Offeror shall complete this form and submit with their offer. _______________ Offeror’s Name (include a “Doing Business As” (DBA), if applicable): DUNS Number: _______________ Tax Identification Number (TIN): _______________ Website Address: _______________ Offeror’s Mark this box if your company does not have a website Published Commercial Price List upon which the offer is based (if proposing multiple price lists, attach a complete list as a separate page): 1. Name of Price List: _______________ 2. Effective Date of Price List: _______________ 3. Effective date that the above commercial price list was implemented to commercial customers: ______________ 4. If available electronically only, provide website and effective date of pricing: _______________ 5. If a special catalog and/or price list is provided for the purpose of this offer, it shall include a statement indicating that it is a the commercial catalog and/or price and it shall the “verbatim extract from contractor’s list”, “identify commercial catalog and/or price list from which the information has been extracted”. Freight Terms: Origin, Freight Prepaid and Add Destination If is stated, indicate below whether or not prices submitted cover delivery “Destination” “FOB Destination” in Alaska, Hawaii, and the Commonwealth of Puerto Rico: Alaska Yes No Hawaii Yes No Puerto Rico Yes No Normal Delivery: Indicate below your normal delivery times after receipt of order (ARO) offered to your Commercial Customers and to the Government, adding rows as necessary: SIN Normal Delivery ARO (Commercial) Normal Delivery ARO (Government) Additional Offer Information: Most Favored Customer (MFC) Government (GSA) Net 30 Days Net 30 Days Prompt Payment Terms Prompt Payment Discount: ______ Prompt Payment Discount:_____ Warranty: Return Policy/Restocking Policy
Offeror shall complete this form and submit with their offer. Offeror’s Name (include a “Doing Business As” (DBA), if applicable): _______________ DUNS Number: _______________ Tax Identification Number (TIN): _______________ Offeror’s Website Address: _______________ Mark this box if your company does not have a website Published Commercial Price List upon which the offer is based (if proposing multiple price lists, attach a complete list as a separate page): 1. Name of Price List: _______________ 2. Effective Date of Price List: _______________ 3. Effective date that the above commercial price list was implemented to commercial customers: ______________ 4. If available electronically only, provide website and effective date of pricing: _______________ 5. If a special catalog and/or price list is provided for the purpose of this offer, it shall include a statement indicating that it is a “verbatim extract from the contractor’s commercial catalog and/or price list”, and it shall “identify the commercial catalog and/or price list from which the information has been extracted”. Freight Terms: Origin, Freight Prepaid and Add Destination If “Destination” is stated, indicate below whether or not prices submitted cover delivery “FOB Destination” in Alaska, Hawaii, and the Commonwealth of Puerto Rico: Alaska Yes No Hawaii Yes No Puerto Rico Yes No Normal Delivery: Indicate below your normal delivery times after receipt of order (ARO) offered to your Commercial Customers and to the Government, adding rows as necessary: SIN Normal Delivery ARO (Commercial) Normal Delivery ARO (Government) Additional Offer Information: Most Favored Customer (MFC) Government (GSA) Prompt Payment Terms Net 30 Days Prompt Payment Discount: ______ Net 30 Days Prompt Payment Discount:_____ Warranty: Return Policy/Restocking Policy
Summary_of_Offer_Refresh_28.docx