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HomeMy WebLinkAboutRESPONSE - BID - 5363 PROPANE FUEL SUPPLIEREA FU 2.0 Contract Requirements The successful vendor must sign and return the Service Agreement, with proof of insurance (see Insurance and Permits), within ten (10) working days of award The initial contract period shall commence on the date a Services Agreement is signed and end December 31, 1999 At the option of the City the Agreement may be renewed for additional one-year periods, not to exceed four (4) additional one-year periods Vendor will be notified of such renewal, in writing, thirty (30) days prior to the end of the initial term of any renewal term Price changes must be negotiated by and agreed to by both parties 3.0 Insurance and Permits The awarded vendor must furnish proof of adequate levels of insurance to meet the City requirements, as specified in the attached contract Vendor must be properly licensed and secure necessary permits wherever applicable 4.0 Bid Acceptance All bid proposals shall remain subject to initial acceptance 90 days after the day of submittal 5.0 Proposal (Read carefully and provide all requested information) 5.1 Propane Pricing Delivery Charge, per gallon $ _.144_ Markup Over Rack Price, per gallon $_.023 5.2 Tanks Suburban Propane can have equipment installed within 14 days of signed bid award 5.3 Delivery & Response Times Suburban Propane can begin making deliveries within 14 days after proper notification of bid award Deliveries will be routinely made on the average of three (3) times weekly Suburban Propane will make every effort to deliver emergency deliveries within two hours of notification Suburban Propane maintains a 24-hour emergency answering service and under normal conditions can respond to after hours emergencies of leaks and equipment malfunctions within two (2) hours 5.4 Discount for Prompt Payment ���(are. \J How To Read Your Statement ��pTEMENT �� Suburban PwPane ,a_ a , o w Please take a moment to refer to this guide, which explains all the important parts ofyow statement If you have any questions afterwards, please feel free to call us at the number printed on your statement Q Your Account Number When you have questions or need service, giving us this number will help us serve you better ® Amount Due Amount which is now due and payable © Remittance Address The mailing address to which all payments should be sent Please ensure this address is clearly visible through the return envelope's window Please DO NOT send correspondence to this address Q 7Y-ansactt0n Information Shows date, reference number and type of transaction © Quantity Amount of product purchased Q Charge Amount Amount charged for product purchased i d ® Payment Information Date and amount of product purchased s LOU,: Balance Due Shows amount due less any payments which were applied to your account in the current month Q Your Customer Service Center Contact this Thank you for choosing Suburban Propane as address/telephone number if you have any your gas suppherl To better serve you, we've questions about your service or bill prepared this guide to understanding your Suburban Propane statement Statements are GO Terms Explanation of terms sent to customers who do not receive "next day" m IYnance Charge Inforn:ateon Shows amount invoices or those who show a past due balance on subject ro finance charge and percentage rates their accounts at the close of their billing cycle G Message Area Information about your bill custontei programs and safety tips appear here ISuburbanPropane� ;C Exhibit B INSURANCE REQUIREMENTS The Service Provider will provide, from insurance companies acceptable to the City, the insurance coverage designed hereinafter and pay all cost Before commencing work under this bid, the Service Provider shall furnish the City with certificates of insurance showing the type, amount, class of operations covered, effective dates and date of expiration of policies, and containing substantially the following statement" "The insurance evidenced by this Certificate will not be cancelled or materially altered, except after ten (10) days written notice has been received by the City of Fort Collins " In case of the breach of any provision of the Insurance Requirements, the City, at its option, may take out and maintain, at the expense of the Service Provider, such insurance as the City may deem proper and may deduct the cost of such insurance from any monies which may be due or become due the Service Provider under this Agreement The City, its officers, agents and employees shall be named as additional insureds on the Service Provider's general liability and automobile liability insurance policies for any claims arising out of work performed under this Agreement 2 Insurance coverages shall be as follows A Workers' Compensation & Employer's Liability The Service Provider shall maintain during the life of this Agreement for all of the Service Provider's employees engaged in work performed under this agreement 1 Workers' Compensation insurance with statutory limits as required by Colorado law 2 Employer's Liability insurance with limits of $100,000 per accident, $500,000 disease aggregate, and $100,000 disease each employee B Commercial General & Vehicle Liability The Service Provider shall Maintain during the life of this Agreement such commercial general liability and automobile liability insurance as will provide coverage for damage claims of personal injury, including accidental death, as well as for claims for property damage, which may arise directly or indirectly from the performance of work under this Agreement Coverage for property damage shall be on a "broad form" basis The amount of insurance for each coverage, Commercial General and Vehicle, shall not be less than $500,000 combined single limits for bodily injury and property damage In the event any work is performed by a subcontractor, the Service Provider shall be responsible for any liability directly or indirectly arising out of the work performed under this Agreement by a subcontractor, which liability is not covered by the subcontractor's insurance Ti YLTTRTT R 'ACORQ CERTIFICA OF LIABILITY INSURA E DATE (MM/DD/YV) M PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR J&H MARSH & MCLENNAN, INC. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW 44 WHIPPANY ROAD, P 0. BOX 1966 INSURERS AFFORDING COVERAGE MORRISTOWN, NJ 07962-1966 INSURED INSURER A � PACIFIC EMPLOYERS INS C.0 INSURER B SUBURBAN PROPANE, L.P. INSURER P.O. BOX 206 INSURER WHIPPANY. NJ 07981 INSURER COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THEHNSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ` LIMITS LTR ATE MM/DD/YY DATE MM D Y A I GENERAL LIABILITY HDO G1 965325-0 3/1 /99 I 3/1 /00I EACH OCCURRENCE g1 , 000, 000 FX ] COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) § 50 , 00 V CLAIMS MADE 1.xxOCCUR MED EXP (Any one person) 5 G , OOO _� _ PERSONAL B ADV NJURV 51 , OOO, OOO j� GENERAL AGGREGATE S1 '000 , OOO GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMNOP AGO S1,000 ,_000 LECT LOC IRO y. POLICY ICI J I LIABILITY COMBINED SINGLE LIMIT 1 , 000 '000 �AUTOMOBILE A I_x I ANY AUTO ISA HO 740379-3 3/1 /99 3/1 /00 (Eaa`clUon'( $ X ALL OWNED AUTOS X_ SCHEDULED AUTOS BODILY INJURY (Per person) 5 X_ HIRED AUTOS — NON OWNED AUTOS BODILY INJURY (Per acmdanO 5 PROPERTYDAMAGE § (Per accident) II GAR AGE LIABILITY AUTO ONLY EA ACCIDENT S ANY AUTO OTHER THAN EA AGO S _ S AUTO ONLY AGG EXCESS LIABILITY EACH OCCURRENCE S POCCUR CLAIMS MADE AGGREGATE S g _ DEDUCTIBLE RETENTION g g A WORKERS COMPENSATION AND WLR C4 265752-9 3/1 /98 3/1 /99 �Xl oavutiiiTS�°Ea_I EMPLOYERS LIABILITY SCF C4 265753-0 (WI EL EACH ACCIDENT § & WY) �-1_,0Q0_,_0QO_ EL DISEASE EA EMPLOYEE 91 , 000_,_000— E L DISEASE POLICY LIMIT I g OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS BLANKET ON ALL OWNED AND LEASED VEHICLES, ALL PREMISES ALL LOCATIONS AND ALL OPERATIONS. G IMM I IYIL.A I M,11ULLICYI I I AUUNIONAL fNbUHLU INSUHEH LLU ItH -Llq 11v14 SUBURBAN PROPANE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 205 N HIGHWAY 287 DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL -AD DAYS WRITTEN F T . CO U R N S , CO 80524 NOTICE TO THE CERTIFICATE HOLDER NAMED THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES ) l AUTHORIZED REPRESENTATIVE A7 I cl- ACORD 25-S (7/97) 0 ACORD CORPORATION 1988 Exhibit C YEAR 2000 COMPLIANCE CERTIFICATION AND INDEMNITY Section 1 Contractor hereby certifies that all information resources or systems to be provided or used in connection with the performance of this Agreement are Year 2000 Compliant , except as otherwise expressly described in Section 2, below Year 2000 Compliant shall mean that information resources meet the following criteria a Data structures (e g , databases, data files) provide 4-digit date century recognition For example, 1996" provides date century recognition, 96" does not b Stored data contains date century recognition, including (but not limited to) data stored in databases and hardware/device internal system dates c Calculations and programs logic accommodate both same century and multi -century formulas and date values Calculations and logic include (but are not limited to) sort algorithms, calendar generation, event recognition, and all processing actions that use or produce date values d Interfaces (to and from other systems or organizations) prevent non- compliant dates and data from entering any state system e User interfaces (r e , screens, reports, etc ) accurately show 4 digit years f Year 2000 is correctly treated as a leap year within all calculation and calendar logic Section 2 Contractor has identified the following information resources or systems that will be provided or used in connection with the performance of this Agreement that are not, or will not by December 1, 1998, be Year 2000 Compliant 10 K. Section 3 a Contractor hereby certifies that the instances of information resources or systems not Year 2000 Compliant identified in Section 2, above, will be Year 2000 Compliant no later than December 1, 1998, and that Contractor shall notify the City of the status of Year 2000 Compliance for such resources or systems upon the earlier of the date Year 2000 Compliance is achieved or on June 30, 1999 b Contractor hereby certifies that the instances of information resources or systems identified in Section 2, above, as not Year 2000 Compliant, and for which Year 2000 Compliance is or will not be achieved by December 1, 1998, are not related to and do not impair the performance by Contractor of the terms of this Agreement, and do not produce new non -compliant information resources or systems Section 4 Contractor agrees to notify the City immediately of any information resources or systems that are not Year 2000 Compliant upon encountering the same in connection with the performance of the Agreement, including without limitation any information resources or systems in use by Contractor in the performance of the Agreement or information resources or systems of the City regarding which Contractor obtains information in the course of its performance of the Agreement Section 5 Contractor agrees to permit examination, by the City or agents thereof, of any and all information resources and systems in use in connection with this Agreement, and related Year 2000 Compliance implementation plans, in order to evaluate Year 2000 Compliance and potential implications of the same for the City and for performance of the Agreement Section 6 The Contractor shall indemnify and hold harmless the City, and its officers, agents and employees, from and against all claims, damages, losses, and expenses, including attorneys fees, arising out of or resulting from the Contractor's failure to disclose instances of information resources or systems that are not Year 2000 Compliant, or failure to comply with the terms of this Exhibit C 11 Exhibit A SERVICES AGREEMENT PROPANE FUEL SUPPLIER THIS AGREEMENT made and entered into the day and year set forth below by and between THE CITY OF FORT COLLINS, COLORADO, a Municipal Corporation, hereinafter referred to as the "City " and, Suburban hereinafter referred to as "Service Provider' WITNESSETH In consideration of the mutual covenants and obligations herein expressed, it is agreed by and between the parties hereto as follows Scope of Services The Service Provider agrees to provide propane fuel services in accordance with the scope of services attached hereto as Exhibit "A", consisting of (_5_) page(s), and incorporated herein by this reference 2. Contract Period This Agreement shall commence 1999, and shall continue in full force and effect until December 31, 1999, unless sooner terminated as herein provided In addition, at the option of the City, the Agreement may be extended for additional one year periods not to exceed four (4) additional one year periods Pricing changes shall be negotiated by and agreed to by both parties Written notice of renewal shall be provided to the Service Provider and mailed no later than thirty (30) days prior to contract end 3. Delay If either party is prevented in whole or in part from performing its obligations by unforeseeable causes beyond its reasonable control and without its fault or negligence, then the party so prevented shall be excused from whatever performance is prevented by such cause To the extent that the performance is actually prevented, the Service Provider must provide written notice to the City of such condition within fifteen (15) days from the onset of such condition 4. Early Termination by City/Notice Notwithstanding the time periods contained herein, the City or Service Provider may terminate this Agreement at any time without cause by providing written notice termination to the other party Such notice shall be delivered at least fifteen (15) days prior to the termination data contained in said notice unless Mil f otherwise agreed in writing by the parties All notices provided under this Agreement shall be effective when mailed, postage prepaid and sent to the following addresses City: City of Fort Collins Purchasing PO Box 580 Fort Collins, Co 80521 Service Provider: Suburban Propane PO BOX 1992 Fort Collins, Co 80522-1992 In the event of early termination by the City, the Service Provider shall be paid for services rendered to the date of termination, subject only to the satisfactory performance of the Service Provider's obligations under this Agreement Such payment shall be the Service Provider's sole right and remedy for such termination 5. Contract Sum The City shall pay the Service provider for the performance of this Contract, subject to additions and deletions provided herein, the sum of $_ _144_ per gallon of delivered propane fuel, as a delivery charge, and $_ _023_ per gallon of delivered propane fuel, as a markup over Service Provider's cost for such fuel 6. City Representative The City will designate, prior to commencement of the work, its representative who shall make, within the scope of his or her authority, all necessary and proper decisions with reference to the services provided under this agreement All requests concerning this agreement shall be directed to the City Representative 7. Independent Service provider The services to be performed by Service Provider are those of an independent service provider and not of an employee of the City of Fort Collins The City shall not be responsible for withholding any portion of Service Provider's compensation hereunder for the payment of FICA, Workmen's Compensation or other taxes or benefits or for any other purpose 8. Personal Services It is understood that the City enters into the Agreement based on the special abilities of the Service Provider and that this Agreement shall be considered as an agreement for personal services Accordingly, the Service Provider shall neither assign any responsibilities nor delegate any duties arising under the Agreement without the prior written consent of the City 9. Acceptance Not Waiver The City's approval or acceptance of, or payment for any of the services shall not be construed to operate as a waiver of any rights or benefits provided to the City under this Agreement or cause of action arising out of performance of this Agreement 10. Warranty Service Provider warrants that all work performed hereunder shall be performed with the highest degree of competence and care in accordance with accepted standards for work of a similar nature 11. Default Each and every term and condition hereof shall be deemed to be a material element of this Agreement In the event either party should fail or refuse to perform according to the terms of this agreement, such party may be declared in default thereof 12. Remedies In the event a party has been declared in default, such defaulting party shall be allowed a period often (10) days within which to cure said default In the event the default remains uncorrected, the party declaring default may elect to a Terminate the Agreement and seek damages, b Treat the Agreement as continuing and require specific performance, or c Avail himself of any other remedy at law or equity If the non - defaulting party commences legal or equitable actions against the defaulting party, the defaulting party shall be liable to the non - defaulting party for the non -defaulting party's reasonable attorney fees and costs incurred because of the default 13. Binding Effect This writing, together with the exhibits hereto, constitutes the entire agreement between the parties and shall be binding upon said parties, employees, agents and assigns and shall inure to the benefit of the respective survivors, heirs, personal representatives, successors and assigns of said parties 14. Indemnity/Insurance a The Service Provider agrees to indemnify and save harmless the City, its officers, agents and employees against and from any and all actions, suits, claims, demands, or liability of any character whatsoever brought or asserted for injuries to or death of any person or persons, or damages to property arising out of, result from or occurring in connection with the performance of any service hereunder b The Service Provider shall take all necessary precautions in performing the work hereunder to prevent injury to persons and property c Without limiting any of the Service Provider's obligations hereunder, the Service Provider shall provide and maintain insurance coverage naming the City as an additional insured under this Agreement of the type and with the limits specified within Exhibit _B_, consisting of one (1) page, attached hereto and incorporated herein by this reference The Service Provider before commencing services hereunder, shall deliver to the City's Director of Purchasing and Risk Management, 256 West Mountain Avenue, Fort Collins, Co 80521 one copy of a certificate evidencing the insurance coverage required from an insurance company acceptable to the City d City releases, indemnifies and holds Service Provider harmless from any demands, claims, liability or expenses resulting from unauthorized use or servicing of Service Provider's equipment and from all losses or liabilities resulting from any defects in propane equipment owned by the City Service Provider shall not be liable for any damages, losses or expenses resulting from the exhaustion of City's propane -supply This provision will survive termination or cancellation of this Agreement 15. Unforeseeable Interruption of Services Service Provider will not be liable to City or other parties for failure to supply propane if such failure is caused by an act of God, labor disturbances, power outages caused by Y2k related computer problems, unavailability of propane or other causes beyond Service Provider's reasonable control 16. Law/Severability The laws of the State of Colorado shall govern the construction interpretation, execution and enforcement of this Agreement In the event any provision of this Agreement shall be held invalid or unenforceable by any court of competent jurisdiction, such holding shall not invalidate or render unenforceable any other provision of this Agreement 17. Payment Terms Payment in full is due within forty five (45) days of receipt of Customer Invoice for services provided 18. Electrical City will be responsible for all electrical connections to Service Provider's equipment at time of installation 19. Entire Agreement This Agreement, along with all Exhibits and other documents incorporated herein, shall constitute the entire Agreement of the parties Covenants or representations not contained in this Agreement shall not be binding on the parties This Agreement may only be amended by a written Instrument executed by both parties IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be duly executed as of the date first above written BUYER M SELLER SUBURBAN PROPANE, L P Title Title LIS r Payments are net forty-five (45) days, no discounts for early payment 5.5 Supplemental Information A list of suppliers from which you regularly obtain propane and a sample of the supplier delivery ticket, invoice, or other proof of fuel cost which can be supplied to the City ------- Enclosed Exhibit D, Which is provided to Suburban Propane, Fort Collins on a daily basis by its Home Office 2 Describe the methods available to the City to pre -purchase propane fuel Include contract sizes, time frames, and all other pertinent information -----The methods available for the City to per -purchase propane are as follows Per -purchase propane at current rack price plus $ 0 167 for delivery and markup, or per -purchase propane in August 1999 for a greater savings when the rack price is at its low for the year All pre -purchases of propane are sold in 20,000-gallon increments and contract time frames are for a period of one (1) year 3 List at least three (3) references, preferably government entities you currently supply with propane fuel ----Colorado State University ----Colorado State Patrol ----Colorado Dept of Transportation/Port of Entry ----Colorado Div of Wildlife 4 Complete and return Exhibit C, Year 2000 Compliance form Enter "None" in Section 2 0, if applicable ----Enclosed Exhibit C, Year 2000 Compliance form Note: Enclosed are samples of Suburban Propane's delivery ticket and merchandise Invoices 6.0 Contractor's Statement I have read and fully understand all the conditions, specifications, and special instructions herein set forth above in paragraphs 1 0 through 5 5 1 hereby agree to comply with all said conditions, special instructions, and specifications as stated or ii Signature Suburban 205 N HWY 287 Fort Collins, CO 80524 Title 1-970-482-6323 - Phone 1-970-482-9047 - Fax Exhibit C YEAR 2000 COMPLIANCE CERTIFICATION AND INDEMNITY Section 1 Contractor hereby certifies that all information resources or systems to be provided or used in connection with the performance of this Agreement are "Year 2000 Compliant', except as otherwise expressly described in Section 2, below "Year 2000 Compliant' shall mean that information resources meet the following criteria a Data structures (e g , databases, data files) provide 4-digit date century recognition For example, "1996" provides date century recognition, "96" does not b Stored data contains date century recognition, including (but not limited to) data stored in databases and hardware/device internal system dates c Calculations and programs logic accommodate both same century and multi -century formulas and date values Calculations and logic include (but are not limited to) sort algorithms, calendar generation, event recognition, and all processing actions that use or produce date values d Interfaces (to and from other systems or organizations) prevent non- compliant dates and data from entering any state system e User interfaces (i e , screens, reports, etc ) accurately show 4 digit years f Year 2000 is correctly treated as a leap year within all calculation and calendar logic Section 2 Contractor has identified the following information resources or systems that will be provided or used in connection with the performance of this Agreement that are not, or will not by December 1, 1998, be Year 2000 Compliant 11 Section 3 a Contractor hereby certifies that the instances of information resources or systems not Year 2000 Compliant identified in Section 2, above, will be Year 2000 Compliant no later than December 1, 1998, and that Contractor shall notify the City of the status of Year 2000 Compliance for such resources or systems upon the earlier of the date Year 2000 Compliance is achieved or on June 30, 1999 b Contractor hereby certifies that the instances of information resources or systems identified in Section 2, above, as not Year 2000 Compliant, and for which Year 2000 Compliance is or will not be achieved by December 1, 1998, are not related to and do not impair the performance by Contractor of the terms of this Agreement, and do not produce new non -compliant information resources or systems Section 4 Contractor agrees to notify the City immediately of any information resources or systems that are not Year 2000 Compliant upon encountering the same in connection with the performance of the Agreement, including without limitation any information resources or systems in use by Contractor in the performance of the Agreement or information resources or systems of the City regarding which Contractor obtains information in the course of its performance of the Agreement Section 5 Contractor agrees to permit examination, by the City or agents thereof, of any and all information resources and systems in use in connection with this Agreement, and related Year 2000 Compliance implementation plans, in order to evaluate Year 2000 Compliance and potential implications of the same for the City and for performance of the Agreement Section 6 The Contractor shall indemnify and hold harmless the City, and its officers, agents and employees, from and against all claims, damages, losses, and expenses, including attorneys fees, arising out of or resulting from the Contractor's failure to disclose instances of information resources or systems that are not Year 2000 Compliant, or failure to comply with the terms of this Exhibit C 12 03/11/99"�IRit n FUEL SALES BY FUEL TYPE 10:50:19 MONTHLY BUDGET INFORMATION FUELSALE PAGE 2 DISTRICT: 1200 FORT COLLINS # 1. M-T-D AVERAGE COST (Input Screen) ................. $0.29200 ,ufied Petroleum Gas rlamable Gas; 2.1 UN1075; Non -Corrosive TURNER GAS CO? PO Box 26554 -Salt Lake City, UT 84126-0554 '801-973-6886, US DOT N 267735, MC N287248 1-800.932-4277 N° 15096 Loading Unloading Date ` j Date Supplier PP �N '1 )am -- I )am Arnve to Load p m Arrive to Unload P m Point Of � ( J,� am A%�'a m Origin l.'>h %.:''7.; �Li Cl) Begin Loading p m Begin Unloading P m rJ'03m 7J,.1am Finish Loading Fm Finish Unloading Pm Consignee/ ,- - / -'7 / Shipper �, �} 1 f .— Total Time Total Time Reason for Delay Reason for Delay ] / %2 / , 1 11 !' Destination ! " / (, J , ,{�j Commodity Loaded TRAILER WATER CAPACITY BEGINNING V P PERCENT FILLED TEMP °F GRAVITY GROSS GALLONS CORRECTION FACTOR NET GALLONS NO 1 7-^- TRAILER WATER CAPACITY BEGINNING V P PERCENTIFILLED MP °F GRAVITY GROSS GALLONS CORRECTION FACTOR NET GALLONS NO 2 nr TRUCK NO REFINERY BOL PO or LOAD If DODO IZED� GROSS WEIGHT TARE WEIGHT NET WEIGHT LBS/GALLON TOTAL NET GALLONS CUSTOMER WATER TEMP °F %AFTER % BEFORE 96 RECEIVED ENDING V P TANK NO CAPACITY ON TRAILERS TRAILER NO 1 _ r� zj 2 '"' �7i' TR/ ILER NO 2 � S 3 4 Carrier Turner Gas Company SIGNATURE OF CONSIGNEE OR AGENT RECEIVED IN GOOD CONDITION I 1 1+', ODOMETER START ODOMETER END TOTAL MILES DRIVERS NAME LOADED ODOMETER START ODOMETER END TOTAL MILES DRIVERS NAME UNLOADED Reason for delays or misc comments 24 HOURiEMERGENCY NO. 1-800-633-8253 For Emergency During Transportation Only ,jified Petroleum Gas tamable Gas, 2 1 UN1075, Non -Corrosive TURNER a GAS C PO Box 26554 • Salt Lake City, UT 84126-0554 801-973-6886, US DOT k 267735, MC N287248 1-800-932-4277 N° 15098 Loading Unloading 1 Supplier / ; �, / Date ! C� Date ? C'-i a m <j-a m ' Point Of - Origin - I f F, /W-) Arrive to Load — ' / pm Arrive to Unload p m a m Begin Loading r� p m 116,a'm Begin Unloading PM am `v;am 1 Consignee/ ) Shipper Finish Loading ^ � -t p m Finish Unloading p m g Total Time Total Time ' Reason for Delay Reason for Delay Destination " 7 Q S Commodity Loaded Z P(1 TRAILER WATER CAPACITY BEGINNING V P PERCENT FILLED TEMP •F GRAVITY GROSS GALLONS CORRECTION FACTOR NET GALLONS NO 1 60+� _/ 4 TRAILER WATER CAPACITY 7EGINNING V P PERCENT FI D TEM •F GRAVITY GROSS GALLONS CORRECTION FACTOR NET ONS NO 2 66 TRUCK NO.UrJ REFINERY BOL PO or LOAD M ODORIZFD, GROSS WEIGHT TARE WEIGHT NET WEIGHT LBS/GALLON TOTALNETGALLONS CUSTOMER WATER TEMP •F %AFTER % BEFORE % RECEIVED ENDING V P TANK NO CAPACITY ON TRAILERS _ TRAILER NO 1 TRAILER NO 2 2 5D 0 �, , 3 f 4 Carrier Turner Gas Company OR AGENT RECEIVED IN GOOD CONDITION ODOMETER START ODOMETER END TOTAL MILES DRIVERS NAME LOADED A � { q�-` �, DRIVERS NAME UNLOADED )I / ODOMETER START ODOMETER END TOTAL MILES Reason for delays or misc comments 4 4- ... A. TN 24 HOUR EMERGENCY NO. 1-800-633-8253 For Emergency During Transportation Only _P ,A\ LUNurNu MANIFEST AND BILL a Bill of Lading when pr y described below , i m vehicles operated by shipper or owner of product, merely a receipt for product j If or when this instrument constitutes a Bill of Lading the property described below, m apparent good order, is received by the Carrier shown herein, which Carrier agrees to transport to the Consignee and destination shown herein subject to the terms and conditions of the special contract between the carrier and the Consignor or Consignee in effect on the date of the issue of this Bill of Lading In the absence of a special contract, Iransportation will be subject to all the terms and conditions of the Carrier's tariffs legally on file. It is further agreed by the Carrier that the transportation of this shipment will be lerformed in compliance with all applicable rules, regulations, Ind law Signature of Driver/Loader I Received by. OF LADINGJP DELIVERY RECEIPT This is to cerbfy that the herein -named materials are properly classified, described, packaged, marked, and labeler and are in property condition for transportation according to th applicable re�qulations of the Department of Transportation 7,_a, Carrier hereby certifies that the cargo tank used for this ship ment is a proper container for the commodity loaded therei and complies with Department of Transportation specifications It LPG, this material has been odorized with ethyl mercapta in proportion of 15 lbs. per 10,000 gals. If this shipment is to be delivered to the Consignee withou recourse on the Consignor, the Consignor shall sign IN following statement: The Carrier shall not make delivery of thi: shipment without payment of freight and all other lawlu charges. Signature of Consignor Oil4c,I 'NEC `;URURPAN PROP GAS r,kTF 01 /�7199 BILL # 00741'83 TIME IN 0' 40 MSr TIME OUT' 08 O`, t/APTo u'�, CO P '0 ROX 206 SH1PPFR Phllgns - proparrc WHWANY, NJ SUPPI IEP Philgas (propane) trill P # 175�3G:� LOADED AT Danver Tpi minas (1PDDR FXCHANGF # "'4"RTf P NAJ )E DIXON BROS INC C.ARRNtiR # 00021�37 PRI:PAID OR rin"V!_�; Wnml RUSSFI-I_ ARBOUP DRTVF_R k 00000897 coi.1.ECT C r�j nq rFr,Ut n21.:3, GROt S ('/-'PACIlY 08932 LOAD SPr)T il Rr4)IiCr Dr`,CRTPIT�iN TGMP F GRAVITY GROSS GAL NrI Oftit CnfFf rF1) pf_IROLEUM i;AS, 2 1, UN107y, ­uir 2 Fi opane wt tA, Murcaptan ;yn�ti 1'1FJ,"APTAN NONCOP � I 1 Et 5r�5 8932 99F, 1 395 Pou+, ss =TY F1R�Tl t,ASOLTNE DELTVFRY RESTRICTIONS & INFOPMArTON I PRINT-O METER FORM MKT 5250 10/95 -� _INSERT FACE UP THIS END FIRST__ + LIQUEFIED PETROLEUM GAS 1- UN 1075 PRODUCT PROPANE NON COR No. 812309 PREVIOUS SALE NO I CODE METER/READING START GALLONS 10THS YOUR SALE NO I METER/READING FINISH GALLONS MERCHANDISE INVOICE I BEAR DOWN — THE LAST COPY IS YOUR 1499 SUBURBAN SALES & SERVICE INC AN AFFILIATE OF SUBURBAN PROPANE L P t P—GAS • EQUIPMENT SERVICE CUSTOMER NUMBER NAME MAIL ADDRESS CUSTOMER PHONE# DELIVER TO _ ASSET SALE CASH SALE ❑ CHARGE SALE DELIVERED BY AND PAYABLE 10 SUBURBAN PROPANE - 1200 PO Box 1992 (80524), 205 US Hwy 287 NW FORT COLLINS, CO 80522 (970) 482-6323 THE MERCHANDISE YOU HAVE INVOICE NO ORDERED IS SCHEDULED FOR DELIVERY TYOU ON OR BEFORE 316934 C[=I= CORD CSC NO CI�J CUSTOMER ORDER ORDER NO DATE FOR RESALE NO INVOICE NOT FOR RESALE OUaN TAG NUMBER DESCRIPTION UNIT PRICE AMOUNT USE SPACE BELOW FOR EXTENDED WARRANTY PROGRAM — DO YOU WANT THE EXTENDED WARRANTY PROGRAM 0 YES N OUsrJ TAG NUMBER SERIAL NO MFG MODEL# APPLIANCE TYPE I- I CREDIT MEMO APPROVAL APPROVED BY TOTAL MATERIALS S'ATr NO USE CODF aka ,STATE AND LOCAL,- SALES TAX', INSTRUCTIONS e", 'LABOR • r. TOTAL i DI R FOR ABIC OFFICE USE ONLY CSC PRC Ip CODE CI IH EXP TERM 11-,IS IS YOUR INVOICE — PLEASE PAY THIS AMOUNT All new merchandise sold herein is guaranteed to the extent of the manufacturer s warranty only Notwithstanding the foregoing customer has the option to participate in an extended warranty program on any new merchandise at an additional cost and pursuant to the terms of such program No warranty of any kind on used merchandise unlrss speohed ut wnhng herein This order subject to correction of errors in price and ex ensior Y SALESMAN/SERVICEMAN terms of itus agreement are understood and accepted Payment Options And Reading Your Receipt 1 Time 0 Deltvery The date and mrc ' ** NOT ELI JER'� 97 o El 6F1 02t2 Your 'Ca" Sales and Service 4A ,,Center The address and telephone U80RBNNV P ROP ANE d12 t cen[erwhich made tand service he delivery r © OOE6679-4422 703- T 0003400-001 ® 3 Your Personal Account coUN Number Please have this number AE SMI W l available if you need to contact us t MR MAIN sT a so we can help you as quickly as 2N TOWN W, TIAL t possible TYPE RESIDEN 009876 A52 00® :4 Ticket Number This TICKET $A 00 t corresponds to the number on © 6lo-LONGALLON gA5200Q your delivery ticket PRICE pMY TO OUNTTAL 515200 FUEL 5 TotalGallons Thenumber DELIVER LETTING US � of gallons lust delivered S OR ' 6 Costs The amount yr SERVE?00, TAIL * 1 per gallon, tax (if apphcable) gIL **08,****** and total delivery chharges ** 7 Deliver_y Person Your w�M friendly delivery person's name How to Read Your Delivery Receipt When your propane is delivered, you may receive a receipt printed out front a hand-held computer terminal (HHT) along with your delivery ticket This receipt includes the following information ■ Date and time of delivery ® Address and telephone number of your local sales and service center ® Your personal account number (Please refer to this information whenever you contact us) o Ticket number (the same as the number on _ your delivery ticket) ® Total gallons delivered ® Costs (amount per gallon, tax if applicable, I and total delivery charges) © Name of your delivery person Plan Ahead with Our Budget Payment Plan There is an easy way to smooth out those seasonal peaks and valleys in your energy bills[ Suburban Propane's Budget Payment Plan helps you plan your family budget by spreading your fuel and tank rental payments evenly over the course of the year Call Your Local Customer Service Center for Details. Credit Card Options When you open an account, you'll be billed on a regular basis we accept VISA® MasterCard® and Discover® 7