QUOTATION
SCHEDULE C
RFQ Title: Traffic Signal Control Equipment
RFQ No.:
1220-040-2012-049
CONTRACTOR
CITY OF SURREY
Legal Name: __________________________________________
Kam Grewal, Purchasing & AP Manager
Address: _____________________________________________
6645 – 148 St., Surrey. BC V3S 3C7
Phone:_____________________ Fax: ______________________
Phone: 604-590-7274 Fax: 604-599-0956
Email: _______________________________________________
E-mail for PDF Files: purchasing@surrey.ca
1. The Contractor offers to supply to the City of Surrey the Goods for the prices plus applicable taxes
as follows:
F.O.B.
Item
Payment Terms:
Ship Via:
Destination
A cash discount of ____% will be allowed if invoices are paid within ___ days, or the
Freight Prepaid
___ day of the month following, or net 30 days, on a best effort basis.
Item Name
Quantity
#
1.
Unit of
Unit Price
Total Amount
Measure
Model 170E Traffic Signal Controller Unit c/w
412C
40
Each
__________
$________
$____________
325
Each
___________
$________
$____________
350
Each
__________
$________
$____________
80
Each
$________
$_____________
Qualified Product Brand Name:
Name of Manufacturer: ________________
2.
Model 200 Switch Packs
Qualified Product Brand Name:
.
3.
Name of Manufacturer:
________________
Model 222 Detector Units
Qualified Product Brand Name
.
Name of Manufacturer:
________________
4.
Model 242 DC Isolators
Qualified Product Brand Name:
Name of Manufacturer:_________________
Subtotal:
HST: 12%
CURRENCY: Canadian
TOTAL:
NOTE: Above pricing to be held firm for one year from date of award.
RFQ (Goods) No. 1220-040-2012-049
Page 17 of18
2.
If this offer is accepted by the City, such offer and acceptance will create a contract as described
in:
(a)
the RFQ;
(b)
the specifications set out above and in Schedule A of the RFQ;
(c)
the General Terms and Conditions; and
(d)
this Quotation; and
(e)
other terms, if any, that are agreed to by the parties in writing.
3.
Capitalized terms used and not defined in this Quotation will have the meanings given to them
in the RFQ. Except as specifically modified by this Quotation, all terms, conditions,
representations, warranties and covenants as set out in the RFQ will remain in full force and
effect.
4.
I/We the undersigned duly authorized representatives of the Contractor, having received and
carefully reviewed the RFQ including without limitation the Specifications and the General Terms
and Conditions, submit this Quotation in response to the RFQ.
This Quotation is offered by the Contractor this ___________ day of ___________________, 2012.
CONTRACTOR
I/We have the authority to bind the Contractor.
________________________________________
(Legal Name of Contractor)
_________________________________________
(Signature of Authorized Signatory)
_________________________________________
(Print Name and Position of Authorized Signatory)
This Quotation is accepted by the City of Surrey this _____ day of _______________, 2012.
CITY OF SURREY
__________________________________________
(Signature of Authorized Signatory)
_________________________________
(Signature of Purchasing Representative)
__________________________________________
(Print Name and Position of Authorized Signatory)
__________________________________
(Print Name of Purchasing Representative)
__________________________________________
(Signature of Authorized Signatory)
__________________________________________
(Print Name and Position of Authorized Signatory)
RFQ (Goods) No. 1220-040-2012-049
Page 18 of 18