CARPET MANUFACTURER’S PRICING SCHEDULE & INFORMATION SHEET
(submit one complete sheet per carpet style)
MANUFACTURER: ___________________________________________________________________
STYLE/NAME: __________________________________________WARRANTY:__________YEARS
FIBER SYSTEM :
Brand Name of Fiber ______________ Fiber Type ___________ _______% (Type 6 or 6, 6 and what percentage)
Brand Name of Fiber ______________ Fiber Type ___________ _______% (Type 6 or 6, 6 and what percentage)
Brand Name of Fiber ______________ Fiber Type ___________ _______% (Type 6 or 6, 6 and what percentage)
Solution Dyed ____________%
Yarn Dyed ____________%
Bio-based ___________%
Fiber Modification Ratio: ________________
CARPET TILE
FACE WEIGHT: _________ GAUGE: ________ STITCH PER INCH: ___________
PILE HEIGHT: __________ PILE DENSITY: ________ DPF (Denier Per Filament): __________
BROADLOOM
FACE WEIGHT: _________ GAUGE: ________ STITCH PER INCH: ___________
PILE HEIGHT: __________ PILE DENSITY: ________ DPF (Denier Per Filament): __________
Heat applied Soil Resistance by manufacturer: TREATMENT BRAND NAME _____________________________
TOPICAL, DURING MANUFACTURING PROCESS
INCORPORATED IN THE BACKING AND/OR YARN
JOBSITE APPLIED
___________
___________
___________
GREEN LABLE PLUS CERTIFIED Y ______ N _______
ANSI/NSF 140 DESIGNATION: ___________________________________ (Platinum or Gold)
APPEARANCE RETENTION TEST ASTM D 5252 CRI RATING
Severe Rating Y _____ N ______ 3.5
and Higher
– Severe Wear Rating
Severe Rating 3 rd
Party Certified? Y _____ N _____
AATCC 171 FOLLOWED BY AATCC 175 TESTING SCORE : ________________ (1-10 by Independent Lab)
DOES THIS CARPET QUALIFY FOR A
“BUY BACK OR TAKE BACK” PROGRAM AFTER ITS USEFUL LIFE?
Y _____ N______
TEXTURE
___LVL LOOP ___MULTILVL LOOP ___TIP SHEAR ___TXT’D LOOP ___CUT&LOOP
___OTHER _________________________
6’ 6’6” 12’ TILE SIZE
VINYL
URETHANE CUSHION
______ ______ ______ _____________
______ ______ ______ _____________
ACTION :
UNITARY :
______ ______ ______ _____________
______ ______ ______ _____________
RECYCLED ______ % ______ % ______ % _____________%
QUICKSHIP : Y N CIRCLE ABOVE SIZES WHICH ARE QUICKSHIP ITEMS.

CHAIR FLOOR MATS REQUIRED Y_________ N ___________
RECYCLED CONTENT :
YARN : Y N
POST INDUSTRIAL RECYCLED CONTENT __________%
POST CONSUMER RECYCLED CONTENT __________%
PROVIDE NAME OF THIRD PARTY CERTIFICATION _________________________________
BACKING : Y N
POST INDUSTRIAL RECYCLED CONTENT __________%
POST CONSUMER RECYCLED CONTENT __________%
PROVIDE NAME OF THIRD PARTY CERTIFICATION __________________________________
THIRD PARTY CERTIFICATIONS
Is this product produced in an ISO Certified Manufacturing Facility? Y _______ N _______
ISO __________________ ISO ___________________
IS YOUR COMPANY 3
RD PARTY CERTIFIED “CARBON NEUTRAL?” Y______N ________
Is this product UL Listed Y ______ N __________
IS THIS PRODUCT ELIGIBLE FOR ANY ENVIRONMENTAL STEWARDSHIP PROGRAMS WHICH ARE THIRD PARTY
CERTIFIED?
Y _______ N _____________
PROVIDE A BRIEF DESCRIPTION.
____________________________________________________________________________
MILL to ASU WEBSITE AVALIBILITY Y________ N_________
XCEL SPREADSHEET/ORDER PROPOSAL CAPABILITIES Y___________N__________
MEETS ALL CARPET PERFORMANCE REQUIREMENTS: Y__________ N ____________
If the answer is no, disclose areas of non-compliance.
__________________________________________________________________
PRICING ( Includes F.O.B Destination and 3% COST RECOVERY FEE):
ROLL 6’/6’6” VINYL
6’/6’6” URETHANE CUSHION
6’/6’6” MG
12’ URETHANE III (OR EQUAL)
$ _________SY
$__________SY
$ _________SY
$__________SY
Adhesive Cost
$__________
$__________
$__________
$__________
12’ ACTION BACK
12’ UNITARY BACK (OR EQUAL)
12’ MG BACKING
OTHER ____________________________________
TILES
PRICE PER BOX/CARTON
Square Yards PER BOX : _________SY
TILE SIZE _________
VOLUME DISCOUNT SCHEDULE:.
$__________SY $__________
$__________SY
$__________SY
$__________SY
$__________SY
$__________
$__________
$__________
$__________
$__________ PER CTN.
_______% discount per _ _______yds
_______% discount per ________yds
_______% discount per ________yds.