HomeMy WebLinkAbout143-16 RESOLUTION113 West Mountain
Street Fayetteville,
AR 72701
(479) 575-8323
Resolution: 143-16
File Number: 2016-0348
ICON ENTERPRISES, INC. D/B/A CIVICPLUS:
A RESOLUTION TO APPROVE A ONE (1) YEAR AMENDED CONTRACT WITH ICON
ENTERPRISES, INC. D/B/A CIVICPLUS FOR WEBSITE CONTENT MANAGEMENT SYSTEM
SERVICES IN THE AMOUNT OF $18,228.55 FOR THE FIRST YEAR WITH AUTOMATIC RENEWALS
FOR THREE (3) ADDITIONAL ONE (1) YEAR TERMS WITH A PRICE INCREASE OF FIVE
PERCENT (5%) EACH TIME THE CONTRACT IS RENEWED, AND TO APPROVE A PROJECT
CONTINGENCY OF $5,000.00 EACH YEAR THE CONTRACT IS IN EFFECT
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF FAYETTEVILLE, ARKANSAS:
Section 1. That the City Council of the City of Fayetteville, Arkansas hereby approves a one (1) year
amended contract with Icon Enterprises, Inc. d/b/a CivicPlus for website content management system
services in the amount of $18,228.55 for the first year with automatic renewals for three (3) additional one
(1) year terms with a price increase of five percent (5%) per year, and further approves a project
contingency in the amount of $5,000.00 each year the contract is in effect. IffillI"fill
r
PASSED and APPROVED on 8/2/2016
Page 1
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FAYETTEvILLE
Attest:M' •; kq NS1' �•' ��`
lo
III
Sondra E. Smith, City Clerk Treasurer
Printed on 813116
r A City of Fayetteville Arkansas 113 West Mountain Street
! Fayetteville, AR 72701
n
(479) 575-8323
Text File
File Number. 2016-0348
Agenda Date: 8/2/2016 Version: 1 Status: Agenda Ready
In Control: City Council Meeting File Type: Resolution
Agenda Number: A. 4
ICON ENTERPRISES, INC. D/B/A CIVICPLUS:
A RESOLUTION TO APPROVE A ONE (1) YEAR AMENDED CONTRACT WITH ICON
ENTERPRISES, INC. D/B/A CIVICPLUS FOR WEBSITE CONTENT MANAGEMENT SYSTEM
SERVICES IN THE AMOUNT OF $18,228.55 FOR THE FIRST YEAR WITH AUTOMATIC
RENEWALS FOR THREE (3) ADDITIONAL ONE (1) YEAR TERMS WITH A PRICE INCREASE
OF FIVE PERCENT (5%) EACH TIME THE CONTRACT IS RENEWED, AND TO APPROVE A
PROJECT CONTINGENCY OF $5,000.00 EACH YEAR THE CONTRACT IS IN EFFECT
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF FAYETTEVILLE,
ARKANSAS:
Section 1. That the City Council of the City of Fayetteville, Arkansas hereby approves a one (1) year
amended contract with Icon Enterprises, Inc. d/b/a CivicPlus for website content management system
services in the amount of $18,228.55 for the first year with automatic renewals for three (3) additional
one (1) year terms with a price increase of five percent (5%) per year, and further approves a project
contingency in the amount of $5,000.00 each year the contract is in effect.
City of Fayetteville, Arkansas Page 1 Printed on 81312018
City of Fayetteville Staff Review Form
2016-0348
Legistar File ID
8/2/2016
City Council Meeting Date - Agenda Item only
N/A for Non -Agenda Item
Keith Macedo 7/15/2016 Information Technology/
Chief of Staff
Submitted By Submitted Date Division / Department
Action Recommendation:
Staff recommends approving an amended four (4) year renewal contract with CivicPlus for website content
management system (CMS) services in the annual amount of $18,228.55, with a 5% annual escalation, and a $5,000
annual contingency.
Budget Impact:
4470.9470.5315.00
1010.170.1710.5315.00
Sales Tax Capital
General Fund
Account Number
Fund
04047
Fayetteville-AR.gov
Technical
Imps
Project Number
Project Title
Budgeted Item? Yes
Current Budget
$
85,776.00
Funds Obligated
$
14,047.13
Current Balance
$
!,7:28,87
Does item have a cost? Yes
Item Cost
$
18,228.55
Budget Adjustment Attached? No
Budget Adjustment
Remaining Budget
V20140710
Previous Ordinance or Resolution 4
Original Contract Number:
Comments:
Approval Date:
CITY OF
ttv tile
ARKANSAS
TO: Mayor Jordan
Fayetteville City Council
THRU: Don Marr, Chief of Staff
CITY COUNCIL AGENDA MEMO
FROM: Keith Macedo, Director of Information Technology
Susan Norton, Director of Communications and Marketing
DATE: July 15, 2016
SUBJECT: Amended CivicPlus Content Management System Contract
RECOMMENDATION:
Staff recommends approving an amended four (4) year renewal contract, with CivicPlus for
website content management system (CMS) services, in the annual amount of $18,228.55, with
a 5% annual escalation, and a $5,000 annual contingency.
BACKGROUND:
On August 19, 2014, City Council awarded a contract with CivicPlus, through RFP 14-07, to
replace its existing website system. The contract was in the amount of $65,714.00, plus a
project contingency of $6,571.00, for website redesign and hosting of fayetteville-ar.gov and the
City intranet website. Annual maintenance for the existing system is $10,146.00.
Since these sites were developed, the City has made significant enhancements to its website
content, including organizational changes based on analytics, design modifications, an
increased focus on readability of content by reducing technical jargon, and a focus on Section
508 and Web Content Accessibility Guidelines (WCAG) compliance, which sets standards for
optimizing web accessibility for people with disabilities. Additionally, the Communications
Department has made increased efforts to create a cohesive, familiar brand, and it will continue
to do so as part of the City's economic development plan.
On June 9, 2016, staff approved a contract addendum to expedite the City's website redesign
for a one-time fee of $4,200.00. Staff is in the early stages of planning for the redesign and
recently discussed needed enhancements for the new site with CivicPlus. The City currently
uses CivicPlus' Design Essentials system, but in order to design and maintain a dynamic,
multimedia website, an upgrade to CivicPlus' Design Center Pro system is needed. Staff is
recommending to approve the addition of Design Center Pro to our existing CMS, which will
increase our annual maintenance in the amount of $8,000. In addition to the annual contracted
amount, staff is requesting $5,000 per year in contingency to fund additional modules,
programming, or design work with CivicPlus in an effort to continually improve our websites.
Mailing Address:
113 W. Mountain Street www,fayetteville-ar.gov
Fayetteville, AR 72701
DISCUSSION:
Staff plans to create a website with a sophisticated design that is visually rich, functional and
intuitive. Design Center Pro was created to target larger cities that have employees with
knowledge and experience in web design concepts. The system allows maximum design
flexibility, letting users create custom landing pages with unique navigation, modify color
palettes and fonts, create video banners, create custom widget skins, and more. Approximately
60 percent of the fayetteville-ar.gov web traffic comes from outside Fayetteville, and our website
serves as a first impression of our City. It is the goal of the Communications and Information
Technology Departments to create a website that serves, both visually and content -wise, as an
impressive front door for our City and can compete with the best of the best.
BUDGET/STAFF IMPACT:
Staff recommends approving an amended four (4) year renewal contract with CivicPlus for
website content management system (CMS) services in the annual amount of $18,228.55, with
a 5% annual escalation, and a $5,000.00 annual contingency. The initial upgrade to Design
Center Pro ($8,000.00), and future contingencies, will be funded from our Sales Tax Capital
Improvement fund with annual hosting fees to be funded from the General Fund Information
Technology operating budget.
Attachments:
Staff Review Form
CivicPlus Contract Agreement
Purchase Order
Service & License Agreement Contract Information
Contact Information
Organization URL
Street Address .7
Address 2
__.� ...... .. .._
Postal
City r7 1 State yi } '72.7o1
]�7V r� If
/ 1\ Code / �. .
CivicPlus provides telephone support for all trained clients from lam -7pm Central Time, Monday -Friday (excluding holidays). Emergency
Support is provided on a 24/7/365 basis for representatives named by the Client. Client is responsible for ensuring CivicPlus has current
updates
Emergency Contact & Mobile Phone ) VS]1 /K7]fl) /
7 -S , Y -/ 7— 1P"7) — i 1
Emergency Contact & Mobile Phone4-71 t1'ol
1
Zb 7c
Emergency Contact & Mobile Phone ya.d{ ,IL /,fir — r 0 7-
`''� " .I■ (iv!— 1 III
Billing Contact s E -Mail
e PhonxF
--. �-- - _3- X21 7 Et ax
Billing Address
[W 1_Y-9Ml -01r►_Y)-- tf -
Address 2
�j/� Jj /�`' ` p Postal /�
City —._ ST
j Sales Tax
Tax 77
_.._I�� �O U LV Exempt#
Account(;fii tS OI> ,
Billing Terms Al1rIUaI r
Rep
Info Required on Invoice (PO or Job #)
Contract Contact Email
Phone 7 �/Ext. Fax
4III.71_�1.✓ l _.. rr�
Project Contact Il Email F lJ .l Y�'t1'? _''�Jt IYJ 0'� d '?1' i 11_ 'G ' U V
Phone Ext Fax
CivicPlus - 302 S 4" Street, Suite 500 • Manhattan, KS 66502 • www.CivicPlus.com
Toll Free 888-228-2233 - Accounting Ext. 291 • Support Ext. 307 • Fax 785-587-8951
CService & License Agreement for Fayetteville, AR
Hosting Renewal Contract
Terms & Conditions
Client Deliverable
1. Icon Enterprises, Inc , d/b/a CivicPlus ("CivicPlus") will provide website support, maintenance and hosting for Fayetteville,
Arkansas ("Client") that includes all functionality as defined in this agreement.
Billing & Payment Terms
2 Annual Support, Maintenance & Hosting invoices may be prorated in order to correlate with the Client's budget year.
3 Fees for CivicPlus Annual Support, Maintenance & Hosting services are invoiced prior to the year of service and are due by
the first of the following month, but no sooner than 30 days from invoice date.
4 If the Client's account exceeds 60 days past due, Support will be discontinued until the Client's account is made current. If the
Client's account exceeds 90 days past due, Annual Support, Maintenance & Hosting will be discontinued until the Client's
account is made current Client will be given 30 days notice prior to discontinuation of services for non-payment
5 The Client will be invoiced electronically through email Upon request CivicPlus will mail invoices and the Client will be charged
a $5 00 convenience fee
6 Provided the Client's account is current, at any time the Client may request an electronic copy of the website graphic designs,
the page content, all module content, all importable/exportable data, and all archived information ("Customer Content"). Client
agrees to pay $250 per completed request
7. Client acknowledges and agrees that certain services for which Client is contracting hereunder may be rendered by orwith
third -party providers under contract with CivicPlus
Agreement Renewal
8. Either party may terminate the Annual Support, Maintenance & Hosting Agreement at the end of the contract term by providing
the other party with 60 days written notice, prior to the contract renewal date.
9 In the event that neither party gives 60 days notice prior to the end of the initial or any subsequent term, this Agreementwill
automatically renew for an additional contract term for a maximum of three (3) renewal terms.
10 In the event of early termination of this Agreement by the Client, full payment of the remainder of the contract is due within 15
days of termination
11. Each year this Agreement is in effect, a technology investment and benefit fee of 5 percent (%) of the total Annual Support,
Maintenance & Hosting costs will be applied
Support
12 CivicPlus will provide unlimited telephone support Monday -Friday, 7:00 am — 7:00 pm (Central Time) excluding holidays, for all
trained Client staff Emergency Support is provided on a 24/7/365 basis for emergency contacts named by the Client Client is
responsible for providing CivicPlus with contact updates
13 Support includes providing technical support of the GCMS® software, application support (pages and modules), and technical
maintenance of Client's website. Following initial setup, additional page design, graphic design, user training, site modification,
and custom programming may be contracted separately for an additional fee
14 During the period of this agreement and subsequent annual renewals, CivicPlus warrants that it will, without additional charge
to the Client, take action to correct any problems or defects discovered in the GCMS® software and reported to CivicPlus by
the Client, such warranty to include ongoing maintenance upgrades and technical error correction.
15 CivicPlus provides online website statistics software at no extra charge If Client desires to use other website statistic software,
CivicPlus will provide the necessary log file access
Changes to Existing Service
16. Effective with this renewal, the following services will be added/deleted: Design Center Pro
Page 1 of 4
CivicPlus • 302 S 4'' Street, Suite 500 • Manhattan, KS 66502 • www CivicPlus corn
Toll Free 888-228-2233 • Accounting Ext. 291 • Support Ext. 307 • Fax 785-587-8951
Service & License Agreement for Fayetteville, AR
Annual Fee
Services to be ADDED One -Time Fee
Increase
Design Center Pro N/A $8,000
17.
Intellectual Property, Ownership & Content Responsibility
18 Upon completion of the development of the site, Client will assume full responsibility for website content maintenance and
content administration. Client, not CivicPlus, shall have sole responsibility for the accuracy, quality, integrity, legality, reliability,
appropriateness, and intellectual property ownership or right to use of all Customer Content.
19. Client shall not (i) license, sublicense, sell, resell, transfer, assign, distribute or otherwise commercially exploit or make
available to any third party the GCMS® software in any way; (ii) modify or make derivative works based upon the GCMS®
software; (iii) create Internet "links" to the GCMS® software or "frame" or "mirror" any GCMS® administrative access on any
other server or wireless or Internet -based device; or (iv) reverse engineer or access the GCMS® software in order to (a) build
a competitive product or service, (b) build a product using similar ideas, features, functions or graphics of the GCMS®
software, or (c) copy any ideas, features, functions or graphics of the GCMS® software.
20. The CivicPlus name, the CivicPlus logo, and the product and module names associated with the GCMS® software are
trademarks of CivicPlus, and no right or license is granted to use them.
Taxes
21 It is CivicPlus' policy to pass through sales tax in those jurisdictions where such tax is required. If the Client is tax-exempt, the
Client must provide CivicPlus proof of their tax-exempt status, within fifteen (15) days of contract signing, and this agreement
will not be taxed. If the Client's state taxation laws change, the Client will begin to be charged sales tax in accordance with
their jurisdict on's tax requirements and CivicPlus has the right to collect payment from the Client for past due taxes.
Acceptance
We, the undersign , agreeing to the conditions sp cified in this document, understand and authorize the provision of services outlined
in this Agreek n .
Cie t7
_� f•"i�~� 1 � tom.=�
CivicPlus
07/12/2016
Date
Sign and E-mail the entire contract with exhibits to:
Contracts(cDCivicPlus.com
We will e-mail a counter -signed copy of the contract back to you so we can begin your project.
CivicPlus does not require a physical copy of the contract, however, if you would like a physical
copy of the contract, mail one (1) copy of the contract with original signature to:
CivicPlus Contract Manager
302 S. 41h Street, Suite 500
Manhattan, KS 66502
Upon receipt of signed original, we will counter -sign and return the copy for your files.
Page 2 of 4
CivicPlus • 302 S. 4'h Street, Suite 500 • Manhattan, KS 66502 • www.CivicPlus.com
Toll Free 888-228-2233 • Accounting Ext 291 • Support Ext 307 • Fax 785-587-8951
CService & License Agreement for Fayetteville, AR
Annual Support, Maintenance and Hosting Fee
2015-2016 Annual Sup
port, Maintenance and
Hosting Fee
Design Center Pro
CivicSend
ADFS
LDAP (Termination)
Total Annual Fees for 2016-2017
Includes 5% annual increase
Annual Support,
Support
ntenance & Hosting Service Include the Following:
Maintenance of CivicPlus
Application & Modules
7 a m, — 7 p.m (CST) Monday — Friday
Install Service Patches for OS
(excluding holidays)
System Enhancements
24/7 Emergency Support
Fixes
Dedicated Support Personnel
Improvements
2 -hour Response During Normal Hours
Integration
Usability Improvements
Testing
Integration of System Enhancements
Development
Proactive Support for Updates & Fixes
Usage License
Online Training Manuals
Monthly Newsletters
Routine Follow-up Check -ins
CivicPlus Connection
$7,651.00
$8,000.00
$995.00
$1,500
($300)
$18,228.55
Hosting
Shared Web/SQL Server
DNS Consulting & Maintenance
Monitor Bandwidth -Router Traffic
Redundant ISP
Redundant Cooling
Diesel Powered Generator
Daily Tape Backup
Intrusion Detection & Prevention
Antivirus Protection
Upgrade Hardware
Page 3 of 4
CivicPlus • 302 S. 4'h Street, Suite 500 • Manhattan, KS 66502 • www.CivicPlus.com
Toll Free 888-228-2233 • Accounting Ext. 291 • Support Ext. 307 • Fax 785-587-8951
City of Fayetteville - Purchase Order Request (PO)
Requisition ivo.:
Uate:
(Not a Purchase Order)
7/15/2016
P.O Number:
All PO Requests shall be scanned to the Purchasing e-mail: Purchasing@fayetteville-ar.gov.
Purchase shall not be made until an actual PO has been issued.
Vendor
# 24732
Vendor
Icon Enterprises Inc
Mail
❑ rs o
Legistar#:
Name:
2016-0348
Address: 302 S 4th Street Ste 500
FOB Point:
Taxable
Qv s (1
Expected Delivery Date:
City: Manhattan
State: KS
Zip Code:
Ship to code:
Quotes Attached
66502
City Hall
QPEs D
equester: Keith Macedo
Requester's Employee #:
Extension:
4152
575-8320
Item
Description
Quantity
Unit of Issue
Unit Cost
Extended Cost
Account Number
Project.Sub#
Inventory #
Fixed Asset #
1
Annual Hosting
1
Each
7,651,00
$7,651.00
1010.170.1710.5315.00
2
5% Annual Increase in hosting
1
Each
382.55
$382.55
1010.170.1710.5315.00
3
Design Center Pro
1
Each
8,000.00
$8,000.00
4470.9470.5315.00
04047.00
4
CivicSend
1
Each
995.00
$995.00
1010.170.1710.5315.00
5
ADFS
1
Each
1,500.00
$1,500.00
1010.170.1710.5315.00
6
LDAP Termination
1
Each
-300.00
$0.00
1010.170.1710.5315.00
7
$0.00
8
$0.00
9
$0.00
10
$0.00
Shipping/Handling
Lot
$0.00
Speciai instructions:
Subtotal: $18,528.55
Tax: $0.00
Total: $18,528.55
Approvals:
Mayor: - - Department Director: Purchasing Manager:
Budget Director: IT Director: J<' J
Chief Financial Officer:
Dispatch Manager; Utilities Manager: Other:
rtenaea 1fZ781Vi3
CivicRec lighting integration module
City of Fayetteville Staff Review Form
2022-0625
Legistar File ID
N/A
City Council Meeting Date - Agenda Item Only
N/A for Non -Agenda Item
Keith Macedo 7/11/2022 INFORMATION TECHNOLOGY (170)
Submitted By Submitted Date Division / Department
Action Recommendation:
Staff recommends authorizing the attached statement of work with CivicPlus to purchase the CivicRec lighting
integration module.
4470.520.8520-5209.00
Account Number
18012.1
Project Number
Budgeted Item? Yes
Does item have a cost? Yes
Budget Adjustment Attached? No
Purchase Order Number:
Change Order Number:
Original Contract Number:
Comments:
Budget Impact:
Sales Tax Capital
Fund
Parks Recreation Software
Current Budget
Funds Obligated
Current Balance
Item Cost
Budget Adjustment
Remaining Budget
Project Title
$ 5,398.00
$ 5,398,00 ,
$ 2,625.00
$ 2,773.00
V20210527
Previous Ordinance or Resolution # 143-16,153-14,105-18
Approval Date: 7-14-22
CITY OF
FAYETTEVILLE
ARKANSAS
TO: Mayor Jordan
THRU: Susan Norton, Chief of Staff
FROM: Keith Macedo, Information Technology Director
DATE: July 11, 2022
STAFF MEMO
SUBJECT: Staff recommends authorizing the attached statement of work with CivicPlus to
purchase the CivicRec lighting integration module.
RECOMMENDATION:
Staff recommends authorizing the attached statement of work with CivicPlus to purchase the
CivicRec lighting integration module.
BACKGROUND:
The city purchased CivicRec in May of 2018 to provide Parks and Recreation a hosted software
solution for the management of facility reservations, activity reservations, league management,
volunteer management, membership management, and point of sale for facilities and events.
Currently the city utilizes Musco lighting control systems to manage the lighting for several
Parks and is installing Musco systems at new parks. CivicRec offers a module that integrates
the event scheduling module with Musco lighting system to automatically upload CivicRec event
times to Musco to turn off and on park lights.
DISCUSSION:
Parks and Recreation staff recently looked at the CivicRec Musco integration to help manage
the lighting of park facilities to reduce the amount of time it takes to manage light schedules.
The CivicRec lighting module will auto create schedules within Musco and reduce the amount of
manual configuring of park lights.
BUDGET/STAFF IMPACT:
The CivicRec lighting integration module has a one-time cost of $2625.00 with no annual
maintenance cost. Funding is available within the sales tax capital Parks Recreation Software
CIP project.
Attachments: Staff Review Form, Staff Review Memo, CivicPlus statement of work
Mailing Address:
113 W. Mountain Street www.fayetteville-ar.gov
Fayetteville, AR 72701
P
CivicPlus
302 South 4th St. Suite 500
Manhattan, KS 66502
us
Client:
Fayetteville AR - CivicRec
Quote #:
Date:
Expires On:
Product:
Bill To:
Fayetteville AR - CivicRec
Q-26620-1
6/22/2022 5:19 PM
9/20/2022
CivicRec
SALESPERSON Phone EMAIL DELIVERY METHOD PAYMENT METHOD
Lucas Clark x Iclark@civicplus.com Net 30
CivicRec - Statement of Work
CITY
Product Name
DESCRIPTION
PRODUCT
TYPE
1.00
CivicRec Lighting Integration
CivicRec can schedule lighting at ball fields that are
controlled by Musco lighting systems.
One-time
Total Investment - Year 1
USD 2,625.00
Annual Recurring Services - Year 2
USD 0.00
Total Days of Quote:320
CivicPlus • 302 S. 4th Street, Suite 500 • Manhattan, KS 66502 • www.CivicPlus.com
Toll Free 888-228-2233 • Accounting Ext. 291• Support Ext. 307 • Fax 785-587-8951
Page 1 of 4
1. This Statement of Work ("SOW") shall be subject to the terms and conditions of the Fayetteville AR - CivicRec
Statement of Work signed by and between the Parties ("the Agreement"). By signing this SOW, Client expressly agrees to
the terms and conditions of the Agreement, as though set forth herein.
2. Client will be invoiced for the Total Investment - Year 1 (the sum of one-time costs and a prorated portion of the
Annual Recurring Services) upon signing and submission of this SOW. The Annual Recurring Services subscription fee
for the Products (as described above) included in this SOW are prorated and co -termed to align with the Client's current
billing schedule and the Annual Recurring Services amount will subsequently be added to Client's Term and regularly
scheduled annual invoices under the terms of the Agreement.
3. Each year this SOW is in effect, a technology investment and benefit fee, as agreed to in the Agreement, will be
applied to the Annual Recurring Services subscription fee.
Signature Page to follow.
CivicPlus • 302 S. 4th Street, Suite 500 • Manhattan, KS 66502 • www.CivicPlus.com
Toll Free 888-228-2233 • Accounting Ext. 291 • Support Ext. 307 • Fax 785-587-8951
Page 2 of 4
Acceptance
By signing below, the parties are agreeing to be bound by the covenants and obligations specified in this SOW and the
Agreement terms and conditions
IN WITNESS WHEREOF, the parties have caused this SOW to be executed by their duly authorized representatives as of
the dates below.
i.r-1st
7-14-22
CivicPlus
By: A {'
Name: Amy Vikander
Title:
Senior VP of Customer Success
Date: 07/06/2022
CivicPlus • 302 S. 4th Street, Suite 500 • Manhattan, KS 66502 • www.CivicPlus.com
Toll Free 888-228-2233 • Accounting Ext. 291• Support Ext. 307 • Fax 785-587-8951
Page 3 of 4
Contact Information
.all documents must be returned: Master Service Agreement, Statement of Work, and Contact Information Sheet.
Organization URL
Street Address
Address 2
City State
Postal Code
CivicPlus provides telephone support for all trained clients from 7am —7pm Central Time, Monday -Friday (excluding holidays).
Emergency Support is provided on a 24/7/365 basis for representatives named by the Client. Client is responsible for
ensuring CivicPlus has current updates.
Emergency Contact & Mobile Phone
Emergency Contact & Mobile Phone
Emergency Contact & Mobile Phone
Billing Contact
E-Mail
Phone Ext.
Fax
Billing Address
Address 2
City State
Postal Code
Tax ID #
Sales Tax Exempt #
Billing Terms
Account Rep
Info Required on Invoice (PO or Job #)
Are you utilizing any external funding for your project (ex. FEMA, CARES):
Please list all external sources:
Contract Contact
Y [ ] or N [ j
Email
Phone Ext.
Fax
Project Contact
Email
Phone Ext.
Fax
CivicPlus - 302 S. 4th Street, Suite 500 - Manhattan, KS 66502 - www.CivicPtus.com
Toll Free 888-228-2233 - Accounting Ext. 291- Support Ext. 307 - Fax 785-587-8951
Page 4 of 4