HomeMy WebLinkAbout2014-216 CONT Chg Order - Perrine Industrial Electrician
PERRINE ELECTRIC INC
6067 CRATER LAKE HWY QUOTE# RH28504
CENTRAL POINT, OR 97502
541.8265505 fax 541-826-1259
SALES QUOTE
CUSTOMER
8/52014
Dates
City of Ashland ATTN-. Morgan First Contact
Quote Issued 30 DAYS
Accept/Reject
QUOTE Quantity Price TOTAL
PRICE TO PROVIDE STARTUP DOCUMENTATION OF TALENT TRANSFER STATION PUMPS.
QUOTE FOR BOTH PUMPS 1 $1,000.00 $1,000.00
it
i
$1,00.0.00
Customer -
Taxes
Notes TOTAL $1,000.00
Page 1 / 1
CITY OF . ASHLAND
DATE PO NUMBER
,441 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 Wavman
Special Inst: Confirming? No
Quantity Unit Description Unit Price Ext. Price,
THIS IS A REVISED PURCHASE ORDER
TAP: Remove existinq pumps at Talent 5,600.00
Pump Station and install new pumps
Contract for Goods and Services
Beqinninq date: Julv 30, 2014
Completion date: (no date on contract)
Processed chanqe order 08/12/2014 1,000.00
Price to provide startup documentation
of Talent transfer station pumps per
attached Quote RH28504
aot~~- and
SUBTOTAL 6,600.00
BILL TO: Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2010 TOTAL 6,600.00
ASHLAND, OR 97520
Account Number Project Number Amount Account Number Project Number Amount
E 670.08.15.00.70420 E 200808.999 6,600.00
la-A
Aut ized Signatu VENDOR COPY
FORM #10 CITY OF
CONTRACT AMENDMENT APPROVAL REQUEST FORM
Request for a Change Order ASHLAND
Name of Supplier I Contractor: Perrine Electric, Inc. Total _amount of this
contract amendment:
Purchase Order Number:12409
Description: TAP - Talent Pumps; Start-Up activities and documentation $1,000.00
® Per attached contract amendment
Contract Amendment
Original contract amount $5,600.00 100 % of original contract
Total amount of previous contract amendments % of original contract
Amount of this contract amendment $1,000.00 17.86 % of original contract
TOTAL AMOUNT OF CONTRACT $6,600.00 117.86 of original contract
In accordance with OAR 137-047-0800: 1) The amendment is within the scope of procurement as described in the solicitation documents, Sole Source notice or approval of Special
Procurement. 2) The amendment is necessary to comply with a change in law that affects performance of the contract 3) The amendment results from renegotiation of the terms and
conditions, including the contract price, of a contract and the amendment is advantageous to the City of Ashland, subject to all of the following conditions: a) goods and services
to be
provided under the amended contract are the same as the goods and services to be provided under the unamended contract; b) The City determines that, with all things considered,
the
amended contract is at least as favorable to the City as the unamended contract; c) The amended contract does not have a total term greater than allowed in the solicitation document,
contract or approval of a Special Procurement. An amendment is not within the scope of the procurement if the City determines that if it had described the changes to be made by
the
amendment in the procurement documents, it would likely have increased competition or affected award of contract.
Contract amendment is within the scope of procurement: YES X
Sourcing Method:
SMALL PROCUREMENT - Less than $5.000 INVITATION TO BID or COOPERATIVE PROCUREMENT, QRF or
❑ "YES", the total amount of contract and cumulative REQUEST FOR PROPOSAL EXEMPTION PURSUANT TO AMC 2.50
amendments :5 $6,000. ❑ "YES", the total amount of cumulative amendments ❑ "YES", the total amount of original contract and
❑ If "NO", amount exceeding authority requires s 25% of original contract amount or $250,000 cumulative amendments :5 $100K for Goods & Services, s
Council approval. Attach copy of Council whichever is less. $75K for Personal Services, < $50K for Attorney Fees.
Communication. ❑ If "NO", amount exceeding authority requires ❑ If "NO", amount exceeding authority requires Council
❑ Exempt-Reason: Council approval. Attach copy of Council approval. Attach copy of Council Communication.
PERSONAL SERVICES Communication. ❑ Exempt-Reason:
❑ "YES", Direct appointment s $35,000 ❑ Exempt-Reason:
❑ If "NO", requires approval.
INTERMEDIATE PROCUREMENT SOLE SOURCE EMERGENCY PROCUREMENT
Goods & Services - $5.000 to $100.000 ❑ "YES", the total amount of cumulative amendments ® Written Findings: Document the nature of the
Personal Services - $5,000 to $75.000 s 25% of original contract amount or $250,000 emergency, including necessity and circumstances
❑ "YES", the total amount of cumulative whichever is less. requiring the contract amendment
amendments :5 25% of original contract amount. ❑ If ❑ If "NO", amount exceeding authority requires ❑ Obtain direction and written approval from City
"NO", amount exceeding authority requires Council Council approval. Attach copy of Council Administrator
approval. Attach copy of Council Communication. Communication. ❑ If applicable, attach copy of Council Communication
❑ Exempt-Reason: ❑ Exempt-Reason: ❑ Exempt- Reason:
SPECIAL PROCUREMENT INTERGOVERNMENTAL AGREEMENT
❑ "YES", the total amount of original contract and cumulative amendments are ❑ "YES", the original contract was approved by City Council.
within the amount and terms initially approved by Council as a Special Provide date approved by City Council: (Date)
Procurement. If "NO", Council approval is required. Attach copy of Council Communication.
❑ If "NO", amount exceeding authority requires Council approval. ❑ Contract amendment approved and signed by City Administrator.
Attach co of Council Communication.
Project Number: 2008-08 Account Number~670~.08.15.00.704200
*Expenditure must be charged to t e appropriate count numbers for the financials to reflect the actual expenditures accurately. Attach ra pages if needed.
Employee Signature: 7// Department Head Signature: -
(Total aSnount of contrac _ $5,000)
City Administrator: 1i c c
2, 1 qv to orgreater than $25,000 or 10%)
Funds appropriated for current fiscal year YE /NO Finance Director (Equal to o neater thy, $5,000) Date
Comments:
Form #10 - Contract Amendment Approval Request Form, Request for a Change Order, Page 1 of 1, 8/6/2014