RFQQ236- Exhibit G- Example Documents.pdf
PDF 344 KB Posted
- Attached to
- Merchandise Installation Services
- Solicitation number
- RFQQ236
- Issued by
- Adams County, Asotin County, Benton County, Chelan County, Clallam County, Clark County, Columbia County, Cowlitz County, Douglas County, Ferry County, Franklin County, Garfield County, Grant County, Grays Harbor County, Island County, Jefferson County, King County, Kitsap County, Kittitas County, Klickitat County, Lewis County, Lincoln County, Mason County, Okanogan County, Pacific County, Pend Oreille County, Pierce County, San Juan County, Skagit County, Skamania County, Snohomish County, Spokane County, Stevens County, Thurston County, Wahkiakum County, Walla Walla County, Whatcom County, Whitman County, Yakima County, Asotin City, Clarkston City, Clarkston Heights-Vineland CDP, West Clarkston-Highland CDP, Benton City, Chelan City, Chelan Falls CDP, Clallam Bay CDP, Lewisville CDP, Rock Island City, Pacific Beach CDP, Whidbey Island Station CDP, Mercer Island City, Pacific City, Bainbridge Island City, Kingston CDP, Kitsap Lake CDP, Kittitas City, Klickitat CDP, Okanogan City, Anderson Island CDP, Fort Lewis CDP, Fox Island CDP, Herron Island CDP, Ketron Island CDP, North Fort Lewis CDP, Raft Island CDP, Stevenson City, Hat Island CDP, Lake Stevens City, Snohomish City, Spokane City, Spokane Valley City, Puget Island CDP, Garfield Town, Yakima City, Washington
About this file
The document is a Scratch Dispenser Installation Agreement for the Washington State Lottery, specifically for a location in Spokane. The agreement details the installation of a new 24-bin dispenser at ABC Mini Mart (Location ID 123456) in Mayberry, Indiana, with a scheduled installation date of November 28, 2022. The installation is set to occur between 7:00 AM and 8:10 AM, with signatures required from both the installer and retailer or DSR (District Sales Representative).
The document includes budget coding with FUND 577 and uses an installation type marked as "New Installation". Contact information is provided for Joe Smith (contact) and Susie Smith (DSR), with the form completed by john.smith@example.com. This installation appears to be part of a broader state lottery merchandise installation services contract seeking up to four vendors to install, remove, replace, and assemble lottery merchandise at retail locations throughout Washington State, with a primary focus on scratch ticket dispensers and display trays.
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Other files
| File | Type | Posted |
|---|---|---|
| RFQQ236- Exhibit A-1- Bidders Certification.docx | DOCX document | |
| RFQQ236- Exhibit A-2- Bidders Profile.docx | DOCX document | |
| _BPC Exhibit F-WAC 363-116.pdf | ||
| RFQQ236- Competitive Solicitation.docx | DOCX document | |
| RFQQ236- Exhibit B- Performance Requirements.docx | DOCX document | |
| RFQQ236- Exhibit C- BidPrice&QualificationQ's.docx | DOCX document | |
| RFQQ236- Exhibit D- Contract.docx | DOCX document | |
| RFQQ236- Exhibit E- Contract Issues List.docx | DOCX document | |
| RFQQ236-ExhibitF-DiverseBusinessInclusionPlan.docx | DOCX document | |
| WA Regional Map.pdf |
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Text version
Form Name: Scratch Dispenser Installation Agreement Submission Time: January 23, 2025 9:40 am
Date Nov 20, 2022
DSR Name - First and Last Susie Smith
DSR Phone Number (123) 555-5555
Region Spokane
Show Process Steps Check to see process steps
Location Name ABC Mini Mart
Location ID 123456
Address 123 S Main
Mayberry, IN 46251
United States
BUDGET CODING-Need to select drop down for budget code
FUND: 577 PI: PLACR OBJECT: ER
INSTALLATION TYPE
Installation Type New Installation
INSTALLATION DETAILS
New or Replacement New Installation
Dispenser Location Spokane Regional Office
Item to Install 24 bin dispenser
Quantity 1
Item to Remove None
Quantity 0
Contact Name Joe Smith
Contact Phone Number (123) 555-5555
LOTTERY ARRANGED INSTALLATION
Vendor XXX
Installation Date 11/28/2022
Installer Arrival Time 7:00 AM
Installer Departure Time 8:10 AM
Installer Signature - Required X
Retailer Signature or DSR
Signature-Required
X
EMAIL OF PERSON COMPLETING FORM
Email address of person completing form john.smith@example.com
Comments - Diagram if needed X
File details come from the government source that posted it. Updated .