Multnomah County FAILURE TO SUBMIT THIS FORM SHALL BE CAUSE FOR BID REJECTION ID #B08-9341

Central Procurement and Contract Administration XEROX CARTRIDGES (REQ)

501 SE Hawthorne Blvd Suite 400
Portland, OR 97214 (503)988-5111 Vendor Name

ITEM MC STOCK DESCRIPTION MANF. MANF. U/M EST. UNIT COST EXTD. COST CASE SIZE
NUMBER NAME NUMBER USE e.g. 24ea/cs
SECTION ONE

HIGH PERFORMANCE XEROX CARTRIDGES

1 M20772405 TONER CART BLACK XEROX PHASER 8400 XEROX 108R00608 PAC 10 0
0
2 M20772406 TONER CART CYAN XEROX PHASER 8400 XEROX 108R00605 PAC 10 0
0
3 M20772407 TONER CART MAGENTA XEROX PHASER 8400 XEROX 108R00606 PAC 10 0
0
4 M20772408 TONER CART YELLOW XEROX PHASER 8400 XEROX 108R00607 PAC 10 0
0
5 M20772413 TONER CART BLACK XEROX PHASER 4500 XEROX 113R00657 EA 15 0
0
6 M20772431 TONER CART BLACK HICAP XEROX PHASER 6250 XEROX 106R00675 EA 5 0
0
7 M20772432 TONER CART CYAN HICAP XEROX PHASER 6250 XEROX 106R00672 EA 5 0
0
8 M20772433 TONER CART MAGEN HICAP XEROX PHASER 6250 XEROX 106R00673 EA 5 0
0
9 M20772434 TONER CART YELLO HICAP XEROX PHASER 6250 XEROX 106R00674 EA 5 0
0
10 M20772462 TONER CART BLACK HICAP XEROX 6350DT XEROX 106R01147 EA 5 0
0
11 M20772463 TONER CART CYAN HICAP XEROX PHASER 6350 XEROX 106R01144 EA 6 0
0
12 M20772464 TONER CART MAGEN HICAP XEROX PHASER 6350 XEROX 106R01145 EA 3 0
0
13 M20772465 TONER CART YELLO HICAP XEROX PHASER 6350 XEROX 106R01146 EA 3 0
0
14 M20772471 TONER CART XEROX 8830 PLOTTER 6R90268 XEROX 6R90268 EA 6 0
0
15 M20772472 TONER CART BLACK HICAP XEROX PHASER 7400 XEROX 106R01080 EA 12 0
0
16 M20772473 TONER CART CYAN HICAP XEROX PHASER 7400 XEROX 106R01077 EA 8 0
0
17 M20772474 TONER CART MAGEN HICAP XEROX PHASER 7400 XEROX 106R01078 EA 8 0
Bid Sheet Page 1 of 4 bidsheet - short revised 4-15.xl
Multnomah County FAILURE TO SUBMIT THIS FORM SHALL BE CAUSE FOR BID REJECTION ID #B08-9341
Central Procurement and Contract Administration XEROX CARTRIDGES (REQ)
501 SE Hawthorne Blvd Suite 400
Portland, OR 97214 (503)988-5111 Vendor Name

ITEM MC STOCK DESCRIPTION MANF. MANF. U/M EST. UNIT COST EXTD. COST CASE SIZE
NUMBER NAME NUMBER USE e.g. 24ea/cs
0
18 M20772475 TONER CART YELLO HICAP XEROX PHASER 7400 XEROX 106R01079 EA 8 0
0
19 M20772483 TONER CART BLACK HI CAP XEROX 6300 XEROX 106R01085 EA 40 0
0
20 M20772484 TONER CART CYAN HI CAP XEROX 6300 XEROX 106R01082 EA 15 0
0
21 M20772485 TONER CART MAGENTA HI CAP XEROX 6300 XEROX 106R01083 EA 15 0
0
22 M20772486 TONER CART YELLOW HI CAP XEROX 6300 XEROX 106R01084 EA 15 0
0
23 M20772488 TONER CART CYAN XEROX PHASER 6110 XEROX 106R01271 EA 6 0
0
24 M20772489 TONER CART MAGENTA XEROX PHASER 6110 XEROX 106R01272 EA 6 0
0
25 M20772490 TONER CART YELLOW XEROX PHASER 6110 XEROX 106R01273 EA 6 0
0
26 M20772491 TONER CART BLACK XEROX PHASER 6110 XEROX 106R01274 EA 6 0
0
27 M20772600 TONER CART BLACK XEROX PHASER 8500/8550 XEROX 108R00672 PK 4 0
0
28 M20772601 TONER CART MAGENT XEROX PHASER 8500/8550 XEROX 108R00670 PK 4 0
0
29 M20772602 TONER CART CYAN XEROX PHASER 8500/8550 XEROX 108R00669 PK 4 0
0
30 M20772603 TONER CART YELLO XEROX PHASER 8500/8550 XEROX 108R00671 PK 4 0
0
31 M20772604 IMAGING UNIT XEROX PHASER 7400 BLACK XEROX 108R00650 EA 10 0
0
32 M20772605 IMAGING UNIT XEROX PHASER 7400 CYAN XEROX 108R00647 EA 10 0
0
33 M20772606 IMAGING UNIT XEROX PHASER 7400 MAGENTA XEROX 108R00648 EA 10 0
0
34 M20772607 IMAGING UNIT XEROX PHASER 7400 YELLOW XEROX 108R00649 EA 10 0
0

Bid Sheet Page 2 of 4 bidsheet - short revised 4-15.xl

Multnomah County FAILURE TO SUBMIT THIS FORM SHALL BE CAUSE FOR BID REJECTION ID #B08-9341
Central Procurement and Contract Administration XEROX CARTRIDGES (REQ)
501 SE Hawthorne Blvd Suite 400
Portland, OR 97214 (503)988-5111 Vendor Name

ITEM MC STOCK DESCRIPTION MANF. MANF. U/M EST. UNIT COST EXTD. COST CASE SIZE
NUMBER NAME NUMBER USE e.g. 24ea/cs
35 M20772612 TONER CART BLACK HICAP XEROX PHASER 6360 XEROX 106R01221 EA 10 0
0
36 M20772613 TONER CART CYAN HICAP XEROX PHASER 6360 XEROX 106R01218 EA 10 0
0
37 M20772614 TONER CART MAGENTA HICAP XEROX PHASER 6360 XEROX 106R01219 EA 10 0
0
38 M20772615 TONER CART YELLOW HICAP XEROX PHASER 6360 XEROX 106R01220 EA 10 0
0
39 M20772616 TRANSFER ROLLER XEROX PHASER 6300/6350 XEROX 108R00646 EA 10 0
0
IF YOU WISH TO BE CONSIDERED FOR AWARD YOU MUST BID ON EVERY ITEM 0

BID TOTAL $ -

Bid Sheet Page 3 of 4 bidsheet - short revised 4-15.xl

Multnomah County FAILURE TO SUBMIT THIS FORM SHALL BE CAUSE FOR BID REJECTION ID #B08-9341
Central Procurement and Contract Administration XEROX CARTRIDGES (REQ)
501 SE Hawthorne Blvd Suite 400
Portland, OR 97214 (503)988-5111 Vendor Name

ITEM MC STOCK DESCRIPTION MANF. MANF. U/M EST. UNIT COST EXTD. COST CASE SIZE
NUMBER NAME NUMBER USE e.g. 24ea/cs
SECTION TWO

1. If additional items are purchased under a resultant contract (see general conditions/specifications), how will the price of these items be determined?
Percentage off Manufacturer's List Price:

_______ %

OR
Percentage Markup over Bidder's Cost:

_______ %

2. Terms of Payment _______________________________________________

3. Local / toll free telephone number for ordering___________________________________

4. Describe your overstock return policy:

5. Describe your Special Handling & Shipping Charges policy (if any):

Notes:

Bid Sheet Page 4 of 4 bidsheet - short revised 4-15.xl