Bid Form - Commercial Moving Van Services

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CHECK ONE BOX:
- Kansas Highway Patrol
- Kansas Wildlife & Parks
- Kansas Dept. of Transportation
- Other (Specify)_______________________
INVITATION TO _____________________ AND ACCEPTANCE
(Bid or Estimate)
COMMERICAL MOVING VAN SERVICES (K.C.C. AUTHORIZED CARRIER ONLY)
________________________
_________________________________________
_________________________
(Name of Carrier)
(Address)
(Carrier Representative)
_________________________________
_____________________________________________________
_________________________________
(Telephone Number)
(Fax Number)
(Signature)
To furnish labor, equipment, tools, containers, etc. necessary to pack and transport safely and without harm household goods and effects belonging to
_________________________________________________________________________________________________________________________
,
an employee of ____________________________________________________________________________________________________________
from ______________________________________________________________________
St, ______________________________________
KS.,
to ________________________________________________________________________
St, ______________________________________
KS.,
and there to unpack and place as directed by ______________________________________________________________________________________
Date of move will be ___________________________________________________________________________
or such other date as agreed upon
between the shipper listed above and/or their representative _____________________________________________
and the carrier.
MATERIALS PURCHASED
ESTIMATED COST OF CONTAINERS AND
ESTIMATED
PER
ESTIMATED
PER
PACKING AND UNPACKING SERVICES
NUMBER
EACH
TOTAL
NUMBER
EACH
TOTAL
BARREL, dish-pack, drum, etc.
$
$
CARTONS:
1 ½ cubic feet
3 cubic feet
4 ½ cubic feet
6 cubic feet
WARDROBE CARTON
CRIB MATTRESS CARTON
MATTRESS CARTON (Not exceeding 39” x 75”)
MATTRESS CARTON (Not exceeding 54” x 75”)
MATTRESS CARTON (Exceeding 54” x 75”)
MATTRESS COVER (plastic or paper)
OTHER
CORRUGATED CONTAINERS
(Specially designed for
mirrors, paintings, glass or marble tops and similar fragile articles)
CRATES
(Specially constructed for mirrors, paintings, glass or
marble tops and similar fragile articles)
ESTIMATED MATERIAL
$
ESTIMATED PACKING
$
Gross measurement of crate
COSTS
COSTS
ESTIMATED COST OF SERVICE
Transportation:
Est. wt. ____________ lbs.: ____________ mi: @ $ ________________per 100 lbs
$ ____________
Transit Valuation of not to exceed protection
at value to $1.25 per lb., $15,000 limit per shipment
$ _______________ cost per $100.00 _________________ Total insurance coverage
On Storage in Transit @___________ cents per CWT (10% of monthly storage rate for each 30 days or fraction thereof)
Additional transportation charges: (explain) ________________________________________________________________________
___________
Pickup or delivery for storage in transit ________ lbs @ $ ________________________per 100 lbs.
___________
Storage in transit* at _____________________________ lbs. @ __________________cents per 100 lbs.
___________
{for each 30 days or fraction thereof}
Warehouse handling______________________________ lbs @ __________________cents per 100 lbs. (ONE TIME CHARGE)
___________
Extra pickup or delivery at ______________________________________________________________________________________
Special servicing of appliances __________________________________________________________________________________
___________
Hoisting, lowering or carrying pianos, heavy articles (explain) __________________________________________________________
___________________________________________________________________________________________________________
___________
Materials and Packing (see above) ________________________________________________________________________________
___________
Labor ________ man/men for______ hrs @____________________________________________________________ (per man hour)
___________
Other services (explain) ________________________________________________________________________________________
___________________________________________________________________________________________________________
___________
* Storage over 30 days will not be paid or reimbursed by the State of Kansas
TOTAL ESTIMATED COST
$ ____________
LIMITATIONS:
1. Yard toys, patio equipment, window air conditioners, shelving, etc, must be disassembled or removed by the owner and ready to be loaded.
2. Additional services not listed above and not authorized by the State of Kansas must be paid in advance by the employee.
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3. Employee will be reimbursed for actual quantify of weight of goods moved or services provided, up to 12,000 pounds.
THIS IS A FIRM BID. THE STATE OF KANSAS WILL PAY THE MOVING COMPANY. (Kansas Highway Patrol and Dept. of Corrections Only). ______________________________
Where payment of services is made by the State of Kansas directly to the carrier, bids will be exempt under K.S.A. 66-152;
Agency Authorized Official
the bidder is required to make a firm bid and is not required to conform to tariffs filed with the K.C.C. Bill of Landing submitted for
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payment will show total cost identical with total firm bid quote above and will be mailed to _______________________________________________________.
THIS IS NOT A FIRM BID BUT ONLY AN ESTIMATE
The State of Kansas will not pay the moving company direct but will reimburse the employee subject to the limitations shown
______________________________
above. Employee will pay the moving company direct based on tariffs and/or discounts on file with the K.C.C. for services actually performed.
Agency Authorized Official
Mover shall provide the employee a detailed bill of lading which includes actual weight moved.

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