HomeMy WebLinkAboutNelson Alarm, LLC/ICS/$28,255/Security Cameras and Accessories - ASA 3CzTfshfzHsfdivlijobu3;21qn-Opw2:-3132
DocuSign Envelope ID: 34B1D15A-AB0C-46B6-AB14-6C5D021E030F
Not Present
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12/1/2021
12/1/2021
12/1/2021
Nelson Alarm
2602 East 55th Street • Indianapolis, Indiana 46220 • Phone: 317-255-2125 • Fax: 317-53-8802
City of Carmel
Date: November 19, 2021
Customer Name: City of Carmel Information and Communication Systems
Address: 31 1st Ave NW
City, State, Zip: Carmel, IN 46032
Contact: Morgan Rinehart
Phone: (317)-710-6145
Location: Direct Sale
Address: Direct Sale
The below quote is for direct sale of Axis Communications Equipment:
Total Equipment Price: $28,255
This quote may fluctuate due to supply chain constraints and OEM/supplier price adjustments.
Guarantee and lock in purchase today.
QTY Part Description Price
10 Z4-01702001 (Q1798LE) Bullet IR Camera 15,092
5 Z4-01473001 (T91B67) Pole Mount 407
5 Z4-01752004 (Q6075-E) 1080P PTZ IP67 12,756
Exhibit A
DocuSign Envelope ID: 34B1D15A-AB0C-46B6-AB14-6C5D021E030F
I
INDIANA RETAIL TAX EXEMPT
City ®f Carme CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
ONE CIVIC SQUARE 35-6000972
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
HASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO.
11/19/2021 00352213
Page 1 of 1
PURCHASE ORDER NUMBER
105790
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
DESCRIPTION
VW Cameras
NELSON ALARM COMPANY ICS
VENDOR 2602 E 55TH STREET SHIP 31 1st Avenue N.W.
TO
Carmel, IN 46032-
INDIANAPOLIS, IN 46220 - Timothy Renick (317) 571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
61218
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 44-631.00
10 Each Q1798LE Axis camera Bullet IR
5 Each T91 B67 Pole mount
5 Each Q6075-5 PTZ IP67 1080P
Send Invoice To:
ICS
Timothy Renick
31 1st Avenue N.W.
Carmel, IN 46032-
317)571-2576
DEPARTMENT
0 F CA
1,509.20 $15,092.00
81.40 $407.00
2,551.20 $12,756.00
Sub Total $28,255.00
PLEASE INVOICE IN DUPLICATE
ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $28,255.00
SHIPPING INSTRUCTIONS *
AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADC A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
C.O.D. SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABE `-/'
LTHISORDERISSUEDINCOMPLIANCEWITHCHAPTER99, ACTS 194
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Timothy Renick James Crider
TITLE Director Director of Administration
CONTROL NO. 105790 CONTROLLER
DocuSign Envelope ID: 34B1D15A-AB0C-46B6-AB14-6C5D021E030F