Sol_Urgent_Repairs_Exmaple_Invoice.xlsx
XLSX spreadsheet 19 KB Posted
- Solicitation number
- 115581
- Issued by
- Prince George's County, Maryland
About this file
This is an invoice template and related solicitation document for the Washington Suburban Sanitary Commission (WSSC Water) in Maryland, which is seeking sealed responses for urgent repairs, rehabilitation, and replacement of water and wastewater assets throughout Prince George's and Montgomery Counties. The solicitation establishes a competitively awarded Indefinite Delivery/Indefinite Quantity (IDIQ) and requirements contract for comprehensive services including repair, rehabilitation, replacement, and relocation of water and sewer mains, valves (up to 30 inches nominal diameter), valve vaults, house connections, meter housings, manholes, fire hydrants, curb boxes, stops, cleanouts, and lamp holes. Responses must be submitted via WSSC Water's eProcurement Portal at https://procurement.opengov.com/portal/wsscwater prior to 2:00 p.m. on Monday, September 21, 2026, with late responses not accepted. WSSC Water intends to make multiple awards under this solicitation to ensure sufficient capacity, pricing competition, and timely responsiveness for both planned and emergency work, with Task Orders to be issued on an as-needed basis.
The invoice template provided contains fields for contractor information, billing details, account summaries with authorized funds, billed amounts, and payment terms including a standard Net 30 payment structure with a 0% payment discount offered within 20 days. The document indicates this is for emergency or urgent work, with the sample invoice reflecting a job period from August 10 to August 15, 2024, billed to the WSSC Water Contract Manager at 14501 Sweitzer Lane, Laurel, Maryland 20707. WSSC Water does not guarantee any minimum quantity of work under this requirements contract, meaning work will be fulfilled through this agreement only when services of the covered types are required, and invoices will be processed based on actual work performed and authorized contract amounts.
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Text version
Coversheet
| CONTRACTOR INFORMATION | INVOICE | Invoice # | <Invoice Number Here> | Revised Invoice #: | 0 | BILL TO | |||
| Contractor Name: <Contractor Name Here> | Invoice Date: | <invoice date issued here> | Revised Invoice Date: | 08/28/24 | WSSC, CONTRACT MANAGER, CM | ||||
| Contractor Address | Invoice Due Date: | <invoice due date here> | Revised Due Date: | 09/26/24 | 14501 Sweitzer Lane, RGH 02 | ||||
| City, State, ZIP | Invoice/Work Period: | <start of period> | <end of period> | Bill No. | 0 | Laurel, MD 20707 | |||
| Phone:(123) 456-7890 (Fax)(123) 456-7891 | Job Site Location: | Job Start Date | 08/10/24 | Phone No.: XXX-XXX-XXXX | |||||
| E-mail: Enter e-mail address | County | Job End Date | 08/15/24 | ||||||
| Federal Tax ID# Enter Federal Tax ID# | Contract Manager (CM) | Water or Sewer | Water | ||||||
| CM Phone Number | Pipe Dia. | CIP Task | Yes/No | ||||||
| CONTRACT | Contract #: | TBD | Pipe Depth | Task PO | |||||
| Description of Work | Contract Name: | TBD | |||||||
| CPA#: | TBD | TBD | Contract Term: | Emergency | Yes/No | ||||
| CPA Period: | TBD | TBD | Bid Job | Yes/No | Urgent | Yes/No | |||
| No. | Account Summary for Contract | Original Amount ($) | CO Amount ($) | Total Amount ($) | Note: | ||||
| 1 | Total Authorized Funds (For Entire Contract) | $ - 0 | |||||||
| 2 | Total Amount ($) Billed to Date including This Invoice/Period | $ - 0 | |||||||
| 3 | Total Amount ($) Previously Billed | $ - 0 | |||||||
| 4 | Total Amount ($) To be Paid (This Current Invoice/Period) | $ - 0 | |||||||
| 5 | Total Available Funds (Balance Remaining) | $ - 0 | |||||||
| 6 | Total MBE Paid Amount ($) | $ - 0 | |||||||
| 7 | Total Minority Goal (27.00% or Higher) | $ - 0 | |||||||
| *Payment Discount Offered: | 0% | 20 Days, Net 30 | Make Check Payable to | ||||||
| Signed and Certified By: | Date: | ||||||||
| Contractor Rep. Name: | Phone #: | ||||||||
| Contract Manager/Approver Signature: | |||||||||
| Contract Manager/Approver Approval Date: | Requisition # | ||||||||
| PO #: | |||||||||
| Division Manager Signature: | Requisition By: | ||||||||
| Division Manager Approval Date: | Receipt # | ||||||||
| Date Received: | |||||||||
| Accounting: | Received By: |
mailto:Luke.Hauf@wsscwater.com Itemized
| Contractor Information | INVOICE | Invoice # | <INSERT> | Revised Invoice #: | Bill To | |||||||
| Name: <INSERT> | Invoice Date: | <INSERT> | Revised Invoice Date: | WSSC Water | ||||||||
| Address Line 1: <INSERT> | Invoice Due Date: | <INSERT> | Revised Due Date: | <INSERT>, CM | ||||||||
| Address Line 2: <INSERT> | Invoice Period: | <INSERT> | Bill No. | 14501 Sweitzer Lane | ||||||||
| Job # | RGH 2 | |||||||||||
| Primary Contact Name: <INSERT> | CONTRACT | Contract #: | <INSERT> | Laurel, MD 20707 | ||||||||
| Phone # <INSERT> | Contract Name: | <INSERT> | Phone No.: <INSERT> | |||||||||
| E-Mail: <INSERT> | CPA#: | <INSERT> | Contract Term: | E-mail: <INSERT> | ||||||||
| CPA Period: | <INSERT> | |||||||||||
| Unit | QTY | Payment ($) | ||||||||||
| Work Request Type | Item | Code | Description of Item | Unit | Unit Price ($) | Current Invoice | Prev. Invoiced | To-Date Total | Current Invoice | Previously Invoiced | To-Date Total | WDC |
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