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2016-110 Contract - Jenfab Steel
Contract for GOODS AND SERVICES Less than $25,000 CITY OF CONTRACTOR: Jenfab Steel -AS H LA N D CONTACT: Josh Doak, Project Manager 20 East Main Street Ashland, Oregon 97520 ADDRESS: 620 Brian Way, Medford, OR 97501 Telephone: 541/488-6002 Fax: 541/488-5311 TELEPHONE: (541) 261-0567 DATE AGREEMENT PREPARED: May 11, 2016 FAX: (541) 776-4812 BEGINNING DATE: May 16, 2016 COMPLETION DATE: June 17, 2016 COMPENSATION: $16,510.00 (see attached) GOODS AND SERVICES TO BE PROVIDED: Installation of handrailing for newly reconstructed Chautauqua Walkway see attached 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 C' 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 27913.220, 27913.225, 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 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: Contract for Goods and Services Less than $25,000, Revised 06/02/2015, Page 1 of 5 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 $2,000,000 for each occurrence for Bodily Injury and Property Damage. C. Automobile Liability insurance with a combined single limit, or the equivalent, of not less than $1,000,000 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 insurers to Contract for Goods and Services Less than $25,000, Revised 06/02/2015, Page 2 of 5 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 f~ By By Jo `Signature Department He d PC() Print Name Print Name - C -M e(, r , '5-4 ~ i /L 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 06/02/2015, 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 in a speecifiGVortim ktc e , set-aside--as-the le udion-of- the- business-V" (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. ~ r 1 Con or (Date) Contract for Goods and Services Less than $25,000, Revised 06/02/2015, Page 4 of 5 CITY • ASHLAND, OREGON EXHIBIT B City of Ashland LIVING- WA er hour effective June 30, 2015 (Increases annually every June 30 by the ~r Consumer Price Index) • . • • . portion of business of their 401K and IRS eligible employer, if the employer has cafeteria plans (including ten or more employees, and childcare) benefits to the has received financial amount of wages received by assistance for the projector the employee. ➢ For all hours worked under a business from the City of service contract between their Ashland in excess of ➢ Note: "Employee" does not employer and the City of $20,142.20. include temporary or part- Ashland if the contract time employees hired for less exceeds $20,142.20 or more. ➢ If their employer is the City of than 1040 hours in any Ashland including the Parks twelve-month period. For ➢ For all hours worked in a and Recreation Department more details on applicability month if the employee spends of this policy, please see 50% or more of the ➢ In calculating the living wage, Ashland Municipal Code employee's time in that employers may add the value Section 3.12.020. month working on a project or of health care, retirement, • additional information: Call the Ashland City Administrator's office at 541-488-6002 or write to the City Administrator, City Hall, 20 East Main Street, Ashland, OR 97520 orvisit the city's website at www.ashland.or.us. Notice to Employers: This notice must be posted predominantly in areas where it can be seen by all employees. CITY OF ASHLAND Contract for Goods and Services Less than $25,000, Revised 06/02/2015, Page 5 of 5 620 Brian Way, Medford, OR 97501 jonathan cr jenfahsteel.com Ce11: 541.261.0567 Fax: 541.776.4812 Karl Johnson City of Ashland Engineering Department 20 East Main Street Ashland, OR 97520 RE: City of Ashland, Chautauqua Walkway Hand Railing Jenfab agrees to provide materials and labor to fabricate and install handrailing as specified in City of Ashland Bid Documents (Form #2, Release date: May 4, 2016). Bid includes the following: Materials: Total $1,545 10 - 20' lengths of 1 round tube base plate material All hardware for mounting and securing Finish: Total $1,275 Semi gloss black powder coat Labor hours: Total $13,690 Includes shop fabrication at City of Ashland living wage rate or above; on site test fitting and final installation at prevailing wage rates Bid Exclusions Any additional concrete work Inspection fees Grand Total: $16,510 Thank you for giving Jenfab the opportunity to bid on this project. Josh Doak Project Manager 541-301-1688 JD/ do Attachments CITY OF ASHLAND INVITATION TO BID - TRADE SERVICES Project located near the intersection of E. Main Street and Oak Street at the Chautauqua Walkway. Please indicate your quotation for each of the following items as indicated below Item Description Quantity Unit Amount MOBILIZATION AND TRAFFIC CONTROL Mobilization LS 1 ~J 1 Traffic Control LS 1 RIGHT OF WASH Install Handrailing F LS T 1 Chautauqua Walkway Handrailing Bid Total $ f fo S 1 a► 0o QUOTE MUST BE RECEIVED BY: 2:00 PM, Wednesdav, May 11, 2016 Date: o 1 (o By: gnature t~o S i, o 4:= Address: (p a Printed Name Title Z)~,)4-6 Company Phone: G:\pub-,N-rks\eng\2014 Project Year\14-06 Chautauqua Walk Rep lacement\A_Admin\Cons Vendor2\Contract DocumentsWinal Contr Docs\14-06 Chautauqua Walk - Form 2 - Intermediate Procurement Request for Proposal - TRADE SERVICES doc JENFLLC-01 PHITE CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 5/13/2016 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 endorsement(s). PRODUCER CONTACT NAME: Medford Office PHONE FAx PayneWest Insurance, Inc. A/C No Ext : 541) 779-1321 A/C No : (541) 779-9187 38 North Central Ave. E-MAIL ADDRESS: Medford, OR 97501 INSURER(S) AFFORDING COVERAGE NAIL # INSURER A : Westem National Assurance Co 24465 INSURED INSURER B : Jenfab, LLC INSURER C : Jonathan Jensen 620 Brian Way INSURER D Medford, OR 97501 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. INSR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSO WVD POLICY NUMBER (MM/DWYYYY) MM/DD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ~ OCCUR CPP103525605 02115/2016 02/1512017 PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,00 X POLICY F ] JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,00 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION PER _T OTH- AND EMPLOYERS LIABILITY Y / N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E. L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Project: Chautauqua Walkway Ashland CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Karl Johnson ACCORDANCE WITH THE POLICY PROVISIONS. 20 E. Main St. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ataz'a-" Aw ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD www.saif.com Oregon Workers' Compensation -4. Ph- say Certificate of Insurance F-wcorporation Certificate holder. JENFAB, LLC 620 BRIAN WAY MEDFORD, OR 97501 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 Cardinal Services Inc Wha Insurance Agency Inc 110 Ackerman Ave Tammy Jeffries Coos Bay, OR 97420-3001 541.342.4441 tjefries@whainsurance.com Issued 05/04/2016 Limits of liability Policy 950384 Bodily Injury by Accident $1,000,000 each accident Period 10/01/2015 to 1010112016 Bodily Injury by Disease $1,000,000 each employee Body Injury by Disease $1,000,000 policy limit Description of operations/locations/special items Important This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies above. This certificate does not constitute a contract between the issuing insurer, authorized representative or producer and the certificate holder. Authorized representative ) 4." PX Kerry Barnett President and CEO 400 High Street SE Salem, OR 97312 P: 800.285.8525 F: 503.584.9812 Porcy_oLcn cer iricateofinsurance CERTIFICATE OF LIABILITY INSURANCE OA`m(mmfi V"1m THfS CERTIFICA AS A MATTER OF INFORMATION JUDi JOHNSON ONLY AND CONFERS NO RWITS UPON THE CERTFICATE STATE FARM INSURANCE HOLDER. THIS CERTIFICATE DOES NOT All MD, EXTEND OR 645 N STH ST ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. JACKSONVILLE OR 57530 INSMERS AFFORDING COVERAGE NAIL # INSURED INSURER A. Sbft Fam No but AuWmob% hmnvam CoMpa" 25178 JONATHAN JENSEN INSUIU R eL PO Box is wSLxtER c: JACKSOWLLE OR 97530 INSURM Q INSURER E: COVERAGES THE POLICIES OF INSURANCE M BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERNS, EXCLUSIONS AND CONDITIONS OF SUCH POLtCIES. AGGREGATE LIMITS SHOYM MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILm TYPE Ole W$vRAfICE POLICY IN MBER APOCY I EFFECTIVE ~ Y mamm t GENERAL LIABII.ITY EACH OCCURREb" t MAMAGE TO RENTED COMMERCIAL GENERAL LIAIEUTY PROS Me qg~) $ CLAIMS MADE I OCCUR MED EXP (Any one ice) $ PERSONAL & ADU INJURY S GENERAL AGGREGATE $ GEWL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG 5 RO- LAC ; POLICY P JECT AUT0tii0BILE UABL ITV COMBINED SINGLE LIMIT ; ANY AUTO (Ea ) ALL OWNED AUTOS BODILY INJURY $ 1,000,000 X SCHEDULEDAUTOS 3214865-CXM-37 8:i1 MIG 4 1Aie (~P ) HIRED AUTOS BODILY INJURY k NON-OVIMED AUTOS (Per aoddwo) 8 11000.000 ~ PROP E : 1,000.01 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN EAACC S AUTO ONLY: AGG S EXCESS t UIIIBRELLA LIABILITY EACH OCCURRENCE S OCCUR FICLAIMS MADE AGGREGATE $ S R DEDUCTIBLE ; RETENTION S =RK> ISCOMPONIATION AND TORY LNINT$ ER EmpLDY6RS,L A91E/TY ANY PROPRLETORfP ICYIN r-J^I E.L.. EACH AGMENT S OFFICERNAE MBER EKCLUDED? tTyn=8 IWO under E. L DISEASE - EA R!Pi. S N EL DISEASE - POLICY LW r s nkm OTHER DESCWTION OF OPERATIONS I LOCATIONS I WHWA ES I EXCLUSgNS ADIOLIID BY ENDORSEAWNT I SPECIAL. PROVISIOM 2014 FORD F350 - YIN #IFT8W36TSEE1319188 CERTIFICATE HOLDER CANCELLATION CITY OF ASHLAND SHOULD ANY Of THE ABOVE DAD POLMUES BE CANCELLED BEFORE THE EXPHRATIOM DATE THEREOF. THE ISSUIN0 INSURER WILL ENMAVOR TO MA L 10 DAYS 1NRITTE N NOTICE TO THE CERTWIGATE HOLDER NMW TD THE UWT, BUY FAILURE TO DO 80 SMALL. TION OR LLAWL ITY OF ANY KIND UPON TM INSURER ITS AGENTS OR ATIYES. AU Vft A00RD 26 W) 19118-2009 ACORD CORPORATION. All rignft reserved. The ACORD name and logo are registered marks of ACORD 1001486 1328493 D4-06-2009 CITY OF S H LA N FORM #2 INVITATION TO BID - TRADE SERVICES INTERMEDIATE PROCUREMENT Release date: May 4, 2016 Requested by: Karl Johnson, Engineering Department, (541) 488-5347, karl.johnson@ashiand.or.us Bids are due by: 2:00pm, Wednesday, May 11, 2016 Project name: Chautauqua Walkway Replacement - Handrailing Installation Job site location: 48 E. Main Street, Chautauqua Walkway Project completion required by: Friday, June 17, 2016 Bids may be emailed or hand delivered. Contractors shall submit bid on their company letterhead. Informal email bids and/or late bids will not be accepted. Terms or discounts which are conditioned upon payment within a certain time will not be considered for purposes of comparison of bids. The successful contractor will be required to enter into a contract with the City for the services and provide insurance certificates in their own name for General Liability, Automobile and Workers' Compensation. Workers' Compensation insurance is mandatory. Subcontracting will not be permitted. "OR EQUAL": Any brand name listed in the specifications as "or equal" or `or equivalent' shall establish the minimum requirements for quality, utility, durability, function, purpose, etc. Other product brands may be offered that are equal to or better than the product brand name. Bidder may show cost difference, alternates and options in the space provided in the quote. This clause is not meant to be restrictive, but to set the minimum standard. THE CITY SHALL DETERMINE, IN ITS SOLE DISCRETION, WHETHER A PRODUCT OFFERED IS "EQUAL." When the designation is "or equal" or "equivalent" City shall make its decision after Bid Closing. SCOPE OF SERVICES The Contractors-hall design, ftn r7ish, fakir irate, and install handrails and apptu•tenances on both sides of the recently replaced Chawaugita Walkway (atpproxiincite total length 01'200-linear feet), all in accordance with the regztirernents of the attached as it-ell as itenls listed below. • Sehedule 40 steel pipe, 1 " nominal dicrrneter shall be used. • 131ack potirdercoating shall be used oft crll hartdjuils ar~d appatrtenances, • Use anchor plate to attach handrail to existing curb, • Appropriate Prevailing 61 urge rates must be paid to emplol•ees, All Pricing Must Be Held Firm For 30 Days Method of Award: ORS 279B. 070 Intermediate Procurements. (4) If a contract is awarded, the contracting agency shall award the contract to the offeror whose quote or proposal will best serve the interests of the contracting agency, taking into account price as well as considerations including, but not limited to, experience, expertise, product functionality, suitability for a particular purpose and contractor responsibility under ORS 279B.110. Form #2 - Intermediate Procurement, Invitation to Bid, Trade Services, Page 1 of 2, 5/3/2016 IL11 UNITED STATES ACCESS BOARD Chapter 5: General Site and Building Elements 505 Handrails 505.1 General. Handrails provided along walking surfaces complying with 403, required at ramps complying with 405, and required at stairs complying with 504 shall comply with 505. Advisory 505.1 General. Handrails are required on ramp runs with a rise greater than 6 inches (150 mm) (see 405.8) and on certain stairways (see 504). Handrails are not required on walking surfaces with running slopes less than 1:20. However, handrails are required to comply with 505 when they are provided on walking surfaces with running slopes less than 1:20 (see 403.6). Sections 505.2, 505.3, and 505.10 do not apply to handrails provided on walking surfaces with running slopes less than 1:20 as these sections only reference requirements for ramps and stairs. 505.2 Where Required. Handrails shall be provided on both sides of stairs and ramps. EXCEPTION: In assembly areas, handrails shall not be required on both sides of aisle ramps where a handrail is provided at either side or within the aisle width. 505.3 Continuity. Handrails shall be continuous within the full length of each stair flight or ramp run. Inside handrails on switchback or dogleg stairs and ramps shall be continuous between flights or runs. EXCEPTION: In assembly areas, handrails on ramps shall not be required to be continuous in aisles serving seating. 505.4 Height. Top of gripping surfaces of handrails shall be 34 inches (865 mm) minimum and 38 inches (965 mm) maximum vertically above walking surfaces, stair nosings, and ramp surfaces. Handrails shall be at a consistent height above walking surfaces, stair nosings, and ramp surfaces. Advisory 505.4 Height. The requirements for stair and ramp handrails in this document are for adults. When children are the principal users in a building or facility (e.g., elementary schools), a second set of handrails at an appropriate height can assist them and aid in preventing accidents. A maximum height of 28 inches (710 mm) measured to the top of the gripping surface from the ramp surface or stair nosing is recommended for handrails designed for children. Sufficient vertical clearance between upper and lower handrails, 9 inches (230 mm) minimum, should be provided to help prevent entrapment CK) tD CD 0) ~n m C40) co a MMM" stairs ramps walking surbces Figure 505.4 Handrail Height 505.5 Clearance. Clearance between handrail gripping surfaces and adjacent surfaces shall be 1'/2 (38 mm) minimum. 1 /2 mi "1 38 Figure 505.5 Handrail Clearance 505.6 Gripping Surface. Handrail gripping surfaces shall be continuous along their length and shall not be obstructed along their tops or sides. The bottoms of handrail gripping surfaces shall not be obstructed for more than 20 percent of their length. Where provided, horizontal projections shall occur 11/2 (38 mm) minimum below the bottom of the handrail gripping surface. EXCEPTIONS: 1. Where handrails are provided along walking surfaces with slopes not steeper than 1:20, the bottoms of handrail gripping surfaces shall be permitted to be obstructed along their entire length where they are integral to crash rails or bumper guards. 2. The distance between horizontal projections and the bottom of the gripping surface shall be permitted to be reduced by 1 /8 inch (3.2 mm) for each 1/2 inch (13 mm) of additional handrail perimeter dimension that exceeds 4 inches (100 mm). Advisory 505.6 Gripping Surface. People with disabilities, older people, and others benefit from continuous gripping surfaces that permit users to reach the fingers outward or downward to grasp the handrail, particularly as the user senses a loss of equilibrium or begins to fall. C: . co E r Figure 505.6 Horizontal Projections Below Gripping Surface 505.7 Cross Section. Handrail gripping surfaces shall have a cross section complying with 505.7.1 or 505.7.2. 505.7.1 Circular Cross Section. Handrail gripping surfaces with a circular cross section shall have an outside diameter of 11/4 inches (32 mm) minimum and 2 inches (51 mm) maximum. 505.7.2 Non-Circular Cross Sections. Handrail gripping surfaces with a non-circular cross section shall have a perimeter dimension of 4 inches (100 mm) minimum and 61/4 inches (160 mm) maximum, and a cross-section dimension of 21/4 inches (57 mm) maximum. 4-6! 4 perimeter lam' J f 2Y4 max Q..' a s 1, tf 'y4 (b) Figure 505.7.2 Handrail Non-Circular Cross Section 505.8 Surfaces. Handrail gripping surfaces and any surfaces adjacent to them shall be free of sharp or abrasive elements and shall have rounded edges. 505.9 Fittings. Handrails shall not rotate within their fittings. 505.10 Handrail Extensions. Handrail gripping surfaces shall extend same direction of stair flights and ramp runs in accordance with 505. beyond and in the 10. EXCEPTIONS: 1. Extensions shall not be required for conti inside turn of switchback or dogleg stairs and ramps. nuous handrails at the 2. In assembly areas, extensions shall not be required for ram seating where the handrails are discontinuous to provide access p handrails in aisles serving crossovers within aisles. to seating and to permit 3. In alterations, full extensions of handrails shall not be re u' would be hazardous due to plan configuration. q gyred where such extensions 505. 10.1 Top and Bottom Extension at Ramps. Ram handrails above the landing for 12 inches (305 mm) minimum beyond shall extend horizontally runs. Extensions shall return to a wall, guard, or the landing sue top and bottom of ramp continuous to the handrail of an adjacent ramp run. b rface, or shall be 12 rain 12 min 305 4 Figure 505.10.1 Top and Bottom Handrail Extension at Ramps 505.10.2 Top Extension at Stairs. At the top of a stair flight, handrails above the landing for 12 inches (305 mm) mishall extend above the first riser nosing. Extensions shall return toa mum beginning directly surface, or shall be continuous to the handrail of an ad.l'aentlstalrguard, flight. the landing . 12 min 305 ;rim* Figure 505.10.2 Top Handrail Extension at Stairs 505.10.3 Bottom Extension at Stairs. At the bottom of a stair flight, handrails shall extend at the slope of the stair flight for a horizontal distance at least equal to one tread depth beyond the last riser nosing. Extension shall return to a wall, guard, or the landing surface, or shall be continuous to the handrail of an adjacent stair flight. Note- x . tread depth Figure 505.10.3 Bottom Handrail Extension at Stairs MEANS OF EGRESS where the exit or the path of egress travel is not immediately (152 mm) high with the principal strokes of the letters not visible to the occupants. Intervening means of egress doors less than 3/4 inch (19.1 mm) wide. The word "EXIT" shall within exits shall be marked by exit signs. Exit sign place- have letters having a width not less than 2 inches (51 mm) ment shall be such that no point in an exit access corridor or wide, except the letter "I," and the minimum spacing exit passageway is more than 100 feet (30 480 mm) or the between letters shall not be less than 3/a inch (9.5 mm). listed viewing distance for the sign, whichever is less, from Signs larger than the minimum established in this section the nearest visible exit sign. shall have letter widths, strokes and spacing in proportion Exceptions: to their height. 1. Exit signs are not required in rooms or areas that The word "EXIT" shall be in high contrast with the require only one exit or exit access. background and shall be clearly discernible when the means of exit sign illumination is or is not energized. If a 2. Main exterior exit doors or gates that are obviously chevron directional indicator is provided as part of the exit and clearly identifiable as exits need not have exit sign, the construction shall be such that the direction of the signs where approved by the building official. chevron directional indicator cannot be readily changed. 3. Exit signs are not required in occupancies in Group 1011.6.2 Exit sign illumination. The face of an exit sign U and individual sleeping units or dwelling units in illuminated from an external source shall have an intensity Group R-1, R-2 or R-3. of not less than 5 footcandles (54 lux). 4. Exit signs are not required in dayrooms, sleeping 1011.6.3 Power source. Exit signs shall be illuminated at rooms or dormitories in occupancies in Group I-3. all times. To ensure continued illumination for a duration 5. In occupancies in Groups A-4 and A-5, exit signs of not less than 90 minutes in case of primary power loss, are not required on the seating side of vomitories or the sign illumination means shall be connected to an emer- openings into seating areas where exit signs are pro- gency power system provided from storage batteries, unit vided in the concourse that are readily apparent from equipment or an on-site generator. The installation of the the vomitories. Egress lighting is provided to iden- emergency power system shall be in accordance with tify each vomitory or opening within the seating Chapter 27. area in an emergency. Exception:'Approved exit sign illumination means that 1011.2 Floor-level exit signs in Group R-1. Where exit provide continuous illumination independent of exter- signs are required in Group R-1 occupancies by Section nal power sources for a duration of not less than 90 1011.1, additional low-level exit signs shall be provided in all minutes, in case of primary power loss, are not required areas serving guestrooms in Group R-1 occupancies and shall to be connected to an emergency electrical system. comply with Section 1011.5. The bottom of the sign shall be not less than 10 inches SECTION 1012 (254 mm) nor more than 12 inches (305 mm) above the floor HANDRAILS level. The sign shall be flush mounted to the door or wall. Where mounted on the wall, the edge of the sign shall be 1012.1 Where required. Handrails for stairways and ramps within 4 inches (102 mm) of the door frame on the latch side. shall be adequate in strength and attachment in accordance with Section 1607.8. Handrails required for stairways by 1011.3 Wally illuminated. Illumination. Exit signs shall be internally or exter- Section 1009.15 shall comply with Sections 1012.2 through ally 1012.9. Handrails required for ramps by Section 1010.9 shall Exception: Tactile signs required by Section 1011.4 need comply with Sections 1012.2 through 1012.8. not be provided with illumination. 1012.2 Height. Handrail height, measured above stair tread 1011.4 Raised character and Braille exit signs. A sign stat- nosings, or finish surface of ramp slope, shall be uniform, not ing EXIT in raised characters and Braille and complying with less than 34 inches (864 mm) and not more than 38 inches ICC A117.1 shall be provided adjacent to each door to an (965 mm). Handrail height of alternating tread devices and area of refuge, an exterior area for assisted rescue, an exit ship ladders, measured above tread nosings, shall be uniform, stairway, an exit ramp, an exit passageway and the exit dis- not less than 30 inches (762 mm) and not more than 34 inches charge. (864 mm). 1011.5 Internally illuminated exit signs. Electrically pow- Exceptions: ered, self-luminous and photoluminescent exit signs shall be 1. When handrail fittings or bendings are used to pro- listed and labeled in accordance with UL 924 and shall be vide continuous transition between flights, the fit- installed in accordance with the manufacturer's instructions tings or bendings shall be permitted to exceed the and Chapter 27. Exit signs shall be illuminated at all times. maximum height. 1011.6 Externally illuminated exit signs. Externally illumi- 2. In Group R-3 occupancies; within dwelling units in nated exit signs shall comply with Sections 1011.6.1 through Group R-2 occupancies; and in Group U occupan- 1011.6.3. cies that are associated with a Group R-3 occupancy 1011.6.1 Graphics. Every exit sign and directional exit or . associated with individual dwelling units in sign shall have plainly legible letters not less than 6 inches Group R-2 occupancies; when handrail fittings or 268 2014 OREGON STRUCTURAL SPECIALTY CODE MEANS OF EGRESS s bendings are used to provide continuous transition 4. Where handrails are provided along walking sur- between flights, transition at winder treads, transi- faces with slopes not steeper than 1:20, the bottoms tion from handrail to guard, or -when used at the of the handrail gripping surfaces shall be permitted start of a flight, the handrail height at the fittings or to be obstructed along their entire length where they bendings shall be permitted to exceed the maximum are integral to crash rails or bumper guards. height. 1012.5 Fittings. Handrails shall not rotate within their fit- 1012.3 Handrail graspability. All required handrails shall tings. comply with Section 1012.3.1 or shall provide equivalent 1012.6 Handrail extensions. Handrails shall return to a wall, graspability. - guard or the walking surface or shall be continuous to the Exception: In Group R-3 occupancies; within dwelling handrail of an adjacent stair flight or ramp run. Where hand- units in Group R-2 occupancies; and in Group U occupan- rails are not continuous between flights, the handrails shall cies that are accessory to a Group R-3 occupancy or acces- extend horizontally at least 12 inches (305 mm) beyond the sory to individual dwelling units in Group R-2 top riser and continue to slope for the depth of one tread occupancies; handrails shall be Type I in accordance with beyond the bottom riser. At ramps where handrails are not Section 1012.3.1, Type H in accordance with Section continuous between runs, the handrails shall extend horizon- 1012.3.2 or shall provide equivalent graspability. tally above the landing 12 inches (305 mm) minimum beyond the top and bottom of ramp runs. The extensions of handrails 1012.3.1 Type I. Handrails with a circular cross section shall be in the same direction of the stair flights at stairways shall have an outside diameter of at least 11/4 inches (32 and the ramp runs at ramps. mm) and not greater than 2 inches (51 mm). Where the handrail is not circular, it shall have a perimeter dimension Exceptions: of at least 4 inches (102 mm) and not greater than 61/4 1. Handrails within a dwelling unit that is not required inches (160 mm) with a maximum cross-sectional dimen- to be accessible need extend only from the top riser sion of 21/4 inches (57 mm) and minimum cross-sectional to the bottom riser. I dimension of 1 inch (25 mm). Edges shall have a minimum 2. Aisle handrails in rooms or spaces used for assem- radius of 0.01 inch (0.25 mm). bly purposes in accordance with Section 1028.13. 1012.3.2 Type 11. Handrails with a perimeter greater than 3. Handrails for alternating tread devices and ship lad- 61/4 inches (160 mm) shall provide a graspable finger ders are permitted to terminate at a location verti- recess area on both sides of the profile. The finger recess cally above the top and bottom risers. Handrails for shall begin within a distance of 3/4 inch (19 mm) measured alternating tread devices and ship ladders are not vertically from the tallest portion of the profile and required to be continuous between flights or to achieve a depth of at least 5/16 inch (8 mm) within '/8 inch extend beyond the top or bottom risers. (22 mm) below the widest portion of the profile. This required depth shall continue for at least 3/$ inch (10 mm) 1012.7 Clearance. Clear space between a handrail and a wall to a level that is not less than 13/4 inches (45 mm) below or other surface shall be a minimum of 1 /2 inches (38 mm). A the tallest portion of the profile. The minimum width of handrail and a wall or other surface adjacent to the handrail 1 shall be free of any sharp or abrasive elements. the handrail above the recess shall be 1 /4 inches (32 mm) to a maximum of 23/4 inches (70 mm). Edges shall have a 1012.8 Projections. On ramps, the clear width between minimum radius of 0.01 inch (0.25 mm). handrails shall be 36 inches (914 mm) minimum. Projections into the required width of stairways and ramps at each side 1012.4 Continuity. Handrail gripping surfaces shall be con- shall not exceed 41/2 inches (li4 mm) at or below the hand- tinuous, without interruption by newel posts or other obstruc- rail height. Projections into the required width shall not be tions. limited above the minimum headroom height required in Sec- Exceptions: tion 1009.5. Projections due to intermediate handrails shall 1. Handrails within dwelling units are permitted to be not constitute a reduction in the egress width. interrupted by a newel post at a turn or landing. 1012.9 Intermediate handrails. Stairways shall have inter- mediate handrails located in such a manner that all portions 2. Within a dwelling unit, the use of a volute, turnout, of the stairway width required for egress capacity are within starting easing or starting newel is allowed over the 30 inches (762 mm) of a handrail. On monumental stairs, lowest tread. handrails shall be located along the most direct path of egress 3. Handrail brackets or balusters attached to the bottom travel. surface of the handrail that do not project horizon- tally beyond the sides of the handrail within 11/2 inches (38 mm) of the bottom of the handrail shall SEC S not be considered obstructions. For each V. inch GUARDS (12.7 mm) of additional handrail perimeter dimen- 1013.1 General. Guards shall comply with the provisions of sion above 4 inches (102 mm), the vertical clearance Sections 1013.2 through 1013.7. Operable windows with sills dimension of 11/2 inches (38 mm) shall be permitted located more than 72 inches (1.83 m) above finished grade or to be reduced by 1/a inch (3 mm). other surface below shall comply with Section 1013.8. 2014 OREGON STRUCTURAL SPECIALTY CODE 269 ~ ~ ~ ~ tin IQ) t CV) . U © U ' r Q C: 8 j v Q ~ ~ 2 ,L t t V k C) C _ Q NOR ° .0 co , 'To cv cv CZY) v Page 1 / 1 CITY OF _ ,AS H LAND DATE PO NUMBER 20 E MAIN ST. 5/23/2016 13546 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 020184 SHIP TO: Ashland Public Works JENFAB (541) 488-5587 620 BRIAN WAY 51 WINBURN WAY MEDFORD, OR 97501 ASHLAND, OR 97520 FOB Point: Req. No.: Terms: Net Dept.: Req. Del. Date: Contact: Karl Johnson Special Inst: Confirming? NO Quantity Unit Description Unit Price Ext. Price Installation of handrailinq for newly 16,510.00 reconstructed Chautauqua Walkway Contract for Goods and Services Beqinninq date: May 16, 2016 Completion date: June 17, 2016 SUBTOTAL 16 510.00 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 16,510.00 ASHLAND, OR 97520 Account Number Project Number Amount Account Number Project Number Amount E 260.08.12.00.70420 E 201406.120 16 510.00 uthorized Signature VENDOR COPY t FORM #3 CITY OF ASHLAND ~J 1 ,..J REQUISITION Date of request: 05/20/2016 Required date for delivery: ASAP Vendor Name Jenfab Steel Address, City, State, Zip 620 Brian Way, Medford, OR 97501 Contact Name & Telephone Number Josh Doak, Project Manager, (541) 261-0567 Fax Number (541) 776-4812 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 _(Attach copy of council communication) _(If council approval required, attach copy of CC) ❑ Small Procurement Cooperative Procurement Less than $5,000 ❑ Reauestfor Proposal (Copies on file) ❑ State of Oregon ❑ Direct Award Date approved by Council: Contract# ❑ Verbal/Written quote(s) or proposal(s) -(Attach copy of council communication) ❑ 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 InteWovemmental 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) E] Form #4, Personal Services $5Kto $75K Valid until: (Date) _ (Attach copy of council communication) Description of SERVICES Total Cost Installation of handrailing for newly reconstructed Chautauqua Walkway $16,510.00 (see attached) Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST Per attached quote/proposal $ Project Number 201406.120 Account Number 260.08.12.00.704200 Account Number--- - - Account Number---- - - - *Expenditure must be charged to the appropriate account numbers forthe financials to accuratelyreflect the actual expenditures /TDirectorin collaboration with department to approve a//hardware and software purchases- iTDirector Date Support-Yes/No Bysigningthis requis' ~rai~certifyt 's public contractingrequirements have been satisfied. 11 Employee: Department Head: (Equal Department Marragerirper. City Administrator. to organ $5,000) (Equal to or greater than $25,000) e-r- / J(~ Funds appropriated forcurrentrisca/year S NO Li ~N Fin nce Director- (Equal to orgreaterthan $5, ooo) Date Comments Form #3 - Requisition