PO234557.pdf

PDF 198 KB Posted

Attached to
Soloy Universal Sensor Mount
Solicitation number
SS PC234557
Issued by
Thurston County, Washington

About this file

This document is a State of Washington Field Order (Sole Source Filed) for the Washington State Patrol (WSP) to procure a Soloy Universal Sensor Mount from NorthPoint Aviation (dba D.V. Aviation). The order is for 1 unit at a total cost of $57,316.94, including taxes. The procurement is made under the sole source authority of RCW 39.26. The sensor mount is requested by Lt. Greydanus and approved by Walter Hamilton. Delivery is required to the WSP Aviation location in Olympia, WA.

The pricing terms are net 30 days, and Washington State sales tax applies. The vendor is required to certify that they are not debarred, suspended, or excluded from federal contracting. This sole source procurement does not provide details on any set-asides, incumbents, or funding sources, as it is a direct purchase for the WSP.

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Text version

STATE OF WASHINGTON

FIELD ORDER (SOLE SOURCE FILED)

# 234557 11/07/2024 (12:21)

FROM AGENCY NO

LOC

Washington State Patrol

WSP SUPPLY (EMAIL OR MAIL)

SupplyProcurementInvoices@wsp.wa.gov

PO BOX 42625

OLYMPIA, WA 98504-2625

Ship To :

1009 AVIATION OLYMPIA

ATTN: SGT. PELLEBERG

7525 A OLD HWY 99

OLYMPIA, WA, 98501

TO :Vendor F.I.N: 46-1607577 NorthPoint Aviation DBA D.V. AVIATION 16384 Airport Road STE #8 Brainerd, MN 56401

MAIL INVOICE TO :

SupplyProcurementInvoices@wsp.wa.gov

PO BOX 42625

OLYMPIA, WA 98504-2625

Deliver The Articles Ordered Below In Accordance With The Instructions Below And The Terms And Conditions Of The State of Washington that can be found at https://www.wsp.wa.gov/budget-vendor-information/ under Supply Section.

AUTHORITY OR CONTRACT NUMBER

RCW 39.26 Sole Source

PRICE F.O.B

PAYMENTS TERMS

Net 30 F.O.B

Line Item Vendor Part#

Description Quantity Price Tax1 Tax2 Total

STC

SA02748AT

Universal Sensor Mount for Cessna 1.00 EA $52248.8100 $5068.1300 $0.0000 $57316.9400

Subtotal : $52248.8100 Tax1 Total : $5068.1300

UseTax Total : $0.0000 Freight : $0

PO Total : $57316.9400

Description:

AVIATION - Soloy Universal Sensor Mount for Cessna - Requested by: Lt. Greydanus - Approved by: Walter Hamilton - Sole Source Approval: - Quote #24-090338 - Purchasing from Northpoint

Aviation dba D.V. Aviation

RECEIVED BY

DATE

INSTRUCTIONS 1.SHOW FIELD ORDER NO. ON ALL INVOICES,PACKAGES & SHIPPING DOCUMENTS.

TO VENDOR: 2.WASHINGTON STATES SALES TAX APPLIES TO THIS ORDER.

3. BY ACCEPTING AND PROCESSING THIS PURCHASE ORDER, VENDOR CERTIFIES THEY ARE NOT

DEBARRED, SUSPENDED, PROPOSED FOR DEBARMENT, DECLARED INELIGIBLE, OR VOLUNTARILY

EXCLUDED FROM PARTICIPATING IN ANY CONTRACT (THIS PURCHASE ORDER IS A CONTRACT) BY

ANY FEDERAL DEPARTMENT OR AGENCY

https://sam.gov/SAM/pages/public/searchRecords/search.jsf

PREPARED BY

Pennie Clark

TELEPHONE NUMBER

360-704-5456

10/04/2024

AGENCY APPROVAL

FOR AGENCY USE ONLY

DOC.

PMT DUE

CURRENT DOC.

NO.

REF. DOC. NO.

VENDOR

NUMBER

VENDOR MESSAGE

OMWBE CODE

TRAN M FUND AI PI PROJECT SUB/SUB

OBJECT

SUBS

DR/CR

USE TAX

CODE AMOUNT

--- --- ----- CF01 JC $57316.9400

INVOICE

INVOICE

Date

Supply Manager Approval https://sam.gov/SAM/pages/public/searchRecords/search.jsf

ACCOUNTING APPROVAL FOR PAYMENT

WARRANT TOTAL

WARRANT

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