2025 510300 Glass Spheres - Bead Order Sheet.xlsx
XLSX spreadsheet 19 KB Posted
- Attached to
- Glass Spheres (Beads)
- Contract number
- 395002-O20-0510300-000-01
- Issued by
- Wisconsin
About this file
This document is an order sheet for the State of Wisconsin Department of Transportation's statewide contract for glass spheres (beads), with Potters Industries, LLC serving as the contracted vendor under Contract #395002-O20-0510300-000-01. The order form is designed for use by Wisconsin municipalities when purchasing glass spheres through this state contract vehicle, requiring municipalities to include this order sheet or equivalent information with their purchase orders. Potters Industries, LLC is headquartered at PO Box 841, Valley Forge, PA 19482, and provides customer service support at 800-552-3237.
The contract covers AASHTO M247 Type 1 moisture resistant treated glass spheres available in two packaging options: 2000-pound bulk totes and 50-pound bags. All product lines are priced at $0.50 per pound with quantity-based ordering tiers. Orders of 10,000 pounds or more (5 totes minimum for bulk, 200 bags minimum for bagged) qualify for standard pricing, while orders under 10,000 pounds are subject to the same per-pound rate but with different minimum order requirements. The order sheet includes fields for municipality information, delivery details, contact information for both ordering and accounts payable, and allows for special delivery or order notes from the purchasing municipality.
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Other files
| File | Type | Posted |
|---|---|---|
| WisDOT - Contract Amendment 395002-O20-0510300-000-01.pdf |
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Text version
Order Sheet
| State of Wisconsin | |||
| Department of Transporation | NOTE: MUNICIPALITIES ARE TO INCLUDE THIS ORDER SHEET **OR** INCLUDE ALL OF THE INFORMATION LISTED WITH THEIR PURCHASE ORDER TO THE CONTRACTED VENDOR | ||
| Vendor: | Potters Industries, LLC | CONTRACT #: |
395002-O20-0510300-000-01
| Address: | PO Box 841, Valley Forge, PA 19482 Customer Service: 800-552-3237 | Date Submitted: | ||
| Please complete the following information and send form in with an authorized written purchase order via email to: customerservice@pottersindustries.com | ||||
| Municipality PO: | Municipality Name: | |||
| Delivery Address: | Requested Delivery Date: | |||
| Order Contact Name | Order Contact Direct Telephone Number: | |||
| Order Contact email: | NOTE: Potters Industries, LLC - will contact the above Order Contract Name | |||
| Accounts Payable | ||||
| Contact Name: | Accounts Payable email: |
| BASE PRODUCT ORDER: | ||||
| Bid Item Number | ||||
| & Dealer Order Code | Description | Unit of Measure | Per Pound Price | ENTER TOTAL QUANTITY / PER LB. OF BEADS |
| You are ordering | TOTAL PRICE | |||
| Line 1 - Bulk over 10,000# | Glass Spheres, 2000# bulk GYLD AASHTO M247 Type 1 moisture resistant treated | 2000# Totes | ||
| 10,000# minimum (5 totes) | $0.50 | $0.00 | ||
| Line 2 - Bulk under 10,000# | Glass Spheres, 2000# bulk GYLD AASHTO M247 Type 1 moisture resistant treated | 2000# Totes |
Under 10,000# order/load
| (less than 5 totes) | $0.50 | $0.00 | |
| Line 3 - Bags over 10,000# | Glass Spheres, 2000# bulk GYLD AASHTO M247 Type 1 moisture resistant treated | 50# Bags | |
| 10,000# minimum (200 bags) | $0.50 | $0.00 | |
| Line 4 - Bags under 10,000# | Glass Spheres, 2000# bulk GYLD AASHTO M247 Type 1 moisture resistant treated | 50# Bags | |
| UNDER 10,000# order/load | $0.50 | $0.00 |
| ORDER TOTAL: | $0.00 |
| Delivery or Order Notes from Municipality: |
DATE POTTERS INDUSTRIES CONFIRMED RECEIPT OF ORDER: Estimated Delivery Date:
File details come from the government source that posted it. Updated .