MUNICIPAL RESOURCES GROUP, LLC - Laserfiche WebLink

PL£ASANTONo PURCHASE ORDER AGREEMENT CITY OF PLEASANTON 123 MAIN STREET/ P.O. BOX 520 PLEASANTON, CALIFORNIA 94566-0802 PHONE NUMBER SEND INVOICES TO DELIVER ITEMS TO CITY OF PLEASANTON P.O.B0X520 Name PLEASANTON, CA 94566-0802 Address CARE OF: Name Department City/State/Zip Agreement Number PLEASE SHOW THIS NUMBER ON ALL INVOICES. PACKING SLIPS. PACKAGES AND CORRESPONDENCES This is an order for: D goods D goods & services D services (check one) ITEM NO ITEM OR SERVICE DESCRIPTION QUANTITY UNIT PRICE/ FEES SUBTOTAL •Mail out the Purchase Order to Vendor/Contractor : Yes__ No •Proof of Insurance required prior to start of work: Yes__ No __ TOTAL __. Date _______ _ Terms and Conditions on Reverse are Incorporated into this Agreement Authorized Contractor Signature Taxpayers Identification Number: City Dept Head Signature: Contractor: Address: FY: Vendor ID: New Vendor:If checked, W-9 needs to be attached ACCOUNT CODE Dept #: Estimated Start Date: Estimated Completion Date: PO Type:Project #: DEPARTMENT __________________ _ DATE ______________ _ Date _______ _ City Manager's Office Signature: ___________________________________Finance Signature: ______________________________________ FIN Review_____ 2024396 925-931-5008 11/08/2023 00112000 430101 City Manager 123 Main Street 4 1 City Manager Evaluation 1.00 $ 10,250.00 $ 10,250.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 TAX 0.1025 $ 10,250.00 $ 1,050.63 $ 10,250.00 4 4 City Manager 23-24 Municipal Resources Group, LLC 4822 PO Box 561 Wilton, CA 95693 City Manager 04/01/2023 08/31/2023 Not To Exceed City Manager Sharon Petrehn Pleasanton, CA 94566 DocuSign Envelope ID: 8EFE4547-1E0A-4FBE-ADFF-6E15AD85F8F7 12/19/2023 12/19/2023