HomeMy WebLinkAboutbocc.con.100.2016 ,(�i1KIN Pitkin County
CovNT' Contract Cover Sheet
Please complete the Contract Cover Sheet when the contract is completed and signed by Contractor and Pitkin County
Project Manager.
Return all Contract Cover Sheets and Contracts/Change Orders/Amendments to Procurement
(procurement_help@pitkincounty.com). Any contracts$50,000 and over will be routed for signatures to County Manager
and Attorney's Office(if required)by Procurement&Contracts Manager.
Contract Information
Contract Number 100.2016
Project Name Landfill Attachments Snow Plow
Contractor Myslik Inc.
Budget Line Item 416.68.00952.86650
Additional Budget Line Item(s) Click here to enter text.
and special notes to Finance
Contract Start Date Click here to enter a date.
Contract End Date Click here to enter a date.
Automatic Renewal Yes ❑ No®
If Construction: Retainage Click here to enter text.
If this is a new contractor,please request they complete and submit to Finance a W-9 Form.
Contact Information:
Department Fleet
Project Manager Jonah Frank Project Manager 5393
Phone
Provide a brief description of the contract:
Large Loader Snow Plow for Landfill Loaders
Contract Value Summary:
Contract Amount $13,700.00
This Change order/Amendment amount(if applicable)
New Contract Total $13,700.00
Procurement Method:
None ❑ Informal® Formal 0 Sole Source 0 Emergency 0 Contract Renewal 0
Contract Type:
Services/Maintenance ❑ Construction 0 Goods,Equipment, Supplies CE
Change Order/Amendment 0 Other, please explain 0 Click here to enter text.
NOTE: CLERKS OFFICE WILL KEEP ORIGINAL DOCUMENTS IN COMPLIANCE WITH COLORADO STATE
ARCHIVES RETAINAGE SCHEDULE. ALL ATTACHMENTS MUST BE WITH THIS CHECKLIST.
Myslik, Inc. Invoice
r-r-i 22751 Sunrise Drive
Morrison, CO 80465 Date Invoice#
2/24/2016 022317A
Bill To I Ship To
Jonah Frank
Pitkin County Fleet Management 970.920.5393
76 Service Center Road
Aspen, CO 81611
P.O. Number Terms Due Date Ship Ship Via FOB
Jonah Net 30 3/25/2016 2/9/2016 Truck Destination
Quantity Description Price Each Amount
1 HD-17 Sectional Snow Plow with Fusion Coupler 13,700.00 13,700.00
100020
There will be a 25%restock fee on returned parts.
Payments/Credits $0.00
Thank you for your business! Balance Due $13,700.00
Phone# Fax# E-mail
303.697.9692 303.697.9693 jmyslik@myslikinc.com