HomeMy WebLinkAbout2013-177 Contract - Hydro-Flow Inc
Contract for PERSONAL SERVICES less than $35,000
CITY OF CONSULTANT: Hydro-Flow, Inc.
ASHLAND CONTACT: Jamie Harrell
20 East Main Street
Ashland, Oregon 97520 ADDRESS: P.O. Box 3849 Central Point, OR 97502
Telephone: 541/488-6002
Fax: 5411488-5311 TELEPHONE: (541) 772-4453
DATE AGREEMENT PREPARED: 719/13 FAX: (451) 773-3481
BEGINNING DATE: 7/9/13 COMPLETION DATE: 12/31/13
COMPENSATION: Time and materials not to exceed (NTE) $15,000
SERVICES TO BE PROVIDED: as described in Exhibit C - Scope of Work
ADDITIONAL TERMS:
FINDINGS:
Pursuant to AMC 2.50.120, after reasonable inquiry and evaluation, the undersigned Department Head finds and
determines that: (1) the services to be acquired are personal services; (2) the City does not have adequate personnel nor
resources to perform the services; (3) the statement of work represents the department's plan for utilization of such
personal services; (4) the undersigned consultant has specialized experience, education, training and capability sufficient
to perform the quality, quantity and type of work requested in the scope of work within the time and financial constraints
provided; (5) the consultant's proposal will best serve the needs of the City; and (6) the compensation negotiated herein
is fair and reasonable.
NOW THEREFORE, in consideration of the mutual covenants contained herein the CITY AND CONSULTANT AGREE as
follows:
1. Findings / Recitations. The findings and recitations set forth above are true and correct and are incorporated herein
by this reference.
2. All Costs by Consultant: Consultant shall, at its own risk and expense, perform the personal services described
above and, unless otherwise specified, furnish all labor, equipment and materials required for the proper performance
of such service.
3. Qualified Work: Consultant has represented, and by entering into this contract now represents, that all personnel
assigned to the work required under this contract are fully qualified to perform the service 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.
4. Completion Date: Consultant shall start performing the service under this contract by the beginning date indicated
above and complete the service by the completion date indicated above.
5. Compensation: City shall pay Consultant for service 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.
6. Ownership of Documents: All documents prepared by Consultant pursuant to this contract shall be the property of
City.
7. Statutory Requirements: ORS 279C.505, 279C.515, 279C.520 and 279C.530 are made part of this contract.
8. Living Wage Requirements: If the amount of this contract is $19,494 or more, Consultant 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 service work under
this contract. Consultant is also required to post the notice attached hereto as Exhibit B predominantly in areas where
it will be seen by all employees.
9. Indemnification: Consultant 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 Consultant (including but not
limited to, Consultant's employees, agents, and others designated by Consultant to perform work or services
attendant to this contract). Consultant 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.
10. Termination:
a. Mutual Consent. This contract may be terminated at any time by mutual consent of both parties,
b. Cit 's Convenience. This contract may be terminated at an time b City upon 30 days' notice in writing
Contract for Personal Services, Revised 06/30/2012, Page 1 of 5
1
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 Consultant, 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 Consultant 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 Consultant may terminate this contract in the event of a breach of the contract by
the other. Prior to such termination the parry 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 Consultant's performance of each and every obligation and duty under
this contract. City by written notice to Consultant of default or breach may at any time terminate
the whole or any part of this contract if Consultant 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, Consultant shall immediately cease all activities under
this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination,
Consultant 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 Consultant for work performed prior to
the termination date if such work was performed in accordance with the Contract.
11. Independent Contractor Status: Consultant is an independent contractor and not an employee of the City.
Consultant shall have the complete responsibility for the performance of this contract. Consultant shall provide
workers' compensation coverage as required in ORS Ch 656 for all persons employed to perform work pursuant to
this contract. Consultant is a subject employer that will comply with ORS 656.017.
12. Assignment and Subcontracts: Consultant 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. Consultant 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.
13. Default. The Consultant shall be in default of this agreement if Consultant: commits any material breach or default
of any covenant, warranty, certification, or obligation it owes under the Contract; its QRF status pursuant to the QRF
Rules or loses any license, certificate or certification that is required to perform the Services or to qualify as a QRF if
consultant 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.
14. Insurance. Consultant 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. Professional 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 claim, incident or occurrence. This is to
cover damages caused by error, omission or negligent acts related to the professional services to be provided
under this contract.
C. General Liability insurance with a combined single limit, or the equivalent, of not less than Enter one:
$200,000, $500,000, $1,000.00 0, $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.
d. 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.
e. Notice of cancellation or chance. 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 Consultant or its insurers to
Contract for Personal Services, Revised 0613012012, Page 2 of 5
t
the City.
f. Additional Insured/Certificates of Insurance. Consultant 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 Consultant's services to be provided under this Contract. The consultant's insurance is primary and
non-contributory. As evidence of the insurance coverages required by this Contract, the Consultant shall furnish
acceptable insurance certificates prior to commencing work under this contract. 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
Consultant shall be financially responsible for all pertinent deductibles, self-insured retentions and/or self-
insurance.
15. 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 Consultant 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. Consultant, 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.
16. 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.
CONSULTANT, 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.
17. 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. Consultant
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 Consultant, with no further
liability to Consultant.
Certification. Consultant shall sign the certification attached hereto as Exhibit A and herein incorporated b reference.
B nsultant: City of Ashland
Signature Department Head
i~u..,a,ard r. 2. t
T Print Name Print Name
?t^G S r C~ Cyr F- ')fit I I
Title Date
W-9 One copy of a W-9 is to be submitted with / Gs
the signed contract. Purchase Order No.
Contract for Personal Services, Revised 06/30/2012, Page 3 of 5
t
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.
y (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.
71 o 4 3
9L'-0 ' 17-W T
Contractor (Date)
Contract for Personal Services, Revised 06/30/2012, Page 4 of 5
HYDRO-FLOW, INC. ESTIMATE SHEET
P. 0. Box 3849, Central Point, OR 97502 Date: 7/8/2013
Ph: 541.772.4453 Fax: 541.773.3481 Job 9279
CCB No. 110565 Address: Ashland Oregon
www.hydro-flow.com Quoted to: Patton Environmental
Phone: 541-690-9983
QUANTITY DESCRIPTION UNIT EXTENDED
1 SOU WELL TESTING
2
3 SOU WELL
4 1 Install test um in SOU well at 120ft BGS capable of pumping 80 ;Ipm `5.2
5 Install lobe valve and flow meter at well head '5.2
6 Install discharge to strom drain on Wi htman Street `5.2
7 Install and Remove water level transducer for test well
8 Install power cord (4001 1) out building to well head across baseball diamond
9 Provide um operator for pumping retest test '5.2
10 Provide um operator for duration of 8 hour pumping test '5.2
11 Equipment Rental: pump, control box, pipe, couplers & wire
12 Equipment removal from well
13 Fuel: commute, installation & removal $ 3,973.85
14
15 SOU MONITORING WELLS
16 Install transducers in monitoring wells 15ft below current SWL
17 Remove transducers from monitoring wells
18 Fuel: commute, installation & removal
19 1 SOU MONITORING WELL: Church - JACK30561 $ 599.71
20 1 SOU MONITORING WELL: ASD WW -JACK56068 $ 403.71
21 1 SOU MONITORING WELL: Rodden-JACK55261 $ 403.71
22
23
24 NOTES: 1 Transducer level ad'ustments or changes are to be provided
25 b Patton Environmental LLC.
26 2 ALL level readings and transducer monitoring to b provided b
27 Patton Environmental LLC.
28 3 Flow meter readings to be provided b Patton Environmental LLC
29 4 Access to power panel at out building will be required for
30 tem ora ower to pump.
ESTIMATES GOOD FOR 30 DAYS Page Total
Sub-Total
All noted line items per Aquifer Test Plan received 712/13
TOTAL $ 5,380.99
Page 1 of 1
HYDRO-FLOW, INC. ESTIMATE SHEET
P.O. Box 3849, Central Point, OR 97502 Date: 718/2013
Ph: 541.772.4453 Fax: 541.773.3481 Job 9279
CCB No. 110565 Address: Ashland Oregon
www.hydro-flow.com Quoted to: Patton Environmental
Phone: 541-690-9983
QUANTITY DESCRIPTION UNIT EXTENDED
1 CROMAN WELL TESTING
2
3 CROMAN WELL
4 1 Install test um in Croman well at 150ft BGS capable of um in 160 m '5.1
5 Install lobe valve and flow meter at well head `5.1
6 Install discharge to strom drain on Croman site `5.1
7 Install and Remove water level transducer for test well
8 Generator: rental, pickup, return
9 Provide um operator for pumping retest '5.1
10 Provide um operator for duration of 24-hour pumping test `5.1
11 Equipment Rental: um pipe, couplers & wire
12 Equipment removal from well
13 Fuel: commute, installation & removal $ 7,406.13
14
15 CROMAN MONITORING WELLS
16 Install transducers in monitoring wells 15ft below current SWL
17 Remove transducers from monitoring wells
18 Fuel: commute, installation & removal
19 1 CROMAN MONITORING WELL: Lesley -JACK33774 $ 403.71
20 1 CROMAN MONITORING WELL: ASD Bus -JACK32158 $ 599.71
21 Cut hole in roof and patch upon completion $ 594.00
22 1 CROMAN MONITORING WELL: Leroy - JACK60503 $ 599.71
23
24 NOTES: 1 Transducer level adjustments or changes are to be provided
25 b Patton Environmental LLC.
26 2 ALL level readings and transducer monitoring to b provided b
27 Patton Environmental LLC.
28 3 Flow meter readings to be provided b Patton Environmental LLC
29
30
ESTIMATES GOOD FOR 30 DAYS Page Total
Sub-Total
All noted line items per Aquifer Test Plan received 7/2/13
TOTAL $ 9,603.27
Page 1 of 1
HYDRFLO-02 PHITE
DAT10/2013
A~iRO" CERTIFICATE OF LIABILITY INSURANCE 7//10/2013
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. IT SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER CONTACT
NAME:
Medford Office PNONE 779-t •.f21 FAX (rat) 77}9187
PayneWest Insurance, Inc. N Bird, (541) ac NO:
38 North Central Ave. E-MAIL
Suite 100 ADDRESS:
Medford, OR 97501 INSURER(S) AFFORDING COVERAGE NAIL If
INSURER A: North Pacific Insurance Cc
INSURED INSURER B: SAIF
Hydro Flow Inc. INSURER C:
PO BOX 3849 INSURER D:
Central Point, OR 97502
INSURER E: '
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHETERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDLSUEIR
POLICY EFF PODGY IXP
LTR TYPE OF INSURANCE POLICY NUMBER MMIOD MM/DD LIMITS
INSR WO GENERALLIABILRY EACH OCCURRENCE S 1,000,000
A X COMMERCIAL GENERAL LIABILITY C19175309 2/3/2013 213/2014 PREMISES Ea occurrence $ 100,000
CLAIMS-MADE Fx~ OCCUR MED EXP (Any one person) $ 5,000
PERSONAL B ADV INJURY $ 1,000,000
GENERALAGGREGATE S 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000
POLICY PRO LOC $
.1FQ.T F7 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
Ea accitlent
A X ANY AUTO C19175309 2/3/2013 2/3/2014 BODILY INJURY(Per Person) $
ALL OWNED SCHEDULED
AUTOS AUTOS BODILY INJURY (Per accident) $
HIRED AlfT05 NON-OWNED PROPERTY DAMAGE
AUTOS PER ACCIDENT) $
UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000
A X EXCESS LIAR CLAIMS MADE C19175309 2/3/2013 2/3/2014 AGGREGATE $ 1,000,000
DED X RETENTION$ 10,000 $
WORKERS COMPENSATION WC STATU- OTH-
AND EMPLOYERS' LIABILITY X T RV ER
B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 768244 2/1/2013 2/1/2014 E. L. EACH ACCIDENT $
OFFICERMIEMBER EXCLUDED? F-7 500,000
N/A
(Mandatory In NN) E.L. DISEASE-EA EMPLOYE $ 500,000
if Yea, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT $ 500,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101, Additional RSmarks Schedule, N mom spots is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
20 E. Main St ACCORDANCE WITH THE POLICY PROVISIONS.
Ashland, OR 97520
ALT'HHORUM REPRESENTATIVE
I /`a'u'L
m 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
CITY RECORDER Page,
- CITY OF PO NUMBER
ASHLAND TE ` '
9
7/15/2013 11709
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
VENDOR: 017910 SHIP TO: Ashland Public Works
5587
488
HYDRO-FLOW INC 51 W-INBURN WAY
PO BOX 3849 51
CENTRAL POINT. OR 97502 ASHLAND, OR 97520
FOB Point: Req. No.:
Terms: Net Dept.:
Req. Del. Date: Contact: Rob Morris _
Special Inst: Confirming? NO
. Unit Price Ext: Price".
Quenti Unit - Description.
Water well pump testinq and monitorinq 15,000.00
services at two well locations in
Ashland.
Contract for Personal Services
Beginning date: 07/09/2013
Completion date: 12/31/2013
Insurance required/On file
SUBTOTAL 15-000.00
BILL TO: Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2010 TOTAL 15,000.00
ASHLAND, OR 97520
Account Number., Project Number „ ; Amount - ' Account Number Project Number _ -Amount -
E 670.08.15.00.70420 E 201216.999 15 000.00
i
I'
uthorized Signature VENDORCOPY
FORM #3 CITY OF
A request for a Purchase Order ASHLAND
REQUISITION Date of request: 7/11/13
Required date for delivery: ASAP
Vendor Name Hydro-Flow, Inc.
Address, City, State, Zip P.O. Box 3849 Central Point, OR 97502
Contact Name & Telephone Number Jamie Harrell (541) 772-4453
Fax Number (511) 773-3481
SOURCING METHOD
❑ Exempt from Competitive Bidding ❑ Emergency
❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Farm #13, Written findings and Authorization
❑ AMC 2.50 Date approved by Council: ❑ Written quote or proposal attached
❑ Written uote 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 ti 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
Dale original contract approved by Council:
® Less than $35,000, by direct appointment ❑ Written quote or proposal attached (Date)
❑ (3) Written proposals attached Date approved by Council:
® Form #4, Personal Services $5K to $75K Valid until: Dale
Description of SERVICES Total Cost
$15,000.00
Water well um testing and monitoring services at two well locations in Ashland.
Item # Quantity Unit Description of MATERIALS Unit Price Total Cost
TOTAL COST
® Per attached quotelproposal $15,000.00
Project Number 201246 Account Number 670.06 -15.00 - 704200
'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: -w-~' Department Head Signature: tx\x 7hill
(Equal to or greater than MOO)
City Administrator:
1 it . (Equal to or greater than$25,100)
Funds appropriated for current fiscal year., YE / NO Q1W h~~Ivd`~1~L AJ L: ] L /rte l~
Finance Director- (equal to or greater than $5,000) Date
Comments:
Form #3 - Requisition
CITY OF
FORM #4 ASHLAND
DETERMINATIONS TO PROCURE
PERSONAL SERVICES
$5,000 to $75,000
To: Dave Kanner, Public Contracting Officer
From: Michael Faught, Public Works Director
Date: July 11, 2013
Re: DETERMINATIONS TO PROCURE PERSONAL SERVICES
In accordance with AMC 2.50.120(A), for personal services contracts greater than $5,000, but less
than $75,000, the Department Head shall make findings that City personnel are not available to
perform the services, and that the City does not have the personnel or resources to perform the
services required under the proposed contract. However, the City Attorney, the Public Contracting
Officer, or Local Contract Review Board, can require a formal solicitation for bids to ensure that
the purposes of this chapter are upheld.
Background
This contract with Hydro-Flow, Inc. to provide water well pump testing services has been developed as
part of the Public Works Department's High Capacity Well Testing project, in conjunction with
hydrogeologic consulting services provided by Patton Environmental for the preliminary investigation
and assessment of local high-yield wells as an alternate source for emergency municipal water supply.
The department's intent is to secure the services of Hydro-Flow, Inc. to perform the physical pump tests
required to provide the information necessary for the hydrogeologist to assess two subject wells.
After some research, Hydro-Flow was recommended by our consulting hydrogeologist as the most
qualified and experienced provider of these pump testing services based on their experience with similar
investigations and their understanding of the requirements of the study to be performed by our consultant.
They have the necessary pump testing equipment on hand, and are experienced in the testing procedures.
The estimated cost and amount budgeted for this contract is $15,000. Hydro-Flow's scope and cost
estimate has been included as Exhibit C in the contract. Work is expected to be performed during the
week of July 22-26, 2013.,
Pursuant to AMC 2.50.120(A), has a reasonable inquiry been conducted as to the availability of
City personnel to perform the services, and that the City does not have the personnel and resources
to perform the services required under the proposed contract?
Farm 44 - Department Head Determinations to Procure Personal Services, Page t of 2, 7111/2013
The services proposed require specialized training and technical knowledge, as well as specialized
equipment, including test pumps, flow meters and transducers. The scope also requires coordination and
communication with the hydrogeologist overseeing the testing. The City does have qualified personnel or
the equipment necessary to complete this work.
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Form #4 - Department Head Determinations to Procure Personal Services, Page 2 of 2, 7/1112013