EQUIPMENT BID FORM
One (1) 2021 or Newer 4 Wheel Drive Full-Size Pick-Up Truck
CITY OF RAWLINS, WYOMING
City Clerk’s Office – City Hall
PO Box 953/521 W. Cedar Rawlins, WY 82301
Phone: (307) 328-4500
THIS IS NOT A PURCHASE ORDER.
Bid for furnishing one (1) 2021 or Newer 4 Wheel Drive, ½ or ¾ Ton, Full-Size Pick-Up Truck for the City of
Rawlins, delivery of said vehicle shall be FOB Destination, Freight Prepaid, Community Development Department,
915 3rd Street, Rawlins, WY 82301, in accordance with the “General Provisions” and “Specifications” for this Bid.
The City of Rawlins reserves the right to evaluate variations from the specifications and award the bid that best
meets its needs to the most qualified and responsible bidder or to reject all bids. Bidders are required to indicate
variations from the specifications for the equipment being proposed in the space provided for each item and return
it with your bid. Bidders not complying with this requirement are subject to rejection. Please include any brochures
or descriptive literature with bid. The City is a governmental entity and taxes do not apply. No federal funds are
being used to fund this purchase.
1. One (1) New 2021 or Newer, 4 Wheel Drive, ½ Ton, Full-Size, Pick-Up Truck
OR, IN THE ALTERNATIVE,
2. One (1) New 2021 or Newer, 4 Wheel Drive, ¾ Ton, Full-Size, Pick-Up Truck
Specify on lines above the (1) New 2021 or Newer 4Wheel Drive ½ and/ or ¾ Ton Full-Size Pick-Up Truck being
proposed (attach variations from specifications). Write “NA” on the line for the size Pick-Up for which you are
NOT providing a bid.
Bid guarantee in the amount of five percent (5%) of the total bid as required by Wyoming Statue §15-1-113(f) shall
be submitted with your bid (see paragraph thirteen (13) of the General Provisions attached). If you are providing a
bid in the alternative for both the ½ Ton and the ¾ Ton Pick-ups, then the bid guarantee must be in the amount
of five percent (5%) of the larger of the two amounts on lines 1 and 2 above.
State delivery date (no later than one hundred fifty (150) days from notice of bid award): __________________
Include Warranty Statement. Bidders submit to the jurisdiction of and agree to venue in the Second Judicial
District, Rawlins, Carbon County, Wyoming, pursuant to Wyoming law as to contract and as to warranty
The undersigned bidder certifies, under penalty of perjury, that the firm submitting this bid _____ (is) ____ (is not)
[initial one] a Wyoming resident bidder as defined by Wyoming Statute §16-6-101. The undersigned bidder further
certifies that he/she has read the General Provisions, Bid Specifications, and other applicable bidding documents.
If awarded this bid, the undersigned bidder agrees to furnish the identified vehicle(s) at the prices stated above in
accordance with the above-described provisions.
Company Name___________________________________________ Phone: (_______)__________________
Email_____________________________________________________ Fax: (_______)___________________
Signature__________________________ Printed Name ____________________Title ____________________
[NOTARY continues on next page]
STATE OF______________________________) COUNTY OF
On this _
, 20___, _________________________________ personally appeared before
me, and being by me duly sworn, did say that he/she is the signer of the foregoing for and on behalf of the company listed
above, with actual and requisite authority, and acknowledged to me that he/she has fully reviewed and executed the same as
their free and voluntary act and deed.
My Commission Expires: __________________
Attachments: ___________Variations from Specifications