HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9142663Foy art CoWns
Date of Estimate: May 12, 2014
Contract Type:
Existing Contract or PO (Y/N): No
Independent Cost Estimate
Description of Goods (A) or Services (6): 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
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
$
263250
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
Total
Signature of Preparer:
PRODUCTIVE SOLUTIONS
59 Damonte Ranch Pkwy B339
Reno NV 89521
Name / Address
City of Fort Collins
Katie Ryan
6570 Pormer Road
Fort Collins, CO 80525
Estimate
Date
Estimate #
5/8/14
11317
Project
Description
Qty
Cost
Total
Monthly 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
4Culors Front / 1 Colors Back
with Bleed
No Adhesive
No Signature Panel
With 1/2" Flush HiCo Magnetic Stripe
Clipped Comer
Ink let Sequential Numbering - Starting Serial Number 59,851
Ending Serial Number 61,200
Estimated Shipping Expenses via UPS delivery service tracking #
1
25.00
25.00
NonTax in Nevada
0.000/.
0.00
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,
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We appreciate your
business!
Total
52,657.5
Customer Signature
TRANSPORT / 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) /
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Notes:
Name & Signature
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IBM v1. 1725.2014 509-1810
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https://www.sam.gov/portal/public/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- Monthly Transfort Passes
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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 hems
designated by
designated by
designated by
EPA,when
EPA,when
EPA, when
procuring $10,000
procuring $10,000
procuring $10,000
or more per year
or more per year
or more per 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