HomeMy WebLinkAboutCAG2023-401 - Original - Crash Data Group - Annual Bosch CDR Software Subscription - 07/19/2023 FOR CITY OF KENT OFFICIAL USE ONLY �LS/TD
Sup/Mgr:
Agreement Routing Form DirAsst:
104 • For Approvals,Signatures and Records Management Dir/Dep: IMC
KEN T This form combines&replaces the Request for Mayor's Signature and Contract Cover (Optional)
W ASH I NGTON Sheet forms.
Originator: Department:
Ikhra Mohamed IT
Date Sent: Date Required:
> 06/30/2023 06/30/2023
0
CLDirector or Designee to Sign. Date of Council Approval:
Q
Q Interlocal Agreement Uploaded to Website ❑✓ N/A
Budget Account Number: Grant?:Yes:✓ No
52001770.64260.1800
Budget?R]YesEl No Type: N/A
Vendor Name: Category:
Crash Data Group Contract
Vendor Number: Sub-Category:
467826 Original
0
Project Name: Annual Bosch CDR Software Subscription
E
c Project Details: Renewal of Bosch CDR Software Subscription, term dates
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= 07/19/2023 to 07/19/2024
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a
Agreement Amount: $1 651 .50 Basis for Selection of Contractor: Direct Negotiation
*Memo to Mayor must be attached
Start Date: 07/19/2023 Termination Date: 07/19/2024
Q Local Business?F--]YesFv-]No* If meets requirements per KCC 3.70.100,please complete"Vendor Purchase-Local Exceptions"form on Cityspace.
Business License Verification:Yes El In-Process Exempt(KCC 5.01.045)
Notice required prior to disclosure? Ec
ract Number:
�Yes�✓ No 2023-401
Comments:
Cn
C
3
Mike Carringto Director
a N
Date: 06/30/2023
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in
Date Routed to the City Clerk's Office:
dd«W22373_1_20 Visit Documents.KentWA.gov to obtain copies of all agreements
rev.20210513
[Rilibli 11 o u QUOTE
QUOTE# REV
P: (800) 280-7940 1 Q13215
E: crash@crashdatagroup.com DATE EXP DATE I REP PREP BY
6/1/2023 7/5/2023 1 SC
BILL TO SHIP TO
City of Kent Electronic Delivery
Accounts Payable Kevin Bateman
220 4th Avenue South kbateman@KentWA.gov
Kent, WA 98032
Payment by Check: Purchase Order Instructions:
1.Payable to Crash Data Group Inc 1.We only accept POs from Government agencies
2.Mail to: 2.We do NOT accept POs that are less than$500.00
PO Box 892885 3. Reference the"Quote#"on the PO
Temecula,CA 92589 4.All POs must be signed
3.Reference the"Quote#" on the Check 5. Include the Name,E-mail,and Phone of the purchasing agent
6.All POs must be NET30 Terms and issued to:
Crash Data Group,PO Box 892885,Temecula,CA,92589
7. POs may be emailed to:crash@crashdatagroup.com
ITEM DESCRIPTION QTY RATE TOTAL(USD$)
FOOE900038 Annual Bosch CDR Software Subscription-G1059(07-19-2023 to 1 1,500.00 1,500.00
07-19-2024)
FEIN: 46-3027670 SUBTOTAL $1,500.00
Download our W9, Sole Source and other documents at SALES TAX (0.0%) $0.00
www.crashdatagroup.com/pages/crash-data-group-documents-support TOTAL (USD$) $1,500.00