Sample_Billing_Form_-_Informational_Only.pdf
PDF 135 KB Posted
- Attached to
- 38th West Improvements
- Solicitation number
- 26-53
- Issued by
- Jefferson County, Weston CDP, Colorado
About this file
This is a sample billing form for the City of Wheat Ridge, Colorado, designed for contractors to submit invoices for services rendered on municipal projects. The form is intended for use during the 38th West Improvements project, a civil construction initiative for which the city is soliciting qualified contractors. The billing form requires contractors to document the period of service, task descriptions, fee amounts, percentage of work completed, and fees earned. The document accommodates both basic service charges and additional services, with sections for itemizing prior billings and calculating the total amount due. Signature lines are provided for vendor authorization and city department approval, with completed forms to be submitted to the City of Wheat Ridge Accounts Payable department located at 7500 W. 29th Avenue, Wheat Ridge, CO 80033.
The sample form does not establish specific pricing terms, set-asides, or contractual amounts, as it functions purely as an informational template for billing purposes. No funding requirements, contract duration, or renewal options are specified in this document. The form serves as a standardized mechanism for contractors to request payment based on work completion percentages and to maintain clear documentation of services provided and amounts previously billed to the city.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 38th_West_Improvements.pdf | ||
| W_38th_Ave_60%_Drainage_Report_073126.pdf | ||
| 46-0330.20_Wheat_Ridge_38th_West_60%_Plans.pdf | ||
| City_of_Wheat_Ridge_Logo.jpg | JPG image | |
| Sample_Agreement_-_Informational_Only.pdf |
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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 .