Supporting_Contract_Documents_Forms.pdf

Supporting Contract Documents Firm Information, Order Processing, Individual Contact, and Customer Support Information

RFP 26P-1015

1. Contact information for firm’s headquarters:

Physical Address

Mail Address, if different

Main Phone Number

Website

2. Contact information for firm’s Arizona branch office:

Mail Address, if different

Main Phone Number

Website, if different

Add additional contact information if firm has more than one Arizona branch office.

3. Contact information for purchase orders:

Email Address

Attention of

4. Payment remittance address

Attn:

City State Zip

Telephone (invoice questions)

5. Provide Arizona Transaction Privilege (sales) Tax License Number:

Do you collect city, county, and/or other local sales tax in Arizona? Yes No

If yes, please check one:

Our combined state, city, county, and/or other local sales tax rate is % (local rate).

The sales tax rate varies by the location (e.g., ship to rate). Provide additional information below:

6. Contacts for Mohave:

Main Mohave representative contact:

(Shall be the main point of contact for members and be responsible for member information requests.)

Title Email address

Phone number Fax

Contract Administrator contact:

(Shall be the main point of contact for contract information requests.)

Open Order/Unresolved Invoice Report contact:

(Shall be the main point of contact regarding open orders and status reports.)

Accounting contact:

(Shall be the main point of contact for accounting issues.)

Reconciliation contact:

(Shall be the main point of contact for reconciliation report requests and/or clarifications and payment of administration fees.)

Escalation contact:

(Shall be the main point of contact when an issue needs to be escalated above the main contact and/or contract administrator for the RFP/contract. This contact shall be a different individual than those named for the contacts listed above and who is authorized to make decisions for the firm.)

Audit contact:

(Shall be the main point of contact for audit requests and clarifications.)

Provide the requested customer support information for warranty and maintenance service offered by your firm, as applicable.

Do you provide warranty and maintenance for the items in the proposal?

Yes, the following is applicable to our offer. (If yes, please provide the information below.)

No, the following is not applicable to our offer.

Describe the steps a member should take to activate a warranty and how they obtain warranty and maintenance service.

Provide the name and address of the facility that will provide warranty and maintenance service, under an awarded contract. Additionally, provide a contact person and phone number for warranty and maintenance service. If there is more than one facility, provide the names and addresses for all facilities. Attach a list if necessary.

Do you provide technical assistance via phone? Yes No If yes, provide a phone number and contact.

How many technicians are located at each warranty/service facility that would serve a Mohave contract?

What is the value of parts inventory normally on hand at each warranty/service facility that would serve a

Mohave contract?

What is your service response time for metropolitan areas (e.g., Phoenix, Tucson) and rural areas?