Mid-State Equipment Order Information.pdf
PDF 118 KB Posted
- Contract number
- 370001-O18-C231-AD0223-00
- Issued by
- Wisconsin
About this file
This is an equipment rental and lease order information form for Contract 370001-O18-C231-AD0223-04 between Mid-State Equipment and the Wisconsin Department of Natural Resources (DNR). The contract also extends coverage to other Wisconsin state departments and municipalities through the Wisconsin Cooperative Agreement. Mid-State Equipment is located at 3660 Scenic Road, Jackson, WI 53037, and all orders must be submitted with authorized written purchase orders to contact person J. Laubenstein at jlaubenstein@midstateequipment.com.
The contract covers equipment rental and lease services, with specific requirements for order processing and equipment delivery protocols. All equipment requests must be verified for availability by Mid-State Equipment before processing, and customers must specify whether they are renting or leasing equipment along with the dates of use. For purchases made through the Wisconsin Cooperative Agreement, customers must sign a separate Mid-State Equipment contract. The contract requires completion of a Department of Natural Services Equipment Rental and/or Lease Check Sheet at both delivery and return, which includes equipment training, certified operator information, and inspection documentation. Both parties must sign and confirm that equipment is returned in the same condition it was received.
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Text version
Mid-State Equipment - Order Information Contract: 370001-O18-C231-AD0223-04
The following information must be completed and sent in with an authorized written purchase order to Mid-State Equipment for any Equipment ordered through the DNR contract, which includes any orders sent utilizing the Wisconsin Cooperative Agreement.
Date Submitted:
Name of Department or Municipality:
Address
Contact Person
Contact Person PH:
Email:
Delivery Location or Pick up
Purchase Order #:
Invoice Address:
□Equipment rented ___________________________________________________________________________
□Verified Equipment was available by Mid-State Equipment:____________________________________________
□Rental OR □Lease Equipment Dates of Use________________________________________________
□If purchasing off of contract through Wisconsin Cooperative Agreement – Sign Mid-State Equipment Contract
□Any additional Instructions:
NOTE: The Department of Natural Services Equipment Rental and/or Lease Check Sheet must be reviewed and signed with all information completed at the delivery of the equipment. Delivery information includes equipment training, Certified Equipment Operator information, and inspection. Upon return of the equipment, both parties must sign and agree that the information is correct and the equipment has been returned in the condition that it was received.
Send this sheet along with your purchase order and signed contract to:
• Mid-State Equipment, 3660 Scenic Road, Jackson, WI 53037
• Email: jlaubenstein@midstateequipment.com
File details come from the government source that posted it. Updated .