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HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9142662Fort Collins Date of Estimate: May 12, 2014 Contract Type: Existing Contract or PO (YIN): No Independent Cost Estimate Description of Goods (A) or Services (B): Monthly & Disabled Passes - Fare Stock I have obtained the following estimate from; Published Price List / Past Pricing (date) 2/28/2014 - Invoice # 25571 Engineering or Techincal Estimate (performed by) Independent Third Party Estimate (performed by) Other (specifiy) PHASE I ESTIMATES A 6)\14z��z PRODUCT Price CPI Adj." Adjusted Price quantity"` Total Monthly Pass - 2.125' x 3.375' x .015' $ 1.95 $ 1.95 1,350 $ 2,632.50 Shipping Charges $ 14.13 $ 14.13 Monthly Pass - 2.125" x 3.375" x .015" $ 1.95 N/A $ 1.95 1,350 $ 2,632.50 Shipping Charges $ 14.13 Disabled Pass - 2.125" x 3.375" x .015" $ 1.95 N/A $ 1.95 1,350 $ 2,632.50 Shipping Charges $ 14.13 EVE Total Signature of Preparer: I PRODUCTIVE SOLUTIONS 59 Damonte Ranch Pkny B339 Reno NV 89521 I Name / Address I City of Fort Collins Katie Ryan 6570 Partner Road Fort Collins, CO 80525 Estimate Date Estimate 11 5/8/14 11318 Project Description Qty Cost Total Disabled Pass 1.350 1.95 2.632.50T Standard Credit Card Dimensions (2.125" x 3.375" x .015") Teslin Core/PVC top and back layer Formulation - White Substrate - 4Colors Front / I Colors Back with Bleed No Adhesive No Signature Panel With 1/2" Flush HiCo Magnetic Stripe Clipped Corner Ink Jet Sequential Numbering - Starting Serial Number 25,001 Ending Serial Number 26,350 Estimated Shipping Expenses via UPS delivery service tracking 9 1 25.00 25.00 NonTax in Nevada 0.00% 0.00 y1331 VEm-. '. 2a§a2-0 I o cfO20 ,914ocooO31. C12 4 We appreciate your business! Total Z 7S2,657,510-� Customer Signature TRANSCORT / DIAL A RIDE MICRO PURCHASE PRICE DETERMINATION CHECKLIST The price(s) paid for the items, that are referenced in the attached invoice / receipt, are determined to be fair and reasonable, based on one of the following (as checked): Adequate Competition (two or more quotes) Current Price Lists Catalog Price Prices found Reasonable on Recent Purchases Advertisements Similar Items in a Related Industry Independent Price Estimate Other (Explain) Pv9e -09 LE .l ,leze Bo,V\ - �� 4WIzow uuw.�dn�w«s l�l>E of QQ'a'Li6. Notes: Name & Signature System for Award Management Page 1 of 1 Search Results current Search Terms: productive* solutions* Notice: This printed doounent represents only the first page of your SAM search results. 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IBM v1. 1725.MlQS09-1810 E AA.gLw , Ye https://www. sam.gov/portallpublic/SAM/?portal:componentId=66fdb602-77f6-4ba0-914a—... 5/12/2014 FEDERALLY REQUIRED AND OTHER MODEL CLAUSES APPLICABILITY OF THIRD PARTY CONTRACT CLAUSES (excluding micro -purchases, except for construction contracts over$2,000) Productive Solutions- Disabled Transfort Passes TYPE ";%. ,' $ x A' G 4 Zk Professional' e ""V ✓ .: y 'Operahonsl 4 o n ^N Rol,ImgStock:, 3F#��?KN'Materr _IY Matbnals 3 =a nR Clause ±: ServiceslA& E" Management 'Purchasb ` . Construction _ - F SuppI es ' No Federal Government X Obligation To Third Parties All All All All All (by Use of a Disclaimer False Statements or Claims X All All All All All Civil and Criminal Fraud Access To Third Party X All All All All All Contract Records Changes to Federal - X All All All All All Requirements Termination X All All All All All Civil Rights Title VI, EEO, ADA >$10,000 >$10,000 >$10,000 >$10,000 >$10,000 Disadvantaged Business X All All All All All Enterprises DBEs Incorporation of (FTA) Terms X All All All All All Suspension and Debarment >$25,000 >$25,000 >$25,000 >$25,000 >$25,000 Buy America >$100,000 >$100,000 >$100,000 Resolution of Disputes, >$100,000 >$100,000 >$100,000 >$100,000 >$100,000 Breaches, or Other Litigation Lobbying >$100,000 1 >$100,000 >$100,000 >$100,000 >$100,000 Clean Air >$100,000 >$100,000 >$100,000 >$100,000 >$100,000 Clean Water >$100,000 >$100,000 >$100,000 >$100,000 >$100,000 Caro Preference X All All All Fly America Involves foreign Involves foreign air Involves foreign Involves foreign Involves foreign air transport or travel transport Or travel air transport or air transport or transport or travel b air travel travel Davis -Bacon And Copeland Anti- >$2,000 (including Kickback Acts ferry vessels Contract Work Hours And Safety >$2,500 (except >$2,000 (including Standards Act transportation >$2,500 ferry vessels) services) Bonding $100,000 Seismic Safety A & E for New Buildings & New Buildings & Additions Transit Employee Protective Transit Operations Agreements Charter Bus All School Bus All Drug Use - Testing and Alcohol Transit Operations Misuse - Testing Patent Rights and Rights in Data Research & and Copyright Requirements Development Energy Conservation X All All All All All Recycled Products Contracts for items Contracts for items Contracts for items designated by designated by designated by EPA,when EPA,when EPA,when procuring $10,000 procuring $10,000 procuring $10,000 or more er ear or more per year or moreper year Conformance With ITS National ITS Projects ITS Projects ITS Projects ITS Projects ITS Projects Architecture ADA Access X A & E All All All All Bus Testing All Pre -Award And Post Delivery All Audits