead Time ARO | |||||
| Answer Yes or No to the following: |
Is your company a Minority and/or Women-Owned Business Enterprise (M/WBE) certified in accordance with Article 15-A of the NYS Executive Law?
Is your company a Service Disabled Veteran-Owned Business Enterprise (SDVOB) certified in accordance with Article 17-B of NYS Executive Law?
Is your company a NYS Small Business Enterprise self-certified in accordance with Finance Law 179-F?
Are you a NYS resident business?
Are you independently owned and operated?
How many persons does your company employ?
How many of those are employed in New York State?
| Signature: |
| Print Name: |
| Title : |
| Date: |
Cost Proposal Worksheet NYSDOT Request for Quotes RQ24-008 &12Project:
Bridge Maintenance Material Region 9
File details come from the government source that posted it. Updated .