Common use of CONTRACT ACCEPTANCE AND EXECUTION Clause in Contracts

CONTRACT ACCEPTANCE AND EXECUTION. The Board of Supervisors for Carson City, Nevada at their publicly noticed meeting of June 20, 2019 approved the acceptance of the attached Contract hereinbefore identified as CONTRACT No. 1819-205. Further, the Board of Supervisors authorizes the Mayor of Carson City, Nevada to set his hand to this document and record his signature for the execution of this Contract in accordance with the action taken. CARSON CITY, NEVADA ATTEST: XXXXXX X. XXXXXXX, MAYOR DATED this 20th day of June, 2019. XXXXXX XXXXXXX, CLERK-RECORDER DATED this 20th day of June, 2019 Setting the Standard for EMS Billing Xxxxxxx Enterprises, LLC 00000 Xxx Xxxxxx Xxxxx April 11, 2019 CITY OF XXXXXX CITY Request for Proposal (RFP) No. 1819-205 Emergency Medical Billing Services for Xxxxxx City Fire Department Sett ng t St nda d f r MS i g Xxxxxx Xxxxxxx, Xxxxxxxxxx 00000 xxx.xxxxxxxxx.xxx RFP Contact: Xxxx Xxxxx Director Of Business Development (000) 000-0000 Direct Line xxxxxx@xxxxxxxxx.xxx TABLE OF CONTENTS PART ONE: QUALIFICATIONS Letter from our CEO 1 Sett ng t St nda d f r MS i g Qualifications 2 Experience 2 27 Years EMS Billing Experience 2 Customized Solutions 3 Responsibility Statement 3 EMS Partner Satisfaction 3 Workload Accomplishment 4 EMS Partner References (Proprietary and Confidential) 4 PART TWO: STAFFING Xxxxxx City Staffing History 5 Organization 5 Company Representative 6 Key Personnel 6 Staffing Chart 8 Staff Availability 9 Sub-Consulting Partners 9 City of Xxxxxx City Staff 10 PART THREE: TECHNICAL Partnership Continuation Statement 11 Standard Time-Table for Deliverables During First Year 11 Scope of Work 11 Methodology and Scope of Work 12 Quality Assurance 21 Project Reporting 22 Project Tools 24 PART FOUR: PRICE Cost Statement 30 Cost Proposal 30 Billing and Collection Services 30 Sett ng t St nda d f r MS i g APPENDICES

Appears in 1 contract

Samples: Contract

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CONTRACT ACCEPTANCE AND EXECUTION. The Board of Supervisors for Carson City, Nevada at their publicly noticed meeting of June 20February 4, 2019 2021 approved the acceptance of the attached Contract hereinbefore identified as CONTRACT No. 1819-20520300170. Further, the Board of Supervisors authorizes the Mayor of Carson City, Nevada to set his hand to this document and record his signature for the execution of this Contract in accordance with the action taken. CARSON CITY, NEVADA ATTEST: XXXXXX X. XXXX XXXXXXX, MAYOR DATED this 20th 4th day of June, 2019February 2021. ATTEST: XXXXXX XXXXXXX, CLERK-RECORDER DATED this 20th 4th day of JuneFebruary 2021. SAMPLE INVOICE Invoice Number: Invoice Date: Invoice Period: Invoice shall be submitted to: Xxxxxx City Public Works Attn: Xxxx Xxxxxxxx, 2019 Setting the Standard for EMS Billing Xxxxxxx Enterprises, LLC 00000 email: XXxxxxxxx@xxxxxx.xxx 0000 Xxxxx Xxx Xxxxxx Xxxx XX 00000 Line Item # Description Unit Cost Units Completed Total $$ Total for this invoice Original Contract Sum $ Less amount previously billed $ = contract sum prior to this invoice $ Less this invoice $ =Dollars remaining on Contract $ ENCLOSE COPIES OF RECEIPTS & INVOICES FOR EXPENSES & OUTSIDE SERVICES Proposal January 6, 2021 Xx. Xxxxx April 11Xxxxx, 2019 CITY OF XXXXXX CITY Request for Proposal (RFP) No. 1819-205 Emergency Medical Billing Services for PE Project Manager Xxxxxx City Fire Public Works Department Sett ng t St nda d f r MS i g 0000 Xxxxx Xxx Xxxxxx XxxxxxxXxxx, Xxxxxxxxxx XX 00000 xxx.xxxxxxxxx.xxx RFP ContactRe: Xxxx Xxxxx Director Of Business Development (000) 000-0000 Direct Line xxxxxx@xxxxxxxxx.xxx TABLE OF CONTENTS PART ONE: QUALIFICATIONS Letter from our CEO 1 Sett ng t St nda d f r MS i g Qualifications 2 Experience 2 27 Years EMS Billing Experience 2 Customized Solutions 3 Responsibility Statement 3 EMS Partner Satisfaction 3 Workload Accomplishment 4 EMS Partner References (Proprietary and Confidential) 4 PART TWO: STAFFING Xxxxxx City Staffing History 5 Organization 5 Company Representative 6 Key Personnel 6 Staffing Chart 8 Staff Availability 9 SubJuvenile Services Facility Needs Assessment Dear Xx. Xxxxx, Thank you for the opportunity to present our proposal for the project. The scope is as noted in the attached Scope of Work Summary dated December 22, 2020, which includes the Xxxxxx City Juvenile Services Facility Needs Assessment scope document provided by Xxxxxx City. Project Team Architecture H+K Architects Civil Engineering Lumos & Associates Structural Engineering Will Engineering Mechanical Engineering Xxxxxxxxx Associates Mechanical Engineers Electrical Engineering PK Electrical, Inc. Cost Estimating X’Xxxxxx Construction Management, Inc. Proposed Compensation Compensation is proposed as time and materials not to exceed Seventy Nine Thousand Dollars ($79,000.00). Compensation will be for labor and project costs based on the attached fee schedules. We appreciate your consideration of H+K Architects for the project. Please contact me should you have any questions or need additional information Sincerely, Xxx Xxxxxxxxx, AIA Scope of Work Summary‌‌ Date: December 22, 2020 Project: Xxxxxx City Juvenile Services Facility Needs Assessment TASKS  Kick off meeting led by H+K Architects to determine space program and project components. The engineering consultants will not be in attendance.  On-Consulting Partners 9 City site planning workshop and site visit led by H+K and the engineering consultants during the Preliminary Draft Report phase.  Preliminary Draft Report with development of a maximum of 3 alternatives to include:  Preliminary review of Xxxxxx City Staff 10 PART THREE: TECHNICAL Partnership Continuation Statement 11 Standard TimeAdopted Building Codes, Nevada Revised Statutes, Prison Rape Elimination Act (PREA), State Mandates and Xxxxxx City’s projected growth.  Conceptual building systems analysis including structural, mechanical, plumbing and electrical.  Site development concepts for each alternative including schematic utility analysis.  Preliminary code analysis.  Site plan and floor plan alternatives. These will be developed at a conceptual level.  Cost statements for each alternative.  Possible site visit to the Washoe County Xxx Xxxxx Juvenile Justice Center in Reno.  Workshop to review Preliminary Draft Report and select preferred alternative led by H+K Architects. The engineering consultants will not be in attendance.  Final Needs Assessment Report, including final cost statement and development of the preferred alternative in plans and narrative. SCOPE OF WORK The scope will be as described above and in the “Xxxxxx City Juvenile Services Facility Needs Assessment” document. The emphasis will be on concept-Table level site plans and floor plans for Deliverables During First Year 11 each of the alternatives. The alternatives are anticipated to include one or two alternatives that include the use of the existing building (11,500 SF) to the greatest extent possible with additions to provide additional program space. The other one or two alternatives are anticipated to be new buildings on the site. Some narrative is expected, but it will not be extensive. Similarities are anticipated in the building systems for the alternatives. An aerial of the site is attached. Copies of the site plan and floor plan from the original building drawing set are also attached. COST STATEMENTS X’Xxxxxx Construction Management, Inc. will prepare the cost statements. H+K and each of the engineers will assist with defining the building systems. Xxxxxx City Juvenile Services Facility Needs Assessment Scope of Work 11 Methodology and Scope Summary December 22, 2020‌ SCHEDULE A preliminary schedule is attached. COMPENSATION Compensation will be a stipulated sum. ATTACHMENTS  “Xxxxxx City Juvenile Services Facility Needs Assessment” document  Aerial Google Image  Site Plan from original drawing set  Floor Plan from the original drawing set  Preliminary Project Schedule End of Work 12 Quality Assurance 21 Project Reporting 22 Project Tools 24 PART FOUR: PRICE Cost Statement 30 Cost Proposal 30 Billing and Collection Services 30 Sett ng t St nda d f r MS i g APPENDICESSummary

Appears in 1 contract

Samples: legistarweb-production.s3.amazonaws.com

CONTRACT ACCEPTANCE AND EXECUTION. The Board City Council of Supervisors for Carson CityFernley, Nevada Nevada, at their publicly noticed meeting of June 20, 2019 20 , approved the acceptance of the attached Contract hereinbefore identified as CONTRACT No. 1819-205this Contract. Further, the Board of Supervisors City Council authorizes the Mayor of Carson CityFernley, Nevada to set his hand to this document and record his signature for the execution of this Contract in accordance with the action taken. CARSON CITY, NEVADA ATTESTFERNLEY: XXXXXX X. XXXXXXXXXX XXXXXXXXX, MAYOR DATED this 20th day of June, 201920 . XXXXXX ATTEST: XXX XXXXXXX, CLERK-RECORDER CITY CLERK DATED this 20th day of June, 20 . , being first duly sworn, deposes and says: That is the Contractor; that has read the foregoing Contract; and that understands the terms, conditions, and requirements thereof. CONTRACTOR BY: TITLE: FIRM: BUSINESS LICENSE #: Address: City: State: Zip Code: Telephone: / Fax #: E-mail Address: (Signature of Contractor) DATED this day of , 20 . STATE OF ) ) ss County of ) On this day of , in the year 20 , before me, / Notary Public, personally appeared , personally known to me or proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to this instrument, and acknowledged that he executed it. WITNESS my hand and official seal. Notary's Signature My Commission Expires: ATTACHMENT A SCOPE OF SERVICES Xxxxxx City • Fallon • Lake Tahoe • Reno xxx.XxxxxXxx.xxx Reno 0000 Xxxxxxxxx Xxxxx Xxxx, Xxxxxx 00000 775.827.6111 September 9, 2019 Setting the Standard Xxxxxxx Xxxxx, Senior Project Manager City of Fernley-Public Works Department 000 Xxxxxx Xxxx Xxxxxxxxx Xxxxxxx, Xxxxxx 00000 Subject: Proposal for EMS Billing Xxxxxxx Enterprises, LLC 00000 Xxx Xxxxxx Xxxxx April 11, 2019 CITY OF XXXXXX CITY Request for Proposal (RFP) No. 1819-205 Emergency Medical Billing Design and Construction Services for Xxxxxx City Fire Department Sett ng t St nda d f r MS i g Xxxxxx Xxxxxxx, Xxxxxxxxxx 00000 xxx.xxxxxxxxx.xxx RFP Contact: Xxxx Xxxxx Director Of Business Development (000) 000-0000 Direct Line xxxxxx@xxxxxxxxx.xxx TABLE OF CONTENTS PART ONE: QUALIFICATIONS Letter from our CEO 1 Sett ng t St nda d f r MS i g Qualifications 2 Experience 2 27 Years EMS Billing Experience 2 Customized Solutions 3 Responsibility Statement 3 EMS Partner Satisfaction 3 Workload Accomplishment 4 EMS Partner References (Proprietary and Confidential) 4 PART TWO: STAFFING Xxxxxx City Staffing History 5 Organization 5 Company Representative 6 Key Personnel 6 Staffing Chart 8 Staff Availability 9 Sub-Consulting Partners 9 the City of Xxxxxx City Staff 10 PART THREEFernley FY 19/20 PMP Maintenance Project Dear Xxxxxxx: TECHNICAL Partnership Continuation Statement 11 Standard Time-Table Lumos & Associates, Inc. is pleased to provide you with this proposal for Deliverables During First Year 11 Scope of Work 11 Methodology design and Scope of Work 12 Quality Assurance 21 Project Reporting 22 Project Tools 24 PART FOUR: PRICE Cost Statement 30 Cost Proposal 30 Billing and Collection Services 30 Sett ng t St nda d f r MS i g APPENDICESconstruction services for the FY 19/20 PMP Maintenance Project.

Appears in 1 contract

Samples: www.cityoffernley.org

CONTRACT ACCEPTANCE AND EXECUTION. The Board of Supervisors for Carson City, Nevada at their publicly noticed meeting of June 20September 6, 2019 2018 approved the acceptance of the attached Contract hereinbefore identified as CONTRACT No. 1819-205099. Further, the Board of Supervisors authorizes the Mayor of Carson City, Nevada to set his hand to this document and record his signature for the execution of this Contract in accordance with the action taken. CARSON CITY, NEVADA ATTEST: XXXXXX X. XXXXXXX, MAYOR DATED this 20th 6th day of June, 2019September 2018. XXXXXX XXXXXXXXXXXX XXXXXXXXXXX, CLERK-RECORDER DATED this 20th 6th day of JuneSeptember 2018. SAMPLE INVOICE Invoice Number: Invoice Date: Invoice Period: Invoice shall be submitted to: Carson City Public Works Attn: Xxxxx Xxxxx 0000 Xxxxx Xxx Carson City NV 89701 Line Item # Description Unit Cost Units Completed Total $$ Total for this invoice Original Contract Sum $ Less amount previously billed $ = contract sum prior to this invoice $ Less this invoice $ =Dollars remaining on Contract $ ENCLOSE COPIES OF RECEIPTS & INVOICES FOR EXPENSES & OUTSIDE SERVICES South Xxxxxx Street and Xxxxxxx Street Roundabout Scope of Work‌ Xxxxxx-Xxxx and Associates, 2019 Setting the Standard for EMS Billing Xxxxxxx Enterprises, LLC 00000 Xxx Xxxxxx Xxxxx April 11, 2019 CITY OF XXXXXX CITY Request for Proposal Inc. (RFP“Xxxxxx-Xxxx” or “CONSULTANT”) No. 1819-205 Emergency Medical Billing Services for Xxxxxx City Fire Department Sett ng t St nda d f r MS i g Xxxxxx Xxxxxxx, Xxxxxxxxxx 00000 xxx.xxxxxxxxx.xxx RFP Contact: Xxxx Xxxxx Director Of Business Development (000) 000-0000 Direct Line xxxxxx@xxxxxxxxx.xxx TABLE OF CONTENTS PART ONE: QUALIFICATIONS Letter from our CEO 1 Sett ng t St nda d f r MS i g Qualifications 2 Experience 2 27 Years EMS Billing Experience 2 Customized Solutions 3 Responsibility Statement 3 EMS Partner Satisfaction 3 Workload Accomplishment 4 EMS Partner References (Proprietary and Confidential) 4 PART TWO: STAFFING Xxxxxx City Staffing History 5 Organization 5 Company Representative 6 Key Personnel 6 Staffing Chart 8 Staff Availability 9 Sub-Consulting Partners 9 City of Xxxxxx City Staff 10 PART THREE: TECHNICAL Partnership Continuation Statement 11 Standard Time-Table for Deliverables During First Year 11 is pleased to submit this Scope of Work 11 Methodology to Carson City (“CITY”) to provide professional engineering services for the design of a roundabout at South Xxxxxx Street and Scope Xxxxxxx Street. The roundabout design completed by the CONSULTANT will be an intersection improvement incorporated into a complete streets design project along the South Xxxxxx Street Corridor which is being designed by the CITY. Our project understanding and scope of Work 12 Quality Assurance 21 Project Reporting 22 Project Tools 24 PART FOURservices for the roundabout design, are detailed below. UNDERSTANDING AND ASSUMPTIONS ▪ CONSULTANT understands that CITY staff will design the overall Xxxxxx Street corridor. ▪ The roundabout construction documents are a subset of a larger, complete bid package that will be prepared by the CITY. CONSULTANT will provide roundabout plans and technical specifications for CITY to incorporate into the complete bid package. ▪ CITY will provide CONSULTANT with horizontal and vertical design information that is sufficient for CONSULTANT to tie proposed roundabout improvements into CITY’s overall design. ▪ Construction staging plans and traffic control plans are not required. It is assumed the contractor will prepare and submit construction staging plans and traffic control plans for approval. ▪ CONSULTANT understands the CITY is obtaining and providing survey to the CONSULTANT that will consist of aerial photogrammetry and supplemental field shots. The information provided shall consist of horizontal and vertical control with a basis of bearing and a vertical datum. The CITY will provide the alignment and stationing for South Xxxxxx Street that will be used for design of the overall project. The City will provide a Digital Terrain Model (DTM) and AutoCAD files to the CONSULTANT. The Supplemental field measurements will include information to locate general as-built physical features such as: PRICE Cost Statement 30 Cost Proposal 30 Billing edge of pavement; lip of curb; top back of curb; back of sidewalks including angle points and Collection curved locations; traffic striping; signage; fencing or walls with top of wall and footing elevations; landscape areas; large trees and large shrubs; drop inlets, manhole rims and cleanouts (underground inverts, flow lines and pipe sizes are required); fire-hydrants and other above ground water related appurtenances; power and utility poles; street/area lighting; vaults, transformers and meters along with other surface evidence of underground utilities; structures with finish floor elevations; major landscaping features; xxxxxx, berms, channels and other significant natural ground features. ▪ The CITY is obtaining and providing traffic counts to the CONSULTANT. The traffic counts will include peak hour turning movement counts for the intersection of South Xxxxxx Street and Xxxxxxx Street along with road tube counts for intersection approaches. Design year traffic volumes will also be provided by the CITY. xxxxxx-xxxx.xxx 0000 Xxxxxxx Xxxx, Xxxxx 000, Xxxx, Xxxxxx 00000 000 000 0000 ▪ Landscape architecture along the Xxxxxx Street corridor and at the roundabout will be completed by a landscape architect hired by the CITY. The CONSULTANT will coordinate with the landscape architect by providing base drawings for the roundabout roadway design to the landscape architect. The CONSULTANT will incorporate appropriate landscape design elements into the final roundabout design drawings such as sleeves for irrigation or electric power. The CONSULTANT will review the landscape plans to determine any conflicts with the roundabout roadway plans. ▪ Lighting along the Xxxxxx Street corridor and at the roundabout will be completed by an electrical engineer hired by the CITY. The CONSULTANT will coordinate with the electrical engineer by providing base drawings for the roundabout roadway design to the electrical engineer. The CONSULTANT will review the lighting plans to determine any conflicts with the roundabout roadway plans. ▪ Geotechnical Services 30 Sett ng t St nda d f r MS i g APPENDICESwill be contracted directly by the CITY. The CONSULTANT expects to receive a minimum of six pavement cores within the proposed roundabout project limits, three of which include subgrade bulk samples with R-Values, moisture content, Atterberg limits, and sieve analysis. The CONSULTANT will provide the CITY with the locations of cores/bulks. ▪ The CONSULTANT assumes a single asphalt pavement section will be utilized for the roundabout, and a pavement design report will not be required. ▪ CONSULTANT assumes the CITY will coordinate with the utility providers in the area and provide to the CONSULTANT the utility information required for design of the roundabout. The CONSULTANT will meet with utility providers as needed and in conjunction with other scheduled meetings with the CITY as described in Task 1. ▪ The method of project delivery for the South Xxxxxx Street Corridor and the roundabout will be the Construction Manager at Risk (XXXX) method. The CITY anticipates having a contractor under contract such that the contractor will be part of the 30/60/90/100% project reviews. ▪ The CONSULTANT will prepare the roundabout plans in AutoCAD and will be compatible with AutoCAD 14. ▪ The CITY will prepare the overall specifications documents including front end documents and special provisions. The CONSULTANT will provide to the CITY the technical specification elements associated with the roundabout design for inclusion in the overall document.

Appears in 1 contract

Samples: Contract

CONTRACT ACCEPTANCE AND EXECUTION. The Board of Supervisors for Carson City, Nevada at their publicly noticed meeting of June 20April 4, 2019 approved the acceptance of the attached Contract hereinbefore identified as CONTRACT No. 1819-205179. Further, the Board of Supervisors authorizes the Mayor of Carson City, Nevada to set his hand to this document and record his signature for the execution of this Contract in accordance with the action taken. CARSON CITY, NEVADA ATTEST: XXXXXX X. XXXXXXX, MAYOR DATED this 20th 4th day of June, April 2019. XXXXXX XXXXXXX, CLERK-RECORDER DATED this 20th this 4th day of June, 2019 Setting the Standard for EMS Billing Xxxxxxx Enterprises, LLC 00000 Xxx Xxxxxx Xxxxx April 11, 2019 CITY OF XXXXXX CITY Request for Proposal (RFP) No2019. 1819-205 Emergency Medical Billing Services for SAMPLE INVOICE Invoice Number: Invoice Date: Invoice Period: Invoice shall be submitted to: Xxxxxx City Fire Parks, Recreation and Open Space Department Sett ng t St nda d f r MS i g Attn: Xxxxx Xxxxxxxxxx 0000 Xxxxx Xxx #9 Carson City NV 89701 Line Item # Description Unit Cost Units Completed Total $$ Total for this invoice Original Contract Sum $ Less amount previously billed $ = contract sum prior to this invoice $ Less this invoice $ =Dollars remaining on Contract $ ENCLOSE COPIES OF RECEIPTS & INVOICES FOR EXPENSES & OUTSIDE SERVICES Xxxxxx XxxxxxxRiver Trail System Phase II Scope of Work, Xxxxxxxxxx 00000 xxx.xxxxxxxxx.xxx RFP Contact: Xxxx Xxxxx Director Of Business Development (000) 0003-0000 Direct Line xxxxxx@xxxxxxxxx.xxx TABLE OF CONTENTS PART ONE: QUALIFICATIONS Letter from our CEO 1 Sett ng t St nda d f r MS i g Qualifications 2 Experience 2 27 Years EMS Billing Experience 2 Customized Solutions 3 Responsibility Statement 3 EMS Partner Satisfaction 3 Workload Accomplishment 4 EMS Partner References (Proprietary and Confidential) 4 PART TWO: STAFFING 14-19 Phase II of the Xxxxxx River Trail System will complete two key links in the greater east Xxxxxx City Staffing History 5 Organization 5 Company Representative 6 Key Personnel 6 Staffing Chart 8 Staff Availability 9 Subtrail network. The project includes three non-Consulting Partners 9 City motorized trail segments:  The Prison Hill Trail will connect the existing dirt parking area at the southwest corner of East Fifth Street and Xxxxxx River Road to the entrance of Silver Saddle Ranch.  The Mexican Ditch Trail Extension will connect the Prison Hill Trail to the Mexican Ditch Trail near the Red House Complex at Silver Saddle Ranch.  The West Riverbank Trail will connect Riverview Park with Silver Saddle Ranch, passing through Buzzy’s Ranch. The trails will be 10-foot wide with 2-foot shoulders. They will be unpaved, but constructed of structural material with a decomposed granite surface. The total trail length is approximately three miles. Xxxxxx City Staff 10 PART THREE: TECHNICAL Partnership Continuation Statement 11 Standard Time-Table requires design and construction documents to be completed by the end of 2019. Based on discussions with Xxxxxx City staff, Lumos & Associates proposes the following tasks and budgets to accomplish the required elements and deliverables for Deliverables During First Year 11 Scope of Work 11 Methodology the project. Tasks will be billed on a time and Scope of Work 12 Quality Assurance 21 Project Reporting 22 Project Tools 24 PART FOUR: PRICE Cost Statement 30 Cost Proposal 30 Billing and Collection Services 30 Sett ng t St nda d f r MS i g APPENDICESmaterials basis.

Appears in 1 contract

Samples: Contract

CONTRACT ACCEPTANCE AND EXECUTION. The Board City Council of Supervisors for Carson CityFernley, Nevada Nevada, at their publicly noticed meeting of June 20, 2019 20 , approved the acceptance of the attached Contract hereinbefore identified as CONTRACT No. 1819-205this Contract. Further, the Board of Supervisors City Council authorizes the Mayor of Carson CityFernley, Nevada to set his hand to this document and record his signature for the execution of this Contract in accordance with the action taken. CARSON CITY, NEVADA ATTESTFERNLEY: XXXXXX X. XXXXXXXXXX XXXXXXXXX, MAYOR DATED this 20th day of June, 201920 . XXXXXX ATTEST: XXX XXXXXXX, CLERK-RECORDER CITY CLERK DATED this 20th day of June, 2019 Setting 20 . , being first duly sworn, deposes and says: That is the Standard for EMS Billing Contractor; that has read the foregoing Contract; and that understands the terms, conditions, and requirements thereof. CONTRACTOR BY: TITLE: FIRM: BUSINESS LICENSE #: Address: City: State: Zip Code: Telephone: / Fax #: E-mail Address: (Signature of Contractor) DATED this day of , 20 . STATE OF ) ) ss County of ) On this day of , in the year 20 , before me, / Notary Public, personally appeared , personally known to me or proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to this instrument, and acknowledged that he executed it. WITNESS my hand and official seal. Notary's Signature My Commission Expires: ATTACHMENT A SCOPE OF SERVICES ATTACHMENT A SCOPE OF SERVICES To: Xxxxxxx EnterprisesXxxxx, LLC 00000 Xxx Xxxxxx Xxxxx April 11P.E., 2019 CITY OF XXXXXX CITY Request for Proposal (RFP) No. 1819-205 Emergency Medical Billing Services for Xxxxxx City Fire Department Sett ng t St nda d f r MS i g Xxxxxx Xxxxxxx, Xxxxxxxxxx 00000 xxx.xxxxxxxxx.xxx RFP Contact: Xxxx Xxxxx Director Of Business Development (000) 000-0000 Direct Line xxxxxx@xxxxxxxxx.xxx TABLE OF CONTENTS PART ONE: QUALIFICATIONS Letter from our CEO 1 Sett ng t St nda d f r MS i g Qualifications 2 Experience 2 27 Years EMS Billing Experience 2 Customized Solutions 3 Responsibility Statement 3 EMS Partner Satisfaction 3 Workload Accomplishment 4 EMS Partner References (Proprietary and Confidential) 4 PART TWO: STAFFING Xxxxxx City Staffing History 5 Organization 5 Company Representative 6 Key Personnel 6 Staffing Chart 8 Staff Availability 9 Sub-Consulting Partners 9 City of Xxxxxx Fernley From: Xxxxx Xxxxx, P.E., PTOE, RSP2, Xxxxxx-Xxxx Date: July 16, 2020 Fernley Signal Participation Fee Development and Operations Analysis Project US 95A and Fremont Street/Xxxxxxxx Trail and US 95A and Newlands Drive Intersections SCOPE OF SERVICES Background It is our understanding that the City Staff 10 PART THREE: TECHNICAL Partnership Continuation Statement 11 Standard Time-Table for Deliverables During First Year 11 Scope of Work 11 Methodology Fernley (City) desires two main services as part of this contract, a developer participation fee case study and Scope an operations analysis. The City is interested in learning more about different approaches or methods used in Nevada to assess a developer’s signal participation fees based on the development’s traffic impact at an intersection. In particular, the City is interested in the signalized intersections of Work 12 Quality Assurance 21 Project Reporting 22 Project Tools 24 PART FOUR: PRICE Cost Statement 30 Cost Proposal 30 Billing US 95A and Collection Services 30 Sett ng t St nda d f r MS i g APPENDICESFremont Street/Xxxxxxx Trail as well as US 95A and Newlands Road. The City also desires a review of the traffic signal and driveway operations along US 95A from Xxxxx Xxxx to the I- 80 eastbound ramps to determine capacity constraints and intersection operation improvements.

Appears in 1 contract

Samples: www.cityoffernley.org

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CONTRACT ACCEPTANCE AND EXECUTION. The Board of Supervisors for Carson City, Nevada at their publicly noticed meeting of June 20December 15, 2019 2016 approved the acceptance of the attached Contract hereinbefore identified as CONTRACT No. 18191617-205084. Further, the Board of Supervisors authorizes the Mayor of Carson City, Nevada to set his hand to this document and record his signature for the execution of this Contract in accordance with the action taken. CARSON CITY, NEVADA ATTEST: XXXXXX X. XXXXXXX, MAYOR DATED this 20th 15th day of JuneDecember, 20192016. XXXXXX XXXXXXXATTEST: XXXXX XXXXXXXXXXX, CLERK-RECORDER DATED this 20th 15th day of JuneDecember, 2019 Setting the Standard for EMS Billing Xxxxxxx Enterprises, LLC 00000 2016. SAMPLE INVOICE Invoice Number: Invoice Date: Invoice Period: Vendor Number: Invoice shall be submitted to: Xxxxxx City Public Works Attn: Xxxxx Xxxxx 0000 Xxxxx Xxx Xxxxxx Xxxx XX 00000 Line Item # Description Unit Cost Units Completed Total $$ Total for this invoice Original Contract Sum $ Less amount previously billed $ = contract sum prior to this invoice $ Less this invoice $ =Dollars remaining on Contract $ ENCLOSE COPIES OF RECEIPTS & INVOICES FOR EXPENSES & OUTSIDE SERVICES November 22, 2016 Xxxxx April 11Xxxxxxxx Utility Manager 0000 Xxxxx Xxx Xxxxxx Xxxx, XX 00000 Dear Xx. Xxxxxxxx, Eurofins Xxxxx Analytical, Inc. (EEA) is pleased to submit fees and qualifications for your 2017 through 2019 CITY OF XXXXXX CITY Request for Proposal (RFP) Nowater quality testing contract. 1819-205 Emergency Medical Billing Services for Xxxxxx City Fire Department Sett ng t St nda d f r MS i g Xxxxxx Xxxxxxx, Xxxxxxxxxx 00000 xxx.xxxxxxxxx.xxx RFP Contact: Xxxx Xxxxx Director Of Business Development (000) 000-0000 Direct Line xxxxxx@xxxxxxxxx.xxx TABLE OF CONTENTS PART ONE: QUALIFICATIONS Letter from The following summarizes key aspects of our CEO 1 Sett ng t St nda d f r MS i g Qualifications 2 Experience 2 27 Years EMS Billing Experience 2 Customized Solutions 3 Responsibility Statement 3 EMS Partner Satisfaction 3 Workload Accomplishment 4 EMS Partner References (Proprietary and Confidential) 4 PART TWO: STAFFING Xxxxxx City Staffing History 5 Organization 5 Company Representative 6 Key Personnel 6 Staffing Chart 8 Staff Availability 9 Sub-Consulting Partners 9 service to the City of Xxxxxx City Staff making us uniquely qualified to continue under the new contract. • EEA provides in-house capabilities for all Safe Drinking Water Act testing with full Nevada certification therefore no subcontracting for any listed parameters resulting in tightly controlled quality assurance and reduced cost to the City. • EEA is Nevada’s most experienced and largest drinking water Laboratory, our clients include; Xxxxxx City, Truckee Meadow Water Authority (including Washoe County), Southern Nevada Water Authority and the State of Nevada Health Lab (providing statewide small system testing). We provide the City with comprehensive knowledge of the State’s compliance requirements and Lab-to- State reporting capabilities. • EEA is holding our fees for the next three years (unchanged for 6 years) providing the City with predictable low cost service to help the City manage budgets. This is achieved through our centralized laboratory business model, $1,000,000 plus annual technology investments and centralized purchasing power to keep costs down. • EEA has been working with the City continuously since 2002. We are familiar with your system, unique water quality, staff needs for communication and regulatory requirements. Our knowledge helps the City manage its water quality compliance more efficiently with less staff hours and provides a second level of oversight for water quality. • EEA as the Nation’s leading water quality laboratory is engaged with the water industry at the State and National level we bring valuable information on emerging regulations, methodologies and water quality issues to the City’s staff without their need to incur the costs and time away to obtain this information themselves. Below is our fee proposal reflecting current fees to the City with no escalation through the full term of this new contract. Should you have any questions please contact Xxxxxxx Xxxxxx at xxxxxxxxxxxxx@xxxxxxxxxx.xxx or 000-000-0000. Sincerely Eurofins Xxxxx Analytical, Inc. Xxxxxx Xxxxx President Eurofins Xxxxx Analytical, Inc. Fee Proposal - November, 2016 Test Set / Parameter / Contaminant 0000 XXX Xxxx Xxxx XXX Xxx. Fees 2018 EEA Unit Cost EEA Ext. Fees 0000 XXX Xxxx Xxxx XXX Xxx. Fees Arsenic 172* $10.00 $1,720.00 161* $10.00 $1,610.00 159* $10.00 $1,590.00 IOC Cyanide 2 $35.00 $70.00 2 $35.00 $70.00 2 $35.00 $70.00 IOCs Phase 2 & 5, see list 1 $110.00 $110.00 3 $110.00 $330.00 3 $110.00 $330.00 Rads., gross alpha 2 $45.00 $90.00 0 $45.00 $0.00 0 $45.00 $0.00 Rads. Ra226&Ra228 2 $160.00 $320.00 0 $160.00 $0.00 0 $160.00 $0.00 Rads Ur 17 $25.00 $425.00 0 $25.00 $0.00 0 $25.00 $0.00 All Radionuclides 132** $230.00 $30,360.00 132** $230.00 $30,360.00 132** $230.00 $30,360.00 Secondary IOCs (see Secondary IOCs list) 17 $210.00 $3,570.00 6 $210.00 $1,260.00 4 $210.00 $840.00 secondary IOC Fluoride 20 $12.00 $240.00 5 $12.00 $60.00 4 $12.00 $48.00 VOCs Phase 2&5, SOCs Phase 2 & 5 Jan ‐ June (see combined VOCs/SOCs list) 1 $975.00 $975.00 21 $975.00 $20,475.00 3 $975.00 $2,925.00 SOCs Phase 2&5 (see SOCs list) July ‐ Dec 7 $910.00 $6,370.00 21 $910.00 $19,110.00 3 $910.00 $2,730.00 Sodium 18 $10.00 $180.00 5 $10.00 $50.00 4 $10.00 $40.00 DBPR2, TTHMs and HAA5s 68*** $115.00 $7,820.00 32 $115.00 $3,680.00 32 $115.00 $3,680.00 Total Chemistry List 9 $185.00 $1,665.00 0 $185.00 $0.00 0 $185.00 $0.00 Total Organic Carbon 72**** $25.00 $1,800.00 0 $25.00 $0.00 0 $25.00 $0.00 Pb and Cu 30 $20.00 $600.00 0 $20.00 $0.00 0 $20.00 $0.00 ASR sampling below: June and Sept, 2 each TTHMs 4 $45.00 $180.00 4 $45.00 $180.00 4 $45.00 $180.00 Total Organic Carbon 4 $25.00 $100.00 4 $25.00 $100.00 4 $25.00 $100.00 ASR Attachment B (see list) 4 $350.00 $1,400.00 4 $350.00 $1,400.00 4 $350.00 $1,400.00 Gross Alpha, Beta, Uranium 4 $70.00 $280.00 4 $70.00 $280.00 4 $70.00 $280.00 LT2 Crypto and Giardia 27***** $450.00 $12,150.00 Full Source Water Sampling 1 $1,680.00 $1,680.00 Total Per Year $72,105.00 $78,965.00 $44,573.00 Grand Total $195,643.00 * 13 per month plus source samples ** 11 per month *** 8 times 4 qrtrs plus 3 per month **** 6 per month ***** 3 per month for first 9 months Xxxxxx City Parameters ASR Attachment B (all of this column) IOCs Phase II & IV aluminum Baruim antimony Cadmium Arsenic Chromium barium Fluoride beryllium Mercury cadmium Selenium chromium copper Antimony lead Beryllium manganese Cyanide nickel Nickel silver Thallium thallium zinc DBPs hardness Bromoform bromide Chloroform Chlorodibromomethane EPA method 200.7 for Bromodichloromethane Iron Total Trihalomethanes magnesium calcium Bromochloroacetic acid sodium Dibromoacetic acid boron Dichloroacetic acid potassium Monobromoacetic acid Monochloroacetic acid EPA method 300 for Trichloroacetic acid Chloride Total HAA5's Fluoride Nitrate EC at 25 C by SM 2510 B Nitrite Sulfate Color (method not specified use EPA drinking water method) mercury by EPA 245.1 Total Organic Carbon (method not specified use EPA drinking water method) total dissolved solids by EPA 160.1 TTHMs (EPA drinking water method) total suspended solids by EPA 160.2 alkalinity, bicarbonate, and carbonate by SM 2320 B Radionuclides Secondary IOCs Combined Radium 226 & 228, pCi/L Aluminum Radium 226 Chloride Radium 228 Color Copper Gross Alpha, pCi/L Corrosivitiy Gross Beta, pCi/L Fluoride Foaming Agents (MBAS) Uranium, ICAP/MS, µg/L Iron Uranium, by ICPMS as pIc/L Magnesium Manganese Xxxxx 000 Xxxx Xxxxx two sigma error pH Silver Lead & Copper Sulfate Lead Total Dissilved Solids Copper Zinc Asbestos Other constituents measured: Asbestos (fibers >10 PART THREE: TECHNICAL Partnership Continuation Statement 11 Standard Time-Table for Deliverables During First Year 11 Scope of Work 11 Methodology and Scope of Work 12 Quality Assurance 21 Project Reporting 22 Project Tools 24 PART FOUR: PRICE Cost Statement 30 Cost Proposal 30 Billing and Collection Services 30 Sett ng t St nda d f r mm) Bicarbonate Total Chemistry Carbonate T.D.S. (Total Dissolved Solids) Silica dissolved Hardness as CACO3 Hardness Calcium (Ca) Calcium Magnesium (Mg) Potassium Sodium (Na) Alkalinity in CaCO3 Potassium (K) Specific Conductance Sulfate (So4) Turbidity Chloride (Cl) Langlier Index Nitrate (No3) Alkalinity Sodium Fluoride (F) Arsenic (As) Iron (Fe) Manganese (Mn) Copper (Cu) Zinc (Zn) Turbidity pH MBAS Surfactant Lead Color Barium (Ba) VOCs/SOCs combined list with methods Endothall Phenanthrene Glyphosate Prometryn 525 Semivolatiles by GC/MS i g APPENDICESPropachlor 2,4 ‐ Dinitrotoluene Pyrene alpha‐Chlordane Simazine Diazinon(Qualitative) Thiobencarb Acenaphthylene Trifluralin Alachlor Aldicarbs by 531.2 Aldrin 3‐Hyrdoxycarbofuran Anthracene Aldicarb (Temik) Atrazine Aldicarb sulfone

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Samples: Contract

CONTRACT ACCEPTANCE AND EXECUTION. The Board of Supervisors for Carson City, Nevada at their publicly noticed meeting of June 20February 7, 2019 approved the acceptance of the attached Contract hereinbefore identified as CONTRACT No. 1819-205136. Further, the Board of Supervisors authorizes the Mayor of Carson City, Nevada to set his hand to this document and record his signature for the execution of this Contract in accordance with the action taken. CARSON CITY, NEVADA ATTEST: XXXXXX X. XXXXXXX, MAYOR DATED this 20th 7th day of June, February 2019. XXXXXX XXXXXXX, CLERK-RECORDER DATED this 20th 7th day of JuneFebruary, 2019 Setting the Standard 2019. SAMPLE INVOICE Invoice Number: Invoice Date: Invoice Period: Invoice shall be submitted to: Xxxxxx City Public Works Attn: Xxxxxx Xxxxxxx 0000 Xxxxx Xxx Carson City NV 89701 Line Item # Description Unit Cost Units Completed Total $$ Total for EMS Billing Xxxxxxx Enterprisesthis invoice Original Contract Sum $ Less amount previously billed $ = contract sum prior to this invoice $ Less this invoice $ =Dollars remaining on Contract $ ENCLOSE COPIES OF RECEIPTS & INVOICES FOR EXPENSES & OUTSIDE SERVICES January 10, LLC 00000 2019‌‌ Mr. Xxxx Xxxxxx, P.E. Wastewater Utility Manager Xxxxxx City Public Works Department 0000 Xxxxx Xxx Xxxxxx Xxxx, Xxxxxx 00000 RE: Water, Wastewater and Stormwater Rate Study Refresh Dear Xxxx, It is our pleasure to present the attached proposal for consideration by the Board of Supervisors. We look forward to working with the City on this project. Sincerely, Xxxxx April 11Xxxx, 2019 CITY OF XXXXXX CITY Request for Proposal (RFP) No. 1819-205 Emergency Medical Billing Services for Xxxxxx City Fire Department Sett ng t St nda d f r MS i g Xxxxxx XxxxxxxP.E. President 0000 Xxxxxxx Xxxx • Reno, Xxxxxxxxxx 00000 xxx.xxxxxxxxx.xxx RFP Contact: Xxxx Xxxxx Director Of Business Development Nevada 89511 • (000) 000-0000 Direct Line xxxxxx@xxxxxxxxx.xxx TABLE OF CONTENTS PART ONE: QUALIFICATIONS Letter from our CEO 1 Sett ng t St nda d f r MS i g Qualifications 2 Experience 2 27 Years EMS Billing Experience 2 Customized Solutions 3 Responsibility Statement 3 EMS Partner Satisfaction 3 Workload Accomplishment 4 EMS Partner References • Fax (Proprietary 000) 000-0000 000 Xxxxx Xxxxxx •Xxxx, Xxxxxx 00000 • (000) 000-0000 • Fax (000) 000-0000 BACKGROUND‌‌ Carson City, Nevada Water, Wastewater and Confidential) 4 PART TWO: STAFFING Xxxxxx Stormwater Rate Study Refresh The City Staffing History 5 Organization 5 Company Representative 6 Key Personnel 6 Staffing Chart 8 Staff Availability 9 Subundertook a comprehensive rate study in 2013 for the water and sewer utilities. The study included a series of newly adopted financial policies which served to guide the resulting rate evaluation and development of complex rate models for the water and sewer utilities using the entire user database for each utility. The study resulted in a significant change in the rate structure reflecting distribution of costs to the users based on cost of service to the user. This resulted in shifting costs between commercial, industrial, state, and residential users based on actual costs of operating the water or sewer system. In addition, the rates included capitalization costs for new infrastructure improvements and adding depreciation costs for replacement of the current facilities. The costs were phased in over a five-Consulting Partners 9 City year period to avoid rate shock. The last of Xxxxxx City Staff 10 PART THREE: TECHNICAL Partnership Continuation Statement 11 Standard Timethe five years of rate increases went into effect in July 2017. Connection fee recommendations were not approved in the initial rate approval but were subsequently approved in modified form later in the five-Table for Deliverables During First Year 11 Scope year period of Work 11 Methodology and Scope of Work 12 Quality Assurance 21 Project Reporting 22 Project Tools 24 PART FOUR: PRICE Cost Statement 30 Cost Proposal 30 Billing and Collection Services 30 Sett ng t St nda d f r MS i g APPENDICESthe phased in rate changes.

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Samples: Contract

CONTRACT ACCEPTANCE AND EXECUTION. The Board of Supervisors for Carson City, Nevada at their publicly noticed meeting of June 20February 7, 2019 approved the acceptance of the attached Contract hereinbefore identified as CONTRACT No. 1819-205136. Further, the Board of Supervisors authorizes the Mayor of Carson City, Nevada to set his hand to this document and record his signature for the execution of this Contract in accordance with the action taken. CARSON CITY, NEVADA ATTEST: XXXXXX X. XXXXXXX, MAYOR DATED this 20th 7th day of June, February 2019. XXXXXX XXXXXXX, CLERK-RECORDER DATED this 20th 7th day of JuneFebruary, 2019 Setting the Standard 2019. SAMPLE INVOICE Invoice Number: Invoice Date: Invoice Period: Invoice shall be submitted to: Xxxxxx City Public Works Attn: Xxxxxx Xxxxxxx 0000 Xxxxx Xxx Carson City NV 89701 Line Item # Description Unit Cost Units Completed Total $$ Total for EMS Billing Xxxxxxx Enterprisesthis invoice Original Contract Sum $ Less amount previously billed $ = contract sum prior to this invoice $ Less this invoice $ =Dollars remaining on Contract $ ENCLOSE COPIES OF RECEIPTS & INVOICES FOR EXPENSES & OUTSIDE SERVICES January 10, LLC 00000 2019‌‌ Mr. Xxxx Xxxxxx, P.E. Wastewater Utility Manager Xxxxxx City Public Works Department 0000 Xxxxx Xxx Xxxxxx Xxxx, Xxxxxx 00000 RE: Water, Wastewater and Stormwater Rate Study Refresh Dear Andy, It is our pleasure to present the attached proposal for consideration by the Board of Supervisors. We look forward to working with the City on this project. Sincerely, Xxxxx April 11Xxxx, 2019 CITY OF XXXXXX CITY Request for Proposal (RFP) No. 1819-205 Emergency Medical Billing Services for Xxxxxx City Fire Department Sett ng t St nda d f r MS i g Xxxxxx XxxxxxxP.E. President 0000 Xxxxxxx Xxxx • Reno, Xxxxxxxxxx 00000 xxx.xxxxxxxxx.xxx RFP Contact: Xxxx Xxxxx Director Of Business Development Nevada 89511 • (000) 000-0000 Direct Line xxxxxx@xxxxxxxxx.xxx TABLE OF CONTENTS PART ONE: QUALIFICATIONS Letter from our CEO 1 Sett ng t St nda d f r MS i g Qualifications 2 Experience 2 27 Years EMS Billing Experience 2 Customized Solutions 3 Responsibility Statement 3 EMS Partner Satisfaction 3 Workload Accomplishment 4 EMS Partner References • Fax (Proprietary 000) 000-0000 000 Xxxxx Xxxxxx •Xxxx, Xxxxxx 00000 • (000) 000-0000 • Fax (000) 000-0000 BACKGROUND‌‌ Carson City, Nevada Water, Wastewater and Confidential) 4 PART TWO: STAFFING Xxxxxx Stormwater Rate Study Refresh The City Staffing History 5 Organization 5 Company Representative 6 Key Personnel 6 Staffing Chart 8 Staff Availability 9 Subundertook a comprehensive rate study in 2013 for the water and sewer utilities. The study included a series of newly adopted financial policies which served to guide the resulting rate evaluation and development of complex rate models for the water and sewer utilities using the entire user database for each utility. The study resulted in a significant change in the rate structure reflecting distribution of costs to the users based on cost of service to the user. This resulted in shifting costs between commercial, industrial, state, and residential users based on actual costs of operating the water or sewer system. In addition, the rates included capitalization costs for new infrastructure improvements and adding depreciation costs for replacement of the current facilities. The costs were phased in over a five-Consulting Partners 9 City year period to avoid rate shock. The last of Xxxxxx City Staff 10 PART THREE: TECHNICAL Partnership Continuation Statement 11 Standard Timethe five years of rate increases went into effect in July 2017. Connection fee recommendations were not approved in the initial rate approval but were subsequently approved in modified form later in the five-Table for Deliverables During First Year 11 Scope year period of Work 11 Methodology and Scope of Work 12 Quality Assurance 21 Project Reporting 22 Project Tools 24 PART FOUR: PRICE Cost Statement 30 Cost Proposal 30 Billing and Collection Services 30 Sett ng t St nda d f r MS i g APPENDICESthe phased in rate changes.

Appears in 1 contract

Samples: Contract

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