Project Title:

Project Number:

Project Manager:

Funding Source:

Inspector:

Account Number:

Public Works Accountant:

RFQ Date:

E-Mail:

Project Description:

If Y is in S.T. column, sales tax @

Time of Completion = ___ working days

% is applicable to that item.

Item No.

Item Name

Description

Quantity

Unit

Unit Price

Price

S.T.

Sales Tax

Total Price

1

$0.00

$0.00

$0.00

2

$0.00

$0.00

$0.00

3

$0.00

$0.00

$0.00

4

$0.00

$0.00

$0.00

5

$0.00

$0.00

$0.00

6

$0.00

$0.00

$0.00

7

$0.00

$0.00

$0.00

8

$0.00

$0.00

$0.00

9

$0.00

$0.00

$0.00

10

$0.00

$0.00

$0.00

11

$0.00

$0.00

$0.00

12

$0.00

$0.00

$0.00

13

$0.00

$0.00

$0.00

14

$0.00

$0.00

$0.00

15

$0.00

$0.00

$0.00

16

$0.00

$0.00

$0.00

17

$0.00

$0.00

$0.00

18

$0.00

$0.00

$0.00

19

$0.00

$0.00

$0.00

20

$0.00

$0.00

$0.00

21

$0.00

$0.00

$0.00

22

$0.00

$0.00

$0.00

23

$0.00

$0.00

$0.00

GRAND TOTALS

$0.00

$0.00

$0.00

Contractor Name:

Contact Name:

Contractor License Number:

Phone No.:

Address:

Fax No.:

E-Mail:

Authorized Signature For Quote:

Acceptance of Quote:

Name

Total Amount:

Title:

Title:

Date:

Date:

Signature :______________________________________

Signature :______________________________________

Reference Documents:

See Special Provisions

RFQ Exhibits Attached (from Agency to Contractor):

Special Provisions

Certificate as to Corporate Principal Form

Performance Bond Form

Project Title:

Plans and/or Supplemental Technical Specifications

Project Number:

Contract Form

Funding Source:

Prevailing Wages

Account Number:

Quote Exhibits (to Agency from Contractor):

Quote

Certificate as to Corporate Principal Form

Acceptance of Quote Exhibits (from Agency to Contractor):

Proposal

Declaration of Option for Management of Statutory Retained Percentage Form

Declaration of Option for Performance Bond or Additional Percentage Form

Contract Execution Exhibits (to Agency from Contractor):

Contract

Certificate as to Corporate Principal

Performance Bond

Declaration of Option for Management of Statutory Retained Percentage

Declaration of Option for Performance Bond or Additional Percentage

Certificate of Insurance

Approved Statement of Intent to Pay Prevailing Wages

Notice to Proceed Exhibits (from Agency to Contractor):

Executed Contract

Notice to Proceed

Preconstruction Meeting Notice

Contract Completion Exhibits (from Agency to Contractor):

Punchlist

Notice of Completion - Also to L& I, D.O.R. & E.S.D.

Final Pay Estimate

Final Payment and Retainage Release Exhibits (to Agency from Contractor):

Approved (by DLIS) Affadavit of Wages Paid

Release from Department of Labor and Industries

Release from Employment Security Department

Release from Department of Revenue

Signed Final Pay Estimate

Final Payment and Retainage Release Exhibits (From Agency to Contractor):

Retainage Release Form