Sample_Billing_Form_-_Informational_Only.pdf

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Attached to
Bus Stop & Shelter Cleaning & Snow Removal Services
Solicitation number
25-41
Issued by
Jefferson County, Weston CDP, Colorado

About this file

This is a Sample Billing Form informational document provided by the City of Wheat Ridge, Colorado for bus stop and shelter cleaning and snow removal services. The form is designed for vendors to submit monthly invoices for services rendered across 181 maintenance locations, including 30 shelters, 183 benches, 150 receptacles, and one non-public access restroom. The contractor must provide weekly cleaning services, snow removal within 8 hours of snowfall completion, graffiti removal, and facility maintenance between 4:00 a.m. and 4:00 p.m. daily, including weekends. The Request for Proposals was issued on October 9, 2025, with vendor questions due by October 27, 2025, and proposals due by November 10, 2025, at 2:00 p.m. Mountain Time. The contract will be awarded to a single contractor for an initial one-year term with four optional one-year renewal periods.

The billing form requires vendors to detail basic service tasks, fee amounts, percentage completion, and fees earned, with prior billing amounts deducted to determine the total amount due. Additional services may be invoiced separately. Monthly invoices must be submitted to the City of Wheat Ridge Accounts Payable Department at 7500 W. 29th Avenue, Wheat Ridge, CO 80033, with payment processed within 30 days via Electronic Funds Transfer. The City is exempt from city, county, state, and federal sales taxes. Evaluation of proposals will utilize a Best Value procurement model with a points-based scoring system across firm capabilities, team qualifications, approach, plan effectiveness, and pricing totaling 100 possible points. The contractor must provide all necessary equipment, including vehicles bearing company names and strobe safety lighting, and maintain comprehensive insurance coverage including workers' compensation, employer liability, commercial general liability, and automotive liability with specified minimum levels.

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Text version

SAMPLE BILLING FORM - For Example Only

Date:

City Project Name and Number:

City Contact Name or Department:

Period of Service: through Summary below (see attached reports for further details)

BASIC SERVICE

Task: Fee Amount: % Complete: Fee Earned: Prior Billing:

TOTAL:

Fee earned: $

Less amount previously billed: $

Amount due: $

ADDITIONAL SERVICES:

Amount due: $

TOTAL AMOUNT DUE: $

Vendor’s signature: Date:

Printed name: Title:

City Department approval (signature of approver):

Title: Date:

SUBMIT TO:

ACCOUNTS PAYABLE

CITY OF WHEAT RIDGE

7500 W. 29th Avenue Wheat Ridge, CO 80033

File details come from the government source that posted it. Updated .