Laserfiche WebLink
Page 16 of 23 <br /> <br />FORM 4.02 PRICE SHEET <br />REQUEST FOR PROPOSAL #2025-032 SODIUM HYPOCHLORITE <br />Supplier Name: <br />Bidders must include all cost elements in their pricing, including duties, shipping, handling, delivery, and transportation costs. Except as otherwise <br />provided in the solicitation, there must be no additional costs of any kind. <br />SHIP-TO LOCATION: WATER POLLUTION CONTROL FACILITY <br /># Description <br />Delivery after <br />receipt of delivery <br />(business days) <br />Unit of <br />Measure Unit Price Quantity* Extended Price <br />1 <br />Sodium Hypochlorite <br />Manufacturer and Source: <br />____________________________________ <br /> <br />GALLON $ 350,000 $ <br />Total: $ <br />Do you certify that you are NOT on the Comptroller General’s list of ineligible contractors nor the list of parties excluded from Federal procurement or <br />non-procurement programs? <br />Yes  No  <br />Do you agree to provide these products to other public agencies pursuant to RCW 39.34 and Section 1.21 above? <br />Yes  No  <br />*Note: Quantities above are current best estimates for evaluation purposes only. Actual purchase quantities may vary.