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Staples Diversity Toner Program

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					Notification Form for Statewide Agreements
Instructions: This form must be completed to add, delete, or make changes to statewide agreements in MyFloridaMarketPlace (MFMP) and
the DMS website.
Note: When a new statewide agreement is being created and the old one is expiring (being deleted), the notification for the old and new contract numbers needs to be
received by the MFMP Content Team by the 10 th of the month prior to the statewide agreement going live (e.g. if a STC goes into effect July 1, the notification should
                      th
be received by June 10 ). Late notifications will not be loaded until the following month.


     Purchasing Analysts:

                           1. Complete Cover Sheet - Action Type to specify what you need added, deleted, or modified on the DMS website and MFMP.
                           2. After selecting your "Action Type" in the box below, complete all sections that appear in the "Complete Sections" box. Note:
                           Anything to be completed by you is highlighted in yellow.
                           3. E-mail this completed form and the How to Use and FAQ Template (if applicable) to your Bureau Chief for approval.
             Bureau Chief: 1. Review this form (i.e. ensure all fields in the "Complete Sections" box below have been completed) and the How to Use and
                           FAQ Template (if applicable).
                           2. Forward approved forms to the MFMP Content Team (buyerhelp@myfloridamarketplace.com) and designee(s) who update
                           the DMS Website.

Purchasing Analyst:          Mark Hernandez

Bureau Chief:                Lyle Hackett



Action Type:                                                                                  Tab 1. Contract Information, Boxes A, B, D, E, & F and Tab
(select one)                 Add Product(s)                              Complete Section(s): 2. Vendor Information




Comments:                    Please add the "How to use this contract and FAQ's" that have been sent as a separate document.

                                                                        Action Type Definitions
                                      Add Contract                       Expire Contract                    Extend Contract                    Renew Contract

                             A new statewide agreement    The contract will expire, and             The expiration date is being       The expiration date is changing
                             that has not yet been        the state will not renew or               extended, and nothing else         and additional changes are
         Contract
                             implemented to MFMP is being extend                                    changes.                           being made (i.e. adding or
                             submitted                                                                                                 removing vendors, changing
                                                                                                                                       contract products/pricing)

                                      Add Vendor(s)                     Delete Vendor(s)                    Add Product (s)                    Delete Product(s)

                             Add new vendor(s) on an            Delete vendor(s) from an            Add product(s) on an existing      Delete product(s) on an
                             existing contract                  existing contract                   contract                           existing contract
    Vendor / Products




                             Create Master Agreement:           Re-open Master Agreement:

                             MFMP Content Team needs to         MFMP Content Team needs to
                             create a new master                re-open an expired master
   Master Agreement
                             agreement in MFMP for              agreement in MFMP for
                             vendor(s)                          vendor(s)




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Staples STC 618-001-10-1 Promotional Pricing - Diversity Toners
                                           Staples
      UPC           Manufacture Name               Manufacture Number
                                           SKU #
  Non available   DataPrint Technologies   326882   DP Q2613X REMAN
  Non available   DataPrint Technologies   326877   DP C4096A REMAN
  Non available   DataPrint Technologies   326881   DP C8543X REMAN
  Non available   DataPrint Technologies   326875   DP C4182X REMAN
  Non available   DataPrint Technologies   326879   DP PC201
  Non available   DataPrint Technologies   326869   DP C7115A REMAN
  Non available   DataPrint Technologies   326873   DP Q2610A REMAN
  Non available   DataPrint Technologies   326872   DP C8061X REMAN
  Non available   DataPrint Technologies   326871   DP 1700 REMAN
  Non available   DataPrint Technologies   326866   DP C4127X REMAN
  Non available   DataPrint Technologies   326849   DP Q5949A REMAN
  Non available   DataPrint Technologies   326848   DP Q6511A REMAN
  Non available   DataPrint Technologies   326846   DP T630 REMAN
  Non available   DataPrint Technologies   326845   DP Q5942X REMAN
  Non available   DataPrint Technologies   326800   DP Q5942A REMAN
  Non available   DataPrint Technologies   326641   DP Q2612A REMAN
                                                                          Staples
                            Product Descripiton
                                                                           UOM
13X Remanufactured High-Yield Black Toner Cartridge                         EA
96A Remanufactured Black Toner Cartridge                                    EA
43X Remanufactured High-Yield Black Toner Cartridge                         EA
82X Remanufactured High-Yield Black Toner Cartridge                         EA
2010 (Brother PC-201) Thermal Fax Cartridge                                 EA
15A Remanufactured Black Toner Cartridge                                    EA
10A Remanufactured Black Toner Cartridge                                    EA
61X Remanufactured High-Yield Black Toner Cartridge                         EA
3105400 (Dell 310-5400) High-Yield Remanufactured Black Toner Cartridge     EA
27X Remanufactured High-Yield Black Toner Cartridge                         EA
Q49A Remanufactured Black Toner Cartridge                                   EA
11A Remanufactured Black Toner Cartridge                                    EA
R-12A7462 Remanufactured High-Yield Black Toner Cartridge                   EA
42X (HP Q5942X) Remanufactured High-Yield Black Toner Cartridge             EA
42A Remanufactured Black Toner Cartridge                                    EA
12A Remanufactured Black Toner Cartridge                                    EA
                                               Discount
UOM                                      List                 Sell
        Product Discount Category              off of List
Qty                                    Pricing               Price
                                                Price %
 1    Branded Non CoreToner - Non HP    $61.50    25%       $46.13
 1    Branded Non CoreToner - Non HP    $67.50    25%       $50.63
 1    Branded Non CoreToner - Non HP   $164.50    25%      $123.38
 1    Branded Non CoreToner - Non HP   $114.50    25%       $85.88
 1    Branded Non CoreToner - Non HP    $19.50    25%       $14.63
 1    Branded Non CoreToner - Non HP    $47.50    25%       $35.63
 1    Branded Non CoreToner - Non HP    $74.50    25%       $55.88
 1    Branded Non CoreToner - Non HP    $74.50    25%       $55.88
 1    Branded Non CoreToner - Non HP    $67.50    25%       $50.63
 1    Branded Non CoreToner - Non HP    $74.50    25%       $55.88
 1    Branded Non CoreToner - Non HP    $57.50    25%       $43.13
 1    Branded Non CoreToner - Non HP    $81.50    25%       $61.13
 1    Branded Non CoreToner - Non HP   $189.50    25%      $142.13
 1    Branded Non CoreToner - Non HP   $137.50    25%      $103.13
 1    Branded Non CoreToner - Non HP    $89.50    25%       $67.13
 1    Branded Non CoreToner - Non HP    $49.50    25%       $37.13

				
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posted:5/19/2012
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