Contract Warehouse by nel17805

VIEWS: 20 PAGES: 2

Contract Warehouse document sample

More Info
									                                                                                                                                                                                                                                                 Total Estimated                       # of
                                          Long-Term Deal Form for AHOLD USA                                                                         * Denotes Supplier Required Field
                                                                                                                                                                                                                                                 Allowance Value                    Components
                                                                                                                                 * Confirmation Contact
                 * Company Presented to:
                                                                                                                                                 Name:
                                                                                                                                 * Confirmation Contact
                    * Manufacturer / Brand:                                                                                                                                                                                              * Dates of the Contract/Long-Term Agreement:
                                                                                                                                                 Phone:
                                                                                                                                 * Confirmation Contact
              * Broker / Distributor Name:                                                                                                                                                                                                       Begin                             End
                                                                                                                                               Address:
                                                                                                                                   * Supplier Authorizer
                           * Date Submitted:
                                                                                                                                                 Name:
                              * Submitted By:                                                                               * Supplier Authorizer Title:                                                                             A/R Number                      Date             Amount

                                                                                                                                 * Supplier Authorizer
                   Ahold Negotiator Name:
                                                                                                                                                Phone:
                                                                                                                            * Supplier Authorizer Signature & Date:
              Ahold Negotiator Signature:
                                                                                                                           I certify this information contains all of the terms and conditions of this Supplier
                Ahold Negotiator Buyer #:
                                                                                                                           Promotional Offer and may not be altered by side letters or by oral
       2nd Negotiator Name & Signature:                                                                                    agreements. However, if there is a supply agreement covering purchase of the
                                     (If Required)                                                                         same product from the same company over the same term and there is a
                                                                                                                           conflict between the information on this form and such supply agreement, the
                   Ahold Authorizer Name:
                                                                                                                           terms of the supply agreement shall prevail. The Supplier's signature above
                                                                                                                           certifies he / she is authorized to present this offer and that the Supplier has
                     Ahold Authorizer Title:
                                                                                                                           not made changes to the form of this document as submitted by Ahold USA.
                                                                                                                                                                    2nd Ahold Authorizer Signature & Date:
      Ahold Authorizer Signature & Date:
                                                                                                                                                                                                                 (if required)
        Supplier agrees to confirm the terms of this Supplier Promotional Offer promptly upon request from Ahold USA or its independent auditor, provided that before responding to a request from an auditor or other              Legal Dept Review Signature:
  1
        individual not known to supplier, supplier shall first confirm the identity of the requestor with supplier's principal contact at Ahold USA.                                                                                                        (if required)
  2     Ahold USA shall have no obligation to purchase any new product or item for any specific period of time. Ahold retains the right to set retail prices.
        If an Item Number is inadvertently omitted or incorrect, we reserve the right to add or correct the item number without affecting the essence and/or terms of the agreement.
                                                                                                                                                                                                                                                  Accountant Name:
  3
  4     In the event the Supplier's stated allowance uses a different unit of measure from that of the case pack received by the OpCo, the OpCo can make a proportional adjustment without requiring a new deal sheet.                             Contract Number:
  5     No restrictions on Forward Buys unless otherwise noted in the comments field.
  6     Load-in and restock policy apply                                                                                                                                                                                                          DSD/PO Vendor #:
  7     There is a 10% up charge on Scans.
                                                                                                                                                             From                                     To                             Scheduled Billing Date                   Billing Amount

                         * Contract Components                                                 * Effective dates for this component:
                (Repeat for each component covered by the deal)
                       Component Number:                                                                           * Basis for the dates?

                                               of:                                                                              Allowance Type:

               * Is this component tiered?                           Yes / No                           * Performance Required to qualify:

                * If tiered, is it retroactive?                      Yes / No                                                             * Amount:                                      per:

             * If retroactive, provide date:                                                        * Method of Payment for this component / Date:                                                                                      Billing Responsibility:

      * Merchandising Deal Type:                                                                                   * Calculation is based on?:                                                                                                Billing Frequency:


                                                             Original                                Revised                      Change in Estimate                                                                             Accounting
                                                                                                                                                                                                                                                           Name & Signature of Accountant
          Fiscal Quarter/Year                   Pct. of             Estimated              Pct. of         Estimated            Pct. of          Estimated                Explanation for Change of Estimate                     Adjustment
                                                                                                                                                                                                                                  Required                  Making "Adjustment" Decision
                                               Business              Income               Business          Income             Business           Income

                                                                                                                                                                                                                                 Yes / No

                                                                                                                                                                                                                                 Yes / No

                                                                                                                                                                                                                                 Yes / No

                                                                                                                                                                                                                                 Yes / No

                                                                                                                                                                                                                                 Yes / No

                                                                                                                                                                                                                                 Yes / No

                            Total:                                                                                                                               * Additional notes regarding other performance requirements or any contingencies for this component.

              Estimated By:

            Estimation Date:

                                                                                                                                                       4/1/04 2:02 PM



Print Date: 2/7/2011                                                                                                                                                                                                                                                                   Form Version 1.4.0
e8436115-28ca-4818-851a-857d96ab1aac.xls                                                                                                           Page 1 of 2                                                                                                                     Revision date 4/05/2004
                                           Long-Term Deal Form for AHOLD USA                                                                 * Denotes Supplier Required Field

   * Company Presented to:                                             * Date Submitted:                                                            * Supplier Authorizer Name:

        * Manufacturer / Brand:                                         * Submitted By:                                                               * Supplier Authorizer Title:

 * Broker / Distributor Name:                                        Ahold Negotiator Name:                                                         * Supplier Authorizer Phone:


                                                                                                                                                                                These are total estimates for the life of the deal
                                                                                                                                                    * Case        * Allowance    * Estimated   * Estimated
    #             * OpCo Item #                * SupCo Item #          * UPC                  * Description                      * Size                                                                           * Basis of the estimate
                                                                                                                                                     Pack           Amount         Volume         Value

    1


    2


    3


    4


    5


    6


    7


    8


    9


    10


    11


    12


    13


    14


    15


    16


    17


    18


    19


    20


    21


    22


    23


    24


    25


    26


    27


    28

                                                                                                              Total allowance amount
                                                                                                              from attached list (if any):                                          Total




Print Date: 2/7/2011                                                                                                                                                                                                           Form Version 1.3.3
e8436115-28ca-4818-851a-857d96ab1aac.xls                                                        Page 2 of 2                                                                                                                Revision date 3/29/2004

								
To top