HomeMy WebLinkAboutVerizon PO (BPW approved 4/1/56) for Continues Services for Cellphones, MiFi Devices, and ipads City of Jeffersonville
Government Contract Coversheet
Please note: All information MUST be completely filled out and submitted to Clerk's Office
within 48 hrs of execution.
Date Submitted to Clerk: 4/1/2026
Department: Fire Department
Vendor Name: Verizon Wireless
Sign Date: 4/1/2026
Ending Date: 3/24/2028
Amount of Original Contract: est 79,500.00
Is this an amendment or change order
to original contract? Yes or No
Amended Contract Amount:
Purpose: Purchase Order for continued services fro cellphones,
mifi' devices, and ipads
For Clerk's Office to fill out
Date uploaded to Gateway:
verizon,'
State of Indiana BPA# 71748 with
GSA-Multiple Award Schedule Purchase Order (47QTCA20D00B5)
Date: March 24,2026
Vendor: Verizon Wireless
Vendor Address: 10170 Junction Drive
Annapolis Junction,MD 20701
Vendor Email: FederalAcctImplementations@VerizonWireless.com
Phone: 1.800.561.6227 Option 3
FAX: 1.866.227.4978
Authorized By: I represent that the Agency named below is a Governmental Body(Agency)authorized to purchase
under this State of Indiana Agreement(government,non-profit or education).I further represent
that I am authorized to commit the Agency named below to purchase under the GSA Multiple
Award Schedule and that the use of all products/services purchased is for authorized government
use.This commitment only authorizes me to enter into this transaction on behalf of f the Age_nty__
named below.It creates no,commttment on the ,
part olttpls aggncy,to.purcha5ga;mlE7tmt�rtit�w
maximum quantityofgooids or.services.ANY RESELLING OF PRODUCTS/SERVICES PURCHASED
UNDER THIS ORDER ARE STRICTLY PROHIBITED,as the contract and governing regulations require
that all MAS purchases will be used for governmental purposes only and will not be resold for
personal use.
Agency Name:Jeffersonville Fire Department '7/��
Signature of Authorized Official: 71(4-c � /"C ., ._...
Printed or typed name:Michael McCutcheon
Printed or typed title:Deputy Chief
Contact Information: Email address:mmcutcheon@cityofjeff.net
Phone number:812-3972-2544 FAX number:
Billing Information: 2204 E 10th Street Jeffersonville, IN 47130
Payment Terms: Net 30
Description of Cellular service on the accounts listed below(or attached)totaling up to 75 units in accordance with
Goods/Services; the rate plans and terms and conditions now or in the future applicable to each of such lines
Pricing: pursuant to GSA Multiple Award Schedule 47QTCA2OD00BS,
Rate Plan(s):Various
Equipment:Various
March 24,2026 for 24 months through 2028
Term: (month)(day)(yr.) (#) (year)
The quantities listed are estimates only and are based on past and future usage.You may
Funds Authorized: purchase less than the amounts shown,but no more.Purchases in excess of the amount shown
will need an updated order form.All services orders shall be on an"as needed"basis,subject to
the availability of funding and budgetary considerations.
Monthly Access Fees for service on up to 75 lines(Estimated) $3,000.00
Equipment charge(s)on up to 75 lines (Estimates) $7,5000.00
Total Access and Equipment Fees on up to 75lines(Estimate) $79,500.00
Plus applicable fees,taxes and a es
Contract 4: GSA Multiple Award Schedul ont ct Number 47QTCA20DOOB5,State of Indiana BPA 4 71748,all
terms and conditions are in rpora d by ref nce.
Equipment None of the equipment li d are p ducts li on GSA Multiple Award Schedule Contract No.
(Open Market): 47QTCA20D00B5.All de es and/ accesso i are"Open Market"items.Various
Specify Phones,Delivery tc.:Pr ile ID 4 2 2060 (all accounts and sub-accounts)
Miscellaneous: **please notify POC a 60 d s prior to nding document expirationdate**
tiJ
Customer Acceptance: Signature. Date: 1 I l Z.ti
For Verizon Wireless internal use only: Approval: Date: