HomeMy Public PortalAbout2014-17 Authorizing the purchase of personal protective equipment from Bennett Fire Products Company, IncRESOLUTION NO. 2014-17
A CAPITAL PROJECT AUTHORIZING RESOLUTION OF
THE VILLAGE COUNCIL OF THE VILLAGE OF KEY
BISCAYNE, FLORIDA, AUTHORIZING THE PURCHASE of
PERSONAL PROTECTIVE EQUIPMENT FROM BENNETT
FIRE PRODUCTS COMPANY, INC., AT A COST NOT TO
EXCEED $48,000; PROVIDING FOR A WAIVER OF
COMPETITIVE BIDDING; PROVIDING FOR
AUTHORIZATION; AND PROVIDING FOR AN EFFECTIVE
DATE.
WHEREAS, the Village of Key Biscayne (the "Village") Fire Department is in need of at
least eighteen (18) sets of new personal protective equipment (trousers and jackets) to replace
existing equipment that has reached or is approaching its maximum useful life (the "Equipment");
and
WHEREAS, the Village may, pursuant to Section 2-86 of the Village Code of Ordinances
(the "Village Code"), enter into bids or contracts entered into by another governmental authority,
provided that the governmental authority has gone through a competitive bidding procedure leading
to the award of the bid or contract in question; and
WHEREAS, the Village Council desires to purchase the Equipment based upon the Lake
County, Florida Bid # 12-0806 (the "Lake County Bid"), which was awarded on June 12, 2012; and
WHEREAS, Bennett Fire Products Company, Inc. (the "Bennett") was one of the vendors
awarded by the Lake County Bid; and
WHEREAS, the Village Council authorizes the Village Manager to negotiate and purchase
the Equipment from Bennett with terms that are the same or better than the Lake County Bid and at
a cost not to exceed $48,000; and
WHEREAS, the Village Council finds that this Resolution is in the best interest and welfare of the
residents of the Village.
VILLAGE ATTORNEY
NOW, THEREFORE, BE IT RESOLVED BY THE VILLAGE COUNCIL OF THE
VILLAGE OF KEY BISCAYNE, FLORIDA, AS FOLLOWS:
Section 1. Recitals Adopted. Each of the above stated recitals are hereby adopted,
confirmed and incorporated herein.
Section 2. Waiver of Competitive Bidding. The Village Council, in accordance with
Section 2-86 of the Village Code, hereby waives competitive bidding based upon the Lake County
Bid.
Section 3. Authorization. The Village Council hereby authorizes the Village Manager
to negotiate and purchase the Equipment from Bennett at a cost not to exceed $48,000. The terms
of the purchase of the Equipment shall be the same or better than what is provided in the Lake
County Bid, which is attached as Exhibit "A."
Section 4. Effective Date. This Resolution shall be effective immediately upon
adoption.
(1 -----
PASSED AND ADOPTED this 10th day of June ,
MA R FRANKLIN !E CAPLAN
CONCHITA H. ALVAREZ, MMC, VILLAGE CLERK
APPROVED AS TO FORM AND LEGAL SUFFICIENC
2
EXHIBIT "A"
LAKE COUNTY
1 1 t1 R in 1
CONTRACT NO. 12-0806B
For Fire Equipment and Supplies
LAKE COUNTY, FLORIDA, a political subdivision of the state of Florida, its successors and assigns through
its Board of County Commissioners (hereinafter "County") does hereby accept, with noted modifications, if
any, the Bid of Bennett Fire Products Company, Inc. (hereinafter "Contractor") to supply Fire Equipment
and Supplies to the County pursuant to County Proposal Number 12-0806 (hereinafter "ITB"), -closing dated
March 21, 2012 and Contractor's March 17, 2012 ITB response thereto with all County ITB provisions
governing.
Special Clauses:
Public Records
All electronic files, audio and/or video recordings, and all papers pertaining to any activity performed by
the CONTRACTOR for or on behalf of the COUNTY shall be the property of the COUNTY and will be
turned over to the COUNTY upon request. In accordance with Chapter 119, Florida Statutes, each file
and all papers pertaining to any activities performed for or on behalf of the COUNTY are public records
available for inspection by any person even if the file or paper resides in the CONTRACTOR's office or
facility. The CONTRACTOR shall maintain the files and papers for not less than three (3) complete
calendar years after the project has been completed or terminated, or in accordance with any grant
requirements, whichever is longer_ Prior to the close out of the Contract, the CONTRACTOR shall
appoint a records custodian to handle any records request and provide the custodian's name and
telephone number(s) to the COUNTY.
Prohibition against Contingent Fees
The CONTRACTOR warrants that they have not employed or retained any company or person, other
than a bona fide employee working solely for the CONTRACTOR to solicit or secure this Contract and
that they have not paid or agreed to pay any person, company, corporation, individual, or firm, other
than a bona fide employee working solely for the CONTRACTOR, any fee, commission, percentage, gift
or other consideration contingent upon or resulting from the award or making of this Contract.
This Contract shall be binding upon and shall inure to the benefit of each of the parties and of their
respective successors and permitted assigns.
This Contract may not be amended, released, discharged, rescinded or abandoned, except by a written
instrument duly executed by each of the parties hereto.
The failure of any party hereto at any time to enforce any of the provisions of this Contract will in no way
constitute or be construed as a waiver of such provision or of any other provision hereof, nor in any way
affect the validity of, or the right thereafter to enforce, each and every provision of this Contract.
During the term of this Contract the CONTRACTOR assures the COUNTY that it is in compliance with
Title VII of the 1964 Civil Rights Act, as amended, and the Florida Civil Rights Act of 1992, in that the
CONTRACTOR does not on the grounds of race, color, national origin, religion, sex, age, disability or
marital status, discrimination in any form or manner against the CONTRACTOR employees or
applicants for employment The CONTRACTOR understands and agrees that this Contract is
conditioned upon the veracity of this statement of assurance.
A copy of the Contractor's signed Proposal is attached hereto and incorporated herein, thus making it a part
of this Contract except that any items not awarded have been struck through. The attachments noted below
(if any) are attached hereto and are also made a part of this Contract.
9
Attachments: N/A
No financial obligation shall accrue against the County until Contractor shall make delivery pursuant to order
of the County Procurement Services Director.
The County's Procurement Services Director shall be the sole judge as to the fact of the fulfillment of this
Contract, and upon any breach thereof, shall, at his or her option, declare this contract terminated, and for
any loss or damage by reason of such breach, whether this Contract is terminated or not, said Contractor
and their surety for any required bond shall be liable
This Contract is effective from June 12 1012 through June 30, 2013 except the County reserves the right
to terminate this Contract immediately for cause and/or lack of funds and with thirty (30) day written notice
for the convenience of the County. This Contract provides for four (4) one (1) year renewals at Lake
County's sole option at the terms noted in the Proposal.
Any and all modifications to this Contract must be in writing signed by the County's Procurement Services
Director.
LAKE COUNTY, FLORIDA
By: `1 -iieit--A--tc..r je ,c -1V / J
Senior Contracting, i leer
C/
Date: , it_ -"I.4. • f.2 f -- ' / 2--
Distribution: Original -Bid File
Copy -Contractor
Copy -Public Safety
"Earning Community Confidence through Excellence in Service'
Office of Procurement Services 315 W. Main, Suite 416 P.O. Box 7800
Tavares, Florida 32778-7800 Ph (352) 343-9839 Fax (352) 343-9473
Company Name:
E-mail Address:
LAKE COUNTY
1'10R1DA
INVITATION TO BID (iTB)
DIRE EQt1IPMF,N'I' AND SUPPLIES
ITII Number: 12-0806 C:nnt•arling Officer: Roseann Johnson
Bid Due Date: March 21, 2012 Pre -Bid Cunf. Date: Not applicable
Bid Due Time: 3:00 pm ITB Issue Date: February 16, 2012
A A e
r
V+, r / w i ,v,010
TABLE OF CONTENTS
SI?C"1'lON 1: Special Terms and Conditions Pages 2-16
SF.CTION 2: Statement of Work Pages (7-18
SECTION 3: General Terms and Conditions Pages 19-22
SI;C J ION 4: PricinKertifications/Signatures Pages 23-91
SECTION 5: Attachments Pages 92-93
SPECIFIC SOLICITATION REQUIREMENTS ARE AS NOTED BELOW:
Proposal and/or Performance toot:
Certificate of C'ompetencyll,icense:
Indemnification/insurance:
Pre -Bid Contcrencc/Walk-Thru:
Not applicable to this FIB
Not applicable to this 1'1'11
See Section 1.8
Not applicable to this 1TFt
At the date and time specified above, all bids that have been received in a timely manner will he
opened, recorded, and accepted for consideration. The names of the bidders submitting bids will be
read aloud and recorded. The bids will be available for inspection during normal business hours in the
(Office of Procurement Set -vices thirty (10) calendar days allcr the olrieial bid clue dale, When counter-
signed by an rnrthoriictl County represcrrlalive, this document and any specifically identified attachments
may form Iho: contract document binding the parties to all performance specified herein.
Vendors shall complete and return the entirety of this ITi3 Document, and attach all other
information requested ht this ITB document (See Provision 1.13). Failure to sign the hicl response,
or to submit the bid response by the specified time and date, may be cause for rejection of the bid.
No -RESPONSE: REI'I.Y
It any vendor does not want to respond to this solicitation at this time, or, would like to be removed from
1.akc ('aunty's Vendor List, please mark the appropriate space, complete name below and return this page
only.
❑ Not interested al this time; keep our firm on I.;rke ('omtty's Vendors l.ist fbr (inure solicitations for
this product / service
U Please remove our first front Lake ('otntly's Vendor's I ist for this product / service.
VENDOR IDENTIFICATION
�r /01( /1 1 i, , 11 " r!,
1
1
Phone Number: (,
1
Contact Person:
11!
SECTION 4 -- PRICING/ CERTIFICATIONS/ SIGNiA'1'i1RES 1111 Number: 12-0806
ITIi TITLE: FIRE EQUIPMENT & SUPI'IJIES
NO'I'1S:
• 1.,ikc County is exempt from all taxes (federal, State, Local). Pricing should he less all taxes. A Tax
Exemption Certificate will be furnished upon request.
• The vendor shall not alter or atnend any of the information (including, but not limited to stated units
of measure, item description, or quantity) stated in the Pricing Section. if any quantities are stated in
the pricing section as being "estimated" quantities. vendors are advised to review the "Estimated
Quantities" clause contained in Section 3 ofthts solicitation.
• i-:ach price offered in your bid shall be a tirm-lixed price, exclusive ofany lax. Any bid containing a
modifying of "escalator" clause not specifically allowed for under the solicitation will not be
considered.
• All pricing shall be P013 Destination unless otherwise specified in this solicitation document.
• All pricing submitted shall remain valid for of 90 day period. By signing and submitting a response to
this solicitation, the vendor has specifically agreed to this condition
• Vendors are advised to visit our wehsite at lath://www.lakecountvfl.gov and register as a
potential vendor. Vendors that have registered on-line receive an e-mail notice when the
County issues a solicitation mulching the commodity codes selected by a vendor during the
registration process.
ACKNOWLEDGEMENT OF ADDENDA
INS'T'RUCTIONS: Complete Part I or Part II, whichever applies
Part I:
The bidder must list below the dates of issue for each addendum received in connection with this FTl3:
A(klcndur I # 1, Dated:
Addendum 112, I)atcd:
Addendum #3, Dated;
Addendum #4, Dated:
Part IT:
Ef No Addendum was received in connection with this ffR.
23
SECTION 4 — PRICING/ CERTIFICATIONS/ SIGNA'I't1 RES ITI3 Numher• 12-0806
PRICING SECTION
(Note: Not in alphabetical order.)
If manufacturer listed is no longer in business, please mark an X though the name of the
firm. If manufacturer listed has had a name change, please cross through vendor name and
write in correct name. If you represent manufacturers that are not listed, please add
)additional sheets.
I. 3M COMPANY
Discount from current price list
Price I.ist No.
)ate of Price List
Warranty
Stocking Distributor Yes No
Lead time:
lowly rate tin- repair and service S _ (per hour)
Minimum order (if any) $
Handling tee if less than minimum order $
Nante[felephoneXcll/lleeper of Emergency Contact
1 lave you supplied the required Catalogs and I.iict Price Sheets'' _ YES NO
ABLE SIIOiME
Discount from current trice list
Price List No.
Warranty
°/n
Date of Price I.ict
Stocking Distributor° Ycs No
Lead time;
Hourly rate for repair and service $
Nliuintum order (limy) S
I fondling Ice if less than minimum order S
Namefl'cicphone/C'e1I/Rccper of 1.iutert envy Contact
(per hour)
1 lave ynu supplied the requilec( Catalogs and List Price Sheets?
24
YES NO
SECTION 4 — I RICIN(;/ CERTIFICATIONS/ SIGNATURES 1TB Number: I2-08OG
AC:'I'ION
Discount lion) current price list
Price List No. Date of Price I.ist
Warranty
Stocking D)istrihutnr? Ycs_ No
.call I into,
Hourly rate for repair and service $ per hour)
'Minimum order (if tiny) $
l !mulling fee if less than minimum order 'I
Na+nciTcicpltnne/CcIt/Rccper of Emergency Contact
1lave you supplied Ile required Catalogs and I.tst Price Sheets? YES NO
4. till S'L'UC'K
Discount from current pi ice list _ _ "r
Price List No, Date of Price List
Warranty
Stocking Distributor? Ycs No__
Lead time:
I lowly rate for repair and service S _ (per hour)
kdininium order if any) $
Handling Ice If less than minimum order $
Namc/Telcphunc/CclUl3ecper ul'Gnergcney Contact
Have you supplied the icyuncd Catalogs and 1 ret Price Sheets?
AIM
Discount from current price Iist
Price list No,
Warranty
Date of Price l 1st
25
YES ND
SECTION 4 — I'RICIN(:/ CERTIFICATIONS/ FIC'ATIONS/ SIGNATURES 1113 Number: 12-0806
Stocking Distributor? Yes No
Lead lime:
Hourly rate Ior repair and service $
l'1 ininlnnl order Wally) '
Handling fee if less than minimum order S
Naute' 1 elephwteftclltl3eeper of l::it t rgeney Contact
(per hour)
I lave you supplied the required Catalogs and List Price Sheets? YI .S NO
G. AJAX
Discount from current price list 'fo
Pricc 1.ist No. I )ate of Price ice 1 .ist
Warranty
Stocking I)istrihutor? Yes No
Lead time.
1 lowly rate for repair and service $
N.Iininunn order (if any) $
Iandling fee if less than minimum order S
Name/Telephone/Cell/Beeper of Fmergency Contact
(per hour
Have you supplied the required ('atalogs and List Price Sheets?
!AKRON BRASS /
Discount from current price list 9'0
Price I.rst No. !)ate of Price List
Warranty - -
Stocking Distributor'' Yes No
Lead time:
l lourly rate for repair and service S (per hour)
Minimum order Wally) S
26
YES NO
SECTION 4 — I'121CINC/ CERTIFICATIONS/ SIGNATURES fTH Number: I2 -01f06
I fondling fee if less than minimum order S
Namelfeleplione/Cellilleeper of Emergency Contact
lave you supplied the required Catalogs and List Price Sheets? YES NO
8, A1.1 ,EN SYSTEMS
Discount from cut rent price list _ _ 9'0
I'rice I .ist No. Date of Price List
Warranty -
Stocking Ilistrilmtor? Yes No
Lead time:
Hourly rate for repair and service $ (per hour)
\lininuun order (if any) $
Handling fee tf less than minimum order S
Namc/TcicphonetCellileiper of Emergency Contact
Have you supplied the icquircd Catalogs and List Price Sheets? _
9. ALOCOLITE
Discount front current price list °o
Price I.ist No. DnteofPrice List
Warranty
Stocking Distributor? Yes No
Lead time:
Hourly rate for repair and service $ (per hour)
Minimum order (IFanv)
I laudling fee if less than minimum order $
NamclTclephonc?CeI1 Bveper of Emergency Con la'
Fhtvc you supplied the required Catalogs and I.ist Brice Sheets?
27
YES NO
YES NO
SEC:PION 4 — PRICING/ CERTIFICATIONS/ rSIGNA'I'IiRES 110 Number: I?d)IiO(
I (). %MEREX
Iiscount from current price list
Price List No. Date of Price List
Warranty
Stocking Distributor'? Yes No
I.ead time:
Hourly rate fur repair and service $ (per hour)
Pihihnurn older (if any) $
Handling Ice if less (hart n)inimtun order $
Namei'I'clephonerCeUtffieeper of Emergency Contact
1lave you supplied the required Catalogs and I,ist Price Sheets? , YES NO
I I, AMERICAN FIREW'EAH
Discount from current price list "ro
Price I.ist No.
Warranty
Stocking Distributor? Yes - No
Lad time: /
I lowly rate for repair and service S
Minimum order (ilarty) S , / f t
I lattdling lee if less than minimum older $
I)ate of Price last
-' /r/ ,
rl (per hour)
,,
Name/ I'elephonrCcllrl3ccper of Emergency Contact
a) .t �� e 1iil `1 i,
1 -/
1invc you supplied the required Catalogs and List Price Sheets? YFS _ NC)
12. AMERICAN LAFRANCE
Discount from current price list °f„
Price I ,ist No. !)ate of Price I.ist
Warranty
28
I4 ANSUI, FOAMS
Discount from current price list _
Price List No.
1Varrauty
SECTION 4 — PRICING/ CERT' 11 CATIONS/ SIGNATURES ►1 It Number: 13-0H06
Stocking Distributor? Yes No
Lead time:
Hourly rate for repair and service S
Minimum order (ifany) $
Handling lee if less than 'niobium order S
Nance. Telepltune/('ell/Rcc1 r of I?mergency Contact
(per hour)
11111+C von supplied the required Catalogs and list Price Sheets?
13. AN(;IS
1
Discount from current price list
Price List No.
Watranty
Stocking L)istrihotoi" Yes No
Lead time:
Dine of Price t.ist
t lourly rate lnr repair and scivicc S__ (per hour)
Minimum older (if any) $
Handling fee it' lees than minimum order $
Naute!'I elephone/Celltlteeper of Emergency ('ontact
YES NO
Have you supplied the required Catalogs and List Price Sheets" YI:S NO
1
'to
Date of Price 1.ist
Stocking f)iatributur'? Yes No_
Lead time:
Hourly rate for repair and service S
lt•tinimum order (if any) $-
29
(per hour)
SECTION 4 -- PRICINC/ CKItTIFICATIONS/ SIC NAT 111414 S l 173 Number: 12-ARO6
I landling fee if less than minimum order $
Name/Telephone/Cell/Beeper of Emergency Contact
Have you supplied the required Catalogs and List Price Sheets? YES NO
15 APPLI?(.'I4OI T \ +
Discount from current price list °f'o
Price List No, Date of Price 1.ist
Warranty
Stocking l )islributor? Yeti No
Lead time:
Hourly rate for repair and service $
Min Munn order (if any) S
I fondling tee if less than minimum order $
r`lane/TcicphoneiCell/Beeper of I: nlergency Contact
(per hour)
Ilave you supplied the required Catalogs and List Price Sheets? YES _ NO
16, 14 & B ENTERPRISES
Discount from current price list ",fo
Price List No. )ate of Price List
Warranty
Stocking Distributor? Yes No
Lead time:
Hourly rate for repair and service $ (per Itow 1
Minimum order (Wally) $
I landling fee if less than minimum order
NamerTcicphnnc/C'cll/l3cepci of Lincrgency Contact
Have you supplied the required Catalogs and I Price Sheets?
30
YLS NO
fil':(:'I ION 4 — PRICING/ CI':R'IW1C'A'I'IONS/ SIGNATURES !TB Number. 12-0806
17. 810 SYSTEMS
I liscount form current price list
Price List No.
2
Warranty
Stocking Distributor' Ycs No
Lead time:
46
Date of Price List
1 lourly rate for repair and service $
Minimum order (Warty) $ .
Handling fee if less titan minimum urder S
NameffetephoneKC'elllli�eper of Itmergency Contact
tper hour)
lave you sttr)plied the rettuired Catalogs and List Price Sheets?
18. III.AC'KIN'IT)N RAI)C[.S 'v t
Discount from current price list
Price List Nu. Dale of Price List
Warranty
Stocking Disti ibutor? Ycs No
Land time:
!lowly rate lur repair and service S (per hour)
Minimum urder (if any) 5
Handling fee if Icss than minimum older $
Ntunc!'1'elcphonelCell/'l3eeper of Lntcrgcney Contact
YES NO
Have you supplied the requited Catalogs and 1 ist Pi ice Sheets? YES NO
1'1 I3QU'1't)N CO
Discount front current price list
Price List Nu. Date of Price List
Warranty
>I
SECTION 4 — !'Idlt'ItN(/ CERTIFICATIONS/ SI(:NA'1'III? E ES ITIl Number I2-0846
Stockinet Distributor? Yes No
Lend lime:
Hourly rate liar repair and service $
Minimum order (if any) $
Handling fee if Icss than minimum order S
Name? felephnneiCell/Beeper of 1'.mergency C'onlact
(per hour)
!lave vuu supplied the required Catalogs and List Pi ice Sheets?
20. 11111.1.A 1s 1)
Discount from current price list 4r,
Price I.ist No. Dale ufPrice List
Wart ant,
Stocking Distributor? Yes No
Lead time:
21
1 loony rate for repair and service $ (per hour)
Minimum order (if any) $
I hurdling lee if less than minimum order $
Name/TelcphoneJC'ell/Beeper of Emergency Contact
YES NO
I lave you supplied the required Catalogs and List Price Sheets? YES NO
C'ARNS & BROTHER
Discount Irani current price list
Price List No.
Warranty
Stocking Distributor'? Yes Nu
I.cad time: r' {
t „I
Date of Price list 1
I burly rate for repair and service $ (per hour)
Minimum order (if any) $
32
SECTION 4- PRICING/ CERTIFICATIONS/ SIGNATURES ITB Number: 12-0806
l Iandling fee if less than minimum order S
11
Name/Telephone/Cell/Beeper of I mergency Contact
,� . 1 •r �� ,o/c It y. , j //, , , L ft ,7
Have you supplied the ret u1 fired Catalogs and List Price Shots? YES N( )
C:ALIFOR NIA h1OI1NTAIN
Discount Grwn current price list °a
Price List No. Date ufPrice List
Warranty
Stocking Distributor'' Yes No
Lead time:
Hourly rate for repair and service $ (per hour)
Minimum order (if any) S
Handling fee if less than minimum order $
Narue/Telephone/('eI1/Beeper of Emergency Contact
I lave you supplied the required Catalogs and List Price Sheets?
? i ('AST PRODUCTS
Discount fiont current price list
Price List No.
Warranty
Stocking; l )istributnr? Yes No
Lead time:
r' t
Af�
Date of Price List
Ilourly rate for repair and service $ (per houtl
tfllltin10111 nider (if any) $
Handling ice it less than minimum order
Name/ I'clephonelCell/Beeper of I'mergency Contact
YLS N()
!lave you supplied the required Catalogs and Li't Price Sheets?
33
YES _ NO
1/ •it 1
SECTION 4 - PRICING' CERTIFICATIONS/ SIGNATURES 1 111 Number' 12-0806
2.1_ CHARKATE
Discount from current price list
Mice. List No.
Warranty
Stocking Distributor? Yes No
Lead time:
•!o
Bate ofPrice List
Hourly rate for repair and service $
Minimum order (if any) S
t Candling fee if less than ittinint un order S
NamerfelephoucfCcIlIBeepei of F.mct gcney Contact
(per hour)
f lave you supplied the required Catalogs and fist Price Sheets? YES NO
25. CHIJBB (FOAM)
T_ l
Discount from current price list
Price List No.
Warranty
Stocking, Ilistribntor? Yes No
Lead time:
lowly rate for repair and service $
Minimum order (if any)'. _
l Iandling fee if Icss than minimum oidci S
Dale of Price I,ist
(per hour)
Name/ I'elephgne/['ell?Beeper of Emergency Contact
Have you supplied the required Catalogs and List Price Sheets? YES NO
26 CHURCHVILLE (obsolete?)
Discount front current price list
Price: List No. Date of Price List
Warranty
34
SECTION 4 — I)RI INIG/ CERTIFICA'T'IONS/ SIGNATURES I I li Number 12-0806
Stocking f)istrihutor? Yes No
lead time:
l to urly rate for repair and service S
Minimum order (ifany) S
I kindling fee if less than rninidtunt order S
(per hour)
Namef I'cicphone/Cell/Rccper of Emergency Contact
Have you supplied the required Catalogs and List Price Sheets? YES NO
27 CIRC'UL Alit
Discount front current price list 'Yo
Prtcc Liu No, Date of Price I .ist
Warranty
Stocking Distributor? Yes No
1 cad iintc.
Hourly rate for repair and service
Minimum order (if any) S
Handling Fee if less than minintunt order
Nainefl elephone1CeII/I3ceper of Ltnergeney Contact
(per hour)
Have you supplied the required Catalogs and List Price Sheets? YES NO
2R CODE 3 J . ,
Discount front current price list
('rice l ist No Date of Price List
1Vari anty
Stocking Distributor? Yct No_
Lead time:
I Iourly rate fir repair and lerviee S
Iimmmunt order (if any) SJ�
(per boor)
35
SECTION 4 — PRICING/ CERTIFICATIONS/ SIGNATI I1RES 1113 Ntntther 12-0806
1 Iandling lee if less than minimum urder S
Name/Telephone/Cell/Beeper of Emergency Contact
Have you supplied the required Catalogs and List Price Sheets? YES NO
29. COLLIN AXES
Discount from current price list
Price I ,ist No. I )ate of Price List
Warranty
Stocking I )istrihulot'? Yes _ - No
Lead time:
l lowly rate for repair and service S - (per limit)
Ibf inuuunt circler (if any) $_
l landlinp fee if' less than minimum order $
Name.%TcicphunL/Cellifiecper of (Emergency Contact
Ilave you supplied th c rec. tuired Catalogs and List ('rice Shots? YE.S NO
30 COLLINS DYNAMICS (Rom Curpuralion)
Discount from current price list
Price List No. f)atc of Price 1.tst
Warranty
Stocking Distributor'? Yea Nu
1 cad time:
1 lowly rate for repair mai service $
Nth) hum order (if any) S
Handling ti:e if less than rninimunt order $
(per hour)
Name/ Telephone/Celli L3ecper of Emergency C Conte(
Have you supplied the re iuired Catalogs and List Price Sheets'? - YES NO
36
SECTION 4 — PRICING/ CERTIFICATIONS/ SIC:NATIIRES 1111 Number: 12-0806
1_ COUNCIL TOOLS
f)isConnt from currcnt price list
Pries List No. Date of Pr ice list
Warranty
Stocking Distributor? Yes No
Lead time:
1 [curly rate for repair and service S (per hour)
p linintuin order (if any) S
Handling fee if less than minimum order $__
Name/ Telephone/(:'ell/peeper of Emergency Contact
lave you supplied the required Caialoes and I.ist Price Sheets?
32. CUTTERS h,l%D'
Discount from current price list
Price List No.
1Viu•rairty
Stuckhia Distributor'? Yes No
f .ead time:
L)ale of Price List
Hourly rate lui repair and. service S
Minimum order (if and) $
Handling fee if' less than minimum order $
(per hour)
Namcr'fcicphoneiCeII/13e per of Emergency Contact
YES NO
!lave you supplied the required Catalogs and I.ist Price Sheets? YES NO
31 CW NEILSEN
Discount lions current price list
Price List No. Date of Price I,ist
Warranty
37
SECTION 4 — PRICING/ Ch:R FII'ICA'I'IO:NSI SIGNATURES I I It Number: 12.OS&
Stocking Distrihntnr? Yes No
Lead time:
1 Inurly rate for repair and service $
Minimum order (if any) $
landling fee if less than minimum order S
(per hour)
Ntuncr felepltune/C'eil/Iteeper of 1?merr_ency (',Intact
Have you sit pplied the required Catalogs and List Price Sheets'?
3.1 C:ORMAN ltUP'P t'UMPS
Discount from current price list
Price List No.
Warranty
Stocking 1)istrihutor? Yes No
Lead time:
hate of Price I.ist
!lowly rite for repair and service
►vIininuun order (if any) .$
Handling tee if Icss than minimum order S
Nttntei t'elepltone/C'etI/Iteeper of I'.mergency Contact
(per hour)
Y kS N(")
Have you supplied the required Catalogs and List Price Sheets? YES NO
35 DARLEY & CO
L)iscount front current price list
Price 1.151 No. Date of Price list
Warranty
Stocking Distributor' Yes Nu
',cad time:
I loony rate for repair and service $ (per hour)
Minimum order (if any) S
38
SECTION 4 — PRICING/ C'F RTIF!CATIONS/ SIGNATU RI TI3 Number: I2-0806
'fondling fee if less than minimum order S
Name?Telephone/Cell?I3eeper of l mummy Contact
1 -Live you supplied the required Catalogs and List Price Sheets? YES Nt
36, DAVID (LARK
Discount front current price list
Price list No. Date of Price List
Warranty
Stocking Distributor? Yes Igo
Lead time:
Hourly rote for repair and service $ _ (per hour)
Minimum order (it any) $
Handling ice if less than minimum order $
Naniei lelephone!C'ell/Rceper of Emergency Contact
Have you supplied the required Catalogs and List Price Sheets? YES NO
3? DR SMITH INDIAN TANKS
Discount trout current price list
Price List No. f)atc of Pi ice List
\Warranty
Stocking Distributor? Yes No
Lead time:
Hourly rate lor repair and serl'icc $_
tilmmnuu order Grimy)
I 'mulling fee if less than minimum order S
(Per hour)
Name/ TelephoneJCcll/Keeper of Emergency Contact
flare you suppiied1the required Catalogs and List Price Sheets?
39
YES NO
SECTION 4 — PRICING/ CI WF1101('ATIONS/ SIC; NATURES 1 1 It Gunther; 12-ORO6
_i8 DICKE -row,
Discount from current price list
Price List No.
'Warranty
Stocking Distributor? Yes No
Lead time:
Date of Price List
Hourly rate for repair and service .
��lininutm order (if any) $
l landling fee if less than minimum order $
Natne/TclephonelC 11/Reaper of Emergency Contact
(per ho ir)
lave von supplied the required Catalogs and list Price Sheets?
9, DR1 XEL
Discount tram current price lief
Price List No. I late of Price list
Warranty
Stocking Distributor.' Yes No
lead time:
!loud). rate for repair and service S
Minimum order (il'aity) $
l ltuxlling fee if less than minimum order S
Name+ I'elephotte/C'ellllteeper of I'.mergency Contact
( per hour)
YES NO
I lave you supplied the required Catalogs and list Price Sheets?
40- DI 10 SAFETY
Discount from current price list
Price List No. I Late of Price 1.ist
Warranty
40
YES NO
SECTION 4 -- PRICING/ CERT'IF'ICATIONS/ SIGNATURES
Stocking Distributor`? Yes No
1.ead tune.
t luurly rite for repair and service $_
141ininuun order (if any) $
l landling fee if less than minimum order $
Name/Telephone/Cutlitieeper of Emergency (intact
(per hour)
Have von supplied the rcuuired Catalogs and List Price Sheets''
11. II)ISON 1
Discount font current price list
Price List No. Date of Price 1.i%t
Warranty
Stocking Distributor? Yes No
Lead time:
l-lonrly rate for repair and service $
\•liniunrin order (if any) 5
I It7udlin; tcc if less than minimum order S
(per hour)
Namcffelt:phnnerCc1UBccper of Itmergcncy Contact
1T13 Ntnnbet: 12-)806
YES NC)
1 lave you supplied the tegnired Catalogs .tad 1.ist Price Sheets? YES NO
42. I';1)WARDS AND (.'lltni411WEL4
Discount from current price list
Price I ,i.t No.
Warranty _
Stocking Distributor'? Yes No
(.cad time:
L)nte of Price List
!lowly ruts fur repair and service 5 (per hour)
Ivlinitnum order (if any) $
41
13. E1)W A IYI)S MFG
SE("I'ION 4 — PRICING/ CI RT,FICA'I'IGNS/ SIGNATURES ITB Number: 1?-l)X06
Handling fee ir less than minimum order $
NameiTelcphonc/Ce11/13ceper of 1 inergency Contact
Have you supplied the required Catalogs and List Price Sheets''
/•
Discuunt from current price list
Price I,ist Nn. Date of Price l.ist
Warranty
Slacking I)istributor? Yes Nu
Lead time:
Hourly rate for repair and service $
11111ntiin older (It any) $ _
Handling ice if less than minimum order $
(per hour)
Name/ Telephone/CcII/B eper of Ltucrkency Coutact
YES NO
1 lave you supplied the required Catalogs and List Price Sheets"
.1.1. ELKHART BRASS
I )'count from current price list ____
Price List Nu.
Warranty
(late of Price List
Stocking Distributor? Yes Nn
I .ead time:
Hourly rate for repair and service S (per hour)
Ivfinintunr order (if any) S
!kindling fee if less than minimum older 5
NamerTelephnnc/CclliBccper of Emergency Contact
Have you supplied the required Catalogs and List Pi ice Sheets?
42
YES NO
Sl':C'EION 4 — PRICING/ CERTIFICATIONS/ SIGNATUItI S 1T13 Number: 12-080
45. ETI EMERGENCY TECHNOLOGY ,1
Discount from current pace list
Price List No.
Warranty
Stocking 1)istrihutor? Yes
Lead time:
1 Iourly rate for repair and service $
Slimmum order (if any) $
1 Candling fee if less than minimum order S
°Jo
[)ate of Price List
(per hour)
Name/Telephone/Cell/Beeper of 1':mergency Contact
Have you supplied the required Catalogs and List Price Sheets:'
4G EXTENDA LITE (Akron)
Discount from current price list "at,
Price List No Date of Price List
Warranty
Stocking I )istributnr? Yes No
Lead time:
1lourly rate for repair and service $ (pci hour)
Minimum in der (if any) $
Handling fee if less than minimum order $_
Namci l'cicplronciCell?Lteeper of Emergency Contact
Have you supplied the required Catalogs and List Price Sheets?
1? FEI)1•:RAI. SIC: NA I, CORP
Disc:uuut from current price list _
Price List No_
Warranty
Date of Price 1.ist
43
\TS NO
SECTION 4 — PRICING/ CERTIFICATIONS/ SI NA'1'111t4:S 1113 Numbet: I? -0806
Stocking Distributor' Yes No
Lead time:
Hourly rate for repair and service S (per hour)
Minimum order (if any) S_
Handling fee if less than minimum order
~lame/Telephone/CcInbeeper of 1?mergency Contact
1lave you supplied the requires( Catalot s ttlid 1.ist Price Sheets?
d8 FL,RE HOOKS UN1,IN'I.I l D
1)iscount from current price list
Price I ist No.
Warranty
Slocking1listrihutoi? Yes — No
f.ead time.
'%'o
Date of Price List
'lowly rate for repair and :service 5
�Iininnnn order (if any) S
Handling ice it less than minimum order $
Namv(fcicphone/Cellilleeper of Emergency Contact
(per hour)
Have you supplied the required Catailul;s and List Price Sheets'?
1') 17KEDEX
I)iscount from current price list
Price List No.
Warranty
I late of Price list
YES N()
YES NO
Stocking Distributor' Yes_ No
Lead time:
Hourly rate for Icptiir and service $ (her hour)
Iviinnnunt order (if any)
44
SECTION 4 — PRICING/ CERTIFICATIONS/ SIGNATURES ITI3 Number: 12-0806
1lundling fee if less than minimum order-$
Name Tclephonc/C'ellilieeper of 1'.ntergency Contact
H:tvc you supplied the required Catalogs and List Price Sheets?
50. FIR OWER
Discount from current price list
I'rice 1.ist No. I )ate of Price 1,ist
Warrutty
Stocking Distributor? Yes_ Nu
Lead time;
I luurly rate for repair and service $ (per hour)
14iinimum order (if -any) S
1'kind ling fee if less than minimum order
Name/Telephone/Cell/Beeper of L'utergencv Contact
51
YES NO
lave von supplied the required Catalogs and List Price Sheets? VI .S NO
1'1RLOUII' �1
Discount liunr current price list
Price List No. Date ol-l'rice List
Warranty
Stocking Distributor? Yes, No_ -
Lead time;
Hourly rate 'Or repair and service
Minimum order (if my) S
I landling fee if less than minimum order $
Name?Tcicphouc!('ell/Beeper of Lmrrgency Contact
(per howl
'lave vim supplied the required Catalogs and List Price Sheets?
15
Y.S NO
SECTION 4 — PRICING/ CERTIFICATIONS/ SIGNATURES I I It Number: 12-11806
52 FOLDATANK
Miscount from current price list
Price List No. Late of Price List
Warranty
Stocking Distributor? Yes No
I.cad time:
1luurly rate for repair and service S (per hour)
Minimum order ( il' any) $
t hu dIing fee if less than minimum order y
NamciTcicphouel4.'clltlteeper of Flue' gcncy Contact
lave You supplied the required Catalogs and List Price Sheets? _ YES NO
53. GENITOR a
Discount from current price lint
Price List No. Late of Price I ist
Warranty
Stocking Distributor'? No
Lead time.
Hourly rate for repair and service
NIininwoi order (if any) S
I land ling fee if less than minimum order
NantciTcicphunciCc11/1 eeper of Emergency Contact
(per hour)
lave you supplied the required C'atalogs and 1.ist Price Shccts'' YLS VO
54. GLASSMASTER Wk,1Iit
Discount from current price list;
Price List Nn.
Warranty
I )ate of Price Ltst
46
SECTION 4 — PRICING/ C'ERTIiICATIONS/ SIGNATURES I lit Number: I:'_-0806
Stocking Distributnr? Yes _ No
Lead time:
1 Innrly rate for repair and service $
Minimum order (if any) $
1 landling tee if less limn minimum order $ -
N,ame?Tctcpitone/Ccllfi3ceper of Emcrgencv (ontaet
(per hour)
[lave von supplied the required Catalogs and List Price Sheets','
5i GI.OR}
/
Discount from current price list
Price List No.
_ / 1-
Warranty_ , r .rti r f ,F r
Stocking Distributor' Yes , Nu
Lead time: ,•t
1 Iourty rate for repair mud service $
YLS _ NO
1/1
1)atc of Price I ist / t
iJ , . / .
Minimum order (Wary) S
1 Iuudling tcc if less than minimum order i,
Name/Telephone/Cell/Beeper of F.rnrrgency (ontact
1
/, r1
(per bowl
/ •Jr r /'/ /
rlr Sr r1(rr.
Have you supplied the required Catalogs and list Price Sheets? YF.S NC)
S( CLOVE CORP
Discount from current price list "f,
Price List No, Late of Price List
Warranty -
Stocking I )istributor' \'cs No
Lend time:
!lowly rate tor rel;'air,and service S - (per hour)
'1inrniutn order (if piny) $
f
47
A i/
-
SECTION 4 — PRICING/ CERTIFICATIONS/ ICATIONS/ SIGNATURES 11.13 Number: I? -0$06
handling fee if lens than minimum order S
Name/ t'clephonel('c11/Beeper of I ,iuergency Contact
Have von supplied the required Catalogs tend List Price Sheets? Yl{ti _ NO
57 IIAI,F FIRE PUMPS
Discount from current price list
Price List N. Date of Price List
Warranty
Stocking Distributor? Ycs No
Lead lime:
I lourly rate for repair and service $_ (per hour)
Nlininunn order (if any,.) $
l landling fee if less than minimum order $_
Nam cil'cicphunelCellifieepci of Emergency Contact
!lave t,nn supplied the required Catalogs and List Price Sheets? YES NC)
58, IIANNAN' REELS
Discount from current price list ".•t
Price Lust No. Date of !'rice list
Warranty
Stocking Distributor? Yes No
I.cad time:
!lowly rate for repair and service's (per hour)
Nliuiuuun order (if any) $,
1 bundling tee if less than minimum order $
Namc+"Telephone/t;'ellfRccper ul'Lnuergency Contact
1 late you supplied the required Catalogs and List Price Sheets?
48
YhS NO
SECHON 4 — PRICING/ CEK'I'IFICA'FIONS/ SIGNATURES I I'It Number: I2-0806
59. HARRINGTON
Discount from current price list
Price List No.
Warranty
Stocking I )istrihntor? Yes _ No
Lead time:
oho
Date of Price I ist
lout ly rate (Or repair and service S
Minimum order (if any)
l kindling fee if less than minimum order $
'ante/Telephone:Cc1l/Beeper of Cniergency Contact
(per hour)
l ItivG you supplied the requited Catalogs and List Price Sheets? YES NO
60. IIA%Al2II CONTROL
Discount from current price list
Price I ist No. Late of Price I ist
Warranty
Stocking I)istrihutor' Yes No
I .ead time:
lowly rate fni repair and set vice S
Minimum order Orally) S
I Iandling fee if less than minimum order $
Nance/Telephone/Cell/Beeper of 1.mergency Contact
(per hour)
I lave you supplied the required Catalogs and 1.ist Price Sheets?
61 HEBERT ,r ,
Discount from current prig list 'Yu
Price List No. Dale of Price l .ist
`Varratlty
49
YES _ NO
SECTION 4 — PRICING/ CERTIFICATIONS/ SIGNATURES ITR Number. I2-U8U6
Stocking Distributor? Ye _ No .
I ,ead time:
l luurly rate for repair and service $ (per Itour)
Minimum order (if t►ny) $
!Wattling tee if less than minimum order $
Name?TclephonefCel I?Beeper of Emergency Contact
Have you supplied the required Catalogs and List Price Sheets? YES NO
62 HOLMA'I'RO
(Discount from current price list °!
Price List No. Date ()f Price List
Warranty
Stocking Distributor? Yes No
Lead time:
Hourly rate for repair and service $_
Minimum order (if any) $
1l:wdling fee if less than minimum order $
(per hour)
Name/TcicphoncfC'cll/Beeper of Lutergeucy Contact
II lave you supplied the required Catalogs and List Price Sheets?
1;.3 HIJMG\T )
I )iscount from current price list
Price List No. Date of Price l ast
Warranty
Stocking Distributor? Yes No
Lead time:
I toady rate for repair and service $
Minimum order (if tuiy)
50
'ro
(per hour)
SECTION 4 — PRICING/ CIR'I'IflC:ATIONS/ tilt;NATURES 1'113 Number. 12-0806
Handling lee if less than tninimuin order $
Name l elephone!(:ell/Beeper of Emergency Contact
I lave you supplied the required Catalogs and List Price Sheets? YES NO
64. HUSKY t
Discount from current price list '?o
Price I .ist 'in. Date of Price I .ist
Warranty
Stocking I)ist rihutoi Yes Nn
t.ead tinter
Hourly rtnr for repair and service $
'Iininunn order (ifany) S
!bluffing fee if less than minimum order S
Namc!Tclephone/CelI/Beeper of Emergency Contact
(per hour)
Have you supplied the required Cutaloes kind 1 ist Price Sheets'? YES \t}
65. HYDRA SIIIF.l.D
fiscount from current price list
Price List No. Date of Price List
Warranty
Stocking I )istributor? Yes No
I .ead time
I Iourly rate for repair and service S
,4linimum order (if any) i
Handling lee if less than minimum order S
Name.' Telephone/Cell/Beeper of Emergency Contact
tpci hour)
I lave you supplied the required Catalogs and List Price Sheets? _ YES NO
5 1
SECTION 4 — PRICING/ CERTIFICATIONS/ SIGNATURES 1113 Number: I2-OSOG
66. I1•IPERI tL HOSE
Discount from current price lit
Price List Nu. Date of Price List
Warranty
Stocking Distributor'? Yes No
l.ead time:
Hain ly rate for repair and service $
hrtiniinunt order (if any) $
Handling tcc it'less than minimum order $
Nana? TclephonciCc11?Beeper of 1'.inergency Contact
(per hour)
I lave you supplied the required Catalogs and 1.ist Price Sheets? YES \W)
(7 IOWA ANIEItICAN
Discount from current price list
Price List No. f )ate of Pi ice List
tt'arrant+.
Stocking Distributor."' Yes No
I,end time:
Hourly rate for repair and set vice S
Minimum order (if any) S
Handling lee if less than minimum order $
(per hour)
Nautc?'Telephone/(;el I?Reeper of F.tnci gcncy Contact
Have you supplied the required Catalogs and I .ist Price Sheets',
6R JANESVILLE
Discount froth current price 10
Nine List No.
Warranty
Date of Price List
52
YLS_ NO
7() .IV 111FC
SECTION 4 - PRICING/ CERTIFICATIONS/ SIGNATURES 1 IA Number. 12-0806
Stocking Distributor'? Yes Nn
Lead time:
Hourly rate for repair and service $
>v1inimtun order Of any)
thatching fee if less than minimum order S
Namcfl'cleplwne/C'e11/13eeper of Fmcigency Contact
(per hrnu•)
I-lavc you suppiicd the required Catalogs and I.ist Price Skeels? YFS NO
69
Discount from current price list
Price List No. Late of Price I,ist
Warranty
Stocking Distributor? Yes No
Lead time:
!loony rate for repair and service $
klinimum order (if any) S
l landling fee i f less than minimum order $
(per hour)
Naniv/Tvlephott /Cell/ I leeper of Emergency Contact
Have you supplied the required Catalogs oriel list Price Sheets?
t �
Discount from current price list
Price 1.ist No.
1Varranty.
Stocking Distributor? Ycs No
Lead time:
Date of Price t.ist
YES - N()
I burly rate for repair and service $ (per hour)
53
SECTION 4 -- PRICINC/ CERTIFICATIONS/ SICNATURES 1 1 I1 Number: I2-Op6
M•linimuni order (if any) S
I Iandling lee if less than minimum order $
Name! elephrntc/Celt/t3eeper of Emergency Contact
!lave you supplied the required Catalogs and List Price Sheets? YF.S Nit )
71 KTOOLMK;
Discount from current price Ikt °i,
Price List No. Date of Price List
11'tirrauty
Stocking Distributor? Yes No
I,ead time:
Hourly rate for repair and service $ (per howl
M'linitnunt order (if any) S
Iandling fee irless than minimum uidet S
Natncll'eleph ncCell/Beeper of I.inergency Contact
•r �
Have you supplied the rgspiired Catalogs and List Price Sheets? YES NO
KAPPLEK 1 "
Discount from current price list °A,
Price List No. Date of Price List
\Vurruuty
Stocking Distributor'? Yes _ No
Lead lints:
[lowly rate for repair aid service $
Mdinimum order (Know) $
Handling fee if less than minimal' order $
NantclTcicphone ('e1URceper of Lutergency Contact
(per how)
54
SECTION 4 — I'RICINC/ CERTIFICATIONS/ SIGNATURES 11 It Number 124)R(1G
!lave you supplied the required Catalogs and list !'rice Sheets? _ YES No
73, KENDALL PRODUC I'S
1)iscount lirunt current price list
Price 1.ist No. Date of Price List
W arranty
Stocking Distributor? Yes No
1,ead time:
Hourly rate for repair and service $_
Mininumt order (if y) S
I landImg Iet if less than minimum order S
Nuntci 1'elephonciCell/beeper u1I inergency Coutaet
(pet hour)
Have volt supplied the required Catalogs and List Price Sheets?
74. KOCHEK
Discount Cum current price list
Price List No.
14'urrauty
Stoking Distributor?, Yes__ Nn
1.cad time:
Date of Pi ice List
l tuurly rate lift repair and service $
Minimum order (1t'any ) $
Handling fee if less than minimum order S
Name/Telephone/eelI/Rceper of Emergency Contact
(pct hour)
Have you supplied the required Catalogs and List Price Sheets?
' KOEHLER MFLCO
Discount from current prig list
Price List No.
Mac of Price List
55
YES NO
YES NO
SECTION 4 - PRICINC/ CERTIFICATIONS/ SICNATURES rrn Number: 12-0806
Warranty
Stocking Distributor? Yes No
Lend time.
Hourly rate fur repair and service $
Minimum order (if any) S__ _
l Iandling fee if less than minimum order S
Name/Telephone/Cell/Beeper of Emergency Contact
(per honer)
Have you supplied the reNuired Catalogs and List Price Sheets?
76. KIISSMAUL
Discount from current price list
Price Lit No.
Warranty
Stocking I)istribiltor? Yes No
I,ead time:
Hourly rate for repair and service S
Minimum order (if any) S
1landliug fee if less than minimum order S
Name/Telephnnc/Cc11/Beeper of Emergency Contact
Date of Price Lt
(per hour)
l'F.S N()
Have }you supplied the required Catalogs and I.ist Price Sheets'
KWIK RAZE
I )iscntint ti rm current price list flea
Pike List Nu. f)atc of PI it e List
Warranty
Stocking Distributor? Yes No
I ead time:
Hourly rate fur repair and service $ (per hour)
56
YES NO
S ECT ION 4 - PRICING/ C E R'I'IFICATIONS/ SICNA'I'IJRES 1 TB Number- t? -11806
Minimum order (if any)
Handling Ice if less than minimum order S
Name/1 elephonciCcllilccper of Linergeney Contact
I lave you supplied the 1equircd Catalogs and I.1st fnec Sheets'?
78 LACROSSE ROOTS
Discount from current price list
Price List No.
Warranty
Stocking Distributor? Yes No
Lead time:
r,
Date of Price List
Hourly rate for repair and service $ (per hour)
Minimum order (if any) $ _
Handling ice if less than minimum order $
Name/Telephone/Cell/Beeper of Emergency Contact
YES NO
I lave you supplied the required Catalogs and 1,ist Price Sheets? YF.S NO
79. LIFE I,IN LERS r 1
Discount from current price list
Price List No.
Dale of Price List
Wn ranty
Stocking Distributor? Yes No
I.cad time:
Hourly rage for repair and service S
Minimum order (tinny) $
Handling fee if less than minimum order $
Name/ t elephorie t-cI1/Bccper of Gnergency Contact
(per hour)
57
SECTION 4 — PRICING/ CERTIFICATIONS/ SICiNA'I'URES 1 Ili Number: 12-U8U6
Have von stu)f lied the required Catalogs and List Price Sheets?
80. LIONS UNIFORMS
Discuunt from current price list
Price f .ist No Date of Price list
Warranty
Stocking Distributor'.? Yes Na
Lend time:
Hourly rate for repair and service $
Minimum order (if any) $
I !mulling fee if leis than minimum order $
(per hoar)
Namc!'1vIcphonelCelIfI3ecper ofEmcigency Contact
Have you supplied the required Catalogs and List Price Sheets?
8I. LOUIS PRYER , `•
Discount from current price list 'L
Price List No. Date of Price list
Warranty
Stocking l)istrihutor? Yes _ Na
I.cad time:
lourly rate for repair and scrvree $ (per hourl
Minimum order (it' any) $
1 famdling tee if less than minimum order $
Name/Telephone/Cell/Beeper of Emergency Contact
YCS
YFS NO
1 lave von supplied the required Calaloas and I.rst Price Sheets? YI•.S NO
82. LOWFII.
Discount thin current prje list
Price List No. Late of Price I.ist
58
STAG INSTRUMENTS
Iiscount tinm current price list
Price fist No.
Warranty
Stocking Distributor? Yes No
I .cad time:
SECTION 4 — PRICING/ CERTIFICATIONS/ SIGNATURES ITl3 Number: I2.O8O6
Warranty
Stocking T)istribulor? Yes ._ No
Lead time:
1 Iourly rate for repair and service S
Minimum order ( if any) $_
Handling fee if less than minimum order $
Nuutet'I'etephnncteelPBecper of 1;tnergency Contact
(per hour)
Have you supplied the requiicd Catalogs and List Price Sheets?
1
�ln
Late of Price List
Hourly rate (lir repair and service 5
bfinnnunt order (il'any)
Handling fee if les$ than nunnnum order $
Namei'1'elephonelcelPflecper of Emergency C'ontact
(per hour)
Ilave you supplied the required C'atak)gs and List Price Sheets?
li F. MANN AXE
Discount from current price list
Price List No.
Warranty
I )ate of Price List
Stocking Distributor? Yes No
Lead time:
I lowly rate for repair and service $ (per hour)
59
YFS NO
YLs NO
SECTION 4 - PRICING/ CERTIFICATIONS/ SIGN NITRES 1'1'13 Number: 11.-0806
Minimum older (if any) $
I 'wiling fee if less than minimutn order $
NaineffeleplioneiCellil teepee of Emergency Contact
I lave you supplied the required Catalogs and I ist Price Sheets?
85. MARS SIGNAL LIGHT
Discount limn current price list
('rice I.ist No
Date of Price List
Warranty
Stocking Distributor? Yes Nu
I .end time:
Hourly rate Ii» repair and service $
Nlinitnutn order (if any) S
Handling fee if less than nuininuun order $
Ntnnc/Tctcphone!Cellfl3eeper of Lntergency Contact
(per hour)
I laveynu supplied the required Catalogs and I.ist PriccShects9
86 MC'PRODI ICTS
Discount from current price list
Price I .ist N.
'Warranty
Stocking 1istributor? Yes No
Lead time.
Date of Price List
Hourly rate for repair and service $
Minimum order (if any) $
I andling fee if less than minimum order $
NatueTI elephoneteell/Heeler of Emergency Contact
YES NO
YLS NO
(per hour)
60
SECTION 4 — PRICING/ CERTIFICATIONS/ SIGNATURES 11 t) Number: 12-0806
1 lave you supplied the required C'atalotts and List Price Sheets? YES NO
87. MILWAUKEE STRAP '.
Discount from current price list ^_ ''rr
Price List No, Dale of Price List
Warranty
Stocking I )istrihutor? Yes No
Lead time:
!loudly rate for repair and service
Ktininmm order (if any) S_
Handling fee if less than mmamaun older $
Name?Telephone/cell/Fieeper oft' mergency Contact
(per hour)
!lave von supplied the required Catalogs and List Nice Sheets?
81 MORAN (FLASH)
Discount Iron) current price lisrt
Price List No. Date ot'Price List
1Vaa ranty
Stocking Distributor? Ycs N'o
I.ead tithe;
Hourly rate for'repnir and service $ (per hour)
Minimum order (11 any)
Handling fee if less than min 1311 order
Name/Telephone/Cell/Beeper of I ,mergency Contact
l lave you supplied the required Catalogs and List Price Sheets`'
h9 NIORNIN(. PRII)1''.
Discount flout current price Iist
Price 1.ist No. Date of Price List
li l
YES _ _ NO
YES __ _ NO
SECTION 4 - PR1C'1NC;/ CER FI I' ICA'rIONS/ SIGNATURES rl Jt Number I2-u8O
Warranty
Stocking Distributor? Yes No
I.ead time:
I lowly rate for repair and service $ (per hour)
Minimum order { if any) S
IIandling fee if leas than minimum order
Name/Tcicphoneff7cl)fl3ecper of Emergency Contact
lave you supplied the rcquiied Catalog,s and Ljst Niue Sheets" YES NO
90. (VISA
Discount from current price list `fig
Price List Ni. Date of Price List
Warranty
Stocking Distributor'? Yes No
I .end time:
Hourly rate Iii repair and service $
Minimum order (if any S
I Iandling fee if less than minimum order $
(per hour)
Name/Tetephnnc/Cell?Beeper nI Emergency Contact
l laveyouysupplied the required Catalogs and 1 ist Pricc Sheets? YES NO
91 N'ATAI.F (CIRCLE D)
Discount from current price list
Price I .tst Nn. Date of Price List
Warranty
Stocking Distributor? Yes Nu
Lead time.
Hourly rule for repair and service S (per hour)
62
SECTION 4 — PRICING/ CERTIFICATIONS/ SIGNATURES 1 1 li Number: 12-0806
Minimum order (it' any) $
l landling fee if less than minimum order S
Name/Telephone/Cell/Beeper of Emergency Cbutact
Have you supplied the required Cutnlugs ,clot I.i,t Price Sheets? Yi'S NO
NATIONAL t'IRF: I10SE
Discount from current price list °!o
Price List No. Date of Price I .ist
Warranty
Stocking Distributor? Yes No
I.ead time:
llourly rate for repair and service S
tilinnmum order (if tiny) $
Handling fee if less than mininuun order $
Name/ l'elephonct'Ccll/Beeper of Emergency Contact
(per hour)
Hhvcyuu supplied the required Catalog:; and List Price Sheets?
9? NOVA "� r
Discount from current price list _ °!o
Trice List No. Date of Price I .ist
%Vat witty
Stocking Distributor? Yes No
Lead time:
Hourly rate for repair and service $
Minimum order (if an)) S_
Handling kr if less than minimum older $
Namci'fcicpborte/Cel1/Beeper of Emergency Contact
(per hour)
l lave you supplied the required Catalogs and List Price Sheets?
63
YES NO
YES N( )
SECTION 4 — PRICING/ (:ERTIFIC ATI°NS/ SIGNATURES 11B Number: 12-(8(16
94. NltPI. A ; � t , 11
Discount front current price list °'•
Price List Nu. Date of Price 1.ist
Warranty
Stacking Distributor? Yes No
Lead time:
tinnily rate for repair and service $ (per hour,
Ivtinitnum order (if any) '
Handling lee if less than minimum order $
Nacre?'I`elephotic/Cell/Heeler of Emergency Contact
Have you supplied the required Catalogs and List Price Sheets? — YES NO
95. PACIFIC' REFLEX 1,
Discount from current price list
Price list No. Date of Price I .ist
Warranty
Stocking Distributor'! Yys No
Lead lithe:
l luurly rate tin repair and service $ , (per hour)
? 1ininnmt order orally) S
Handling fee if less than minimum order S
\tuue,'!'elepho a CcIliLieeper of F.ntergency Contact
l lave you supplied the required Catalogs and List Price Sheets? YI..S NO
96 PARATEC:II
)iseorutt boar current price list
Pticc List No. Date; of Price List
Warranty
('4
SECTION 4 — PRICING/ CERTIFICATIONS/ SIGNATURES 1 1'13 Number: 12-08(ib
(J7
Stocking Dislrihutor? Yes Nor
Lead time:
Hourly rate for repair and service $
A.4inimunt order (if any) S
Handling fee it less than Minimum order S
Namct Telephone/Coll/Beeper of F.mcrgcncy Contact
(per hour)
lave you supplied the required Catalogs and List Price Sheets? Y1.S _ NO
PARTNER
Discount from current price list:
Price 1.ist Nn t)ate of Price List
\Van linty
Stocking Distributor? Yes No
Lead time:
Hourly rate for repair and service S
Minimum order (if any) 5
1 landling fee if less than minimum order S
fatale/Telephone/Cell/limper of Emergency Contact
(per how )
Halve ruu supplied the required Catalogs and List Price Sheets?
98 PAIJI CONWAY SHIELDS
Discount finm current price list
Price List No.
Warranty _
Stocking 1)istr ihulor7 Yes _ No
Lead time:
Date of Prig 1.sst
!lowly 1atc fur repair and service $_ (per hour)
Minimum order (Wally) $
65
YES N(.1
SECTION 4 — I'RICING/ CERTIFICATIONS/ SICNATURES 1 I'H Number: 12-0506
Handling tic if less than minimum order S
Name/Telephone/Cell/Beeper ol'Eutergeii y Contact
Have you supplied the regtiircd Cataloes and List Price Sheets? YES NO
99 PELICAN
Discount Bunt current price list
Price list No, Date of Price List
Wan anty
Stocking Distributor? Yes
I cad time:
[lowly rare fir repair and service S (per !tour)
Minimum order (if any)
Handling lie if less than minimum order $
Name/ felephoite?.(ell(Iieeperof F.mei' ency Contact
Have you supplied the required Catalues and List Price Sheets?
100. PG1 PRU'1FX 1,t, l J. i r I. 11,„ I, 1,
)iscnunt from current price list
Price List No.
Warranty
rl
1
L)tne of Pt ice 1 .ist ,
Stocking Distributor'' Yes No
Lead time:
I loud),rate for repair and service $ / ,1 (per hour)
1Lilinimuin order (if any) $ A
I Iandling fcc if less than minimum otdci S / '1
Nantvfl elvphone Cell/Ileeper of Emergency C'nntact
/1',J
W)
Have you supplied the required Catalues and List Price Sheets? _ YES NO
fr1.� ti- -
YES NO
66
)/ 1'illy /i') c, ,` .f O%il?I
SECTION 4 — PRICING/ CERTIFICATIONS/ FICA7'IONS/ SIGNATURES I I'L1 Number: 12•)806
101. PHOENIX
1)isconnt from current price list
Price List No.
Warranty
o,,
Date of Price I .ist
Stocking Distributor? Yes _ No
Lead time:
I Iourly rate fur repair and service S
Minimum order (if any) S
(per hour)
I fondling fee if less than minimum order S
Name/Tcicpho is/Cell/I teeper of F. mergency Contact
I lave you supplied the required Catalogs and 1,ist Price Sheets?
102, PIERCE t'r
Discount from current price list °a
Price 1.ist No. Dale of ('rice List
Warranty
Stocking I)istributor? Yes No__
I.cad time -
Hourly rate for repair and service S
Minimum order (if any) S
!fondling fee if Jess than minimum order $
Name±TeIephinc/Cell/Beeper of I :mergency Contact
YES NO
(per hour)
!lave you supplied the required Catalogs and List Price Sheets")
101 PIGEON NIOUN'I'r IN INDUSTRIES
!Viscount tiom current price list ,
Price I .isr No.
Warranty
I3 I
Dale of Price List
67
YES NO
104, PLANO
SECTION 4 — PRICING/ ('1+:RTIF1CA'I'1ONS/ SIGNATURES ITR Number: 12-0806
Stocking I)istrihntgrr? Ycs No
Lead time:
Hourly rate for repair and service $_
v1inimunt order (if any) S
(per hour)
Handling fee if Icss than minimum urder
Name/ I elephonc/Cel l/F3ccpct of Emei gcncy Contact
1 lave von supplied the required Catalogs and 1.tst Price Sheets?
1; r
Discount Crum current price list
Price List No. Datc of Price List
Warranty
Stocking Distributor? Yes No
bend time:
Hoot ly l ate for repair and sei vice $ _
Minimum urder (if tiny) $
1 Iandling fee if le,ss than minimum order $
Name/ Telephone/CcIl.-Rccper of Emergency ('ontuct
(pet hour)
Ilavc you supplied the required Catalogs and I.ist Price Sheds?
105 It & 13 FABRICATORS
Discount front current price list °rb
Price list No Date of Price List
Warranty
Stocking Distributor? Ycs No_
Lead time:
I lowly ride for repair and service .¶ (per hour)
itIinitnam order (if any)
68
YES NO
YES NO
SECTION 4 — PRICING/ (i RTIFICATIONS/ SIGNATURES IT13 Number: 12-01306
1 Iandling fee if lees than mininutm order
Name/TcicplionciCellllleepes' of Emergency COIL filet
Have you supplied the icquircd Cntalugs and List Price Sheets?
106, (RANGER RUBBER
Discount from current price list —°rn
Price List No.
%Yarrauty
r.
Stacking Distributor'? Yes Nn
Letd tittle:
r4,
Date ol'Price 1 1st
1 loud), rate for repair and survive $ / t4 _ (per hour)
I iinununt order (if any) $ } i
Handling fee if less than minimum order S
Name/ Telephone/Cell/Becper of Emergency Contact
Yl•S NO
/ /r '
I lave you supplied the required Catalogs mid List Price Sheets?
107 RAWHIDE F1REHOSE
Discount from current price list
Price List No.
Warranty -
Stacking Distributor? \'es No
Lead time,
Date in Price List
1 lourly rate for icpair and service 5 _ (per hour)
Ntininnun ordci (if any ) $
Handling lee if less than minimum order 5
NamerTclephona/ Cd1/l3ceper of 1?ntergency Contact
Havc you supplied the required Catalogs and List Price Sheets')
69
1), .r,, . �Jf, :. ,/r l
YLS JC)
YLS NO
SECTION 4 — PRICING/ CER I FICATIONS/ SICNA'I'URES !TB Number: 12-0R06
1011 ItF.DHEAD BRASS
Discount from cut rent price list
Price List No.
`ib
Late of Price List
Warranty
Stocking Di3tribottle? Ycs No
I.ead time:
Hourly rule for repair and service $__ (per hour)
Ntininutm order (if any) S
Handling fee if less than minimum order $
Name! t elephoneJ("ell:Beeper of Emergency Contact
Have you supplied the required Catalogs and List Price Sheen:? _ YI?S NO
1119. REFLEX11I
Discount from current price list
Price List No.
Warranty
Stocking Distributor? Yes No
L.cad tints:
Date of Price 1 ist
Houi ly rate for repair and service $
Minimum order (if any) 5 -
I landling tee if less than minimum order $
Ntuncl let 1ep11one/CellIBccper ol` l.imcrgeticy Contact
(per hour)
Have you supplied the required Catalogs and List Price Sheets? YES N()
I I( RICE HYDRO CO.
Discount front current price Iist "ro
Price List No. Date of Price List
IMarranty
70
SIC"I'ION 4 - PRICING/ cf:1tTIFIC'ATIoNS/ SIGNATURES 1113 Number. I2-ARO(
Stocking L)istrilmtnr'7 Yes_ hu
1.ead time:
Hourly rate for repair and service :I
hiinimunt order (if any) S
Ilandling fee if less than minimum order S
Name/telephone/Cell/Beeper of Emergency C'onttact
(per hour)
Have you supplied the required Catalogs and List I'rice Sheets` YI'S NO
I 1 I SCBAS
I )isemint from current price list
Price List Nu. Dote of Price I .iat
Warranty
Stocking Distributor'? Yes _ No
Lead time:
lowly late for repair and service $
Minimum order (if any) S
Handling Ice if less than minimum order $
Ntttne/Teleplmne/CcIltBccper of Emergency ('nntact
(per !tour)
Have you supplied the required Catalogs and List Price Sheets? YLS N()
112 SCO'I'1' AVIATION
Discount bunt current price list "4,
Price List No. Late of Price i.ist
Van an ty
Stocking Dist! ibutor? 1 es No
1.end time.
Hourly rate Jor repair and service S (per hour)
Minimum order (if any) $
71
SECTION 4 ._ PRICING/ CERTIFICATIONS/ SIGNATURES 1 113 Number: I2-ARQC►
I landling fee if less than minimum order $
Name/Tclephone/C'ellllleeper of Emergency Contact
lave you supplied the required Catalogs and List Price Sheets?
1 1 3. SEC:URITEX
Discount from current price list
Price Liu No. Date of Price list
Warranty _
Stocking Distributor? Yes_ No
1 .ead time:
Hourly rate for repair and service S (per liour)
Minimum order (i f any ) '
1lnndiinet fee if less than minimum order S
Name/Telephone/Cell/Beeper of Emergency Contact
1Ia a von supplied the required C'ataloes and 1.ist Price Sheets?
1 14 SENSIBLE 11•101)NTS
Discumtt from current price list '4i
Price 1.ist No. f)atc of Price list
YES NO
1'I S NO
Warranty.
Stocking Distributor'? Yes Nu
Lead time:
lonrly nine for repair and service S (per holm)
Minimum older (if any) $
lanllling fee if less than minimum order S
Name/Telephone/Cell/Beeper of Emergency Contact
Have you supplied the required Catalogs and List Price Sheets?
72
YES NO
SECTION 4 - I'RICINC/ CERTIFICATIONS/SIGNATURES !TB Number_ 1241806
I I;. SERYl1S BOOTS
Discount from current price list
Price List No.
Warranty
90
Date of Price List
Stocking Dh ributur? Yes No
Lead time:
I lourly rate for repair and ser'ice'f __ (per hour)
Minimum order (if tiny) $
Handling fee if less than minimum order $____ _
Name/ t'clephone/C'elliBeept r cif I ntet gettcy Contact
I lave vote supplied the required Catalogs and List Price Sheds? YES NO
1 I (i SHELBY WOLVERINE
Discount from current price list 010
Piicc List No. - / / Date of ['lice List /� d t /
kVarraitty
Stocking Distributor? Yes No
Lead time: :1 :171 : !
Hourly rate For repair and service S
NIininiuut order (if any) S
I Iandling, fee if less than minimum order $
(per hour)
Nanic/Telephone/Cc1I/Bccper or Emergency Contact
t rl. l
1/R 11 I E/
Have you supplied the required Catalogs and List Price Sheets?
I 1 ? SNAP'I'ITE
Discount from cuurent price; list
Pt ice List No.
Warranty
Date of ('rice I.ist
73
Y1 .S NO )
SECTION 4 - PRICING/ CI:R'I'IEICAT1ONS/ SIGNATURES I"I'I3 Number: I? -0S06
Stocking I)istrihutnr? Yes i\lo
Lead time::
Hourly rate fir repair and service S _ _ (per hour)
Minimum order (if any) S
1 Inndling fee if less than minimum order S
Ntune?'I elephoneR'cl I/Recper of Emergency Contact
1lavey a supplier{ the required Cataloes and List PriceSheets?
1 1 iZ_ SNORKEL 'ti 1� I
Discount from current price list "o
Price List No. Late of Price I.ist
Warranty
Stocking rlisti ibutor? Yes No
Lead time:
Hourly rule lur repair and service S
Mininunn order (if any) S
!hurdling fee if leas than minimum order S
Nante!Tclephone/CeI111teeper of I•,mergenc5' Contact
(per hour)
Have you supplied the required Catalogs and Lust Pt ice Sheets''
1 19 SOUTH PARK
/- (
Discount from current price list
Price Lust No.
Warranty
Stocking Distributor? Yes No
Lead time:
!)ate of Price Lust
I lourty rate for repair and service S _ (per hour)
Minimum order Of any) S
74
YES NO
YES NO
SECTION 4 — PRICING/ CERTIFICATIONS/ SIGNATURES 1 I'll I.utnhcr: 1? -t)806
I Iandling fee if less than minimum ruder $
Nance/ l'elephonc/Cell/L;eeper of fimcrgcncy Contact
1 lave you supplied the required Catalogs and I .ist Price Sheets?
120, SIGNAL, VEHICLE PRODUCI M
Discount from current price list
Price List No.
Warranty.
Stocking I)istributur? Yes No
Lead time:
Duce of Price List
Hourly rate fix tcpair and service $
A•timinum order (if any) $
Handling fee if less than minimum ardci S
Name/Telephone/Cell/Beeper of Emergency Contact
(per hour)
YES NC)
!lave von supplied the required) Catalogs and List Price Sheet'? '''1•S Nt)
121 CLASS ONE (SPAN INSTRUMENTS)
Discuunt from current price list `Y>
Price List No. Date of Price I.i't
Warranty
Stocking Distributor? Yes No�
I.cad time:
1luurly rate for repair and service $
tkdnrimum order (if any) $
(per hour)
handling fee i1'less than minimum order $__
Name/Telephone/Cell/Beeper of Emergency Contact
(lave you supplied the required Catalogs and I .ist Price Sheets''
75
YFS NO
SECTION 4 - PRICING/ CERTIFICATIONS/ SIGNATURES 11 It Number: 12-U8O6
I?;'. SPIJMIFER
Discount front current price list °'o
Price List No. Date of Price I,ist
Warranty
Stocking Distributor? Yes No i
1 .ead time:
Hourly rate for repair and service x (per hour)
Minimum order (1! any)
Handling (ice if less than nnnnnutn order `.r
\Tame/'rclepltone/C'elI/Rceper or Enteragency C'ontact
I lave you supplied the required Catalogs and I,ist I riec Sheets? _ YES NO
12 t SIJPERVAC
Discount from current price list
Price I.ist No. Late of Price List
%Vattanty
Stocking Distributor'? Yes \U
Lead time:
I loud), rate for repair and service S
Nlininnutt order (if any) S
(per hour)
land ling fee if less than minimum order S
NatncrTcicphone/C'ell/Rccp r ofL:uicrj ency Contact
l lave you supplied the required Catalogs and List Price Sheets?
12,1, '1' N T TOOLS
Discount from current price list
Price 1.ist No.
Wart anty
`U Q
Date of Pt ice List
76
YES NO
Sla:("I'ION 4 -- PRICING/ CERTIFICATIONS/ SIGNATURES i'It; Number: 12-0806
Stocking Distributor? Yes_
1 cad time:
!lowly rate for repair and service $
M4611utm order (if auy) S
1 handling Ice if less than minimum order S
N:itne/ EelcphuueiC'ell/Fiecper of L:utergency Cctntttt;l
(per hour)
1 lave von supplied the requires{ Catalogs and List Price Sheets? Y 1.S NO
125. 'I:ASK FORCE '1'1PS
Discount linen current price list
Price List i•1s)
Warranty
Stocking I )istrihutur' Yes No
Lead time:
I loony rate fur repair and svi vice
Minimum order (if any) $
Handling fee it less than n 1ninnun order t
OD
F)atc of Price List
(per hour)
Narnc/Celcphone/(cIl/Beeper of Emergency Contact
lave you supplied the required Catalogs and List Price Sheets? YES NO
t _26. f1IOR000OI) ROOTS
Discount from ern rent price list %
Price List No. I late of Price List
Warranty
Stocking Distributor?' Yes No_
Lettd time:
IluttrIv rate lirr repair add Service S (per hour)
ivlinimum nrder,(if any) $
77
SECTION 4 -- PRICING/ CERTI FICA'I'IONS/ SIGNATURES I I II Number: 12.0806
limiting fee if less than minimum order S
Numet't'ck:phone/CeI1/I leeper of Emergency Contact
Ilave von supplied the required Catalogs and List Price Sheets?
127, STREAMIIGHT
I)I5count from current price list "!u
Price List No. Date of Price I.ist
Warranty
Stocking Distributor? Yes_ No
Lead lime:
1 burly rate for repair and service $ (pct hoot)
1Vtinim►nn order (if any) $
Handling tee it less than minimum order $
Namcl1'eIepl►oite/C'elUBeeper of Emergency Contact
YLS NO
Have von supplied the required Catalop_s and List Price Sheets?
128. Stt 'L,R FI.AMI:FICIiTER
Diieount front current price list " o
Price List No. Date of Price List
Warranty
Stocking f)istributnrl Yes No
Lead time:
Hourly late tilt repair and service S - (per hour)
Minimum order (if any) $
I ltindling Inc' if less than minimum order $
Name/Telephone/Cell/Beetle! of Emergency Contact
YES NO
I lave von supplied the required Catalogs and List Price Sheets?
78
YES NO
1 ;0. TASKMASTEIt
SECTION 4 - PRICING/ CERTII{ I('A'! IONS/ SIGNATl1RPIS 1 l it Ntunhcr: 12-0806
t?') SUPERIOR PNEUM A t I(:
Discount front current price list °o
Price List No. Lute of Price I.ist
Warranty
Stocking Distributor? Ycs No
Lead tin1c•
l lourly rale for repair and service S_ (per hour)
Minimum order (t1 any) i_
1 fondling fee if less than minimum order S
Nantcr felcphuue/Cell/Beeper of Entcrgcucy Contact
Have you supplied the required Catalogs and List Price Sheets? YES _ N(1
, , l
I)iscount limn current price list
Price List Nu.
\Varrattty
Stocking Distributor? Yes Nu
Lead time:
UU
Date of Price I ,ist
I tautly rate Jar repair and service S (per hour)
Minimum order (if any) S
I Iandling fcc if less than minimum older S
Namc; TcicplionelC'ellifieeper of Emergency Contact
1 lave you supplied the required Catalogs and List Price Sheets'' YES NO
1 11 TEAM EOUIPMI:N1'
Discount from current priyc list
Price List No. Date of Price List
1Vurraitty
79
SECTION 4 — PRICING/ CERTIFICATIONS/ SIGN ATIIRKS IT13 Number: I2-0806
Stocking I)istributoi`? Yes No
Lead time.
I lowly rate for repair and service $
Minimum order (if any) S
I landling fee if' less than minimum order $
(per hour)
Name/ I'elepltone/('ell/lieeper of Emergency ('ontact
lave you supplied the required Catalogs and I.ist Price Sheets?
1 32. TI LELITE
Discount from cui rent price list °i,
('rice list No. Date of Price List
YES N()
Wurranly
Stocking Distributor? Yes No
1.ead tine:
Hourly rate for repair and service $ (per hour)
4linintum order (Wally) S
limiting fee if less than minimum order $
Nance/'Telephone/Cell/Beeper of Lntt;rgenvy Contact
Have you supplied the required Catalogs and I.ist Price Sheets?
I 31 TFNIPEST FANS
Discount from current price,list :u
Price I .ist No, Date of Price List
Warranty
Stocking Distributor? Yes No
Lead time:
Hourly rate fo 'repair and service $ (per hour)
Minimum order (if any) $
80
YES NO
SECTION 4 — l'RICINC/ CERTIFICATIONS/ .SIC,NATURES ITR Number: 12-0806
I landling tcc it' less than ntiuitn(1m order S
Nance! Telephone/Cell/f ccper of Emergency Contact
1 lave you supplied the rcuuired Catalogs and List Price Sheets?
TOMAR
Discount from c itrent price list ".
Price I .ist No. I )ate of Price List
Warranty
Stocking Distributor? Yes No
I.ead time:
Hourly rate for repair and service's (per hour)
Nliniuutm order (if any) $
1 candling fee if less than minimum order $
Name/Telephone/Cell/I teeper of Emergency Contact
Y I' S NO
I lave you supplied the required Catalogs and List Price Sheets! _ YES NO
135 ToPPS
Discount from current price list °o
Price List No. fate of Price List
Warranty
Stocking I)istrihutor? Yeti No
Loud lime:
I lowly rate for repair and service $ (per hour)
Minimum order (itany) $
1 Ialid ling fee if less than minimum ardor $
Name/Telephone/Cell/Beeper of Emergency C'ontnct
HUSK you supplied the required Catalogs and List Price Sheets?
81
YES NO
SECTION 4 -- PRICINC/ CERTIFICATIONS/ SI(:NA'I'[IRES 11Ii Number. 12-0806
136- 'I'IIKT] ,E PLASTICS
L)iscaunt from current price list
Price List No.__ Date of Price List
Warranty
Stocking Dihtribiulcir? Yes No
Lead time:
Hourly rate for repair and service $ (per hour)
Minimum order (if tiny) $
1 landling fee if less than minimum order $
Name/Telephone/Cell/Beeper 1'ntergency Contact
Have you supplied the required Catalogs and list Price Sheets?
137 UNL)ENW?t flat KINETICS
I )iscount from current price list
Price list No.
Warranty
Stocking 1)istrihutor? Yes No
Lead time:
I )ate of Price List
YES 'NO
I lourly rate for repair and service $ (per Iroirr')
‘lininrnni order (if any) $
Handling lee if less than minimum order $
Name?TclephonutCclUtecper of Linergency ('nntact
Have you supplied the required ('atalogs and List Price Sheets' _
138 UNITY LIGHTS
1)isconnt from current pricy list
1'ncc 1.ist No.
Warranty
Date of Price List
R2
YPS N(7
SECTION 4 - PRICING/ CERTIFICATIONS/ SIGNATURES I'ffi Number: I2 -(113(X,
Stocking Distributor? Yes No
i.cad time:
I lowly rate for repair and service S
Minimum order (if any) $
Handling lee if less than minimum order $
Name/Telephone/('ell/Reeler of 1' mergeney Contact
(per hour)
I lave you supplied the required Catalorts and List Price Sheets?
139. VANNER
)
Discount from current price list
Price List No. Date of Price List
Warranty
Stocking Distributor? Yes No
.ead time:
Hourly rate for repair and service S (pei hour)
Ivtinimum order (if any) $
Handling fee•it'less than minimum order $_
Marc/l'clephone)C'c Ib`E3ttper of Emergency Contact
Have you supplied the required Catalogs and List Price Sheets?
14t}- VE'I'F E R
Discount from current mice/fist
Price List No.
1V arranty
Stocking Distributor? Yes No
Lead time:
Hourly rate for repair and service S
Nlinimutn order (if any) $
Date of Prue List
g3
(pei ham )
YI:�+ NO
YES N()
SECTION 4 — PRICING/ CERTIFICATIONS/ SIGNATURES ITB Number; 12.0806
Handling fee if less than nnninium order !f
Name+ 1 elephoncfCcll/Beeper of Emergency Contact
[lave you supplied Ilfe required Catalogs and list Price Sheers? YES — NO
141. WARRINGTON PRO
Discount from curient price list
Price 1.ist No. i)ate of Price List
Warranty
Stocking I)istrilnitor? Yes No
Lead time:
Hourly rate for repair and RCrvice
��lininnun order (GItiny) $
Handling fee if less than minimum order S
Name?' elephone/Ccllfl3eeper of Emergency Cunlact
(per hour)
Have you supplied the reduirecl Catalogs and List Price Sheets?
142 WA'FF IU)IIS
Discount front current price list _
Price List No.
Warranty
Socking Distributor'' Ycs Nu
Lead lime;
Date of Price List
Houily rule for repair and service S
Nlininiiini Order (if any) S
I land ling fee if less than minimum order S
Name/Telephone/Cell/Reaper of Emergency Contact
(per hour
YES NO
)
Have you supplied the required Catalogs and List Price Sheets? YI:S ISO
84
sEC PION 4 - PRICINC/ CERTIFICATIONS/ SIC:NATURES 1'1'11 Number: 12-0 806
1'13, 1V'ELI)ON ! I
Discount from current price list
Price I.ist No.
wkirrauty
oho
Date of Price List
Stocking Distributor' Yea No
Lead time:
l luurly late for repair and service $ __ (per hour)
Minimum order (il'any) $
Handling fee if less than n ininuun order $
Name/1'elepjufnc/Cclllllccper of I'mergency Contact
Have yrnt supplied the required {'atalogs and List Price Sheets?
I44 WHELEN ENGINEERING /"‘
Discount front current- (rice list
Price List No.
11'ataanty.
Stocking Distributor? Yeas No
I.ead time:
3I
(late of Price List
Hourly rate fur repair and service $
Minimum order (iVany) $_-
Handling fee i1 (css than minimum order $
Name/ l'elepltone/CelIlficcper of Emergency Contact
(per hour)
I lave you supplied the required Catalogs and List Price Sheets?
r
Iii WILL BURT
Discount from current price list
Price list No.
Warranty _
°'o
Date of Price List
85
YES NC)
YES NO
SECA' 4 - PRICING/ CERTIFICA'T'IONS/ SIGNATURES 1'1 B Number: 12-t)R0(,
Stocking I)istrihntor? Yes No
Lead time:
I lowly rate for repair and service $
Minimum order (if any) $
Handling fee if less than minimum order $
Names felephunc/CcLI/aceper or .mer'gency t'antact
(per hour)
lave you supplied the required Catalogs and List Price Sheets? YES NO
I4( W1NCO GENERATORS
I)iscount front current price list "i,
Price List Nu. f)atc of Pike List
Warranty
Stocking r istributoi"' Yes Nu
Lead time:
'lowly rate for repair and service $ (per hour)
i4fininuun order (it any) S _
handling fee it' less than minimum order $
NamerTcicphunc/Cell/Beeper of Emergency Contact
)lave you supplied the required Catalogs and List Price Sheets?
147 WW'INDS01,
Discount Bunt current price list
Price 1 ist No.
Warranty
Stocking I)istrihutor? Yes No
Lead timc•
Date of Price 1 .ist
Hourly rate fin• repair and service S i per hour)
'Minimum order Of any) ti
86
YFS NO
SECfI{)N 4 — PRICING/ CER'1l'II{ CATIONS/ SIGNA'1'1112h;S 1'1 11 Number: I2-0806
Handling lee if less than ntiniinum order S
NatneiTelephonc/C'c11/13egper of 1.: ntergency Contact
Have you supplied the required Catalogs and List Price Sheets? YES N()
1.18, WILLIAMS FOAM '
Discount Prom current price list 4n
('rice I .ist No Date of Prig List
Warranty
Stocking Distributor? Yes No
I.cad time
Hourly rate for repair and service S
,4liniuuun ardor (if any) S
Handling tee if less than minimum oidci $
Name/ Telephone/Cell/Beeper of I •:mergency Contact
(per hour)
I lave yuu supplied the required Catalogs and Lisi ('rice Sheets'? YES NC)
149. WORL)EaN
M , t
Discount hum current price list
Price List Nu•
Warranty
Stocking Distributor'? Yes No
Lead Blue:
Date of Price 1 ict
Hourly rate for repair and service $
Minimum order (if any) S
1(mulling fee if less than nuuiutunt order $
Namet'rcic)>hone/CeWLIeeper of Emergency Contact
(per hour)
Have you supplied the required Catalogs and Lisi Price Sheets`'
87
YLS N()
SECTION 4 — PRICING/ CERTIFICATIONS/ SIGNATURES tTB Number: I2.O1i06
150 ZEPHYR
Discount from current price list
Price List No.
Warranty
Stocking Distributor? Yes No
1.ead time:
iyv
Date 01 -Price List
1 iuurly rate for repair and service 5 (pet hour)
1'9inimunt order (if any) $
I landling lee if less than utinin►nnt order S
Name?Tctcphonc/CclllBcepei of Duel gem:), Contact
Have you supplied the required Catalogs and List Price Sheets? _ _ YES _ NO
I51 LIAMATIC
Discount front current price list
Price list Nu.
Warranty
Date of Price List
Stocking Distributor'? Yes No
Lead time:
t luurly rale for repair and service 5 (per hnur)
\•linintum order (il any) $
l landling fee if less than minimum order
Name/ I elephone&Cell/Beeper of Emergency Contact
1 lave you supplied the required Catak?.gs and List Price Sheets?
I5?. ZICO
Discount flout currcny price list
Price List No. Date of Pries List
Warranty
88
YES N()
SECTION 4 — PRICING/ CERTIFICATIONS/ SIGNATURES 11 It Number: 12-0806
Stocking Distributor? Yes No
Lead time:
Hourly rate fur repair and service S (per hour)
Minimum order (if any) S
1hutdling fee if less than minimum order S_
Naiiuf1 elepltonet(:ellltieehei of Emergency Contact
Have you supplied the required Catalpas and List Price Sheets?
YI:s NO
Replacement parts, repair kind service not previously noted that your Brat may wish to hid (attach additional
sheets if necessary).
Part/Repair/Service IIiddiri :
Discount from surreal price list _%
Price List No. Date of Pace List
Warranty
Stocking Distributor? Yes No
I.ead time:
llourly late for repair and service 5 (per hour)
Minimum order (if any) 5
I landling fee if Icss than minimum m order S
Name?Tcicplwnc/C41I/13reper of 1•.mergency Contact
I lave you supplied the required Calalues and List Price Sheen?
Will your firm accept Visa? Yes___ No
89
YF.S NO
SECTION 4 — PRICING/ Cl 14 I'I F'ICA'1'IONS/ SI(;NA'1'U RI' S
Ntallllfacttrrer:
(Tli Number: 12-t)$t)6
Discount from current price list
Additional Sheet
1_'0t„t_t
1� 4.
Price List No. J r ' t ) Date of Price List
Warranty
�ti 1,4it� t, °t.i l.I �f (�r `rt. i
Stocking Distributor? Yes Nn
Lead time: + t; k
1 loony rate for repair and service S
Minimum order (if any) S
o
I Iandling fee if less than ntiniutum order $
1 _ (per hour)
t
Name/Telephone/C'ellfBeeper of Emergency Contact
_ ,1 '1 6-)
1
1 lave you supplied the required Catalogs and List Price Sheets'?
Manufacturer:
� f .",1 .,
)iscotmt from current price list �!o
Pi ec List No.
Tate of Price l.ist
Warranty i f
Stocking Distributor? Yes No
Lead time:
t- `
Hourly rate for repair and service $ I (per hour)
Ntinimum order (1fany) $
I kindling fee if less than minimum order S -1
Name:1'elephcme/C'ellilleeper of Emergency Contact
Have you supplied the required Catalogs and 1.ist
90
i
,
YES 1\C)
• I / ; , 1, a �f t 1 ) ,
4,1
SEC"I'ION 4 - P12ICINGi l'IFICATIt)NS/ SIGNATURES 1 111 Number: 12-I)8I)(r
NI anufacturer:
1•. Iti
Discount Floral current pricy list
Price I rst No
11rar,antl'
l Additional Sheet
t f ' • h
u„
Stocking Distributor'
1 cad tune
Hotir1 ' tats k'r ieprnr and scr' 1..x
N hltlrt1UU1 order I if an!. i S h' r
I landliutr fee if 1c.s than minimum order S
Date of Pii.ec 1 1st
/t
1 Diet 1011r1
\ante,Tclephorte.t'ell'Beeper 'C LIncrgeite c ontact
1 ,b1 1/ lit A T/
:-
I irt+e tau -sig./plied the required Catalogs and Lim Price Sheets? YLS NC)
Manufacturer:
Discount fault , ilrrent puce list
Price 1 rit
11,irraitt
J
t
I r t
( f 3:, 1, i ., , )_
D;kie n1 Price I isr /-l/
1, ' t
Stocking DLstnbuiot" e \01
Lead time
1lourls rare ti+r repair and sett rce S '' ri ttrel hours
Nlntinunn rrrcler I if anvt 5 1
1 tandlrnn fee if lei.; than minimum order
\dune- ! eleohone t-'cIl/Rccper t' Emcr_•enc) Contact
'1 r
Have you supplied !lie teyuued C ataloes and List
'N!
SECTION 4 PRICINGi f'Fifl'IFI(':VFIONSi SIGNATURES 1113 Number- 12-0806
Additional Sheet
Nlanuiacturer: j , i r,
I
Discount from current pike list
Price List Nu,
Warrant,.
J
StoAins f) trtbutor? No ,
Lead time
Howly tate fnr repair and ,erg ice S
llrnununt order ; rl arn) S
(antlltur tC'C tt legs than ❑ttrtrrnuuu order
Date of Price I .rst
(per hour)
1
Nance• •1 elephone:Cell Beeper .t1 Erne' gene). r :attact
r
Aft •f 1 -
I -late vou supplied the required ( atom,; and I ist Price Sheets" 4 -ES \0
i%tatntfaelurer,
•
Discount from , urrcnt p,rte e itst
Price 1 RS) N1. .: - •, t
Warrani - �+
Sturkirtt ntsntl�trtnr`' 1 n No •
Lead tune
'loud) rate for repair roil
t1ino-num order (t1 am) S-_
late I'rlee 1 !al
' ' / r' iper hl,urt
Handling lee 11 less than turnlrnurn oijdcr S
Name' I eIephonc CclI'Bcepef cif 1 nteruen t (,.react
/ , /
I lave you supplied rhr required (`atablt!s and LtA
qt j
SECTION 4 — PRICING' C ERTJFJC_ "i"I{)tiw, SI(,\ a ri RI S t t; in-cr i 1-I)t+tu,
1'Ii nufncturer:
J 1
t)tc,:ount hurn cut ,to
Price List'rci
\\'arr,intti
St+,cktny I),ctrihutrr' Ye,
ead ti•nc ' 1 l+
Hourl', rat, r. r ant:
\tali tom ,n, -let I it an..
Additional Sheet
1,
alto ' I',t.2 l.l.;; ffjt. l 1 t f Jt
I-Iandlnte fee if lei, than tn'l:cntar, nide, ` / -1
\:,mr-Irk-phone ( ell Beeper t 1 trt t't t _ _. ' •,t.tct
r.
IIati ,up=,iicd the ro.y.ored ,uahs•,, ,tntJJ l_i t F.tce •nectc-
\IIanufacturet:
Discount front current pr.r 11A
Pr:cc I :it'' • Uatr ' P, :e i :t t. 1,t t .; 1
1
1\,irrAlttt
Swckrnst r)r,tril•utt•s' r
rl
lluurf` ratr for trrl,3n •
\ln;ttmut•, r,ter n .trt.
I I,ntllntit rcr it leis than minimum order
N3tt3c' r elephonc ( di Be pe: i 1_S1ler2e1,.' C : nrt:t
t ( ` 7
Hare you supplied the reuLurecl
7t t
1 f.
't'F-S
IP)
.;f? ,l,.
SECTION 4 — PRICING/ CERTIFICATIONS/ SIGNATURES
1fL Number: 12-0806
By Signing this Bid the Bidder Attests and Certifies that:
• 11 satisfies all legal requirements (as an entity) to do business with the County.
• The undersigned vendor acknowledges that award of a contract may he contingent upon a
County that the vendor has the capacity and capability to successfitlly perform the contract,
• I he kidder hereby certifies that it understands all requirements of this solicitation, and
individual is duly authnri7ed to execute this bid document and any coniract(s) and/or other
by award ofthis solicitation.
('ertification (Regarding Acceptance of County Electronic Payable Process
Vendor will accept payment using the County's VISA- based electronic payment system: n Yes n Nn
determination by the
that the undersigned
transactions required
Purchasing Agreements with Other Government Agencies
this section is optional and will not affect contract award_ If Lake County awarded you the proposed contract.
would you sell under the same terms and conditions, for the same price, to other governmental agencies in the State
of Florida? Each governmental agency desiring to accept to utilize this contract shall b responsible for its own
purchases and shall be liable only for materials or services ordered and reueived by it. hj Yes L] No (Check one)
C:ertifrcation Regarding Felony Conviction
Has any officer, director, or an executive perfnrn ing equivalent dirties, of the bidding entity been convicted of a
felony during the past ten (10) years? n yes ri No (Check one)
t_'onflict of interest Disclosure Certification
I :xcept as listed below, no employee, officer, or agent ul'thc (inn has any conflicts of interest real or apparent, due
to ownership, other clients, contracts, or interests associated with this project; and, this hid is made without prior
understanding, agreement, or connection with any corporation, firm, or person submitting a proposal fur the same
service,. and is in all respects fair and without collusion or fraud
1)1INS Number (Insert if this action involves a federal funded project):
General Vendor Information and Bid Signature:
Firm Name:
Street Address:
tr
' l"5
1,
l
Mailing Address (if (itfeient):
Telephone No.: /7/ -
FFIN \o. r
1' .
- ) /'/ i`i i
Signature. �' t•
J.,
Print Name;
1 r t i
• 1 /;
Fax No.: . ', fi y F.-nnail .1) t ,i.,,
Prompt Payment Penns: % - days, net
-t f�
Date:
.: e r f Title:
i f , , �L
1
Award of Contract by the County: (Official Use Only)
By signature below, the County confirms award to the above -identified vendor under the above identified
solicitation. A separate purchase order will be generated by the County to support the cuntrac,l.
Vendor nwnrderl as:
Lj Sole vendor
L] Pre -qualified pool vendor (spot bid)
Li Secondary vendor for items:
Signature of,muthorri7ed County official:
Printed name: Ja$ 7, lrj 431'47 7 l'j
Purchase Order Number assigned to this contract for billing purposes:
Et- Pre -qualified pool vendor based on price
❑ Primary vendor for items:
tOthcr status:
- bate: i r [ ' r.2 eV ?
DI h t G/%#
_TEL)
9l
SECTION 5 — A'I" 1'ACHMENTS
WORK REFER I N('ES
rrt3 Number: I2 -0R06
Agency
/f 7/ , b t_ t 1 ,,,1 -€ 1 1 L ,
c /� r a 4 1
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Addicss
`
Cal) State 7IP
l's' ,j,141_ 1:1 t • if (
> > ) /.)
L'uti Pctsnn
/- � � r $17, Iti i r) _t 7, t
1 h. , i I i `.
4.(1
[rlephone
l''3 1/ 1' )) /1 )
Ualefsl ur
SUIVIle
1 F, / 1' i , i•
/ f y t
R.pc W
Sclvtcr
7
I• %relit, i ,, / t. I, IIt,(
( / -Ilia,
:ff I"
Comments
Agcruy
/ •( i�: z /`)c £,, 1 1 ' , •, ,
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/ ) , e /`,
c
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t t
Address
f/ r
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COutael PrIsta1
, i / i 1 , / if _ ,
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1
felephuna
/
t 1 / r
I)atc(s) of
Scrvtrc
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ticnvec
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Address
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Contact Persutt
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l i kphone
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17ate(s) of
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Cmnn{rnrs-
t9 3
CERTIFICATE OF LIABILITY INSURANCE
1
OP ID: RI4
DATE tMWDDWYYYY)
03/15112
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the cedllicale holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION 15 WAIVED, subject lo
the hums and condi lops of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu at such en dorseinentfsi.
PRODDER
TBMBI - (F)
P.O. Box 6989
MMUYe, AL 16660
Both Hill
11JSURED
251-473-9000
251-4T3-9010
COM ACT
e. Exit
iiiricAuta
ccossT00,4M BENFI-1
TAX
WC, No).
INSURERIS) AFFORDING COVERAGE
HAIC I
Bennett Fire Products Co., Inc
Danny Bennett
PO Box 2458
Woodstock, GA 30188
INSURER A. Arch Insurance Company
INSURER B:The Hartford Insurance Group
INSURER C •
22357
INSURER D :
INSURER E :
_1NSunFstr •
COVERAGES
CERTIFICATE NUMBE
FQ-
THIS
INDICATED.
(FRTIFICATF
EXCLUSIONS
LTR
IS TO CERTIFY THAT THE POLICIES
NOTWITHSTANDING ANY REQUIREMENT,
MAY BE ISSUED OR MAY
AND CONDITIONS OF SUCH FOLIC
TYPE OF INSURANCE
OF INSURANCE LISIED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POI.ICY PERIOD
TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO Al 1 THE TERMS
ES. LIMITS Si IOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
1MSR
w n
POLICY NUMBER
IM�IDIIYCY YYYI
�
LIMITS
A
GENERAL
X
L (AURA I Y
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MFOL06532107
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83114/13
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100,000
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AUTO
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MOBILE LIABILITY
All i FIB,•
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[13114/12
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EXCESS LIAMS
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$
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-
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WORKERS COMPENSATION
AND EMPLOYERS' LIABXnY Y I et ER
sir FErh k EER C ILL CD? CI ii11
(Manrfeloryin lUN)
f,eu ..I.LIAr wri.
DC RIF•-14'1 r:r ,-Pra•1Ti "N ;1 : ,'1,
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21 WECZS6774
12101111
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X I INC � 1!MILS I I n'l
t i t,,,e,,,.u1L,tr1I
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100,000
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5
100,00C
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500,00c
UECCRIPI ION nP nP5 RAT;ONe i LOCATIONS 1 VEIECI.EB IAt1teb ACORO 101. Mdillonel Remarks Schedule. if moire space rs required►
Lako County is named as additional insured with respect In general
liability, por tho attached form 00 GL0596 00 04 10 If required by written
contract
LAK E004
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Lake County, a political sub.
division of tho stato of FL &
ACCORDANCE WITH THE POLICY PROVISIONS.
The Board of Cu. Commissioners
AUr140 t12E0 REPRESENTATIVE
Tavares, FL 32T7P.O. Box 780 (....,,,,v,,,3277114800 (y
/I
ACORD 25 (2008109)
01888-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
LIQUOR LIABILITY FORM
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM
SECTION II — WHO IS AN INSURED Is amended to Include as an additional insured the person or
organleation who is required under a written contract with you to be included es an insured under this
policy, but only with respect to liability arising out of your operations or premises owned by or rented to
you.
All other terms and conditions of this policy remain unchanged.
Endorsement Number
Policy Number:
Named Insured'
[his endorsement is effective on the inception state of this Policy unless otherwise stated herein
Endorsement Effective Date;
00 GL0596 00 04 10 Page 1 of
E Quotation
Bennett Fire Products Co., Inc.
May 3, 2014
Chief Eric Lang
Key Biscayne Fire Rescue
560 Crandon Boulevard
Key Biscayne, FL 33149
www.BennettFireProducts.com
Prices/Discount in reference to Lake County, FL Contract 12-0806B, expires June 30,
2014, 42% from manufacturer's current list price for Globe Firefighter's Suits and
Cairns Protective Clothing
Globe Firefighter's Suits Price List dated February 1, 2013 is in effect at time of
quotation.
Globe #D1351 -J G-Xcel Jacket per KBFR specifications
List Price -$1,937.80
Lake County Contract Discount — 42% - $1,123.92
KBFR Price - $1,068.00 each
Globe #IH1351-J Trousers and suspenders per KBFR specifications
List Price - $1,877.75
Lake County Contract Discount — 42% - $1,089.10
KBFR Price - $1,038.00 each
Note: Quotation will be updated after July 1, 2014 to coincide with Lake County
Contract Year 3, but KBFR prices above will valid until December 31, 2014.
Delivery: 50-60 days after receipt of order
Terms: net 30 days
FOB Key Biscayne, FL
Thanks for giving us the opportunity to serve you!
Danny Bennett, bennettfire@att.net, cell 770/402-9910