HomeMy WebLinkAboutRepublic Waste Services of Indiana/CFD/$6,261.25/Trash Removal & Recycle ASARepublic Waste Services of Indiana
Fire Department - 2024
Appropriation #1120 43-501.01 Fund; P.O. #111342
Contract Not To Exceed $6,261.25
ADDITIONAL SERVICES AMENDMENT TO
AGREEMENT FOR GOODS AND SERVICES
THIS AMENDMENT TO THE AGREEMENT FOR GOODS AND SERVICES (“Agreement”) entered into by
and between the City of Carmel and Republic Waste Services of Indiana, (the “Vendor”), as City Contract dated
December 28, 2023, shall amend the terms of the Agreement by adding the additional services to be provided by
Vendor consistent with the Scope of Work attached hereto and incorporated herein as Exhibit “A”. The terms and
conditions of the Agreement shall not otherwise be affected by this Additional Services Amendment and shall remain
in full force and effect.
IN WITNESS WHEREOF, the parties hereto have made and executed this Amendment as follows:
CITY OF CARMEL, INDIANA Republic Waste Services of Indiana
By: By:
David Haboush , Chief Authorized Signature
Carmel Fire Department
Date:
Printed Name
Title
FID/TIN:
Date:
Paul Cardinal
General Manager Indianapolis
7/24/2024
65-0716904
6/25/2024
REPUBLIC WASTE SERVICES OF INDIANA
PO BOX 713502
CHICAGO, IL 60677--0052
111342
REPUBLIC SERVICES #761
City of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35-6000972
PURCHASE ORDER NUMBER
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR SHIP
TO
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
EXTENSION
Trash Services - Sta. 41-44, 46, CTC and Admin
Carmel Fire Department
210 Veterans Way
Carmel, IN 46032-
358593
UNIT PRICEDESCRIPTIONUNIT OF MEASUREQUANTITY
Page 1 of 1
88389
1120Department:101Fund:General Fund
43-501.01Account:
***See Quote for Specific Container Sizes, Rates, Frequency
of dumps***
1 $0.00 $0.00Each
Trash Removal - Admin5 $215.00 $1,075.00Each
Trash Removal & Recycle - CTC5 $230.00 $1,150.00Each
Trash Removal & Recycle - Sta. 415 $293.50 $1,467.50Each
Trash Removal & Recycle - Sta. 425 $121.25 $606.25Each
Trash Removal & Recycle - Sta. 435 $88.50 $442.50Each
Trash Removal & Recycle - Sta. 445 $152.00 $760.00Each
Trash Removal & Recycle - Sta. 465 $152.00 $760.00Each
$6,261.25Sub Total
$6,261.25
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
SHIPPING INSTRUCTIONS
*SHIP PREPAID.
*C.O.D. SHIPMENT CANNOT BE ACCEPTED.
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
PAYMENT
* A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
CONTROL NO. 111342
ORDERED BY
TITLE
CONTROLLER
Carmel Fire Department
210 Veterans Way
Carmel, IN 46032-
Denise Snyder
Accreditation/Budget Administrator