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Home My WebLink About179020 AGILENT TECHNOLOGIES - PURCHASE ORDER - 5505655Date: 08/19/05 City of Fort Collins Page Number: 1 City of Fort Collins Purchase Order Number: 5505655 uenvery uate: U01 I7IV;) Buyer: DICK,OPAL Purchase Order number must appear on invoices, packing lists, labels, bills of lading, and all correspondence. Note Line Oty/Units Description Extended Price 1 Service Agreement per Quote 2,195.28 1-167620317 Rev 2 July 28,2005 September 1, 2005 - August 31, 2006 Total $2,195.28 City of Fort C "in Director of Purchasing and Risk Management This order is alid over $2000 unless signed by James B. O'Neill II, CPPO, FNIGP City of Fort Collins Accounting Department City of Fort Collins Purchasing, PO Box 580, Fort Collins, CO 80522-0580 PO Box 580 Phone: 970-221-6775 Fax: 970-221-6707 Email: info@ci.fortcollins.co.us Fort Collins, CO 80522-0580 fee 0 Agilent Technologies Direct To: City of Fort Collins Water Quality Lab 4316 W Laporte Ave FORT COLLINS CO 80521-2153 United States Keith Elmund Telephone: (970) 221-6691 Fax: (970) 221-6736 Email: kelmund0fcgovcom Quoting and Ordering Assistance Contact. JOHN M LYNCH Telephone: (302) 633-7315 Fax. (302) 993-5576 Email: john_lynchVagilentcom Comments: 2 Day Response OrgAgree#.• 1.74732944 Please note EOS Dates on your 5890A's. 001 6153ON1689ONNetwork US70215082 GC System R-21A-501/At Your Site 1 Repair 002 G1530A /6890 Plus GC US00035044 system R-21A-501 /At Your Site 1 Repair End of Support Date: 311MAR12013 F, n rr id. a rolk 14 re: s Quotation Number Date Page 1-167620317 -Rev 2 281JIJL12005 112 Quote Expiration Date Service Agreement Tern: 261OCT12005 01/SEP/2005 - 311AUG12006 Payment Terms System Handle NET 30 DAYS 04-RLMSDS FTCOL 5970E Aggilent Technologies Inc 2950 Centerville Road Wilmington DE 19808-1610 United States 77-0518772 Equipment Location: City of fort Collins Water Quality Lab 4316 W Laporte Ave FORT COLLINS CO 80521-2153 United States Keith Elmund/ (970) 221-6691 Software Ship To. - City of Fort Collins Water Quality Lab 4376 W Laporte Ave FORT COLLINS CO 80521-2153 United States Keith Elmund/ (970) 227-6697 07/SEP/2005 311AUG12006 US$ 91.47 01/SEP/2005 311AUG12006 US$ 91.47 Total Discount/Adjustment Applied: US$ 0.00Total Before Tax: `II Total Tax. Total After Tax QUD_US US2.21 US$ US$1,097.64 US$ 2,1: US$ US$2,1! •�'�• Agilent Technologies Coverage Period a& } & B L B'11B iP7. ..:F15 Quotation Number Date Page 1-167620317 -Rev 2 281JUL12005 212 System Handle 04-RLMSDS FTCOL 5970E Aggflent Technologies Inc 2850 Centerville Road Wilmington DE 19808-1610 United States SUMMARYOF CHARGES Note: These prices reflect additions, deletions and warranties OIISEP12005 - 311AUG12006 Prices by Invoice Period 2,195.28 Total Before Tax: US$ 2,195.28 Total Tax: US$ 0.00 Total After Tax: US$ 2,195.28 Note: All quoted prices are valid for 90 days from 281JUL12005. Tax calculated base on applicable tax rate in effect today for delivery location(s). Tax rate and taxability of deliverable(s) subject to change based on state laws. If tax exempt, contact support agreement administrator. This Quotation is valid only for the period indicated. All Services quoted are subject to the then current version of the Agilent Service and Support Terms and Conditions (E16S) or the Agilent Terms and Conditions of Sale and Service (E16) with respect to spare pans and/or other applicable Agilent terms referenced herein. A copy of the relevant Agilent Terms & Conditions is either attached or has been previously provided to you. Please contact us if you have not received a copy or require an additional copy. If you have a previously signed agreement with Agilent covering such Services or spare pans, the terms of that agreement will take precedence fa those Services or spare parts .Agilent expressly objects to any different or addtional terms in yourpurchase/sales order documentation, unless a�eed to in writing by A ilent Spare pans and Service avadabllny dates are estimated at the time of the quotation. Actual delivery dales or delivery windows will be specified at the Time Agilent acknowledges and accepts your purchase order. The above conditions shall apply to the fullest extent permitted b [he law gav in [li transaction and shall not derogate from any statutory or legal rights you may have thereunder. Commodities, technology or software exported from tf a United States ot9Ame" ("U.S.') or from other exporting countres wdl be subject to the U.S Export Administration Regulations and all exporting countries' export laws and regulations. Diversion contrary to U S. law and the applicable export laws and regulations is prohibited. Warranty. Unless otherwise indicated herein, spare parts referenced in this document will receive a 90 day replacement warranty. QUD U$ US 221 Agilent Technologies QUICK ORDER FORM We offer our valued customers a Quick Order Form that we can use as your purchase order or letter of authorization. Please complete all fields to facilitate and ensure proper purchase order and invoice processing. Thank you in advance for your cooperation! QUOTATION/REVISION #: 1-167620317 SYSTEM HANDLE:04-RLMSDA FTCOL 5970B DATE: Z f AUTHORIZED SIGNATURE: �3 v / a"`,o LITLE: wag_�,:5r_- R+Z Cq PRINTED NAME: PHONE NUMBER: ox:6 (;I — PURCHASE ORDER/AUTHORIZATION: PURCHASE ORDER TOTAL (Including tax if applicable) TAX STATUS: TAXABLE TAX-EXEMPT* DIRECT -PAY* (Required) *Please provide a current copy of your Tax Exemption Certificate or Direct -Pay Permit for verification. BILLING INFORMATION: Company/Organization: P. O. Box/Street Address: City/State/Zip Code: Contact/Attention To: Phone Number for Questions: PAYMENT OPTIONS:*** Monthly Quarterly _ Semi -Annual _ Annual _ Enclosed Check Continuous Support Program (Call Customer Account Representative for details) Agreement Amount per Year Once Per Year Semi- Annual Quarterly Monthly Over $10,000 X X X X $5,000 < $10,000 X X X Under $5000 X Credit Card: VISA: _ American Express: _ MasterCard: _ Discover: Card #: Expiration Date: ***Customers who desire greater invoicefrequency beyond the options listed above, may do so for an additional $200 surcharge. Fax Form To: (302) 633-8954 DIRECT ORDER INQUIRES TO: AGILENT TECHNOLOGIES 2850 CENTERVILLE ROAD WILMINGTON, DE 19808 (800) 227-9770 (Option 3) Thank you for your order — we look forward to supporting you throughout the year!