PB7 - State Contract Clauses
| 001 | INSIDE DELIVERY TO: _____________ |
| 002 | INSIDE DELIVERY REQUESTED |
| 003 | AGENCY REQUESTS DELIVERY BY: _____________ |
| 004 | FOR DELIVERY & INVOICE AFTER SEPTEMBER 1 |
| 006 | PLEASE EXPEDITE |
| 007 | ALL SAME EMULSION NUMBER |
| 008 | AGENCY REQUESTS MINIMUM EXPIRATION DATE
OF: _____________ UPON RECEIPT, IF AVAILABLE. |
| 010 | ACCT INFO: _____________ |
| 020 | DO NOT DELIVER BEFORE: _____________ |
| 023 | NOTE: _____________ |
| 024 | SUPPLIER: NAME: _____________ ADDRESS: _____________ CITY: _____________ STATE/ZIP: _____________ |
| 025 | AGENCY REQUESTS AN EXPIRATION DATE OF AT LEAST _____ MONTHS AFTER DATE OF SHIPMENT, IF WITHIN CONTRACT PERIOD. |
| 026 | BLANKET ORDER PERIOD COVERED: _____________ THRU: _____________ THIS IS A BLANKET ORDER FOR DELIVERY ON REQUEST. CONTRACTOR IS NOT TO ASSEMBLE OR SHIP ANY MATERIAL UNTIL NOTIFIED BY THE ORDERING AGENCY'S POINT OF CONTACT |
| 028 | DELIVERY THE WEEK OF: _____________ |
| 030 | PLEASE PROVIDE CURRENT MSDS SHEET |
| 031 | PLEASE SUBMIT INVOICE IN DUPLICATE |
| 033 | AGENCY REFERENCE NUMBER: _____________ |
| 034 | IMPRINT NAME: _____________ EXPIRATION DATE: _____________ |
| 035 | AGENCY REQUESTS EXPIRATION DATE OF: _____________ |
| 040 | MATCHED SETS OF: _____________ |
| 041 | RENTAL RENEWAL OF: _____________ PURCHASE ORDER #: _____________ SERIAL #: _____________ LOCATION: _____________ |
| 042 | INITIAL UNIT ORDERED ON: _____________ REQUISITION NO: _____________ PURCHASE ORDER NO: _____________ |
| 045 | MAINTENANCE PERIOD: FROM: _____________ TO: _____________ SERIAL#: _____________ |
| 046 | LOCATION: _____________ |
| 047 | CONFIRMATION ORDER CONFIRMED WITH (NAME): _____________ PHONE# : _____________ CONFIRMATION DATE: _____________ |
| 048 | BEFORE DELIVERY, ALL CARRIERS MUST
CONTACT: NAME: _____________ TELEPHONE NO: _____________ HOURS PRIOR TO DELIVERY: _____________ DELIVERY TIME (A.M.) DELIVERY TIME (P.M.) |
| 049 | ADDITIONAL PRINTING INFORMATION: |
| 053 | PLEASE NOTE P. O. NO.: _____________ ON ALL CORRESPONDENCE. |
| 060 | AGENCY POINT OF CONTACT: NAME: _____________ TELEPHONE NO: _____________ |
| 061 | SHIP TO THE ATTENTION OF: _____________ |
| 062 | DELIVER TO: _____________ |
| 065 | INCLUDE OR MARK P.O. NUMBERS AND REQUISITION NUMBERS ON PACKING SLIPS, CARTONS, PACKAGES, BUNDLES, ETC. PLEASE LABEL: _____________ |
| 069 | RENTAL PERIOD FROM: (Date in MMDDYYYY format) TO: (Date in MMDDYYYY format) |
| 070 | THIS AGENCY OPERATES 15 OR LESS MOTOR VEHICLES, EXCLUDING LAW ENFORCEMENT OR EMERGENCY VEHICLES, AND IS NOT SUBJECT TO ALTERNATIVE FUEL REQUIREMENTS. |
| 071 | THIS AGENCY OPERATES MORE THAN 15 VEHICLES, EXCLUDING LAW ENFORCEMENT OR EMERGENCY VEHICLES. THIS PURCHASE IS FOR AN ALTERNATIVE FUEL VEHICLE. |
| 072 | THIS AGENCY OPERATES MORE THAN 15 VEHICLES, EXCLUDING LAW ENFORCEMENT OR EMERGENCY VEHICLES. THIS PURCHASE IS FOR A VEHICLE THAT WILL BE CONVERTED TO ALTERNATIVE FUEL PRIOR TO BEING PLACED IN SERVICE. WE CERTIFY THE CONVERSION DATE IS _____ DAYS FOLLOWING DELIVERY AND THAT THIS VEHICLE WILL NOT BE PLACED INTO SERVICE PRIOR TO CONVERSION UNLESS A WAIVER IS SUBSEQUENTLY APPROVED BY THE COMMISSION FOR SPECIFIC USE PRIOR TO CONVERSION. |
| 073 | THIS AGENCY OPERATES MORE THAN 15 VEHICLES, EXCLUDING LAW ENFORCEMENT OR EMERGENCY VEHICLES. THIS PURCHASE IS FOR A LAW ENFORCEMENT OR EMERGENCY VEHICLE. |
| 074 | A VALID, CURRENT WAIVER, NUMBER: _____________ IS ON FILE WITH THE Texas Building and Procurement Commission FOR THIS VEHICLE. |
| 080 | DO NOT DELIVER BETWEEN: _____________ AND : _____________ |
| 081 | AGENCY REQUEST DELIVERY BETWEEN _____________ AND _____________. |
| 086 | THIS FACILITY WILL BE CLOSED (DATE) THROUGH _________________ PLEASE ADJUST YOUR DELIVERY SCHEDULE AS NECESSARY |
| 088 | COLOR: _____________ |
| 094 | DELIVERIES ACCEPTED FROM 8:00 AM THRU 12:00 NOON AND 1:00 PM THRU 4:30 PM, MONDAY THRU THURSDAY EXCEPT SCHEDULED HOLIDAYS |
| 095 | THE EQUIPMENT CURRENTLY IN PLACE IS TO BE PICKED UP UPON DELIVERY OF NEW PIECE OF EQUIPMENT. |
| 097 | ORDER WILL BE CANCELLED IF NOT DELIVERED BY (MONTH,DAY,YEAR) |
| 100 | IF SHIPMENT IS MADE BY TRUCK LINE, ACTUAL SHIPPER MUST MARK BILL OF LADING TO READ: "ROUTE FOR DELIVERY BY (NAME) (ADDRESS)." |
| 108 | AGENCY REQUESTS DELIVERY ON PALLETS |
| 109 | AGENCY REQUESTS DELIVERY ON PALLETS AND AGREES TO PAY AN ADDITIONAL CHARGE |
| 110 | AGENCY REQUEST, IF POSSIBLE, PALLETS TO BE APPROX. 36" WIDE X 48" LONG (PLUS OR MINUS ONE INCH) WITH STRINGERS ALONG 48" LENGTH. MAXIMUM HEIGHT WITH MATERIAL TO BE 47" TOTAL. PALLETS TO BE BANDED OR SHRINK WRAPPED. |
| 113 | DELIVERIES ACCEPTED, EXCEPT SCHEDULED
HOLIDAYS DELIVERY DAYS: _____________ DELIVERY TIME (A.M.) DELIVERY TIME (P.M.) LOADING DOCK: _____________ |
| 115 | THIS IS AN ESTIMATE, ANY MATERIALS NOT ORDERED PRIOR TO EXPIRATION WILL BE CONSIDERED AUTOMATICALLY CANCELLED |
| 116 | THIS IS AN ESTIMATE. MINUTES AND SERVICE NOT USED PRIOR TO EXPIRATION WILL BE AUTOMATICALLY CANCELLED |
| 120 | A MANUFACTURER'S STATEMENT OF ORIGIN (MSO) IS DELIVERED TO THE UNIVERSITY OF TEXAS AT AUSTIN OFFICE OF THE CONTROLLER, P.O. BOX 7487 AUSTIN, TX 78713. MSO IS TO BE MADE OUT IN THE NAME OF THE UNIVERSITY OF TEXAS AT AUSTIN. |
| 125 | STARTING DATE: _____________ |
| 150 | AGENCY REQUEST DELIVERY ON DATE: _____________ |
| 201 | INVOICE AT THE LESSER OF UNIT PRICE OR MANUFACTURER'S EDUCATIONAL DISCOUNT PRICING |
| 205 | PLEASE SEND TWO (2) COPIES OF MATERIALS SAFETY DATA SHEETS (MSDS) ALONG WITH SHIPMENT TO CENTRAL RECEIVING FOR EACH HAZARDOUS CHEMICAL OR AGENT |
| 222 | QUANTITIES INDICATED FOR EACH ITEM ARE ESTIMATES FOR EVALUATION PURPOSES ONLY AND ARE NOT TO BE CONSTRUED AS A MINIMUM OR MAXIMUM THAT THE AGENCY MAY ORDER |
| 223 | PERSONS AUTHORIZED TO PHONE IN ORDERS
ARE: 1. 2. 3. |
| 225 | FEDERAL FUNDS EXPIRE, ALL MERCHANDISE MUST BE DELIVERED AND INVOICED BY (DATE) THIS PURCHASE ORDER AUTOMATICALLY CANCELS ON (DATE) |
| 301 | AGENCY IS ELIGIBLE FOR PUBLIC HEALTH SERVICE PRICING |
| 305 | VOLTAGE: _____________ |
| 333 | AGENCY REQUESTS THIS ORDER BE PALLETIZED AND SHRINK WRAPPED AND AGREES TO PAY AN ADDITIONAL CHARGE. REQUEST PALLETS TO BE 40" X 48", 4-WAY, MAX HEIGHT 5'6". |
The University of Texas at Austin
Last Modified: 07/29/03 11:57:04 AM