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BID PRICE FORM XE "SECTION D - BID PRICING SECTION"
ITB #:_________ Name of Firm:_______________________
Submit all pricing and any other required information. <<For Price Agreement only ODOT makes no guarantee as to the amount or type of purchases to be made under this Agreement. >> All quantities listed in the solicitation are estimates of the quantities that may be ordered by ODOT. <<For Price Agreement only
MANDATORY ITEMS: Bidder must include pricing for items 1 through 5.
OPTIONAL ITEMS: Provide pricing for any/all options or additional equipment that may enhance the utility of the Oil Distributor and/or attachments. Use an additional sheet. >> If any of the items below are included with the base Unit, indicate by writing the word “included”.
QTY.
PRICE
TOTAL
PRICE
1.
| Skid mount L300 size |
| 1 |
| EA |
| $__________ |
| $_________ |
1a.
| Insulated tank |
| 1 |
| EA |
| $__________ |
| $_________ |
1b.
| Adjustable 12 foot pattern spray bar |
| 1 |
| EA |
| $__________ |
| $_________ |
1c.
| Electric immersion heater |
| 1 |
| EA |
| $__________ |
| $_________ |
| 1 |
| EA |
| $__________ |
| $_________ |
| 1 |
| EA |
| $__________ |
| $_________ |
| 2b. |
| Adjustable 12 foot pattern spray bar |
| 1 |
| EA |
| $__________ |
| $_________ |
| 2c. |
| Electric immersion heater |
| 1 |
| EA |
| $__________ |
| $_________ |
| 3. |
| Trailer mount L300 size |
| 1 |
| EA |
| $__________ |
| $_________ |
| 3a. |
| Insulated tank |
| 1 |
| EA |
| $__________ |
| $_________ |
| 3b. |
| Adjustable 12 foot pattern spray bar |
| 1 |
| EA |
| $__________ |
| $_________ |
| 3c. |
| Electric immersion heater |
| 1 |
| EA |
| $__________ |
| $_________ |
| 4. |
| Trailer mount L600 size |
| 1 |
| EA |
| $__________ |
| $_________ |
| 1 |
| EA |
| $__________ |
| $_________ |
| 4b. |
| Adjustable 12 foot pattern spray bar |
| 1 |
| EA |
| $__________ |
| $_________ |
| 4c. |
| Electric immersion heater |
| 1 |
| EA |
| $__________ |
| $_________ |
| 5. |
| Combined Operator/Mechanic Training |
| 2 |
| HR |
| $__________ |
| $_________ |
TOTAL PRICE
ADDITIONAL INFORMATION REQUIRED FROM BIDDER:
Delivery Timeline Proposed By Bidder: ____________ calendar days from date of order.
Is Bidder the Primary Equipment Manufacturer? Check one: Yes , No If Bidder is not the Primary Equipment Manufacturer, provide ODOT with confirmation from the manufacturer, in writing, of manufacturer's ability to meet the delivery timeline above.
Buy Oregon Preference - All Bid items fabricated or processed entirely in Oregon. By checking "Yes" below, Bidder certifies that all items offered qualify for the Buy Oregon Preference provided in the ITB. Check one: Yes , No