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4 forms found in the DOM

Name: additionalInfo — POST https://docs.keptcrm.com/api/post/docs/quote-additional-info

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        <p>Before you can Approve the Quote, please provide answers to the following question(s).</p>
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Name: rejectQuote — POST https://docs.keptcrm.com/api/post/docs/reject-quote

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    <p>Are you sure you want to Reject this Quote?</p>
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          <option value="0">- Select Reason -</option>
          <option value="1">I am no longer interested in the Quoted services</option>
          <option value="2">The Quote does not reflect my discussion with the Sales Representative</option>
          <option value="3">The pricing is higher than I expected</option>
          <option value="4">I have secured another service provider</option>
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Name: acceptQuote — POST https://docs.keptcrm.com/api/post/docs/accept-quote

<form id="acceptQuote" name="acceptQuote" action="https://docs.keptcrm.com/api/post/docs/accept-quote" method="post">
  <div class="alert alert-info">
    <i class="fa-duotone fa-circle-info float-start"></i>
    <p>We're almost there we just need you to sign the Quote.</p>
  </div><!--/.alert -->
  <div class="modal-body">
    <p>If you're ready to proceed to the final step, click the below button and DocuSign will send an email to <b>da***on@ap***ia.com</b> with instructions to sign and finalize your Quote.</p>
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</form>

Text Content

QUOTE #20189

Download
Kept Companies
(800)847-3735

PROPOSAL NUMBER:

KC-20189

DATE OF PROPOSAL:

Sep 27th, 2023

Apria Health Care
612 Beatty Rd
Monroeville, PA 15146-1588
Dale Hampton,


Thank you for your interest in our vehicle washing services.

On the following pages you will find our proposal for various services. Should
you wish to proceed with any service listed, please mark the box below the
desired frequency. In the case that you do not wish to proceed with any service
listed, please mark the box below the "None" column within the table.

Once the submitted document is received and processed, a member of our
Operations Team will reach out to schedule the service.

If you have any questions, my contact information is listed below.

We look forward to the partnership with your company.

Thank You,


Elizabeth Dawson

Account Specialist

elizabeth.dawson@keptcompanies.com(210) 817-7128
Page Break

Apria Health Care
612 Beatty Rd
Monroeville, PA 15146-1588

TRIP CHARGE:

$0.00

MINIMUM CHARGE:

$216.00


STEP SIDE VAN: EXTERIOR WASH

WeeklyEOWMonthlyNone
 
6 units $24.00 ea

 
6 units $27.00 ea

 
6 units $36.00 ea

 


STEP SIDE VAN: UNDERCARRIAGE / SALT REMOVAL

WeeklyEOWMonthlyNone
 
6 units $15.00 ea

 
6 units $21.00 ea

 
6 units $27.00 ea

 


STEP SIDE VAN: CAB DETAIL

WeeklyEOWMonthlyNone
 
6 units $18.00 ea

 
6 units $24.00 ea

 
6 units $30.00 ea

 


STEP SIDE VAN: TIRE DRESSING

WeeklyEOWMonthlyNone
 
6 units $15.00 ea

 
6 units $21.00 ea

 
6 units $27.00 ea

 


STEP SIDE VAN: MOTOR / CHASIS / FRAME CLEAN

WeeklyEOWMonthlyNone
 
6 units $18.00 ea

 
6 units $24.00 ea

 
6 units $30.00 ea

 

Page Break


TERMS & CONDITIONS

Conditions for Proposal: Prices are valid for 30 days from receipt of this
proposal. All proposed work will be completed in a workmanlike manner according
to standard practices. Any alterations or deviations from the above
specifications involving extra costs will be executed only upon written orders
and will become an extra charge over and above the estimate. Kept Companies is
authorized to do the above-described work, and payment will be Net 30. Prices do
NOT include applicable state tax, fuel surcharges and or local ordinance
surcharges ($3.00). Cancellation of service with no notice will result in a trip
charge. A minimum notice 8 hours required for cancellation of any service. Kept
Companies is comprehensively insured and guarantees all work performed.

I agree to all of the above terms and conditions.
 
Initial


APPROVAL & SIGNATURE

The above prices, specifications and conditions are satisfactory and are hereby
accepted. Kept Companies is authorized to do the work as specified. My signature
below represents my acceptance of this proposal.


PLEASE SIGN & DATE

 
Signature
 
Title / Position
 
Date

Accept
Reject

ADDITIONAL INFORMATION



Before you can Approve the Quote, please provide answers to the following
question(s).


Tax Exemption:

Do you have a tax exemption certificate? Your exemption certificate will be
applied when determining the applicable tax on your invoice.

Yes No
Certificate Upload:

Please upload a copy of your valid tax exemption certificate. Please make sure
all the required information is correctly filled out and the certificate is
signed and dated.

Select or drag and drop files
Browse Files

Select or drag and drop files
Browse Files
 * Retry upload
   

Cancel Next


CONFIRMATION



Are you sure you want to Reject this Quote?


Reason: - Select Reason - I am no longer interested in the Quoted servicesThe
Quote does not reflect my discussion with the Sales RepresentativeThe pricing is
higher than I expectedI have secured another service providerI would like to
receive a new Quote with additional servicesI want to provide feedback
More Information:
Cancel Yes, Reject

CONFIRMATION



We're almost there we just need you to sign the Quote.

If you're ready to proceed to the final step, click the below button and
DocuSign will send an email to da***on@ap***ia.com with instructions to sign and
finalize your Quote.

Cancel I'm Ready to Sign