CONTRACTOR QUOTATION FORM / DATE:
Registered job #

DHSI 13 Silver Street, Rochester, New York 14611

TEL: 585-235-8543 FAX: 585-235-0431Web: dhsi-seal.com

Contact: Robert Rissone, President e-mail:

Request and Take-Off By:

*CONTACT:
*Contractor:
*Address:
*City/State:
*TEL:
*FAX:
*e-mail: / *Name of Job:
*City/State:
*ARCHITECT:
*TEL:

*necessary for quote

Grouping of products may result in additional discounts.

QTY / SIZE / Net / Total
A. / #105 "Cush 'N' Seal" Frame Seals:
Color Choice: Off-White (OW) or Dark Brown (DB)
# of Sets / 3’-0 x 7’-0 / $
# of Sets / 4’-0 x 7’-0 / $
# of Sets / 6’-0 x 7’-0 / $
# of Sets / $
TOTAL SETS: / As above / $
B. / #SA-7: Self Adhesive Surface Astragal OW or DB / 7’-0 / $ / $
C. / #SA-8: Self Adhesive Surface Astragal OW or DB / 8’-0 / $ / $
D. / #AMA3 Adjustable Mortise Astragal / $ / $
E. / #CS 36 x AMU Cap Sweep
with Allowance and Means for Undercut option (Entry)
Circle Choice Off-White (OW) or Dark Brown (DUR) / 3’-0 / $ / $
F. / #CS 36 Cap Sweep
Standard – use Dust Plug for corner seal
CONNECTING/STAIR
Circle Choice Off-White (OW) or Dark Brown (DUR) / 3’-0 / $ / $
G. / #AMDB3-2 x AMU Adjustable Mortise Door Bottom
with Allowance and Means for Undercut option (Entry)
x SWE YES or NO x AMU YES / 3’-0 / $ / $
H. / #AMDB3-3 Adjustable Mortise Door Bottom
Standard – use Dust Plug for corner seal
x SWE YES or NO x AMU NO / 3’-0 / $ / $
I. / #AMDB3-3 x AMDB-CC
Adjustable Mortise Door Bottom with Conversion Channel for HM doors– use Dust Plug for corner seal / 3’-0 / $ / $
J. / #SSDB3-2 x AMU Surface Door Bottom
with Allowance and Means for Undercut option (Entry)
x AMU YES
Cover Color: OW, Duro, AL or Champagne / 3’-0 / $ / $
K. / #SSDB3-3 Surface Door Bottom
x AMU NO – use Dust Plug for corner seal
Cover Color: OW, Duro, AL or Champagne / 3’-0 / $ / $
L. / #SAS: “Secur-A-Seal” automatic door bottom
Frame Color: Handing: LH RH
Use Dust Plug for corner seal
Cover Color: OW, Duro, AL or Champagne / 3’-0 / $ / $
M. / #FT 2.75 Fire Threshold – Entry
Color: Black (BK), Grey (GY) or Dark Brown (DB) / 3’-0 / $ / $
N. / #FA/SB Frame Alignment/Security Brackets / $ / $
O. / #CTT 2.75 Carpet-to-tile Threshold – Entry
Color: Black (BK), Grey (GY) or Dark Brown (DB) / 3’-0 / $ / $
P. / #TTT 2.75 Tile-to-tile Threshold – Entry
Color: Black (BK), Grey (GY) or Dark Brown (DB) / 3’-0 / $ / $
Q. / #CTC-ADJ Threshold- Connecting
NOTE: Adjustable – up to 12 3/8” – list depth
Current Codes require a fire separation at Connecting
Color: Black (BK) or Dark Brown (DB) / 3’-0 / $ / $
R. / #HS 3.50 Fire Threshold - Black - Stair / 3’-0 / $ / $
S. / #FS 5.50 Fire Threshold – Black – Full Saddle / 3’-0 / $ / $
T. / #DP.25 Dust Plug (1 each for 12 doors) / Each / $ / $
U. / #SAL: “Secur-A-Latch” Privacy Keeper x finish / Finish / $ / $
V. / #SAL-CONN (for use with SAL at Connecting) / Each / $ / $
W. / #SAL-FD Frame Decal (for SAL Renovation use) / Each / $ / $
X. / #SAL-DD Door Decal (for SAL Renovation use) / Each / $ / $
Y. / #SPC Strike Plate Cover (for use with SAL) / Each / $ / $
Z. / ADD FOR FREIGHT: Estimated
All freight costs are based upon estimate weight at time of quotation. Actual cost may vary at time of shipment. / $
A1. / NY State TAX: * Buyer agrees to pay tax outside NYS direct to the taxing authority in the state where applicable / $
B1. / DHSI will calculate and return: / GRAND TOTAL / $

TERMS: Net 30 from day of receipt of material. All quotes are in U.S. Funds. Past due invoices are subject to penalties as allowed by individual state codes. Delays in the formal acknowledgement of the Industry Guidelines and Recommended Clearances forms will delay shipment. The training materials and related forms are COPYRIGHT and it is agreed that they will not be duplicated, nor allowed to be duplicated by any other person or organization. They remain the property of DHSI. Use is for specific sites only and by the owner (Operations Manager) for training. Buyer agrees not to compromise the intended use of "Cush 'N' Seal" by using it as a frame seal with other manufacturer’s products. These terms and conditions preclude any terms and conditions as may appear on any P.O. issued by the buyer and/or user and is agreed upon by issuance of such P.O. Material supply only-not a labor subcontract-No retainage. This quote is good for 30 days from date of issue. Installation constitutes acceptance of the product. Consult DHSI for current production lead times. Distributors must agree not to mix our sealing systems products with other manufacturer’s sealing systems products, such as our frame seals with other mfg door bottoms.

Accepted By:DOOR AND HARDWARE SYSTEMS, INC.

Company:Date:

Date:By:

Date Material is Requested:CQFC-01