Common use of Additional Fields Clause in Contracts

Additional Fields. Contracted price with state per contract terms Contract Price List price (Market + fee contracts use market price) List Price Purchase Order, Payment Card, Other Purchase Type Delivered date to customer Date Delivered Order date Order Date Number of items purchased/provided Volume Qty Description of unit of measure (see example) UOM Desc Unit of Measure UOM United Nations Standard Products and Services Code® UNSPSC Code® State Agencies, Universities, Political Subdivisions, Other Eligible Users Customer Name Additional detail for item Product Description Additional grouping for item Item SubCategory Description of the product category Item Category Manufacturer, Publisher, Provider MFG Given name of Item Item / Service Name Your product part number if applicable Part Number/SKU Company State Term Contract No. Address Contract Expiration Date City Reporting Date State Zip Code Contact State of FL Vendor # Email Reporting Period Quarter Calendar Fiscal Year CQ12007 FYQ12007 Sample Contact Phone Number Total Sales (List) $0.00 (Calculated automatically) EA - Each Total Sales (Contract) $0.00 CS - Case ID Part Number/SKU Model Number/ Product Description MFG Item Category Item SubCategory Item / Service Name Customer, Agency, or Other Eligible UNSPSC Code UOM Order Date Purchase Order No. List Price Net Price Total ListPrice Total Net Price Total List Price Contract Price Total Contract Pest Control Services Department of Management Services Page 1 of 1 Solicitation No: ITB 1372102103_U Attachment I State of Florida Savings/ Price Reductions Form Invitation to Bid/Request for Proposal/Invitation to Negotiate/SPA No. Bidder/Respondent is required to furnish the percent (%) savings in prices offered compared to retail, list, published or other usual and customary prices that would be paid by the purchaser without benefit of a contract resulting from this bid. DATE COMPETITIVE PRICES OFFERED AVERAGE % SAVINGS. HOW CAN WE VERIFY THE CLAIMED SAVINGS (example: retail or other usual and customary prices published at [url], or other source of benchmark prices)? AUTHORIZED SIGNATURE: TELEPHONE NUMBER: BIDDER/RESPONDENT NAME: IF CONTRACT AWARDED, STATE PURCHASING ANALYST/SPECIALIST TOOK THE FOLLOWING STEPS TO VERIFY SAVINGS: WHAT WERE THE RESULTS? PURCHASING ANALYST/SPECIALIST: Pest Control Services Department of Management Page 1 of 1 Solicitation No: ITB 13-72102103-U Attachment J State of Florida Vendor Certification Regarding Scrutinized Companies Lists Respondent Vendor Name: Xxxxxx XXXX: Vendor’s Authorized Representative Name and Title: Address: City: State: Zip: Phone Number: Email Address: _ Section 287.135, Florida Statutes, prohibits agencies from contracting with companies, for goods or services over $1,000,000, that are on either the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List. Both lists are created pursuant to section 215.473, Florida Statutes. As the person authorized to sign on behalf of Respondent, I hereby certify that the company identified above in the section entitled “Respondent Vendor Name” is not listed on either the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List. I understand that pursuant to section 287.135, Florida Statutes, the submission of a false certification may subject company to civil penalties, attorney’s fees, and/or costs. Certified By: , Authorized Signature Print Name and Title: Date: Pest Control Services Department of Management Services Page 1 of 1 Solicitation No: ITB 13-72102103-U Attachment K State of Florida Timeline of Events Timeline of Events Event Time (EST) Event Date ITB posted in the VBS and in the MFMP Sourcing Tool. 02/26/2015 Optional Site Visit Start 03/02/2015 Optional Site Visit End 03/13/2015 Deadline to submit questions via the MFMP Sourcing Tool Q&A Board. 2:00 PM 03/17/2015 Department’s anticipated posting of answers to Bidders’ questions within the MFMP Sourcing Tool. 03/24/2015 Deadline to submit bid and all required documents in MFMP Sourcing Tool. 2:00 PM 03/31/2015 Bid Opening-4050 Xxxxxxxxx Xxx, Xxxxxxxxxxx, Xxxxxxx 00000 2:01 PM 03/31/2015 Anticipated date to post Notice of Intent to Award. 04/07/2015 Anticipated contract start sate 12:00AM 05/03/2015 Pest Control Services Department of Management Services Page 1 of 1 Solicitation No: ITB 13-72102103-U State of Florida PUR 1000 General Contract Conditions Contents

Additional Fields. Contracted price with state per contract terms Contract Price List price (Market + fee contracts use market price) List Price Purchase Order, Payment Card, Other Purchase Type Delivered date to customer Date Delivered Order date Order Date Number of items purchased/provided Volume Qty Description of unit of measure (see example) UOM Desc Unit of Measure UOM United Nations Standard Products and Services Code® UNSPSC Code® State Agencies, Universities, Political Subdivisions, Other Eligible Users Customer Name Additional detail for item Product Description Additional grouping for item Item SubCategory Description of the product category Item Category Manufacturer, Publisher, Provider MFG Given name of Item Item / Service Name Your product part number if applicable Part Number/SKU Company State Term Contract No. Address Contract Expiration Date City Reporting Date State Zip Code Contact State of FL Vendor # Email Reporting Period Quarter Calendar Fiscal Year CQ12007 FYQ12007 Sample Contact Phone Number Total Sales (List) $0.00 (Calculated automatically) EA - Each Total Sales (Contract) $0.00 CS - Case ID Part Number/SKU Model Number/ Product Description MFG Item Category Item SubCategory Item / Service Name Customer, Agency, or Other Eligible UNSPSC Code UOM Order Date Purchase Order No. List Price Net Price Total ListPrice Total Net Price Total List Price Contract Price Total Contract Pest Control Services Department of Management Services Page 1 of 1 Solicitation No: ITB 1372102103_U Attachment I State of Florida Savings/ Price Reductions Form Invitation to Bid/Request for Proposal/Invitation to Negotiate/SPA No. Bidder/Respondent is required to furnish the percent (%) savings in prices offered compared to retail, list, published or other usual and customary prices that would be paid by the purchaser without benefit of a contract resulting from this bid. DATE COMPETITIVE PRICES OFFERED AVERAGE % SAVINGS. HOW CAN WE VERIFY THE CLAIMED SAVINGS (example: retail or other usual and customary prices published at [url], or other source of benchmark prices)? AUTHORIZED SIGNATURE: TELEPHONE NUMBER: BIDDER/RESPONDENT NAME: IF CONTRACT AWARDED, STATE PURCHASING ANALYST/SPECIALIST TOOK THE FOLLOWING STEPS TO VERIFY SAVINGS: WHAT WERE THE RESULTS? PURCHASING ANALYST/SPECIALIST: Pest Control Services Department of Management Page 1 of 1 Solicitation No: ITB 13-72102103-U Attachment J State of Florida Vendor Certification Regarding Scrutinized Companies Lists Respondent Vendor Name: Xxxxxx XXXX: Vendor’s Authorized Representative Name and Title: Address: City: State: Zip: Phone Number: Email Address: _ Section 287.135, Florida Statutes, prohibits agencies from contracting with companies, for goods or services over $1,000,000, that are on either the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List. Both lists are created pursuant to section 215.473, Florida Statutes. As the person authorized to sign on behalf of Respondent, I hereby certify that the company identified above in the section entitled “Respondent Vendor Name” is not listed on either the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List. I understand that pursuant to section 287.135, Florida Statutes, the submission of a false certification may subject company to civil penalties, attorney’s fees, and/or costs. Certified By: , Authorized Signature Print Name and Title: Date: Pest Control Services Department of Management Services Page 1 of 1 Solicitation No: ITB 13-72102103-U Attachment K State of Florida Timeline of Events Timeline of Events Event Time (EST) Event Date ITB posted in the VBS and in the MFMP Sourcing Tool. 02/26/2015 Optional Site Visit Start 03/02/2015 Optional Site Visit End 03/13/2015 Deadline to submit questions via the MFMP Sourcing Tool Q&A Board. 2:00 PM 03/17/2015 Department’s anticipated posting of answers to Bidders’ questions within the MFMP Sourcing Tool. 03/24/2015 Deadline to submit bid and all required documents in MFMP Sourcing Tool. 2:00 PM 03/31/2015 Bid Opening-4050 Opening-0000 Xxxxxxxxx Xxx, Xxxxxxxxxxx, Xxxxxxx 00000 32399 2:01 PM 03/31/2015 Anticipated date to post Notice of Intent to Award. 04/07/2015 Anticipated contract start sate 12:00AM 05/03/2015 Pest Control Services Department of Management Services Page 1 of 1 Solicitation No: ITB 13-72102103-U State of Florida PUR 1000 General Contract Conditions Contents

Additional Fields. Contracted price with state per contract terms Contract Price List price (Market + fee contracts use market price) List Price Purchase Order, Payment Card, Other Purchase Type Delivered date to customer Date Delivered Order date Order Date Number of items purchased/provided Volume Qty Description of unit of measure (see example) UOM Desc Unit of Measure UOM United Nations Standard Products and Services Code® UNSPSC Code® State Agencies, Universities, Political Subdivisions, Other Eligible Users Customer Name Additional detail for item Product Description Additional grouping for item Item SubCategory Description of the product category Item Category Manufacturer, Publisher, Provider MFG Given name of Item Item / Service Name Your product part number if applicable Part Number/SKU Company State Term Contract No. Address Contract Expiration Date City Reporting Date State Zip Code Contact State of FL Vendor # Email Reporting Period Quarter Calendar Fiscal Year CQ12007 FYQ12007 Sample Contact Phone Number Total Sales (List) $0.00 (Calculated automatically) EA - Each Total Sales (Contract) $0.00 CS - Case ID Part Number/SKU Model Number/ Product Description MFG Item Category Item SubCategory Item / Service Name Customer, Agency, or Other Eligible UNSPSC Code UOM Order Date Purchase Order No. List Price Net Price Total ListPrice Total Net Price Total List Price Contract Price Total Contract Pest Control Services Department of Management Services Page 1 of 1 Solicitation No: ITB 1372102103_U Attachment I State of Florida Savings/ Price Reductions Form Invitation to Bid/Request for Proposal/Invitation to Negotiate/SPA No. Bidder/Respondent is required to furnish the percent (%) savings in prices offered compared to retail, list, published or other usual and customary prices that would be paid by the purchaser without benefit of a contract resulting from this bid. DATE COMPETITIVE PRICES OFFERED AVERAGE % SAVINGS. HOW CAN WE VERIFY THE CLAIMED SAVINGS (example: retail or other usual and customary prices published at [url], or other source of benchmark prices)? AUTHORIZED SIGNATURE: TELEPHONE NUMBER: BIDDER/RESPONDENT NAME: IF CONTRACT AWARDED, STATE PURCHASING ANALYST/SPECIALIST TOOK THE FOLLOWING STEPS TO VERIFY SAVINGS: WHAT WERE THE RESULTS? PURCHASING ANALYST/SPECIALIST: Pest Control Services Department of Management Page 1 of 1 Solicitation No: ITB 13-72102103-U Attachment J State of Florida Vendor Certification Regarding Scrutinized Companies Lists Respondent Vendor Name: Xxxxxx XXXXVendor FEIN: Vendor’s Authorized Representative Name and Title: Address: City: State: Zip: Phone Number: Email Address: _ Section 287.135, Florida Statutes, prohibits agencies from contracting with companies, for goods or services over $1,000,000, that are on either the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List. Both lists are created pursuant to section 215.473, Florida Statutes. As the person authorized to sign on behalf of Respondent, I hereby certify that the company identified above in the section entitled “Respondent Vendor Name” is not listed on either the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List. I understand that pursuant to section 287.135, Florida Statutes, the submission of a false certification may subject company to civil penalties, attorney’s fees, and/or costs. Certified By: , Authorized Signature AUTHORIZED SIGNATURE Print Name and Title: Date: Pest Control Services Department of Management Services Page 1 of 1 Solicitation No: ITB 13-72102103-U Attachment K State of Florida Timeline of Events Timeline of Events Event Time (EST) Event Date ITB posted in the VBS and in the MFMP Sourcing Tool. 02/26/2015 Optional Site Visit Start 03/02/2015 Optional Site Visit End 03/13/2015 Deadline to submit questions via the MFMP Sourcing Tool Q&A Board. 2:00 PM 03/17/2015 Department’s anticipated posting of answers to Bidders’ questions within the MFMP Sourcing Tool. 03/24/2015 Deadline to submit bid and all required documents in MFMP Sourcing Tool. 2:00 PM 03/31/2015 Bid Opening-4050 Xxxxxxxxx Xxx, Xxxxxxxxxxx, Xxxxxxx 00000 2:01 PM 03/31/2015 Anticipated date to post Notice of Intent to Award. 04/07/2015 Anticipated contract start sate 12:00AM 05/03/2015 Pest Control Services Department of Management Services Page 1 of 1 Solicitation No: ITB 13-72102103-U State of Florida PUR 1000 General Contract Conditions Contents