HomeMy WebLinkAbout2013-283 CONT Addendum - AccuSource Inc
ADDENDUM TO CITY OF ASHLAND
CONTRACT FOR BACKGROUND SCREENING SERVICES
Addendum made this 9T" day of August , 2013, between the City of Ashland ("City")
and AccuSource.lnc. ("Contractor").
Recitals:
A. On July 18, 2013 , City and Contractor entered into a "City of Ashland Contract for
Background Screening Services" (further referred to in this addendum as "the
agreement').
B. The parties desire to amend the agreement to extend the contract for one
additional year for a maximum term of two years.
City and Contractor agree to amend the agreement in the following manner:
1. The contract is being extended for one additional year for a maximum term of two
years. The completion date is July 16, 2014.
2. Except as modified above the terms of the agreement shall remain in full force and
effect.
CONT CTO TY OF ASHLAND:
B BY Ue k to e-
epartment Head
Its CC~SOI~ rem ~he Date (0-1 DATE 0 /q 113
Purchase Order#
Acct. No.: 00 O 21~7
(For City purposes only)
1- CITY OF ASHLAND, ADDENDUM TO CONTRACT FOR BACKGROUND SCREENING SERVICES
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Page 1 / 1
CITY OF
DATE PO NUMBER
ASHLAND
ASH20 E MAIN ST. 8/9/2013 11802
ASHLAND, OR 97520
(541) 488-5300 '
VENDOR: 017153 SHIP TO: City of Ashland
ACCUSOURCE INC (541) 488-6002
1240 E ONTARIO AVE STE 102-140 20 E MAIN STREET
CORONA, CA 92881 ASHLAND, OR 97520
FOB Point: Req. No.:
Terms: Net Dept::
Req. Del. Date: Contact: Tina Grav
Special Inst: Confirming? NO
Quantity Unit Description Unit Price Ext. Price
On-line backqround screening services 10,000.00
for all new hires and volunteers - FY
2014
(Estimated cost varies per package)
Contract Addendum
Completion date: July 16, 2014
SUBTOTAL 10 000.00
BILL TO: Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2010 TOTAL 10,000.00
ASHLAND, OR 97520
Account Number . " Project Number Amount Account Number Project Number Amount -
E 710.01.49.00.60410 10 000.00
Authorized signature VENDOR COPY
Fb1tM#3 CITY OF
A request for a Purchase Order ASHLAND
REQUISITION Date of request: EEL
Required date for delivery:
Vendor Name ACCUSOGC e(6
Address, City, State, Zip IZ'lDE ONTf1/zy0 ff(/C $GC/T IDa /yd
Contact Name & Telephone Number COPON~9 , ~f} 92~fi/
Fax Number
SOURCING METHOD
❑ Exempt from Competitive Bidding ❑ Emeroenw
❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Form #13, Written findings and Authorization
❑ AMC 2.50 Dale 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: 13 / 2GZ Contract #
❑ VerballWritten 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 and solicitation attached ❑ Form #4, Personal Services $5K to $75K Contract #
PERSONAL SERVICES ❑ Special Procurement Intergovernmental Agreement
$5.000 to $75.000 ❑ Form #g, Request for Approval ❑ Agency
❑ Less than $35,000, by direct appointment ❑ Written quote or proposal attached Date original contract approved by Council:
❑ (3) Written proposalsAvritten solicitation Date approved by Council: (Date)
❑ Form #4, Personal Services $5K to $75K Valid until: Date
Description of SERVICES Total Cost
ON-U ~~C,~pu.~1 fl SCQY~flNE7 ~/e AGG W7 k.
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Item # Quantity Unit Description of MATE ALS Unit Price Total Cost
"F-1 Per attached quote/proposal jVT0.TALk1rC1;.QST,
;Project Number AccountNumber__ _ j•Ci~loy1Q~J 6
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:
IT Director Date Support -Yes /No
By sf ning this requisition form, I certify that the City's public contracting requirements have been satisfied.
Employee Signature: ~-v Department Head Signature:
(Eq a ion )
City Administrator:
(Equal to or greater than $25,000)
Funds appropriated for current fiscal year: YES / NO
Finance Director- (Equal to or greater than $5,000) Date
Comments:
Form #3 - Requisition