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 vendor compensation and project invoicing. The form is designed to document service delivery and associated costs for contracts with the City, with submissions directed to the City's Accounts Payable department located at 7500 W. 29th Avenue, Wheat Ridge, CO 80033. The billing form captures project identification information, service period, and task completion status, allowing vendors to invoice for basic services rendered and any additional services provided during the contract term.

The form structure requires vendors to document the fee amount for each task, percentage of completion, and fees earned, then calculate the total amount due by subtracting any prior billings from the current period's earned fees. The document requires authorization from both the vendor and the relevant City department approver, with designated fields for signatures, printed names, titles, and dates to ensure proper documentation and accountability in the payment process. This billing mechanism applies to the City's Equity Audit contract, under which a qualified consultant will conduct a comprehensive organization-wide equity audit and deliver recommendations aligned with racial equity goals and the City's organizational values.