HomeMy WebLinkAbout2012-047 PO - Loomis Page 1 / 1
�. CITY OF
ASHLAND O NUMBER
20 E MAIN ST. 3/21/2012 1 1 10766
ASHLAND, OR 97520
(541)488-5300
VENDOR: 016800 1 SHIP TO: City of Ashland
LOOMIS, LOOMIS ORE. HOLDINGS LLC (541) 488-6002
2500 CITY WEST BLVD 20 E MAIN STREET
STE 900 ASHLAND, OR 97520
HOUSTON, TX 77042
FOB Point: Req.No.:
Terms:. Net Dept.:
Req.Del.Date: Contact: Barbara Christensen
Special Inst: Confirming? No
Quanti : . °.Unit.. -: - Des cri tiori - ' Unit Price :- Ext.Prlce-
6.00 Mo Armored Car Service -$295.00/Month 295.00 1,770.00
January to June 2012
LOOMIS bought out Oregon Armored Car
Service(PO#10540)
SUBTOTAL 1,770.00
BILL TO:Account Payable TAX 0.00'
20 EAST MAIN ST FREIGHT 0.00
541-552-2028 TOTAL 1,770.00
ASHLAND, OR 97520
Account Number ProjectNumber -- Amount Account Number Project Number. '. Amount
E 710.04.00.00.60410 1,770.00
( _ ii
Authorized Signature VENDOR COPY
FOR M #3 CITY OF
ASHLAND
tWz
REQUISITION Date of request: ✓�t-!Z
Required date for delivery:
Vendor Name c 'i
Address,City,State,Zip
Contact Name&Telephone Number
Fax Number
SOURCING METHOD
❑ Exempt from Competitive Bidding ❑ Emergency
❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Written findings attached
❑ AMC 2.50 Date approved by Council: ❑ Written quote or proposal attached
❑
Written quote or proposal attached
❑ Small Procurement Cooperative Procurement � el�
Less than$5,000 ❑ Request for Proposal (Copies on file) Stale of Oregon�. � )
El Direct Award Date approved by Council: Contract# a-
❑ Verbal/Wntten quote(s)or proposal(s) ❑ Slate of Washington �'
Intermediate Procurement ❑ Sole Source - Contract# � d .�
GOODS&SERVICES ❑ Written Findings(Form attached) 0 Other government agency contract
$5,000 to$100,000 El Written quote or proposal attached Agency .tz 4
Contract# W d.'-�
❑ -(3)Written quotes attached ❑ Special Procurement
PERSONAL SERVICES ❑ Written Findings(Form #9 attached) Intergovernmental Agreement
$5,000 to$75.000 ❑ Written quote or proposal attached ❑ Agency
❑ Less than$35,000,by direct appointment Date approved by Council: Date original contract approded by Council:/
El (3)Written proposals attached Valid until: Dale (Date)
Description of SERVICES Total Cost
�i�r ^Jn-,;c .i �)�' k% r�G['GLE .((!/YG.✓�-c�>L�-I
. Z.�c�f GL.c( ,i�._c_6_' ^. �v'i eZ�r•"c..e. �r LC'tt_ ' cL_cyc $
Item # Quantity Unit Description of MATERIALS Unit Price Total Cost
t��r✓� e2 U �� cwC C���r��
TOTAL COST
❑ Per attached quotelproposal
Project Number______• Account Number___ __-__-__-
Account Number Account Number
'Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures.
IT Director in collaboration with department to approve all hardware and software purchases:
IT Director Date Support-Yes/No
XAniniequi erti(y that the City's public contracting requirements have been satisfied.
Employee Signature: epartment Head Signature:
(Equal to orgreaterthan$5,000) ...
Additional signatures(if applicable):
Funds appropriated for cunent fiscal year YES / NO
Finance Director-(Equaltoorgrearerthan$5,000) Date
Comments:
Form#3-Requisition -