HomeMy WebLinkAbout2012-218 Contract - May Rock & Excavating T
Contract for GOODS AND SERVICES Less than $25,000
CITY OF CONTRACTOR: May Rock & Excavating LLC
ASHLAND CONTACT: Dan May
20 East Main Street
Ashland, Oregon 97520 ADDRESS: PO Box 319, Talent, OR 97540
Telephone: 541/488-6002
Fax: 541/488-5311 TELEPHONE: 541-890-5388
DATE AGREEMENT PREPARED: September 5,2012 FAX: 541-512-8892
BEGINNING DATE: September 17, 2012 COMPLETION DATE: October 30, 2012
COMPENSATION: $4,990.00 per proposal attached as Exhibit C.
GOODS AND SERVICES TO BE PROVIDED: Repairs and maintenance to Hole #8 on Oak Knoll Golf Course
per proposal attached as Exhibit C.
ADDITIONAL TERMS:
NOW THEREFORE, pursuant to AMC 2.50.090 and after consideration of the mutual 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 27913.220, 279B.225, 27913.230, 2796.235, 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,$19,494 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 modify this contract, in whole or in part, effective upon delivery of
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
Contract for Goods and Services Less than$25,000, Revised 06/30/2012, Page 1 of 5
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 provide 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 following 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,
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 insurers to
Contract for Goods and Services Less than$25,000, Revised 06/30/2012, Page 2 of 5
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. Nonappropriations 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 As d
By By
Signature Department Head
40 ��rl� i
Print Nanld Print Name
� s
but trim 4(<ZI/z�
Title Date
W-9 One copy of a W-9 is to be submitted with
the signed contract. Purchase Order No.
Contract for Goods and Services Less than$25,000, Revised 06/30/2012, Page 3 of 5
EXHIBIT A
CERTIFICATIONS/REPRESENTATIONS: Contractor, under penalty of perjury, certifies that (a) the 3
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:
unh (1) 1 carry out the labor or services at a location separate from my residence or is in a
�J specific portion of my residence, set aside as the location of the business.
( (2) Commercial advertising or business cards or a trade association membership are
purchased for the business.
U�`J (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. y
(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
v " 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 Goods and Services Less than$25,000, Revised 06/30/2012, Page 4 of 5
CITY OF ASHLAND , OREGON
EXHIBIT B
City of Ashland
LIVING
WAGE
. .
• • per hour effective June 30, 2012
=, (Increases annually every June 30 by the
Consumer Price Index)
• • . portion of business of their cafeteria plans(including
employer, if the employer has childcare) benefits to the
ten or more employees, and amount of wages received by
has received financial the employee.
assistance for the project or
➢ For all hours worked under a business from the City of ➢ Note: "Employee'does not
service contract between their Ashland in excess of$19,494. include temporary or part-time vl
employer and the City of employees hired for less than
Ashland if the contract ➢ If their employer is the City of 1040 hours in any twelve-
exceeds$19,494 or more. Ashland including the Parks month period. For more j
and Recreation Department. details on applicability of this
➢ For all hours worked in a policy, please see Ashland
month if the employee spends ➢ In calculating the living wage, Municipal Code Section
50% or more of the employers may add the value 3.12.020.
employee's time in that month of health care, retirement,
working on a project or 401 K and IRS eligible
For additional information:
Call the Ashland City Administrator's office at 541-488-6002 or write to the City Administrator, City Hall,
20 East Main Street, Ashland, OR 97520 or visit the city's website at www.ashland.or.us.
Notice to Employers: This notice must be posted predominantly in areas where it can be seen by all
employees.
CITY OF
ASHLAND
Contract for Goods and Services Less than$25,000, Revised 06/30/2012, Page 5 of 5
May Rock& Excavating, LLC ESTIMATE
CCB#65636 USDOT#198930-80 —
PO Box 319 DATE ESTIMATE NO.
Talent OR 97540
8/27/2012 487
NAME/ADDRESS
Ashland Parks & Recreation Department
Attn Jeff McFarland We now accept
340 S. Pioneer Street MasterCard, Visa &
Ashland OR 97520 Discover Card.
PROJECT
Oak Knoll Golf Course#8
DESCRIPTION QTY/HRS COST TOTAL
Sod removal.
Import rill dirt, load&place.
Move top soil on site to #8.
Place sand and soil.
Drain lines, excavate and backfill drainage ditches.
Labor and grade check.
Scope of work not to exceed> 1 4,990.00 4,990.00
Parks department to supply, drain rock, pipe &supplies, 0.00 0.00
fabric, sand, sod& top soil.
ESTIMATE IS GOOD FOR 30 DAYS FROM THE Total
ABOVE DATE. ITEMS NOT LISTED IN THIS $4,990.00
PROPOSAL ARE CONSIDERED AN EXTRA AND
WILL BE BILLED @ TIME& MATERIAL. ROCK OR SIGNATURE
OTHER MATERIAL THAT REQUIRE ROCK
BREAKING EQUIPMENT WILL ALSO BE @ TIME&
MATERIAL. ALL AGREEMENTS ARE CONTINGENT
UPON WEATHER OR DELAYS BEYOND
CONTROL. ` OU�3hone# Fax# E-mail
541-482-2289 1 541-512-8892 maymck319 @gmaiI.mm
N , .CERTIFICATE OF LIABILITY INSURANCE OF ID PH DAr;"M•DGnrrrl
tdAYAO 1 05/06/12
FIRCIDUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Wastern States Ins. - Medford HOLDER.THIS CERTIFICATE COES NOT AMEND,EXTEND OR
38 N. Central Ave Spite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Medford OR 97501 I —r
?hone: 541-779-1321 Fax:541-779-3187 INSURERS AFFORDING COVERAGE IHAICS
a16UFE[ ^•'FEFA Liberty Northwest Ins
MaSS� Rock 6 Excavating hLC
Attn: Dan May
.rMox. OA997540
uG_R[r+E.
COVERAGES
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IN'IIGF,fi-:A°_J Pei T-E o:AI:`PElidl h'CI°AL?L 6Gry v,=;:TaryiilK
PYi PEGJ 4E1!FN.iER41iP MH_IPCrs CF AN'CJ4i:ACT C•N CMER iJ:!e'EIJr'%A i ASPECT i0 WYIGH iHJS i_Rr!FIG-E LA 16E i'aL'ED.^,F
N.'°eg-PIR.THE PAIR=fICE<cfOC.OEC?':THEeOL CIE.?E PIEF HEPEwI t,%5.'E:TTn TTi!£J<,H0!,Ec,T,FIrJS VCC.^ORKT`?F 5!ru
PrLIriES AGGF.EGRE LU,14S�f,DWV NTY HASE EEC!BE�UiEJ Bt PA D QtP."5
CuSR ADv —__...__�_----_____.____.__.__-....i POLfLY E'FFEC9`1E-%OLIC7 ERgR;.TON
LTR INGR TYPE OFINSURNICE POLICY NJMBER DATE IMINu'D.^YYi) DATE iMryypD1YYYYl LWRS
'E< 4CC=!•P4EWE 100D000
GENERAL LIABILITY
IL_. fp�=r:rn.Ersl r=_-a wNcvv_n__x;—
.._____
A g C03173125. I 10/26/11 10/26112 !? 100000 .
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CERTIFICATE HOLDER CANCELLATION
SHOULD ANt OF THE ABOVE DESCRIBED^OUCIES BE CANCELLED BEFCRE rHE DIFIRATION
DATE THEREOF.TXE:SSVNG'N3VRER WILL END'cAYDR TO AWL 10 =_Xls V.RITEN
NOTICE TO THE CERRFCATE HOLDER SA"ED TO THE LEFT,517 FALURE TO DO 60 SHALL
'N=OSE NO OB40AnON OR LIABILm"OF ANY KIIF:UPON THE INSLRER.ITS AGENTS OR
Ashland Parks 6 Recreation REPRESENTATIVES.
Attn: Jeff merarland ALTHOR REPRESENTATME
340 S. Pioneer St.
ikshland OR 97520
ACORD 25(2 0 09101) ill�g"IF-7009-ACORDOORPOR9TRITI, All rights reserved.
The ACORD name and logo are registered marks of ACORD
SEP-04-2012 TILE 08:09 AM LK COML UW FAX M0. 918665351399 P. 01/01
f Certificate of Insurance
T11W CERYIFICATa Es ISSUED AS A Mp.TYER OF INFORMATION ONLY AND CCNPI:RS NO RIGHTS UPON THE CERTIFCATE HOLDER. THIS CERTIFICATE SI NO Y.1 1
INSURANCE POt.ICY AND DOES Nor AmaND.EXTEND,Oct ALTER THE COVERAGE AFFORDED BY THE POLICIES POLICIES USTED. .
This Is to Crill I Noi'lilwcsta
- Mil lxr of Liblom mtud iin)uP
Liberty Centre
KEN MAY AND DAN MAY 550 Id_Holladay Street
MAY ROCK & EXCAVATtNG PO el 4555
PO Box 319 Portland, OR 97209-4555
TALENT OR 97540-0319 Tel: 503 239 5803
(Idn6uLIt671u111ullluu111un11111L11111111111111111 wWwAtbertynorthwast.COm
is, at the date of the certificate,insured by the Company Under the pOlicy(ies)listed below. The insurance afforded by the listed policy(tas)
is subject to,all their terms, excluslons and conditions end Is not altered by any reouirement, term or condil of any contract or cthar
document wdl! respect to which this Certificate may be issued.
TYPE OF POLICY I EXPIRATION+ POLICY NLIM3ER !IM(TS OF LIA3ILITY
DA?E
J ODVERAGE AFFCRDeO UNOfiR WA LAM" UOIERPGE a=rORDE9 LN]'_R'WC i
OF FOLLOHING:TATES OP FCLLP4'HO STAT65r
1
I OR i
j ® omEn°.+rlcN 7101/20131'WC4-1NC-0004541 1
I I EMPArEas U..E I1v u.Nlrs
,I �ENPLnreas ueeulTV UVIrs
1 EccT ALCtlut $600 ,OCO Eam ACeA.rt
D,MM-MICY limit $500 ,000 IG iO�a'PCl'e Emit
1 l Dieeaca-win rfil
aGOGe•a9cnaroLO'aG $500 ,000 ( �.�
MARII IVEccVERAGE EOLLOYIING SCPTE&: LNAIT Of LIAS. MAR111ME COYERA^G6
CEN?RAL UAFnuri• General AGG'a]Gm IS
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AUTOMOBILE LIAl 1
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❑ At,O.rned wM 1 avtlllY lrjW low>eridtl $ it
&oMWu,W AeN, BmiY Iqun(Fn AcdWr, i5 .
eyed AUbu 1
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DEBCRI 'ON OF OPfiRA 0116
uX.ni1ON(S)GF CPERATI_ bJGea(il'APPLCP9LEJ
, FA%: 547-488-5099 ,
~ SHOULD ANY O` THE ABOVE Oltte D POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE IS:UING
COMPANY WILL ENDEAVOR TOMAIL�— DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED BELOW, BUT
CANGELATION: FAILURE TO MAIL SUCH NOTICE "ALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON YHf COMPAN'1-�
REPRESENTATIVES,
MAILED TO.
ASHLAND PARKS AND RED DEPT —.-
ATTN: JEFF MCFARLAND Dil Legg.Vice F'residerR ndsecretary
340 S PIONEER ST
ASHLAND OR 97520-2729 FE5 Ah—BLO.Af=2 _.PoRTI-ANiLLndac.W+•i-3-lr.y
IlduluAJduddllnn,6lindnLptill III lHn]I11LI
DATE ISSUED OFFICE
cl
CITY 19ECO 1DE_/-_1 Page 1 /1
ASHLAASHLAND, O F
ND DATE PO NUMBER
, A 20 E MAIN ST. 916/2012 11155
OR 97520.
(541)488-5300
VENDOR: 005662 SHIP To: Ashland Parks
MAY ROCK& EXCAVATING, LLC C/O 90 N. MOUNTAIN
P O BOX 319 (541)488-5354
TALENT, OR 97540 ASHLAND, OR 97520
FOB Point: Req.No.: .
Terms: Net Dept.:
Req.Del.Date: - contact: Bruce Dickens
Special Inst: Confirming? No
i
Quantity unit - Description Unit Price Ext.Price ..
Repairs and maintenance to Hole#8 at 4,990.00 .
Oak Knoll Golf Course
Contract for Goods and Services
Beginninq date: 09/17/2012
Completion date: 10/30/2012
Insurance required/On file
SUBTOTAL 4,990.00
BILL To:Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2010 TOTAL 4,990.00.
ASHLAND, OR 97520
Account Numbei, Project Number.T -Amount Account Number 'i. Project Number, Amount
E 410.03.22.00.70420 E 000227.999 4,990.00
zLx O r--�• cj/L/YZ
Auth6tized Signature VENDOR COPY
FORM #3 ��, in� oZ C I T Y OF
ASHLAND
REQUISITION Date of request: 8-3d-2o
, Required date for delivery:
Vendor Name MIT V f--L-(—
Address,City,State,Zip p p
Contact Name&Telephone Number e — ` 0 — ue
Fax Number Svf— Sid 889
SOURCING METHOD
❑ Exempt from Competitive Bidding ❑ Emergency
❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Form#13,Written findings and Authorization
❑ AMC 2.50 Date approved by Council: ❑ Written quote or proposal attached
❑ Written quote or proposal attached
Small Procurement Cooperative Procurement
Less than$5,000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon
Bef"Direct Award Dale approved by Council: Contract#
❑ Verbal/Written quote(s)or proposal(s) ❑ State of Washington
Intermediate Procurement ❑ Sole Source Contract#
GOODS&SERVICES ❑ Applicable Form(#5,6,7 or 8) ❑ Other government agency contract
$5.000 to$100,000 ❑ Written quote or proposal attached Agency
❑ (3)Written quotes attached ❑ Form#4, Personal Services$5K to$75K Contract#
PERSONAL SERVICES ❑ Special Procurement Intergovernmental Agreement
$5.000 to$75.000 ❑ Form#9,Request for Approval ❑ Agency
❑ Less than$35,000,by direct appointment ❑ Written quote or proposal attached Date original contract approved by Council:
❑ (3)Written proposals attached Date approved by Council: (Date)
❑ Form A, Personal Services$5K to$75K Valid until: Date
Description of SERVICES Total Cost
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Item ;' Quantity Unit Description of MATERIALS Unit Price Total Cost
.TOTAL COST"
Per aSachedquotelproposal $' OD
/` n r-y� ''! Y, 990,
Project Number" 2Z•'1q�7 Account NumberJfa-0-r�-1V--t0 2V
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
�iB/y signing this requuiis''on form,l certify that the City's public contracting requirements have ben satisfied.
Employee Signature:-:2f4 /i_.Jam{C_ ��.��1 /1 Department Head Signature: /
Squat to or greater than$5,000)
Additional signatures(if applicable):
Funds appropriated for current fiscal year., LYES / NO 'a�e Finance Director-Director-(Equal to org `ter than$5,000) Date
Comments:
Form#3-Requisition