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Home My WebLink About2013-065 CONT Addendum - Project A ❑ 1~ Page 1 1 1 - ASHLAND OF rt3 f 1 LEC OjI C S H LAND DATE PO NUMBER 20 E MAIN ST. 7/12/2012 10976 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 000712. SHIP TO: City of Ashland PROJECT A, INC (541) 488-6002 5350 HIGHWAY 66 20 E MAIN STREET ASHLAND, OR 97520 ASHLAND, OR 97520 FOB Point: Req. No.: Terms: Net Dept.: Req. Del. Date: Contact: Ann Seltzer Special Inst: Confirming? No Quantity - Unit Description Unit Price Ext. Price THIS IS A REVISED PURCHASE ORDER 12.00 Mo Web Server Hosting 250.00 3,000.00 12.00 Mo Google Search Option 50.00 600.00 Per attached contract addendum dated July 20, 2012, modified scope of services to add qooqle search option at a cost of $50.00 per month. 12.00 Mo Web Development 95.00 1,140.00 Contract for Personal Services Beginning date: June 17, 2011 Completion date: June 30, 2014 Insurance required/On file Processed change order 01/14/2013 3,860.00 Web Development $95.00/Per Hour Estimate $5,000.00 ($1,140 + $3,860) (Note: Line #3 entered incorrectly) Processed change order 03/20/2013 6,000.00 Additional amount needed for web development and design SUBTOTAL 14 600.00 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 14,600.00 ASHLAND, OR 97520 Account Number project Number.: ' - Amount ' Account Number : Project. Number Amount E 710.01.02.00.60410 1416- 00.00 Authorize ignature VENDOR COPY , I FORM #10 CITY OF CONTRACT AMENDMENT APPROVAL REQUEST FORM ,~1S H LAN D Request for a Change Order Name of Supplier I Contractor I Consultant: fo jerk A Total amount of this Purchase Order Number: l D97(r contract amendment: Title I Description: aA"nAL "IlAt_ nEQQi~Q_ W~~ dot n~t~ $ G 99 ❑ Per attached contract amendment Contract Amendment Original contract amount $ eo 100 ' % of original contract Total amount of previous contract amendments % of original contract Amount of this contract amendment I 9 ~10 A~" of original contract TOTAL AMOUNT OF CONTRACT $ % of original contract In accordance with OAR 137-047-0800: 1) The amendment is within the scope of procurement as described in the solicitation documents, Sole Source notice or approval of Special Procurement. 2) The amendment is necessary to comply with a change in law that affects performance of the contract. 3) The amendment results from renegotiation of the terms and conditions, including the contract price, of a contract and the amendment is advantageous to the City of Ashland, subject to all of the following conditions: a) goods and services to be provided under the amended contract am the same as the goads and services to be provided under the unamended contract; b) The City determines that, with all things considered, the amended contract is at least as favorable to the City as the unamended contract; c) The amended contract does not have a total term greater than allowed in the solicitation document, contract or approval of a Special Procurement. An amendment is not within the scope of the procurement if the City determines that if it had described the changes to be made by the amendment in the procurement documents, it would likely have increased competition or affected award of contract. Contract amendment is within the scope of procurement: YES L~ NO' (If "NO", requires Council approval I Attach copy of CC.) Sourcing Method: SMALL PROCUREMENT - Less than $5.000 INVITATION TO BID or COOPERATIVE PROCUREMENT, ORF or ❑'YES', the total amount of contract and cumulative REQUEST FOR PROPOSAL EXEMPTION PURSUANT TO AMC 2.50 amendments :5 $6,000. ❑ 'YES", the total amount of cumulative amendments ❑'YES", the total amount of original contract and ❑ If 'NO', amount exceeding authority, requires s 25% of original contract amount or$250,000 cumulative amendments $100K for Goods & Services, Council approval. Attach copy of Council whichever is less. $75K for Personal Services, <$50K for Attorney Fees. Communication. ❑ If"NO", amount exceeding authority requires ❑ If 'NO", amount exceeding authority requires Council ❑ Exempt- Reason: Council approval. Attach copy of Council approval. Attach copy of Council Communication. PERSONAL SERVICES Communication. ❑ Exempt-Reason: ❑'YES", Direct appointment 5$35,000 ❑ Exempt-Reason:- El If'NO", requires approval. INTERMEDIATE PROCUREMENT SOLESOURCE EMERGENCY PROCUREMENT Goods & Services - $500 to $100.000 ❑ 'YES", the total amount of cumulative amendments ❑ Written Findings: Document the nature of the Personal Services-$5.000 to $75,000 525% of original contract amount or $250,000 emergency, including necessity and circumstances ❑ 'YES', the total amount of cumulative whichever is less. requiring the contract amendment amendments !5 25% of original contract amount. ❑ If ❑ If'NO', amount exceeding authority requires ❑ Obtain direction and written approval from City 'NO', amount exceeding authority requires Council Council approval. Attach copy of Council Administrator approval. Attach Gory of Council Communication, Communication. ❑ If applicable, attach copy of Council Communication U4xem t-Reason: ❑ Exempt- Reason : ❑ Exempt -Reason: - SPECIAL PROCUREMENT INTERGOVERNMENTAL AGREEMENT ❑'YES', the total amount of original contract and cumulative amendments are ❑'YES", the original contract was approved by City Council, within the amount and tens initially approved by Council as a Special Provide date approved by City Council: (Date) Procurement If'NO', Council approval is required. Attach copy of Council Communication. ❑ If'NO', amount exceeding authority requires Council approval. ❑ Contract amendment approved and signed by City Administrator. Attach cg of Council Communication. Project Number Account Number7-Qj~Account Number-__-__- 'Expenditure must be charged to the appropriate account numbers for the financials to reflect the actual expenditures accurately. Attach extra pages if needed. Employee Signature: Department Head Signature` f (Equr l toor greater than $5,000) City Administrator. 6'--- /1~ (Equaho or greater than $25,OO~ar toy.) Funds appropriated for current fiscal year: (~,S~E / Iy0I w ,d tf 3j 3 ,t•~?~`~" Finance Director (Equal to or g ter than $5,000) Date Comments: ~y fn(~Ay~'I y ~9W Form #10 -Contract Amendment Approval Request Form, Request fora Change Order, Page 1 of 1, 3/19/2013