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HomeMy WebLinkAboutServices for City Hall to Check Glycol Levels 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: 2/21/2024 Department: Building Authority Vendor Name: Water Energizers Sign Date: 2/21/2024 Ending Date: 2/21/2024 Amount of Original Contract: $1,251.52 Is this an amendment or change order to original contract? NO Amended Contract Amount: Purpose: service visits to City Hall 10-18-23, 12-1-2023,12-4-23, 12. 18,23-1-1-24,1-3-24 and 1-8-24 For Clerk's Office to fill out Date uploaded to Gateway: W-3,1ater QUOTE Energizers Quote No: RH021424-08 Quote Date: FEBRUARY 14, 2024 Water Energizers, Inc, 3008 Middle Rd Expiration Date: MARCH 14, 2024 Jeffersonville, IN 47130 P(812) 288-6900 F (812) 288-2142 www.waterenergizers.com TO: Larry Wallace RE: Service Visits, Glycol Additions & Filters City of Jeffersonville Oct. 2023 - Jan. 2024 QTY DESCRIPTION UNIT PRICE LINE TOTAL Service Visits Which Included the Following: 10-18-23 • Fill Valve Issues - 4 Hours 11-28-23 • Added Glycol, Monitored System & Levels - 2 Hours 12-1-23 • Checked Levels, System Still Leaking - 2 Hours 12-4-23 • Checked Levels, Added Glycol & Changed 7 Filters - 2.5 Hours 1 12-18-23 $1,251.52 • Added Glycol & Checked Filters, Pressure Issue Continuing in System - 2.5 Hours 1-1-24 • Added Glycol, Circulated & Monitored System, Still Leaking - 3 Hours 1-3-24 • Added Glycol & Monitored System & Levels - 2 Hours 1-8-24 • Met with Mike Rohach, Larry & Perfection - 1.5 Hours SUBTOTAL $1,251.52 ESTIMATED TAX N/A TOTAL $1,251.52 Payment Terms: Net 30 days. A processing fee of 3.85% will be added for payments made credit card Prepared By: Rhonda Harris Accepted By ,_/ Date: February 14, 2024 Date: d.-a� • a- G, V 9F (5‘ .1'.,. .,firM, "a. CITY OF JEFFERSONVILLE PURCHASING CONTRACT COVER SHEET Each purchasing contract (including lease)with the City for supplies,goods and equipment must include this cover sheet to be completed by the Head of the Department making the purchase and presented to the Board of Public Works and Safety(BPW)at the time of the contract approval. Note:Each department must comply with the City's Procurement and Purchasing Policy. A copy may be obtained from either Finance or Legal. Purchases may not be "artificially"divided to avoid the applicable purchasing thresholds. Supply,Good or Equipment to be Purchased: \A)el'kr ever, I Ze(S Department: I�AAA.., dJ . ALl' ►l er1 4-'1. -- Are Funds Appropriated for the Purchase? \7Yes No Contract Amount: /less than$50,000 $50,000-$149,999 Over$150,000 • If contract less than$50,000-may proceed without requesting bids/quotes • If contract amount is between$50,000-$149,999: Invitation for at least three (3)quotes was issued(attach invitation and quotes) Mailed at least seven (7) days before the deadline to submit quotes • If contract amount is over$150,000: Invitation for Bids was approved by Law Department before it was issued Invitation for Bids issued (attach invitation and received bids) — Invitation for Bids include requirements per Procurement and Purchasing Policy Notice of Invitation for Bids published in paper and posted on city website at least seven (7) days before deadline(attach notice) • If contract was result for Request for Proposals (RFP): RFP was approved by Law Department before it was issued _RFP published in paper and posted in city website at least seven (7)days before deadline • If contract was result of Special Purchase and exempt from competitive bidding: Prior approval of special purchase by Law Department Law Department prepared written designation of Special Purchase to be approved by BPW The undersigned hereby states he/she has complied with the City's Procurement and Purchasing Policy in reference� to the attached purchase. _-r Date: J)y'°-ULI __ Signature Printed Name: tart .l l/�G�..(,CQCe.