HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9164765Rev 15.2
RSR039
This document is confidential information. Disclosure to third parties is not permitted. Page 2 of 2
EQUIPMENT LISTING
QUOTED AGREEMENT #: 1-878518431/11
EQUIPMENT ADDRESS: CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS, Colorado, 80522-0580
Equipment Description Serial # Dept Agreement Product Status Coverage Type Annual Price Total Line Price
16 INCH CENTURY LAB
110 ISO SD CAB ELEC
480V
013660405 LAB SelectChoice Agreement Renewal Labor Only $ 4,754.00 $ 4,754.00
Start Date 11/01/2016 End Date 10/31/2017 No. of Annual Inspections 4
**Inspection Schedule
No.of items to be inspected: 1
Billing Frequency: Annually
Address Sub Total: $ 4,754.00
Total Agreement Price: $ 4,754.00
The Service Coverage Description set forth in Attachment A and the Terms and Conditions, set forth in Attachment B shall apply to the provisions of services
under this Agreement and are incorporated herein by reference.
STERIS Agreement #: ____________________________
SUBSCRIBER STERIS
By:_______________________ By:_______________________
Name: Name:
Title: Title:
Date: Date:
PO #:
215893 Req #53927
amm 07/21/2016
Rev 15.2
RSR039
This document is confidential information. Disclosure to third parties is not permitted. Page 1 of 2
AGREEMENT
QUOTED AGREEMENT #: 1-878518431/11 DATE PRINTED: 07/20/2016
INVOICE TO: 40736 PO #: *** PO REQUIRED
CITY OF FORT COLLINS PARTS PO #:
ATTN: AGREEMENT TERM: 11/01/2016- 10/31/2017
PO BOX 580 BILLING FREQUENCY: Annually
FORT COLLINS, Colorado, 80522-0580
Please return a signed copy of the equipment listing and a hard copy of the purchase order as acceptance to the attention of your contract administrator at:
STERIS Corporation
5960 Heisley Road
Mentor OH 44060
ATTN: Service Contracts Administration Department
PHONE: 1-800-333-8828 with Agreement Questions
FAX: 1-440-392-8932
This agreement cannot be active and no PM inspections performed, until the receipt of a hard copy purchase order showing the payment terms, agreement numbers or
serial numbers, start date, applicable taxes and the full value of the contract. The purchase order has to be received no later than the 1st day of the agreement term, or PM
Service will be delayed. Providing the PO within the required timeline will ensure we can maintain the agreement term, scheduled PM dates, and maintain contract
customer status for preferred unscheduled hourly rates.
Agreement Comments: Please return signed agreement and PO and if you have any questions please contact Jason Wild: Jason_Wild@steris.com P: 440-392-8441 F:
440-392-8932