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CORRESPONDENCE - PURCHASE ORDER - 9190363
Requisition Form Vendor: Today's Date: Requisition No.: Ship To: Date Entered: Date Required: Date Approved: Special Instructions: Date Denied: Item # Quantity Unit Description Total Charge Number Requested By: Authorized By: Authorized By: Name, title typed here under the line Name, title typed here under the line Name, title typed here under the line Unit Price I\ENG\FORMS\Blank Requisition.xls $430,770.90 Fort Collins, CO 80524-2550 PO Box 272550 Attn: Matt Organ Heather Hagar 16700000.529999.3030.16700000.c Rights fees per Colorado State Statute 40.9.5-204 2018 Service Rights Poudre Valley REA 116438 DocuSign Envelope ID: D9420DFD-6DB6-4F35-9EC1-7167583C7E6E 62250 2/4/19 - hh Payment Due Annexation # of Serv. Revenue 25% of Rev. # of Serv. Revenue 5% of Rev. to PVREA 68 THORLANDANNEXNO1Ͳclosed5/2018 0 1 $813.20 $40.66 $40.66 Ordinance 16, 2008 69 MCCLELLANDSCREEKPD&PDL2NDFILINGANNEX 0 138 $44,873.60 $2,243.68 $2,243.68 Ordinance 94, 2007 - closed 5/2018 70 SUNRISERIDGEͲclosed10/2018 1 $964.92 $241.23 21 $16,960.20 $848.01 $1,089.24 Ordinance 68, 2005 71 SWANNEXPHASE1AͲclosed7/2018 48 $54,964.80 $13,741.20 0 $13,741.20 (E side 5606-5832 College,Bueno, Smokey) 72 SWANNEXPHASE1BͲclosed6/2018 6 $4,653.20 $1,163.30 0 $1,163.30 (S side 125-309 W Trilby) 73 SWANNEXPHASE1CͲclosed7/2018 8 $40,117.80 $10,029.45 0 $10,029.45 1 (W Side 5811-6013 S College, 120 Saturn) 74 FEATHERRIDGEANNEXATIONͲclosed8/2018 1 $1,110.00 $277.50 11 $9,404.40 $470.22 $747.72 Ordinance 142, 2004 75 STHIGHWAY14ͲEFRONTAGERDANNEX 0 0 $0.00 Ordinance 86, 2005 - closed 9/2018 76 AIRPARKVILLAGEANNEXATIONͲclosed9/2018 0 0 $0.00 Ordinance 54,2006 77 SUNRISERIDGE2ndANNEXͲclosed9/2018 0 0 $0.00 Ordinance 38,2006 78 OLDOAKESTATESANNEXͲclosed10/2018 1 $2,581.76 $645.44 4 $4,188.00 $209.40 $854.84 Ordinance 108, 2007 79 SWANNEXPHASE1DͲclosed12/2018 7 $25,505.80 $6,376.45 0 $6,376.45 (W side 6605-6805 S College) 80 SWANNEXPHASE1FͲclosed10/2018 33 $73,260.40 $18,315.10 0 $18,315.10 (E Side College) 81 SWANNEXPHASE1EͲclosed12/2018 36 $123,380.40 $30,845.10 0 $30,845.10 (E side College) 82 THORLANDANNEXNO2 1 $1,276.96 $319.24 0 $319.24 Ordinance 018, 2008 83 INTERCHANGEBUSINESSPARK1,2,3 22 $140,673.68 $35,168.42 2 $40,591.80 $2,029.59 $37,198.01 Ordinance 149,151,153, 2005 84 LIBERTYFARMS 3 $3,403.64 $850.91 0 $850.91 Ordinance 008, 2007 85 CRAWFORDANNEX 1 $3,769.72 $942.43 0 $942.43 Ordinance 82, 2005 86 SWANNEXPHASE3D 132 $144,620.20 $36,155.05 1 $1,359.80 $67.99 $36,223.04 (Fossil Creek Meadows S) 87 SWANNEXPHASE3A 179 $144,633.20 $36,158.30 0 $36,158.30 (S of Trilby E of College) 88 SWANNEXPHASE3B 43 $68,270.40 $17,067.60 0 $17,067.60 (N of Trilby E of College) 89 SWANNEXPHASE3C 127 $134,378.60 $33,594.65 0 $33,594.65 (Fossil Creek Meadows N) 90 SWANNEXPHASE3G 116 $109,339.00 $27,334.75 0 $27,334.75 (Trilby Constellation Skyview) 91 FOSSILCREEK392ANNEX 0 0 $0.00 CITY OF FORT COLLINS 2018 SERVICE RIGHTS FEE PAYMENT TO POUDRE VALLEY REA ANNEXATION SUMMARY Existing Services New Services DocuSign Envelope ID: D9420DFD-6DB6-4F35-9EC1-7167583C7E6E Ordinance 139, 2009 92 SWANNEXPHASE3K 38 $52,027.60 $13,006.90 0 $13,006.90 (Applewood N) 93 SWANNEXPHASE3L 13 $22,086.80 $5,521.70 0 $5,521.70 (Brookwood) 94 SWANNEXPHASE3F 121 $221,673.60 $55,418.40 0 $55,418.40 (Skyview - South) 95 SWANNEXPHASE3H 44 $56,859.20 $14,214.80 0 $14,214.80 (Scenic Knolls) 96 SWANNEXPHASE3M 5 $40,921.00 $10,230.25 0 $10,230.25 (Gulley) 97 EagleViewNaturalArea1st&2nd 0 0 $0.00 98 SWANNEXPHASE3E 115 $106,278.80 $26,569.70 0 $26,569.70 (Venus Milky Way) 99 SWANNEXPHASE3J 30 $39,322.80 $9,830.70 0 $9,830.70 (Applewood S) 100 Kechter Crossing, Kechter No 1,2,3 Annex 1 $1,080.28 $270.07 75 $80,799.60 $4,039.98 $4,310.05 Ord 135, 2012, Ords 82,84, & 86 2012 101 Mail Creek Crossing 0 111 $88,468.20 $4,423.41 $4,423.41 Ord 183,2013 102 Kechter Farm Annex 0 85 $89,676.00 $4,483.80 $4,483.80 Ord 005, 2014 103 Leistikow Annex 0 2 $90,658.40 $4,532.92 $4,532.92 Ord 153, 2011 104 Kechter Farm 2nd Annex 0 54 $37,408.40 $1,870.42 $1,870.42 Ord 100, 2015 105 Majestic Place Annex 0 3 $4,890.80 $244.54 $244.54 Ord 090, 2016 106 Maverik 1st 0 2 $19,552.80 $977.64 $977.64 Ord 036, 2016 TOTAL 1132 $1,617,154.56 $404,288.64 510 $529,645.20 $26,482.26 $430,770.90 DocuSign Envelope ID: D9420DFD-6DB6-4F35-9EC1-7167583C7E6E