ESBD_544239_1785346165653_RFB 2026-043 Pricing Sheet.pdf

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Attached to
Cationic Dewatering Polymer – Central WWTP
Solicitation number
RFB2026-043
Issued by
Texas

About this file

This is a pricing form for a Request for Bid (RFB 2026-043) issued by the City of Waco, Texas, for the procurement of cationic dewatering polymer for the Central Wastewater Treatment Plant (WWTP). The solicitation requests bids for an estimated annual quantity of approximately 48,000 gallons of bulk cationic dewatering polymer to be delivered to the facility. Bidders are required to provide the product manufacturer and trade designation, a representative combined delivery quantity, and the estimated time for delivery after receipt of order. All submissions must certify that items bid are in exact accordance with specifications and that prices were developed independently without consultation or agreement with competitors. Any exceptions to specifications must be clearly identified and attached to the bid.

Pricing must be quoted as a complete delivered price on a per-gallon basis, F.O.B. destination. Bidders have the option to offer early payment discounts by specifying a percentage discount available if payment is made within a stated number of days after acceptance of order and receipt of an original invoice, with standard payment due within thirty days. The completed pricing form must be returned with the bid submission and include company name, date, printed name and title of authorized representative, and telephone contact information.

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City of Waco, Texas

PRICING FORM - CATIONIC DEWATERING POLYMER - CENTRAL WWTP

AUTHORIZED SIGNATURE: ________________________________________________________________________ I. Refer to the solicitation and technical specifications before completing this Pricing Form.

a. Quote your best complete delivered price, F.O.B. destination, on each item bid.

II. In submitting this bid, I certify:

a. Items bid are in exact accordance with the specifications, unless noted in the bid.

b. Prices in this bid were developed independently, without consultation or agreement with any competitor for the purpose of restricting competition.

Item No. Description Price / Response

1.0 Estimated annual quantity of bulk cationic dewatering polymer:

Approximately 48,000 gallons.

$__________________ /delivered gal

1.1 Product manufacturer and trade designation: ____________________________

1.2 Representative combined delivery quantity: __________________ gallons

1.3 After Receipt of Order, Estimated Time for Delivery: __________________ days

IMPORTANT NOTE

Any and all exceptions to the specifications shall be clearly identified and attached to the bid.

Early Payment Terms:

a) Bidder may offer an early payment discount by filling in the blanks below. The City may accept an early payment discount, but in doing so does not waive any of its rights under applicable law.

b) Payment is due thirty (30) DAYS after acceptance of order and receipt of an original invoice, but a ______ percent early payment discount is offered for full payment made within ______ DAYS after acceptance of order and receipt of an original invoice.

COMPLETED FORM MUST BE RETURNED WITH BID

Company/Firm:

Date: ____________________

Printed Name/Title:

Telephone: _______________

RFB 2026-043 Page 15

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