HomeMy WebLinkAboutbocc.con.267.2016 9jTKIN Pitkin County
CouNT11 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 267-2016
Project Name ARFF Firetruck Tires
Contractor Heuton Tire
Budget Line Item 505.52 00000 83753
Additional Budget Line Item(s) Click here to enter text.
and special notes to Finance
Contract Start Date 8/4/2016
Contract End Date Click here to enter a date.
Automatic Renewal Yes ❑ No CZ
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 Management
Project Manager James Gilliam Project Manager 97-920-5765
Phone
Provide a brief description of the contract:
New Tires for ARFF firetruck at AP
Contract Value Summary:
Contract Amount 12,043.68
This Change order/Amendment amount(if applicable)
New Contract Total
Procurement Method:
None ❑ Informal® Formal ❑ Sole Source 0 Emergency 0 Contract Renewal 0
Contract Type:
Services/Maintenance 0 Construction 0 Goods,Equipment, Supplies El
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.
invoice
Heuton Tire Company, inc.
PO Box 40154 128416
Grand Junction, CO 81504 Date:
Toll Free:877-243-5301 Aug 8, 2016
Office: 970-242-5300 Fax: 970-242-5304
Page: i
Sold To: Ship To
PITKIN COUNTY 970-920-5393
76 SERVICE CENTER RD 76 SERVICE CENTER RD
ASPEN, CO 81611 ASPEN, CO 81611
Customer ID 77n Customer PO #
Unit#
PIC076
Sales Rep ID Delivery Method Ship Date Due Date
WILSJE Hand Deliver • 8/31/16
item De;Option Quantity Unit Price Extension
X21-24R211XZL MICH 24R21 XZL 78026 - 4.00 3,010.92 12,043.68
NET STATE PRICING
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• Subtotal 12,043. 8
Sales Tax
Received /
_ Tota 12,04168
Print -- Payment/Credit
Name: ( ( r AMOUNT DUE 12,043.68