HomeMy WebLinkAbout2003-038 PO - Hunter CommunicationsCITY OF ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
CITY RECORDER'S COPY Page 1,1
02/05/2003 I 03929
VENDOR: 000082
HUNTER COMMUNICATIONS
801 ENTERPRISE DR. STE.# 101
CENTRAL POINT, OR 97502
SHIP TO: Ashland Fiber Network
(541) 488-5354
90 N. MOUNTAIN
ASHLAND, OR 97520
FOB Point:
Terms: Payable on receipt
Req. Del. Date: 01/29/2003
Special Inst:
Req. No.:
Dept.: ELECTRIC
Contact: Dick Wanderscheid
Confirming? NO
THIS IS A REVISED PURCHASE ORDER
AFN Construction, Installation, 128,125.~0
Testin-q~ and Spiicinl:l of HFC video ~nd '
Data Network RFP 1999 Previous
#02386, Estimate for period of January
29, 2003- June 30, 2003; $150','000.00; ' .
less paymen, ts for Invoices #3737,
: #3738, #3730, #3723, Check #26477.
RFP 1999
Ori.clinal contract date: July 1999
Addendumdated: January29 2003
Addendum expires: June 30, 2003
:' Insu~ance required/on.file · .
Revised purchase order 04/10/2003 1"7,000.00
".' Request t~) add $17,000 for additional' "
under.qround construction.
SUBTOTAL 145,125.00
BILL TO: Account Payable TAX 0.001
20 EAST MAIN ST FREIGHT 0.00TM
541-552-2010 TOTAL 145,125.00
ASHLAND, OR 97520
Account Number. :, Amount. Account Number Amount
E 691.11.00.00.704100 145,125.00
~~'~irize-~ignature ' VENDOR COPY
A for a Purchase Order
REQUISITION FORM
m ~ @ ~ 0 \!J'~ ~I
UU APR -:,9 200~ ,~
// &
CITY OF
ASHLAND
THIS REQUEST IS A:
~ Change Order{existing PO #
By
Date of Request: I
Required Date of Delivery/Service:
Jdj)tvI E~ C or0Str:ucl (00
Vendor Name:
Address:
City, State, Zip:
Phone:
Fax Number
Deliver Location
Services Only
'f' C:' 1'3 1 ;2-7
Description Total Cost
AOD t7.{OCJD 10 tA:'\511r--/0
R 0 f'oR-
UAJOE~ <;((NtVD (O('JS,\~uC.\1O
Solicitation Process:
o Exempt 0 3 Written Quotes
(copies attached)
Sole Source 0 Invitation to Bid
(copies on file)
Request for
Proposal (copies on file)
o Less than
$5000
$ \7) otJO
Account Number ___' __' __' __' ______
*PI98se attach the Original signed contract and Insurance certificate.
Materials Only
Item # Quantity Unit
Description
Unit Cost Total Cost
Account Number
. . . .
--- -- -- -- ------
*Please attach the quotes.
Employee Signature: Supervisor/Dept. Head Signatur.: "--(fZ ~ ~
NOTE: By signing this requisitio form, I certify that the above request meets the City of Ashland Solicitation Process requirements and can be provided
when necessary.
G:FinanceIProcedureIAPlFormsI8_Requisition form,doc
Updated on:07/15J02