HomeMy WebLinkAbout2014-249 Contract - Rick Stevens Painting
Contract for GOODS AND SERVICES Less than $25,000
CITY OF CONTRACTOR: Rick Stevens Painting
-ASHLAND CONTACT: Rick Stevens
20 East Main Street
Ashland, Oregon 97520 ADDRESS: 107 E. Main Street #5, Medford, OR 97501
Telephone: 541/488-6002
Fax: 541/488-5311 TELEPHONE: 541-772-8287
DATE AGREEMENT PREPARED: September 9, 2014 FAX: 541-734-5644
BEGINNING DATE: September 15, 2014 COMPLETION DATE: October 17, 2014
COMPENSATION: $8,825.00 (Hunter Park Restroom $5,520.00 and Garfield Park Restroom $3,575.00)
GOODS AND SERVICES TO BE PROVIDED: Contractor to supply all equipment, labor and materials to
prepare and paint the exterior of Hunter Park restroom building and Garfield Park restroom building per bid
dated August 19, 2014 and attached as Exhibit C.
ADDITIONAL TERMS:
In the event of conflicts or discrepancies among the contract documents, the City of Ashland Contract for Goods and Services will be primary and take
precedence, and any exhibits or ancillary contracts or agreements having redundant or contrary provisions will be subordinate to and interpreted in a
manner that will not conflict with the said primary City of Ashland Contract.
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 279B.220, 279B.225, 27913.230, 27913.235, 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 art, effective upon delivery of
Contract for Goods and Services Less than $25,000, Revised 07/08/2014, Page 1 of 5
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. _QocitractorshalF ~own expense provide the following insurance:
a. Worker's Com ensatio insurance in compliance with ORS 656.017, which requires subject employers to
provide Oregon wort pensation coverage for all their subject workers
b. General Li ilit _insulce with a combined single limit, or the equivalent, of not less than Enter one:
$200,000, $500,0 $1,000,000, 2,000,000 or Not Applicable for each occurrence for Bodily Injury and Property
Damage. It shall inclu a co ractual liability coverage for the indemnity provided under this contract.
C. Automobile rance with a combined single limit, or the equivalent, of not less than Enter one:
$200,000, $500,00 $1,000,000, Not Applicable for each accident for Bodily Injury and Property e,
Contract for Goods and Services Less than $25,000, Revised 07/08/2014, Page 2 of 5
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.
Contractor: Citrf.As hland
By By 1 t`,
Signature ~j Department Head
Print Name Print Name
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.
Contractor (Date)
Contract for Goods and Services Less than $25,000, Revised 07/08/2014, Page 4 of 5
KvIe
PAINTING
Residential & Commercial Painting Contractor
Contractor License # 0119361
August 19, 2014
Ashland Parks & Recreation
City of Ashland
Attn: Jason Minica
Email: minica@ashland.ontis
Cc: bruce.dickens mashland.onus
1 propose to supply all equipment, labor and materials to prepare and paint the exterior of
the following buildings located at Hunter Park and Garfield Park, Ashland.
Preparation includes: Treating mildew. Pressure washing. Scraping loose paint.
Caulking cracks and voids with elastomeric caulking. Masking and covering adjacent
surfaces not to be painted.
Painting includes: Paint exterior block with exterior block filler. Prime bare wood
exposed from scraping with acrylic stain blocking wood primer. Applying two coats of
Sherwin-Williams SuperPaint satin the color "Virtual Taupe" SW-7039 on the body of
buildings and the color "Accessible Beige" SW-7036 on trim. Doors and jambs shall be
painted with Solo semi-gloss, the color "Rustic Red" SW-7593. (These are the same
products and colors used on the Hunter Park pool bldg.)Primer and paint shall be worked
into porous surfaces with brush or roller so as to fill small cracks.
The above mentioned work shall be completed for the following amounts:
Hunter Park restroom bldg, 1705 Homes St $5250.00
Garfield Park restroom bldg, 40 Garfield St $3575.00
Please call me if you have any questions. If you would like to accept this bid, please sign
the acceptance and return a copy to our office.
Sincerely,
Rick Stevens Acceptance:
Mobile 541-621-1634
107 E. Main Street #5 • Medford, Oregon 97501 • (541) 772-8287 • Fax (541) 784-5644
Email: rickspaintingco@clearwire.net
9STEVRI OP ID: PB
CERTIFICATE OF LIABILITY INSURANCE OATE(MM/DD/YYY()
09/09/2014
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 I
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 endorsement(s).
PRODUCER Phone: 541-779-4232 E CT '
Hart Insurance Fax: 541-772-3963 PHONE FAX
1123 Royal Ave. 4tal E:t • A/C No :
Medford, OR 97504 ADDRESS:
Hart Insurance/ Medford
INSURERS AFFORDING COVERAGE NAIL #
INSURER A:Sentinal Insurance Co 22357
INSURED Rick Stevens Painting Co INSURERS :
107 E Main St #5
Medford, OR 97501 INSURERC: j
INSURER D :
INSURER E:
j
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.
INSR ADOL BUSH
LTR TYPE OF INSURANCE POLICY EFF Pq Y P
POLICY NUMBER (MWDWYYYYI IMMIDDIYYYYI LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00
A X COMMERCIAL GENERAL LIABILITY X 52SBAZV6624 12101/2013 12101/2014 PREMISES Ea occurrence $ 1,000,00
CLAIMS WADE IX OCCUR MED EXP (Any one person) $ 10,00
PERSONAL B ADV INJURY $ 1,000,00
GENERAL AGGREGATE $ 2,000,00
GEN'L AGGREGATE LIMIT APPLIES PER; PRODUCTS - COMP/OP AGG $ 2,000,00
POLICYFX1 F-1 PRO LOG $
AUTOMOBILE LIABILITY COMBi ant INGLE LIMIT 1,000,00
A X ANYAUTO 62UECNK6616 12101/2013 12/0112014 BODILY INJURY(Perperson) S
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $
AUTOS AUTOS
HIRED AUTOS NON-OWNED PROPERTY DAMAGE
AUTOS Per eccldenl $
UMBRELLA LIAB HOCCUR [AGREGATE H OCCURRENCE $
EXCESS LIAR CLANS-MADE $
DIED RETENTION $
WORKERS COMPENSATION WC STATU- OTH-
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTNE YIN
OFFICERIMEMBER EXCLUDED7 E-1 NIA EL. EACH ACCIDENT S
(Mandatory In NH) E.L. DISEASE - EA EMPLOYEE S
If yyes, describe under
DESCRIP710N OF OPERATIONS below EL. DISEASE - POLICY LIMIT S
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
City of Ashland Parks & Recreation Dept are included as additional insured
per form SS0008 04/05 attached. II
minicaj@ashland.or.us
CERTIFICATE HOLDER CANCELLATION
CITYASI
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.
Parks and Recreation
Jason Minica AUTHORIZED RE RESENTATA/E
340 S Pioneer Street Hart Insur ce / M for
Ashland, R 97520
®1988-2010 ACORD CO RATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
www.saif.com
Oregon Workers' Compensation -4. PAP f
Certificate o Insurance
Poop corporation
Certificate holder:
ASHLAND PARKS & RECREATION
ATTN: JASON MINICA
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
Rick Stevens Painting Co SAIF Corporation
107 E Main St Ste 5 Sheri L Klug
Medford, Or 97501-6022 541.338.6705 sheklu@saif.com
Issued 09/09/2014 Limits of liability
Policy 499826 Bodily Injury by Accident $500,000 each accident
Period 10/01/2014 to 10/01/2015 Bodily Injury by Disease $500,000 each employee
Body Injury by Disease $500,000 policy limit
Description of operations/locations/special items
Hunter Park/Garfield Park restroom bldgs.
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
I
John D. Gilkey
Interim President and CEO
400 High Street SE
Salem, OR 97312
P: 800.285.8525
F: 503.584.9812
Policy_OLCA CertificateOflnsufance
www.saif.com
Oregon Workers' Compensation
f sa
Certificate o Insurance
,corporation
Certificate holder:
ASHLAND PARKS & RECREATION
ATTN: JASON MINICA
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
Rick Stevens Painting Co SAIF Corporation
107 E Main St Ste 5 Sheri L Klug
Medford, Or 97501-6022 541.338.6705 sheklu@saif.com
Issued 09/09/2014 Limits of liability
Policy 499826 Bodily Injury by Accident $500,000 each accident
Period 10/01/2013 to 10/01/2014 Bodily Injury by Disease $500,000 each employee
Body Injury by Disease $500,000 policy limit
Description of operations/locations/special items
Hunter Park/Garfield Park restroom bldgs.
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
b 1/tl-7
John D. Gilkey
Interim President and CEO
400 High Street SE
Salem, OR 97312
P: 800.285.8525
F: 503.584.9812
Policy_OLCA_Cer ificateOflnsurance
i
I
r
i
M I
CY)
r
r
I ~ W C
0
2c 4)) a o O
j Z) E w o z
Q z w
C> 0
O 0 0 Z O O O w
m D c`h cZpo- p I
Z C
NN N N O QQ
W t6 N Cn Ef? O fn w
U O 0 i- 0 0 w U
Z W
J m hw- 0 EL < 0Oow0
O Q 0 Cq m m e- I-- 1-
U Za-z< w~Sa
V Q m a0F>--OZ~ZYtn
Z U
0 4) NWF-ao~itW
OQ w
c!) C7 aci ~t=cn~
~ w wo? W Ov~z x O
O Z
LL W
00 Q it
w W
Ea- Z
W 3
N
Ov
U z O
z
Q
~ 0-
rn
U-)
w co
i-- ca
w~0
4) >Z O N
wQw (L)
m m
W° E
y C) w 452
c ca
I ~ mw
fn o C
M
W V
z
LC) CL
H ~
O
Z h g
z ~
g a w x
o crt a z
cry v O O
w m .G1 F• V
4
O L?
O
IL
1- OD co
O
C9 o N O
Ww n
o
O W z `
ZZ Z a -
O T
Q m F
a O f=
o LL
LL z
- O
o
O O
F- < co
0 Z z z ,U Z
ca g o
wW Q rn Ul)
cr
C) w
z co 0
j
m ) Q
I- co O
U) Y uj U.
UN 0
p W
Y x Lcj g
z U
a
~ g
ai Z4 '
Page 1 / 1
ASHLAND PARK COMMISSION' 20 E MAIN-ST. DATE _ PO NUMBER
ASHLAND, OR 97520 9/1112014 00395
(541) 488-5300
VENDOR: 004409 SHIP TO:
RICK STEVENS PAINTING
107 E MAIN STREET #5
MEDFORD, OR 97501
FOB Point: Req. No.:
Terms: net Dept.:
Req. Del. Date: contact: Jason Minica - Bruce Dickens
Special Inst: Confirming? NO
Quantity Unit Description Unit Price Ext. Price
Contractor to supply all equipment, 8,825.00
labor and materials to prepare and
paint the exterior of Hunter Park
restroom buildinq at a cost of
$5,250.00 and Garfield Park restroom
buildinq at a cost of $3,575.00 per bid
dated Auqust 19, 2014.
Contract for Goods and Services
Beqinninq date: September 15, 2014
Completion date: October 17, 2014
i
SUBTOTAL 8.825.00
BILL TO: TAX 0.00
FREIGHT 0.00
TOTAL 8,825.00
Account Number Project Number Amount Account Number Project Number Amount
E 211.12.02.06.60211 E 000062.999 8,825.00
n Authorized Signature VENDOR COPY
LFORM #3 CITY OF
A 'request for a Purchase Order ASHLAND
REQUISITION Date of request:
Required date for delivery:
Vendor Name t S
Address, City, State, Zip OrL
Contact Name & Telephone Number
Fax Number
SOURCING METHOD
❑ Exempt from Competitive Bidding ❑ Emergency
❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Form #13, Written findings and Authorization
❑ AMC 2.50 Date approved by Council: ❑ Written quote or proposal attached
❑ Written quote or ro osal 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
DE (3) Written quotes and solicitation attached ❑ Form #4, Personal Services $5K to $75K Contract #
PERSONAL SERVICES Ord o' E] Special Procurement Intergovernmental Agreement
$5,000 to $75,000 F-1 Agency
❑ Form #9, Request for Approval
F] Less than $35,000, by direct appointment El Written quote or proposal attached Date original contract approved by Council:
El (3) Written proposals/written solicitation Date approved by Council: (Date)
❑ Form #4, Personal Services $5K to $75K Valid until: (Date) I
Description of SERVICES Total Cost
~ g~gZs
Item # Quantity Unit Description of MATERIALS Unit Price Total Cost
❑ Per attached quote/proposal TOTAL COST
4
Project Number 0""064-Account Number---. Account Number2 It - It - 61--((e- 461-046 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:
IT Director I Date Support -Yes / No
By signing this requisif' n form, I certify that the City's public contracting requirements have been satisfied---
Employee: Department Head:
(Equal tutor greater than $5,000)
Department anagerlSupervisor: City Administrator:
(Equal to or greater than $25,000)
Funds appropriated for current fiscal year: NO 1 61
Finan a Director (Equal to or greater than $5,000) Date
Comments:
Form #3 - Requisition