HomeMy WebLinkAbout2013-349 Contract - Biondi Bros
CONTRACT FOR GOODS AND SERVICES less than $5000-LOW RISK
CITY OF
ASHLAND INDEPENDENT CONTRACTOR: 91miDi ~i2G• CD.
CONTACT: Cbhe j S g, oND l
20 East Main Street ADDRESS: 13q-~ p vvtt~ d /
Ashland, Oregon 97520 ~m a rTVe, VY)edaq,Ok?, q~j04
Telephone: 5411488-6002 TELEPHONE: sy/ b5~ o l S, 5y/ 3~~ ~Gl2
Fax: 541/488-5311 FAX:
BEGINNING DATE: c7o 1 a()) COMPLETION DATE: t)riPi Q
COMPENSATION: Less than $5000
GOODS AND SERVICES TO BE PROVIDED: F61Lf J of baae6~/, sod/ soccer
@ Nm fin; ~a- Rzr1~ - ~scExfl yearn 1'13 /o G •30.14 . No f fV evceexf 5,.W
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, furnish 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 have a current City business license.
3. Indemnification: Contractor agrees to defend, indemnify and save City, its officers, employees and agents harmless against and
from losses, expenses, or other damages resulting from injury to any person or damage to property arising out of or incident to the
negligent performance of this contract by Contractor, its employees, or agents. Contractor shall not be held responsible for any
losses, expenses, or other damages, directly, solely, and proximately caused by the negligence of City.
4. Termination: City's Convenience. This contract may be terminated at any time by the City.
5. Independent Contractor Status and Other Representations: Contractor is an Independent Contractor and not an employee of
the City. Contractor shall have the complete responsibility for the performance of this contract. Contractor certifies the accuracy of
the representations in attached Exhibit A.
6. 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. See Exhibit A (Back of Page).
WORKER'S COMPENSATION INSURANCE IS NOT REQUIRED IF CONTRACTOR HAS NO EMPLOYEE(S).
IF SO, CONTRACTOR CERTIFIES UNDER PENALTY OF LA Y INI IALING T} FOLLOWING:
CONTRACTOR DOES NOT HAVE ANY EMPLOYE EfSI. , cvL I
b. General Liability insurance with tl following combined single limit coverage, or the equivalent: aytt- t~At least N ~'n rte, Lw [Enter one and Initial the Entry:
"None Required; or $500,000; or $1,000,000"]
for each occurrence for B dily Injury and Property Damage. Such insurance shall include contractual liability coverage for the
indemnification provided under this contract.
c. Automobile Liability insurance with the following combined single limit coverage for each accident, or the equivalent:
1) At least [Enter one and Initial the Entry: "None Required; or $200,000; or $500,000"]
for Bodily Injury; and
2) At least a PJ'~ [Enter one and Initial the Entry: "None Required; or $50,000; or $100,000"]
for Property Damage, including coverage for owned, hired or non-owned vehicles, as applicable.
7. Statutory Requirements: ORS 279B.220, 279B.225, 279B.230, 279B.235, ORS Chapter 244 and ORS 670.600 are made part of
this contract.
8. Asbestos Abatement License: If required under ORS 468A.710, Contractor or Subcontractor has an asbestos abatement license.
9. 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.
10. Non-discrimination Certification: The undersigned certifies that Contractor has not discriminated against minority, women or
emerging small business enterprises in obtaining any required subcontracts. Contractor further certifies that it shall not
discriminate in the award of such subcontracts, if any.
11. Governing Law; Jurisdiction; Venue: This contract shall be governed and construed in accolN sT tit of
Oregon.
12. THIS CONTRACT AND ATTACHED EXHIBITS CONSTITUTE THE ENTIRE AGREEMENT
WAIVER, CONSENT, MODIFICATION OR CHANGE OF TERMS OF THIS CONTRACT SHALL BI LESS
IN WRITING AND SIGNED BY BOTH PARTIES.
Dat
Conn~trrJacttorte~ Ci shland
By C~CL ~~v Zt ae L By G C~t rt(
W-9 -One co of W-9 is to be submitted with the signed contract.
Contract for Goods and Services Less than $5,000, Revised 09-20-13, Page 1 of 2~ D
October 1'% 2013
Biondi Bro Co.
2397 Ramada Ave
Medford Or 97504
City of Medford license number
12-00030112
To whom it may concern: For the fiscal yeaar starting July 1s` 2013 - July 15t 2014
For field striping ofbaseball, softball and soocer fields at North Min. Park and Hunter Park this
coming year, my qu to do the above work will not exceed 5,000 dollars. Billing will continue
on a monthly basis-
Prices are as follows per field;
For Jrand Sr.Varsity baseball, 20.00ea
Softball foul lines. 15.00ea.
For all little league foul lines 15A0ea.
Soccer fields, 100.00 for layout
I
55.00 for restripe
i
Thank you,
i
Chris Biondi
I
AUTO INSURANCE DECLARATIONS
COUNTRY Mutual Insurance Company.
P.O. Box 14151, Salem, Oregon 97309-5069
Preferred Plan I POLICY NUMBER I POLICY TERM I PAYMENT PLAN I INS. OFFICE / AGENT J
A36A487374J 6 MONTHS MONTHLY AMP 36003 SOREG 114751
To report a claim or for roadside assistance any
time day or night, call 1-866-COUNTRY(1-866-268-6879) ACCOUNT NUMBER 9921522-001-00001 .
Policy period beginning May 06, 2013
INSURED 12:01 a.m. standard time at your address
ending Nov 06, 2013 12:00 a.m.
BIONDI CHRIS & DONNA K
1397 RAMADA AVE Declarallons reasons:
MEDFORD OR 97504-5581 VEHICLE REMOVED
SIMPLY DRIVE DISCOUNT ADDED
Effective Jul 11, 2013 12:01 a.m. standard time
at your address.
Your policy consists of the policy booklet,
applications, declarations pages and any
endorsements. Please keep them together.
0000 4651
TOTAL PREMIUM $1,201.22 PREMIUM CHANGE .5347.96
DO NOT PAY THIS AMOUNT. ANY BALANCE DUE WILL BE INCLUDED WITH YOUR NEXT MONTHLY WITHDRAWAL.
` ME VFNNYE e9E MD p R WORWT
2003 MAZDA M02102 TRUCK 1 TON AND UNDER, PLEASURE, MALE OCCAS UNDER 21 -
2003 MAZDA M05947 TRUCK 1 TON AND UNDER, PLEASURE, MALE, 30.64
POLICY COVERAGE LIMITS EACH PERSON EACH OCCURRENCE
LIABILITY-BODILY INJURY 100,000 300,000
PROPERTY DAMAGE - 100,000
UNINSURED MOTORISTS 100,000 300,000
UNDERINSURED MOTORISTS 100,000 300,000
2003 MAZDA 2003 MAZDA Intentionally Left Blank Intentionally Left Blank
Taff 029 Tea 029
VEHICLE COVERAGE LIMITS
PERSONAL INJURY PROTECT
EACH PERSON 15,000 15,000
ROAD SERVICE YES YES
ENDORSEMENTS
UNINSURED MOTORISTS
PROPERTY DAMAGE COV YES YES
AMENDATORY END-OR YES YES
PREMIUMS
LIABILITY-BODILY INJURY 692.24 220.38
PROPERTY DAMAGE Included Included
UNINSURED MOTORISTS 23.68 23.68 -
UNDERINSURED MOTORISTS Included Included
PERSONAL INJURY PROTECT 163.66 52.10
ROAD SERVICE 7.80 5.20
UNINSURED MOTORISTS
PROPERTY DAMAGE COV 6.24 I . 6.24
1
i
"I
FOR SERVICE CALL YOUR FINANCIAL REPRESENTATIVE CLINT BERKEY, CMA AT (541)779-8893.
11302OR (00.09104) INSURED'S COPY Pagel
2003 MAZDA 2003 MAZDA Intentionally Left Blank Intentionally Left Blank
TBR 029 Terr 029
PREMIUMS
AMENDATORY END-OR Included Included
VEHICLE PREMIUM $893.62 $307.60
The VEHICLE PREMIUM has
already been changed by
the following:
DISCOUNTS
SIMPLY DRIVE included
GOOD DRVR/SELECT CUST Included included
MULTICAR Included Included
TOTAL DISCOUNT -504.60 -210.91
Not applicable to this vehicle.
- Not applicable to this policy.
The 2014 annual meeting for COUNTRY Mutual Insurance Company is April 23 at 1:00 pm, 1701 Towanda Ave., Bloomington, Illinois.
v Jul 29, 2013
' unxo®~oeun~*m - vnwunwuno
FOR SERVICE CALL YOUR FINANCIAL REPRESENTATIVE CLINT BERKEY. CMA AT (641)779-8893.
11 3020R (00-09/04) INSURED'S COPY Page 2
CITY REWRE:ER Page 1 / 1
Ashland Park Commission DATE PO NUMBER
20 E MAIN ST. 10/3/2013 00288
ASHLAND, OR 97520
(541) 488-5300
VENDOR: 003823 SHIP TO:
BIONDI BROS
1397 RAMADAAVE
MEDFORD, OR 97504
FOB Point: Req. No.:
Terms: net Dept.:
Req. Del. Date: Contact: Bruce Dickens
Special Inst: Confirming? No
Quantity Unit Description Unit Price Ext: Price
Unit
stripinq for baseball, softball 5,000.00
and soccer fields at North Mountain
Park and Hunter Park
Contract for Goods and Services Less
than $5,000 - Low Risk
SUBTOTAL 5,000.00
BILL TO: TAX 0.00
FREIGHT 0.00
TOTAL 5,000.00
Account Number: Project'Number Amount - Account Number, Project Number. Amount.
E 211.12.02.06.60235 5,000.00
A orized Signature VENDOR COPY
FORM #3 "'CITY OF
~
request for a purchase Order ~ `44~ 50 "10 ASHLAND
REQUISITION Pateofrequest: F7737) 3
e ~Re (Airedrdat for delivery:
Vendor Name o> _
Address, City, State, Zip 2fln'1A-OA III le n 1Of5hY1) ~ X17 `Sat/
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 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 Dale approved by Council: Contract If
❑ 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 and solicitation 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/writlen solicitation Date approved by Council: (Date)
❑ Form #4, Personal Services $5K to $75K Valid until: Dale
Description of SERVICES Total Cost
br)11,~P~tl,~crc~ N~1~Ir.
LePi~St✓I~irr~lv2PJt
$
Item # Quantity Unit Description of MATERIALS Unit Price Total Cost
TOTAL COST
❑ Per attached quote/proposal $ 40 ,
Project Number Account Number - JICOC~
Account Numberell_•IZ_C?-.LYo.-6~33AccountNumber
-
'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
jy signing this re uisib.on orm, I certify that the City's public contracting requirements heir a n satisfied.
Employee Signature:, .tj 2iL KV.~' D Department Head Signature: Irn 7lx-'
I (Equal to or greater than $5,000)
City Administrator:
(Eyual o or greater than $25,000)
Funds appropriated for current fiscal year /C EESS / NO (Qr~ /O/73
I Finance Director- (Equaltoorgyerthan$5,000) Date
Comments:
Form #3 - Requisition