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HomeMy WebLinkAbout2013-383 Contract - S&S Sheetmetal Inc Contract for GOODS AND SERVICES Less than $25,000 CITY OF CONTRACTOR: S&S Sheet Metal, Inc. ASHLAND CONTACT: Mike Shipley 20 East Main Street Ashland, Oregon 97520 ADDRESS: 912 Antelope Rd White City 97503 Telephone: 541/488-6002 Fax: 541/488-5311 TELEPHONE: 541-826-'6"661 DATE AGREEMENT PREPARED: FAX: 6y t' 3 _ 1,6,01 BEGINNING DATE: November 20, 2013 COMPLETION DATE: January 16, 2014 COMPENSATION: $13,088.00 GOODS AND SERVICES TO BE PROVIDED: Install Mitsubishi MXA-4B36NA Multi-zone 4 port Heat pump with wall mounted indoor unit at Senior Center. Outdoor pad, condensate piping, refrigerant piping, T-stats, high voltage wiring, ERV (67 CFM), ERV ceiling registers, ERV termination and intake, cap existing ducting for offices 103-105, rebalance of existing system, new 500 CFM exhaust fan for kitchen, kitchen exhaust termination at roof, complete installation and 1 year arts and workmanship warranty. ADDITIONAL TERMS: 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 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 2796.220, 2796.225, 2796.230, 2796.235, 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 by the negligence of City. 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 an time b City upon 30 days' notice in writing Contract for Goods and Services Less than $25,000, Revised 06/13/2013, Page 1 of 7 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 b. General Liabili rn ce with a combined single limit, or the equivalent, of not less than Enter one: $200,000, $500,000, $ 000,000 2,000,000 or Not Applicable for each occurrence for Bodily Injury and Property Damage. It shall inclu a ctual liability coverage for the indemnity provided under this contract. Contract for Goods and Services Less than $25,000, Revised 06113/2013, Page 2 of 7 C. Automobile 'abilit insurance with a combined single limit, or the equivalent, of not less than Enter one: $200,000„ $500,000 1,000,0 , 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 chance.' 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 non-contributory. 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"dib- 'egon withoutlresort~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 Contractof that, arises,'from` ogelates 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 06/1312013, Page 3 of 7 Contractor: City of Ashland ' T Si ature Department Head IU(K,C S4fl P tty 'By-tA e P t) 1 (11&0 A S Print Name Print Name V(CC P9-0;I&UJ7 I1~~ f -7~ Title Date W-9 One copy of a W-9 is to be submitted with /w the signed contract. Purchase Order No. AP J E A FORM As t a Ity Attorney Date - i y. Contract for Goods and Services Less than $25,000, Revised 06/13/2013, Page 4 of 7 - 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. s (3) Telephone listing is used for the business separate from the personal residence listing. S (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. 11 7 i3 Contractor (Date) A~® Contract for Goods and Services Less than $25,000, Revised 06/13/2013, Page 5 of 7 CITY OF ASHLAND, OREGON EXHIBIT B City of Ashland LIVING WAGE per hour effective June 30, 2013 (Increases annually every June 30 by the Consumer Price Index) . portion of business of their cafeteria plans (including employer, if the employer has childcare) benefits to the ten or more employees, and amount of wages received by has received financial the employee. assistance for the project or For all hours worked under a business from the City of : Note: "Employee" does not service contract between their Ashland in excess of $19,825. include temporary or part-time employer and the City of employees hired for less than Ashland if the contract ➢ If their employer is the City of 1040 hours in any twelve- exceeds $19,825 or more. Ashland including the Parks month period. For more and Recreation Department. details on applicability of this For all hours worked in a policy, please see Ashland month if the employee spends ➢ In calculating the living wage, Municipal Code Section 50% or more of the employers may add the value 3.12.020. employee's time in that month of health care, retirement, working on a project or 401 K and IRS eligible For additional information: Call the Ashland City Administrator's office at 541-488-6002 or write to the City Administrator, City Hall, 20 East Main Street, Ashland, OR 97520 or visit the city's website at www.ashland.or.us. Notice to Employers: This notice must be posted predominantly in areas where it can be seen by all employees. CITY OF ASHLAND Contract for Goods and Services Less than $25,000, Revised 06/1312013, Page 6 of 7 CERTIFICATE OF LIABILITY INSURANCE DA E'700IYYYY) 11/7/2013 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements . PRODUCER NCONTACT AME: SUSan Wilson Beecher Carlson Insurance Agency LLC PHONE (541) 494-2658 PAIL No: (541)494-2758 3256 Hillerest Park Drive .susan.wilson@beechercarlson.com INSURERS AFFORDING COVERAGE NAIC i Medford OR 97504 INSURERA:SAIF Corporation 2412 INSURED INSURERS: 3 6 3 Sheetmetal Inc. INSURERC: 912 Antelope Road INSURERD: INSURER E Mite City OR 97503 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1391731192 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. LM LIMITS I TYPE OF INSURANCE POLICY NUMBER MMIMNYY MMID POLICY IYYXY jam Ica Y L R GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES En oaurrence $ CLAIMS-MADE ❑ OCCUR MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGO $ POLICY FR~ I $ ED S N L LIMIT AUTOMOBILE LIABILITY Ee M IN amiden[ ANY ALTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per amident) $ AUTOS AUTOS NON-OWNED PROPERIY DAMAGE $ HIRED AUTOS AUTOS Perecdtlent UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMSMADE AGGREGATE $ DED RETENTION $ A WORKERS COMPENSATION ThC STAT T- CTRH- AND EMPLOYERS' LIABILITY ANY PROMETORPARTNERIEXECUiIVE~ N/A ELEACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? 11929 0/1/2013 0/1/2014 (Mandatory in NH) E. L. DISEASE - EA EMPLOYE $ 1,000,000 DE.SCRIPTIION OF OPERATIONS below E L. DISEASE- POLICY LIMIT $ 1.000.000 DESCRI PTION OF OPERATIOI I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Re: Project - Installation of Mitsubishi MXA-4B36NA Mulit-zone 4 port Heat pump. Verification of Workers Compensation Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. 20 East Main Street Ashland, OR 97520 AUTHORIZED REPRESENTATIVE S Wilson, AAI, AIC/SU C~=-+- • / ACORD 25 (2010105) © 1988-2010 ACORD CORPORATION. All rights reserved. INS025 (201005).01 The ACORD name and logo are registered marks of ACORD A° ' CERTIFICATE OF LIABILITY INSURANCE 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 endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such n PRODUCER C N%PICT CLIENT NTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY ' HOME OFFICE: P.O. BOX 328 FASNAo. ,888-3334949 No): OWATONNA, MN 55060 -MAR RESs. CLIENTCONTACTCENTER FEDINS.COM INSURERS AFFORDING COVERAGE NAIC If INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 343-547-6 INSURER B: S & S SHEET METAL INC INSURER C: 912 ANTELOPE ROAD WHITE CITY, OR 97503 INSURER D: ' INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 72 REVISION NUMBER: 0 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 Np~ AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IL TYPE OF INSURANCE 'jNgp SUER POLICY NUMBER N7M/ ICTriW MM/IR XP LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY - DAMAGE To RENTED a $100,000 REMISES E., cal CLAIMS-MADE OCCUR MED EXP(Any one person) EXCLUDED A Y N 9061300 04/2412013 04/24/2014 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OPAGG $2,000,000 X POLICY JECT LOC AUTOMOBILE LIABILITY EOMBINEED SINGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY (Per person) A AALL UTOS OWNED SCHEDULED N N 9061300 04/24/2013 04/24/2014 BODILY INJURY (Per accident) HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Para tle X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $1,000,000 A EXCESS LIAB CLAIMS-MADE N N 9061301 04/24/2013 04/24/2014 AGGREGATE $1,000,000 DED RETENTION WORKERS COMPENSATION 7C STATU- o7H- ANDEMPLOYERS'LIABILrrY T RY UMITS ER ANY PROPRIETORIPARTNERIEXECUTIVE Y_LN E.L. EACH ACCIDENT OFFICERIMEMBER EXCLUDED? NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE U es, describe under DESCRIPTION OF OPERATIONS below El DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED BY CONTRACT ENDORSEMENT FOR GENERAL LIABILITY. CERTIFICATE HOLDER CANCELLATION 343-547-6 720 CITY OF ASHLAND SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 E MAIN ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ASHLAND, OR 97520-1814 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD PRO sr. ---i 6T DBA, Oregon S&S Sheetmetal, Inc. ~rCEtLENG~ TO: STEVE ENNIS RE: ASHLAND SENIOR CENTER HVAC EMAIL: steveennis@uci.net OPTION #1: PROVIDE AND INSTALL A MITSUBISHI MXZ-4B36NA MULTI-ZONE4 PORT HEAT PUMP COMPLETE WITH A WALL MOUNTED INDOOR UNIT FOR EACH OF 3 OFFICES(303-105) COMPLETE WITH: OUTDOOR PAD, CONDENSATE PIPING, REFRIGERANT PIPING, T-STATS, HIGH VOLTAGE WIRING, ERV(67 CFM), ERV CEILING REGISTERS, ERV TERMINATION AND INTAKE, CAP EXISTING DUCTING FOR OFFICES 103-105, REBALANCE OF EXISTING SYSTEM, NEW 500 CFM EXHAUST FAN FOR KITCHEN, KITCHEN EXHAUST TERIMATION AT ROOF, COMPLETE INSTALLATION AND 1 YEAR PARTS AND WORKMANSHIP WARRANTY. $13,962.00 *ERV DESIGNED TO PROVIDE OUTSIDE AIR PER CODE *ERV EXHAUST AND INTAKE TO BE VENTED 10' APART THROUGH ROOF *ON/OFF WALL SWITCH PROVIDED FOR KITCHEN FAN *ADD $45.00 TO PROVIDE SPEED CONTROLLER FOR KITCHEN FAN OPTION #2: REPLACE MITSUBISHISI MXZ-4836, 4 PORT OUTDOOR UNIT WITH A MXZ-3B24NA, 3 PORT UNIT WITH SAME SCOPE OF WORK AS IN OPTION #1. $13,088.00 MIKE SHIPLEY, VICE PRESIDENT S&S SHEETMETAL, INC. • METAL ie1ee11110ene; Atnrv{ IF MA5TER5 November 1, 2013 Attention: Steve Ennis Ashland Senior Center Phone: 541-618-9155 1699 Homes Avenue Job Name: New Ductless Heat Pump System Ashland, OR 97520 Job Location: Ashland Oregon Price includes: Installation of new mechanical equipment. Job as follows: 1. (1) Mitsubishi MXZ-3B24NA-1, 2-ton (3) port multi-zone heat pump. 2. (1) Mitsubishi MSZ-GE06NA-8, 6,000 BTU wall mount indoor unit. 3. (1) Mitsubishi MSZ-GE09NA-8, 9,000 BTU wall mount indoor unit. 4. (1) Mitsubishi MSZ-GEI 2NA-8,12,000 BTU wall mount indoor unit. 5. (3) Mitsubishi wireless hand held remote controllers. 6. Line voltage wiring by licensed electrician. 7. (3) Refrigeration linesets with metal cover. 8. Outdoor unit mounting pad. 9. (1) Aides 525 CFM inline exhaust fan with speed controller with wall switch. 10. Remove, cap and seal the (3) existing supply air ducts to offices. 11. Condensate piping. 12. Labor. 13. Start-up and warrantee. Excludes: Permits Total $ 11,227.00 4&m Option: (1) Lennox HRV3-095 heat recovery ventilator adds 2,198.00 to the total above.*- Option: (3) Mitsubishi wall mounted thermostats adds 692.00 to the total above. Payments as follows: Balance Upon Completion A late payment finance charge on all oast due accounts of 1 1\2 % monthly 18% A.P.R. will be charged All material is guaranteed to be as specified. All work to be completed in a workmanlike Authorized ~Ar O - manner according to standard practices. Any alteration or deviation from above spacitw Signature tons involving extra wets will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents Note: This proposal may be or delays beyond our conrol. Owner to wry fire, tornado and other necessary insurance. withdrawn by us if not accepted within 30 Days. Our workers are fully covered by Workmen's Compensation Insurance. ACCEPTANCE OF PROPOSAL- The above prices, specifications and conditions are satisfactory and am hereby accepted. You we authorized to do the work Signature as specified. Payment wit be made as outlined above. In the event at default in payment, I we shall pay you all expenses incurred by you in caneong monies due and owirg, Including reasonable anomeys feea, whether incurred prior to trial, at trial or on appeal. Signature Date of acceptance Page 1 of 2 Steve Ennis From: Tom Shipley [tom@advancedairandmetal.com] Sent: Tuesday, November 05, 2013 6:07 PM To: steveennis@uci.net Subject: FW: ASC -Ashland Attachments: ASHLAND SENIOR HOUSING 2013.pdf; SDS-CTXS07LVJU.pdf; 4MXS32GVJU - NOW DUCTED - SDS.pdf; CTXS12HVJU - SDS.pdf Steve, I received Terry's electrical quote from Valley, which was $ 2,369.xx with my M/U. then you deduct for a (3) port system of $600.00 from my original quote of $12,000.xx and then put that all together, the project would come in at around JJJZ69. xx let me know if you have any more questions. That's if you want a (3) port system. Thank you, Tom Shipley Project Manager Q DVAN D 695 E. Vilas Rd. Ste 101 Central Point, OR 97502 541-772-6866 541-210-1326 Cell 541-772-1539 Fax tom@advancedairandmetal.com From: Tom Shipley [mailto:tom@advancedairandmetal.com] Sent: Monday, October 14, 2013 6:49 PM To: 'steveennis@uci.net' Subject: RE: ASC - Ashland Steve, attached is my proposed cost for the Ashland Senior Housing project. I also attached some cut sheets on the equipment. Please let me know if you have any questions. Thanks, Tom Shipley Project Manager d DVANCED 11/6/2013 CITY REC0i 1wEll Page 1 / 1 Ashland Park Commission DATE PO NUMBER 20 E MAIN ST. 11/18/2013 00303 ASHLAND, OR 97520. (541) 488-5300 VENDOR: 004339 SHIP TO: S & S SHEETMETAL INC 912 ANTELOPE ROAD WHITE CITY, OR 97503 FOB Point: Req. No.: Terms: net - -Dept.: Req. Del. Date: Contact: Bruce Dickens - Special Inst: Confirming? NO Quantity Unit Description Unit Price Ext. Price Install and upgrade HVAC System at 13,088.00 Senior Center Contract for Goods and Services Beginning date: November 20, 2013 Completion date: January 16, 2014 i l i j i I i I I I SUBTOTAL 13,088.00 ' BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 13,088.00 Account Number Project Number Amount Account Number Project Number Amount E 411.12.00.00.70420 E 000039.999 13,088.00 I i t I VENDORCOPY Authoriz Signature FORM #3 CITY OF request fora Purchase Order ASHLAND REQUISITION Date of request: 1 3 Required date for delivery: if Vendor Name Address, City, State, Zip Contact Name & Telephone Number I e Fax Number SOURCING METHOD ❑ Exempt from Competitive Bidding - ❑ Emeroency ❑ 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 ❑ Witten quote or proposal attached Agency (3) Written quotes and solicitation attached ❑ Form #4, Personal Services $5K to $75K Contract # PE SONAL SERVICES ❑ Special Procurement Intergovernmental Agreement $5,000 to $75,000 ❑ Form #9, Request for Approval ❑ Agency ❑ Less than $35,000, by direct appointment p Written quote or proposal attached Date 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 u4 5~ &II ~ ~tlObKAV VAC- Sysl-e wt 5'ev%iole Ce44k4e-- $ f ~jiC1~'g Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST ❑ Per attached quotelproposal $ Project Number O) Account Number Rif-I?, ZVOAccountNumber - 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 By signing this requisition form, I certify that the City's public contracting requirements have been satisfied. d. Employee Signature Department Head Signatures-kUAsaW^ 104 (Equal to orgr(Tterthan$5, ) City Administrator: #Y~E3 (Equaltoorgrearthan 25000) Funds appropriated for current fiscal year: / NO & IT 13 Finance Director- (Equal to org lean n 85,000) Date Comments: do :L/ C 10 IJ o d- ~ e. i Form #3 - Requisition