Sample_Billing_Form_-_Informational_Only.pdf

This is a sample billing form provided by the City of Wheat Ridge, Colorado for informational purposes related to contractor billing and payment processing. The form is designed for vendors to submit invoices for services rendered to the City, detailing the period of service, project name and number, and contact information for the relevant City department. The billing form accommodates both basic services and additional services, requiring vendors to report task fees, percentage of completion, fees earned, and prior billing amounts to calculate the total amount due. The form mandates approval by the appropriate City department before submission to the City's Accounts Payable office located at 7500 W. 29th Avenue, Wheat Ridge, CO 80033.

The form requires vendor signature, printed name, title, and date, along with authorization from the City Department approver and their title and date. This billing form is associated with the City's Noxious Weed Removal contract, which is awarded to one or more qualified firms to provide herbicide application services and manual removal of maturing seed heads on an as-needed basis as directed by the City. The contract term is one year with options to renew for four additional one-year periods and may be extended on a month-to-month or cycle basis until a new solicitation is completed and awarded. The form serves as the standardized mechanism for processing contractor payments under this agreement.