HomeMy WebLinkAboutRequest to Purchase - BOCC (002)GRANT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:00pm on Thursday)
REQUESTING DEPARTMENT: BOCC
REQUEST SUBMITTED BY: CEMANELL
CONTACT PERSON ATTENDING ROUNDTABLE: CEMANELL
SATE: 01 /29/2025
PHONE:2931
CONFIDENTIAL INFORMATION: ❑YES ®NO
M-W�
®Agreement / Contract ❑AP Vouchers
❑Appointment / Reappointment
❑ARPA Related
❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled
❑ Boards / Committees
❑ Budget
❑ Computer Related ❑ County Code
❑ Emergency Purchase
❑ Employee Rel.
❑ Facilities Related ❑ Financial
❑ Funds
❑ Hearing
❑ Invoices / Purchase Orders ❑ Grants — Fed/State/County
❑ Leases
❑ MOA / MOU
❑ Minutes ❑ Ordinances
❑ Out of State Travel
❑ Petty Cash
❑ Policies ❑ Proclamations
❑ Request for Purchase
❑ Resolution
❑ Recommendation ❑ Professional Serv/Consultant
❑ Support Letter
[]Surplus Req.
❑Tax Levies ❑Thank You's
❑Tax Title Property
❑WSLCB
Request for signing authority for Coulee Creative
to sign on behalf of Grant County
for the Certified Folder Distribution Service Agreement in the amount of $14,912.83.
11
If necessary, was this document reviewed by accounting? ❑ YES
0
If necessary, was this document reviewed by legal? F=-1 YES ❑ NO
DATE OF ACTION: 21 DEFERRED OR CONTINUED TO:
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
WITHDRAWN:
1011111111T1;1
4/2 3/24
CORPORATE OFFICE: 1120 Joshua Way, Vista, CA 92081 - (760) 727-5100 fax (760) 727-1583 (800) 799-7373 www.certifiedfolder.com
610ERTIFIED
FOLDER DISPLAY
!SERVICE,, INC.
SINCE � aqq
DISTRIBUTION
AGREEMENT
SALESPERSON: 011600 - Shannon Balmes
FEDERAL TAX ID: 91-1296852
REF:
24-0131562
RENEWAL
ADVERTISER ID: 127820
PO NUMBER:
12/05/2024
SNIP Tot
SILL TO:
T: 24-0133749 REv:
00001
ADVERTISER: Grant County
-
ADVERTISER:
Grant County
FDAE
E: 3/1/2025
CONTACT: Rachelle Baugham, Marketing Director
coNTACT:
Rachelle Baugham:
8/31 /2025
EMAIL: rachelle@couleecreativeco.com
WEB SITE:
WWW.tourgrantcounty.com
-
NCI Op 3ROMUn / PUBIMATION:
ADDRESSI : c/o Coulee Creative Co NEW ADDRESS:
ADDRESSI :
c/o Coulee Creative Co
NEW ADDRESS:
E. Washington Vacation Planner
ADDRESS2: PO BOX 283 ❑
ADDRESS2:
PO BOX 283
❑
INVENTORY ID NUMBER: 010689
CITY: Grand Coulee
CITY:
Grand Coulee
We will distribute the above named item in the area or
STATE: WA ZIP: 99133
STATE:
WA ZIP: 99133
areas set forth below. Display shall be on a single pocket
basis. Minimum distribution period is 3 consecutive
PHONE: (509) 921-5979 FAX:
PHONE:
FAX:
months.
CODE DISTRIBUTION PROGRAM AREA
#SITES
START DATE END DATE
MONTHLY FEE
#MNTH
GROSS FEE
OVER500
NET FEE
1 -VM-1 2-NW/SP Spokane - Magazines
149
03/01/25 06/30/25
520.00
4
2,080.00
-83.20 0.00 0.00 0.00
1,996.80
1-VM-12-NW/YAK Yakima/Tri-Cities - Magazines
53
03/01/25 08/31/25
397.50
6
2,385.00
-95.40 0.00 0.00 0.00
2,289.60
1-VM-12-NW/BE Bellingham/North 1-5 - Magazines
111
03/01/25 08/31/25
600.00
6
3,600.00
-144.00 0.00 0.00 0.00
3,456.00
1-VM-12-NW/T Tacoma/Olympia - Magazines
96
03/01/25 08/31/25
600.00
6
3,600.00
-144.00 0.00 0.00 0.00
3,456.00
1 -VM-1 2-NW/CO Coeur D' Alene - Magazines
113
03/01/25 08/31/25
475.00
6
2,850.00
-114.00 0.00 0.00 0.00
2,736.00
1-VM-12-NW/NCW N.C. Washinqton - Magazines
124
03/01/25 08/31/25
395.00
6
2,370.00
-94.80 0.00 0.00 0.00
2,275.20
SUB TOTAL: 16,209.600
APPLICABLE SALES TAX: 0.00
TOTAL NET FEE: 16,209.60
Fees are normally billed 30 days in advance of service. Monthly Billing Schedule
details actual billing
,�dl1s. The agreed payment is
AGREEMENT TO TERMS. Advertiser hereby acknowledges that Advertiser has read all the terms and
for the month indicated, not for the month service
is provided.
NET CASH. Payment shall be made
provisions set forth on the front and backside of this Agreement, and agrees that all such terms and
not later than 30 days from invoice
provisions are a part of this Agreement.
date. If unpaid, a late charge of 1
Feb Mar
Apr
May
Jun
Jul 1/2% per month or 18% annually
Your Siignalure:
2,868.00 2,868.00
2,868.00
2,868.00
2,368.80
2,368.80 will be added on the unpaid
balance and monthly thereafter until
AugSepte
Oct
Nov
Dec
Jan paid. Advertiser agrees to pay all
collection costs including
Name (print):
0.00 0.00
0.00
0.00
0.00
0.00 reasonable attorney's fees.
Title: Dab:
TOTAL NET FEE: 16,209.60
PREPAYMENT .,
F1 Yes
F]No
(8.00% on
all applicable programs) : (1,296.77)
SUBTOTAL: 14, 912.83
Signature:
APPLICABLE SALES TAX: 0.00
Name (print):
14,912.83
Title: Date:
PREPAIDTOTAL
Print Date: December 05, 2024 at 11:18 AM
All fees billed 30 days in advance of service
Page: 1 of 1
CF070DIS rev. 02/25/21