WUD26-080 VENDOR OFFER.PDF

Pricing Section

“Return this Section with your Response.”

* State correct jurisdiction to receive sales tax on the Vendor's Offer, included in this Request for Proposal.

Less prompt payments discount terms of __% __ days/ or net thirty (30) days. (To apply after receipt and acceptance of an
itemized monthly statement.) For evaluation purposes, the City cannot utilize pricing discounts based upon payments being
made in less than thirty (30) days from receipt of statement.

Ordering and Invoice Instructions
Invoices shall be issued directly to the ordering department. Invoices shall be accurate and complete, including the

information shown below. Failure to provide a properly documented invoice may cause a delay in receipt of payment. The
City will not process an invoice for payment until it has been approved by the ordering department and forwarded to Accounts
Payable. The City endeavors to process invoices within 30 days after receipt of an accurate and complete document.

Invoices shall include:

Line-item listing of all ordered items to include description of items;
Unit cost and extended cost for each line item;

Applicable Tax;

Payment Terms;

Purchase Order Number;
Name of selling organization clearly stated on invoice along with address;
Phone number and or e-mail address for contact person to clarify invoicing questions;

NOARWON>

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.

Reliable Water Solutions, LLC
Company Name:

Company Purchase Order Mailing Address:
Street Address: 2325 E Camelback Rd, Ste 400

City, State, Zip: Phoenix, AZ 85016

Contact Person: _Teresa Smith-DeHesus Phone Number: _n/a

E-mail Address: _teresa@reliablewatersolutions.com Cell Number: _480-331-0005

Remit to Information

Reliable Water Solutions, LLC
Company Name (as it appears on invoice):

RFP# 26-080 Flushing Assistance Program 30 | Page

“Return this Section with your Response.”
Company Payment Remit to Address:

Street Address: 22400 Barton Rd. #21-526

City, State, Zip: Grand Terrace, CA 92313

Company Tax Information

na
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 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.

2/4/2026

Signature of Authorized Offer Date
Ohm Kongtang Principal
Print or Type Name of Authorized Individual Title of Authorized Individual

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.

RFP# 26-080 Flushing Assistance Program 31 | Page