Purchase_Order~1.xlsx
XLSX spreadsheet 630 KB Posted
- Attached to
- Electric Fish Pump System for Hatchery
- Solicitation number
- S-63500-00008913
- Issued by
- Hood River County, Canyonville City, Oregon
About this file
This document is a Purchase Order from the Oregon Department of Fish & Wildlife (ODFW) for an electric fish pump system to be used at a hatchery. The Purchase Order provides detailed instructions on how to complete the form, including requirements to verify the vendor's business registration and ensure they are not excluded from federal procurements. The Purchase Order includes a description of the required equipment - an auto-priming, cart-mounted, 230V, 3 phase, 50/60 Hz electric fish pumping system. The Purchase Order is for ODFW and the delivery location is to be specified. No quantities, pricing, or award information is included in this document.
The related state and local contract opportunity indicates that this electric fish pump system is being procured for hatcheries located in Hood River County and Carlton City, Oregon. No additional details are provided regarding the solicitation, such as response due dates, award dates, contract term, or funding sources.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Federal terms for contracts under federal grants.pdf | ||
| RFQ Mandatory Bid Proposal Form~7.docx | DOCX document | |
| Solicitation Bidding Instructions~6.docx | DOCX document | |
| Specs - Electric Fish Pump System for Hatchery~1.docx | DOCX document | |
| OregonBuys_RegistrationGuide~58.pdf | ||
| 35793_Notice of Intent to Award_Final.pdf |
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Text version
Instructions Use of Purchase Order
Hover over a cell to see Comments and Instructions for that cell
1 Insert PO number from your Office's list of PO numbers.
2 Enter date PO is being written.
3 Enter the Delivery Date - date that the vendor/contractor promised delivery of Goods or completion of Services.
| 4 | Enter complete vendor/contractor information - legal business name, address, phone, etc. |
| Check Secretary of State website to verify business registration (for Oregon Businesses). http://egov.sos.state.or.us/br/pkg_web_name_srch_inq.login | |
| Check Federal System for Award Management (SAM) website to make sure vendor/contractor has not been excluded (if using federal money for the purchase): https://www.sam.gov/SAM/pages/public/searchRecords/search.jsf |
5 Enter your location where Goods or Services will be delivered.
6 Enter the item number, description, quantity, unit of measure, unit price and total price for each item being purchased. Use continuation sheet if necessary.
| 7 | SPECIAL INSTRUCTIONS: Use the appropriate federal terms and conditions (available on ASD/Contract Services Intranet page) |
| **Insert the following language in the "Special Conditions" cell: Attachment A - Federal Terms & Conditions is incoporated into and made a part of this Purchase Order. In the event of a conflict between the terms and conditions found in Attachment A and the Purchase Order terms and conditions, the Attachment A terms and conditions shall take precedence. | |
| ***Contact Contract Services when non-federal Grant funds are being used (ex: PSMFC, PSC, etc.) to get terms & conditions for the specific Grant, and whenever a contractor will be on site performing services to ensure appropriate insurance is requested. | |
| 8 | TERMS & CONDITIONS (Yellow highlighted area): If using State funding, select the first paragraph and use the standard PO T&C's. If purchasing off of a State Price Agreement, use the second paragraph and enter the Price Agreement, and Participating Addendum number(s). If using federal funding you must contact Contract Service to ensure the appropriate language and terms and conditions attachment are included with your Purchase Order. |
9 Get appropriate signatures of person placing the order, approving the [budgetary] expenditure, authorizing the purchase (see ASD Policy ASD_250_01 for Contract Authority information), and person receiving the Goods or Services.
10 Enter complete funding information for all items being purchased.
Make sure you send the complete purchase order, including all terms and conditions, to the vendor/contractor.
PO
| STATE OF OREGON | PO No. | PO Date: | |
| PURCHASE ORDER | P |
Melody L Waight: Melody L Waight:
Insert PO number from list for your office.
Melody L Waight: Melody L Waight:
Date PO is issued
| FOB: | Fiscal Year | Page No. | |
| Delivery Date: | Destination |
Melody L Waight: Melody L Waight:
| Leave as "Destination" or if payment of freight is allowed, use drop-down to select "Destination, prepaid and add" | of | |||
| Vendor/Contractor: | Phone: | Agency Ship To Address: | ODFW | |
| Fax: | Specific Site: |
Melody L Waight: Melody L Waight:
| Insert entire legal name of vendor and physical address. | Street Address: | |||||||
| City/State/Zip: | ||||||||
| BILL TO: | Oregon Department of Fish & Wildlife, Accounts Payable | |||||||
| Contractor FEIN | 4034 Fairview Industrial Drive SE, Salem, OR 97302 | |||||||
| ITEM # | DESCRIPTION | QUANTITY | UNIT | UNIT PRICE | TOTAL PRICE | |||
| $ - 0 | 0.00 | |||||||
| $ - 0 | 0.00 | |||||||
| $ - 0 | 0.00 | |||||||
| $ - 0 | 0.00 | |||||||
| $ - 0 | 0.00 | |||||||
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| $ - 0 | 0.00 | |||||||
| $ - 0 | 0.00 | |||||||
| $ - 0 | 0.00 | |||||||
| $ - 0 | 0.00 | |||||||
| $ - 0 | 0.00 | |||||||
| $ - 0 | 0.00 | |||||||
| $ - 0 | 0.00 | |||||||
| $ - 0 | 0.00 | |||||||
| SPECIAL INSTRUCTIONS: | Page 1 Sub-Total | $ - 0 | 0.00 | |||||
| Continuation Page Sub Total | 0.00 |
THIS PURCHASE ORDER AND THE TERMS AND CONDITIONS ON PAGE 2 CONSTITUTE THE ENTIRE AGREEMENT BETWEEN THE PARTIES. THERE ARE NO OTHER UNDERSTANDINGS, AGREEMENTS OR REPRESENTATIONS, ORAL OR WRITTEN.
Melody L Waight: Melody L Waight:
Use if standard PO terms and conditions apply (when NOT using a State Price Agreement). If using a State Price Agreement, DELETE THIS LANGUAGE.
When using federal funding you must consult with Contract Services staff and get instruction on the language to inser in the Special Instructions, and federal attachments to the PO.
SHIPPING 0.00
Melody L Waight: Melody L Waight:
Use ONLY when freight is Destination, Prepaid and Add
OR THIS PURCHASE ORDER IS PLACED AGAINST STATE OF OREGON PRICE AGREEMENT #
Melody L Waight: Melody L Waight:
Use this language is purchasing under an existing State price agreement or participating addendum. Enter the specific price agreement or participating addendum number(s). DELETE THIS LANGUAGE IF STANDARD PO TERMS AND CONDITIONS APPLY.
When using federal funding you must consult with Contract Services staff and get instruction on the language to inser in the Special Instructions, and federal attachments to the PO.
| (or) PARTICIPATING ADDENDUM # | GRAND | $0.00 |
| THE TERMS AND CONDITIONS CONTAINED IN THE PRICE AGREEMENT (or) PARTICIPATING ADDENDUM APPLY TO THIS PURCHASE AND TAKE PRECEDENCE OVER ALL OTHER CONFLICTING TERMS AND CONDITIONS, EXPRESS OR IMPLIED. | TOTAL | |
| ORDERED BY: (Print) |
Melody L Waight: Melody L Waight:
Person placing the order.
Melody L Waight: Melody L Waight:
| Use ONLY when freight is Destination, Prepaid and Add | Phone #: | |
| Signature: | Date: | |
| APPROVED BY:(Print) |
Melody L Waight: Melody L Waight:
Budgetary Manger with authority for the cost code(s) being used. If multiple, all budgetary managers must sign.
Melody L Waight: Melody L Waight:
Insert required delivery date from solicitation or as negotiated with Contractor (for direct purchase) Melody L Waight: Melody L Waight:
Insert entire legal name of vendor and physical address.
Melody L Waight: Melody L Waight:
| Insert PO number from list for your office. | Phone #: | |
| Signature: | Date: | |
| AUTHORIZED AGENT: |
Melody L Waight: Melody L Waight:
Name and signature of person with Contract Authority for the purchase (see Policy ASD 150_01) Melody L Waight: Melody L Waight:
Leave as "Destination" or if payment of freight is allowed, use drop-down to select "Destination, prepaid and add" Melody L Waight: Melody L Waight:
| Date PO is issued | Date: |
| Signature: | |
| RECEIVED BY: |
Melody L Waight: Melody L Waight:
Person receiving the Goods or Services and verifying they are in compliance with the Purchase Order requirements.
Melody L Waight: Melody L Waight:
Enter Vendor/Contractor's federal tax ID number Melody L Waight: Melody L Waight:
Enter Item number(s) 1, 2, 3, etc.
Melody L Waight: Melody L Waight:
Describe Goods, including part numbers. Describe Services to be performed - be specific Melody L Waight: Melody L Waight: Do not use PO Box Melody L Waight: Melody L Waight:
Enter Unit: Each, Pkg, Box, Ft, SF, CF, Yd, CY, Lump Sum, etc.
Melody L Waight: Melody L Waight:
Enter any special instructions or incorporate Federal Terms & Conditions, additional Insurance, etc. Consult with Contract Services staff for required insurance or federal terms.
Melody L Waight: Melody L Waight:
Use if standard PO terms and conditions apply (when NOT using a State Price Agreement). If using a State Price Agreement, DELETE THIS LANGUAGE.
When using federal funding you must consult with Contract Services staff and get instruction on the language to inser in the Special Instructions, and federal attachments to the PO.
Melody L Waight: Melody L Waight:
Use this language is purchasing under an existing State price agreement or participating addendum. Enter the specific price agreement or participating addendum number(s). DELETE THIS LANGUAGE IF STANDARD PO TERMS AND CONDITIONS APPLY.
| When using federal funding you must consult with Contract Services staff and get instruction on the language to inser in the Special Instructions, and federal attachments to the PO. | DATE RECEIVED: | ||||||||
| COST DISTRIBUTION (Page 1) | |||||||||
| ITEM # | DESCRIPTION | INDEX | PCA | OBJ. CODE | AMOUNT | GRANT | PH | PROJECT |
| COST DISTRIBUTION TOTALS | ||
| PAGE 1 Sub-Total | CONTINUATION PAGE Sub-Total | COST DIST. GRAND TOTAL |
| $0.00 | $0.00 | $0.00 |
&8&K00-019Revised Date: 03/07/13
Continuation Sheet
| PURCHASE ORDER | PO NO. | PO DATE: | |||||
| CONTINUATION PAGE | P | From Pg 1 | From Pg 1 | ||||
| VENDOR NAME: | Page # | ||||||
| of | |||||||
| ITEM # | DESCRIPTION CONTINUATION PAGE | QTY | UNIT | PRICE | TOTAL |
Melody L Waight: Melody L Waight:
Item/line number. Continue from first page.
Melody L Waight: Melody L Waight:
Describe Goods, including part numbers. Describe Services to be performed - be specific Melody L Waight: Melody L Waight:
| Enter Unit: Each, Pkg, Box, Ft, SF, CF, Yd, CY, Lump Sum, etc. | 0.00 | 0.00 | ||||
| 0.00 | 0.00 | |||||
| 0.00 | 0.00 | |||||
| 0.00 | 0.00 | |||||
| 0.00 | 0.00 | |||||
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| 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 | 0.00 | |||||
| 0.00 | 0.00 | |||||
| ADDITIONAL NOTES: | CONTINUATION SUB-TOTAL | $0.00 | 0.00 | |||
| Return to Page 1 |
| COST DISTRIBUTION CONTINUATION PAGE | ||||||||
| ITEM # | DESCRIPTION | INDEX | PCA | OBJ. CODE | AMOUNT | GRANT | PHASE | PROJECT |
COST DISTRIBUTION SUB-TOTAL $0.00 Return to Page 1
&8&K00-020Revised Date: 03/07/13 image1.png image2.emf image3.png
File details come from the government source that posted it. Updated .