HomeMy WebLinkAboutbocc.con.140.2016 tCrKIN Pitkin County
OUNT'' 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(apitkincounty.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 140.2016
Project Name Dirt Screen Rental
Contractor Wagner Equipment Inc
Budget Line Item Click here to enter text.
Additional Budget Line Item(s) Click here to enter text.
and special notes to Finance
Contract Start Date 4/5/2016
Contract End Date 5/2/2016
Automatic Renewal Yes 0 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:
Rental of a Dirt screen for top soil operations
Contract Value Summary:
Contract Amount $11,400.00
This Change order/Amendment amount(if applicable)
New Contract Total $11,400.00
Procurement Method:
None ❑ Informal® Formal 0 Sole Source 0 Emergency 0 Contract Renewal 0
Contract Type:
Services/Maintenance 0 Construction 0 Goods, Equipment, Supplies
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.
'fil WAGNER NAT REMIT TO: Wagner Equipment Co.
PO Box 919000 INVOICE
Denver, CO 80219-9000
Ship To:
SNOWMASS VILLAGE COLO 81615 INVOICE NUMBER: P4519701
COUNTY:PITKIN Invoice Date: 04-28-16
SHIP FROM;CARBONDALE
Due Upon Receipt $ 11400.00
In00.IIIIIIilllltnAlli111iI4uniIiiIIlllllrlllniillui111.1 Make 11
PITKIN COUNTY FLEET MGMT Model ST2.4
76 SERVICE CENTER RD Serial# 77747
ASPEN,CO 81611-2567 Equipment# 04-05-16
Machine ID# 441959
Meter Reading 9.00
Ship VIA WECO TRK
Ship Date:
Customer# PO# Agreement# CM INV.SEQ.NO. Salesman Division Store R/L Terms
69043 JONAH P45197 10 607312 351 G 00 ER 2
Quantity Item Description Unit Price Extension
CUSTOMER CONTACT: JONAH (KELLEY/SH/MSR)
TAX EXEMPTION LICENSE 98-02624
EQUIPMENT RENTAL FROM 04/05/16 THRU 05/02/16
METSO MODEL ST2 .4
CRUSHING & SCREENING
1 . 0 ID NO: 441959 SERIAL NO: 77747 11400 . 00
TAX ID: 16—P393445
•
Q Go Paperless. Receive statements and invoices online 24/7.Register at www.wagnerequipment.com/gopaperless
TOTAL PAGE 1 OF 1 PLEASE PAY THIS AMOUNT $ 11400.00
WE APPRECIATE YOUR BUSINESS.Your business is important to us and we strive to be your dealership of choice.If we did not meet your expectations,please ca11303.739.3000
Terms of Payment:Payment is due in full upon receipt of invoice.If payment is not received within 30 days after the due date,a finance charge of 1.50%per
month(annual percentage rate of 18%)will be charged on the delinquent amount from the due date.When you provide a check as payment,you authorize us
either to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction.
Wagner Equipment Co.hires EEO/AA/Minorities/Women/Disabled Veterans