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Pricing Section
‘Return this Section with your Response”
City will noi process ari invoice for payment until tt has been approved by the ordering department ana forwaried to Accounts
vayanie The City endeavors to process invoices within 30 days after receipt of an accurate and complete document
es shail include.
t Line-item listing of all orcered tems {o include description of items.
Uni! cost and extended «osi for each line item;
* Applicable Tax:
4 Payment Terms:
Purchase Order Numbei
Name of selling organization clearly stated on invoice along with address:
Phone number and or e-eail edaress fer contact person to clarify invoicing questions:
‘nyotces that do not follow the adove minimum invaicing requirements will not be paid Payment must be applied to unly
nvcises referencea on check/paymeni siub The City reserves the right to process payments via check or F’-Ca:d
Accouatre Contacts: Teresa Munoz Letters A —- H and Numbers
Carey Alt Letters | ~Z
Melissa Quinonez General AP Inquiries and AP Checks
‘fecor must complete, sign ana subrit this form to the Procurement Office with the proposal response #1 unsigned
‘vencors Offer’ late proposal resconse and/or a materially incomplete response will be considered non’esponsive ana
ejected Offeror is to type or iegidiy write in ink all information required below A scanned copy of this page is acceptabie
peay Name Avirona Grcase Seruice y§ ue
Campaeny Purchase Order Maning Aadress
Street Address. TH? UW. Grank Sr.
City. State. Zip: Proenirs \ @t %S0071.
Centact Person ovanam Pe ct Phone Number. G602-416~ 27196
& ell Address: into @ argy eas CServiceS OM CellNumber 5LO-42|- 6070
Pevutto Information
Company Name (as it appears on invoice) A\csto aw Grease Seru ‘CTY Lic
Company Payment Remit to Address:
Street Address: WY Ww. Gyan S4.
Cty. State Zip Ppcenta r Al %500? '
y Tax Information
a lemoe-nased firm. provide Teripe Transaction Privilege (Sales) Tax No U A
RFF#26-083 Grease Traps & Interceptors VWaste Collection Services : 36 | Page
Vendor’s Offer
ction with your Response.”
\
Will your company accept the City’s Master Card for payment? Yes ; No ve :
vill your company accept Payment via ACH (Automated Clearing House) for payment? Yes | — No |
THIS PROPOSAL IS OFFERED BY
REQUIRED SIGNATURE OF AUTHORIZED OFFEROR
5) signing this Vendor's Offer. Offeror acknowiedges acceptance of all terms and conditions contained herein and that
ces offered were inaependently developed without consultation with any other Offeror or potential Offeror Failure to sign
ra return this form with p onse will se considered nonresponsive and rejected
MW 5. _ or{o3 |r
S.crature o Date
Adrian Peres — Ownet
Priri, or Type Name of Authorized Individua: Title of Authorized Individual
a
Tempe
COMPLIANCE WITH CITY’S ANTIDISCRIMINATION
ORDINANCE NO. 02016.25
Tne Tempe City Council approved Ordinance No. 02016.25 that requires vendors who are being
recommended for award to provide evinience of their compliance with the City’s antidiscrimination policy as
shown below’
Sec_2-601 Policy.
It is declared to be the policy for the ciizens of Tempe. Arizona. to be free from discrimination in public
accommocations. employment. and housing, and contrary to public policy and unlawful to discrm:nate
against any person on the basis of race color, gender, gender identify. sexual orientation, religion. national
origin. familial status, age disability or United States military veteran status. in places of public
accommocation, employment. and housing and contrary to the policy of the city and unlawful for vendors
and contractors doing business with the city to discriminate as set forth in this article.
Sec 2-603. Unlawful Practices
Tne following shall constitute a violation of this article:
For a cily vendor or city contractor, because of race, color. gender. gender identify. sexual orientation.
religion national origin. farailial status. age disability. or United States military veteran status. to refuse to
hire or employ or bar or discharge from 2mptoyment any person or to discriminate against such person in
compensat:on conditions. or privdeges co’ employment City vendors and contractors of fifteen (15) or more
employees shall provide a copy of its antidiscrimination policy to the Procurement Officer to confirm
compliance with this articte Emplovers naving fourteen (14) or less employees may attest in writing ic
compliance with this article.
Yencoor Requirements
R-P#26-083 Grease Trans & Interceptors Waste Collection Services : 37 | Page
ng Section
“Return this Section with your Response.”
7. Phone number and or e-mail address for contact person to clarify invoicing questions;
Invoices that do not follow the above minimum invoicing requirements will not be paid. Payment must be applied to only
invoices referenced on check/payment stub. The City reserves the right to process payments via check or P-Card.
Accounting Contacts: Teresa Munoz Letters A-—H and Numbers
Carey Alf Letters |-Z
Melissa Quinonez General AP Inquiries and AP Checks
Offeror must complete, sign and submit this form to the Procurement Office with the proposal response. An unsigned
“Vendor's Offer”, late proposal response, and/or a materially incomplete response will be considered nonresponsive and
rejected. Offeror is to type or legibly write in ink all information required below. A scanned copy of this page is acceptable.
Imperial Western Products dba All Pro Hydrojetting and Pumping
Company Name:
Company Purchase Order Mailing Address:
Street Address: 6525 W State Ave
City, State, Zip: Glendale AZ 85301
Contact Person: Scott Tyson Phone Number: 602-722-9978
E-mail Address: _Scott.tyson@denaliwater.com Cell Number: 602-722-9978
Remit to Information
. Imperial Western Products
Company Name (as it appears on invoice):
Company Payment Remit to Address:
Street Address: PO Box 1110
City, State, Zip: Coachella, CA 92236
Company Tax Information
If a Tempe-based firm, provide Tempe Transaction Privilege (Sales) Tax No.:
Payment Options
Will your company accept the City’s Master Card for payment? Yes Xx No
Will your company accept Payment via ACH (Automated Clearing House) for payment? Yes X}| No
THIS PROPOSAL IS OFFERED BY
REQUIRED SIGNATURE OF AUTHORIZED OFFEROR
RFP#26-083 Grease Traps & Interceptors Waste Collection Services 36 | Page
Vendor's Off
“Return this Section with your Response.”
By signing this Vendor's Offer, Offeror acknowledges acceptance of all terms and conditions contained herein and that
prices offered were independently developed without consultation with any other Offeror or potential Offeror. Failure to sign
and return this form with proposal response will be considered nonresponsive and rejected.
Scott Tyson 02-02-2026
Signature é Authorized Offer Date
Regional Associate
Scott Tyson
Print or Type Name of Authorized Individual Title of Authorized Individual
Seett Tyson r r
i
Tempe
COMPLIANCE WITH CITY’S ANTIDISCRIMINATION
ORDINANCE NO. 02016.25
The Tempe City Council approved Ordinance No. 02016.25 that requires vendors who are being
recommended for award to provide evidence of their compliance with the City’s antidiscrimination policy as
shown below:
Sec. 2-601. Policy.
It is declared to be the policy for the citizens of Tempe, Arizona, to be free from discrimination in public
accommodations, employment, and housing, and contrary to public policy and unlawful to discriminate
against any person on the basis of race, color, gender, gender identify, sexual orientation, religion, national
origin, familial status, age, disability, or United States military veteran status, in places of public
accommodation, employment, and housing; and contrary to the policy of the city and unlawful for vendors
and contractors doing business with the city to discriminate, as set forth in this article.
Sec. 2-603. Unlawful Practices.
The following shall constitute a violation of this article:
For a city vendor or city contractor, because of race, color, gender, gender identify, sexual orientation,
religion, national origin, familial status, age, disability, or United States military veteran status, to refuse to
hire or employ or bar or discharge from employment any person, or to discriminate against such person in
compensation, conditions, or privileges or employment. City vendors and contractors of fifteen (15) or more
employees shall provide a copy of its antidiscrimination policy to the Procurement Officer to confirm
compliance with this article. Employers having fourteen (14) or less employees may attest in writing to
compliance with this article.
Vendor Requirements
Vendors who have fifteen (15) or more employees shall include with their bid/proposal submittal a copy of
its antidiscrimination policy that must mirror the City’s policy as stated above. Suppliers who have fourteen
(14) or less employees may include their antidiscrimination policy or complete a written affidavit of
compliance per the attached.
To be completed by responding company and returned with submittal:
x Our company has 15 or more employees and has included its antidiscrimination policy that mirrors
the City’s policy;
RFP#26-083 Grease Traps & Interceptors Waste Collection Services 37 | Page
Vendor’s Offer
“Return this Section with your Response.”
Offeror must complete, sign and submit this form to the Procurement Office with the proposal response. An unsigned
“Vendor's Offer’, late proposal response, and/or a materially incomplete response will be considered nonresponsive and
rejected. Offeror is to type or legibly write in ink all information required below. A scanned copy of this page is acceptable.
Company Name: VLS Environmental Solutions, LLC
Company Purchase Order Mailing Address:
Street Address: 3230 E. Broadway Rd C-160
City, State, Zip. | Phoenix, AZ 85040
Contact Person: David Price Phone Number: 480.240.9277
E-mail Address: david.price@vises.com Cell Number. 480.848.1419
Remit to Information
Company Name (as it appears on invoice). | _VLS Envionmental Solultions, LLC
Company Payment Remit to Address:
Street Address: P.O. Box 737765
City, State, Zip: Dallas, TX 75373-7765
Company Tax Information
If a Tempe-based firm, provide Tempe Transaction Privilege (Sales) Tax No.: nla
Payment Options
Will your company accept the City's Master Card for payment? Yes | X No
Will your company accept Payment via ACH (Automated Clearing House) for payment? Yes | X No
THIS PROPOSAL IS OFFERED BY
REQUIRED SIGNATURE OF AUTHORIZED OFFEROR
By signing this Vendor's Offer, Offeror acknowledges acceptance of all terms and conditions contained herein and that
prices offered were independently developed without consultation with any other Offeror or potential Offeror. Failure to sign
and return this form with proposal response will be considered nonresponsive and rejected.
Dy U C= 1/29/2026
Signature of Authorized Offer Date
Trent Sims, PE PMP Government Relations Account Manager
Print or Type Name of Authorized Individual Title of Authorized Individual
RFP#26-083 Grease Traps & Interceptors Waste Collection Services 37 | Page