CRC_SlowTheFlowPhase2_PO

• Water Efficiency Grant Type: Public Education & Outreach Grant
• Contract/PO #: OE PDA 07-21
• Applicant: Center for Resource Conservation
• Project Name: Slow the Flow Colorado 2006: Irrigation Audit Program
• Title: Slow the Flow Colorado 2006: Irrigation Audit Program
• Date: 9/19/2006
• County: Boulder
• Water Efficiency - Doc Type: Purchase Order

WATER CONSERVATION BOARD
1313 SHERMAN STREET, ROOM 721
DENVER, CO 80203

DATE:

09-19-06

PURCHASE
ORDER
STATE OF COlORADO

Buyer:
Phone Number:
Agency Contact
Phone Number:

MAGGIE VAN CLEEF
303-866-4188
STEVEN SHULL
308 866 3998

IMPORTANT
The PO# and line if must
appear on all invoices,
packing slips, cartons
and correspondence

P.O. #

08 PDA 01000000021 Pagel 01

Ace: 09-18-06

State Award.
BID'

FEIN 840808982
Vendor Contact TERRI
Purchase Requisition #:

Phone: [phone]

V
E
N
D
o
R

BOULDER ENERGY CONSERVATION CENTER
CENTER FOR RESOURCE CONSERVATION
1702 WALNUT
BOULDER

Invoice in Tripllca..
T~ DIVISION OF WATER CONSERVATION
1313 SHERMAN STREET, ROOM 721
DENVER, CO 80203

CO 80302-5521

P8J1Hn1 wHl be _ade by this lIg8nCy

Sh. DIVISION OF WATER CONSERVATION
To: 1313 SHERMAN STREET, ROOM 721
DENVER, CO 80203

INSTRUCTIONS TO VENDOR:

I. If 1<< any rellSOft. delivery of thiS or<ler is delayed beyond the delivetyJi..tallation date
stlown, pI- notify !he agency contact namecl at the lop left. (Hight of cancellation is
r~ In instanc8ll ill w1WCh tilllely delivery is not m8de.)

2. All chemicalS. equipment and materials must confOrm to the stanoardS required by OSHA,

3, NOTE: Acklltlona' Selma and conditiOnS an reverse siCle.

Dellv...,./lnstaIlation Date: 01- 3 0 - 07
~O.B.DESTINATION STATE PAYS NO FREIGHT

SPECIAL INSTRUCTIONS:

UM:
ITEM

(X1....ODITY lITEM
CODE

UNIT OF
MEASJIBRrT

ClUo\IfTl1"f

UNrT COST

TOTAL fTBI COST

A CONTRACTOR THAT OPERATES AS A SOLE PROPRIETOR HEREBY SWEARS OR
AFFIRMS ONDER PENALTY OF PERJURY THAT THE CONTRACTOR (I) IS A CITIZEN
OF THE UNITED STATES OR OTHERWISE LAWFULLY PRESENT IN THE UNITED
STATES PURSUANT TO FEDERAL LAW, (II) SHALL COMPLY WITH THE PROVISIONS
OF CRS 24-76.5-101 ET. SEQ, AND (III) SHALL PRODUCE ONE OF THE FORMS
OF IDENTIFICATION REQUIRED BY CRS 24-76.5-103 PRIOR TO THE EFFECTIVE
DATE OF THIS CONTRACT. EXCEPT WHERE EXEMPTED BY FEDERAL LAW AND
EXCEPT AS PROVIDED IN CRS 24-76.5-103(3), A CONTRACTOR THAT RECEIVES
FEDERAL OR STATE FUNDS UNDER THIS CONTRACT MUST CONFIRM THAT ANY
INDIVIDUAL NATURAL PERSON EIGHTEEN YEARS OF AGE OR OLDER IS LAWFULLY
PRESENT IN THE UNITED STATES PURSUANT TO CRS 24-76.5-103(4) IF SOCH
INDIVlDUAL APPLIES FOR PUBLIC BENEFITS PROVIDED UNDER THIS CONTRACT.
THE CONTRACTOR CERTIFIES THAT THE CONTRACTOR SHALL COMPLY WITH THE
PROVISIONS OF CRS 8-17.5-101 ST. SEQ. THE CONTRACTOR SHALL NOT
KNOWINGLY EMPLOY OR CONTRACT WITH AN ILLEGAL ALIEN TO PERFORM WORK
UNDER THIS CONTRACT OR ENTER INTO A CONTRACT WITH A SUBCONTRACTOR THAT
FAILS TO CERTIFY TO THE CONTRACTOR THAT THE SUBCONTRACTOR SHALL NOT
KNOWI NGL Y EMPLOY OR CONTRACT WI TH AN I LLEGAL ALl EN TO PERFORM WORK
UNDER THI S eONTRACT. THE CONTRACTOR REPRESENTS, WARRANTS, AND AGREES
THAT IT (I) HAS VERIFIED THAT IT DOES NOT EMPLOY ANY ILLEGAL ALIENS,
THROUGH PARTICIPATION IN THE BASIC PILOT EMPLOYMENT VERIFICATION
PROGRAM ADMINISTERED BY THE SOCIAL SECURITY ADMINISTRATION AND
DEPARTMENT OF HOMELAND SECORITY, AND (I I) OTHERWI SE WI LL COMPLY WITH

op.O 1 (R.02/06)

7.,66

Date

THIS PO IS 1SS\.8) IN ACCOflDANCl; WITH Sf ATE AND FEDERAL REGUlA nONS
This PO is eftectIve on tile date siglOO by lite alltllorlzed individual,
~ PU