HomeMy WebLinkAboutbocc.con.023.2015Rev. 08-30-11 jls
COUNTY CLERK'S
ql/ CONTRACT COVERSHEET
CONTRACT #: 23-2015
ORIGINATING DEPARTMENT: Fleet
PROCUREMENT OFFICER: James Gilliam PHONE #: -9205765
PROJECT NAME: T -case Airport CONTRACTOR: O.J. WatSOtl
DOLLAR AMOUNT: $16.427.45 LINE ITEM # 505.52 00000 83754
CONTRACT EXECUTION DATE: 1/15/2015 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
✓ ❑ If Page Left Intentionally Blank —Note on Page
✓ ❑ Page numbered consecutively
✓ ❑ All Original Signatures Affixed
✓ ❑ All Dates Filled In
✓ ❑ Special Instructions for Finance Department:
✓❑ All Other Blanks Filled In
✓❑ All Exhibits Attached
✓❑ All Legal Descriptions attached (if applicable)
✓❑ Notice of Award/Notice to Proceed Attached (if applicable)
✓❑
Warranty (if applicable)
Please Mail Check
✓ ❑ Authorized Procurement Officer's Name: James Gilliam
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!
Page: 1
r#TPA , O.J. WATSONCOA-PANY, Ir E • 5335 Fraridin Street • Daner, Colcrado 80216
(303)295-7885 • WATS(830)332-2124 • FAX(3W)2968049
E Q U I P M E N T Invoice Number: 0061518 -IN
Invoice Invoice Date: 1112Y2015
Order Number: 0022164
Order Date 115/2015
Salesperson: PDJ
Customer Number: PITKIN
Sold To: Ship To:
Pitkin County Fleet Pitkin County Fleet
76 Service Center Road 76 Service Center Road
Aspen, CO 81611 Aspen, CO 81611
Confirm To:
Customer P.O. Ship VIA F.O.B. Terms
Jonah TRUCK Net 30 Days
Item Number Unit Ordered Shipped Back Ordered Price Amount
3474438 EACH
t -case 55000 dm 2.66 als
Received By
Printed Name
1
1
Whse:
000
0 15.837.5300
,MVP
Net Invoice:
Less Discount:
Freight:
GOV:
Invoice Total
15,837.53
15,837.53
.00
589.92
0.00
0.00
0.00
16,427.45