Exhibit A - Deliverable Acceptance Form.docx

DOCX document 78 KB Posted

Attached to
Traffic Counters
Solicitation number
1287
Issued by
Idaho

About this file

This is a Deliverable Acceptance Form for a state and local contract opportunity with the State of Idaho for Traffic Counters. The form serves as an official sign-off document to verify that deliverables have been provided to the Idaho Department of Transportation (ITD) and that ITD has accepted and approved them in accordance with the contract terms. The form includes designated fields for documenting deliverable descriptions, contract references, and acceptance criteria for multiple items. A section for attachments such as Bills of Lading or Ship Tickets is provided to support delivery documentation. The form requires ITD authorization through printed name, title, signature, and date fields, with space for ITD comments regarding the deliverables received.

The Deliverable Acceptance Form does not contain pricing terms, set-aside designations, incumbent vendor information, or funding requirements. As a template document, it establishes the procedural mechanism for formalizing the receipt and approval of goods or services under the Traffic Counters contract but does not specify the quantity, specifications, or other substantive contract requirements. The form is designed for use throughout the contract performance period as deliverables are provided and accepted by ITD.

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Text version

Exhibit A - Deliverable Acceptance Form

Contract No:
TBD

Contract Name:

Deliverable Information: The Deliverable Acceptance form signifies sign-off of the specified deliverable(s) below. This will verify what has been delivered to ITD, per the Contract, and that ITD has accepted and approved the deliverable(s).

Deliverable Description

Contract Reference

Acceptance Criteria

Item #1

Item #2

Attachments:

· Bill of Lading/Ship Tickets

Deliverable Acceptance:

ITD Printed Name:

Title:

ITD Signature:

Date:

ITD Comments

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