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HomeMy WebLinkAbout2014-208 Contract - Perrine Industrial Electrician Contract for GOODS AND SERVICES Less than $25,000 C I T Y OF CONTRACTOR: Perrine Electric Inc. -AS H LA N D CONTACT: Rex Haskett 20 East Main Street Ashland, Oregon 97520 ADDRESS: 6067 Crater Lake Hwy Telephone: 541/488-6002 Fax: 541/488-5311 TELEPHONE: 541-826-5505 DATE AGREEMENT PREPARED: Jul 28th, 2014 FAX: 541-826-1259 BEGINNING DATE: Jul 30th, 2014 COMPLETION DATE: COMPENSATION: Per attached proposal: $5,600.00 GOODS AND SERVICES TO BE PROVIDED: REMOVE TWO 100HP MOTORS, PUMPS & EXISTING SKIDS AND GROUTING.TO REPLACE WITH TWO 125HP MOTORS AND PUMPS ON UPDATED SKIDS INCLUDING ANCHORS, GROUTING GASKETS TO ATTACH TO EXISTING PLUMBING AND LASER ALIGN PUMPS & MOTORS 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 27913.220, 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 $20,142.20 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 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 b City under an of the following Contract for Goods and Services Less than $25,000, Revised 07/08/2014, Page 1 of 5 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 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. Contract for Goods and Services Less than $25,000, Revised 07/08/2014, Page 2 of 5 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. Contractor: City of Ashland ti~u z c--- By By Signature Department Head krC X k J wv_ C- Vow -z- I. P1. _F~A 0i Print Name Print Name V Id A y 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 07/08/2014, Page 3 of 5 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. (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. 21 7- ~ -~4( Contractor (Date) Contract for Goods and Services Less than $25,000, Revised 07/08/2014, Page 4 of 5 ii o o _ o 0 ° o 0 a W N F °o to Lei n Q a ~ L w N 0 ~ 4 t; -0 J W M a) a) ° H y w:3 N O O W O U J y U a) Q O v/ LLJ r r ~ 7 O a z Z F O O U C6 z _ ~ ~z U_ z a I- ~ ZOO LO - = U Z O N N WLa ~ ADO J x~a? z DUB W Yov F- Z?o6 W _j Zw Q co NoZ xo,a oY~ LL, IL 0 CO to LLI 04 01-0 W ;Z~ ?ate w to V) (n IL W~yZUwi K/ O Q J aao a z aa c!) cn-CZ X Z m Q 2Oa =2Z ° ° (L C ONX = w `0 F O t O f- O a p~U U) ° uui D U U OWO E WQF' F-J~ U LLI (L ~wY O ~IX cn CCY w~ 0 0 PumpTech Inc. Page: 1 IZ5*4ron 321 S. Sequoia Parkway Canby, OR 97013 Phone: 503-659-6230 7 z r.i~~ Fax: 503-659-8718 ddavidson@pumptechnw.com Sales Quotation TO: Salesperson: Doug Davidson / Don McCurtain Quote 0114713 Morgan Wayman Lead Time: 4 Weeks Date: 7/8/2014 ASHLAND, CITY OF FOB: FOB ORIGIN - FFA Expires: 8/7/2014 ATTN: ACCOUNTS PAYABLE Ship Via: BEST WAY 20 E. MAIN STREET Project Name: Ashland -Talent Water Boosters Installation ASHLAND, OR 97520 Fax: 541-488-5311 Item Price Qty Extend INSTALLATION Estimated cost of installing two new PACO model 5015-9/0 20346.00 1.00 20,346.00 KP horizontal split case pumps including: - Labor - Misc Materials - Removal of Existing Pumps CLARIFICATIONS: - WIRING NEW PUMP MOTORS BY OTHERS - ELECTRICAL WORK IS NOT INCLUDED - PRICE IS AND ESTIMATE ONLY AND MAY VARY DEPENDING ON CONDITIONS OF PIPING DISCOVERED AT TIME OF INSTALLATION SubTotal 20,346.00 The above order is subject to Pumptech Inc. standard terms and conditions and credit approval which are attached and made part of this agreement. We appreciate your interest in our products and services and if you have any questions on our offerings please do not hesitate to call. Freight: 0.00 By signature below, I accept this offering: Sales Tax: 0.00 Signed: Total: 20,346.00 Name: Title: 9PERREL OP ID: PB ACORO" CERTIFICATE OF LIABILITY INSURANCE F DATE (MM/°°/YYYY) 07/28/2014 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 endorsements . PRODUCER Phone: 541-779-4232 CONTACT NAME: Hart Insurance PHONE FAX 1123 Royal Ave. Fax: 541-772-3963 ft-AF Ne Ext : A/c No : Medford, OR 97504 E-MAIL Hart Insurance / Medford ADDRESS: INSURERS AFFORDING COVERAGE NAIC M INSURER A: American Hallmark Ins Co of TX 43494 INSURED Perrino Industrial INSURER B: Electricians Inc. 6067 Crater Lake Hwy IN C: Central Point, OR 97502 INSURER D I 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. ILT R TYPE OF INSURANCE A D B POLICY NUMBER MM/DDNYYY MM/DDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 AMAGE TO RENT NT 0 A X COMMERCIAL GENERAL LIABILITY X 44CL477631 12122/2013 12/22/2014 PR urrence $ 100,00 EMISES Ea occ CLAIMS-MADE a OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 RO- LOC Emp Ben. $ 1,000,00 X POLICY P JFCT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident A X ANY AUTO 44CL477531 12122/2013 12/22/2014 BODILY INJURY (Per person) $ ALL OWNED X SCHEDULED BODILY INJURY (Per accident) $ HI/R DSAUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE 44CU477632 12122/2013 12/22/2014 AGGREGATE $ 1,000,000 DED X RETENTION $ 10,000 $ WORKERS COMPENSATION WC STATU- OTH-TORY I IMITS ER AND EMPLOYERS' LIABILITY Y / N E L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA OFFICER/MEMBER EXCLUDED? (Mandatory in NH) EL, DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) certificate holder is listed as additional insured per attached form MP9767 10/10 CERTIFICATE HOLDER CANCELLATION ASHLA1 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 E Main Street Ashland, OR 97520 AUTHORRED REPRESE TIVE Hart lnsurance edford ©1988-2010 ACORD CORP TION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD www.saif.com Oregon Workers' Compensation s if Certificate of Insurance ro'.00* corporation Certificate holder: CITY OF ASHLAND 20 EAST MAIN STREET ASHLAND, OR 97520 The policy of insurance listed below has been issued to the insured named below for the policy period indicated. The insurance afforded by this policy is subject to all the terms, exclusions and conditions of such policy; this policy is subject to change or cancellation at any time. Insured Producer/contact Perrine Industrial Electricians Inc SAIF Corporation 6067 Crater Lake Hwy Portland Service Center Central Point, OR 97502-8424 971.242.5001 servic@saif.com Issued 07/24/2014 Limits of liability Policy 461372 Bodily Injury by Accident $500,000 each accident Period 07/01/2014 to 07/01/2015 Bodily Injury by Disease $500,000 each employee Body Injury by Disease $500,000 policy limit Description of operations/locations/special items MOTOR AND PUMP INSTALL Important This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies above. This certificate does not constitute a contract between the issuing insurer, authorized representative or producer and the certificate holder. Authorized representative ~Ll John D. Gilkey Interim President and CEO 400 High Street SE Salem, OR 97312 P: 800.285.8525 F: 503.584.9812 Policy_OLCA_Certifi cate0fl nsurance Page 1 / 1 CITY OF . ASHLAND DATE PO NUMBER 20 E MAIN ST. 7/30/2014 12409 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 001985 SHIP To: Ashland Public Works PERRINE INDUSTRIAL ELECTRICIAN (541) 488-5587 6067 CRATER LAKE HWY 51 WINBURN WAY CENTRAL POINT, OR 97502 ASHLAND, OR 97520 FOB Point: Req. No.: Terms: Net Dept.: Req. Del. Date: Contact: Morqan Warman Special Inst: Confirming? No Quantity Unit Description Unit Price Ext. Price TAP: Remove existinq pumps at Talent 5,600.00 Pump Station and install new pumps Contract for Goods and Services Beqinninq date: July 30, 2014 Completion date: (no date on contract) SUBTOTAL 5,600.00 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 5,600.00 ASHLAND, OR 97520 Account Number Project Number Amount Account Number Project Number Amount E 670.08.15.00.70420 E 200808.999 5,600.00 Authorized nature VENDOR COPY FORM #3 CITY OF ASHLAND REQUISITION Date of request: 7/29/2014 Required date for delivery: ASAP Vendor Name Perrine Electric Inc. Address, City, State, Zip 6067 Crater Lake Hwy, Central Point, OR 97502 Contact Name & Telephone Number Sales Dept: 541-826-5505 Fax Number 54 - 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 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 ❑ 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/written solicitation Date approved by Council: (Date) ❑ Form #4, Personal Services $5K to $75K Valid until: Date Description of SERVICES Total Cost TAP: Remove existing pumps at Talent Pump Station and install new pumps $ 5,600.00 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST ® Per attached quotelproposal $ Project Number: 2008-08 Account Number: 670.08.15.00.704200 *Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures. IT Director in collaboration with department to approve all hardware and software purchases: IT Director Date Support -Yes/ No By signing this requisif n form, I certify the City's public contracting requirements have been satisfied. { Employee: Department Head: (Equal o or greater than $5,000) Department Mana rlSupervisor: City Administrator: (Equal to or greate/~r than $25,000) Funds appropriated for current fiscal year: I NO 713d - Finance Director- (Equal to orgy er than $5,000) Date Comments. Form #3 - Requisition CITY OF FORM #13 ASHLAND EMERGENCY PROCUREMENT Greater than $5,000 To: Dave Kanner, Public Contracting Officer From: Mike Faught Date: 7-28-2014 Re: Emergency Procurement - Written Findings and Request for Authorization Document the emergency: This procurement is related to the serious potential water shortages with respect to the City of Ashland's watershed. Jackson County has declared a drought emergency and the Ashland City Council has approved the Talent Ashland Phoenix (TAP intertie) waterline as an emergency project in order to meet user water needs late in the season. The emergency condition was declared due to record level low snowpack this season in Ashland's watershed. In order to offset potential severe water shortages for the community procurement of specific items is required to meet the timeline associated with when these water shortages could occur. The City of Ashland's consultant engineer.for the emergency TAP Intertie Project, RH2, determined that modifications to the Pumps at the City of Talent Pump Station is required to provide an adequate supply of water to the City of Ashland through the TAP intertie to avert a water shortage this summer. These modifications need to be procured in an expedited manner and so they can be completed in the time needed. It is recommended that construction of these modification be performed by Perrine Electric Inc. as having been determined to be qualified, can complete the work in the required time period and have submitted the lowest cost. Document solicitation process: The City's consultant engineer, RH2, selected two qualified companies to submit pricing to install two new pumps at the existing City of Talent Pump Station. Attached are the two price quotations and RH2 recommends using the lowest submitted price from Perrine Electric, Inc. Amount of Emergency Contract: S 5.600.00 Written Order Emergency Procurement is being authorized by the City Administrator as specified by this written order. Authorized by: Date. - City,9dministrator /Public Contracting Off rcer Report Emergency Procurement to the City Council: Yes / No The nature of the emergency was documented and approved by Council at the February 18, 2014 meeting. Form #13 - Emergency Procurement - Written Findings and Request for Approval, Page 1 of 2, 7128/2014 Enrergen,cy construction of the TAP line was documented and approved by Council at the April 22, 2014 meeting. The City Administrator has been granted signatory authority by the Council forprocurement ofpersonal services andgoods and services over $100,000 by the City Council. Form #13 - Emergency Procurement - Written Findings and Request for Approval, Page 2 of 2, 7/28/2014