SUMMIT_PUMPS_SINGLE_SOURCE_PACKET.pdf

SINGLE SOURCE

CERTIFICATE OF CONDITIONS AND CIRCUMSTANCES

Instructions: The purpose of this form is to certify conditions and circumstances for the purchase of goods and services under the single source exception to the competitive bid process. This request is to be executed by the Department Director and submitted to the Purchasing Department for consideration and approval/disapproval.

Item or Services Required:

Name of Company considered Single Source:

Conditions and special circumstances for the Single Source. Please be specific:

Requesting Department Director’s Signature Date of Request

Requisition Number Buyer Name Purchasing Department Action:

Signature Date

Quotation/Documentation attached

Original to Purchasing

Copy to Mayor’s Office by Requesting Department

Vendor #/Name Quote Date:

Address Request Date:

Address Request No:

(Phone) Quote No:

[Fax] Prepared by:

[email] Mnf:

Sales Rep:

Attention: Project:

Line QTY Price Each Line Total

1 3.00 5,645.00$ 16,935.00$

2 1.00 3 1.00 4 1.00 5 1.00 6 1.00 7 1.00 10 1,800.00$

Total 18,735.00 New pricing will be issued 2nd week of February -

Shipping Included Weight Unknown Terms Availability

QUOTE

City of Tampa Water March 13, 2025 125 N. 30th Street Tampa, Florida 33610

(813) 231-5261 EZ-SM-25011301

Rachel Mathews christopher.kalavsky@tampagov.net Summit

Eddie Zurn Christopher Kalavsky Summit 1 SPL4-CDQ

SN: 01909494

Description SUMMIT 1SPL4-CDQ Buna/Packing PUMP with graphite packing ; Coupled with Guard to NORD INLINE INTEGRAL GEARMOTOR INPUT MOTOR: 2HP, 1730RPM, 230/460V 3PH, TEFC-IP55, INVERTER READY OUTPUT: 283RPM, 6.1:1

RATIO, S.F. 1.1 with Baseplate Quoted based on SN 01909494

Freight to Florida destination

Any returned items are subject to a restocking fee and an RMA is required.

Cancelation of order may be subject ot cancelation fees.

MIN ORDER $100.00

205 Tower Drive · Oldsmar · Florida · 34677

813.749.7168 Office 813.749.7175 Fax

www.coastalreliability.com

We accept, VISA, MASTERCARD, DISCOVER, and AMERICAN EXPRESS on orders less than $3,000

ACH/WIRE DOMESTIC : Bank Centennial Bank 14877 N Dale Mabry Hwy, Tampa 33618 - ABA 082902757 Account # 1031447

Prepay and Add FOB Factory Green Bay, WI 54307 Estimated weight in lbs

Standard Factory Shipping is estimated and may vary. 8-10 Weeks

To Place this order please fax Purchase order or e-mail to sales@coastalreliability.com. Reference quote number on the PO.

Thank you for your business!

PO BOX 10232

Green Bay WI 54307 3168 S. Pinetree Road

Oneida, WI 54155

Phone (920)869-4800 www.summitpump.com Fax (920)869-4700

January 14, 2025

ATTN: To Whom it may concern

Subject: Summit Pump Inc. Representation

Summit Pump is an original equipment manufacturer of centrifugal and progressing cavity pumps located in Green Bay, WI. Our distributor Coastal Reliability Solutions LLC of Oldsmar, FL is our authorized distributor for the following counties - Pinellas, Pasco, Hernando, Hillsborough, Sumter, Lake, Polk, Orange, Osceola Brevard, Indian River, Manatee, Sarasota and Hardee.

Coastal Reliability Solutions stands ready to meet your Industrial Fluid Handling needs by providing the best solutions at the lowest possible cost without sacrificing Reliability.

Coastal Reliability Solutions can be reached at 205 Tower Drive, Oldsmar FL 34677 -

Phone 813-749-7168.

If you have any questions you may contact me directly at the number below.

Sincerely, Kevin Moloney

Kevin Moloney

Eastern Regional Manager

Summit Pump, Inc.

215-859-3210 www.summitpump.com http://www.summitpump.com/

12 month cost estimate ___$25K________SW