"Quote Form for Services and Commodities" - Florida

This printable "Quote Form for Services and Commodities" is a document issued by the Florida Department of Juvenile Justice specifically for Florida residents.

Download a PDF of the latest edition of the form down below or find it through the department's forms library.

ADVERTISEMENT

Download "Quote Form for Services and Commodities" - Florida

394 times
Rate
4.8(4.8 / 5) 20 votes
FLORIDA DEPARTMENT OF JUVENILE JUSTICE
QUOTE FORM FOR SERVICES AND COMMODITIES
FISCAL YEAR
20
- 20
DATE:
Telephone Quote
Sent to Vendor
Person Sent/Spoke to:
Please complete and return by fax or email as provided below. If you have any questions, please contact:
Name:
Phone:
Fax:
E-Mail:
Facility Name:
Facility Address
Services/Products Required by Facility:
Vendor Name:
Telephone:
Address:
Fax:
E-Mail:
FEID No.
TO WHOM IT MAY CONCERN:
If you are interested in providing the products or services required above, please provide us with the following information: Hourly Rate,
Overtime Rate, Weekend/Holiday Rate, Trip Charge, and any other rates that may be incurred. Please also include information on any
discounts, if given, for parts, products, and/or materials. Enter only the dollar amount for the county/counties served/covered and a
percentage for the parts used, or that will be furnished, that you wish to be considered for. PLEASE USE A SECOND SHEET IF
NEEDED.
Employment of Illegal Aliens
Unauthorized aliens shall not be employed by any supplier/vendor. The Department shall consider the employment of unauthorized aliens a violation of section
274A (e) of the Immigration and Nationality Act (8 U.S.C. 1324 a). Such violation shall be cause for unilateral cancellation of any purchase order by the
Department. Pursuant to Executive Order 11-02 signed by the Governor on January 4, 2011, the supplier/ vendor will utilize the E-verify system established by the
U.S. Department of Homeland Security to verify the employment eligibility of its employees and subcontractors. Results of the e-verification will remain on the
Information regarding “E-Verify” is available at the following website:
supplier’s premises for review by the Department if required.
http://www.dhs.gov/files/programs/gc_1185221678150.shtm -
1.
Counties/Cities
Hourly Rate
Overtime Rate
Weekend/Holiday
Trip Charge/Flat
Additional Information
Vendor Covers
(Per Person)
(Per Person)
Rate (Per Person)
Rate (If Applicable)
PARTS: Please indicate below either retail - no discount or retail less __% discount. Check and/or fill in discount amount.
New Parts
Used Parts
Exchange parts
Additional Information
Retail – No Discount or
Retail – No Discount or
Retail – No Discount or
Retail Less
Retail Less
%
Retail Less
%
%Discount
Discount
Discount
Vendor Signature:
Date:
Print Name:
Title:
The mission of the Department of Juvenile Justice is to increase public safety by reducing juvenile delinquency through effective prevention,
intervention, and treatment services that strengthen families and turn around the lives of troubled youth.
Save As
Reset/Clear Form
Print Form
Email Form
FLORIDA DEPARTMENT OF JUVENILE JUSTICE
QUOTE FORM FOR SERVICES AND COMMODITIES
FISCAL YEAR
20
- 20
DATE:
Telephone Quote
Sent to Vendor
Person Sent/Spoke to:
Please complete and return by fax or email as provided below. If you have any questions, please contact:
Name:
Phone:
Fax:
E-Mail:
Facility Name:
Facility Address
Services/Products Required by Facility:
Vendor Name:
Telephone:
Address:
Fax:
E-Mail:
FEID No.
TO WHOM IT MAY CONCERN:
If you are interested in providing the products or services required above, please provide us with the following information: Hourly Rate,
Overtime Rate, Weekend/Holiday Rate, Trip Charge, and any other rates that may be incurred. Please also include information on any
discounts, if given, for parts, products, and/or materials. Enter only the dollar amount for the county/counties served/covered and a
percentage for the parts used, or that will be furnished, that you wish to be considered for. PLEASE USE A SECOND SHEET IF
NEEDED.
Employment of Illegal Aliens
Unauthorized aliens shall not be employed by any supplier/vendor. The Department shall consider the employment of unauthorized aliens a violation of section
274A (e) of the Immigration and Nationality Act (8 U.S.C. 1324 a). Such violation shall be cause for unilateral cancellation of any purchase order by the
Department. Pursuant to Executive Order 11-02 signed by the Governor on January 4, 2011, the supplier/ vendor will utilize the E-verify system established by the
U.S. Department of Homeland Security to verify the employment eligibility of its employees and subcontractors. Results of the e-verification will remain on the
Information regarding “E-Verify” is available at the following website:
supplier’s premises for review by the Department if required.
http://www.dhs.gov/files/programs/gc_1185221678150.shtm -
1.
Counties/Cities
Hourly Rate
Overtime Rate
Weekend/Holiday
Trip Charge/Flat
Additional Information
Vendor Covers
(Per Person)
(Per Person)
Rate (Per Person)
Rate (If Applicable)
PARTS: Please indicate below either retail - no discount or retail less __% discount. Check and/or fill in discount amount.
New Parts
Used Parts
Exchange parts
Additional Information
Retail – No Discount or
Retail – No Discount or
Retail – No Discount or
Retail Less
Retail Less
%
Retail Less
%
%Discount
Discount
Discount
Vendor Signature:
Date:
Print Name:
Title:
The mission of the Department of Juvenile Justice is to increase public safety by reducing juvenile delinquency through effective prevention,
intervention, and treatment services that strengthen families and turn around the lives of troubled youth.
Save As
Reset/Clear Form
Print Form
Email Form
ADVERTISEMENT
Fill PDF online