Sample_Billing_Form_-_Informational_Only.pdf
PDF 135 KB Posted
- Attached to
- Equity Audit
- Solicitation number
- 26-8
- Issued by
- Jefferson County, Weston CDP, Colorado
About this file
This is a sample billing form template for the City of Wheat Ridge, Colorado, designed for use in professional services contracts such as the Equity Audit consulting engagement. The form provides a standardized structure for vendors to submit invoices for compensation, including sections for basic service fees, percentage of completion tracking, prior billing amounts, additional services, and total amounts due. The template requires documentation of the service period, itemization of tasks with associated fees and completion percentages, and approval signatures from both the vendor and the responsible City department. Completed billing forms are to be submitted to the City of Wheat Ridge Accounts Payable department located at 7500 W. 29th Avenue, Wheat Ridge, Colorado 80033.
The form establishes the billing framework within which contract vendors will submit payment requests during the performance of their contracted services. It requires clear delineation between basic service charges and any additional services performed, with calculations showing the fee earned, prior amounts billed, and the current amount due. Both vendor authorization and City department approval signatures are mandatory before payment processing, ensuring internal controls and verification of work completion. This billing mechanism supports the City's financial management processes for professional services contracts like the Equity Audit RFP, which has a contract start date of April 1, 2026, with pricing requirements to remain firm for the initial contract year.
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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 .