HomeMy WebLinkAboutbocc.con.280.2013 Rev. 08-30-11 jls
COUNTY CLERK'S
CONTRACT COVERSHEET
CONTRACT #: 280-2013
ORIGINATING DEPARTMENT: Fleet
PROCUREMENT OFFICER: James Gilliam PHONE#: -9205765
PROJECT NAME: S&S Snow Blower Parts CONTRACTOR: Myslik Inc
DOLLAR AMOUNT:/�j3/✓Jrf LINE ITEM # 505.52 00000 83754
CONTRACT EXECUTION DATE: 10/3/2013 CONTRACT END DATE:
AUTOMATIC RENEWAL: ❑ YES ® NO TERM:
❑ BOCC AGENDA ITEM (Grants, IGA) ® STAFF AUTHORIZED SIGNATURE
(Requires BOCC Signature) (Per Revised Procurement Code 7/2005)
❑ OVER$50,000 (Requires Section Leader&County Manager's Signature)
✓ CHECK PROCUREMENT TYPE:
❑ None ❑ Informal ❑ Formal ® Sole Source ❑ Emergency ❑ Outside Agency/State Bid
❑ Compliance with C.R.S. 8-17-5-101, 102 as amended (Immigration Form) ❑ Exempt
❑ Contract Renewal
✓ CHECK CONTRACT TYPE:
❑ Services/Maintenance ❑ Employment
❑ License/Use ❑ Intergovernmental Agreement(Resolution Required)
❑ Lease ❑ Non-Profit
❑ Construction ❑ Quasi-Public(e.g:AVH)
❑ Goods, Equipment, Supplies ❑ Grant Agreements(Notify Finance& Resolution Required)
❑ Other(e.g. revenue) ❑ Change Order/Contract Amendment
(C/O: 10%or$25K whichever is the lesser must have County Manager signature)
All Contracts should be proofed and all exhibits and notices must be attached for the following:
✓ ❑ No Pages Missing ✓❑ All Other Blanks Filled In
✓ ❑ If Page Left Intentionally Blank—Note on Page /5 All Exhibits Attached
✓ ❑ Page numbered consecutively ✓❑ All Legal Descriptions attached (if applicable)
✓ ❑ All Original Signatures Affixed ✓❑ Notice of Award/Notice to Proceed Attached (if applicable)
✓ ❑ All Dates Filled In in Warranty(if applicable)
✓ ❑ Special Instructions for Finance Department:
✓ ❑ Authorized Procurement Officer's Name: .'tom c S �' I I t t. tM
BY CHECKING ABOVE AND ENTERING NAME,THE AUTHORIZED STAFF PERSON INDICATES THAT
THE ATTACHED DOCUMENT HAS BEEN PROOFED AND READY FOR SCANNING.
NOTE: CLERK'S OFFICE WILL KEEP ORIGINAL DOCUMENTS IN COMPLIANCE WITH COLORADO STATE
ARCHIVES RETAINAGE SCHEDULE. ALL ATTACHMENTS MUST BE WITH THIS CHECKLIST!
•
tan- Myslik, Inc. Invoice
22751 Sunrise Drive
Morrison, CO 80465 Date Invoice#
10/3/2013 100313P
Bill To Ship To
Same g-r9 _010 13
Pitkin County
76 Service Center Road
Aspen, CO 81611 socrs.L 00000 g 37S 1
P.O. Number Terms Due Date Ship Ship Via FOB
James Net 30 11/2/2013 9/19/2013 RAC Origin
Quantity Description Price Each Amount
4 1111193 Bushing 355.20 1,420.80
1 D098058/D220012 Output Shaft 7,636.00 7,636.00
1 CR37525 Seal 27.45 27.45
1 2-232 Oring. 1.75 1.75
2 2-356 Oring . 3.85 7.70
2 53688 Seal 44.20 88.40
3 1181045 UJoint - 55.00 165.00
•
1 1181044 UJoint 271.40 271.40
1 4-50189 Fan Clutch 4,024.85 4,024.85
2 K532 Seal 2.59 5.18
2 K959 Seal 11.13 22.26
1 1161047 Brake Disc BACKORDERED 0.00 0.00
2 B05-08541 Pin 49.00 98.00
2 605-08541 Pin BACKORDERED 0.00 0.00
1 B99.08545 Brake Pad 44.10 44.10
1 B99-08543 Brake Pad 44.10 44.10
1 RAC Transport 275.00 275.00
•
Thank you for your business! Balance Due $14,131.99
Phone# Fax# • E-mail, .,
r',.il« r— _•303.697.9692 303.697.9693 jmyslik @myslikinc.com