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Purchase Order Date Revision Page <br />COE- 2005100199 10/20/2004 1 <br />Payment Terms Freight Terms Ship Via <br />N30 Destination COMMON <br />Buyer: 8910, PW Admin -Svcs <br />Date Needed <br />VENDOR <br />HERITAGE SEEDLING, INC <br />4194 71ST AVENUE SE <br />SALEM OR 97317 <br />Phone: 503/585 -9835 <br />Fax: 503/371 -9688 <br />Central Services <br />Finance /Purchasing <br />100 West 10th Avenue, Suite 400 <br />Eugene, Oregon 97401 <br />(541) 682 -5055 <br />(541) 682 -6233 Fax <br />SHIP TO: <br />City of Eugene Public Works <br />Administration Division <br />101 E. Broadway #400 <br />Eugene OR 97401 <br />Department Copy - for internal use only. <br />Line# <br />Description <br />Qty. / Unit <br />Unit Price <br />Total <br />Please send department copy to Kris Aanderud <br />Change Order #1: Increase PO by $65,065 per Amendment <br />#3, new PO total is $107,934.00. Contract established <br />by solicitation 2005200020. 7/20/09 sg <br />Change Order #2: Change funding for $15,000 to <br />535 - 9630 -61739 +$15 <br />per email request from Kris Aanderud. 5/7/10 sg <br />CO #2 revised: Line 2 reduced by 14,999, Line 3 added <br />to allow for receiving $15,000 independent of other <br />funds on Line 2 Account code is 535 - 9630- 62900. <br />12/10/10 sg <br />CO #3 added 2 lines to increase funds. $8010.00 to <br />531 - 933561739- 915562 -310 and $10,000.00 to <br />535 - 9630 -61739 per Amendment #4 dtd 2 -8 -11. 2 -17 -11 ju <br />CO3 #a: decrease funds on line 4 to correct grant code <br />from 310 to 356. No change to PO Total. jfl 09/01/11 <br />Change Order #4: Amendment #5 extends agreement for <br />the third of five potential one -year renewals, revises <br />the seed price based on acreage in production for the <br />2012 harvest, and specifies conditions for adjusting <br />Contract Number: 2005 -05408 <br />Price Agreement: <br />INSTRUCTIONS TO VENDOR <br />1. Show this purchase order number on all invoices, packages, and <br />related correspondence. <br />2. Prepay all shipping charges. Add agreed upon charges to invoice as <br />separate line item. No collect shipments will be accepted. <br />3. Deduct all excise and sales taxes. Municipalities are exempt. Federal <br />Exemption Certificate #93- 730106K, copies of which are available from <br />the City Purchasing Manager. <br />4. Acknowledge this order immediately and advise shipping date. <br />5. Invoice at time of shipment. <br />Mail invoices to: Accounts Payable, City of Eugene, Box 11110, Eugene, <br />Oregon 97440 -3310. Show to which City Department shipped. <br />6. Federal Tax ID #93- 6002160 <br />