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HomeMy WebLinkAboutbocc.con.085.2014 RESERVED Rev. 08-30-11 j(s COUNTY CLERK'S CONTRACT COVERSHEET CONTRACT #: 85-2014 ORIGINATING DEPARTMENT: Fleet Management PROCUREMENT OFFICER: James Gilliam PHONE#: -9205765 PROJECT NAME: Grader Tires coN1'RncTOx: Heuton Tire Ca Inc. DOLLAR AMOUNT: I9 188.00 LINE ITEM# 505.52 00000 83753 CONTRACT EXECUTION DATE: 2/7/2014 CONTRACT END DATE: AUTOMATIC RENEWAL: ❑ YES � NO TERM: ❑ BOCC AGENDA ITEM (Grants, IGA) � S7'AFF AU"I'HORIZED SIGNATURE (Requires BOCC Signature) (Per Revised Procurement Code 7/2005) ❑ OVER$50,000 (Requires Section Leader&Counry 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: ��� �l� U ❑ Services/Maintenance ❑ Empioyment ❑ License/Use ❑ Iniergovernmental Agreemeat(Resolution Required) ❑ Lease ❑ Non-Profit ❑Construction ❑ Quasi-Public (e.g.-AVH) � Goods, Equipme�t, Supplies ❑ Grant Agreements(Notify Finance& Resolution Required) ❑ Other(e.g. revenue) ❑ Change Order/Contract Amendment (C/O: 10%or 525K whichever is the lesser musl have County Manager signamre) 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 Lefr Intentionally Blank —Note on Page ✓ ❑ All Exhibits Attached ✓ ❑ Page numbered consecutively ✓ ❑ All Legal Descriptions attached (rfapplicableJ ✓ ❑Ali Original Signatures Affixed ✓ ❑ Notice of Award/Notice to Proceed Attached (i�applica6G � ✓ ❑ All Dates Filled fn ✓ ❑ Wartanty(ifappiicable) ✓ 0 Special Instructions for Finance Department: ✓ Q Authorized Procurement Officer's Name: RY C}IF,CKING ABOVF. AND GNTGRING NAMG,THF, AUTHORIZED STAFF PERSON IIVD[CA7TS THAT TH� ATTACHEll DOCUMENT HAS B��N VROOFED AND READY FOR SCANNING. NOTE: CLERK'S OPPICE WILL KEEP ORIGINAL DOCUMENTS IN COMPLIANCE WITH COLORADO STATE ARCHIVES RETAINAGE SCHEDULE. ALL ATTACAMENTS MUST BE WITH TAIS CHECKLIST! , � ,�-����1: ` � ' �' '. .. �� , _. . Fieufon Tire Company, inc. Invoice , � PO Box 40154 110822 � ., � Grand Junc�ion, CO 81504 Date: w3`a"' a "`� Feb 10, 2014 � Tdl Free:877-2435301 4 O�ce: 970-242-5300 Fax: 970-242-5304 i � Page: � '� Sold To: Ship To: i PITKIN CAUNTY ' ` 76 SERVICE CENTER RD 970-920�393 ; ASPEN, CO 81611 76 SERV�E CENTER RD ASPEN, CO 81611 ; , i � ; Customer ID Customer PO # Unit # ! PIC076 ! f Sales Re ID Delivery Method Shi Date Due Date j WILSJE Hand Deliver Z1Z8/14 � ttem Desaiption GtuanCry Umt Price Extenslo� � X241400R24/XSPLIMICH 140�24XSNOPLUS{53173) � 12.00 1,599.00 19,188.00 � NET STATE PRIGNG . �. . � • I ; , _ _ _ . - ._ _ _ . . . /r -- .,_� _ E � .� �#- 11S �aa�`f � �AC�/�1Pi�l��Gr��S , �Git1 �ac P� i ° �� �, �� 0aa0� �6` � �75 � � i ���� � ' � � ; � — . ! t t - ; , . { 1 ; i G c� �� �--(��� ' i � Subtotal 19,188.00 { � _-, Sales Tax � Recelved : _ - - - - =- � by;_ � ` /�-�----� Total 19,188.00 ( �� ' - -�� � Print ' � �;� � / Payment/Gredit I Name: � l :';�+, � � /; ��- ��. AMOUNT DUE 19,188.00 � � � . _ _