HomeMy WebLinkAbout2013-234 Agrmt - Stanley Convergent Security V V 1 J L V L T J/ III , u V u n J U I, I, u 1 11 V I 1. V 1v V. V I V I I. I
Stanley Convergent Security Solutions, Inc.
WIN
Security Solutions Invoice
YOUR INVOICE AT A GLANCE
Invoice Date 08103/2012
Account Number 724098004082
PAY BILLS ONLINE
I
RECURRING SERVICES INVOICE with free eAccountMeneger Invoke Number 9298W
www.slanlevcss.com/eserviceshlml Invoice Amount(USDD) $82.02 J
Page Number 1 or l
1
PAYMENT DUE DATE UPON RECEIPT ,
MDG2012 00005803 1 AT 0374
Ills.Illu(pllllrvhdlgl,lrgrllullluuuglrrllllAlqll9 FOR INQUIRIES
ASHLAND PARKS AND RECREATION 750 Phone: 1-877.476.4959; for bilfing Inquiries select
ATTN: ACCOUNTS PAYABLE option 5 and enter extension 061.
340 PIONEER STREET a
ASHLAND, OR 97520 MeiI:Sleniey - Accounts Receivable
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16495 Sw Sequoia P"
Portland, OR 97224
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Peovlder of S Pfoddcla and Services
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Federal Tax 10 020-104495(1 Dela Universal Num6ering SYSlam (DUN^S)A 00-115-2481
Detail
INSTALLATION H DESCRIPTION OF SERVICE PERIOD OF SERVICE AMOUNT SALES TAX TOTAL
724998004D92 MAINTENANCE CHARGES 07101/12 THROUGH 07131112 $82.02 $82.02
ASWAND PARKS 8 RECREATION
620 N MOUNTAIN AVE ASI9AM OR 97520
APPROVED FOR PAYMENT
RECEIVED
DATE /
ACCT.# 1.11;~2•02 r o JUN 11 2 12
PAYABLE BY
/C OUNTS PAYABLE
NOTE: ASAP IS DUE INNEXTCHECKRUN
,STANLEY CSS PROVIDES SOLUTIONS FOR ALL YOUR ELECTRONIC SECURITY NEEDS, INCLUDING INTRUSION PROTECTION, FIREALARMS, ACCESS TOTAL DUE(USO) $62.02 ^ Iy
CONTROL,VIDEO SURVEILLANCE AND INTEGRATED SOLUTIONS. OUR SERVICE OFFERINGS INCLUDE MONITORING. SERVICE PLANS, ~/I Cl
PREVENTATIVE MAINTENANCE. TEST a INSPECTIONS, EMBEDDED SERVICES. BACK UP COMMUNICATION AND OUR INOUSTRYLEADING
e6ERIACES. VISIT OUR WESSITC TO LEAR4 MORE AT WYM.STANLEYCSS.COM .
DETACH HERE AND RETURN BOTTOM PORTION WITH PAYMENT. RETAIN UPPER PORTION FOR YOUR RECORDS.
II ! TM
06/03t2012
Auto Pay Enrollment -Please complete farm on back of page. Invoice Date Account Number 724998004082
Invoice Number 9298588
❑ - Total Amount Due (usD) $82.02
Account Information Changes - Please write changes on back of page. PAYMENT DUE DATE UPON RECEIPT
Amount Enclosed
Send Payment To:
ASHLAND PARKS AND RECREATION
ATTN: ACCOUNTS PAYABLE Stanley Convergent Security Solutions
340 PIONEER STREET Dept Ch 10651
ASHLAND, OR 97520 Palatine, IL 60066
SBCUTiIy $OIUIi005D Provider of SONROC Products and Services
Installation and Se ice Agreement No.
This Agreement is made aM entered into is 19 day of Jam, 2012 between ley Convergent Security Solutions, into, boated in Naperville, Illinois, hereinafter referred to as'SCSS'
and
coad
omen.
Ashland Parks & Recreation
1. System and Service
$CSS agrees to furnish Installation, monitoring prefer repair services, during the term a this Agreement, at the premises of the Customer located at
620 North Mountain Ave.
Ashland OR 97520 a intrusion and Fire Monitoring system as described in the attached Schedule of Service and Protection,
2. Terms, Renewal and Expiration
This Agreement is affective as of the execution date of this Agreement and shall have an initial le of sixty (66) months fro a date the system first becomes operative under this
Agreement. and thereafter
shall be automatically renewed for consecutive terms of one year, unless either party gives written no least si ys prior to the end of such term, to the other of intent to allow
the Agreement to expire
as of the end of the then-current term.
3. Payment and Scope (prices do not include any applicable state and local sales or use tax):
A Payment- Customer agrees to pay SCSS:
d. $0.00 for the total installation of the system.
a $0_00 upon signirgatHsAgreement.
b. Progress payments as follows 0
c $0.00 upon completion of the installation, plus a telephone installation and/orcoerection Charge of $0 .
!I. 82.02 for services per month, as described in the Schedule of Service and Protection, payable ❑ quanarly ❑ semiannualy or ❑ annually, in advance Commencing from the first
(to) day of the
month following the dale the system becomes operative. Customer also agrees to pay interim charges in the amount of approximately IM" of the monthly charges for each day from and
Including the
date the system becomes operative until the f ra (I') of the following month. For financed systems, an additional monthly is payable for the ten of the financing Agreement.
iii. SCSS may at anytime follow;ng the expiration of twelve (12) months of this Agreement, increase the monthly charge specified in 3.Aii, once a year. If SCSS increases the
basic monthly charge in any
year by an amount greater than nine (9) percent, Customer may terminate the Agreement upon written notice to SCSS within fifteen (15) days of notification of such !muses..
B. Services
L SCSS will provide the services specified on the attached Schedule of Services and Protection.
C. Ownership of Equipment The equipment shall be Owned by ® Customer, ❑ SCSS or its assignee (hereinafter °SCSS-owned); ❑ Financed System.
4. Liquidated Damages and Bess's Limits of Liability )
A. It is understood and agreed by the parties hereto that SCSS is providing a system anclor service designed to reduce the risk of loss only; that the payments provided for herein
are based solely on
the value of the system and/or services as described herein and are unrelated to line value of any property located on Customers premises; that SCSS is not liable for losses which
may occur in
cases of malfunction or oonfunction of any system provided by, or serviced by, SCSS, that SCSS is not liable for losses which may occur in the monitoring, repairing, signal handling
or dispatching
aspects of the service, even if due to SCSS's negligence or failure of performance; that SCSS is not liable for losses resulting from failure to warn or inadequate training; that
SCSS is rot an insurer,
and that insurance Covering personal injury, property loss, damage to and on Customers premises must be obtained and/or maintained by Customer. Customer understands that it is Customer's
duty to purchase such insurance; that SCSS offers several levels of protection and services and that the system and/or service described in the Schedule of Service and Protection
has been chosen
by Customer after Considering and balancing the levels of protection afforded by various systems and the related costs,
B. IT IS AGREED THAT IT IS IMPRACTICAL AND EXTREMELY DIFFICULT TO FIX ACTUAL DAMAGES WHICH MAY ARISE IN SITUATIONS WHERE THERE MAY BE A FAILURE OF THE
SYSTEM AND/OR SERVICES PROVIDED, DUE TO THE UNCERTAIN VALUE OF CUSTOMER'S PROPERTY OR THE PROPERTY OF OTHERS KEPT ON THE PROTECTED PREMISES
WHICH MAY BE LOST, STOLEN, DESTROYED, DAMAGED OR OTHERWISE AFFECTED BY OCCURRENCES WHICH THE SYSTEM OR SERVICE IS DESIGNED TO DETECT OR AVERT,
INABILITY OF SCSS TO GUARANTEE POLICE, FIRE DEPARTMENT AND MEDICAL ALERT RESPONSE TIME, AND ESTABLISHING A CAUSAL CONNECTION BETWEEN THE SYSTEM OR
SERVICE PROBLEMS AND CUSTOMER'S POSSIBLE LOSS. THEREFORE IF ARTICLE 4A IS JUDICIALLY DETERMINED TO BE INVALID OR UNENFORCEABLE.AND ANY LIABILITY IS
JUDICIALLY IMPOSED ON SCSS, ITS EMPLOYEES, AGENTS OR REPRESENTATIVES, FOR PROPERTY DAMAGE OR PERSONAL INJURY, SUCH LIABILITY SHALL BE LIMITED TO AN
AMOUNT EQUAL TO THE ANNUAL SERVICE CHARGE OR $10,000, WHICHEVER IS LESS. (IF THERE IS NO ANNUAL SERVICE CHARGE, SCSS'S LIABILITY SHALL BE LIMITED TO
$500.00.) THIS SUM SHALL BE PAID AND RECEIVED EITHER (0 AS LIQUIDATED DAMAGES AND NOT AS A PENALTY, OR AS A LIMITATION OF LIABILITY APPROVED AND AGREED
UPON BY THE PARTIES. THE PAYMENT OF THIS AMOUNT SHALL BE SCSS'S SOLE AND EXCLUSIVE LIABILITY REGARDLESS OF WHETHER LOSS OR DAMAGE IS CAUSED BY THE
PERFORMANCE OR NONPERFORMANCE OF OBLIGATIONS UNDER THIS CONTRACT OR BY NEGLIGENCE, ACTIVE OR OTHERWISE, OF SCSS, ITS EMPLOYEES, AGENTS OR
REPRESENTATIVES. NO SUIT OR ACTION SHALL BE BROUGHT AGAINST SCSS MORE THAN ONE (1) YEAR AFTER THE ACCRUAL OF THE CAUSE OF ACTION ARISES. IF CUSTOMER
WISHES SCSS TO INCREASE THE AMOUNT OF THE LIQUIDATED DAMAGES AS PROVIDED ABOVE, CUSTOMER MAY OBTAIN FROM $CBS AN ADDITIONAL AMOUNT OF LIQUIDATED
DAMAGES BY PAYING AN ADDITIONAL MONTHLY SERVICE CHARGE TO SCSS. THIS CLAUSE WILL IN NO WAY BE INTERPRETED TO ESTABLISH SCSS AS AN INSURER.
C. SINCE THE PARTIES AGREE THAT CUSTOMER RETAINS THE SOLE RESPONSIBILITY FOR THE LIFE AND SAFETY OF ALL PERSONS IN ITS PREMISES, AND FOR PROTECTING
AGAINST LOSSES TO HISIHER OWN PROPERTY OR THE PROPERTY OF OTHERS IN ITS PREMISES, CUSTOMER AGREES TO INDEMNIFY AND SAVE HARMLESS SCSS, ITS
EMPLOYEES, AGENTS, AND REPRESENTATIVES FROM AND AGAINST ALL CLAIMS, LAWSUITS AND LOSSES, BY PERSONS NOT A PARTY TO THIS AGREEMENT, ALLEGED TO BE
CAUSED BY THE IMPROPER OPERATION OF THE SYSTEM, WHETHER DUE TO MALFUNCTIONING OR NONFUNCTIONING OF THE SYSTEM OR THE NEGLIGENT PERFORMANCE OR
NONPERFORMANCE BY SCSS OF THE INSTALLATION, MAINTENANCE, MONITORING, SIGNAL-HANDLING OR DISPATCHING ASPECTS OF THE SERVICE.
D. Paragraphs A through G of the Article 4 shall apply to any other company or entity which, in addition to SCSS, furnishes as a subcontractor or otherwise, any installation, monitoring
or maintenance
services provided hereunder.
E. Limited Equipment Warranty
Where Customer purchases a security system under this Agreement, SCSS warrants that the equipment will be free from defects in material and workmanship for a period of ninety (90)
days from the dale the
security system is placed into operation. If during this warranty period, any of the equipment or pads are detective or malfunction, they unit be repaired or replaced, at SCSS's.
sole option, free of charge.
Warranty repair Is done B arc 4 pm Monday through Friday, excluding holidays. This warranty will not apply if the damage or malfunction occurs because the system has been adjusted,
added to altered,
abused, misused or tampered with by the Customer, operated or used contrary to died operating instmctrons, software has been used with an operating system star than that specified
by SCSS or its original
equipment manufacturer COEW), pedonnancs issues relating to the use of Customers data network(s), power fluctuations, a any other cause not within the muse or control of SCSS. If
Inspection by SCSS
fails to disclose any defect covered by this limited equipment warranty, the equipment will be repaired w replaced at Customers expense and SCSS's regular service charges will apply.
DISCLAIMER OF ALL OTHER WARRANTIES: EXCEPT FOR THE FOREGOING LIMITED EQUIPMENT WARRANTY DESCRIBED ABOVE, SCSS MAKES NO OTHER WARRANTIES, EXPRESS OR
IMPLIED, INCLUDING ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, THAT THE SYSTEM OR SERVICE SUPPLIED MAY NOT BE COMPROMISED, OR
THAT THE SYSTEM OR SERVICE WILL IN ALL CASES PROVIDE THE PROTECTION FOR WHICH IT IS INTENDED. IN NO EVENT, WILL SCSS, IT EMPLOYEES, OR AGENTS OR
REPRESENTATIVES BE RESPONSIBLE FOR CONSEQUENTIAL, SPECIAL OR INCIDENTAL DAMAGES OF ANY NATURE WHATSOEVER SCSS MAKES NO WARRANTIES CONCERNING ANY
EQUIPMENT OR DEVICES ATTACHED TO CUSTOMER'S SYSTEM UNLESS SUCH EQUIPMENT OR DEVICES WERE ORIGINALLY PURCHASED AND INSTALLED UNDER THIS AGREEMENT.
5. Miscellaneous Charges and Increase in Charges
A. Customer shall pay any City, State or Federal taxes, fees or charges which are imposed upon the equipment, the installation thereof or performance of the services provided for
herein, including
any increases in charges to contractor for facilities required for transmission of signals under this Agreement.
B. At SCSS's option, a fee may be charged for any false alarm caused by Customer or for any unnecessary service run. If either SCSS or Customer is assessed any fine or penalty
by any
municipality, fire or police protection district as a result of any false alarm, Customer shall pay the full amount of such fine or penalty.
C. Charges for toll free telephone usage, if selected by customer, are included in the payment described in paragraph 3(A). SCSS may immediately increase its monthly charges to
reflect any
increase in charges for toll free servce. Customer shall pay any other telephone company toll line charges, including installation.
License Informatlon: AL 06308, Alabama Gedmnic Security Boom of Umnsum, 7958 Vaughn Rd., Montgomery. AL 38118 (3334) 280.9388: AZ RCC201975: CA AC06055 848019. Alarm company operators
ere licensed and regulated by the
Bureau of security d Invesllgathm Semlces, Dept, of Consumer Andre, Sacramento, CA 95814: BE 01158; FAL-0001; FSL-0058: DC 201040K)00(-68005230: FL EF20000495: GA GA. REG. LWI05586:
IL 127001274: LA D1173: EF1431: ME
MC6001920e: MD 107-1174, M.,I.W Yale police, Ilmmdng i iv6lon, 7751 Washmgton Blvd, Jessup, MD 20794: MA C1628: MI 5103305; 3801 W5074: MN TS01238: MT 399: NJ 630887;1074485: NY
12000275763, Loomed by WS Dept. of
State: NO, 711CSA; 17175-SP-1-V, Almon Systems UcensiN act., 1631 Mnimm PI., Ste. 104, Raleigh, NC 27609 (919)87S3al 1: OH 5339.1512: OK 953: OR 161567: RI 3935: SC FA3387; BA5501
: TN 01180; TX 802140; ACI 2639, Texas .
Com'n on Private security, 5805 Lamar Blvd. Audi, TX 78773: UT 57NWM501: VA 114298; 2705-087235A, Commnmma0b of Viryinia, Dept of Criminal JuWw Sewlces, 005 Eesl Smaa Street e•
R.., Richmond. VA 23219: WA
HSMELEP914L2 WYLV-A32:TLV-A-05331.
(Faye f cis)Rew 101.2006 (CmtmereblAWaemenLOOC) Accepted: (49089
SCSS C sterner
D. Installation charges set forth in Article 3 assume installation will be performed during SCSS's normal working hours and using its own persomnl. If Customer requests the installation
or any part
thereof W be performed outside ordinary business hours, or B the installation must be performed by outside contractors, or SCSS's wage rates do not apply as a result ofprevailing
wage
requirements, or otherwise, then the installation charge will be adjusted accordingly.
E. If any government agency requires any Changes in the system originally installed, Customer agrees to pay for such changes. It is Customer's responsibility to obtain all alarm
use permits required
by the local jurisdiction.
F. SCSS shall charge Interest at the rate of 1 X% per month, or the maximum permitted by law, on any delinquent balance. A balance becomes delinquent thirty (30) days after payment
is due
under Article 3. SCSS may also, upon written notice to Customer, stop providing monitoring and maintenance services if Customer is delinquent on any payment. SCSS may charge $25.00
for
any NSF check
6. Further Obligations of Customer
A Customer, at its own expense, shall supply appropriate unswitched AC electric power, outlets for such power, located according to SCSS's requirements and telephone company interconnection
jacks, if required.
B. Customer shall not tamper with, alter, adjust, add to, disturb, injure, move, remove, Interconnect with other equipment or otherwise interfere with equipment installed by SCSS,
nor shall Customer
permit the same to be done by others. It is further agreed that Customer indemnities and holds SCSS homeless for any claim arising out of the foregoing and that if any work is
required to be
performed by SCSS, due to Customer's breach of the foregoing obligations, Customer will pay SCSS for such work In accordance with SCSS's thenaurrert prevailing charges.
C. For those premises where SCSS is to provide monitoring, Customer shall furnish SCSS a list of the names, titles, telephone numbers and signatures of all persons authorized to
enter the
premises of Customer during scheduled closed periods and shall be responsible for updating such lists. Incases of supervised service, Customer shall also furnish SCSS with an authorized
daily
and holiday opening and closing schedule.
D. Customer shall set the alarm system at such times as Customer shall close its premises. Customer shall lest the alarm system prior to each closed period and shall Immediately
report to SCSS
any claimed inadequacy in or failure afthe system. Customer shall perform a daily walk test of any motion detection equipment used on the premises.
E. Customer shall permit SCSS access to the premises for any reason arising out of or in Connection with SCSS'0 rights or obligations under this Agreement.
F. Should any part of the system be damaged by fire, water, lightning, acts of God, third parties or any cause beyond the Control of SCSS, any repairs or replacement shall be paid
for by Customer
(ordinary wear and tear excepted In the case of a SCSS-owned system).
G. Any claim by Customer of improper installation or a defect in the system shall be made in writing to SCSS within thirty, (30) days of installation Completion.
H. Customer represents and warrants that Customer Is the owner of the premises or, if not, that the owner agrees and consents to the installation of the system on the premises.
Customer shall
indemnify and hold SCSS nameless from any losses or damages, including attorney fees, resulting from breach of such representation and warranty, or from SCSS's inability to recover
SCSS-
owned system components when customer moves out of the premises.
1. For those premises where SCSS is to provide central station sprinkler supervisory and water flow, alarm or automatic fire alarm service, Customer warrants and agrees that all
alarm valves, gate
valves, pumps, compressors, inspector test connections, or other elements of the sprinkler system as now installed or to be installed, are, or will be, connected at COStemers expense
so as to be
acceptable to the insurance and other authorities having jurisdiction when equipped with SCSS's signaling devices. Customer further agrees to furnish any necessary water through
Customer's
meter and at Customer's expense, to place hoods over any open forges or fires, and to pipe all bailer blow-oRs and steam exhaust outside the premises to be protected.
J. For those premises where closed circuit television equipment is provided, Customer will provide adequate illumination under all operational conditions forthe proper operation
of the closed circuit
television camera and will provide 110 AC power supply where required as well as shelf or desk space for monitors.
K It is mutually agreed that the Customer assumes full responsibility for the operation of any and all bypass or switch units provided for disconnecting or reconnecting the alarm
sounding and/or
transmitting equipment at Customers premises.
L Customer represents that, except to the extent it has given SCSS written notice prior to the execution of this Agreement (i) the work and/or services to be performed hereunder
are not subject to
any Federal, State or local prevailing wage statute or regulations, and (it) to the best of its knowledge there is no asbestos or presumed asbestos-containing material, formaldehyde
or other
potentially toxic or hazardous material contained within, or in, on or under any portion of any area where work will be performed under his Agreement. If such materials (whether
or not disclosed
by Customer) are discovered and such materials provide an unsafe or unlawful Condition, such discovery shall constitute a cause beyond SCSS's reasonable control and SCSS shall
not starter
continue to perform its work under the contract untll Customer has remedied the unsafe or unlawful condition at Customer's sole expense. Customer shall indemnify and hold SCSS
and Its
assigns harmless from and against any and all claims, costs and expenses of any kind (including attorney's fees) for fines, penalties, back wages, bodily injury, property damage,
delay orwark
stoppage that arises under or results from a breach of the foregoing representations (regardless of whether or not Customer disclosed such materials to SCSS).
7. Further Obligallons of SCSS; Limitations
A SCSS shall not be held responsible or liable for delay in installation of the system or interruption of service, due to strikes, lockouts, riots, goods, fires, lightning, acts
of God or any muse beyond
the Control of SCSS, including interruptions in telephone service. SCSS will not be required to perform installation or supply service to Customer while any such cause shall Continue.
B. For those premises where monitoring is provided, SCSS, upon receipt of an alarm signal from Customers premises, shall (unless previously instructed otherwise by Customer), make
e
reasonable effort to transmit the alarm promptly to the police, fire department, medical agency or customer designated agency having jurisdiction or responsibility. SCSS shall
also make a
reasonable effort to notify Customers designated representative by telephone of every genuine alarm received unless instructed to do otherwise by Customer. To avoid false alarms,
SCSS shall
have the right, in Its sale judgment, to first investigate the cause of a signal by either telephoning Customer or dispatching a representative to the Customers premises to determine
whether an
emergency condition exists warranting notification of the police. Customer agrees that telephone calls received or transmitted by the Customer Service Center, including the receipt
and
transmission of alarm signals, may be electronically recorded by SCSS, and that Customer Consents to such recordings.
C. Customer understands that, if the system Installed under this Agreement is monitored, due to the nature of the method used for communicating alarm signals to the Customer
Service Center, there may be times when that communication method is not able to transmit signals and SCSS will not receive alarm signals. Digibal communicalors use standard
telephone lines and SCSS does not receive signals when the telephone system becomes nanope rational or the telephone line is wt interfered with or otherwise damaged. There will
be times
when any radio frequency method, such as cellular, public or private radio systems, cannot transmit an alarm signal due to lack of signal strength or availability of a communication
Channel.
Similarly, any other type of communication method installed under this Agreement also can experience an inability to Communicate alarm signals. Customer understands that SCSS offers
several
levels of communication methods of alarm signals to the monitoring Center and that the Services described on the front page of this Agreement and on he Schedule of Service and
Protection
have been chosen by Customer after considering and balancing the levels of protection afforded by various communication methods and the related costs. Customer acknowledges and
agrees
that Customer Is solely responsible for the selection of the type of communication method and whether the utilization of more than one communication method is required.
D. In Case of possible communication method trouble detected by SCSS, SCSS shall Centel the Communication method provider and request that it determine the location of the trouble,
if unknown
to SCSS. When the trouble has been traced to a Customer, SCSS will make a reasonable effort to notify Customer or the designated representative. In the event any service or repair
to
Customers equipment becomes necessary, SCSS shall, within a reasonable time, dispatch a representative to Customers premises for the purpose of making the necessary services or
repair. It
- is understood that the communication method provider is not he agent of SCSS and SCSS shall not be liable for the communication method providers negligent performance or delay
in
performance.
E. For these premises with a direct connection to the police, fire department or other agency, it is mutually understood and agreed that signals transmitted hereunder will be monitored
in police
and/or fire departments or other agencies, and that the personnel of such police and/or fire departments or other agencies are not SCSS's agents nor does SCSS assume any responsibility
for
the manner in which such signals are monitored or the response, if any, to such signals.
F. SCSS shall not be responsible for the replacement of equipment or pads no longer Commercially available to SCSS.
G. It an Access Control Preventative Maintenance or Software Support option is selected by Customer under this Agreement, SCSS will provide and install software upgrades as they
become
Commercially available, during normal SCSS working hours. Software upgrades that do not affect the Customers current operations, as solely dele r irrad by SCSS and the OEM, will
not be
installed by SCSS. In the event the Customer elects to have someone other than SCSS install the software upgrade, the Customer shall assume any and all liability for any damage
mused
pursuant to the installation. Service and upgrades for third party software cwt supplied by SCSS are excluded from this agreement.
Lidenea Inkmnatiom AL 06 808, Alabama Electronic Security Beard of LlcenWm, 7956 Vaughn Rd., Montgomery, AL 36116 (334) 204-9388: AZ ROC204975: CA AC08055; 848019, Alarm company
operators are Ikensed and regulated by the
Bureau of Security & Investigative Servlces, Dept, of Consumer Affairs, Sacramento, CA 95014: DE 04-150; FAL-0001; FSL-0059: DC 20104lC x%-¢0005230: FL EF2000049$: GA GA. REG. LVU405586:
It. 127001274: LA of 173; 8F1431: ME
M05001 all MG 107-1174, confined state pollee, licensing division, 7751 Washington Blvd, Jessup, MD 20794: MA C1628: MI 5103300; 3801205074: MN TS01238: MT 399: NJ 039887; 1074485:
NY 12000275763, Licensed by NYS Dept. of
State: NC 714CSA; 17175-SRLV. Alan Systems Lleandrng ad., 1631 Mllowe PI.. Ste. 104, Raleigh, NG 27809 (919)875-3611: OH 53-89-1512: OR 953: OR 181587: RI 3935: SO FA3307; BA5501:
TN C-11 W; Tx 002140; ACR2639, Term
Com'c on Private starts, 5905 Lamer BNO, Austin, Tx 76773: UT 57UOBMMl: VA 11-4290; 2705-007235& Commonwealth Of Vhpinle. Dept of Clinical Juellm Services, WE East Broad Brad 9e
FL, RIGImil VA 23219: WA
HSMELEPa44t2: WY LV-A32; TLV-A-15331. (~JI
(Page 2 of3)Raw101-200afCarnmardalAaeameN.tloo1 Accepted: Mdhan
CSS Customer
e. Title to Equipment and Use of SCSS-owned Equipment; Proprietary Protection
A. Any SCSS-owned equipment installed on the Customers premises shall at all times remain solely the property of SCSS, or its assignee and Customer agrees not to permit the attachment
thereto
of any equipment not furnished by SCSS. If Customer purchases equipment, Customer agrees that SCSS retains a security interest in the equipment until the full purchase price
is paid. It is
further understood and agreed that SCSS may remove or abandon all SCSS-owned equipment, including all wiring installed by SCSS, in whole or in part upon termination of the Agreement
by
lapse of time, default of any monies due hereunder, or otherwise without any obligation to repair or redecorate any portion of the protected premises, provided that such removal
or abandonment
shall not be held to Constitute a waiver of the right of SCSS, or its assignee, to collect any changes which have accrued hereunder.
B. Any computer application program and/or documentation, collectively referred to as -Sonandm , that is provided by SCSS under this agreement, Is Owned by SCSS, its affiliates
or one of its OEM's
and is protected by United Stales and international Copyright laws and international treaty provisions. Any breach of this agreement will automatically terminate the Customers
tight to use this
Software, and the Customer is obligatetl to immediately return such Software to SCSS. Customer may not Copy the Software for any reason other than per the dictates of any end
user software
license agreement. Customer may not mversecngineer, disassemble, decompile or attempt to discover the source Code of any Software. Customer acknowledges that any breach of this
section
shall result in irreparable injury to SCSS for which the amount of damages would be unascertainable. Therefore, SCSS may, in addition to pursuing any and all remedies provided
by law, obtain
an Injunction against Customer from any Court having jurisdiction, restraining any violation of this section.
9. Termination
A SCSS may laminate this Agreement immediately upon written notice:
1. In the event Customer defaults in the performance of any of the terms and Conditions of this Agreement, including the failure to make any payment as agreed herein, in which Case
the
balance of all monies due and for the unexpired tern of this Agreement shall become Immediately due and payable, together with interest at the maximum legally allowable rate. Customer
shall also pay attorney and/or collection fees, defined as an additional thirtyAva percent (35%) of the outstanding balance owed, incurred in collecting Customer's account; or
ii. in the event SCSS's Customer Service Center, the telephone lines, Was or SCSS's equipment within Customer premises are destroyed or so substantially damaged that it is commercially
impractical to continue service to Customers premises; or
iii. As provided in Article 2 relating to expiration and Article 3(A) relating to price increases. -
B. Customer may terminate the Agreement:
I. Immediately upon written notice, in the event Customers premises are, by any Cause beyond the control of the Customer, destroyed or so substantially damaged that it is commercially
impractical for Customer to Continue any operations at such premises; provided that if the Customer is using SCSS-owned equipment , the Customer must pay SCSS all payments remaining
to be made under this Agreement through its scheduled expiration; or
ii. As provided in Article 2 relating to expiration; Article 3(A) relating to price increases; and Article 11 relating to assignment.
C. Upon termination of this Agreement, Customer shall permit SCSS access to Customers premises in order to deactivate the telephone line signaling device and/or to remove the equipment
pursuant to Artice 9.
10. Assignment
This Agreement is not assignable by the Customer except upon written Consent of SCSS first being obtained. SCSS shall have the right to assign this Agreement, or to subcontract
any of its
obligations under this Agreement, without notice to, or consent of, the Customer.
11. No Subrogation
Customer does hereby for itself and other parties claiming under it, release and discharge SCSS from and against all claims arising from hazards Covered by Customers insurance, it
being expressly
agreed and understood that no insurance Company or insurer will have any right of subrogation against SCSS.
12. Severabllity and Savings
In the event any one or more of the provisions of this Agreement shall for any reason be held to be invalid, void, illegal, or unenforceable by any court, arbitrator, orgovemmental
agency,
the remaining provisions of this Agreement shall remain in full force and effect, and the invalid, void, illegal, and/or unenforceable provision(s) shall survive to the extent not
so held.
13. Trial by Jury
Both parties to this agreement, knowingly, voluntarily and intentionally waive any night they may have to a trial by jury in respect of any litigation arising out of, under, In connection
with, or relating to
this agreement.
14. Choke of Law
This agreement is entered into In the State of Connecticut and shall be interpreted, enforced and governed under the laws of the State of Connecticut without regard to application
of Conflicts of laws
principals that would require the application of any other law. Any action regarding this agreement or otherwise brought against SCSS by or on behalf of any party to this agreement,
its agents,
assigns, subsidiaries, and/or executors shall be maintained in a Court in Hartford, Connecticut. If the claim Could be brought in federal court, the action shall be maintained in
the United States District,
carrot of Connecticut, Hartford Division.
15. Entire Agreement
It is agreed to and understood by re, patties that this Agreement, Including the provisions of Arlicla 4 and on the etlacthed Schedule of Service and Protection end Schedule of Equipment
and Services, constitute
the entire Agreement between the parties, and supersedes and replaces all other prior understandings or agreements, whether== or written, raising to the premises coveretl by this
Agreement This Agreement
may net be changed, modified or vaned except in writing, signed by an authorised representative of SCSS. It is understood and agreed by and between the parties hereto, that the terms
and oppositions of this
Agreement shall govern notwithstanding any additional or inconsistent terms or Conditions Contained in any purchase order or other document submitted by Customer. This Agreement shall
flat become Ittling
on SCSS until approved and accepted by SCSS as provided below. Customer hereby aduloMedges that Were has react this entire Agreement and agrees to be bound by all its terms and conditions.
1i~U ~S S~ 6
Stanley Convergent Security Solutions, Inc. CUSTOMER By (Signature)
Sales Representa'?a Jonathan Hall Name (Print or Type)
Approved rid a cept 1 by SCSS Title
By ULZ Date y L}(/~
Title / Bank Reference - Telephone
Date vSr Account Number
NOT BINDING ON SCSS WITHOUT AUTHORIZED MANAGEMENT APPROVAL SIGNATURE
Unense Information: AL 0&808, Alabama Elederric Security Board of Umnsum, 7958 Vaughn Rd, Montgomery, AL 36118 (334) 2049300: Art ROC204975: CA ACM055: 848019, Alarm company o,pmtom
are licensed and regulated by the
Bureau of Security It Investl0e0ve Services, Dept. of consumer Affalm, mommento, CA 95014: DE 04158; FAL-0001; FSL-0059: DC 201 WxXxX-68005230: FL EF20000495: GA GA. REG. LW4055H
IL 12]0012]4: IA D1173: EF1431: ME
MC60019200: No 107.1174, Maryland stale poll., funding aviator, 7751 Washbhgton Blvd, Jessup, NO 21 MA C1628: MI 5103306; 3601205074: MN TS01238: MT 399: NJ 539887: 1074485: NY
12000275783, Uoemad by WS Dept. of
Slate: NC 714-CSA: 17175-SP-LV, Alain Systems Uceneing Bd., 1531 Midtown PI., Ste. 104. Raleigh, NO 27809 (919)875-3611: ON 53-89-1512: OK 953: OR 161581: RI 3935: Se FA3387: BA5501:
TN C-1180; TX B02140; AOR2539, Taxes
Conan on Private Security. 5805 Lamar Blvd., Austin, TX MrU3: UT 57NO684501: VA 11-4290; 2705.087235A, Commonwealth of Virginia, Dept of Criminal Justice Services. 805 East Smad
Street, So FL., Richmond, VA 23219: WA
HSMELEP944L2: VJf LV-A32; TLV-A-15331.
(Page 3 oft) Rea10.1-2008 (Commeresd Agreemerf ew)
Security Solutions Schedule of Service and Protection (Equipment & Installation)
ANY OR ALL SERVICES PROVIDED BELOW ARE DEFINED IN AND SUBJECT TO THE TERMS AND CONDITIONS OF THE ATTACHED 441AU120JA(R, AGREEMENT
DATED -l 1A 1?d17, BETWEEN STANLEY CONVERGENT SECURITY SOLUTIONS INC. AND RC/lL R F IQGGai~r+/an/ FOR SERVICES AT.
L p N. /fm/A1MJA/,W cs{ ~„bm 4767.0
Intrusion: ✓ Amese Control:_ Fire:_ CCTV:_
Othec_ Describe Other:
mEasibDevicel-
Quantity Equipment Part Number
Ouantity Equipment
AOdANTRGE PGus auwct .Gadnee~ _ _
Z S~cioKE .OEst;craeGS
I
i
Total Installation Price
Sales Tax (d applicable) avr
Total Price
Deposit(n.hand) oats ~J
Balance Due On Completion q
Total Monthly Fee ~L.G2
_ _ Re MWa
Ownership of Equipment. The equipment shall be awned by STAR rKS
Secorit Solutions Schedule of Service and Protection (Services)
ANY OR ALL SERVICES PROVIDED BELqW~ARE IN AND SUBJECT TO THE TERMS AND CONDITIONS OF THE ATTACHED
AfmV/feCfA6 AGREEMENT DATED BETWEEN STANLEY CONVERGENT SECURITY SOLUTIONS INC. AND
4QSNLantO Alkfcc . &-LLagn.nl FOR SERVICES AT 620 N• A &,Ajn n/ AW. Asihya.rf0 a2 9752
Monitoring Services Monitoring Services eServices
Intrusion Alarm Monitoring Weekly Auto Dialer Testing eAmountManager
Fire Alarm and Sprinkler Monitodng - Open / Close Signal Supervision eAccountManager Pius
Critical Condition Monitoring Open/ Close Signal Tracking - Basic eDamManager
Medical Response Monitoring PIN Management By Stanley Advanced eDalaManager
Elevator Telephone Monitoring Open/Close Reports - Premium eDalaManager
Additional Intrusion Ala" Monitoring Standard Exception Reports Premium Plus eDateManager
Additional Fire Alarm and Sprinkler Monitoring Customized Exception Reports (v)-Video Guard Tour
Additional Critical Condition Monitoring Sonitrol Audio Monitoring (v)-Video System Verification
Additional Medical Response Monitoring Sonitrol Managed Access (v}Udeo Image Qua!ity Verification
Hold-Up or Panic Alarm Monitoring Soniteol Combo Audio Intrusion & Managed Access (v)-Video Incident Retrieval
Additional Area Monitoring Other Central Station (v)-Video Software Maintenance
Duress Monitoring No Monitoring (v)-Video Specialized Reporting
24 Hour Auto Dialer Testing (v)-Video Image Quality Verification
(v)-Video Alarm Verification
eAccessManager
eAccess Card Management
eAccess Photo ID Badge Management
eAccess Visitor Entry
mySanitrol Standard
mySanitrol Pro
SonaVision
eVideo Communication Back-Up Additional Services
eVideo Alann Verification- Videofied High Alarm Basic Cellular Back-Up UL Fire Alann Certificate
eVideo Alarm Verification -Videofied Medium Alarm Advanced Cellular Back-Up UL Intrusion Alarm Certificate
eVideo Ala" Verification - DVR+ Intension Panel Basic Radio Back-Up UL DOD Alarm Certificate
eVideo Alarm Verification - Videofied Low Ala" Advanced Radio Back-Up Specialized Billing
eVideo Guard Tour Internet Communication Back-Up I Software Support
eVideo Open / Close Recording Internet Communication Back-Up II Board or Direct Connection
eVideo Escort Internet Communication Back-Up III Runner or Guard Response
eVideo Open Supervision
eVideo Close Supervision
eVideo Live -
eVideo Audit
Fire Test & Inspections Advanced System Knowledge & Training
The scheduled appointments Include a visual inspection of devices, operational records. Technical Assistance Center Support
~M
Tests and inspections are documented and provided for customers. Test of system
components and verification of communication link. Includes access to telephone technical Annual Training Package
assistance. System repair, equipment replacement and lift rentals are excluded Semi-Annual Training Package
Annual Fire Test & Inspections '
Semi-Annual Fire Test & Inspections
Ouarteriy Fire Test & Inspections '
Monthly Fire Test & Inspections
Accepted By
r v~1 l L~'~(L Quotation Reference:
Customtt Signa ure Date Rep itials Page 1 of 2
I
i
Security Solutions Schedule Of Service and Protection (Services)
ANY OR ALL SERVICES PROVIDED BELOW ARE DEFINED IN AND SUBJECT TO THE TERMS AND CONDITIONS OF THE ATTACHED
AAam Idis AGREEMENT DATED 2o1BETWEEN STANLEY CONVERGENT SECURITY SOLUTIONS INC. AND
"Ill, f1apA ..c*ReeannwB FOR SERVICES AT (n2p tit LAnti1irAu4 AVE h5141a o n2 11152e
Se,
Srvice Plans Embedded Customer Support
'
Standard Service Plan Customer agrees and acknowledges that Stanley CSS is not an employment agency.
(Montlay - Friday, Sam-4pm) This plan severs labor and equipment costs during normal business Customer and its agents agree that they will not solicit or hire on-site or embedded
Stanley
hours for normal'lvear and teat repair or replacement and includes batteries and lift rentals. Repair CSS emplayeees for a period of five (5) years.
or replacement of equipment damaged by the customer, accts of God or vandalism is not covered. Embedded Tech Support Specialist
Service labor rates for after hours work are based on current service tabor rate schedule. Includes
access to the PNC TAG - Technical Assistance Carter (24x7). Technical Specialists work at the customer location to assist in day-to-day tasks regarding the
system operation and technical application. This support can be mstomlzed to Include repair service
Premium Service Plan work, programming, test 8 Inspection and other technical requirements.
(24x7, 365 days) This plan covers labor and equipment costs for normal 'Wear and tear' repair or Embedded Administrative Specialist
replacement and Includes batteries and lift rentals. Repair or replacement of equipment damaged by -
to customer, acts of Gad or vandalism are not covered. Includes access to the PNC TAG - Customer Support Specialists work at the customer kxation to assist In day-la-day tasks
regarding
Technical Assistance Center (24x7). the administration of security accounts. A support specialist can assist with questions, coa d inatiw
Parts Only Service Plan and administration of installation, service, monitoring, account management and billing matters.
(24x7, 365 days, Applicable Labor Rate) This plan severe equipment costs for normal "wear and Embedded Project Manager Specialist
tear" repair or replacement and includes batteries and lift remails. Repair or replacement of A Stanley Embedded Project Manager works onsite to coordinate scheduling, material
delivery,
equipment damaged by the customer, ads of God or vandalism are not covered. Service labor rates Stanley technical Installation and support efforts. A project manager can assist
with organizing
are based on current service labor rate schedule. Includes access to the PNC TAG - Technical overall efforts for new Installations and management of facility issues. Price per
location or
Assistance Center (24x7). multfbuitding campus.
Labor Only Service Plan ' Embedded Application Engineer Specialist
(Monday-Fdday, Sam - 4pm) This plan covers labor costs for normal 'wear and tear repair or Stanley Embedded Application Engineers work at the customer location to provide job design,
replacement. Repair or replacement of equipment damaged by the customer, acts of God or drafting, and RFP assistance. An application engineer can assist with processing new work
vandalism are not coveretl. Service labor rates for after hours work are based an current service estimates, maintaining CAD es-builis, and customer specific Implementation requirements.
Price per
labor rate schedule. Includes access to the PNC TAG - Technical Assistance Center (240). location or multi-building campus.
Priority Response Service Plan Embedded Program Manager -
(4 hour response, 24x7, 365 days) This plan covers labor and egUipment Costs with a 4 hour Stanley Embedded Program Managers spearhead the ovea0 embedded progress at the customer
response for normal 'wear and tear repair or replacement and Includes bafteries and lift rentals. location. Activities include providing administrative and teMnical supervision
of other embedded
Repair or replacement of equipment damaged by the customer, acts of God or vandalism are not staff members, acting as the primary point of escalation for embedded staff for any
Issues with field
covered. Includes access to the PNC TAG - Technical Assistance Center (24x7). installation and support, serving as the voice of the customer to executive management regaining
client satisfaction, concerns, and strategic needs, as well as communicating with Stanley Paid
leadership to ensure project and service metrics objectives are being achieved.
Preventative Maintenance Software Solutions
Annual Preventative Maintenance Basic Software Support Plan
Scheduled preventative maintenance. The scheduled appointment includes a visual Inspection of (Montlay- Friday, 8 am - 5 pm EST) Up to 30 hours per year of technical phone support
or remote
devices, walk-test of system components, cleaning of devices as needed and verification of connection assistance from server specialists, provided during normal business hours to
customers.
communication link. Includes access to the PNC TAG - Technical Assistance Center (24x7). System Work scope can include: troubleshooting technical problems, resolving programming
issues, system
repair, equipment replacement and lift rentals are excluded. planning, database programming changes and addressing most access control software matters.
Semi-Annual Preventative Maintenance Customer support requests may be generated via e-mail or telephone.
Scheduled preventative maintenance. The scheduled apleointiment Includes a visual inspection of Advanced Software Support Plan
devices, walk-test of system components, cleaning of devices as needed and verification of (Monday - Friday, 8 am - 5 pre EST) Up to 60 hours per year of technicel phone support
w remote
communication link. Includes access to the PNC TAG -Technical Assistance Center (24x7). System connection assistance from server specialists, provided during normal business hours
to customers.
repair, equipment replacement and lift rentals are excluded. Work scope can include: troubleshooting technical problems, rewMng programming issues, system
planning, database programming changes and addressing most access control software matters.
Quarterly Preventative Maintenance - Customer support requests may be generated via e-mail or telephone.
Scheduled preventative maintenance. The scheduled appointment Includes a visual Inspection of Premium Software Support Plan
devices, walk-test of system components, cleaning of devices as needed and verification of
communication link. Includes access to the PNC TAG - Technical Assistance Center (24x7). System (Monday - Friday, 8 am - 5 pm EST, plus one site visit per year) Up to 120 hours
par year of
repair, equipment replacement and lift rentals are excluded. technical phone support or remote connection assistance from server specialists, scope can include:
troubleshooting technical problems, resolving programming Issues, system planning, database
Monthly Preventative Maintenance provided during normal business hours to customers. Work programming changes and addressing
Scheduled preventative maintenance . The scheduled appointment Includes a visual Inspection of most access control software matters. In addition, within the 120 hours per year,
an annual 84,our
devices, walk-test of system components, cleaning of devices as needed and verification of customer site preventative maintenance visit Is performed. Travel costs for the preventative
communication link. Includes access to the PNC TAG - Technical Assistance Center (24x7). System maintenance visit Is Included In plan. Customer support requests may be generated
via e-mail or
repair, equipment replacement and lift rentals are excluded. telephone.
Basic QIP Home Security Inspection Plan Premium Plus Software Support Plan
Scheduled inspection provided for home security systems. The QIP Inspection includes '10 Point (Monday- Friday, 8 am - 5 pm EST, one site visit, plus 10 after-hours per year) Up
to 120 hours per
Test 8 Inspecr procedure by a service technician, 1-800 Toll-free alarm transmission service and year of technical phone support or remote connection assistance from server specialists,
provided
access to the PNC TAG - Technical Assistance Center (24x7). Equipment repair and replacement during normal business hours to customers. Work scope can include: troubleshooting technical
are excluded. problems, resolving programming issues, system planning, dalabase programming changes end
addressing most access control software matters. Within the 120 hours per year, an annual 8-hour
Advanced DIP Home Security Inspection Plan customer site preventative malnumance visit Is performed. Travel costs for the preventative
Scheduled inspection provided for home security systems. This GIP inspection includes "10 Point maintenance visit is included in plan. In addition, above the 120 hours per year,
up to 10 hours per
Test 8 Inspect" procedure by a service lechnlclan, 1-800 Toll-free alarm "remission service, year of after-hours support services. Customer support requests may be generated via
amall or
access to the PNC TAG - Technical Assistance Center (24x7), 10% discount on repairs and new telephone.
equipment throughout the plan ten and transmitter batteries replaced as needed. Five (5) battery After-Hours Software Support Plan
limit per inspection.
Premium QIP Home Sed ity Inspection Plan (ID rtof after-hours support per yearf 24x7, 365) (Sold in increments of s10 erver ha) to 10 hours per
year of technical phone support or remote connection assistance from server specialists provided
Scheduled Inspection provided for home security systems. The DIP Inspection includes "10 Point after normal business hours to customers. Work scope can include: troubleshooting
technical
Test & Inspect" procedure by a service technician, 1-800 Toll-free alarm transmission service, problems, resolving programming Issues, system planning, database programming changes
and
access to the PING TAG - Technical Assistance Center (24x7), 15% discount on relealrs and new addressing most access control software matters. Customer support requests must be
generated
equipment throughout the plan term, transmitter batteries and alarm control battery replaced as via telephone. After-Hours Service Plans are available only in conjunction with a
Premium or
needed. Ten (10) battery limit per Inspection forlransmitters. Premium Plus Software Support Plan.
..•-f- Accepted ~L Quotation Reference:
Customer Signature Date Re tur, Page 2 of 2
ADDENDUM TO CITY OF ASHLAND AND
STANLEY CONVERGENT SECURITY SOLUTIONS AGREEMENT
Addendum made this between the City of Ashland
("City") and Stanley Convergent Security Solutions ("Contractor").
Recitals:
A. The City and Contractor enter into an "Installation and Service Agreement" (further
referred to in this addendum as "the Agreement").
B. The parties desire to amend the Agreement to comply with state law in the event
funds are not available for appropriation.
City and Contractor agree to amend the agreement in the following manner:
9. Adding:
Nonappropriations. 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 Cityappropriations, 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.
2. Amending Section:
2. Term, Renewal and Expiration
This Agreement is effective as of the execution date of this Agreement and shall have an
initial term of twenty four (24) months from the date the system first becomes operative under i
this Agreement, and thereafter shall automatically renew for consecutive terms of one year,
unless either party delivers written notice at least sixty (60) days prior to the end of such term, to
the other of intent to allow the Agreement to expire as of the end of the then-current term.
3. Except as modified above the terms of the agreement shall remain in full force and
effect.
CONT CTOR: CITY OF ASHLAND: i
BY BY
Its ` y_ f LkLcat/ , Department Head
Date
DATE
Purchase Order # DOS
Acct. No.: ,;7- 1.2 P~ 06 d o iD t7
(For City purposes only)
` d 5 t0 fOrm ~
I- CITY OF ASHLAND, ADDENDUM TO CONTRACT FOR GOODS AND SERVICES
CITY RECORDER Page 1 /
Robtanbi park ComtTn[o$IDtt DATE PO NUMBER
20 E MAIN ST. 7/11/2013 00237
ASHLAND, OR 97520
(541) 488-5300
VENDOR: 003358 SHIP TO:
STANLEY CONVERGENT SECURITY
DEPT CH 10651
PALATINE, IL 60055
FOB Point: Req. No.:
Terms: net Dept.:
Req. Del. Date: Contact: Rachel Dials
Special Inst: Confirming? No
Quantity Unit Description Unit Price Ext. Price
24.00 mo Security maintenance for FY 14 & 15 82.02 1,968.48
North Mountain Park
SUBTOTAL 1968.48
BILL TO: TAX 0.00
FREIGHT 0.00
TOTAL 1,968.48
Account Number Project Number Amount Account Number Project Number Amount
E 211.12.02.06.60410 1,968.48
cwe
Authorized Signature VENDOR COPY
FORM #3 CITY OF
A r'equesff for a Purchase Order ASHLAND
REQUISITION Date of request: S /3
Required date for delivery:
Vendor Name
AA) S~Aay'w I 0<
Address, City, State, Zip
a
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: ❑ Written quote or proposal attached
❑ Written quote or proposal attached
Small Procurement Cooperative Procurement
L ss 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) ❑ Slate of Washington
Intermediate Procurement ❑ Sole Source Contract #
GOODS & SERVICES ❑ Applicable Form (115,5, 7 or 8) ❑ Other government agency contract
$5,000 to $100,000 ❑ Written quote or proposal attached Agency
❑ (3) Written quotes and solicitation attached ❑ Form 94, 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 Dale original contract approved by Council:
❑ (3) Written proposals/written solicitation Date approved by Council: (Date)
❑ Form #4, Personal Services $5K to $75K Valid until: Date
Description of SERVICES Total Cost
~I,t.MwjM P <.~i►u- 911 Y. v-i
$
Item # Quantity Unit Description of MATERIALS Unit Price Total Cost
1 L t 0&0 ~l oh P ry r~ 8 2 oZ rg
❑ Per attached quotelproposal TOTAL COST
Project Number Account Number _V~-1L -a-1010-(0-0-ftIlD
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
y si ning this re 'sifion f m,1 certify that the City's public contracting requirements have been satisfied.
Employee Signature Department Head Signature:
(Equal to orgreaterthan$5,000)
City Administrator:
( qual to orgreater than $25,000)
Funds appropriated for current fiscal year., (RIND ~m L r ,e-r1 it 6 , ~ bra /r
FinancetDirector-(Equal to orgreaterthan t5,oo0) Date
Comments:
Form #3 - Requisition