HomeMy WebLinkAbout2013-176 PO - Rhodia Inc
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CITY O F
DATE PO NUMBER
ASHLAND
20 E MAIN ST. 7/15/2013 11663
ASHLAND, OR 97520
(541) 488-5300
VENDOR: 000513 SHIP TO: Ashland Water Treatment Plant
RHODIA INC (541) 488-5345
PO BOX 120257 ASHLAND, OR 97520
DALLAS, TX 75312-0257
FOB Point: Req. No.:
Terms: Net 30 days Dept.:
Req. Del. Date: Contact: Greg Hunter
Special Inst: . Confirming? Yes
Quantity Unit Description Unit Price Ext. Price -
18.00 Load Rhodia Alum - WTP. - FY 2014 5,724.84 103,047.12
4500 Gallon Load Aluminum Sulfate
(18) Loads (aD $5724.84 per load
PENDING CONTRACT/INSURANCE REQUIRED TO
DELIVER CHEMICALS
SUBTOTAL 103 047.12
31LL To: Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2010 TOTAL 103,047.12
ASHLAND, OR 97520
Account Number Project Number Amount - Account Number Project Number Amount
E 670.08.19.00.60150 103,047.12
Authorized Signature VENDOR COPY
O ~ Z M # 3 ~ l/~ C I T Y OF
5 ;-oquesf tai- a Pi.,mha s Order ASHLAND
REQUISITION Date of request: 7-1-13
Required date for delivery: 7-1-13
Vendor Name RHODIA INC.
Address, City, State, Zip 4429 NORTH SHUTTLE ROAD
Contact Name & Telephone Number PORTLAND, OR. 9721 503 - 286 - 4451
Fax Number 609 - 860.2223
SOURCING METHOD
❑ Exempt from Competitive Bidding ❑ Emergency
❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Form #13, Written findings and Authorization
❑ AMC 2.50 Date approved by Council: ❑ Written quote or proposal attached
❑ Written quote or proposal attached
❑ Small Procurement Cooperative Procurement
Less than $5,000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon
❑ Direct Award Date approved by Council: Contract #
❑ Verbal/Written quote(s) or proposal(s) ❑ State of Washington
Intermediate Procurement ❑ Sole Source Contract #
GOODS & SERVICES ❑ Applicable Form (#5,6, 7 or 8) ❑ Other government agency contract
$5,000 to $100,000 ❑ Written uote or ro osal attached Agency
❑ (3) Written quotes attached ® Special Procurement Contract #
PERSONAL SERVICES ❑ Form #9, Request for Approval Intergovernmental Agreement
$5,000 to $75,000 ❑ Written quote or proposal attached ❑ Agency
❑ Less than $35,000, by direct appointment Date approved by Council: 6.15.10 Date original contract approved by Council:
❑ (3) Witten proposals attached Valid until: 6.30.15 (Date) (Date)
Description of SERVICES Total Cost
i
BLANKET PURCHASE ORDER FOR 7.1.13 T0.6-30-15
COUNCIL APPROVED CONTRACT TO END 6.30.2015
Item # Quantity Unit Description of MATERIALS Unit Price Total Cost
1 18 LOADS 4500 GALLONS/ LOAD ALUMINUM SULFATE $ 5,724.84 $ 103,047.12
I
i
TOTAL COST ,
❑ Per attached quote/proposal $ 103,047.12
Project Number Account Number 670.08.19.00.601500
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
By signing this requisition for I certify that the City's public contracting requirements have been satisfied, I
Employee Signature: Department Head Signature: ~(V t~~cuSL
(Equal
Additionalsignatures(ifapplicable): \awx to orgrre~aterthan$S,ooo)
Funds appropriated for current fiscal year: YE I ND V) lrJ L { S
Fina a Director- (Equal to orgreaterthan $5,000) Date T-
• Comments:
Form #3 - Requisition