COVER_SHEET.pdf

PDF 146 KB Posted

Attached to
BMB240666 Game Consoles
Solicitation number
0000034971
Issued by
San Luis Obispo County, California

About this file

This document is a Cover Sheet for a quotation submission to the California Department of State Hospitals (DSH), designed to solicit goods and/or services from a potential supplier. The cover sheet provides a template for suppliers to submit their quotation details, including submission date, reference number, quotation term, organizational information, contact details, and delivery estimates. While no specific project details are evident from this form, the document indicates that the submission does not obligate DSH to award the proposed agreement, and if awarded, a formal agreement will be executed between DSH and the selected supplier.

The cover sheet includes fields for critical supplier information such as full legal organization name, mailing address, federal taxpayer identification number, seller's permit number, and small business/disabled veteran business enterprise (SB/DVBE) certification numbers. The form requires the supplier to designate a principal authorized to bind the organization, provide a contact person's details, specify estimated delivery time, and outline any applicable warranty information. The form's structure suggests a standardized procurement process with specific requirements for vendor qualification and proposal submission.

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Text version

Cover Sheet

The submission of this quotation does not obligate the Department of State Hospitals (DSH) to award the proposed Agreement. If the quotation is awarded, a Agreement will be executed between the DSH and the supplier.

The undersigned supplier hereby proposes to furnish all labor, materials, tools and equipment, to provide goods and/or services in accordance with the specifications and provisions within the solicitation.

1 Supplier’s Quotation/Offer Submission Date:

2 Supplier’s Quotation/Offer Reference Number:

3 Quotation/Offer Term (i.e., “Quotation is good for 45 days”):

4 Full Legal Name of Supplier’s Organization:

5 Mailing Address:

Street City State Zip

Telephone Email

6 Federal Taxpayer Identification Number:

7 Seller's Permit Number (if applicable):

8 Principal who is authorized to bind the Supplier:

Typed Name Title

Original Signature Date

9 Supplier’s SB/DVBE Certification Number(s):

10 Supplier’s contact person shall be:

Name Phone Number

11 Supplier’s contact person’s email address:

12 Estimated time to deliver the items in the Quotation (for example, 10 days After Receipt of Order [ARO])

13 Warranty Description and Term Dates (if applicable)

File details come from the government source that posted it. Updated .