USE FOR WRITTEN QUOTES as a cover sheet for each vendor Solicitation Number: The University of Montana LIMITED SOLICITATION FORM Solicitation Title: F.O.B.: The University of Montana, Missoula, MT Department of Dept Contact: Dept phone & email: (name) Dept Signature: Limited Solicitation is an informal procurement method for purchases between $5,001 and $25,000. This process is authorized by section 18-4-305, MCA, and ARM 2.5.603. Company Name: Contact: Email: Address: Phone Number: Fax Number: Federal Tax ID Number: Responses to this solicitation will be accepted by The University of Montana at (Department) or FAX to or PDF file by Email to (Date) prior to 2 p.m. local time. until Description of items: include purpose or use of product, description, including any performance or design requirements, brand names, delivery requirements, etc. (As needed, include standard statements on insurance or worker’s compensation requirements, etc. Use extra sheets as necessary.) Quotes must include delivery/shipping cost to F.O.B. destination. Price: Vendor Signature: Additional vendor information attached: Yes No SEE STANDARD TERMS AND CONDITIONS AT: http://www.umt.edu/bussrvcs/Employees/Services/Purchasing/Information/UM-Standard Terms and Conditions.doc 1 of 1 Form PR006B - Limited Solicitation Cover Sheet - Revised 03/11