HomeMy WebLinkAbout2012-258 Contract - Cascade Columbia Dist Contract for WTP & WWTP Chemicals
CITY OF CONTRACTOR: Cascade Columbia Distribution Company
ASHLAND CONTACT: Jeffery J. Zachman, Technical Sales
20 East Main Street
Ashland, Oregon 97520 ADDRESS:. 14200 SW Tualatin-Sherwood Road
Telephone: 541/488-6002 Sherwood, OR 97140
Fax: 541/488-5311
TELEPHONE: 503-625-5293, Cell 971-253-9215
DATE AGREEMENT PREPARED:August 1, 2012 FAX: 503-636-8252
BEGINNING DATE: July 1, 2012 COMPLETION DATE: June 30,2013
COMPENSATION:
WWTP— Citric Acid (RZBC $1.04/Lb, 50Lb/Bag, 40 Bags/Pallet, Energy surcharge per invoice $25.00)
WWTP—Cascade Columbia Aluminum Sulfate 48.8% ($0.1245/Lb, 11.25Lb/Gal, Tanktruck 45,000-
48,000Lbs/4,000-4,300 Gallons, Energy surcharge per invoice $25.00
GOODS AND SERVICES TO BE PROVIDED: WWTP Chemicals as specified and resulting from Invitation to
Bid 2012-102. Contract a roved by City Council July 17, 2012.
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, 27913.225, 2798.230, 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. Cites 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
Contract for WTP&WWTP Chemicals, Page 1 of 5 i
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 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.
I. 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,
Contract for WTP&WWTP Chemicals, 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. 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.
Contrac r: City 6f Ashland
By By
Si ure Department Head
Pint Name Print Name
Title Date
W-9 One copy of a W-9 is to be submitted with
the signed contract. Purchase Order No. / l "7
Contract for WTP&WWTP Chemicals, 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 or is in a
/ specific portion of my residence, set aside as the location of the business.
V (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.
IP-
Contractor (Date)
Contract for WTP&WWTP Chemicals, Page 4 of 5
ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM DD W7
12/27 2011
PRODUCER (206) 838-9077 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
DML Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
4005 20th Ave W Ste 132 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Seattle WA 98199- INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER4Ironshore Specialty Ins
Newco, Inc. dba Cascade Columbia Distribution; INSURER B:Praetorian Insurance Cc
et al INSURER C:Ironshore Specialty Ins
6900 Fox Ave $ INSURERO:
Seattle WA 98108- INSURERS
COVERAGES
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.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTR INS R0 TYPE OF INSURANCE POLICYNUMBER PATE(MMIDBD�)PDATE(MMU�TON LIMITS
A GENERAL UneIUTY 000787201 10/31/2011 10/31/2012 EACH OCCURRENCE $ 1,000,000
X CO.111ER IAL(IENERALUABILITY DAMAGE TO RENTED 1,000,000
PREMISES Ee ocwrrenca $
CLAIMS MADE HI OCCUR / / / / MEDEXP(An oneperson) I5 10,000
FG�L]AGGREGATE llution Liability PERSONAL&ADV INJURY $ 1,000,000
ndors Liability - / / / / GENERALAGGREGAM $ 2,000,000
UMITAPPUES PER: PRODUCTS-COMPIOPAGG $ 2,000,000
CY JECT FX1 LOC
B AUTOMOBILE LIABILITY PICIS0001209 10/31/2011 10/31/2012 COMBINED SINGLE LIMIT $ 1,000,000
X ANYAUTO (Ea.. ari '
ALL OWNED AUTOS I I / / BODILYINJURY S
SCHEDULEDAUTOS (Per person)
HIRED AUTOS BODILY INJURY
$
NONOWNEDAUTO$ (PerealtlanD
PROPERTY DAMAGE !
(Per aaidenD i
GARAGE LIABILITY - !
AUTO ONLY-EAACCIDEM S
ANYAUTO / / / / OTHER THAN EAACC $ i
AUTO ONLY: ADD $
C EXCESSNMBRELLA LJABNTY '000787901 10/31/2011 10/31/2012 EACH OCCURRENCE $ 15,000,000 i
X OCCUR F1 CLAIMS MADE AGGREGATE $ 15,000,000
5 I I
DEDUCTIBLE / / / / S I 1
X RETENTION 510,000 y✓O n �I-$
WORKERS COMPENSATION AND
EMPLOYERS-LIABILITY
ANY PROPRIETOR/PARTN5IUEXECUTIVE E.L.EACHACCIDENT 5
CFFICER40EMBER EXCLUDED]
Ifyes,describe Pnder E.L DISEASE-EA EMPLOYEE S
iSPECIAL PROVISIONS"I. EL DISEASE-POLICY LIMIT $
BER Auto Physical Damage PICIS0001209 10/31/2011 10/31/2012 Coaprehensive Dad 1,000
Collision Dednutible 1,000
DESCRIPTIONOFOPER nONSILOCATONSNEHICLESIEIL CWSIONSAODEDBYENDORSEMENT MPECIALPROVISIONS
CERTIFICATE HOLDER CANCELLATION
(541) 488-5354 (541) 488-5320 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Kari Olson - Purchasing EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
SO DAYS WRMTEN NOTICE TO WE CERWICATE HOLDER NAMED TO THE LEFT,BUT
City OP Ashland FAILURE TO DO SO SHALL IMPOSE NO OBUGAVON OR LIABIUW OF ANY KIND UPON THE
90 N Mountain Avenue INSURER ITS AGENTS OR REPRESENTATIVES
! AUTNOWZEO REPRESENTATIVE �
Ashland OR 97520-
ACORD 25(2001108) 0 ACORD CORPORATION 1988
!NS025(moa).w Page 1 ors
INVITATION TO BID 2012-102, WTP &WWTP CHEMICAL July 6, 2012
CHEMICAL BRENNTAG CASCADE CHEM QUIP UNIVAR
COLUMBIA
Hasa
Hasa $1.58/Gal
WWTP $1.35/Gal 300 GaUTote Hasa
CHEMICAL#5: 330 GaUTote $474.00/Tote $1.42/Gal
$445.50/Tote (3)Totes $1,422.00 330 Gal/Tote
SODIUM
SODIUM (3)Totes $1,336.50 Tote deposit waived $468.60/Tote
E 1TOC LORIT Delivery charge unless damaged or not (3)Totes $1,405.80 No Bid
(3)Totes per $27.50 per order returned by the City Delivery charge
order/(3)Times No tote deposit ($200) $27.50
required $25.00 Energy Total cost per order
per year Total cost per order surcharge $1,433.30
$1,364.00 Total cost per order
$1,447.00
RZBC/GPD RZBC RZBC/Univar
WWTP- $1.065/Lb $1.04/LB Label
CHEMICAL#6: 43 Bags/Pallet 50 Lb/Bag $1.125/Lb
CITRIC ACID $2,289.75 40 Bags/Pallet 44 Bags/Pallet
Or Equivalent Delivery charge $2,080.00 No Bid $2,475.00
(43)Bags per $27.50 per order *$25.00 Energy (Includes del chg)*
order/(2)times Total cost per order surcharge Minimum order-
per year $2,317.25 Total cost per order 1 pallet(44 bags)
$2,105.00 Total cost per
order$2,475.00
WWTP-
CHEMICAL#7:
ALUMINUM $0.1245/Lb
SULFATE 11.25 Lbs/Gal
Cascade 4,000 Gal (45,000 Lbs)
Columbia No $5,602.50
Substitution No Bid *$25.00 Energy No Bid No Bid
(4,000) Gal per surcharge
order/Every 2 Total cost per order
weeks during $5,627.50
months May-
November
Declined to bid:
JCI Jones Chemical
Nalco
Olin Corporation
Sierra chemical
ITB 2012-102 WTP&WWTP CHEMICALS.PAGE 2 OF 2. 07/06/2012
INVITATION TO BID 2012-102, WTP & WWTP CHEMICAL July 6, 2012
CHEMICAL BRENNTAG CASCADE CHEM QUIP UNIVAR
COLUMBIA
Hasa
$1.58/Gal Hasa
WTP- Hasa 300 GaUTote $1.42/Gal
CHEMICAL#1: $1.35/Gal $474.00/Tote 330 Gal/Tote
SODIUM 330 Gal/Tote (6)Totes-$2,844.00 $468.60/Tote
HYPOCHLORIT (6)Totes$2,673.00 Tote deposit waived (6)Totes$2,811.60
E 12.5% Delivery charge unless damaged or not No Bid
(6)Totes per $27.50 per order returned by the City (Includes del chg)
order/(10)orders No tote deposit ($200) Delivery charge
per fiscal year required *$25.00 Energy $27.50 ,
Total cost per order surcharge Total cost per order
$2,700.50 Total cost per order $2839.10
$2,869.00
WTP-
CHEMICAL 92: $1.42/Lb $1.26/Lb
D
CYTEC 500 Lb Drum 500 L Lb SOOLb Drmn
SUPERFLOC C- $710.00 $76 .0 Drum $630.00
573 (4)Drums (4)Dr 0 $2,Drums
FLOCCULANT $,2840.00 $3,Drums (Includes
—No Substitution Delivery charge $3,040.00 No Bid (Includes del chg)
(4)Drums per $27.50 per order $25.00 Energy Minimum order
surcharge 4 drums
order/Every 6 Total cost per order
weeks on average $2,867.50 Total cost per order Total cost per
$3,065.00 order$2,520.00
peryear(9.
orders
WTP-
CHEMICAL 43:
$2.65/Lb
CYTEC
CY ERFLOCN- $3.08/Lb $146.068 Bag
300 LMW $169.11Ba9 $876.408
FLOCCULANT- (6)Bags$1,018.62 (Includes del chg)
No Substitution No Bid *$25.00 Energy No Bid *Minimum order
(6)Bags per surcharge 6 bags
order/Every 12 Total cost per order Total cost per
weeks on average $1,043.62 order$876.408
per year(4
orders)
WTP FMC/Univar
FMC $0.1955/Lb
CHEMICAL#4: Solvay FMC
209/Lb. 50 Lbs/Bag
SODA ASH, $0 $0.25/Lb $2.64/Lb
50 Lb Bag 54Bags/Pallet
DENSE,FREE 50 Lb/Bag 50 Lb Bag
54Bags/Pallet $2,111.40
FLOWING 49 Bags/Pallet(not 54) 54 Bags/Pallet
257
$2, .20 (Includes del chg)
Or Equivalent $2,450.00 $2,851.20 *
(216)Bags per Delivery charge *$25.00 Energy Delivery charge Minimum order
order/Every 3-4 surcharge $0.00
$27.50 per order 4 pallets (216
weeks on average Total cost per order Total cost per order Total cost per order bags)
per year(15 $2'284'70 $2,475.00 $2,851.20 Total cost per
order$2,111.40
orders)
ITB 2012-102 WTP&W WTP CHENUCALS,PAGE 1 OF 2,07/06/2012
Page 1 / 1
CITY RECCOIDER
ASHLAND
�. CITY O F
DATE PO NUMBER
20 E MAIN ST. 7/27/2012 11056
ASHLAND, OR 97520
(541)488-5300
VENDOR: 011016 SHIP TO: Ashland WWTP
CASCADE COLUMBIA DISTRIBUTION (541)488-5348
PO BOX 24745 1295 OAK STREET
SEATTLE, WA 98124-0745 ASHLAND, OR 97520
FOB Point: Req.No.: .
Terms: Net 30 days Dept.:
Req.Del.Date: - Contact David Gies _
Special Inst: Confirming? NO
Quant4 Unit Description .Unit Price Ext.Price
14.00 Ordr Invitation to Bid 2012-102-WWTP 5,627.50 78,785.00
CASCADE COLUMBIA ALUM
$0.1245/Lb, 11.25 Lbs/Gal
4,000 Gallons (45,000 Lbs) = $5,602.50
*$25.00 Energy surcharge per order
Total cost per order$5,627.50
SUBTOTAL 78 785.00
BILL TO:Account Payable TAX - 0.00
20 EAST MAIN ST FREIGHT 0.00+
541-552-2010 TOTAL 78,785.00
ASHLAND, OR 97520
Account Number Project Number Amount Account Number Project Number Amount -
E 675.08.19.00.601500 78,785.00
Authorizafd Signature7 VENDOR COPY
FORM #3
CITY OF
ASHLAND
REQUISITION Date of request: =?S/
Required date for delivery:
Vendor Name �i sGC,��%` �r ��, �iQ
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))-- ❑ Form#13,Written findings and Authorization
❑ AMC 2.50 Date approved by Council: <i7-/7 �a-
El Written uote or ro osal attached ❑ Written quote or proposal attached
❑ Small Procurement Cooperative Procurement
Less than$5.000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon
❑ Direct Award Date approved by Council: Contract#
❑ Verbal/Written quote(s)or proposal(s) ❑ State of Washington
Intermediate Procurement ❑ Sole Source Contract#
GOODS&SERVICES ❑ Applicable Fonn(#5,5,7 or 8) ❑ Other government agency contract
$5.000 to$100,00 ❑ Written uote or ro osal attached Agency
❑ (3)Written quotes attached ❑ Special Procurement Contract#
PERSONAL SERVICES ❑ Form#9,Request for Approval Intergovernmental Agreement
$5.000 to$75,000 '❑ Written quote or proposal attached ❑ Agency
❑ Less than$35,000,by direct appointment Date approved by Council: Date original contract approved by Council:
❑ 3 Written pro osals attached Valid until: Date (Date)
Description of SERVICES Total Cost
Item # Quantity Unit Description of MATERIALS Unit Price Total Cost„+
❑ Per attached quote/proposal TOTAIL CO$T
Project Number
______-___ Account Numbe >>-QSl D27, 0/5270 7r7o5.
- --
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:
ITDirector Date Support-Yes/No
By Sig ing this
s requisiittion form,l certify that the City's public contracting requirements have been satisfied.
Employee Signature: �Y V /;L�/dht--. Department Head Signature:
Additional signatures(if applicable): (Equal to or greater than$5, 00 0)
Funds appropriated for current fiscal year: (-Y2S / NO 1'p/J 7 J1n�Z
Finance Director-(Equal to or"yreater man$5,000) Date
Comments:
Form#3-Requisition