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<br />WATER CONSERVATION BOARD <br />1313 SHERMAN STREET, ROOM 721 <br />DENVER, CO 80203 <br /> <br />DATE: <br /> <br />09-07-06 <br /> <br /> <br />PURCHASE <br />ORDER <br />STATE OF COLORADO <br /> <br />Buyer: <br />Phone Number. <br />Agency Contact <br />Phone Number: <br /> <br />MAGGIE VAN CLEEF <br />303-866-4188 <br />STEVEN SHULL <br />303 866 3998 <br /> <br />IMPORTANT <br />The PO# and Une # must <br />appear on all invoices. <br />packing slips. cartons <br />and correspondence <br /> <br />P.o. # <br /> <br />OE PDA 07000000017 Pagel 01 <br /> <br />ACC: 09-05-06 <br /> <br />State Award. <br />BID' <br /> <br />FEIN 846000665 <br />Vendor Contact <br />Purchase Requisition #: <br /> <br />Ph~: 303-857-6694 <br /> <br />V <br />E <br />N <br />D <br />o <br />R <br /> <br />CITY OF FORT LUPTON <br /> <br />130 S MCKINLEY AVE <br />FORT LUPTON <br /> <br />Invoice in Triplicate <br />T~ DIVISION OF WATER CONSERVATION <br />1313 SHERMAN STREET, ROOM 721 <br />DENVER, CO 80203 <br /> <br />CO 80621-1343 <br /> <br />paJlHnt wiD be .ade by this agency <br /> <br />Sh~ DIVISION OF WATER CONSERVATION <br />To: 1313 SHERMAN STREET, ROOM 721 <br />DENVER, CO 80203 <br /> <br />INSTRUCTIONS TO VENDOR: <br /> <br />I. If fOr any reason. delivery Of this arder is delayed beyond the deliveryJinstllllstion elate <br />shOwn, please notify the agency contact named at the top left. (Right of cancellation is <br />reserved in instances in wIliCh timely delivery is not made.) <br /> <br />2. All ChemicalS, equipment and materials must conform to the standards required by OSHA, <br /> <br />3, NOTE: Additional terms and conditions on rwerse side. <br /> <br />DeliVBJynnstallation Date: 06- 30- 07 <br />F.O.B. DESTINATION STATE PAYS NO FREIGHT <br /> <br />SPECIAL INSTRUCTIONS: <br /> <br />* NOTE * THIS ORDER WAS MODIFIED ON 09-06-06 <br /> <br />UNE <br />ITEM <br /> <br />COMMOOITYIlTEM <br />CODE <br /> <br />tNT OF <br />aEASUlEIDIT <br /> <br />ca.wmrr <br /> <br />UNrr COST <br /> <br />TOTAL fTBI COST <br /> <br />THE CONTRACTOR CERTIFIES THAT THE CONTRACTOR SHALL COMPLY WITH THE <br />PROVISIONS OF CRS 8-17.5-101 ET.SEQ. THE CONTRACTOR SHALL NOT <br />KNOWINGLY EMPLOY OR CONTRACT WITH AN ILLEGAL ALIEN TO PERFORM WORK <br />UNDER THIS CONTRACT OR ENTER INTO A CONTRACT WITH A SUBCONTRACTOR <br />THAT FAILS TO CERTIFY TO THE CONTRACTOR THAT THE SUBCONTRACTOR SHALL <br />NOT KNOWINGLY EMPLOY OR CONTRACT WITH AN ILLEGAL ALIEN TO PERFORM WORK <br />UNDER THI S CONTRACT. THE CONTRACTOR REPRESENTS, WARRANTS, AND AGREES <br />THAT IT (I) HAS VERIFIED THAT IT DOES NOT EMPLOY ANY ILLEGAL ALIENS, <br />THROUGH PARTICIPATION IN THE BASIC PILOT EMPLOYMENT VERIFICATION <br />PROGRAM ADMINISTERED BY THE SOCIAL SECURITY ADMINISTRATION AND <br />DEPARTMENT OF HOMELAND SECURI TY r AND (I I) OTHERWI SE WI LL COMPLY WI TH <br />THE REQUIREMENTS OF CRS 8-17.5-102(2)(B). THE CONTRACTOR SHALL COMPLY <br />WITH ALL REASONABLE REQUESTS MADE IN THE COURSE OF AN INVESTIGATION <br />UNDER CRS 8-17.5-102 BY THE COLORADO DEPARTMENT OF LABOR AND <br />EMPLOYMENT. IF THE CONTRACTOR FAILS TO COMPLY WITH ANY REQUIREMENT <br />OF THIS PROVISION OR CRS 8-17.5-101 ET. SEQ., THE STATE MAY TERMINATE <br />THIS CONTRACT FOR BREACH AND THE CONTRACTOR SHALL BE LIABLE FOR ACTUAL <br />AND CONSEQUENTIAL DAMAGES TO THE STATE. <br /> <br />~t (R-02106) <br /> <br /> <br />16 725.00 <br /> <br /> <br />001 91843000000 <br />WATER CONSERVATION PLANNING GRANT PROGRAM HB-1365 TO THE <br />CITY OF FORT LUPTON. <br /> <br />$16,725.00 <br /> <br />THIS PO IS ISSlED IN ACCORDANCE WITH Sf ATE AND FEDERAL REGUlA 110NS <br />This PO is effective on the <fate signed by the authorized individual. <br />B'SFO I'AA <br /> <br />9/tf-'i?6 <br /> <br />Date <br />