Official Newspaper Bidder FormCity of Port Orchard
216 Prospect Street, Port Orchard, WA 98366
(360) 876-4407 • FAX (360) 895-9029
cityclerk@portorchardwa.gov
www.portorchardwa.gov
BID FORM
ALL INTERESTED BIDDERS MUST COMPLETE AND SUBMIT THE FOLLOWING:
RATES AND SERVICES
Describe rate(s) to be charged for publications, based on the following:
$ per single line (including applicable sales tax), and
$ per column inch (including applicable sales tax).
If different rates apply for different types of publication(s) (i.e., legal notices, advertising, etc.).
Please note if there are any charges, surcharges, taxes, or other fees in addition to the above -
described rates? If so, please describe.
Note: Rates may not exceed the national advertising rate as defined in RCW 65.16.091.
CIRCULATION
What are your paid circulation numbers within City limits, as well as inside the Port Orchard
Urban Growth Area:
Subscribers within City limits
Subscribers within the Port Orchard Urban Growth Area
(Zip Codes 98366 and 98367)
Audited circulation? Yes No
PUBLICATION
The City of Port Orchard desires publication on a particular date. How much lead time is
required by your newspaper?
Official Newspaper Bid Form and Specs. 2023/2024
Page 1 of 2
Confirm you publish in hard -copy at least once a week? Yes No
Confirm you are equipped to provide an original Affidavit of Publication? Yes No
Confirm that you meet all requirements set out in RCW 65.16.020? Yes No
The undersigned states that he or she is authorized to submit a bid on behalf of the
corporation, partnership, or sole proprietorship listed below and further states that the
corporation, partnership, or sole proprietorship is bound by the above offer.
Name of Legal Newspaper:
Signed:
Typed or printed Name:
Address:
Telephone Number:
Email:
Title:
City/State/Zip:
Date:
Official Newspaper Bid Form and Specs. 2023/2024
Page 2 of 2