HomeMy WebLinkAbout2005-244 Contract - VP Consulting
A request for a Purchase Order
REQUISITION FORM
C:'ITY OF
AS~HLAND
Date of Request:
THIS REQUEST IS A:
D Change Order(existing PO #
Required Date of Delivery/Service:
Vendor Name
Address
City, State, Zip
Telephone Number
Fax Number
Contact Name
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SOLICITATION PROCESS
Small Procurement
o Less than $5,000
o Quotes (Optional)
Intermediate Procurement
o (3) Written Quotes
(Copies attached)
Sole Source
o Written findings attached
o Quote or Pro sal attached
Cooperative Procurement
o State of ORJWA contract
o Other government agency contract
o Copy of contract attached
o Contract #
o Invitation to Bi~
(Copies on file)
o Reauest for Proposal
(Copies on file)
o Special I Exemm
o Written findings attached
o Quote or Pro sal attached
o Emeraencv
o Written findings attached
o Quote or Pro sal attached
Description of SERVICES
~(\nuo..\ \-\~\-..eA\On~~ lusex ~\~\l.:e,.
D Per attached fi(Ut'U~AL
01, L<L.i
Item # Quantity Unit
Description of MATERIALS
Unit Pric:e
Total Cost
D Per attachett QUOTE
\\("). O\.~ ,00 .OO.VO\L\OO '. ~03?O
t \0, CYJ.-. 05. CXj. \'D()'SlO(j ~ $ L\').C!O
Project Number ______. ___
Account Number ___' __' __' __ - ______
. Items and seNices must be charged to the appropriate account numbers for the financia/s to reflect the actual expenditures accuratE/ly.
B.:Y signing this requisition form, I certify that the information provided above meets the City Of~ Ahland bile ronttaeling reqUlrem. ents,
and the documentation can be provided upon request. /4 /' ~
Employee Signature: Supervisor/Dept. Head Sign e:~~
G: FinancelProcedurelAPIFormsl8_Requisilion form revised
Updated on: 10/20/2005
VPConsulting,lnc.
document imaging
Bill To:
City of Ashland, IS Dept.
20 E. Main Street
Ashland, OR 97520
-
2350 Oakmont Way, Suite 108 · Eugene, OR 97401
(541) 687-0594 · Fax (541) 342-2667. www.vpci.com
Invoice #: 00007075
Ship To:
City of Ashland, IS Dept.
20 E. Main Street
Ashland, OR 97520
Purchased By: P.O. # SHIP VIA SHIP DATE TERMS DATE Page
Upon Receipt 10/1/2005 1
QTY. DESCRIPTION PRICE TOTAL
1 LaserFiche Enterprise Server Annual Software Maintenance, $4,200.00 $4,200.00
includes free software upgrades during the year, does not include
software installation. To be renewed each year on anniversary
date of purchase. October 05-06 J
10 LaserFiche Retrieval User Annual Software Maintenance, $44.00 $440.00
includes free software upgrades during the year, does not include
software installation. To be renewed each year on anniversary
date of purchase. October 05-06
10 LaserFiche Full User Annual Software Maintenance, includes $110.00 $1,100.00
free software upgrades during the year, does not include
software installation. To be renewed each year on anniversary I
date of purchase. October 05-06 $200.00 ~
10 LaserFiche Snapshot Annual Software Maintenance, includes $20.00
free software upgrades during the year, does not include
software installation. To be renewed each year on anniversary
date of purchase. October 05-06
1 LaserFiche Import Agent Annual Software Maintenance, includes $390.00 $390.00
free software upgrades during the year, does not include
software installation. To be renewed each year on anniversary
date of purchase. October 05-06 J
1 LaserFiche Weblink Annual Software Maintenance, includes free $3,190.00 $3,190.00 ,
software upgrades during the year, does not include software
installation. To be renewed each year on anniversary date of
purchase. October 05-06
SALE $9,520.00
7/o.t;t.l t)O.()O. 6o/9'deJ 5.3.zo - TOTAL $9,520.00
711. o~.tJS: dtJ. 6~57t1O ~- PAID TODAY $0.00
BALANCE $9,520.00
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Page 1 / 1
~.,
CITY Of
ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
1 0/21/2005
VENDOR: 003219
VP CONSULTING, INC.
2350 OAKMONT WAY, SUITE 108
EUGENE, OR 97401
SHIP TO: Ashland City Hall
(541) 488-6002
20 E MAIN STREET
ASHLAND, OR 97520
FOB Point:
Terms: Net
Req. Del. Date:
Speciallnst:
Req. No.:
Dept.: CITY RECORDER
Contact: Barbara Christensen
Confirming? No
Annual Maintenance LaserFiche
Invoice 00007075
October 2005-2006
9,520.00
BILL TO: Account Payable
20 EAST MAIN ST
541-552-2028
ASHLAND, OR 97520
SlIBTOTAL
TAX
IFREIGHT
TOTAL
9 520.00
0.00
0.00
9,520.00
E 710.02.05.00.60570
E 710.04.00.00.60140
H~ 1()~r;;J~
orized Signature
VENDOR COpy