Attachment 1: RFQ Form
RFQ FORM
Office of Hawaiian Affairs
Procurement Unit
560 North Nimitz Highway Suite 200
Honolulu, Hawaii 96817
Dear Sir/Madam:
The undersigned has carefully read and understands the terms and conditions specified in the
Request for Quotes, Scope of Services and hereby submits the following quote to perform the
work specified.
Quote Attached:
Total Quote Cost: $________________
☐ No
☐ Yes
Offeror is:
☐ Individual ☐ Partnership ☐ Corporation
☐ Joint Venture
☐ Hawaiʻi
* ☐ Other: ______________________
State of Incorporation:
☐ Yes
*If “Other”, is corporate seal available in Hawaii?
☐ No
Exact Legal Name of Offeror:_____________________________________
Business Address: ______________________________________________
City, State, Zip Code: ___________________________________________
Hawaii General Excise Tax License I.D. Number: _____________________
Social Security or Federal I.D number: _____________________________
Respectfully Submitted:
____________________________________
______________________
Authorized (Original) Signature
Date
_____________________________________
_______________________
Name (Print)
Title
State Department of Commerce and Consumer
Affairs License Number:
_______________________
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RFQ OUTR 2017-01 2016 GENERAL ELECTION CANDIDATE GAME