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APPENDIX A: WINNING SUPPLIER REPORTING REQUIREMENTS <br />This Appendixmay be modified at any time with the mutual written consent of the Parties, including via email. <br />Winning Supplier shall electronically provide Equalis with a detailed line-itemmonthly report showing the dollar <br />volume of all member Products & Services sales under the contract for the previous month. Reports shall be sent via <br />th <br />e-mail to Equalis offices at Reporting@EqualisGroup.org. Reports are dueon the fifteenth (15)day after the end of <br />the previous month. It is the responsibility of Winning Supplier to collect and compile all sales under the Master <br />Agreement from Program Participants and submit one (1) monthly report. Fields below marked as *required indicate <br />a required field. All other fields are preferred, but not required: <br />Equalis Member ID <br />Vendor Customer Number *required (or Equalis Member ID) <br />Customer Name *required <br />Customer Street Address *required <br />Customer City *required <br />Customer Zip Code *required <br />Customer State *required <br />Distributor Name <br />Distributor ID <br />Distributor Street Address <br />Distributor City <br />Distributor Zip Code <br />Distributor State <br />Product Category level 1 <br />Product Category level 2 Λ‘ŷĻƩĻ ğǝğźƌğĬƌĻ ƚƩ ğƦƦƌźĭğĬƌĻΜ <br />Product Category level 3 Λ‘ŷĻƩĻ ğǝğźƌğĬƌĻ ƚƩ ğƦƦƌźĭğĬƌĻΜ <br />Distributor Product Number <br />Manufacturer Product Number <br />Product Description <br />Product Brand Name <br />Product packaging Unit of Measure level 1 <br />Product packaging Unit of Measure level 2 <br />Product packaging Unit of Measure level 3 <br />Purchase Unit of Measure <br />Purchase Quantity <br />Distributor Landed Cost Total $ (without deviations) <br />Distributor Landed Cost Total $ (with mfr deviations) <br />Customer Purchase Total $ *required <br />Admin Fee % *required <br />Admin Fee $ *required <br />-7- <br /> <br />