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FORM 4.03 PRICE SHEET <br />REQUEST FOR PROPOSAL #2021-020 ROCK CRUSHER WITH TRADE-IN OPTION <br />Supplier Name: Powerscreen of Washington <br />Complete the price sheet. Quotes for goods and/or services other than those specified will not be considered <br />unless authorized by the solicitati on. <br />If there is a conflict between the unit price and the extended price, the unit price must govern. <br /># <br />Description <br />Unit <br />Price <br />Estimated <br />Quantity <br />- <br />Extended <br />Price <br />I <br />Rock <br />proposal <br />Crusher <br />response <br />per <br />specifications <br />and <br />your <br />$490,000 <br />1 <br />EA <br />$490,000 <br />2 <br />Delivery <br />- <br />Lump <br />Sum <br />(included <br />in <br />purchase <br />price) <br />$ <br />Subtotal <br />$490,000 <br />9.8 <br />% <br />Sales <br />tax <br />$48,020 <br />Purchase <br />Total <br />$538,020 <br />Less <br />Trade <br />-In <br />Allowance <br />for <br />optional <br />consideration <br />by <br />the <br />City <br />4 <br />2002 <br />City <br />Tag <br />Terex <br /># <br />M0048 <br />Pegson, <br />Model <br />X800X550 <br />($50,000) <br />1 <br />EA <br />($50,000) <br />Credit <br />Total <br />($50,000) <br />Difference <br />- <br />Subtract <br />the <br />"Purchase <br />Total" <br />from <br />the "Credit <br />Total" <br />$488,020 <br />Do you <br />agree <br />to <br />provide <br />these <br />products <br />or <br />services <br />to other <br />public <br />agencies <br />pursuant <br />to <br />RCW <br />39.34 <br />and <br />Section <br />1.18 <br />above? <br />Yes <br />❑ <br />No <br />❑ <br />Do <br />parties <br />you <br />certify <br />excluded <br />that <br />you <br />from <br />are <br />Federal <br />NOT <br />on <br />procurement <br />the <br />Comptroller <br />or <br />non <br />General's <br />-procurement <br />list <br />of <br />programs? <br />ineligible <br />contractors <br />nor <br />the <br />list <br />of <br />Yes <br />❑ <br />No <br />❑ <br />*Note: Quantities above are current best estimates for evaluation purposes only. Actual purchase quantities may <br />vary. <br />State the number of calendar days to have equipment delivered after receipt of order: <br />Within 90 calendar days from bid acceptance <br />Page 14 of 22 <br />