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THE CITY OF PURCHASE ORDER AGREEMENT Agreement Number <br /> II fru CITY OF PLEASANTON No. <br /> PLE ASANTONoPLEASE SHOW THIS NUMBER <br /> 123 MAIN STREET/P.O. BOX 520 ON ALL INVOICES.PACKING <br /> PLEASANTON,CALIFORNIA 94566-0802 SLIPS,PACKAGES AND <br /> CORRESPONDENCES <br /> DEPARTMENT Finance PHONE NUMBER <br /> DATE 07/01/2022 FY:2023 ACCOUNT CODE 00116000-430102 <br /> Contractor: Nelson Connects PO Type: Encumbered Project#. <br /> Vendor ID: 5876 Dept#: 16000 <br /> Address: P.O. Box 8524 Estimated Start Date: 07/01/2022 <br /> Pasadena, CA 91109-8524 Estimated Completion Date: 06/30/2023 <br /> New Vendor: ❑ If checked. W-9 needs to be attached <br /> SEND INVOICES TO DELIVER ITEMS TO <br /> CITY OF PLEASANTONFinance This is an order for: <br /> P.O. BOX 520 Name <br /> ri <br /> PLEASANTON,CA 94566-0802 123 Main Street goods <br /> Address <br /> CARE OF: []goods&services <br /> Name Thinh Lucero <br /> 17FinanceDepartment Finance City/State2ip Pleasanton, CA 94566 (check one) <br /> ITEM NO ITEM OR SERVICE DESCRIPTION QUANTITY UNIT PRICE/FEES SUBTOTAL <br /> 1 Temporary Personnel -Agency 1.00 $ 50,000.00 $ 50,000.00 <br /> 11/01 CCAR Additional temporary staffing 1.00 $ 83,000.00 $ 83,000.00 <br /> $ 0.00 <br /> $ 0.00 <br /> $ 0.00 <br /> Anticipated staffing assistance due to vacancies $ 0.00 <br /> and shortages $ 0.00 <br /> $ 0.00 <br /> ** original enclosed $ 0.00 <br /> PO 2023137 $50,000 $ 0.00 <br /> $ 0.00 <br /> $ 0.00 <br /> $ 0.00 <br /> $ 0.00 <br /> TAX 0.0000 $ 133,000.00 $ 0.00 <br /> TOTAL lommon► $ 133,000.00 <br /> • Mail out the Purchase Order to Vendor/Contractor YesJ No Q <br /> . Proof of Insurance required prior to start of work: Yes El No EL <br /> Authorized Contractor Signature Date <br /> Terms and Conditions on Reverse are Incorporated into this Agreement <br /> Taxpayers Identification Number: <br /> Authorized City Signature Date _ <br />