WATER TREATMENT PLANTS 1 AND 3 WELLFIELD EXPANSION PHASE 1 - WELL INSTALLATION - PROJECT NO. 07-0037-UT - ADDENDUM TO AGREEMENTADDENDUM TO AGREEMENT FOR CONSTRUCTION OF
WATER TREATMENT PLANTS 1 & 3
WELLFIELD EXPANSION PHASE I
CITY OF CLEARWATER CONTRACT No. 07-0037-UT
In reference to contract # 07-0037-UT dated FEBRUARY, 2009 between City of Clearwater, the Owner, and
SOUTHEAST DRILLING SERVICES, INC., the Contractor, it is further AGREED as follows:
1. The Owner has reserved the right to purchase certain portions of the material for the Project directly in
order to save applicable sales tax in compliance with Florida Law since owner is exempt from the payment of
sales tax.
2. The attachments lettered "A", "B", and "C", attached hereto (as amended by notations thereon) and
incorporated herein shall be executed by the Contractor and applicable Sub-contractors and the"terms thereof
shall govern the purchase of materials for the Project as determined by the Owner.
3. The contract price shall be reduced by the cost of the materials purchased by owner plus the normally
applicable sales tax as bid by the Contractor even if the cost is in excess of the cost for the materials as bid by the
Contractor. However, for purposes of calculating engineering fees, contractor fees, architects fees, and any other
amounts that are based on the contract amount, the original contract amount shall be used.
4. The Contractor reserves the right to authorize payments for invoiced materials, prior to Owner's
authorization process, as outlined in Attachment "D".
5. The Contractor will assist Owner in owner's direct purchase of materials for the project. However,
owner acknowledges that Contractor's Sub-contractors nonetheless each reserves the right to purchase project
materials directly, without Owner's prior approval and consequent power to eliminate reimbursement of sales tax.
This addendum, upon its execution by both parties, is made an integral part of the aforementioned agreement.
CITY OF CLEARWATER:
Date: 9 -2,4 - O 7 - -
Wil iam B. Horne II
City Manager/Owner
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Leslie K. Dougall-91
Assistant City Attorn
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ATTACHMENT "A"
FROM CITY OF CLEARWATER (OWNER)
TO SOUTHEAST DRILLING SERVICES, INC. (CONTRACTOR)
OWNER-FURNISHED MATERIALS
PROJECT: WATER TREATMENT PLANTS 1 & 3 - WELLFIELD EXPANSION PHASE 1(07-0037-UT)
1. The Contract Price includes Florida sales and other applicable taxes for material, supplies, and
equipment which will be a part of the Contractor's Work. The owner, being exempt from sales tax, reserves the
right to make direct purchases of various construction materials included in the Contractor's contract. Owner-
purchasing of construction material, if selected, will be administered on a deductive Change Order basis.
Additionally, Purchase Orders will include Owner's Certificate of Exemption number.
2. The Contractor shall provide the Owner a list of all intended suppliers, vendors, and material for
consideration as Owner-Furnished Materials. The Contractor shall submit price quotes from the vendors, as well
as a description of the materials to be supplied, estimated quantities, and prices.
3. The Contractor shall be fully responsible for all matters relating to the receipt of materials furnished by
the Owner in accordance with these Special Provisions including, but not limited to, verifying correct quantities,
verifying documents of orders in a timely manner, coordinating purchases, providing and obtaining all warranties
and guarantees required by the Contract Documents, inspection and acceptance of the goods at the time of
delivery due to the negligence of the Contractor. However, the owner assumes the risk of damage or loss
during the time that the building materials are physically stored at the job site prior to their installation or
incorporation into the project. The Contractor shall coordinate delivery schedules, sequence of delivery,
loading orientation, and other arrangements normally required by the Contractor for the particular material
furnished. The Contractor shall provide all services required for the unloading and handling of materials. The
Contractor agrees to indemnify and hold harmless the Owner from any and all claims of whatever nature resulting
from non-payment of goods to suppliers arising from the action of the Contractor.
4. As Owner-Furnished Materials are delivered to the job site, the Contractor shall visually inspect all
shipments from the suppliers, and approve the vendor's invoice for material delivered. The Contractor shall
assure that each delivery of Owner-Furnished Materials is accompanied by documentation adequate to identify
the Purchase Order against which the purchase is made. This documentation may consist of a delivery ticket and
an invoice from the supplier conforming to the Purchase Order together with such additional information as the
Owner may require. The Contractor will then forward the invoice to the Owner for payment, pursuant to
Attachment A of this Contract-
s. The Contractor shall insure that Owner-Furnished Materials conform to the Specifications and
determine prior to acceptance of goods at time of delivery if such materials are patently defective, and whether
such materials are identical to the materials ordered and match the description on the bill of lading. If the
Contractor discovers defective or non-conformities in Owner-Furnished Materials upon such visual inspection, the
Contractor shall not utilize such nonconforming or defective materials in the Contractor's Work and instead shall
properly notify the Owner of the defective or nonconforming condition so that repair or replacement of those
materials can occur without undue delay or interruption to the Project. If the Contractor fails to perform such
inspection and otherwise incorporates into the Contractor's Work such defective or nonconforming Owner-
Furnished Materials, the condition of which it either knew or should have known by performance of an inspection,
Contractor shall be responsible for all damages to the Owner, resulting from Contractor's incorporation of such
materials into the Project, including liquidating or delay damages.
6. The Contractor shall maintain records of all Owner-Furnished Materials it incorporates into Contractor's
Work from the stock of Owner-Furnished Materials in its possession. The Contractor shall account monthly to the
Owner for any Owner-Furnished Materials delivered into the Contractor's possession, indicating portions of all
such materials which have been incorporated in the Contractor's Work.
7. The Contractor shall be responsible for obtaining and managing all warranties and guarantees for all
materials and products as required by the Contract Documents. All repair, maintenance, or damage-repair calls
shall be forwarded to the Contractor for resolution with the appropriate supplier, vendor, or subcontractor.
B. Notwithstanding the transfer of Owner-Furnished Materials by the Owner to the Contractor's
possession, the Owner shall retain legal and equitable title to any and all Owner-Furnished Materials.
9. The Owner shall indemnify and hold Contractor harmless from any sales tax (and interest and
penalties incurred in connection therewith) in the event there is a final determination that sales made by Owner,
which Owner treats as being exempt from sales tax, are subject to sales tax. "Final determination" shall mean an
assessment by the Department of Revenue that is no longer subject to protest, or a determination of a court
having jurisdiction over such matters that is final and not subject to appeal. Contractor agrees to promptly notify
owner of any audit, assessment, proposed assessment or notice of deficiency issued with regard to the Project
and relating to Owner-Furnished Materials.
10. As invoices are received, Contractor shall be required to review invoices submitted by all suppliers of
Owner-Furnished Materials delivered to the Project during that delivery for use by the Contractor and either
concur or object to the Owner's issuance of payment to the suppliers, based upon Contractor's records of
materials delivered to the site and any defects in such materials.
11. In order to arrange for the prompt payment to the supplier, the Contractor shall provide to the Owner a
listing indicating the acceptance of the goods or materials within thirty (30) days of receipt of said goods or
materials. The list shall include a copy of all applicable Purchase Orders which will include owner's Certificate of
Exemption number, invoices, delivery tickets, written acceptance of the delivered item, and such other
documentation as may be reasonably required by the Owner. The check will be released, delivered and remitted
directly to the supplier. The Contractor agrees to assist the Owner to immediately obtain partial or final release or
waivers as appropriate. At the end of the Project, Contractor will be provided with a deductive Change Order for
the cost incurred by the Owner to provide all Owner-Furnished Materials. Salvage materials shall be stored or
removed from the site by the Contractor at the Owner's direction, or may be turned over to the Contractor for
salvage or disposal at the Contractor's option.
12. The Contractor shall be entitled to the benefits of any discounts attributable to the early payment of
vendor invoices for materials furnished by the Owner pursuant to the Specifications.
13. The Contract between Contractor and Owner is hereby amended to clarify that Owner-Furnished
Material shall be included in the Cost of the Work for the purpose of determining the Contract Sum due
Contractor.
ATTACHMENT "S"
FROM SOUTHEAST DRILLING SERVICES. INC. (CONTRACTOR)
TO HD SUPPLY WATERWORKS, LTD. (SUBCONTRACTOR)
OWNER-FURNISHED MATERIALS
PROJECT: TREATMENT PLANTS 1 & 3 - WELLFIELD EXPANSION PHASE I (07-0037-UT
1. The Contract Price includes Florida sales and other applicable taxes for material, supplies, and
equipment which will be a part of the Subcontractor's Work. The Owner, being exempt from sales tax, reserves
the right to make direct purchases of various construction materials included in the Subcontractor's contract.
Owner-Purchasing of construction material, if selected, will be administered on a deductive Change Order basis.
Additionally, Purchase Orders will include owner's Certification of Exemption number.
2. The Subcontractor shall provide the owner a list of all intended suppliers, vendors, and material for
consideration as Owner-Furnished Materials. The Subcontractor shall submit price quotes from the vendors, as
well as a description of the materials to be supplied, estimated quantities, and prices.
3. The Subcontractor shall be fully responsible for all matters relating to the receipt of materials furnished
by the Owner in accordance with these Special Provisions including, but not limited to, verifying correct quantities,
verifying documents of orders in a timely manner, coordinating purchases, providing and obtaining all warranties
and guarantees required by the Contract Documents, inspection and acceptance of the goods at the time of
delivery due to the negligence of the Subcontractor. However, the Owner assumes the risk of damage or loss
during the time that the building materials are physically stored at the job site prior to their installation or
incorporation into the project. The Subcontractor shall coordinate delivery schedules, sequence of delivery,
loading orientation, and other arrangements normally required by the Subcontractor for the particular material
furnished. The Subcontractor shall provide all services required for the unloading and handling of materials. The
Subcontractor agrees to indemnify and hold harmless the Owner from any and all claims of whatever nature
resulting from non-payment of goods to suppliers arising from the action of the Subcontractor.
4. As Owner-Furnished Materials are delivered to the job site, the Subcontractor shall visually inspect all
shipments from the suppliers, and approve the vendor's invoice for material delivered. The Subcontractor shall
assure that each delivery of Owner-Furnished Materials is accompanied by documentation adequate to identify
the Purchase Order against which the purchase is made. This documentation may consist of a delivery ticket and
an invoice from the supplier conforming to the Purchase Order together with such additional information as the
Owner may require. The Subcontractor will then forward the invoice to the Owner for payment, pursuant to
Attachment "A" of this Contract.
5. The Subcontractor shall insure that Owner-Furnished Materials conform to the Specifications and
determine prior to incorporation into the Subcontractor's Work if such materials are patently defective, and
whether such materials are identical to the materials ordered and match the description on the bill of lading. If the
Subcontractor discovers defective or non-conformities in Owner-Furnished Materials upon such visual inspection,
the Subcontractor shall not utilize such nonconforming or defective materials in the Subcontractor's Work and
instead shall properly notify the Owner of the defective or nonconforming condition so that repair or replacement
of those materials can occur without undue delay or interruption to the Project. If the Contractor fails to perform
such inspection and otherwise incorporates into the Subcontractor's Work such defective or nonconforming
Owner-Furnished Materials, the condition of which it either knew or should have known by performance of an
inspection, Subcontractor shall be responsible for all damages to the owner, resulting from Subcontractor's
incorporation of such materials into the Project, including liquidating or delay damages.
6. The Subcontractor shall maintain records of all owner-Furnished Materials it incorporates into
Subcontractor's Work from the stock of Owner-furnished Materials in its possession. The Subcontractor shall
account monthly to the Owner for any owner-Fumished Materials delivered into the Subcontractor's possession,
indicating portions of all such materials which have been incorporated in the Subcontractor's Work.
7. The Subcontractor shall be responsible for obtaining and managing all warranties and guarantees for
all materials and products as required by the Contract Documents. All repair, maintenance, or damage-repair calls
shall be forwarded to the Subcontractor for resolution with the appropriate supplier, vendor, or sub-subcontractor.
A __r
8. Notwithstanding the transfer of Owner-Furnished Materials by the Owner to the Subcontractor's
possession, the Owner shall retain legal and equitable title to any and all Owner-Furnished Materials.
9. The Owner shall indemnify and hold Subcontractor harmless from any sales tax (and interest and
penalties incurred in connection therewith) in the event there is a final determination that sales made by Owner,
which Owner treats as being exempt from sales tax, are subject to sales tax. "Final determination" shall mean an
assessment by the Department of Revenue that is no longer subject to protest, or a determination of a court
having jurisdiction over such matters that is final and not subject to appeal. Subcontractor agrees to promptly
notify Owner of any audit, assessment, proposed assessment or notice of deficiency issued with regard to the
Project and relating to Owner-Furnished Materials.
10. As invoices are received, Subcontractor shall be required to review invoices submitted by all suppliers
of Owner-Furnished Materials delivered to the Project during that delivery for use by the Subcontractor and either
concur or object to the Owner's issuance of payment to the suppliers, based upon Subcontractor's records of
materials delivered to the site and any defects in such materials.
11. In order to arrange for the prompt payment to the supplier, the Subcontractor shall provide to the
Owner a listing indicating the acceptance of the goods or materials within fifteen (15) days of receipt of said goods
or materials. The list shall include a copy of all applicable Purchase Orders which will include owner's Certificate
of Exemption number, invoices, delivery tickets, written acceptance of the delivered item, and such other
documentation as may be reasonably required by the Owner. The check will be released, delivered and remitted
directly to the supplier. The Subcontractor agrees to assist the Owner to immediately obtain partial or final release
or waivers as appropriate. At the end of the Project, Subcontractor will be provided with a deductive Change
Order for the cost incurred by the Owner to provide all Owner-Furnished Materials. Salvage materials shall be
stored or removed from the site by the Subcontractor at the Owner's direction, or may be turned over to the
Subcontractor for salvage or disposal at the Subcontractor's option.
ATTACHMENT "C"
FROM SOUTHEAST DRILLING SERVICES, INC. (CONTRACTOR)
TO HD SUPPLY WATERWORKS LTD. (SUBCONTRACTOR)
PROJECT: TREATMENT PLANTS 1 & 3 - WELLFIELD EXPANSION PHASE 1 (07-0037-UT)
This project qualifies the Owner to utilize its sales tax exemption for the purchase of materials used in the project.
In order to do this, the City of Clearwater, Florida, (Owner) must pay for the materials directly. This shall be
accomplished in the following manner:
1. Subcontracts will be issued by Contractor to Subcontractors in the usual manner, including sales tax.
2. Subcontractors will prepare their material orders and forward same to Contractor so that City of
Clearwater (owner) purchase orders may be placed for these materials.
3. Contractor will return to the Subcontractor a copy of the City of Clearwater (owner) purchase order on
behalf of the City of Clearwater (Owner). It shall read:
To: Supplier
For: Material per attached Subcontractor order,
4. The material supplier will then bill the City of Clearwater (Owner) c/o "Subcontractor" c/o Contractor.
Subcontractor will approve invoice and send to Contractor who will submit same to City of Clearwater
(Owner) for payment.
5.City of Clearwater (Owner) will then pay the invoice directly and the Subcontractor will be issued a
deductive change order for the amount of the invoice plus sales tax.
It is imperative that the Subcontractor approve the invoices and forward them to Contractor by the
of each month for payment by the Those received after the will be processed in the next
month's billing cycle.
ATTACHMENT "D"
PROCEDURE FOR GENERATING SUB-CONTRACTOR DIRECT PURCHASE ORDERS FOR SALES TAX
CREDITS
1. General Contractor will submit requisition for materials with vendor information required (see vendor
application form), item description, quantity if applicable, price, etc. Also included will be the sales tax savings
amount.
2. Architect will review the requisition, and forward to the project manager for approval and preparation of
electronic purchase requisition. Requisition must contain project number as well as correct account number.
3. Project Manager will then request requisition approval from the Finance Director.
4. Purchasing will issue purchase order and will mail, fax, or otherwise distribute purchase order as
requested.
5. A purchase order summary report will be maintained indicating the following: purchase order number,
owner Certificate of Exemption number, vendor, total amount of P.O., total tax savings, amount previously
requested, amount of current request, and remaining balance of P.O. This report will be updated and issued with
each group of payment requests (monthly).
6. Payment requests with invoices must have receiving paperwork with authorized signatures and must
be submitted for approval as indicated below:
7. Payment authorization sequence: invoices must be submitted for approval in the following order:
a. General Contractor
b. Architect
c. Project Manager
d. Engineering/City Manager
e. Purchasing/for processing only
f. Finance/for processing only
PROCEDURES FOR SALES TAX SAVINGS, REQUESTS TO REQUISITION
and RECEIVINGANVOICING
CITY OF CLEARWATER
TREATMENT PLANTS 1 & 3 - WELLFIELD EXPANSION PHASE I
PROJECT # 07-0037-UT
Contractor: __ Southeast Drilling Services
CEI: McKim and Creed
Addendum to Agreement for Construction:
See separate instructions for completing the Addendum to Agreement.
Process procedures for tax savings:
2. Completion of the Request to Requisition forms by Contractor.
3. Approved by CEI. Approver(s): Jae- IQLrgdnjs r (?li ?cl? ('fn;cvc.?,?u
4. Original to Owner's Representative for processing of P.O. requisition.
5. Based on Request to Requisition forms a schedule will be prepared for the City's Purchasing
Manager to reduce the Contractor's P.O. by the amount of the P.O.s to the Materials Suppliers. It
is important to process as many material supplier Requests to Requisition as possible at one time
thereby reducing the amount of changes necessary to Contractor's P.O. Construction contract
will not change and the sum of the P.O.s to the Materials Suppliers plus the Contractor's P.O will
represent the total contract commitment. Before sending to the PurchasWg Manager, the
schedule will be forwarded to the Owner's Representative. CEI and Contractor's
representative for approval. We will need the e-mail address for the Contractor's & CEI's
contact person(s) for this process. .?
6. The estimated sales tax savings for each materials requisition will be deducted from the primary
lines of Contractor's P.O. A related Sales Tax Savings line for each charge code will be added to
the Contractor's P.O. No changes will be made to the sales tax savings lines until all materials
are purchased, received, accepted and paid for unless additional materials purchases are
necessary.
7. Closing of the sales tax savings line on the Contractor's P.O. can only be done through a change
order (Recommendation is that it's done on the final C/O).
Process procedures for request to requisition forms:
1. General description is a brief recap (sewer lines and manholes; water lines; etc)
2. Contractor should include their fax number as well as a contact number.
3. In the description section of the Request to Requisition include any special delivery instructions.
4. Indicate whether or not retainage is to be withheld. City's standard is 5%.
5. Include the address where the supplier is to mail invoices.
6. Where applicable, shipping and handling costs should be listed as a line item on the request to
requisition.
7. City staff will complete the charge code line.
Procedures where a detailed line item proposal has been received from the ODP supplier:
a. On the request to requisition summarize the materials to be ordered by type of system
(stormwater, streets, water, sewer, reclaimed, etc) giving the total dollar amount per for each
system. Leave 2 line spaces between each system to allow for the addition of the City's
charge code.
b. Attach the supplier's proposal to be mailed as an attachment to the purchase order.
Attachment should include estimated quantities and types of materials. Cost information is
optional.
Procedures where a detailed line item proposal is not available:
c. Provide quantities and detailed descriptions of the items to be ordered, per unit and total cost
as the City's P.O. will be sent directly to the Materials Supplier.
d. Materials on each request to requisition should be grouped in relation to the major billing line
items on Contractor's P.O. Leave 2 spaces between each group, as the City will add the
appropriate charge codes.
8. The requesting official will be the Contractor's official with authority to procure materials.
Contractor's authorized procurer(s): BILL. ZIEGLER, BRIAN ZIEGLER. BART ZIEGLER, and
JEFF WRIGHT.
9. The official approving that the materials requested meet the design specifications will be
authorized personnel from the CEI only. Authorized approvers:
NOTE: Anv materials ordered by the contractor that are not included on the Citv's issued
purchase order or any amounts ordered that exceed the amounts on the City issued purchase
order MUST be separately ordered ursuant to a urchase order direct) between the supplier
and the contractor. These materials MUST be invoiced separately from the materials supplied
pursuant to the City_issued_purchase order. Another option would be to submit an additional
Request to Requisition to increase the amount of the ODP purchase order for that supplier.
Process procedures for receiving and invoicing:
1. Upon receipt of materials, Contractor's representative will verify the materials are in usable condition
and the quantity received.
2. The Materials Suppliers will be instructed on the City's P.O. to send their original invoice to the
Contractor to the attention of BILL ZIEGLER.
3. Contractor must sign off on the invoice to approve the payment and, if no receiving report is attached,
must indicate on the invoice that all materials were received in usable condition. Any discrepancies
with the invoice are to be resolved between the Contractor and the Materials Supplier. If the invoice
is in error, it can be corrected by the Contractor before forwarding for payment under the following
conditions:
a. A corrected supplier's invoice can be paid up to the amount of the originally issued invoice
but not in excess of that amount.
b. None of the original data on the invoice can be obliterated. If it is the City will return the
invoice for replacement by a corrected one from the supplier.
c. 'if the corrections cause the invoice amount to exceed the original billed amount, the excess
must be invoiced separately by the supplier and is to have the same support documentation
and/or approvals as all other invoices to be paid.
4. Supplier invoices for retainage amounts, if any has been withheld, are not required support
documentation but must follow the approval process as all other invoices.
5. After approval the Contractor will forward the original invoice and any attachments to City of
Clearwater's Owner Representative:
City of Clearwater
Engineering Department
Attn: Lan-Anh Nguyen, PE
100 S. Myrtle Avenue, Rm. 220
Clearwater, FL 33756
6. After approval and verification of the materials received the Owner's Representative will forward the
original invoice and any attachments to the appropriate City department for payment processing.
7. Steps 1 through 7 will be followed for each materials receipt and invoice.
8. Materials purchase P.O.s can be closed only upon completion of the materials acquisition and at the
approval of the Contractor.
9. Upon closing of a materials purchase P.O. any unused balance will be added back to the appropriate
line(s) on Contractor's P.O.
Closing of Contractor's P.O.:
1. All Materials Suppliers' P.O.'s must be closed prior to the final change order and closing of the
Contract.
t
9/17/09
General Item Description:
REQUEST TO REQUISITION
STANDARD PURCHASE ORDER
FLOW METERS
Vendor: HD SUPPLY WATERWORKS, LTD.
Street Address: 1101 W 17 STREET
City/State/Zip: RIVIERA BEACH, FL 33404 Phone No: 561/848-4396
Receiving Location (Ship to): SOUTHEAST DRILLING SERVICES, INC.
Street Address: 1930 LAND 'O' LAKES BLVD., STE. 15
City/State/Zip: LUTZ, FL 33549
Requested by: BILL ZIEGLER
Phone Number: 813/968-7277
Date Needed by:
Expense Code: (City will complete)
Units Detailed Description Price Per
Line # QUantl $, etc. (List shipping & handling charges, if applicable) Each Total
23:7a 1 EA ML-04 6 PROP MTR W/TR--16 2,287.76 2,287.76
TRANS (6" Flow Meter)
23:7b 1 EA SALES TAX SAVINGS 160.14 160.14
1- 1 EA ML-04 4 PROP MTR W/TR-16 2,178.99 2,178.99
1:7a TRANS (4" Flow Meter)
1- 1 EA SALES TAX SAVINGS 152.53 152.53
1:7b
1- 1 EA ML--04 4 PROP MTR W/TR-16 2,178.99 2,178.99
2:7a TRANS (4" Flow Meter)
1- .1 EA SALES TAX SAVINGS 152.53 152.53
2:7b
1-- 1 EA ML-04 4 PROP MTR W/TR-16 2,178.99 2,178.99
3:7a TRANS (4" Flow Meter)
1- 1 EA SALES TAX SAVINGS 152.53 152.53
3:7b
1- 1 EA ML-04 4 PROP MTR W/TR-16 2,178.99 2,178.99
4:7a TRANS (4" Flow Meter)
1- 1 EA SALES TAX SAVINGS 1152.53 152.53
4:7b
1- 1 EA ML-04 4 PROP MTR W/TR-16 2,178.99 2,17$.99
F
5:7a
TRANS (4" Flow Meter)
I
Page 1 of 3
9/17/2009
1-
5:7b 1 EA SALES TAX SAVINGS 152.53 152.53
51R:7
a 1 EA ML-04 4 PROP MTR W/TR-16
TRANS (411 Flow Meter) 2,178.99 2,178.99
51R:7
b 1 EA SALES TAX SAVINGS 152.53 152.53
52R:7
a 1 EA ML-04 4 PROP MTR W/TR-16
TRANS (4" Flow Meter) 2,178.99 2,178.99
52R:7
b 1 EA SALES TAX SAVINGS 152.53 152.53
80:7a 1 EA ML-04 4 PROP MTR W/TR-16
TRANS (4" Flow Meter) 2,178.99 2,178.99
80:7b 1 EA SALES TAX SAVINGS 152.53 152.53
68:7a 1 EA ML-04 4 PROP MTR W/TR--16
TRANS (4" Flow Meter) 2,178.99 2,178.99
68:7b 1 EA SALES TAX SAVINGS 152.53 152.53
69:7a 1 EA ML-04 4 PROP MTR W/TR-16
TRANS (4" Flow Meter) 2,178.99 2,178.99
69:7b 1 EA SALES TAX SAVINGS 152.53 152.53
3-
1:7a 1 EA ML-04 4 PROP MTR W/TR-16
TRANS (4" Flow Meter) 2,178.99 2,178.99
3-
1:7b 1 EA SALES TAX SAVINGS 152.53 152.53
3-
2:7a 1 EA ML-04 4 PROP MTR W/TR-16
TRANS (4" Flow Meter) 2,178.99 2,178.99
3-
2:7b 1 EA SALES TAX SAVINGS 152.53 152.53
3-
3:7a 1 EA ML--04 4 PROP MTR W/TR-16
TRANS (4" Flow Meter) 2,178.99 2,178.99
3-
3:7b 1 EA SALES TAX SAVINGS 152.53 152.53
3--
4:7a 1 EA ML-04 4 PROP MTR W/TR-16
TRANS (4" Flow Meter) 2,178.99 2,178.99
3-
4:7b 1 EA SALES TAX SAVINGS 152.53 152.53
3-
5:7a 1 EA ML-04 4 PROP MTR W/TR-16
TRANS (4" Flow Meter) 2,178.99 2,178.99
3-
5:7b 1 EA SALES TAX SAVINGS 152.53 152.53
79:7a 1 EA ML-04 4 PROP MTR W/TR-16
TRANS (4" Flow Meter) 2,178.99 2,178.99
79:7b 1 EA SALES TAX SAVINGS 152.53 152.53
TOTAL 37,151.60
TOTAL SALES TAX SAVINGS 2,753.15
FQRTIM INSTP=IONS :
Page 2 of 3
Title and Organization - Contractor
9/17/2009
Date: X09
Title and Organization - C.E.I. Services
Completed forms are routed for approval to contracted C.E.I. Firm and to Engineering. Engineering will process and provide records
retention according to City of Clearwater's Records Management Program.
Page 3 of 3