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Short Form Supply Agreement

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					                                    Short-Term Deal Form for BI-LO                                            * Denotes Supplier Required Field                                                                                                   Additional Terms and Conditions
                                                                                                                                                                                                                                                                      Supplier agrees to confirm the terms of this supplier Promotional Offer promptly upon request from BI-LO or its independent auditor, provided that before
                          * Company Presented to:                            BI-LO                                       * Confirmation Contact Name:                                                                                                    1            responding to a request from an auditor or other individual not known to supplier, supplier shall first confirm the identity of the requestor with supplier's principal
                                                                                                                                                                                                                                                                      contact at BI-LO.
                             * Manufacturer / Brand:                                      *Delivery Type                * Confirmation Contact Phone:                                                                                                    2            BI-LO shall have no obligation to purchase any new product or item for any specific period of time. BI-LO 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
                                  * Date Submitted:                                     Warehouse / DSD              * Confirmation Contact Address:                                                                                                     3
                                                                                                                                                                                                                                                                      agreement.
                                                                                                                                                                                                                                                                      In the event the supplier's stated allowance uses a different unit of measure from that of the case pack received by BI-LO, BI-LO can make a proportional
                                    * Submitted By:                                                                        * Supplier Authorizer Name:                                                                                                   4
                                                                                                                                                                                                                                                                      adjustment without requiring a new deal sheet.

                                  Negotiator Name:                                                                           * Supplier Authorizer Title:                                                                                                5            No restrictions on Forward Buys unless otherwise noted in the comments field.

                                                                                                                                                                                                                                                                      Suppliers without adequate funding in their prepaid account to cover scan billings will be charged a 5% administrative fee on their total scan bill as well as be
                       Negotiator Signature & Date:                                                                       * Supplier Authorizer Phone:                                                                                                   6
                                                                                                                                                                                                                                                                      subject to additional C&S fees.

                                                                                                                    * Supplier Authorizer
                             Merchandiser Number:                                                                                                                                                                                                        7            There is a 10% up charge on Scans.                                                                                                                        internal use only
                                                                                                                               Signature:
                                                                                                           I certify that this information contains all of the terms and conditions of this supplier Promotional Offer and may not be
                                  Authorizer Name:                                                                                                                                                                                                       8            UPC-level scan data for rain checks will be billed along with standard electronic scan billings weekly.
                                                                                                           altered by side letters or by oral agreements. However, if there is a supply agreement covering purchase of the same                                                                                                                                                                                  Category
                                                                                                           product from the same company over the same term and there is a conflict between the information on this form and                                                                                                                                                                                      Code
                                    Authorizer Title:                                                      such supply agreement, the terms of the supply agreement shall prevail. The Supplier's signature above certifies he/she                       9            Standard Bonus Card setup fees automatically applied to scan deals and appear on weekly scan invoices.
                                                                                                           is authorized to present this offer and that the Supplier has not made any changes to the form of the document as
                                                                                                           submitted by BI-LO.                                                                                                                          10            Load-in and restock policy apply                                                                                                            Date to
                       Authorizer Signature & Date:
                                                                                                                                                                                                                                                        11            Suppliers will be billed for discontinued product according to BI-LO's policy.                                                             Contract
                                                                                                                                                                                                                                                                                                                                                                                                                Coordinator
                                                                                                                             Supplier Deal Reference #:
                       2nd Authorizer Name & Title:
                                                                                                                                              (not required)

                 2nd Authorizer Signature & Date:                                                                                        BI-LO Vendor #:

                                                                                                                                                                                                                                                                   Component 1                                                             Component 2                                                               Component 3
            Accounting Use Only:

                                                                                                                                                                                                                                                                 Allowance Type                                                           Allowance Type                                                           Allowance Type
      Accounting Initials:                                                                                                                                                                                                                  * Deal Number                                                            * Deal Number                                                            * Deal Number
                                                                                                                                                                                                                                              (Internal Use                                                            (Internal Use                                                            (Internal Use
                                                                                                                                                                                                                                                     Only):                                                                   Only):                                                                   Only):
                                                                                                                                            Extended Dating / Special Cash Terms                                                             * Deal Dates:                         to                                * Deal Dates:                          to                                 * Deal Dates:                          to
 Accting FP10 Verified:
                                                                                                                                                                                                                                            * Performance:                                                          * Performance:                                                            * Performance:

                                                                                                                                                                                                                                        * (Off-Invoice only) National Deal?:            Yes / No                                   * National Deal?:             Yes / No                                   * National Deal?:              Yes / No
        Accting Accrual?:
                                                                                                                                                                                                                                                        * Payment Method:                                                       * Payment Method:                                                         * Payment Method:

                                                                                                                                                                                                                                                     * Calculation Method:                                                    * Calculation Method:                                                     * Calculation Method:
 Accting On Hold BC #:
                                                                                                                                                                                                                                                      * Computation Basis:                                                    * Computation Basis:                                                      * Computation Basis:


                                                                                                                               Unit of            Case                                            Regular             Regular             * Suggested          Funding                                            * Suggested          Funding                                              * Suggested          Funding
  #           Item #                  UPC                                 Description                           Size                                                Store Groups                                                                                                               Allowance                                                                 Allowance                                                                   Allowance
                                                                                                                              Measure             Pack                                           Case Cost            Unit Cost            Unit Retail         Percent                                             Unit Retail         Percent                                               Unit Retail         Percent


  1                                                                                                                                                                                                                                                                               OR                                                                       OR                                                                        OR


  2                                                                                                                                                                                                                                                                               OR                                                                       OR                                                                        OR


  3                                                                                                                                                                                                                                                                               OR                                                                       OR                                                                        OR

                                                                                                                                                                                                                                                                  Additional Specific                                                      Additional Specific                                                      Additional Specific
Comments:                                                                                                                                                                                                                                                     Performance Requirements                                                 Performance Requirements                                                 Performance Requirements




comp.                                                                             Allowance Type                                  Payment Method                                     Performance Indicator                                      Deal Number (Internal Use Only)                  Amount                                                Additional Performance Details                                              Estimated Value of Deal


  4
                             Flat
                        Payments
  5          (Ad, Display, Item Intro Fee, etc.)


  6


Allowance Type Definitions:                                                        Additional Notes:
01 - Purchase Volume Allowance
       Allowances given based on purchases/shipments to stores.
05 - New Item Allowance
       Allowances given for set-up of new items/shipments to store.
07 - Sales Volume Allowance
       Allowances given based on stores sales/scans.
09 - Non-Volume Allowance
       Allowances which are not based on purchases or sales/scans.
10 - Promotional, Advertising and/or Display Allowance
       Allowance given for negotiated fee for Promotions, Ads, and/or Displays.
                                                                                                                                                                                                                                                                                                                                                                                   EMAIL TO: dealsheets.bilo@bi-lo.com
Print Date: 8/22/2011                                                                                                                                                                                                                                                                                                                                                                                                                                      Release 5.0
e9d19105-87dc-4e8c-95f8-cf9c31d9e350.xls                                                                                                                                                                          Page 1 of 3                                                                                                                                                                                                                   Last Revised: 6/03/2005
                                                                   Short-Term Deal Form for BI-LO                                                                                                                * Denotes Supplier Required Field


                                   * Company Presented to:              BI-LO                                                                                                                                          Component 1                                                         Component 2                                                             Component 3


                                     * Manufacturer / Brand:                                             BI-LO Vendor #                                                                                               Allowance Type                                                      Allowance Type                                                          Allowance Type

                                                                                                    * Supplier Authorizer                                                                   * Deal Number                                                        * Deal Number                                                            * Deal Number
                                                                                                                   Name:                                                                (internal use only):                                                 (internal use only):                                                     (internal use only):
                                                    * Date Submitted:                               * Supplier Authorizer
                                                                                                                                                                                             * Deal Dates:                             to                        * Deal Dates:                              to                            * Deal Dates:                              to
                                                                                                                    Title:
                                                      * Submitted By:                               * Supplier Authorizer
                                                                                                                                                                                            * Performance:                                                      * Performance:                                                           * Performance:
                                                                                                                  Phone:
                                            Negotiator Name:                                                                                                                                                   National Deal?:                                                      National Deal?:                                                          National Deal?:
                                                                                                                                                                                                                                 Yes    /   No                                                        Yes        /   No                                                        Yes        /   No
                                                                                                                                                                                                         * Payment Method:                                                   * Payment Method:                                                        * Payment Method:

                                                                                                                                                                                                       * Calculation Method:                                               * Calculation Method:                                                    * Calculation Method:

                                                                                                                                                                                                       * Computation Basis:                                                * Computation Basis:                                                     * Computation Basis:

                                                                                                                              Unit of   Case                   Regular     Regular      * Suggested Unit          Funding                                    * Suggested Unit          Funding                                        * Suggested Unit          Funding
                        #          Item #               UPC                          Description                Size                           Store Groups                                                                                      Allowance                                                                Allowance                                                            Allowance
                                                                                                                             Measure    Pack                  Case Cost   Unit Cost          Retail               Percent                                         Retail               Percent                                             Retail               Percent


                        4                                                                                                                                                                                                              OR                                                                   OR                                                                       OR


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                                                                                                                                                                                                                                                                                                                                                                                                                      Release 5.0
e9d19105-87dc-4e8c-95f8-cf9c31d9e350.xls
                       27                                                                                                                                                     Page 2 of 3                                              OR                                                                   OR                                                                       OR                    Last Revised: 5/26/2004
                                                                                                                                                                     8/22/11 5:12 PM

                                                Order Date:                                                                    Stated Lead Time:                                                    >>> D I S C L A I M E R <<<
                                                                                                                                                                                              We reserve the right to have any excess
                                 Broker / Distributor Name:                                                                              District #:                                          inventory picked up by the vendor after
                                                                                                                                                                                              the Promotion Period
                                         DSD / PO Vendor #:                                                                              Extended Terms for Promo

                             Supplier Authorizer Name:                                                                                   %                           Net

                                    Item #                                                       Type of              Suggested                  Retail Dates                 Reg                                   Funding                             Addt Funding
                                                                       Unit                                                                                          Proj                     Funding
                        w or d

Vendor         Store               6 Digits                                                      Promo:    Promo         BC      Cents    Start Date      End Date            Retail   Proj              Per          %            Lump   Projected     Per       %
                                                UPC     Pack   Size     of    Item Description                                                                       Unit                      Start
  #           Groups                DSD &                                                                  Price or      Unit OR                                                       GP%                                                  Units
                                                                      Meas.                                                                                          Cost                      Date             O              O
                                    WHSE                                                         A or U     Bogof       Retail    Off     MM-DD-YY      MM-DD-YY                                         Unit       Per Unit       Sum                  Unit    Per Unit




                                                                                                                                                                                                                                                     Version 0002LFB
         Print Date: 8/22/2011                                                                                                                                                                                                                            Release 4.0
         e9d19105-87dc-4e8c-95f8-cf9c31d9e350.xls                                                                                                                                                                                              Last Revised 5/17/2004

				
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Description: Short Form Supply Agreement document sample