Dealer Quarterly Reporting Form.xls
XLS spreadsheet 97 KB Posted
- Attached to
- ***Expired*** Statewide Flooring Including Commercial Carpet, Resilient Coverings, and Related Services
- Contract number
- 505ENT-O20-FLOORING-00
- Issued by
- Wisconsin
About this file
This document is a Dealer Quarterly Reporting Form template for Wisconsin's Flooring Contract #11-36020-900, managed by the Wisconsin Department of Administration's State Bureau of Procurement. The form is administered by John Burnett and requires dealers to submit quarterly usage reports either electronically or by mail to the Department of Administration in Madison, Wisconsin. The reporting system tracks purchases made by authorized users including agencies, University of Wisconsin campuses, and cooperative groups participating in the statewide contract vehicle.
The contract covers flooring products and services including commercial carpet, VCT (vinyl composite tile), and other flooring materials sold by unit of measure such as square yards or square feet. The reporting form captures comprehensive transaction details including contract pricing per unit, quantities ordered, labor charges, miscellaneous material charges, and extended total project costs. Dealers must report specific information for each transaction including authorized user details, purchase order numbers, invoice information, mill/manufacturer names, product descriptions and categories, and whether procurement cards were used. The example transaction shown indicates carpet pricing at $20.00 per square yard with associated labor charges of $100.00 for installation services.
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Text version
Sheet1
| Dealer | Contact Name | Telephone | Reporting Period | ||
| Start Date: | End Date: | ||||
| Submit reports electronically either via email to john.burnett@wisconsin.gov or via mail to: |
Department of Administration State Bureau of Procurement Attn: John Burnett 101 E. Wilson Street, 6th Floor PO Box 7867 Madison, WI 53707
| Example: | |||||||||||||||||
| Authorized User Name | Account Number (where applicable) | Contract Number | Purchase Order Number (where applicable) | P-Card Used? Y/N | Order Date | Invoice Date | Invoice Number (where applicable) | Mill/Manufacturer Name | Product Description | Product Category | Unit of Measure (UOM) | Contract Price per UOM | Quantity Ordered | Labor Charges | Misc. Materials Charge (where applicable) | Extended Total Price for Project | Comments |
| Department of Administration | 123456 | 505ENT-O20-FLOORING-01 | DOAPO123 | No | 1/1/20 | 1/6/20 | 123456DOA | MillABC | Style: Awesome | Carpet | Sq Yd | $20.00 | 50 | $100.00 | $0.00 | $1,100.00 | Labor charge was 2 hours x $50 per hour |
| Authorized User Name | Account Number (where applicable) | Contract Number | Purchase Order Number (where applicable) | P-Card Used? Y/N | Order Date | Invoice Date | Invoice Number (where applicable) | Mill/Manufacturer Name | Product Description | Product Category | Unit of Measure (UOM) | Contract Price per UOM | Quantity Ordered | Labor Charges | Misc. Materials Charge (where applicable) | Extended Total Price for Project | Comments |
&C&"Arial,Bold"Flooring Contract #11-36020-900&"Arial,Regular" Usage Report &CPage &P of &N redfos:
Agency/ UW Campus/ Cooperative Group redfos:
11-36020-900 redfos:
e.g. style name, style number, etc redfos:
e.g. commercial carpet, VCT, etc redfos:
e.g. square yard, square foot, etc redfos:
Agency/ UW Campus/ Cooperative Group redfos:
11-36020-900 redfos:
e.g. style name, style number, etc redfos:
e.g. commercial carpet, VCT, etc redfos:
e.g. square yard, square foot, etc
File details come from the government source that posted it. Updated .