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HomeMy WebLinkAbout2013-255 Contract - Engineered Monitoring Solution Contract for PERSONAL SERVICES less than $35,000 CITY OF CONSULTANT: Engineered Monitoring Solutions -AS H LAND CONTACT: Barry Myers 20 East Main Street Ashland, Oregon 97520 ADDRESS: 617 N. Main Street, Newberg, OR 97132 Telephone: 541/488-6002 Fax: 541/488-5311 TELEPHONE: (503) 537-0900 DATE AGREEMENT PREPARED: 04/24/13 FAX: (503) 537-0909 BEGINNING DATE: 05/09/13 COMPLETION DATE: 12/31/13 COMPENSATION: Time and materials, not to exceed (NTE) $31,198 SERVICES TO BE PROVIDED: see attached Exhibit C - Scope of Services 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 500 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 indemnify and save City, its officers, employees and agents harmless from losses, claims, actions, costs, expenses, judgments, subrogations, or other damages resulting from injury (including injury resulting in death), or damage (including loss or destruction) to property, of whatsoever nature arising out of or incident to the negligent acts, or errors or omissions in 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. Ci 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 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 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 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 specked 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 terminaton 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 quality 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, $1,000,000, $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. 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 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 Consultant or its insurers to Contract for Personal Services, Revised 06/30/2012, Page 2 of 5 the City. I. 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 noncontributory. As evidence of the insurance coverages required by this Contract, the Consultant shall fumish 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,policids; 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 resortto 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 thissection 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 payrnent,of amounts under this contract attributable to work performed after the last day ofthe 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 and herein incorporated b reference. Consultant: Ci Zshlaird BY ~;Z- By a _ Signatur D artrnent Head Z9WY Aq ye-eS 'tAJS KA-.3,3,6-R Print Name Print Name AWF-sGOEnJT 11143 Title, Date j W-9 One copy of a W-9 is to be submitted with the signed contract. Purchase Order No. / (O AF OVED ORM S' nature Date I Contract for Personal Services, Revised 06130/2012, Page 3 of 5 i EXHIBIT A CERTIFICATIONS/REPRESENTATIONS: Contractor, under penalty of perjury, certifies that (a) the number shown on the attached W-9 form is its correct taxpayer ID (or is waiting for the number to be issued to it and (b) Contractor is not subject to backup withholding because (i) it is exempt from backup withholding or (ii) it has not been notified by the Internal Revenue Service (IRS) that it is subject to backup withholding as a result of a failure to report all interest or dividends, or (iii) the IRS has notified it that it is no longer subject to backup withholding. Contractor further represents and warrants to City that (a) it has the power and authority to enter into and perform the work, (b) the Contract, when executed and delivered, shall be a valid and binding obligation of Contractor enforceable in accordance with its terms, (c) the work under the Contract shall be performed in accordance with the highest professional standards, and (d) Contractor is qualified, professionally competent and duly licensed to perform the work. Contractor also certifies under penalty of perjury that its business is not in violation of any Oregon tax laws, and it is a corporation authorized to act on behalf of the entity designated above and authorized to do business in Oregon or is an independent Contractor as defined in the contract documents, and has checked four or more of the following criteria: (1) 1 carry out the labor or services at a location separate from my residence or is in a specific portion of my residence, set aside as the location of the business. (2) Commercial advertising or business cards or a trade association membership are purchased for the business. ✓ (3) Telephone listing is used for the business separate from the personal residence listing. (4) Labor or services are performed only pursuant to written contracts. (5) Labor or services are performed for two or more different persons within a period of one year.. (6) 1 assume financial responsibility for defective workmanship or for service not provided as evidenced by the ownership of performance bonds, warranties, errors and omission insurance or liability insurance relating to the labor or services to be provided. Contract r (Date) Contract for Personal Services, Revised 06/30/2012, Page 4 of 5 Fx~t►f3tr L Cy PA665) i Engineered Monitoring Solutions _ 617 N. Main Street Newberg, OR 97132 503-537-0900 ph 503537-0909 fax April 24, 2013 5004.09 City of Ashland Public Works Department 20 East Main Street Ashland, Oregon 97520 Attn: Mr. Pieter Smeenk, P.E. I i Re: Hosler Dam Failure Warning System Upgrade Automated Data Acquisition Equipment Dear Pieter. We are pleased to submit this proposal to provide assistance to the City in upgrading the aging automated data acquisition (ADAS) equipment at Hosler Dam. The existing Geomation data acquisition equipment that is used for the Hosler Dam Early Warning System is no longer supported by the manufacture. Our recommendation is to. upgrade the Geomation equipment with Campbell Scientific equipment. The Campbell Scientific equipment is made for this type of application and would be interchangeable with the Geomation equipment allowing us to use much of the existing infrastructure. The Campbell' Scientific equipment would also allow for future system expansion if other monitoring around'the dam or within the watershed is desired. SCOPE OF SERVICES Our proposed scope of work is to configure and install two Campbell Scientific Model CR1000 dataloggers and associated peripheral equipment to replace the existing Geomation Model 2380 i units at the dam and in the water treatment plant. The upgraded system would be functionally the same -as the existing system. Higher power, 10 watt, radios will be used to improve the communications between the dam'and the water treatment plant compared to the. existing 2 watt E radios. We expect that the existing infrastructure will be compatible. with the new equipment, including the existing radio antennas. The new ADAS:equipment will be programmed and bench tested in our laboratory before installation in the field. Following installation; the units will be tested including activating all alarms to the SCADA system. We will also prepare an addendum to the existing Operations and Maintenance Manual that describes the new equipment, including figures showing the equipment layout and wiring diagrams. Training would be provided for City i l staff on the operation and maintenance of the new components. We have assumed that this training can be accomplished in one 10 hour day. COMPENSATION We estimate that the total cost for the scope of work outlined above would be on the order of $31,200. This assumes that the City will procure all of the new data acquisition and radio equipment, and will have it shipped to our office for configuration and bench testing. We will provide a list of the equipment for the City to procure. A breakdown of the estimated labor effort and expenses is presented on the attached Table 1. We propose to perform this work on a time and materials basis in accordance with the same terms and conditions as stated in our Contract for Personal Services Agreement with the City, dated July 9, 2012. This estimate is based on the assumptions listed herein. Should you wish to modify the scope of work prior to accepting this agreement, we would be pleased to review this proposal and our estimated fee with you. SCHEDULE We are in a position to begin work on this project within three, days after receiving your authoriza- tion to proceed. We would be prepared to install the equipment within 3 weeks following receipt of the equipment. CONCLUDING COMMENTS Acceptance of this proposal and attached documents is indicated by signing and dating in the space provided below and returning one copy of this letter to us. If more than 90 days pass before authorizing the proposed work, we reserve the opportunity to review and modify this proposal where necessary. We look forward to continuing to be of service to you on this project. Should you have any questions regarding this proposal, or if renegotiation of the Scope of Services is considered advisable, we would be pleased to confer with you at your convenience. Very truly yours, Engineered Monitoring Solutions by Barry Myers,~ President Encl. Table 1 Work Breakdown and Cost Estimate Page 2 PMP=WRW1-UPWRCr* ADAS Ewiw"-Vlldxx Proposal Acceptance and Authorization to Proceed Printed Name Authorized Signature Date Page 3 P-P-s Rc I OPW-da ADAS EQuiP t-2013.r x I O o sN o o r g 1 a 1 w .`Z m w r , '4 13 0 }N fm~ m N 1 ~ ' g I L S s s , g~ rs , ss s;a.si~ e, ~e o ~o e, I e e, fl ~3a MI 1M ,N NI eM~ ( 1 m.»iN ~ ~'N.LY V 1 N ' ' ~ , ~ 1 1 N I b I Iar a 1~6" i 1 b ; w N3 1 mo m O V1 a 1 u~ ! am 1 G l 'ii i 1 , 1 1 W t F 1'~ I 3 ;O C O Ol O. Oi N ~ ~ (Gj' O 1 t i { V ~O ~1tP 1/O1/~~t ~Ap Ip~ N N f I' 1 i's L ~ INI .jN.' M( ~N l~i S I 1 ~ ' It" ~ d ~ a`C pp I i j l I l i F~ t it ~ I ~ $ 13( } i~ 1 t I I l a I 44 Q { ~ I 1 f ~ Io f I x I z a m ~ a S°v ry°a~ n I J N lfl f i l i 1 ~ { yI ° O ~ ..mE.. .QE N ~ r 1 ~ t ~ E ( 1 m N~ ( ~ n i , t H E rn aN i r l ~a f 3 v t i ~ ( i I I~ r j o W c~ I I 1 W G ,h n. ~e .8~ ) 1 1 red 7 s v e. F~ m. ~ I 1 1 n. i~ ((R Obi Y iS; ~W I.U 1 IL? $ i M LL C ~ IOt 'w~ ~ 3~ } I W O it t iC 3 1 t~ a mm b da yp a m_ m~ w} a1a $ m 2; ~kDSn o e ° E L 1 m e lCg n cg' 100 ?s` s 1 ~i.ti Ist 1°'g EI. ntn.nl Y :Y' .Y Y 1 Im.~ Q,V N.~K+~.1 ~ CITY OF ASHLAND FORM #4 DETERMINATIONS TO PROCURE PERSONAL SERVICES $5,000 to $75,000 To: Dave Kanner, Public Contracting Officer From: Michael Faught, Public Works Director Date: July 10, 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 In January of this year, one of the two seismic recorders at Hosler Dam began malfunctioning by sending anomolous alarms to the SCADA system at the Water Treatment Plant. Since these units signal which Emergency Action Plan procedure to initiate in the event of an earthquake that could lead to dam failure, an emergency procurement contract was executed between the City and Engineered Monitoring Solutions (EMS) to troubleshoot (and eventually replace) the malfunctioning units. EMS was chosen for the emergency procurement contract because of their comprehensive knowledge of the dam security and telemetry system, having set it up themselves. During EMS' work in April installing two new seismic recorders at Hosler Dam, the systems integrator encountered problems with the ADAS equipment that sends information gathered by monitoring equipment at the dam to the SCADA system at the Water Treatment Plant. Troubleshooting the existing ADAS equipment proved unsuccessful. The equipment was known to be outdated, and was scheduled to be replaced as part of the "FERC Dam Security & Telemetry Improvements" project in the 2012-2013 Capital Improvements Plan. Currently, the two new seismic recorders on the dam are funcional, but are not communicating with the SCADA system at the Water Treatment Plant, and all monitoring of the dam and reservior involves staff physically visiting the dam site. The FERC was informed of the situation and agreed that it would be best to replace the aging ADAS equipment at this time rather than trying to reprogram the old equipment. The estimated cost for EMS to test, calibrate and install the equipment is $31,198. The work is to be performed as soon as possible. EMS has the necessary equipment at their location, and are prepared to Form #4 - Department Head Determinations to Procure Personal Services, Page 1 of 2, 7/10/2013 begin testing and calibration upon execution of the proposed contract. Installation is expected to occur within one month of contract execution. 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? Engineered Monitoring Solutions has intimate knowledge of our dam security and telemetry system, and would provide the most efficient and expedient service in completing this project. EMS has recommended that we upgrade the existing Geomation units with Campbell Scientific equipment to allow for future system expansion if other monitoring around the dam is desired. This contract is for the set-up, calibration, testing and installation of the ADAS equipment only. The equipment has been purchased by the City directly. The City does not have personnel on staff trained to provide the services required. Form #4 . Department Head Determinations to Procure Personal Services, Page 2 of 2, 7/10/2013 Page CITY RECD, ~yER 1 / 1 ~ . C I T Y OF ASHLAND , DATE PO NUMBER . 20 E MAIN ST. 8/2/2013 11766 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 009478 SHIP TO: Ashland Public Works ENGINEERED MONITORING SOLUTION, LLC (541) 488-5587 617 N MAIN ST 51 WINBURN WAY NEWBERG, OR 97132 ASHLAND, OR. 97520 FOB Point: Req. No.: Terms: Net Dept.: _ Req. Del. Date: contact: ROB MORRIS Special Inst: Confirming? NO Quantity Unit - Description Unit Price Ext. Price Upgrade of automated data acquisition 31,198.00 system (ADAS) components at Hosler Dam and the Water Treatment Plant. Contract for Personal Services Beginning date: 4/24/13 Completion date: 12/31/13 I - I i 1 i SUBTOTAL 31198.00 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 31,198.00 ASHLAND, OR 97520 Account Number Project Number Amount Account Number Project Number Amount IE 670.08.15.00.70420 E 201223.999 7,799.50 E 670.08.38.00.70420 7,799.50 E 690.11.15.00.60240 15,599.00 i i Authorized Signature VENDOR COPY FORM #3 CITY OF A request for a Purchase Order ASHLAND REQUISITION Date of request: 7/10/13 Required date for delivery: ASAP Vendor Name Engineered Monitoring Solutions Address, City, State, Zip 617 N. Main Street, Newberg, OR 97132 Contact Name & Telephone Number Barry Myers (503) 537-0900 Fax Number (503) 537-0909 . 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 Less than $5.000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon ❑ Direct Award Date approved by Council: Contract # ❑ Verbal/Written quote(s) or proposal(s) ❑ State of Washington Intermediate Procurement ❑ Sole Source Contract # GOODS & SERVICES ❑ Applicable 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 Upgrade of automated data acquisition system (ADAS) components at Hosler Dam and the $31,198.00 Water Treatment Plant. Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL Per attached quotelproposal COST ® $31,196.00 Project Number 2012.23 Account Numbers: 670.08.15.00.704200 (25%); 670.08.38.00.704206 (25%); 690.11.15.00.602400 (50%); 'Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures. IT Director in collaboration with department to approve all hardware and software purchases: ITDirector Date Support -Yes/No By signing this requisition form, I certify that the City's public contracting requirements have been Employee Signature:J, ~ - ^ Department Head Signature: eenatisfied. 7A,111 (Egrloorgraterthan $5,000) City Administrator. ~1 - Eq al to orgr9ter than $2 ,000 Funds appropriated for current fiscal year: YE / NO v ti J C Finance irector-(Equal to or greater than$5,oool Date Comments: Form #3 - Requisition