HomeMy WebLinkAbout2013-249 PO - Springbrook Software
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CITY OF ASH LAND DATE ' PO NUMBER .
1
20 E MAIN ST. X10/2013 1697
ASHLAND, OR 97520
(541) 488-5300
VENDOR: 000211 SHIP TO: Utility Billing
SPRINGBROOK SOFTWARE INC 20 E. MAIN
DEPT. LA 23948 ASHLAND, OR 97520
PASADENA, CA 91185-3948
FOB Point: Req. No.:
Terms: Net Dept.:
Req. Del. Date: Contact Bryn Morrison
Special Inst: Confirming? No
Quanti `Unit Description Unit Price Ek Price -
THIS IS A REVISED PURCHASE ORDER
Utility Billing Software maintenance 70,000,00
and licensing fees FY 14 and FY 15
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SUBTOTAL 70 000.00
BILL TO: Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT. 0.00
541-552-2010 TOTAL 70,000.00
ASHLAND, OR 97520
Account Number P.rojdct'Number' :Amount f rAccountNumber ProjecfNumber - ;'''Amount.
E 710.03.07.00.60570 70,000.00
or.,,C I
Authorized Signature VENDOR COPY
FORM #3 CITY OF
A request for a Puy-chase Order ASHLAND
REQUISITION Date of request: 6/11/13
Required date for delivery: 7/1/13
Vendor Name r. rghmnk Snffwarp
Address, City, State, Zip 111 SW Fifth Ave. Suite 1850 Portland OR 97204
Contact Name & Telephone Number Liz Burnell, Contract Administrator (503) 820-4520
Fax Number
SOLICITATION PROCESS g SO - D 9 D C~~~a>
Exempt from Competitive Bidding ❑ Emergency
❑ Written Findings (Form attached) ❑ Invitation to Bid (Copies on file) ❑ Written findings attached
❑ Quote or Proposal attached Date approved b Council: ❑ Quote or Proposal attached
❑ Small Procurement Cooperative Procurement
Less than $5,000 X Request for Proposal (Copies on file) ❑ State of Oregon
Note: Total contract amount, including any Date approved by Council: 8/16/11 Contract #
amendments may not exceed $6,000 ❑ State of Washington
Intermediate Procurement ❑ Sale Source Contract #
GOODS & SERVICES ❑ Written Findings (Form attached) ❑ Other government agency contract
$5,000 to $100,000 ❑ Quote or Proposal attached Agency
❑ (3) Written quotes attached Contract #
PERSONAL SERVICES ❑ Special Procurement ❑ Intergovernmental Agreement
. $5,000 to $75.000 ❑ Milan Findings (Form attached) Agency
❑ Less than $35,000, by direct appointment ❑ Quote or Proposal attached Contract #
❑ 3 Written proposals attached Date approved b Council: Date approved by Council
Description of SERVICES Total Cost
A3
Utility Billing Software maintenance and licensing fees FY 14 and FY'15 $ '7Q000
Item # Quantity Unit Description of MATERIALS Unit Price Total Cost
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TOTALx COST
❑ Per attached quotelproposal 70;0001
Project Number E 000260.999 Account Number 710.03.07.00.605700
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
By signing this requisition form, l certify that the information provided above satisfies the City's public contracting requirements, and the documentation can be
provided upon request. ~t
Employee Signature: Department Head Signature: i/)AAn-h~~t(' 11 till "ta i tt;
Additional signatures (if applicable):
Funds appropriated for current fiscal year - l YES V NO l r: 5 11 ~C l~ 1 I
Finance Director Date
Comments:
G: FlnancetProcedureWPlFormslSpdngbrook Req for purchase order 070113 to 063015.docx - Updated on:
6/1112013