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HomeMy WebLinkAbout2013-305 Contract - May Rock & Excavating Contract for GOODS AND SERVICES Less than $25,000 CITY OF CONTRACTOR: May Rock and Excavating, LLC ASHLAND CONTACT: Dan May 20 East Main Street Ashland, Oregon 97520 ADDRESS: PO Box 319, Talent, OR. 97540 Telephone: 541/488-6002 Fax: 541/488-5311 TELEPHONE: (541) 482-2289 DATE AGREEMENT PREPARED: 8-20.2013 FAX: (541) 512-8892 BEGINNING DATE: 9-23-2013 COMPLETION DATE: 10-25-2013 COMPENSATION: $4,950.00 GOODS AND SERVICES TO BE PROVIDED: Contractor will reshape and re-grade Hole #9 Green and surround at Oak Knoll Golf Course. Excavate old sandy soil and dirt. Load and haul away old sandy soil and dirt. Excavate new drain line ditch down the hill to an existing drain line tie-in below the green. Backfill ditch after drain line installed by the Parks Dept. Place/rough-in sand in excavated green area over drain line system after it is installed by Parks Dept. Pack the sand with equipment as sand is placed in the new green area. ADDITIONAL TERMS: City of Ashland Parks Dept. is to supply sand, drain pipe, fittings and finish grading. Ashland Parks will perform installation of drain system after soil is excavated/before new sand is put into green area. NOW THEREFORE, pursuant to AMC 2.50.090 and after consideration of the mutual covenants contained herein the CITY AND CONTRACTOR AGREE as follows: 1. All Costs by Contractor: Contractor shall, provide all goods as specified above and shall at its own risk and expense, perform any work described above and, unless otherwise specified, fumish all labor, equipment and materials required for the proper performance of such work. 2. Qualified Work: Contractor has represented, and by entering into this contract now represents, that any personnel assigned to the work required under this contract are fully qualified to perform the work 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. Contractor must also maintain a current City business license. 3. Completion Date: Contractor shall provide all goods in accordance with the standards and specifications, no later than the date indicated above and start performing the work under this contract by the beginning date indicated above and complete the work by the completion date indicated above. 4. Compensation: City shall pay Contractor for the specified goods and for any work 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. Compensation under this contract, including all costs and expenses of Contractor, is limited to $25,000.00, unless a separate written contract is entered into by the City. 5. Ownership of Documents: All documents prepared by Contractor pursuant to this contract shall be the property of city. 6. Statutory Requirements: ORS 279B.220, 279B.225, 279B.230, 279B.235, ORS Chapter 244 and ORS 670.600 are made part of this contract. 7. Living Wage Requirements: If contractor is providing services under this contract and the amount of this contract is $19,825 or more, Contractor 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 work under this contract. Contractor is also required to post the notice attached hereto as Exhibit B predominantly in areas where it will be seen by all employees. 8. Indemnification: Contractor 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 Contractor (including but not limited to, Contractor's employees, agents, and others designated by Contractor to perform work or services attendant to this contract). Contractor shall not be held responsible for any losses, expenses, claims, subrogations, actions, costs, judgments, or other damages, directly, solely, and proximately caused b the negligence of City. Contract for Goods and Services Less than $25,000, Revised 06/13/2013, Page 1 of 6 9. Termination: a. Mutual Consent. This contract may be terminated at any time by mutual consent of both parties. b. City's Convenience. This contract may be terminated at any time by City upon 30 days' notice in writing 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 Contractor, 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 Contractor 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 Contractor 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 Contractor's performance of each and every obligation and duty under this contract. City by written notice to Contractor of default or breach, may at any time terminate the whole or any part of this contract if Contractor 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, Contractor shall immediately cease all activities under this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination, Contractor 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 Contractor for work performed prior to the termination date if such work was performed in accordance with the Contract. 10. Independent Contractor Status: Contractor is an independent Contractor and not an employee of the City. Contractor shall have the complete responsibility for the performance of this contract. 11. Non-discrimination Certification: The undersigned certifies that the undersigned Contractor has not discriminated against minority, women or emerging small businesses enterprises in obtaining any required subcontracts. Contractor further certifies that it shall not discriminate in the award of such subcontracts, if any. The Contractor understands and acknowledges that it may be disqualified from bidding on this contract, including but not limited to City discovery of a misrepresentation or sham regarding a subcontract or that the Bidder has violated any requirement of ORS 279A.110 or the administrative rules implementing the Statute. 12. Asbestos Abatement License: If required under ORS 468A.710, Contractor or Subcontractor shall possess an asbestos abatement license. 13. Assignment and Subcontracts: Contractor 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. Contractor 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. 14. Use of Recyclable Products: Contractor shall use recyclable products to the maximum extent economically feasible in the performance of the contract work set forth in this document. 15. Default. The Contractor shall be in default of this agreement if Contractor: commits any material breach or default of any covenant, warranty, certification, or obligation it owes under the Contract; if it loses its QRF status pursuant to the QRF Rules or loses any license, certificate or certification that is required to perform the work or to qualify as a QRF if Contractor 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. 16. Insurance. Contractor 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 Contract for Goods and Services Less than $25,000, Revised 06/13/2013, Page 2 of 6 b. 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. C. 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. d. 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 days' written notice from the Contractor or its insurer(s) to the City. e. Additional Insured/Certificates of Insurance. Contractor 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 Contractor's services to be provided under this Contract. As evidence of the insurance coverages required by this Contract, the Contractor shall furnish acceptable insurance certificates prior to commencing work under this contract. The contractor's insurance is primary and noncontributory. 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 Contractor shall be financially responsible for all pertinent deductibles, self-insured retentions and/or self- insurance. 17. 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 Contractor 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. Contractor, 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. 18. 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. CONTRACTOR, 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. 19. 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. 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 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 Contractor, with no further liability to Contractor. 20. Prior Approval Required Provision. Approval by the City of Ashland Council or the Public Contracting Officer is required before any work may begin under this contract. 21. Certification. Contractor shall sign the certification attached hereto as Exhibit A and herein incorporated by reference. Contract for Goods and Services Less than $25,000, Revised 06/13/2013, Page 3 of 6 Contracto • City of Ashy By By Signature \ Department Head nAMM raw/ 1 l~b~ilt Print Name Print Name ~ x/27 Title Date te W-9 One copy of a W-9 is to be submitted with ©a O the signed contract. Purchase Order No. Contract for Goods and Services Less than $25,000, Revised 06/132013, Page 4 of 6 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: _b-114 (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. Contractor (Date) Contract for Goods and Services Less than $25,000, Revised 06/13/2013, Page 5 of 6 MAYRCCK-01 DLEONG CERTIFICATE OF LIABILITY INSURANCE DA 1 013 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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an-e ment A statement on Otis certificate does not corder righter tother - certificate holder In lieu of such endorsement(s). PRODUCER NAME: Dena Leong Medford Office PHONE FAX PalywowestInsurance, Inc. AICNOE.+:(541)779-1321 (541) 779-9187 38 North Central Ave. ADDRESS: dleon newestcom Suite 100 9~fray Medford, OR 97601 INSURER( S) AFFORDING COVERAGE NAICIF INSURERA:LibertyNorthwestInsCorp 41939 INSURED INSURERS: _ May Rock & Excavating LLC INSURER C: Attn: Dan May PO Box 319 INSURER D: Talent, OR 97540 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 NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSIR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDdY %Y) POLICY EXP GENERAL LIABILITY EACH OCCURRENCE S 1,600,006 A X COMMERCIAL GENERAL LIABILITY X C04173125 1012612612 1012612013 PREMISES Eae nonce $ 100,006 CLAIMS-MADE i OCCUR MEDEXP(Anyoneperson) S 5,000 PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,060,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPgPAGG S 2,006,000 X POLICY PRO- LOC $ AUTOMOBILE WABILITY COMBINED SINGLE LIMIT E 1,600,000 A ANY AUTO 004173125 1012612012 1012612013 BODILY INJURY (Per person) $ ALL OWNED X S AUTOS CHEDULED AUTOS BODILY INJURY (Px ectldeM) f X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE f AUTOS PER ACCIDE S UMBRELLA DAB OCCUR EACH OCCURRENCE f EXCESS ILAB CLAIMS-JADE AGGREGATE $ DEO RETENTIONS i WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN T 9Y-LIMII ER ANV PROPRIETOR/PARTNERIE%ECImVE❑ NIA El, EACH ACCL E OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE - EA EMPLOYE E If yy0a, tlesaihe ulMer DESCRIPTION OF OPERATIONS WM E.L. DISEASE - POLICY LIMIT f DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addleoml Remrks Schedule, M Iron spree Is ngulled) City of Ashland it's agents, officers and employees Additional Insured per endrsement as respects all operations of the Named Insured 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 ACCORDANCE WITH THE POLICY PROVISIONS. Parks & Recreation 340 Pioneer St Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE Is NOT AN INSURANCE POLICY AND DOES NOT AMEND. EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLIIICIES LISTED. VO This is to Certify that liberty Northwest. Membet of Ilbecty Mutual Group KEN MAY AND DAN MAY Liberty Centre MAY ROCK & EXCAVATING 650 NE Holladay Street PO BOX 319 PO Box 4555 Portland, OR 97208-4555 TALENT OR 97540-0319 Ih6dLnlNldulHllludLuulLudlldundlhlnn6ll Tel: 503 239 5600 www.libertynorthwest.com is, at the date of the certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and conditions and is not altered by any requirement, term or condition of any contract or other document with respect to which this certificate may be issued. TYPE OF POLICY EX ORATION POLICY NUMBER LIMITS OF LIABILITY COVERAGE AFFORDED UNDER W.C. LAW COVERAGE AFFORDED UNDER W.C. LAW OF FOLLOWING STATES OF FOLLOWING STATER WORKERS ® CO MPENSATION 7/01/201 WC4-1NC-000454 OR EMPLOYERS ILABLLnY LIMITS EMPLOYERS LIABILITY UMrS Each AOdderH $500,000 Each Accident Dt,eaa. Policy T^dl $500,000 Der-- policy eme IMSeoe-owhemployes $500,000 Oka- -eeeh-Voyae . MARITIME COVERAGE-FOLLOWING STATES LIMIT OF COB.- MARITIME COVERAGE GENERAL UAGeneral BILRY General Aggregate ❑ Comrortlal Product, COrryyOps Aggregate U-Nfly ( ❑ O. 'and Cdaoagt,ra Paraaml a Adwlt,olplnjury $ Pro*cuw Each Dominance Fire Damage (Any me fire) Medlool EVense (Any me Peron) AUTOMOBILE LIABILrY ❑ Any AUin CSL ❑ All O..d A, Bodily Injury (Per Person) $ ❑ Soneduled Allies Bodily Injury Fer AOdden Hired Areas Properly Damage ❑ Norw n Ads . ❑ Garage Liabilly LOCATION(S) OF OPERATIONS E JOB# QF APPLICA" DEBCRIPn69OF OPERAnoNs EMAIL: MCFARLLAJ@ASHLAND.ORG.US SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO NVUL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED BELOW, BUT CANCELLATION: FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, OR REPRESENTATIVES. MAILED TO: ^ CITY OF ASHLAND PARKS & RECREATION ~ATTN JEFFREY MCFARLAND De)der Legg, Vice President ndSearkary 340 S PIONEER ST ASHLAND OR 97520-2729 FFS In 9/29/2013 PORTLAND 116derWritiflg IIJNLuIJJnLLI1Luu61bululJLluJLrpILNg1pII DATE ISSUED OFFICE CERTIFA May Rock & Excavating, LLC ESTIMATE CCB#65636 USDOT#198930-80 PO Box 319 DATE ESTIMAEN 81261 2013 5Talent OR 97540 NAME/ADDRESS City of Ashland Parks & Recreation Dept. We now accept 340 S. Pioneer Street MasterCard, Visa & Ashland OR 97520 Discover Card. PROJECT Golf Couse #9 DESCRIPTION QTY/HRS COST TOTAL Reshape and regrade hole #9. Excavated old sandy soil and dirt. Excavate and load @ hourly rate. 11 100.00 1,100.00 Haul away trucking @ per yard rate. 200 7.50 1,500.00 Labor @ hourly rate. 14 30.00 420.00 Place sand over drain line @ per hour rate. 14 100.00 1,400.00 Drainage ditch. Excavate and backfill. 4 90.00 360.00 Move in fee for equipment. 2 85.00 170.00 City is to supply sand, drain pipe, fittings and finish 0.00 0.00 grading. THANK YOU FOR YOUR BUSINESS. ESTIMATE IS GOOD FOR 30 DAYS FROM THE TOta1 $4,950.00 ABOVE DATE. ITEMS NOT LISTED IN THIS PROPOSAL ARE CONSIDERED AN EXTRA AND WILL BE BILLED @ TIME & MATERIAL. ROCK OR SIGNATURE OTHER MATERIAL THAT REQUIRE ROCK BREAKING EQUIPMENT WILL ALSO BE @ TIME & MATERIAL. ALL AGREEMENTS ARE CONTINGENT UPON WEATHER OR DELAYS BEYOND CONTROL. Phone # Fax # E-mail 541-482-2289 541-512-8892 mayro 019Qgmail.wm CITY RECORDER Page 1 / 1 Ashland Park Commission .DATE.' PONUMBER- 20 E MAIN ST. 9/3/2013 00270 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 000531 SHIP TO: MAY ROCK & EXCAVATING LLC PO BOX 319 TALENT, OR 97540 FOB Point: Req. No.: ' Terms: net Dept.: Req. Del. Date: Contact: Jeff McFarland Special Inst: Confirming? No Quantity Unit . Description Unit PriceExt. Price Oak Knoll #9 Drainage Improvement 4,950.00 Project Contract for Goods and Services Beginning date: 09/23/2013 Completion date: 10/25/2013 SUBTOTAL 4 950.00 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 4,950.00 Account Number _ Project Number Amount Account Number _ Project Number' . Amount E 411.12.00.00.70420 E 000047.999 4,950.00 Autho ' d Signature VENDOR COPY CITY OF Pgmit ror a Purchase Orde- ASHLAND REQUISITION Date of request: 8-27-2013 Required date for delivery: Vendor Name May Rork and Fxravatinq 1 I r• Address, City, State, Zip PO Box 319. Talent. OR. 97540 Contact Name & Telephone Number Dan May, (541) 482-2289 Fax Number (541) 512-8892 SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emereencv ❑ 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 X❑ Direct Award Date approved by Council: Contract # ❑ Verbalt&tten 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 1-1 Special Procurement Intemovemmental Agreement $5.000 to $75.000 El 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) El Form #4, Personal Services $5K to $75K Valid until: Date Description of SERVICES Total Cost Oak Knoll Green #9 drainage improvement project Contractor will reshape and re-grade hole #9. Contractor will excavate, load, and haul away old sandy soil and dirt from green area. Contractor 4,950.00 ° will excavate and backfill drainage ditch from green area down to existing drain tie-in. Contractor will place new sand back into excavated green area and ditch after drain systems installed by Parks Dept. *City is to supply sand, drain pipe, eo fabric, drain rock, fittings, and finish radio of sand. Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COS'T' X❑ Per attached quotelproposal $4,950.Q0 Project Number 000047.999 Account Number 411.12.00.00.704200 Account Number Account Number - 'Expenditure must he 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 B signing this requisition form, l certify that the City's public contracting requirements have beVal i sfed. Employee Signatu Department Head Signature: ual to or greater than $5,000) 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 Form #3 - Requisition