Division/Department:
_________________________ Quote Summary Form Form completed by: _____________________ PR# Bidders' Names:
Unit Ext. Unit Ext. Unit Ext.
Price Price Price Price Price Price
Item 1 price: $___________ $___________ $___________ $___________ $_ __________ $___________
1. Descript:
Manufacturer offered by bidder:
Model offered by bidder:
Item 2 price: $___________ $___________ $___________ $___________ $_ __________ $___________
2. Descript:
Manufacturer offered by bidder:
Model offered by bidder:
Item 3 price: $___________ $___________ $___________ $___________ $_ __________ $___________
3. Descript:
Manufacturer offered by bidder:
Model offered by bidder:
Item 4 price: $___________ $___________ $___________ $___________ $_ __________ $___________
4. Descript:
Manufacturer offered by bidder:
Model offered by bidder:
Item 5 price: $___________ $___________ $___________ $___________ $_ __________ $___________
5. Descript:
Manufacturer offered by bidder:
Model offered by bidder:
Sub-Total: $__________ $__________ $__________
Shipping & Handling, if any $__________ $__________ $__________ Add tax at current rate (9.75%) $__________ $__________ $_________ _ Grand Total $$ $
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(Vendor 1) (Vendor 2) (Vendor 3)Quote Title: (Project name) Quote No.
Quote Submittal Deadline:
Mfg:
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Use more pages as necessary 12 DEC 2022 1
QUOTATION
3523645
Order Date
Order Number
4/16/2024 12:50:42
Page
1 of 1
Quote Expires On 6/15/2024
Purchase Order Address:
PO Box 2068
Longview, WA 98632
ESTIMATED DATE
5/3/2024 00:00:00
RICHMOND, CA 94804
Richmond Fire Department
440 Civic Center Plaza 2nd Floor
Richmond , CA 94804
US
Requested By: Battalion Chief VICTOR BONTEMPO
Customer ID:
PO BOX 4046
ATTN: ACCOUNTS PAYABLE
Bill To: Ship To:
CITY OF RICHMOND-FIRE DEPT
510-307-8031
36063 Freight Code: Job Name:
Ship Route TakerPO Number
DGOMEZ
Carrier
UPS - PREPAID FREIGHT
Item ID
Item DescriptionRemaining
Quantities
UOM
Disp. Unit Size
Pricing
UOM Unit
Price
Unit Size
Price
Extended
AllocatedOrdered
Line No
MSAIN-101169246.00000.0000 2,895.53EAEA6.0000 17,373.181
1.0 1.0Altair 5X 4-Gas Mono, O2,LEL,CO,H2S
LEL/O2/CO/H2S
MSAIN-101286266.00000.0000 3,196.27EAEA6.0000 19,177.622
1.0 1.0GX2 GALAXY AUTOMATED TEST
SYSTEM
Altair 5X docking station with charger with one
valve
MSAIN-101057563.00000.0000 1,482.00EAEA3.0000 4,446.003
1.0 1.0GX2 CAL GAS CYLINDER HOLDER
ASSEMBLY GX2
MSAIN-100482803.00000.0000 371.80EAEA3.0000 1,115.404
1.0 1.0CYLINDER: CAL GAS 34L 1.45% CH4
15% O2, 60PPM CO, 20PPM H2S
SUB-TOTAL:Total Lines: 4 42,112.20
4,105.96TAX:
U.S. Dollars
46,218.16AMOUNT DUE:
19.1.3681 - 09/23/19
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/121/127/105/128/109/129/127/101
/112/46/54/50/43/59/38/47/i255/62/38/47/65/55/64/38
/112/43/48/50/36/64/50/i255/111/54
/130/110/131/54
/132/38/50/i255/133/41/i255/35/38/47/59/54
/62/38/60/60/i255/43/48/i255/58/43/47/43
/120/36/47/50/55/64/55/57/36/50/38/i255/55/48/i255/118/38/54/38/36/47/64/53 /134/96/103/108/107/129/108/i255/100/101
/112/46/54/50/43/59/38/47/i255/62/38/47/65/55/64/38/i255/130/47/43/59/i255/118/38/36/60/i255/120/38/43/57/60/38 /i255/135/136/137/138/75/139/140/141/142/142/143/i255/144/141/145/146/145/147/148/147 /i255/66/67/68/69/70/139/36/54/37/149/43/47/43/150/149/43/47/43/61/64/43/59 /i255/152/i255/153/154/155/155/156/153/154/153/157/i255/158/159/160/159/i255/161/159/159/162/163/164/i255/165/91/166/167/i255/168/162/162/i255/160/89/90/169/170/163/i255/160/171/163/171/160/172/171/173/167/i255 /i255/174/i255/175/176/177/178/179/i255/180/i255/181/182/183/184/185/186/185/182/183/179/174 /i255/187/177/185/188/189/190/191/i255/187/182/192/185/190/191/174 /193/182/194/177/i255/187/177/185/188/189/190/191/i255/181/195/182/185/190/176/179 /196
/130/36/64/38/63/43/43/37
/197
/198/43/46/35/46/63/38
/199
/200/55/48/37/38/51/115/48
/201
/115/48/54/50/36/56/47/36/59