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RFB Cover Page
State of Wisconsin
Wis. Statutes s.16.75
DOA-3070 N(R09/97)
The University of Wisconsin System
Office of Procurement
Suite 145
780 Regent Street
Madison, WI 53715
BIDDER (Name and Address)
Bid envelope must be sealed and plainly marked in lower corner with due date and Request for
Bid # _PS-12-2353. Late bids will be rejected. Bids MUST be date and time stamped by
the soliciting purchasing office on or before the date and time that the bid is due. Bids dated and
time stamped in another office will be rejected. Receipt of a bid by the mail system does not
constitute receipt of a bid by the purchasing office. Any bid which is inadvertently opened as a
result of not being properly and clearly marked is subject to rejection. Bids must be submitted
separately, i.e., not included with sample packages or other bids. Bid openings are public unless
otherwise specified. Records will be available for public inspection after issuance of the notice of
intent to award or the award of the contract. Bidder should contact person named below for an
appointment to view the bid record. Bids shall be firm for acceptance for sixty (60) days from date
of bid opening, unless otherwise noted. The attached terms and conditions apply to any subsequent
Bids MUST be in this office no later than
May 3, 2012
2:00 PM CDT
Name (Contact for further information)
Paul Schlough
Date: April 4, 2012
Quote Price(s) and Delivery FOB. Destination freight prepaid (installed if required) as shown on
Special Condition of Bid. Bids must be received in the Office of Procurement no later than the bid date
and time specified above.
 Fax bids are accepted
and Unit
 Fax bids are not accepted
Per Unit
Furnish Debit Card/Coin Operated Laundry
Service to the
University of Wisconsin-Stout in accordance
with the attached Standard Terms & Conditions,
Specifications & Bid Submittal Form
Site Survey Monday, April 16, 2012, 2:00pm
General Services Conference Room 139
Parking permits available from University
Complete and Return the Following:
1. Designation of Confidential and Proprietary
Information - 1 copy required
2. Bidder's Information - 2 copies required
3. Bid Submittal Form - 1 copy required
Payment Terms
Delivery Time
claim minority bidder preference [Wis. Stats. s. 16.75(3m)]. Under Wisconsin Statutes, a 5% preference may be granted to CERTIFIED Minority Business Enterprises. Bidder must be certified by the
 We
Wisconsin Department of Commerce. If you have questions concerning the certification process, contact the Wisconsin Department of Commerce, 5th Floor, 201 W. Washington Ave., Madison, Wisconsin
53702, (608) 267-9550. Does Not Apply to Printing Bids
We are a work center qualified under Wis. Stats. s. 16.752. Questions concerning the qualification process should be addressed to the Work Center Program, State Bureau of Procurement, 6th Floor, 101 E.
Wilson St., Madison, Wisconsin 53702, (608) 266-2605.
Wis. Stats. s. 16.754 directs the state to purchase materials which are manufactured to the greatest extent in the United States when all other factors are substantially equal. Materials covered in our bid were
manufactured in whole or in substantial part within the United States, or the majority of the component parts thereof were manufactured in whole or in substantial part in the United States.
In signing this bid we also certify that we have not, either directly or indirectly, entered into any agreement or participated in any collusion or otherwise taken any action in restraint of free competition; that no
attempt has been made to induce any other person or firm to submit or not to submit a bid; that this bid has been independently arrived at without collusion with any other bi dder, competitor or potential competitor;
that this bid has not been knowingly disclosed prior to the opening of bids to any other bidder or competitor; that the above statement is accurate under penalty of perjury.
We will comply with all terms, conditions and specifications required by the state in this Request for Bid and all terms of our bid.
Name of Authorized Company Representative (Type or Print)
Signature of Above
No bid now. Retain on bid list (Return this page only.)
Federal Employer Identification No.
 Remove from bidder list for this commodity/service.
(Return this page only.)
Social Security No. if Sole
Proprietor (Voluntary)
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