Blank_Utility_Statement.pdf
PDF 259 KB Posted
- Attached to
- Data Processing, Print, and Mail Services State and local contract opportunity
- Solicitation number
- RFP No. 2025/2026/07
- Issued by
- Quay County, New Mexico
About this file
This is a blank utility statement template document from the City of Gallup, New Mexico Utility Systems, designed for billing approximately 10,600 utility accounts across multiple service categories including water, sewer, electric, garbage, and solar services. The statement format includes sections for customer account information, current charges, past due balances, amount due, and payment status, with billing periods typically spanning one month (e.g., 03/06/2026 to 04/07/2026). The template incorporates usage history charts for both water and electric consumption tracking, detailed billing breakdowns by service type with corresponding fees and taxes, and late payment penalties including a $25.00 delinquency charge assessed 36 days after the bill date and administrative processing fees of $60.00 for residential accounts or $120.00 for commercial accounts. Customer service contact information is provided, including office hours (Monday, Tuesday, Thursday, and Friday from 8:00 AM to 5:00 PM, and Wednesday from 9:00 AM to 5:00 PM), phone numbers for customer service and billing inquiries, 24-hour emergency service access, and online payment portal access instructions.
The City of Gallup's procurement for data processing, print, and mail services supporting this utility billing operation requires vendors to process approximately six billing cycles per month across 13 billing files per cycle, including regular bills, final bills, and off-cycle bills. Proposals are due May 28, 2026, at 2:00 PM via the City's OpenGov eProcurement Portal, with a question deadline of May 14, 2026. The contract term is one year with automatic renewal for up to seven additional one-year terms, subject to performance and funding availability, with pricing required to remain firm and fixed including all renewals, and price escalations limited to a maximum of two per contract period with supporting documentation. Qualified vendors must demonstrate a minimum of five years of comparable service experience, continuous business operation for at least ten years with documented client retention, and stable principal ownership for a minimum of three years. Mandatory insurance requirements include Worker's Compensation (statutory), Comprehensive General Liability Insurance of $1,000,000 per occurrence, and Comprehensive Automobile Liability Insurance of $1,000,000 per person with the City named as an additional insured. New Mexico resident business and resident veteran's business preferences of up to eight percent and ten percent of total points, respectively, apply with valid certification from the New Mexico Department of Taxation and Revenue.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| Sample_Insert.pdf | ||
| Return_Envelope.pdf | ||
| Mailing_Envelope.pdf | ||
| Data_Processing,_Print,_and_Mail_Services.pdf | ||
| Gallup_Sample_RFP_Contract_2026.pdf |
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Text version
Customer Name Account Number Service Address Statement Date Due Date
UTILITY SERVICES STATEMENT
PO Box 1400 Gallup, NM 87305-1400
ACCOUNT INFORMATION
CURRENT CHARGES PAST DUE BALANCE AMOUNT DUE
AMOUNT PAIDDUE IMMEDIATELYDUE BY:
Additional Information on Reverse
Please Make Checks Payable and Remit to
WATER SEWER ELECTRIC
GARBAGE SOLAR
AMOUNT DUE:
PAST DUE BALANCE
Please pay immediately
[Record*GAL0410A*455*7543-4584*KEY=7543-4584*Index]
0 KWH
FIRST NAME LAST NAME
ADDRESS
GALLUP NM 87301
CITY OF GALLUP
UTILITY SYSTEMS
PO BOX 1400
GALLUP, NM 87305-1400
03/06/2026 to 04/07/2026
$ $0.00
Service Period:
MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR
MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR
Previous Year Current Year Previous Year Current Year
ACCOUNT NUMBER:
SERVICE ADDRESS:
ANEMGPEJDLDMFPAIEK
AJEFDIGAFPLMEPPALK
AMJPPFMINJFCECKEKK
AKBEOHHDFPGJCADGOK
DDLDDDDLDLLDLLDDLL
ADDFTDFAFTADFADATATAAATAAFAFATTAADFTDADDTDTTFDAAAFTAFDATATAADAADF
WATER USAGE HISTORY ELECTRIC USAGE HISTORY
05/08/26
[Record*GAL0410A*455*7543-4584*KEY=7543-4584*Index]
Billing Detail
CITY OF GALLUP
110 West Aztec Ave.
Gallup, NM 87301
Office Hours Monday, Tuesday, Thursday, & Friday:
8:00 AM – 5:00 PM
Previous Activity Last Bill:
Payment:
Adjustments:
Past Due Amount (Due Immmediately):
Past Due Bills/Late Fees A delinquency charge of $25.00 will be assessed to those accounts in which payments have not been received 36 days after the bill date by the close of business day.
An administrative processing fee of $60.00 will be assessed on residential accounts and $120.00 will be assessed on commercial accounts, if payment of delinquent amount and all fees and fines have not been credited to the account by 5:00 P.M. on the cutoff date.
Wednesday: 9:00 am - 5:00 PM
(505) 863-1201
(505) 726-4218
24/7 Access
Current Read Previous Read
Current Usage
Days of Service
Usage
Current Read Previous Read
Current Usage
Days of Service
Customer Service; Billing Inquires:
Pay by Phone:
Solid Waste:
24 Hour Emergency Service:
Pay Online at:
(505) 863-1212
Usage
1 Unit = 7 48 gallons Fees and Fines $0.00
32 1xxxxx
1xxx
1xxxxx
WATER USAGE INFORMATION
ELECTRIC USAGE INFORMATION
METER #:
METER #: x
2xxxx
6xx
32 2xxxx
MESSAGE CENTER
$0.00
(CF)
(KWH)
(CF)
(KWH)
[Record*GAL0410A*456*7543-4584*KEY=7543-4584*Index]
WATER
Navajo/Gallup Proj
WATER
Total Water $
SEWER $SEWER
Total Sewer $
SERVICE CHARGE
NEXT 51 KWH TO
ELECTRIC
Total Electric $
RES CONTAINER
RES EXTRA CONTAINER
GARBAGE
Total Garbage $
ENV SURCHARGE
TOTAL TAX
Total Miscellaneous
TOTAL AMOUNT DUE: $
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