Request for Quotation

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1 Request for Quotation Computer Printer Ink and Toner Cartridges for Stocking our Warehouse and Miscellaneous School Orders One-Year Contract (through August 1, 2007) QUOTE: Q DUE DATE: July 21, :00 a.m. RELEASE DATE: July 14, 2006 CENTRAL VALLEY SCHOOL DISTRICT #356 Purchasing Department E. Cataldo Avenue Spokane Valley, Washington Purchasing Manager: Darren King, C.P.M. Website: Phone: (509) Fax (509)

2 QUOTE DUE BY: JULY 21, 11:00 A.M. SECTION I, Page 2 of 17 TABLE OF CONTENTS (section I) INVITATION (section II)...3 QUOTE SCHEDULE (section III)...4 QUOTE DATES... 4 TERMS AND CONDITIONS (section IV)...5 SPECIAL INSTRUCTIONS (section V)...10 SPECIFICATIONS (section VI)...12 VENDOR REQUIREMENTS ORIGINAL EQUIPMENT MANUFACTURER (OEM) TONER/INK REMANUFACTURED TONER / INK RETURNING AND CREDITING EMPTY CARTRIDGES DEBARMENT / SUSPENSION CERTIFICATION (section VII)...15 INSTRUCTIONS CERTIFICATION STATEMENT VENDOR QUESTIONNAIRE (section VIII)...16 INSTRUCTIONS QUOTE PROPOSAL (section IX)...17

3 QUOTE DUE BY: JULY 21, 11:00 A.M. SECTION II, Page 3 of 17 To Whom It May Concern: INVITATION (section II) This Request for Quotation (RFQ) consists of computer printer ink and toner cartridges to stock our warehouse and some direct shipments to schools in our district. The District is seeking quotes for ALL items in either category of items, Original Equipment Manufacturer (OEM) or remanufactured. The only items allowed without pricing are items that are no longer available through the OEM. Failure to provide pricing on ALL currently-available items may result in considering your quote as non-responsive. This quote will evaluate the OEM and Remanufactured group separately and award only one as the main contract. But, if a remanufactured vendor is chosen and the OEM pricing was supplied from that vendor, the district reserves the right to also purchase OEM cartridges. This is an A B type of quote where the District will based on one group, either remanufactured or OEM. The awarded vendor will be the lowest responsive Quoter in either group A or B. Responsiveness is defined as meeting all the requirements under this quote. Quotes are required in two formats, by fax and by 1. By Fax (by the due date/time) to: (509) DOCUMENTS REQUIRED: a. DEBARMENT / SUSPENSION CERTIFICATION (section VII) b. VENDOR QUESTIONNAIRE (section VIII) c. QUOTE PROPOSAL (section IX) d. QUOTE FORM (Spreadsheet, in Microsoft Excel format, not HTML) e. The Vendor shall provide a one year warranty on workmanship with quote. 2. Via to dking@cvsd.org in the spreadsheet available on our website (see below for instructions). a. QUOTE FORM (Spreadsheet, in Excel format, not HTML) All information regarding this RFQ will be posted on our website at in the QUOTES section under this quote number. Up-to-date information such as addendums and quote tabs are available there. If your company currently isn t in our database to be notified when bids or quotes are posted, visit our Bidders List area and complete and return the Bidders List Application form. For questions regarding this RFQ contact me at (509) or via at dking@cvsd.org. Technical questions that may need to be answered or clarified will need to be followed up by addenda. So, information given verbally isn t binding, see Addendums below. We look forward to working with you to obtain a quote. Good luck! Sincerely, Darren King, C.P.M. Purchasing Manager

4 QUOTE DUE BY: JULY 21, 11:00 A.M. SECTION III, Page 4 of 17 Central Valley School District No. 356 is soliciting quotations for: QUOTE SCHEDULE (section III) COMPUTER PRINTER INK AND TONER CARTRIDGES 2006/07 FOR Stocking Our Warehouse and Schools Throughout our District If your company is interested in providing a quote, please read the following information carefully and return as directed NO LATER THAN the quote due date listed below. QUOTE DATES TIME INSTRUCTIONS QUOTE DUE DATE: July 21, :00 A.M. Per the quote proposal form, below. MUST BE SUBMITTED BY FAX TO (509) EXPECTED AWARD OF QUOTE: July 28, 2006 EARLIEST DELIVERY DATE: Date of order. LATEST DELIVERY DATE: ORDERS UP TO $5,000: 7 days from Purchase Order date or the date of order for orders placed by MasterCard. ORDERS OVER $5,000: 14 days from Purchase Order date or the date of order for orders placed by MasterCard. CONTRACT COMPLETION DATE: AUGUST 1, 2007 END OF SECTION III

5 QUOTE DUE BY: JULY 21, 11:00 A.M. SECTION IV, Page 5 of 17 TERMS AND CONDITIONS (section IV) (Chronologically Sorted by Event) QUOTE COMPLETIONS: The quote must be completed insofar as possible on the enclosed quote documents and signed by an authorized representative. For each item, the price quote is for the brand and model specified. Illegible quotes may be rejected, complete the quote electronically on the Quote Form (Excel spreadsheet, not HTML). All other forms in this packet may be typed or handwritten. Take a copy of the quote submitted for your records. To submit your quote, see the instruction on the Quote Proposal form below. Quotes are due at the time and date designated above (see the Quote Proposal form) and the spreadsheet must be ed to dking@cvsd.org. QUOTE: Prices quoted shall include all handling and packaging costs. The Quoter must accept purchase orders and MasterCard from the District and not require credit applications to be completed. EXCLUDED PURCHASES: The District reserves the right to purchase small amounts of cartridges locally that otherwise would result in a printer being without toner or ink. It s the District s intention to purchase from this contract when at all possible without running out of ink or toner for printers. PREPARATION COSTS: Costs incurred by the Quoter in preparation of their proposal, including travel and personal expenses, may not be charged as an expense of performing the contract. Central Valley School District shall not pay for costs incurred for proposal or contract preparation as a result of termination of this quote or termination of the contract resulting from this quote. PROPOSALS DISCLOSURE: All proposals and other material submitted become the property of the Central Valley School District and may be returned only at Central Valley School District's option. Central Valley School District reserves the right to use any ideas presented in response to the RFQ. Public records are open to reasonable inspection by the public, even if marked otherwise. ADDENDUMS: If Central Valley School District considers it necessary to revise any part of this quote, addenda will be posted on our website at under the QUOTES section under this quote number. All official clarifications or interpretations of the proposal documents will be by written addenda. Clarification given in any other form will be informal and unofficial. Check the Purchasing website at under the QUOTES section to check on any published addendums prior to submitting a quote. EQUAL EMPLOYMENT: Unless exempted by rules of the Secretary of Labor and issued to appropriate sections of Executive Order 11246, as amended by 11375, the Quoter agrees to supply District No. 356 a completed Equal Employment Opportunity Compliance Certificate if such is requested. The vendor agrees not to discriminate against any client, employee or applicant for employment or for services because of race, creed, color, national origin, sex or age with regard to, but not limited to, the following: employment upgrading, demotion, or transfer, recruitment or recruitment advertising, layoff or termination, rates of pay or forms of compensation, selection for rendition of services.

6 QUOTE DUE BY: JULY 21, 11:00 A.M. SECTION IV, Page 6 of 17 MINORITY OWNED AND WOMEN OWNED BUSINESS ENTERPRISES: Central Valley School District #356 encourages the participation of Minority Owned and Women Owned Business Enterprises in this RFQ. SAVE HARMLESS: Quoter agrees to protect and save harmless District No. 356 against all claims, suits, or proceeding for patent, trademark, copyright or franchise infringements, and against any damage cost or liability for any injuries to persons or property arising from acts or omission of the Quoter or his/her agents, any of which result from the purchase of goods or services from his/her quote. TAXES: State on your quote proposal form the rate of sales tax that will be charged or, if none, state 8.6%. The District is exempt from certain Federal taxes and, where appropriate, shall provide an exemption certificate upon request to successful Quoter. The District is required to remit Washington State Sales Tax for purchases outside of Washington where no sales tax is collected. For evaluation purposes the current tax/usage rate for the District will be used. i.e. 8.6%. ALTERNATIVES AND EQUALS: This quote allows for two different types of supplies, OEM and remanufactured equipment. All items submitted in the OEM column of the Quote Form must be from the original manufacturer. All items in the Remanufactured column on the Quote Form must meet the requirements for remanufactured toner and ink listed below. SAMPLES: Samples may be required during the evaluation of quote results. If so, samples must be received within 72 hours after request. If the time due is on a weekend, the samples are due the following Monday by noon. PROPOSER S CERTIFICATION: By signing the proposal the Quoter certifies that; they have read this RFQ; are authorized to bind the Vendor; and agree to furnish the requested supplies, equipment or services in accordance with this RFQ. RFQ COMPLETION: Quotes must be completed insofar as possible on the enclosed RFQ document and signed by an authorized representative of the Vendor. Quotes are required in two formats, by fax and by 1. By Fax (by the due date/time) to: (509) DOCUMENTS REQUIRED: a. DEBARMENT / SUSPENSION CERTIFICATION (section VII) b. VENDOR QUESTIONNAIRE (section VIII) c. QUOTE PROPOSAL (section IX) d. QUOTE FORM (Spreadsheet, in Excel format, not HTML) e. The Vendor shall provide a one year warranty on workmanship with quote. 2. Via to dking@cvsd.org in the spreadsheet available on our website (see below for instructions). a. QUOTE FORM (Spreadsheet, in Microsoft Excel format, not HTML)

7 QUOTE DUE BY: JULY 21, 11:00 A.M. SECTION IV, Page 7 of 17 RFQ CHANGES OR WITHDRAWAL: Quoter may not withdraw his/her quote after the quote is due. ACCEPTANCE / REJECTION: The District reserves the right to accept or reject quotes, to waive informalities, and to contract in the best interests of the District. Successful Quoter shall enter into contract when accepted by the district and the first purchase order is placed. AWARDS: The Central Valley School District reserves the right to increase or decrease the quantity specified and still contract at the original quote price. The District reserves the right to reject any and all quotes, to waive any and all informalities and the right to disregard all nonconforming, non-responsive, or conditional quotes. The District seeks qualified Vendors. Award of the contract will be made on the basis of quote price based on an estimate of usage and other factors such as: a. the ability, capacity, and skill of the Quoter to provide the service and/or materials required; b. the character, integrity, reputation, judgment, experience, and efficiency of the Vendor; c. whether the Vendor can supply the materials and/or services within the time specified; d. the quality of performance of previous materials and/or services; e. the previous and existing compliance by the Vendor with laws relating to the contract or services, and; f. other requirements as listed in this document. The District may conduct investigations as it deems necessary to assist in the evaluation of any quote and to establish the responsibility, qualifications, and financial ability of the Vendor to supply materials and/or services to the District's satisfaction within the prescribed time. The District reserves the right to reject the quote of any Vendor who does not pass any such evaluation to the District's satisfaction. If the quote is to be awarded, the District will give the successful Quoter a purchase order within thirty (30) days after the day the quote is due. JURISDICTION: This quote has been and shall be construed as having been made and delivered within the State of Washington, and it is agreed by each party hereto that this quote shall be governed by laws of the State of Washington, both as to interpretation and performance. Any action of law, suit in equity, or judicial proceeding for the enforcement of this quote or any provisions thereof shall be instituted and maintained and venue shall be only in the courts of competent jurisdiction in Spokane County, Washington. LAW COMPLIANCE: The Quoter agrees to fully comply with all Federal, State, and local laws, orders, rules, regulations, and ordinances including, but not limited to, those relating to industrial insurance, unemployment compensation, social security, minimum wages, equal employment, safety standards and building codes, and the Quoter shall indemnify and save harmless the District for any claim liability or expense by reason of the failure of the Quoter or any of his/her subcontractors to comply with such laws, orders, rules, regulations, or ordinances.

8 QUOTE DUE BY: JULY 21, 11:00 A.M. SECTION IV, Page 8 of 17 FAILURE TO PROVIDE GOODS: If the Vendor fails to deliver under DELIVERY below, the Vendor agrees to pay the school District the difference between the quote amount (a one-year estimate) and the cost of goods from the next or alternate Quoter, or if necessary, a current quote if the current quote is too old (as determined by the District). DELIVERY: Quote prices are to be FOB Destination and Shipping is Prepaid and Included (paid by the Vendor). All items must be delivered by the date set forth in the Latest Delivery Date section on the Quote Schedule. Goods not received by the Latest Delivery Date will be refused and returned at the vendor s expense unless alternate arrangements are approved in writing by the Purchasing Manager or Warehouse Manager. All merchandise is subject to inspection and acceptance by the District personnel before final payment. A penalty of 2% of quote price per day will be assessed on the Contractor for failure to deliver by the Latest Delivery Date. By participating in this quotation you are authorizing the District to short-pay your invoice if not delivered as required. PACKING SLIPS: Packing slips must accompany all deliveries and include Vendor s name, purchase order number, quote item number, unit of purchase, quantity shipped, and quantity backordered if any. Packing slips are not considered invoices. See INVOICING below. QUALITY: Products received after the award, which does not pass quality levels consistent with good workmanship or performance standards shall, at the vendor s expense, be picked up by the vendor and replaced or refunded as determined by the District. INVOICING: An invoice must be submitted directly to the District at E Cataldo Avenue, Attn: Accounts Payable, Spokane Valley, WA for payment. Packing slips or invoices shipped with merchandise will not be considered. Invoicing must include the following components: Vendor s name, purchase order number, quote item number, unit of purchase, quantity, quote price, and sales tax rate (if applicable). PAYMENT: For purchase orders, payment will be made within 30 days after receipt of all goods as awarded and a complete itemized invoice, Net 30. At discretion of the District, partial payments will be made for partial deliveries. For MasterCard orders, the vendor is required to fax a copy of the invoice to the person placing the order and invoice no earlier than the shipping date of the product. DEFECTIVE INK AND TONER CARTRIDGES: The awarded vendor is responsible for arranging shipping and issuing credits for defective ink and toner cartridges. Cartridges will be picked up by the awarded vendor using an ARS label. The shipping point will be from the location the cartridges were shipped unless the District makes other arrangements. Credits will be issued by the vendor for all returned cartridges for the full cost of the cartridges, no restocking fees will apply. If no further cartridges are remaining to be ordered and a credit isn t forthcoming, the district reserves the right to short-pay any existing invoice in order to apply the credit.

9 QUOTE DUE BY: JULY 21, 11:00 A.M. SECTION IV, Page 9 of 17 DAMMAGED INK AND TONER CARTRIDGES: Any cartridges received which are damaged will be returned at the expense of the vendor following the terms set out in Defective Ink and Toner Cartridges above. RESTOCKING FEES: For ink and toner ordered by mistake by the District and called to request restocking at the vendor s location, no more than a 10% restocking fee will apply. The District will pay for the return shipping. If problems exist with toner and ink quality and the District requests for restocking, no restocking fees will apply. SHELFLIFE FOR INK AND TONER CARTRIDGES: The District requires that all ink and toner cartridges are new and fresh. Ink or toner which is received by the District and is not considered fresh by the District will be returned at the expense of the vendor following the terms set out in Defective Ink and Toner Cartridges above. QUESTIONS: Questions regarding quotes should be directed to DARREN KING, C. P. M., Purchasing manager (509) , or via at dking@cvsd.org. There are generally two types of questions regarding the RFQ. One involves directing the questioner to the specific section of the quote where the answer may be found. The second type of question involves clarifying or interpreting parts of the RFQ and will require addenda to confirm the additional information for all potential Quoters (via our website). The Quoter must confirm telephone conversations in writing if an addenda is to be considered. Responses to these questions are provided to all potential Quoters by written addenda. END OF SECTION IV

10 QUOTE DUE BY: JULY 21, 11:00 A.M. SECTION V, Page 10 of 17 SPECIAL INSTRUCTIONS (section V) 1. This RFQ is for the supply of computer printer ink and toner cartridges from through July 31, Prices are to be firm, i.e. - fixed for the above period. 3. All prices are to be F.O.B. the Central Valley School District Warehouse, E. Cataldo Avenue, Spokane Valley, Washington, or for schools within our district. 4. For purchase orders, payment for all items will be made once each month with our regular monthly payments to vendors. For orders placed on MasterCard, the vendor must fax an invoice to the person placing the order and the transaction must not take place earlier than the date of shipping. Any credits must be made to the purchase order or credit originating the purchase. 5. Prices must be given for all line items for the brands specified. Some items may not be ordered initially, but as needed. 6. Pricing will be for all orders regardless if they are shipped to a school or directly to our warehouse. 7. There is no minimum order. 8. For toner, an ARS label must be shipped with each cartridge and at our choice we may return the empty cartridges. 9. The initial purchase will be our initial purchase for the school year and is considerably larger than our orders placed approximately bi-monthly by the warehouse and occasionally by each of our 23 school and office buildings. 10. For our current school year we have spent over $50,000 before taxes on remanufactured printer cartridges. The awarded pricing for our last contract may be found on our website. 11. The Quoter must provide a discount for ink and toner cartridges not listed but available from the manufacturer by submitting a discount price percentage off of retail. The discount for remanufactured cartridges will be based on the OEM price as well, since the OEM price is a benchmark. 12. The District will evaluate this quote using the Evaluative Quantity, and if necessary, the discount percentage from unlisted toner and ink cartridges and credit for returned empty cartridges. The district may give up to a 10% credit, for evaluation purposes only, for vendors operating within our area which allow walk-in purchases by our staff.

11 QUOTE DUE BY: JULY 21, 11:00 A.M. SECTION V, Page 11 of Document Submission for Consideration: A spreadsheet for these items is available on our website at in the QUOTES section. Quotes are required in two formats, by fax and by 1. By Fax (by the due date/time) to: (509) DOCUMENTS REQUIRED: a. DEBARMENT / SUSPENSION CERTIFICATION (section VII) b. VENDOR QUESTIONNAIRE (section VIII) c. QUOTE PROPOSAL (section IX) d. QUOTE FORM (Spreadsheet, in Excel format, not HTML) e. The Vendor shall provide a one year warranty on workmanship with quote. 2. Via to dking@cvsd.org in the spreadsheet available on our website (see below for instructions). b. QUOTE FORM (Spreadsheet, in Microsoft Excel format, not HTML) END OF SECTION V

12 QUOTE DUE BY: JULY 21, 11:00 A.M. SECTION VI, Page 12 of 17 VENDOR REQUIREMENTS SPECIFICATIONS (section VI) The vendor must meet all requirements under this RFQ in order to be considered. The District may require additional proof of meeting requirements after the quote has been received for verification purposes. Failure to provide additional required verification within 24 hours from request may result in your company to become considered as non-responsive. To be considered for either OEM or remanufactured cartridges on this RFQ the requirements must be met for the type of cartridges your company is quoting on. Therefore, some companies may meet the requirements for one category but not the other. 1. In business since July 2003 providing the same type of business under the same business name. 2. In the past twelve months provided $500,000 in cartridges sales. 3. In the past twelve months provided cartridges to ten or more companies. 4. Complete business contact information from three of your top ten customers on the quote form. 5. Cartridge failure rate less than.5% currently and during the course of the contract. 6. Returns for failed cartridges in 72 hours or less. 7. The awarded vendor must submit an insurance certificate listing Central Valley School District, #356 as an additional insured. The insurance shall be Commercial General Liability in the amount of at least $1,000,000 combined single limit and $1,000,000 aggregate for all printing equipment in the district in the event the printer(s) are damaged by the cartridges. 8. By submitting a quote the vendor agrees to submit a warranty stating that the use of the remanufactured cartridges will not void any manufacturer s warranty on the printers or faxes. The Contractor shall provide a one year warranty on workmanship with quote. 9. Debarment and suspension certification (section VII). ORIGINAL EQUIPMENT MANUFACTURER (OEM) TONER/INK All line items in the OEM column are for the brand and model specified, no alternates or substitutes are acceptable. All toner and ink must be from the original equipment manufacturer, no refills or remanufactured cartridges are allowed in this column. Use the Quote Form on our website under this quote number for submitting a quote. All manufacturers stock numbers are available on the spreadsheet. We suggest that your company submit a quote for OEM and remanufactured cartridges.

13 QUOTE DUE BY: JULY 21, 11:00 A.M. SECTION VI, Page 13 of 17 REMANUFACTURED TONER / INK All line items in the Remanufactured column on the Quote Form are for remanufactured toner and ink, not just refilled. The cartridge must meet or exceed the OEM standards and specifications. Special Provisions A. Remanufactured is defined as a cartridge which has been completely disassembled and cleaned, replacing with a new long-life optical photo-conductive (OPC) drum with a minimum rating 30,000 page life span and with all brand new parts except using the existing casing. B. Each cartridge shall have complete instructions for installation, a label for returning the used cartridge (if desired by the District), and a sealed bag encasing the new cartridge at least 2.5 mills thick. Each cartridge shall have cardboard inserts or polystyrene-cushioning caps used to secure the cartridge in the box. Technical Specifications A. Component Cleaning and Preparation 1. Both the toner storage reserve which holds fresh toner and toner collection reservoir which gathers the used toner shall be thoroughly cleaned to remove all remaining toner residue from previous use. 2. All exterior surfaces shall be cleaned, utilizing cleaners/solvents that cause no damage or discoloration to the case. 3. The fuser wand worn felt shall be removed from the fixing roller cleaner and a new, oil-treated felt strip, equivalent in all respects to the original equipment felt, shall be installed. The fuser wand and cotton swab shall be completely sealed in plastic packaging material to preserve and protect. 4. The OEM primary corona roller surfaces are to be stripped and recoated with a polymer resin material. Drums and drum-coating resins shall meet or exceed OEM standards and drums shall be tested for continuity at least every ten cycles. 5. The OEM magnetic roller needs to be resurfaced every 2 cycles. 6. The original OEM recovery blade shall be replaced with one manufactured of pliable poly-mylar material, meeting or exceeding OEM standards, and this blade shall be replaced needed thereafter, at least every 2 cycles. 7. The original OEM corona-wire assemblies, if any, are to be cleaned and tested for continuity and a magnetic strip is to be installed in the corona wire assembly to minimize contact of toner residue. 8. Cartridges for use in printers with exposed corona wire shall be accompanied by instructions for cleaning the corona wire. 9. All cartridges are to be tested after remanufacturing by installing the cartridge in an applicable printer/fax running and inspecting test copies. 10. Primary charge roller shall be replaced every 2 cycles. B. All cartridges shall be guaranteed to perform to the manufacturer s (OEM) specifications and to the satisfaction of the District. The cartridge shall equal or exceed the yield of the manufacturer s (OEM) specification. Any cartridge found defective, shall be replaced free of charge regardless of the amount of toner remaining in the cartridge.

14 QUOTE DUE BY: JULY 21, 11:00 A.M. SECTION VI, Page 14 of 17 C. Reassembly and Inspection. 1. A properly thermal process seal shall be applied into the toner storage reservoir. This seal is required to prevent the migration of toner from the toner storage reservoir into other areas of the cartridge during shipment, storage, etc. The seal shall be readily removable by the end user prior to insertion of the cartridge into printer/fax. 2. The toner storage reservoir shall be filled with fresh, black or color toner. Toner shall be fully compatible (in chemical make-up, particle size and other relevant characteristics) with the drum being employed in the remanufacturing process wand with characteristics of the printer(s) in which it is to be used. 3. Reassembly of the cartridge shall be accomplished utilizing brand new parts, replacing the drum with a brand new long-life optical photo-conductive (OPC) drum and using the existing casing. 4. Fully functional OEM compatible chips shall be installed for those cartridges requiring chips. 5. A label shall be affixed to the casing of each remanufactured cartridge and on the top of each individual shipping container which provides, as a minimum, the following information: a. name and address of the remanufacture, with the type of cartridge. b. Date of completion of the remanufacturing process and expiration date of the cartridge. c. Toll-free telephone number to which questions and or problems may be addressed. d. Serial number to track the date of completion of the remanufacturing process and the components used in the cartridge. RETURNING AND CREDITING EMPTY CARTRIDGES At each school or departments option they may return used cartridges using the label provided by the Contractor in the refurbished cartridge box. Within 30 days the Contractor shall credit each school or department individually (Contractor must have a method in place to track which school or department should receive the credit). If the purchase was made on a credit card, the credit also shall be applied back to the credit card and a credit shall be faxed to the person who initiated the order. Credits applied to purchase orders shall reference the purchase order number which initiated the order and school/department to credit and the check shall be sent directly to the District s Accounts Payable department. Use the Quote Form on our website under this quote number for submitting a quote. All manufacturers stock numbers are available on the spreadsheet. END OF SECTION VI

15 QUOTE DUE BY: JULY 21, 11:00 A.M. SECTION VII, Page 15 of 17 INSTRUCTIONS DEBARMENT / SUSPENSION CERTIFICATION (section VII) Submit this page with your Quote Proposal (section IX) and Quote Form (spreadsheet). CERTIFICATION STATEMENT As required by Executive Order 12549, Debarment and Suspension, and implemented at 7 CFR 3017, for prospective participants in primary covered transactions, as defined at 7 CFR 3017, Sections and The prospective primary participant certifies to the best of its knowledge and belief, that it and its principals: 1. (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency; (b) Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and (d) Have not within a three-year period preceding this application/proposal had one or more public transactions (Federal, State or local) terminated for cause or default. 2. Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal. Organization Name Name and Title of Authorized Representative Signature Date END OF SECTION VII

16 QUOTE DUE BY: JULY 21, 11:00 A.M. SECTION VIII, Page 16 of 17 VENDOR QUESTIONNAIRE (section VIII) INSTRUCTIONS Submit this page with your Quote Proposal (section IX) and Quote Form (spreadsheet). 1. Has your company been in business since July 2003 providing the same type of business under the same business name? YES / NO 2. In the past twelve months has the business provided $500,000 or more in cartridges sales? YES / NO 3. In the past twelve months has the business provided cartridges to ten or more companies? YES / NO 4. List business contact information from three of your top ten customers on the quote form. (Please contact the references below prior to submitting your quote to ensure they will openly discuss your contract with the District in order to be considered responsive). Company Name Contact Person Phone Number Contract Reference 5. Has your cartridge failure rate been less than.5% currently and during the course of the contract for your top ten companies? YES / NO If no, explain: 6. When a cartridge fails and needs to be returned can you guarantee receipt within 72 hours? YES / NO 7. Do you currently have liability insurance for $1,000,000 or more and are able to provide a certificate showing the District as an additional insured for all our printers in the event your cartridges are defective? YES / NO If no, explain: 8. Warranty: Submitted with your quote? YES / NO 9. Debarment and Suspension Certification: Submitted with your quote? YES / NO END OF SECTION VIII

17 QUOTE DUE BY: JULY 21, 11:00 A.M. SECTION IX, Page 17 of 17 QUOTE PROPOSAL (section IX) Having carefully read and understood all sections of this Quote, I/we agree to provide all labor and materials as per specifications for the following price. Do not include sales tax. Complete all areas on this form. BASE QUOTE 1. BASE QUOTE (total from spreadsheet) A. Original Equipment Manufacturer Cartridges $ B. Remanufactured Cartridges $ C. Credit For Returns $ 2. BASE QUOTE Discount for Cartridges from Current OEM Price for: OEM REMANUFACTURED A. HP Cartridges % OFF % OFF B. Epson Cartridges % OFF % OFF C. Canon Cartridges % OFF % OFF D. Lexmark Cartridges % OFF % OFF SUBMITTALS 3. Debarment/ Suspension certification, Vendor Questionnaire, and Warranty: Are they attached? YES \ NO TAX RATE 4. What Tax Rate will we be charged? (State 8.6% if your company doesn t collect WA State tax.) % ADDENDA 5. Acknowledgement Receipt of Addenda Number (if any) REMINDER: Check our website at in the QUOTES area under this quote number for addenda prior to submitting a quote. Respectfully submitted, FIRM NAME RETURN by July 21, 2006 at 11:00 a.m. ADDRESS QUOTE SUBMISSION: AND 1. FAX all required documents to (509) the Quote Form (Microsoft Excel spreadsheet, not HTML) containing all quote prices to dking@cvsd.org. CITY STATE ZIP SIGNATURE PRINT OR TYPE NAME TITLE END OF SECTION IX PHONE FAX