RFQ 220073400.pdf

CENTRAL OFFICE

Request For Quotes (RFQ)

THIS IS NOT A PURCHASE ORDER

BUSINESS NAME & EIN DATE

ADDRESS CITY STATE ZIP

PHONE EMAIL

SIGNATURE (AUTHORIZED REPRESENTATIVE OF RESPONDENT) PRINT NAME AND TITLE

PLEASE INDICATE IF ANY OF THE FOLLOWING APPLY TO YOU: STATE-CERTIFIED MBE STATE-CERTIFIED WBE STATE-CERTIFIED SDVOB NYS SMALL BUSINESS

Respondent Information INSTRUCTIONS TO RESPONDENT: COMPLETE HIGHLIGHTED AREAS AS APPROPRIATE, SIGN AND SUBMIT THIS FORM TO THE RFQ ADMINISTRATOR NAMED ABOVE. BY SIGNING BELOW I CERTIFY THAT I AM AN AUTHORIZED REPRESENTATIVE OF THE RESPONDENT NAMED BELOW. THE RESPONDENT HEREBY OFFERS TO PROVIDE THE GOODS AND/OR SERVICES DESCRIBED IN THIS RFQ FOR THE QUOTE PRICE AND AGREES TO THE TERMS AND CONDITIONS OF THIS RFQ. RESPONDENTS MUST SUBMIT QUOTES USING THIS FORM, AND NO EXCEPTIONS OR OTHER TERMS OR CONDITIONS WILL BE

ACCEPTED BY THE UNIVERSITY (SEE PAGE 2 OF THE RFQ FORM).

v01.20

ITEM # DESCRIPTION OF GOODS AND/OR SERVICES (“WORK”) AND UNIT OF MEASURE QUANTITY UNIT PRICE EXTENDED PRICE

IF APPLICABLE: ADDITIONAL SPECIFICATIONS, _______ PAGES

REPAIR/MAINTENANCE/INSTALLATION TERMS AND CONDITIONS, _______ PAGES

SERVICES TERMS AND CONDITIONS, _______ PAGES

DELIVERY DATE ON OR BEFORE: ___ /___ /___

F.O.B. DESTINATION

INSIDE DELIVERY AND ASSEMBLY

DELIVERY REQUIREMENTS, _______ PAGES

MINIMUM QUALIFICATIONS, _______ PAGES

INSURANCE REQUIREMENTS, _______ PAGES

LIQUIDATED DAMAGES, _______ PAGES

for specified for proposed substitute Respondent offers its Quote Price: goods and services which is firm and not revocable for the timeframe set on page 2 from the Quote Deadline. Quote Price:

RFQ Administrator (Designated Contact)

NAME

ADDRESS

CITY STATE ZIP

PHONE PURCHASING DEPT (RFQ) EMAIL ADDRESS

NYS-CERTIFIED MWBE & SDVOB NYS-CERTIFIED SDVOB NYS SMALL BUSINESS RECYCLED AND REMANUFACTURED COMMODITIES OR TECHNOLOGY FOOD COMMODITY PRODUCTS GROWN, PRODUCED OR HARVESTED IN NYS

Supplier Diversity Goals:

____% MINORITY AND WOMEN-OWNED

BUSINESS ENTERPRISE PARTICIPATION

____% MINORITY-OWNED

BUSINESS ENTERPRISE PARTICIPATION

____% WOMEN-OWNED

BUSINESS ENTERPRISE PARTICIPATION

____% SERVICE-DISABLED VETERAN-OWNED

BUSINESS ENTERPRISE PARTICIPATION

IF INDICATED BELOW, PURSUANT TO ITS DISCRETIONARY PURCHASING AUTHORITY UNDER THE NYS EDUCATION LAW AND STATE FINANCE LAW AND/OR NYS EXECUTIVE LAW, ARTICLE 17-B, THIS PROCUREMENT OPPORTUNITY IS LIMITED TO THE FOLLOWING BUSINESSES:

Issued: ___ /___ /___ Quote Deadline: ___ /___ /___ at ______ Question Deadline: ___ /___ /___ at ______ AM

PM

AM

PM

RFQ For: ________________________________________________________________ RFQ #: ______________________

INCLUDE RFQ# ON ALL CORRESPONDENCE

Site Visit: ___ /___ /___ at _____ __________________________________________________________________

LOCATION

AM

PM

Request For Quotes (RFQ)

THIS IS NOT A PURCHASE ORDER

of The City University of New York (“University”) nhazell Cross-Out cuny.edu/selltocuny http://cuny.edu/selltocuny