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HomeMy WebLinkAbout2014-148 Contract - Table Rock Custom Masonry Contract for 744 N Main St. Less than $25,000 CITY OF CONTRACTOR: Table Rock Custom Masonry -4S H LAND CONTACT: Efren Regalado 20 East Main Street Ashland, Oregon 97520 ADDRESS: 7782 Harland Dr., White City, OR 97530 Telephone: 541/488-6002 Fax: 541/488-5311 TELEPHONE: 541-301-2171 DATE AGREEMENT PREPARED: 05/22/14 FAX: 541 826.3947, no email address BEGINNING DATE: 05/22/2014 COMPLETION DATE: 06/01/2014 COMPENSATION: $2,300.00 per proposal attached as Exhibit C. GOODS AND SERVICES TO BE PROVIDED: Contractor to build retaining wall: Courtyard Block and Cap, approximately 30 lineal feet located at 744 N Main St, (Breadboard Restaurant) as quote attached as Exhibit C. Work includes Courtyard Block, % minus gravel, block glue and caps. Quote is for all labor, equipment and materials. ADDITIONAL TERMS: N/A 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 $19,494 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: Contract for Goods and Services Less than $25,000, Revised 06/30/2012, Page 1 of 6 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 b. General Liabilit insurance with a combined single limit, or the equivalent, of not less than Enter one: Contract for Goods and Services Less than $25,000, Revised 06/30/2012, Page 2 of 6 $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 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 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 06/30/2012, Page 3 of 6 Contractor: / City of Ashland By7 rc ~l~~C../ctid e By Signat /f ~1C.i,Irs~ Department ead Print Nam Print Name 13csr~4,, 4- //7,Zy Title Date W-9 One copy of a W-9 is to be submitted with the signed contract. Purchase Order No. Contract for Goods and Services Less than $25,000, Revised 06130/2012, 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: v (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. y (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 06/30/2012, Page 5 of 6 Jun 02 2014 04:09PM Clear Choice Insurance 5036190880 page 2 CERTIFICATE OF LIABILITY INSURANCE 1 CATeIMWoorr I !0212014 THIS CERTIFICATE IS ISSUED AS A NATTER 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 POIICy(im) must be andoleed. R SUBROGATION IS WAIVED, subject to the tams and conditions of the Policy, certain PoIIUm may require an endoreoment. A statement on this certificate does not confer rights to the certificate holder in Bsu of such mWorsarnern s). PRODUCER NAR! T Tae ow INbrrle Clear Choke Insurance LLC E 501)001.0360 cAs 10580 SW McDonald St 0103 5W fs os6o Er~L fawn eclllalmuranca.com Tigard, OR 97224 License#:100210477 IY911RE AFFIMOINGCOYERADE NAtDr INSURED INSURER AV National nIntUran C NSURERS; Table Rock Custom Masonry LLC INSUReRC: 7782 Harlan Dr INSURER D: White City, OR 97503 WSURERE: INSUR COVERAGES CERTIFICATE NUMBER 00000372.86275 REVISION NUMBER: 2 THIS IS TO CERTIFY THAT I HE 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 MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES CESCRIBED HE REIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ICY ER EFF POLIO EAP A GENERALMABILITY Y NA104290601 1201312013 12i1312D14 EACHOCOURRENCE uM S 1 000 000 X COMMERCIALGENERALUABUTY M - $ 100000 CLAIMS-uADE ❑X OCCUR MEp ExP Pro S 5000 PEIRSONALLADVINJLHY S 1 000 000 GENERALAGGREGATE S 2 900 DOO GENII AGGREGATE LIMIT APPOEB PER PRODUCTS-OCIPACP AGO S 2000000 POLICY PRO. LDC S AUTONOesE LIA91LnY INED EI I 4 ANY AUTO BODILY IWURY IPN PrISGBt ALL OWNED _ S'HEDULEO AUTOS AU708 BOpLY INJURY(PNSODpey) S NON ,TOBV`T`ED PROPERTY WAGE HRECAUTOS q f S ULIaRg l • LMB OCCUR EH URRENCE S t3GEi8 LIAR CIAIMSMADE AGGREGATE 3 DED RETENTION S B ANLD ma°w~F 'UMMUTY YIN 752264 06101}2014 DMI/2015 X T"- 1000,000 ANY PREPRIETDRMARTNERrEY.ECUTIVE OFFICUUMMeERUCLUDE07 © NIA EL. EAp1 ACCIOEM 5 (ftwom M NN) IIYes.wxti0e v,4,r • E.L pBEASE-FA EMPLOY S DESCRIPTION OF RATIONS W EL05EASE-POLICY UNO S DESCRW10HGFOPEN 116"'L AT1a1ElVERICLEB IAe.a ACpt010t,ApASwRI ReTPns SehWYM, RIPOw SPIN Nraq,irRy City of Ashland is added as additional insured to the general liability policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ASW E DESCRIBED POLICIES BE CANCELLED BEFORE =Ashland, Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE VATH THE POLICY PROVISIONS. ORR ' AUrIM)RMED RP.PR6EENT AYE TDM ®1988-Z ACOR CORPORATION. All rights resamed.. ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD Printed by TOM on June 02, 2014 st 04:07PM Jun 02 2014 04:09PM Clear Choice Insurance 50 361 908 80 page 3 THIS ENDORSEMENT CHANGES THE POLICY..PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSUREDS - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Policy Number NA1c4280601 Endorsement Effective: 6y2/201412:01 am. Named Insured Countersigned By: TABLE ROCK CUSTOM MASONRY LLC t SCHEDULE _ Name of Person or organization: ~ CITY OF ASHLAND, CITY OF ASHLAND 90 N MOUNTAIN AVE ASHLAND OR 97620 Location: VARIOUS LOCATIONS THROUGHOUT ASHLAND OR (if no entry appears above, informed on required to complete this end orse ment will be shown in the Declarations as applicable to this endorsement.) A. Section II - Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only to the extent that the person or organization shown in the Schedule is held liable for your acts or omissions arising out of your ongoing operations performed forthat insured. B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions This insurance does not applyto "coolly injury" or "property damage" occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, an the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed, or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project C. The words "you" and "your' refer to the Named Insured shown in the Declarations. D. 'Your work' means work or operations performed by you or on your behalf,, and materials, parts or equipment furnished in connection with such work or operations. Primary Wordmo It required by written contract or agreement: Such insurance as is afforded by this policy shall be primary insurance, and any insurance or self-insurance maintained by the above additional insured(s) shall be excess of the Insurance afforded to the named insured and shall not contribute to it. Waiver of Subrogation If required by written contract or agreement: We waive any right of recovery we may have against an entity that is an additional insured per the terms of this endorsement because of payments we make for injury ordamage arising out of "your work" done under a contract with that person or organization. 49-0108 0711 May Include Copyrighted Material of Insurance Services Offices, Inc. Page 1 of 1 Used with permission Jun 02 14 08:54a TABLE ROCK MASONRY (541) 826-3947 p.3 U / 41 sai fcorpora t ion Information Page Carrier No: 200D1 Policy No: 752264 AR . Employer Identification No., 37-1556992 NCCI Risk ID No: Item 1. The Insured: Entity Type: TABLE ROCK CUSTOM MASONRY, LLC LLC - CONSTRUCTIOWLANDSCAPING Mailing address: TABLE ROCK CUSTOM MASONRY, LLC , 7782 HARLAN OR WHITE CITY, OR 97503 Other workplaces not shown above: NONE Item 2. The policy period is from OB-24-2012, 12:01 A.M. to 06-01-2013,12:01 A.M. at the insured's mailing address Item 3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: OREGON B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $500,000 each accident Bodily Injury by Disease $500,000 each employee Bodily Injury by Disease $500,000 policy limit C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: D. This policy includes these endorsements and schedules. WC360402 Oregon Contracting Classification Premium Adjustment Endorsement _ WC360601 E Oregon Cancellation Endorsement W0000421 C Catastrophe (other than Certified Acts of Terrorism) Premium End WCOOD422A Terrorism Risk Insurance Prog Reauthorization Act Disclosure End WCOOD414 Notification of Change in Ownership Endorsement WC36D401 Merit Rating Endorsement W0360406 Premium Due Date Endorsement WC-160305A Oregon Residual Market Limited Other States Insurance WC890614 Members of Limited Liability Company - Constructionll-andscape WC360301 Oregon Unsafe Equipment Exclusion Endorsement WC990616 Confidentiality Endorsement WCDDD417B Assigned Risk Lass Sensitive Rating Plan Notification Endorsement Item 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. The premium and rates and the experience rating modification factor, if any, may change on your anniversary rating date of 06-01-2013. All information required below Is subject to verification and charge by audit. Jun 02 14 08:54a TABLE ROCK MASONRY (541) 826-3947 p.2 I 'T.46~~ v n >s3 a~' A a a 3' t~~ ti T 1 s A _ m I e Z f i~ s I I; ~ ~ o I T C ~ c a I i z ! i I C r I Rt I ! I ~oSd SR-H T3 ape I 6>-^ I °on vn o~W ~z i W e I c m. ~ i "K a y I ' I a,., _ r a I m x 7i 5 3 pn w 3t ri I W May 06 1405:14p TABLE ROCK MASONRY (541) 826-3947 p.1 CCB#: 179890 r Licensed, Bonded, Insured ~I COMMERCIAL • RESIDENTIAL ~Mql SW 1 as 171 US; f 9a 'BECAUSE WE ROCK' PROPOSAL AND CONTRACT Date S- 20~_ To: o(- 1QS t-c-i [,rJc+~ C~U$ S'i[ - `1 S[ 038 ,r-40 - 5s--p- 2- 3 S°t Job Site Gentlemen: Table Rock Custom Masonry proposes to furnish all materials and perform all labor necessary to complete the following: p ` (General DescQption of Work) F~tCkk'A' U'SuA Cood-Lrw-d Ulocl; at`f CcLp Acre x: 3o 1iK«l F«-~- _ Cou~t cd ~~oc!~ , 3!ti yki.L~S uyaor_I flock ~tl~a q ) C-``F-t _~~7cT ~ f4 u-. tr WLrh~ C~~C A'~•.Ec.ric,.l All of the above work to be completed in substantial and workmanlike manner according to standard practices for \ 3 C.0 I CiYCP ~ i`cL~ J~bI~GY,S T the Sum Of, Payments to be made Any alteration or deviation from the above specifications involving extra cost of material or labor will only be executed upon written orders for the same, and will become an extra charge over the sum mentioned in this contract This bid valid for 30 days. Respectfully submitted, By :UV~L- 1c c ACCEPTANCE You are hereby authorized to furnish all materials and labor required to complete the work mentioned in above proposal, according to the terms above. Acceptance - w.u.ao,roe Jun 02 2014 04:09PM Clear Chace Insurance 5036190880 page 1 Clear Choice Insurance £lC io58o S'W XcDma.l(St. #lo3 llgar4 OR 97224 FAX*****FAX******FAX******FAX PROM. Mary Tawny C:OMPA NY: 1) City of Ashland 6/2/2014 FAX NUMBER : 101 Al, NO, (1F PAC 4'S )NCLCO ING 541-552-2436 3 including cover page PI IONP. NLMRIUA: SLNUISR'S REFEKLNCH Nt:WMER: Phone: 503-601-0350 x104 RF, \X ti PAGE: Fax to:503-619-0880 L'RORN'1' ❑ FOR REVIEW ❑ PLEASE COMMENT ❑ PLEASE: RITLY ❑ PI.P.ASI. RECYCL Thanks, Tawny Morris 503-601-0350 x104 Contractors Insurance Agent ? ~1 3 C ~ y Off' 0 m O A a l CA Z In A ° TL z~ W A~ _O r> 3 A IV r >d J ~c r a0 r Mary McClary From: Mark Holden [holdenm@ashland.or.us] Sent: Monday, June 16, 2014 5:10 PM To: 'Lee Tuneberg'; 'Dave Kanner' Cc: 'Warren DiNapoli'; 'Michael Ainsworth'; 'Dan Hendrix'; 'Mary McClary' Subject: Mark Holden out of office On Tuesday, June 17, 2014 1 will be out of the office on Tuesday, June 17, 2014, and will be returning to the office on Wednesday, June 18, 2014. During the time I am out of the office my signature authority is hereby transferred to Warren DiNapoli. Regards, Mark Holden Director of Electric Utility, Telecom and IT City of Ashland Email: miholdennashland.or.us Phone: 541.552.2314 This email transmission is official business of the City of Ashland, and it is subject to Oregon Public Records Law for disclosure and retention. If you have received this message in error, please contact me at (541) 552- 2314. Thank you. t Gi i~~ RECORDER Page 1 / 1 CITY O F---- - a.AATE:.ic` * .:f ..,PO NUMBER'..., ASHLAND 20 E MAIN ST. 6/18/2014 12313 ASHLAND, OR 97520 (541)488-5300 VENDOR: 016471 SHIP TO: Ashland Electric Department TABLE ROCK CUSTOM MASONRY (541) 488-5354 7782 HARLAN DR 90 N MOUNTAIN WHITE CITY, OR 97503 ASHLAND, OR 97520 FOB Point: - Req. No.: Terms: Net Dept.: Req. Del. Date: Contact: Dave Tyqerson Special Inst:. Confirming? No Quanb "Unit- .x . ~ , ,.Description,:. Unit Price ExL'Price Install retaininq wall for transformer, 2,300.00 Protection from vehicle traffic, Location: 744 N. Main St (Breadboard Restaurant) Contract for Goods and Services Beqinninq date: 05/22/2014 Completion date: 06/01/2014 BILL TO: Account Payable SUBTOTAL 2300.00 TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 2,300.00 ASHLAND, OR 97520 AccountNumber . ' Project Number Amount -,-':AccouriYNUmber, ~--:i. Project,Number'9~: 'Amount:'-- E 690.11.18.00.70410 2,300.00 Autho ' Signature VENDOR COPY FORM 43 CITY OF ASHLAND REQUISITION Date of request: Required date for delivery: Vendor Name ZARLE 822( 011S7DW MASOMA? Address, City, State, Zip 7792 HigRLPA1 ,D9105 GVffZTE e/T~, OR. L`7530 Contact Name & Telephone Number FFREAf RE< 1Lf1D0 5`//-30/-2/7/ Fax Number F-4k : 5'z11 -926 -39'/7 SOURCING METHOD CGV~/ L,5'r101i! ❑ Exempt from Competitive Bidding ❑ Ememency ❑ 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 han $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 and solicitation attached ❑ Form #4, Personal Services $SK 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 proposals/written solicitation Date approved by Council: (Date) ❑ Form #4, Personal Services $5K to $75K Valid until: ate Description of SERVICES Total Cost SEE 147-74C/f1-'0 C)UO7--51 PROPOSqL 300 s7 Z,1- 7R/ 6- WAe -6 FOR R/t~llS /7//I ! 0 ON FRLYy7 VE196~f 7/?, Item # Quantity Unit Description of MATERIAL Unit Price Total Cost TOTALCOST ❑ Per attached quotelproposal $ Zr 300 - Project Number Account Number69V- //-A9.eo- 7DY100 Account Number Account Number 'Expendfture must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures. IT Din:ctorin collaboration with department to approve all harchyare and software purchases: ITDirector Date Support-Yes/No By signing this requisition form, I certify that the GWs public coniracdngrequirements have been satisfied. Employee: Department Head: (Equal to or greater than §5,000) Department Manager/Supervisor. City Administrator: (Equal to or greater than $25,000) Funds appropriated for current fiscal year YES NO FinanCe Dire ctor- (Equal to or greater than 55,000) Date Comments: