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HomeMy WebLinkAbout2012-294 Contract - GardenSoft Contract for GOODS AND SERVICES Less than $25,000 CITY OF CONTRACTOR: GardenSoft ASHLAND CONTACT: Gerry Kiffe 20 East Main Street Ashland, Oregon 97520 ADDRESS: 2686 Velarde Dr., Thousand Oaks, CA 91360 Telephone: 5411488-6002 Fax: 541/488-5311 TELEPHONE: 1-805-499-9689 DATE AGREEMENT PREPARED: 11/9/12 FAX: 1-805-499-9689 BEGINNING DATE: 11113/12 COMPLETION DATE: 12/14/12 COMPENSATION: Not to exceed three thousand dollars ($3,000). GOODS AND SERVICES TO BE PROVIDED: Water Wise Landscaping website additional features. ADDITIONAL TERMS: N/A 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 2798.220, 2798.225, 2798.230, 2798.235, 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 maybe terminated at anytime 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 mall 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 count or other sources is not obtained and continued at levels Contract for Goods and Services Less than $25,000, Revised 08/30/2012, 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 ill. 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 oonfract ff Contractor fails to provide services called for by this contract within the time specified herein or in any extension thereof. ill. 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 accordande with the Contract. 10. Independent Contractor Status: Contactor 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 N 6. s a c . 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, $1,000,060, 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 da s' written notice from the Contractor or its insurers to Contract for Goods and Services Less than $25,000, Revised 06/302012, Page 2 of 6 the City. e. Additional Insured/Certificates of Insurance. Contractor shall name The City of Ashland, Oregon, and its N/A 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 Stales 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. Nonapproprlations 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 By .12C~ 'Sign Department Head 4*1 r *11~fvc'&A-e t iZ, FNj&M\ k /Print Name Print Name Title Date W-9 One copy of a W-9 is to be submitted with the signed contract. Purchase Order No. AP R V D S ORM Sig ature Date Contrad for Goods and Services Less than $25,000, Revised 08/30/2012, 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: V (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. (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. V (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 Goods and Services Less than $25,000, Revised 06/3012012, Page 4 of 6 ////1111 A~U\O INSTRUCTIONS 1. Review the information contained within this proposal. m 2. Sign, date, and include a purchase order number (if applicable) in the Work Acceptance section below. Scope of Work(Web Contract 3. Fax the agreement to GardenSoft (805-492- 0146) Attn: Anne Client: City of Ashland Description: Water Wise Gardening Web Site Rebuild Contract ID: WWRB0049 Date Revised: October 18, 2012 Contact: Gerry Kiffe Phone: 805-499-9689 Contents 1. Signatures of Acceptance ...............................................................2 II. Synopsis .........................................................................................3 III. Scope of Work and Deliverables 3 IV. Delivery Date, Costs, Payment Schedule, license 7 V. Addendum ......................................................................................8 VI. Agency Obligations 9 VII. Contacting GardenSoft 9 VIII. Terms and Conditions 10 r 1. Acceptance of Agreement By signing this agreement, we mutually accept all of the provisions presented in the Contents of this document. Payment for work completed based on this agreement will be invoiced as per the terms and conditions set forth in this document. Ashland representative Date Signed ~.4~ 1/ ?i Gerry ' e Ge I Manage enSoR Date ig d 11. Synopsis GardenSoft will add new content to the web site following the parameters of this document. Additional features web software features will also be built into the existing system to enhance the user interface and to encourage social networking. III. Scope of Work and Deliverables Feature and Technical Improvements 1. Partial Name Look up: Provide a window where some group of letters can be typed in and a query performed on all Common Names and Botanical name simultaneously. Main Menu Guided Search Common Botanical .a t ``gin.,": w• ira~+~c/n.imnm;:.~ii, trsnciV:fils? - a•,.;-: ...,:~+,m . c.r.. .,:svea ,x„c © Main Menu Plants Ydu. _ Next J'A -ZiF p I.e. IAJ st . ~.0 2. Social Networking Tools Provide tools to send the page being viewed to social networks and email. t i 5 y9 2 Dramatically improve visitorship through social networking. Facebook Twitter Email Etc. 3. Water Saving Tips Posted Dynamically Under all Plant and Garden Images. The watering tips are the same ones used on the home page message panel. These same tips will cycle randomly as the user open's each page of the web site. 1 y II I The tips will be under each plant record and under each garden image. Web Content Improvement 1) Fire-wising the website • Garden Tours: ➢ Change the thumbnail and l" picture on "walk through the neighborhood" to picture # 5 y • Garden Gallery: ➢ Change the thumbnail and I5t picture on "Back Yards" to picture # 5 • Plants to Remove from Firewise plant category: ➢ All Rosemary ➢ Gray Lavender Cotton ➢ All Lavender ➢ Yew Pine • Mark these plants as fire prone with the following language. This plant is fire-prone! Please use caution when planting near your home. . . ➢ All Conifers (pine, spruce, cypress, mugho pine, redwoods, etc.) ➢ All Grasses ➢ All Lavender ➢ All Rosemary ➢ Arborvitae ➢ Eucalyptus ➢ Juniper ➢ Sagebrush ➢ Palms ➢ Yew 2. Add three new garden tours. • I will provide the photographs and will'identify plants. 3. Add 50 hotlinks to current photos and new garden tours • You may already have info for some of the plants I would like hot linked, such as the Lupine. 4. Add 30 new plants to database to allow for more hotlinks. • For plants I would like hot linked that you don't have data for, I can provide identifications. 5. Add more photos or change photos to plant categories such as "Screens & Hedges" • For example: You already have most of the following plants in the plant database, which could be put into the Screens and Hedges category. ➢ Coffeeberry - Rhamnus californica ➢ Floweng ce Chaenomeress ➢ Photinia - Photina x fraseri ➢ Pittosporum - Ptitosporum tobira ➢ Tall or American Boxwood - Buxus sempervirens ➢ Tlioiny Sil"ver, g - . 1 1"aeag_nusJebbi`ngei L a- ➢ Oleander - Nerium oleander ➢ Osoberry - Oemleria cerasiforniis • Remove some of the following plants from "Screens & Hedges" ➢ All Conifers ➢ Manzanita ➢ Juniper ➢ Scotch pine ➢ Arborvitae ➢ Giant Scillia ➢ Italian Cypress ➢ Japanese Cryptomeria ➢ Leland Cypress ➢ Western Hemlock • Change "Lawn Alternatives" photo in plant categories to one that is less faded. 6. Garden Gallery: • Shuffle pictures in Ashland Public Spaces. • Add 3 gallery categories. • Block out Yoga sign in Ashland Public Spaces. • Shuffle pictures in Ashland Public Spaces. 7. Sprinkler Scheduling • Slight revisions to schedules IV Delivep DateFRe~ne Payment Schedule; License 1° x.: Delivery Date Delivery will be provided within 3 weeks of signing date or purchase order The project can begin with the issuance of a purchase order or a signed contract. Review Opportunities Client will be given a review process for the work. Cost and Payment Schedule Total: $3000 To be invoiced upon completion. License The original license fee holds firm and is unchanged. Web Services Provided as part of License 1. The Water Smart Gardening Web system is maintained on GardenSofrs web server. Access code is provided to CITY OF ASHLAND that displays this content on the CITY OF ASHLAND web server. The Water Smart Gardening Web will appear to the viewer as an integrated section of the existing web site. The visitor will not be required to go through a number of extra steps to return to the Agency's web site, it will appear fully integrated despite the fact that the content is actually stored and maintained on GardenSofrs web server. 2. Monthly web usage reports are emailed to CITY OF ASHLAND. This will track the number of visitors each month. 3. The Water Smart Gardening Web system will be free of any advertisements by GardenSoft and GardenSoft will collect no data from the visitors of this site. There are no known security issues concerning this site. 4. If any problems with the site are reported, GardenSoft will respond to the problem within two business days. 5. The end user will be able to collect a group of plants and print out a report during a web session. 6. Annual subscription includes the following: a. License to use specific GardenSoft intellectual property on the CITY OF ASHLAND website. b. Edits and additions when available. 1. The web site software provided in this contract is proprietary. It is owned by GardenSoft and cannot be copied, distributed or manufactured in any way without written express permission of GardenSoft. GardenSoft maintains all copyright privileges over its own software. 7. 7. M i% Addendum s & t i2 &Il'4x o x Addendum: Intellectual Property Clause All photos or intellectual property taken or owned by AGENCY remain the property of the AGENCY and may not be used in any way without written permission of AGENCY. Conversely, all'photographs, content, software and or intellectual properties provided by GardenSoft in the course of this project will remain the property of. GardenSoft and may not be used in any way without written permission of GardenSoft. If pictures used in the system are desired for promotion of the web site or CD systems, or for other water conservation brochures or flyers they will be made available upon request. Addendum: Termination Clauses Should GardenSoft go out of business before the license agreement term is completed then GardenSoft will turn over the software system to the client in CDROM or DVD formats for further use. Should AGENCY desire to suspend use of the website during the license period then GardenSoft will take down the site but the payment terms will be completed as agreed upon in this contract. Addendum: Edits to Resources and Watering Guide Pages can be removed from either of these sections. Links and additional resources can be added at the end of pages. The basic structure and primary Content will not be rewritten. The new format is a combination of the best information garnered from 35 projects over 10 years. We strive for simple, straight forward easy to follow information. x . ULI ENCT, 4,01 afions R,,.F . ~ IN 2 The AGENCY and its staff will: 1. Review and provide written list of changes: `aYl1 Contacting Gacden$oft # . For Project Questions and horticultural Issues: Gerry Kiffe General Manager 2686 Velarde Dr. Thousand Oaks, CA 91360 _ 805-499-9689 Fax: 805-499-9689 Email: gerry(a gardensoft.com World Wide Web: www.gardensoft.com For technical questions and support: Mark Chilcott Director of Engineering 2686 Velarde Dr. Thousand Oaks, CA 91360 Telephone: 805-492-0120 Fax: 805-492-0146 Email: MarkCo_gardensoft.com www.bardensoft.com CITY !-?rCCRIDER Page 1 / 1 ASHLAND CITY O F DATE PO NUMBER 20 E MAIN ST. 11/28/2012 11312 .,,I ASHLAND, OR 97520 (541) 488-5300 VENDOR: 016997 SNIP TO: Ashland Conservation Dept. GARDENSOFT (541) 488-5306 2686 VELARDE DRIVE 20 E. MAIN STREET THOUSAND OAKS, CA 91360 ASHLAND, OR 97520 FOB Point: Req. No.: Terms: Net Dept.: Req. Del. Date: Contact: Julie Smitherman Special Inst: Confirming? NO Quantity Unit Description Unit Price Ext. Price Additions to Water Wise Landscapinq 3,000.00 Website per attached proposal dated 10/18/2012 Contract for Goods & Services Bepinninq date: 11/13/2012 Completion date: 12/14/2012 { . SUBTOTAL 3 OOO.OO BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 3,000.00 ASHLAND, OR 97520 Account Number Project Number Amount Account Number Project Number Amount E 670.07.29.00.60416 E 000211.999 500.00 E 670.11.06.00.61010 2 500.00- Authorized Signature VENDOR COPY FORM #3 CITY OF A request for a Purchase Order ASHLAND REQUISITION Date of request: n/zo/1z Required date for delivery: Vendor Name GardenSoft Address, City, State, Zip 2686 Velarde Dr., Thousand Oaks, CA 91360 Contact Name & Telephone Number Gerry Kiffe,1-805499-9689 Fax Number 1-805499-9689 SOURCING METHOD ❑ Exempt from competitive Bidding ❑ Ememencv ❑ 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 JW Direct Award Date approved by Council: Contract # ❑ Verbal/Written quote(s) or proposal(s) ❑ Stale 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 #4, Personal Services $5K to $75K Valid until: Date Description of SERVICES Total Cost Water Wise Landscaping website additions, per attached proposal dated $ 3,000 10118112 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST Per attached quote/proposal $ 3,000 Project Number 000211.999 (Fire Dept. Contribution) Account Number 670.07.29.00.604160 Fire ($500) Account Number 670.11.06.00.610100. PW ($2,500) '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 City's public contracting requirements have been satisfied. / Employee Signature: Department Head Signature: t '2c, I ` 11t~c ~2 ~ iwii'~ (Equal to or great -r than $5,000) Additional signatures i pplicable): Funds appropriated for current fiscal year: YES / NO Finance Director- (Equal to orgreaterthan $5,000) Date Comments: Form #3 - Requisition