State Bureau of Procurement
DOA-3088 (R09/2013) / Simplified Bidding Record
(Purchases over $5,000 through $50,000;
for printing, $50 through $50,000) / Date (mm/dd/ccyy) / Agency/Requisitioning Unit
10/14/2015 / ETF
Person Completing
Instructions: The agency will make an effort to solicit small businesses, veteran-owned businesses, disabled veteran-owned businesses, minority businesses, and work centers. Use this form to document transactions over $5,000 through $50,000 and attach to purchase order file copy. Generic specifications should be used when possible. If it is necessary to use a brand name to identify a level of quality, vendors must be informed that equivalent alternatives may be acceptable. The agency will be the sole determinater of equivalency. Alternate bids should be indicated. Successful bidder should be circled. Reasons for rejecting any bids should be noted. If a waiver of bidding is approved, indicate reasons.
**Code type to be used: MBE=Minority Business Enterprise (Certified) WC= WorkCenter (Certified)
DVB = Disabled Veteran-owned Business (Certified) / Kristen Schipper
Requisition or Reference Number
ETF0007
Method of Bidding
Price Lists Written Quote Phone / Verbal
Other (specify)______
** / ** / ** / **
Q / Vendor Name / Code / Vendor Name / Code / Vendor Name / Code / Vendor Name / Code
U / SCRAM! LLC / Type / CS Logistics / Type / Type / Type
A
Item Number, Description / N / Phone / Phone / Phone / Phone
T / 6084417360 / 4147746322
I / FEIN*** / 383704429 / FEIN*** / 391918636 / FEIN*** / FEIN***
T / Unit / Unit / Unit / Unit
Y / Price / Total / Price / Total / Price / Total / Price / Total
Courier Services - Invoiced Monthly / 1 / $648/month / $7,776/year / $579.15/mo / $6,949.80/year
***FEIN (Federal Employer Identification Number) or Social Security Number (if no FEIN)
Contact Person / Richard Cathcart / Steve Kreinz
Contact Date (mm/dd/ccyy) / 10/6/2015 / 10/6/2015
Reply Date (mm/dd/ccyy) / 10/14/2015 / 10/14/2015
Terms / Net 30 / Net 30
Freight F.O.B. / Destination / Destination
Delivery / Daily for Contract Period / Daily for Contract Period
Additional information (note the following as appropriate: bids rejected and why; preferences exercised; explain reason if less than 3 vendors were contacted; justify waiver of bidding):
- See Page 2 -
Simplified Bidding Record
DOA-3088 (R09/2013)
Page 2
** / ** / ** / **Q / Vendor Name / Code / Vendor Name / Code / Vendor Name / Code / Vendor Name / Code
U / Type / Type / Type / Type
A
Item Number, Description / N / Phone / Phone / Phone / Phone
T
I / FEIN*** / FEIN*** / FEIN*** / FEIN***
T / Unit / Unit / Unit / Unit
Y / Price / Total / Price / Total / Price / Total / Price / Total
***FEIN (Federal Employer Identification Number) or Social Security Number (if no FEIN)
Contact Person
Contact Date (mm/dd/ccyy)
Reply Date (mm/dd/ccyy)
Terms
Freight F.O.B.
Delivery
This document can be made available in alternate formats to individuals with disabilities upon request.