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HomeMy WebLinkAbout2012-031 Contract - Northwest Mailers Contract for Mail Services C I T Y OF CONTRACTOR: Northwest Mail Services ASHLAND CONTACT: Donald L. Sauls, President 20 East Main Street Ashland, Oregon 97520 ADDRESS: 550 Airport Road, Medford, OR 97504 Telephone: 541/488-6002 Fax: 5411488-5311 TELEPHONE: 541-779-1347 DATE AGREEMENT PREPARED: January 17,2012 FAX: 541-779-5896 BEGINNING DATE: January 1, 2012 COMPLETION DATE: December 31, 2014 COMPENSATION: .Price List for Mail Services attached as Exhibit C is effective January 1, 2012 and any increase in these fees will be agreed to by both parties. Price List for processing Utility Bills attached as Exhibit D is effective January 1, 2012 and will be adjusted 3% annually. GOODS AND SERVICES TO BE PROVIDED: Contractor to provide City-wide mail services and utility bill processing per the attached price lists. Mail services include daily pick-up (M-F), folding, inserting, barcoding, metering, sorting, daily mail delivery to the Medford Post Office and envelope storage. ADDITIONAL TERMS: Contract may be extended annually for up to two (2) additional years for a total of five 5 ears. NOW THEREFORE, pursuant to AMC 2.50.090 and after consideration of­the covenants contained herein the CITY AND CONTRACTOR AGREE as follows: 1. All Costs by Contractor: Contractor shall, provide all goods as specified above and shall at its own risk and expense, perform any work described above and, unless otherwise specified, furnish all labor, equipment and materials required for the proper performance of such work. 2. Qualified Work: Contractor has represented, and by entering into this contract now represents, that any personnel assigned to the work required under this contract are fully qualified to perform the work to which they will be assigned in a skilled and worker-like manner and, if required to be registered, licensed or bonded by the State of Oregon, are so registered, licensed and bonded. Contractor must also maintain a current City business license. 3. Completion Date: Contractor shall provide all goods in accordance with the standards and specifications,no later than the date indicated above and start performing the work under this contract by the beginning date indicated above and complete the work by the completion date indicated above. 4. Compensation: City shall pay Contractor for the specified goods and for any work performed, including costs and expenses, the sum specified above. Payments shall be made within 30 days of the date of the invoice. Should the contract be prematurely terminated, payments will be made for work completed and accepted to date of termination. Compensation under this contract, including all costs and expenses of Contractor, is limited to$25,000.00, unless a separate written contract is entered into by the City. 5. Ownership of Documents: All documents prepared by Contractor pursuant to this contract shall be the property of City. 6. Statutory Requirements: ORS 279B.220, 279B.225, 279B.230, 279B.235, ORS Chapter 244 and ORS 670.600 are made part of this contract. 7. Living Wage Requirements: If contractor is providing services under this contract and the amount of this contract is$18,890 or more, Contractor is required to comply with chapter 3.12 of the Ashland Municipal Code by paying a living wage, as defined in this chapter, to all employees performing work under this contract and to any subcontractor who performs 50% or more of the work under this contract. Contractor is also required to post the notice attached hereto as Exhibit B predominantly in areas where it will be seen by all employees. .8. Indemnification: Contractor agrees to defend, indemnify and save City, its officers, employees and agents harmless from any and all losses, claims, actions, costs, expenses,judgments, subrogations, or other damages resulting from injury to any person (including injury resulting in death), or damage (including loss or destruction) to property, of whatsoever nature arising out of or incident to the performance of this contract by Contractor(including but not limited to, Contractor's employees, agents, and others designated by Contractor to perform work or services attendant to this contract). Contractor shall not be held responsible for any losses, expenses, claims, subrogations, actions, costs, judgments, or other damages, directly, solely,and proximately caused by the negligence of City. 9. Termination: a. Mutual Consent. This contract may be terminated at any time by mutual consent of both parties. b. City's Convenience. This contract may be terminated at any time by City upon 30 days' notice in writing and delivered by certified mail or in person. C. For Cause. City may terminate or modi this contract, in whole or in part, effective upon delivery of Contract for Mail Services,01/17/2012, Page 1 of 5 written notice to Contractor, or at such later date as may be established by City under any of the following conditions: i. If City funding from federal, state, county or other sources is not obtained and continued at levels sufficient to allow for the purchase of the indicated quantity of services; ii. If federal or state regulations or guidelines are modified, changed, or interpreted in such a way that the services are no longer allowable or appropriate for purchase under this contract or are no longer eligible for the funding proposed for payments authorized by this contract; or iii. If any license or certificate required by law or regulation to be held by Contractor to or the services required by this contract is for any reason denied, revoked, suspended, or not renewed. d. For Default or Breach. I. Either City or Contractor may terminate this contract in the event of a breach of the contract by the other. Prior to such termination the party seeking termination shall give to the other party written notice of the breach and intent to terminate. If the party committing the breach has not entirely cured the breach within 15 days of the date of the notice, or within such other period as the party giving the notice may authorize or require, then the contract may be terminated at any time thereafter by a written notice of termination by the party giving notice. ii. Time is of the essence for Contractor's performance of each and every obligation and duty under this contract. City by written notice to Contractor of default or breach, may at any time terminate the whole or any part of this contract if Contractor fails to provide services called for by this contract within the time specified herein or in any extension thereof. iii. The rights and remedies of City provided in this subsection (d) are not exclusive and are in addition to any other rights and remedies provided by law or under this contract. e. Obligation/Liability of Parties. Termination or modification of this contract pursuant to subsections a, b, or c above shall be without prejudice to any obligations or liabilities of either party already accrued prior to such termination or modification. However, upon receiving a notice of termination (regardless whether such notice is given pursuant to subsections a, b, c or d of this section, Contractor shall immediately cease all activities under this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination, Contractor shall deliver to City all contract documents, information, works-in-progress and other property that are or would be deliverables had the contract been completed. City shall pay Contractor for work performed prior to the termination date if such work was performed in accordance with the Contract. 10. Independent Contractor Status: Contractor is an independent Contractor and not an employee of the City. Contractor shall have the complete responsibility for the performance of this contract. 11. Non-discrimination Certification: The undersigned certifies that the undersigned Contractor has not discriminated against minority, women or emerging small businesses enterprises in obtaining any required subcontracts. Contractor further certifies that it shall not discriminate in the award of such subcontracts, if any. The Contractor understands and acknowledges that it may be disqualified from bidding on this contract, including but not limited to City discovery of a misrepresentation or sham regarding a subcontract or that the Bidder has violated any requirement of ORS 279A.110 or the administrative rules implementing the Statute. 12. Asbestos Abatement License:.If required under ORS 468A.710, Contractor or Subcontractor shall possess an asbestos abatement license. 13. Assignment and Subcontracts: Contractor shall not assign this contract or subcontract any portion of the work without the written consent of City. Any attempted assignment or subcontract without written consent of City shall be void. Contractor shall be fully responsible for the acts or omissions of any assigns or subcontractors and of all persons employed by them, and the approval by City of any assignment or subcontract shall not create any contractual relation between the assignee or subcontractor and City. 14. Use of Recyclable Products: Contractor shall use recyclable products to the maximum extent economically feasible in the performance of the contract work set forth in this document. 15. Default. The Contractor shall be in default of this agreement if Contractor: commits any material breach or default of any covenant, warranty, certification, or obligation it owes under the Contract; if it loses its QRF status pursuant to the QRF Rules or loses any license, certificate or certification that is required to perform the work or to qualify as a QRF if Contractor has qualified as a QRF for this agreement; institutes an action for relief in bankruptcy or has instituted against it an action for insolvency; makes a general assignment for the benefit of creditors; or ceases doing business on a regular basis of the type identified in its obligations under the Contract; or attempts to assign rights in, or delegate duties under, the Contract. 16. Insurance. Contractor shall at its own expense provide the fallowing insurance: a. Worker's Compensation insurance in compliance with ORS 656.017, which requires subject employers to provide Oregon workers' compensation coverage for all their subject workers b. General Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $200,000, $500,000, $1,000,000, $2,000,000 or Not Applicable for each occurrence for Bodily Injury and Property Damage. It shall include contractual liability coverage for the indemnity provided under this contract. C. Automobile Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $200,000, $500,000, $1,000,000, or Not Applicable for each accident for Bodily Injury and Property Damage, Contract for Mail Services, 01/17/2012, Page 2 of 5 �- including coverage for owned, hired or non-owned vehicles, as applicable. d. Notice of cancellation or change. There shall be no cancellation, material change, reduction of limits or intent not to renew the insurance coverage(s)without 30 days' written notice from the Contractor or its insurer(s) to the City. e. Additional Insured/Certificates of Insurance. Contractor shall name The City of Ashland, Oregon, and its elected officials, officers and employees as Additional Insureds on any insurance policies required herein but only with respect to Contractor's services to be provided under this Contract. As evidence of the insurance coverages required by this Contract, the Contractor shall furnish acceptable insurance certificates prior to commencing work under this contract. The contractor's insurance is primary and non-contributory. The certificate will specify all of the parties who are Additional Insureds. Insuring companies or entities are subject to the City's acceptance. If requested, complete copies of insurance policies, trust agreements, etc. shall be provided to the City. The Contractor shall be financially responsible for all pertinent deductibles, self-insured retentions and/or self- insurance. 17. Governing Law; Jurisdiction; Venue: This contract shall be governed and construed in accordance with the laws of the State of Oregon without resort to any jurisdiction's conflict of laws, rules or doctrines. Any claim, action, suit or proceeding (collectively, "the claim") between the City (and/or any other or department of the State of Oregon) and the.Contractor that arises from or relates to this contract shall be brought and conducted solely and exclusively within the Circuit Court of Jackson County for the State of Oregon. If, however, the claim must be brought in a federal forum, then it shall be brought and conducted solely and exclusively within the United States District Court for the District of Oregon filed in Jackson County, Oregon. Contractor, by the signature herein of its authorized representative, hereby consents to the in personam jurisdiction of said courts. In no event shall this section be construed as a waiver by City of any form of defense or immunity, based on the Eleventh Amendment to the United States Constitution, or otherwise, from any claim or from the jurisdiction. 18. THIS CONTRACT AND ATTACHED EXHIBITS CONSTITUTE THE ENTIRE AGREEMENT BETWEEN THE PARTIES. NO WAIVER, CONSENT, MODIFICATION OR CHANGE OF TERMS OF THIS CONTRACT SHALL BIND EITHER PARTY UNLESS IN WRITING AND SIGNED BY BOTH PARTIES. SUCH WAIVER, CONSENT, MODIFICATION OR CHANGE, IF MADE, SHALL BE EFFECTIVE ONLY IN THE SPECIFIC INSTANCE AND FOR THE SPECIFIC PURPOSE GIVEN. THERE ARE NO UNDERSTANDINGS, AGREEMENTS, OR REPRESENTATIONS, ORAL OR WRITTEN, NOT SPECIFIED HEREIN REGARDING THIS CONTRACT. CONTRACTOR, BY SIGNATURE OF ITS AUTHORIZED REPRESENTATIVE, HEREBY ACKNOWLEDGES THAT HE/SHE HAS READ THIS CONTRACT, UNDERSTANDS IT, AND AGREES TO BE BOUND BY ITS TERMS AND CONDITIONS. 19. Nona ppropriations Clause. Funds Available and Authorized: City has sufficient funds currently available and authorized for expenditure to finance the costs of this contract within the City's fiscal year budget. Contractor understands and agrees that City's payment of amounts under this contract attributable to work performed after the last day of the current fiscal year is contingent on City appropriations, or other expenditure authority sufficient to allow City in the exercise of its reasonable administrative discretion, to continue to make payments under this contract. In the event City has insufficient appropriations, limitations or other expenditure authority, City may terminate this contract without penalty or liability to City, effective upon the delivery of written notice to Contractor, with no further liability to Contractor. 20. Prior Approval Required Provision. Approval by the City of Ashland Council or the Public Contracting Officer is required before any work may begin under this contract. 21. Certification. Contractor shall sign the certification attached hereto as Exhibit A and herein incorporated by reference. Contractor. `__ City of Ashland By .. )LcLS t" ��� By xp'r< P z Signature Department Head— Print Name Print Name Q C-,,a+ 01/g0/Z_ Title Date / W-9 One copy of a W-9 is to be submitted with ` 0 the signed contract. Purchase Order No. d 40 �Z Contract for Mail Services, 01/17/2012, Page 3 of 5 EXHIBIT A CERTIFICATIONS/REPRESENTATIONS: Contractor, under penalty of perjury, certifies that (a) the number shown on the attached W-9 form is its correct taxpayer ID (or is waiting for the number to be issued to it and (b) Contractor is not subject to backup withholding because (i) it is exempt from backup withholding or (ii) it has not been notified by the Internal Revenue Service (IRS) that it is subject to backup withholding as a result of a failure to report all interest or dividends, or (iii) the IRS has notified it that it is no longer subject to backup withholding. Contractor further represents and warrants to City that (a) it has the power and authority to enter into and perform the work, (b) the Contract, when executed and delivered, shall be a valid and binding obligation of Contractor enforceable in accordance with its terms, (c) the work under the Contract shall be performed in accordance with the highest professional standards, and (d) Contractor is qualified, professionally competent and duly licensed to perform the work. Contractor also certifies under penalty of perjury that its business is not in violation of any Oregon tax laws, and it is a corporation authorized to act on behalf of the entity designated above and authorized to do business in Oregon or is an independent Contractor as defined in the contract documents, and has checked four or more of the following criteria: (1) 1 carry out the labor or services at a location separate from my residence of is in-.a specific portion of my residence, set aside as the location of the business. i/ (2) Commercial advertising or business cards or a trade association membership are purchased for the business. (3) Telephone listing is used for the business separate from the personal residence listing. ✓ (4) Labor or services are performed only pursuant to written contracts. ✓ (5) Labor or services are performed for two or more different persons within a period of one year. (6) 1 assume financial responsibility for defective workmanship or for service not provided as evidenced by the ownership of performance bonds, warranties, errors and omission insurance or liability insurance relating to the labor or services to be provided. Contractor (Date) Contract for Mail Services, 01/17/2012, Page 4 of 5 NORTHWEST MAAIL SERVICES A Northwest Mailers,Lac Company 550 AIRPORT ROAD MEDFORD, OR 97504 (541)779-1347 December 6,2011 Ms Kari Olson Purchasing Representative City of Ashland 90 N Mountain Avenue Ashland OR 97520 Dear Ms Olson: The contract fornnailing services between the City of Ashland and Northwest Mailers,Inc. expires on December 31,2011.Northwest Mailers,Inc. would like to propose a new contract on the same terms as the previous contract. Northwest Mailers,hie. continues to be the only Southern Oregon business that can provide the services now being provided to the City of Ashland. All provisions of the original contract are still acceptable, except at the execution of the new contract the prices for the utility bill processing will be adjusted by 3%. Prices for processing the daily first class mail will remain at the current level..The prices for the new contract are shown in Attachments 1 and 2.The US Postal Service now makes annual postage adjustments based on a variation of the CPI.These adjustments may become more frequent depending on the financial needs of the Postal Service.We will adjust the cost of postage to reflect the new rates when the rates are made effective. If this proposal is acceptable please have your legal staff prepare the necessary documents.We value the long business relationship we have enjoyed with the City of Ashland and look forward to continuing to provide you excellent service. B!'pstRegards ( L Donald L. Sauls President Northwest Mailers, Inc. cc: Sheri Breareliffe 1:41PM Northwest Mailers Inch �G 1216/11 . Item Price list January 1,2012 Daily Mail Services Item Description Preferred Vendor Price PS.A Actual Postage Machinable Letters 0.00 PS.AS Processing Fee Machinable Letters 0.105 PS.0 Actual Postage Certified,Registered or Foreign 0.00 PS.CS Processing Fee Certified,Registered or Foreign 0.35 PS.LB Actual Postage Box Over 10lbs. 0.00 PS.LBS Processing Fee Box Over 101bs. 1.10 Ps.N Additional Postage Non Machinable Letters 0.00 PS.NL Actual Postage Non Machinable Items 0.00 PS.NLS Processing Fee Non Machinable Items 0.13 PS.NS Processing Fee Non Machinable Letters 0.05 PS.O Other 0.00 PS.PU Daily Pick Up 2.75 Page 1 of i A{tachment2 Northwest Mailers, Inc. 121x/14. City of Ashland Utilities GAL G �• Price List Item Price/M January 1, 2812 Folding $11.40 Inserting $24.72 Metering $8.75 Barcoding $48.10 Envelope Storage $25.75 Per month Page 1 of 1 CERTIFICATE OF LIABILITY INSURANCE OATE(MMDDYYYY) may' 11/16/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THI: CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIEt BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZE[ REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject tc the terns and conditions of the policy,certain policies may require an endorsement: A statement on this certificate does not confer rights to th( certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Marcene Forney Ashland Insurance Inc PHONE (541)857-0679 FAC NO:(541)957-9883 80� O'Hare Parkway, Ste 101 nooaiES S:marcenef @ashlandinsurance.com INSURERS AFFORDING COVERAGE NAIC If Medford OR 97504 INSURER A:National Fire Insurance Co. 0478 INSURED INSURER B:C,Ontinental Ins 35289 Northwest Mailers, Inc INSURER c:Continental CasualtV Ins 26443 55C) AIRPORT RD INSURER D: INSURER E MEDFORD 'OR 97504 1 INSURER F: COVERAGES CERTIFICATE NUMBER CL11111603308 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADOI. SUBF POLICY EFF POLICY EXP LTR TYPE OF INSURANCE Jtw POLICY NUMBER MM/DD/YYYY IMMIDD/YYYY l LIMITS ma GENERAL LIABILITY - EACH OCCURRENCE $ 1,000,01 COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 300,01 A CLAIMS-MADE F-IOCCUR 4031103057 1/1/2011 1/1/2012 MED EXP(Any one person) $ 10,.0( PERSONAL S ADV INJURY $ 1,000,0( GENERAL AGGREGATE $ 2,000,0( GENL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,0( X F'OLICV PRO- LOC $IFCT N'AUTOMOULE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,0 B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED 4031104063 1/1/2011 1/1/2012 BODILY INJURY(Per accident) $ AUTOS AUTOS X NON-OWNED PROPERTY DAMAGE S HIRED AUTOS AUTOS Peraccitlent Urnsuredmotoristcanbined $ 1 000 OC X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,0C `. EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,OC DIED X RETENTION$ 10,000 4031104077 11/1/2011 •1/1/2012 is WORKERS COMPENSATION WC STATU- O R AND EMPLOYERS'LIABILITY Y I T ANY PROPRIETOR/PARTNER/FXEMIVE F NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ It es,describeunder DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCfePTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Renarks Schedule,R more space is required) CERTIFICATE HOLDER CANCELLATION (541)488-5320 SHOULD ANY.OF THE ABOVE DE SCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing 20 E Main St AUTHORIZED REPRESENTATIVE Ashland, OR 97520 —f Marcene Forney/MARCH 7� - ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved w ww.saif.com " OREGON WORKERS COMPENSATION S"a' f CERTIFICATE OF INSURANCE f corporation CERTIFICATE HOLDER: " CITY OF ASHLAND ATTN: KARI OLSON 90 N MOUNTAIN AVE ASHLAND, OR 97520 The policy of insurance listed below has been issued to the insured named below for the policy period indicated. The insurance afforded by the policy described herein is subject to all the terms, exclusions and conditions of such policy. POLICY NO. POLICY PERIOD ISSUE DATE 497185 07/01/2011 to 07/01/2012 Of/20/2012 INSURED: BROKER OF RECORD: NORTHWEST MAILERS INC 550 AIRPORT RD MEDFORD, OR 97504-4156 LIMITS OF LIABILITY: Bodily Injury by Accident $.500,000 each accident Bodily Injury by Disease $500,000 each employee Body Injury by Disease $500,000 policy limit DESCRIPTION OF OPERATIONS/LOCATIONS/SPECIAL ITEMS:. IMPORTANT: The coverage described above is in effect as of the issue date of this certificate. It is subject to change at any time in the future. This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies above. AUTHORIZED REPRESENTATIVE President and CEO 400 High Street SE Salem, OR 97312 P:800.285.8525 F:503.373.8020 Pdlcy_Ba¢h_CertlFicateIXlnsurance Page 1 / 1 CITY OF UTY RECORDER ASHLAND " DATE ;' PO NUMBER : "G 20 E MAIN ST. 2/14/2012 1 10687 ASHLAND, OR 07520 (541)488-5300 VENDOR: 000176 SHIP TO: Ashland Finance Deartment NORTHWEST MAILERS, INC (541)488-5300 550 AIRPORT RD 20 E MAIN STREET MEDFORD, OR 97504 ASHLAND, OR 97520 FOB Point: Req.No.: .. Terms: Payable on receipt Dept.: - Req.Del.Date: Contact: Cindy Hanks Special Inst: Confirming? NO ;.Quanta .-.aJnit .... .. c. .. :.: .•.., ,.bescti lion .:�. .11` . . ,.",5� ' .: :-,Unit Price Ext.Price..- . Mail Services- Postage for City mail 16,500.00 January 1, 2012 to June 30, 2012 Contract for Mail Services Beginning date: January 1, 2012 Completion date: December 31, 2014 Insurance required/On file SUBTOTAL 16 500.00 BILL TO:Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2028 TOTAL 16,500.00 ASHLAND, OR 97520 _. Account Numter ProjecENumber Amount AccountNurn r.' ProjectNumber _ :> Amount E 710.03.08.00.603400 16 500.00 Authorized Signature VENDOR COPY FORM #3 CITY OF ASHLAND REQUISITION Date otrequest: Required date for delivery: EEJ Vendor Name 1 ,- {j Address,City,State,Zip Contact Name&Telephone Number Fax Number SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergency ❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Written findings attached ❑ Quote or Proposal attached =Request approved cil: ❑ Quote or Proposal attached ❑ Small Procurement Cooperative Procurement Less than$5,000 sal (Copies on file) ❑ State of Oregon Note:Total contract amount,including any cil: Contract#- amendments may not exceed$6,000 ❑ State of Washington Intermediate Procurement ❑ Sole Source Contract If GOODS&SERVICES ❑ Written Findings(Farm attached) ❑ Other government agency contract $5.000 to$100,000 ❑ Quote or Proposal attached Agency ❑ (3)Written quotes attached Contract# PERSONAL SERVICES ❑ Speclat Procurement ❑ Intergovernmental Agreement $5,000 to$75,000 ❑ Written Findings(Form attached) Agency ❑ Less than$35,000,by direct appointment ❑ Quote or Proposal attached Contract# ❑ 3 Written proposals attached Date approved by Council: Date approved by Council: Description of SERVICES Total Cost &A A, ' rh e- , qL1 l l I I 1u uv1EI $ F 0 Item # Quantity' Unit Description of MATE Unit Price Total Cost ❑ Per attached quote/proposal TOTAL COST Project Number______-___ Account Number JID -(QQa\Lv0 Account Number___-__- -______ Account Number 'Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures. IT Director in collaboration with department to approve all hardware and software purchases: IT Director Date Support(Yes/ No) By signing this requisition form,I certify that the information provided above satisfies the City's public contracting requirements, and the documentation can be provided upon request. / /''"" / Employee Signature: yy}}_�!� 12 U' ,�- �� ti{�,� Department Head Signature: Additional signatures(if applicable): Funds appropriated for current fiscal year. )'E / NO oy- Finance Director Date . Comments: G Finan eTrocedurev%PTomislForm#3-Requation.doc Updated on:2!7/2012