HomeMy WebLinkAbout2016-166 Contract - Aquatic Ecosystem Sciences LLC
Contract for Personal Services less than $35,000.00
CITY OF CONSULTANT: AQUATIC ECOSYSTEM SCIENCES LLC
ASHLAND CONTACT: JACOB KANN
20 East Main Street
Ashland, Oregon 97520 ADDRESS: 295 EAST MAIN ST. SUITE 7 ASHLAND, OR.
Telephone: 541/488-6002
Fax: 541/488-5311 TELEPHONE: 541-482-1575
DATE AGREEMENT PREPARED: 6-27-16 EMAIL: jacobkann@aol.com
BEGINNING DATE: 7-1-2016 COMPLETION DATE: 11-30-2016
COMPENSATION: $10,000.00
SERVICES TO BE PROVIDED: AQUATIC SPECIALIST TO PROVIDE CONSULTIONG SERVICES FOR
WATER QUALITY AND ALGAL BLOOMS AS PER EXIBIT C.
ADDITIONAL TERMS:
In the event of conflicts or discrepancies among the contract documents, the City of Ashland Contract for Personal 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 rims City of Ashland Contract.
FINDINGS:
Pursuant to AMC 2.50.120, after reasonable inquiry and evaluation, the undersigned Department Head finds and
determines that: (1) the services to be acquired are personal services; (2) the City does not have adequate personnel nor
resources to perform the services; (3) the statement of work represents the department's plan for utilization of such
personal services; (4) the undersigned consultant has specialized experience, education, training and capability sufficient
to perform the quality, quantity and type of work requested in the scope of work within the time and financial constraints
provided; (5) the consultant's proposal will best serve the needs of the City; and (6) the compensation negotiated herein
is fair and reasonable.
NOW THEREFORE, in consideration of the mutual covenants contained herein the CITY AND CONSULTANT AGREE as
follows:
1. Findings / Recitations. The findings and recitations set forth above are true and correct and are incorporated herein
by this reference.
2. All Costs by Consultant: Consultant shall, at its own risk and expense, perform the personal services described
above and, unless otherwise specified, furnish all labor, equipment and materials required for the proper performance
of such service.
3. Qualified Work: Consultant has represented, and by entering into this contract now represents, that all personnel
assigned to the work required under this contract are fully qualified to perform the service 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.
4. Completion Date: Consultant shall start performing the service under this contract by the beginning date indicated
above and complete the service by the completion date indicated above.
5. Compensation: City shall pay Consultant for service 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.
6. Ownership of Documents: All documents prepared by Consultant pursuant to this contract shall be the property of
City.
7. Statutory Requirements: ORS 279C.505, 279C.515, 279C.520 and 279C.530 are made part of this contract.
8. Living Wage Requirements: If the amount of this contract is $20,283.20 or more, Consultant 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 service work under
this contract. Consultant is also required to post the notice attached hereto as Exhibit B predominantly in areas where
it will be seen by all employees.
9. Indemnification: Consultant 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 Consultant (including but not
limited to, Consultant's employees, agents, and others designated by Consultant to perform work or services
attendant to this contract). Consultant 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.
10. Termination:
Contract for Personal Services less than $35,000.00, Page 1 of 5
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 Consultant, 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 Consultant 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 Consultant 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 Consultant's performance of each and every obligation and duty under
this contract. City by written notice to Consultant of default or breach may at any time terminate
the whole or any part of this contract if Consultant 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, Consultant shall immediately cease all activities under
this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination,
Consultant 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 Consultant for work performed prior to
the termination date if such work was performed in accordance with the Contract.
11. Independent Contractor Status: Consultant is an independent contractor and not an employee of the City.
Consultant shall have the complete responsibility for the performance of this contract. Consultant shall provide
workers' compensation coverage as required in ORS Ch 656 for all persons employed to perform work pursuant to
this contract. Consultant is a subject employer that will comply with ORS 656.017.
12. Assignment and Subcontracts: Consultant 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. Consultant 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.
13. Default. The Consultant shall be in default of this agreement if Consultant: commits any material breach or default
of any covenant, warranty, certification, or obligation it owes under the Contract; its QRF status pursuant to the QRF
Rules or loses any license, certificate or certification that is required to perform the Services or to qualify as a QRF if
consultant 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.
14. Insurance. Consultant 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. Professional Liability insurance with a combined single limit, or the equivalent, of not less than Enter one:
$250,000, $500,000, $1,000,000, $2,000,000 or Not Applicable for each claim, incident or occurrence. This is to
cover damages caused by error, omission or negligent acts related to the professional services to be provided
under this contract.
C. 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.
d. Automobile Liability insurance with a combined single limit, or the equivalent, of not less than Enter one:
$100,000, $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 Personal Services less than $35,000.00, Page 2 of 5
e. 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 Consultant or its insurer(s) to
the City.
f. Additional Insured/Certificates of Insurance. Consultant shall name The City of Ashland, Oregon, and its
elected officials, officers and employees as Additional Insureds on any insurance policies, excluding Professional
Liability and Workers' Compensation, required herein, but only with respect to Consultant's services to be provided
under this Contract. The consultant's insurance is primary and non-contributory. As evidence of the insurance
coverages required by this Contract, the Consultant shall furnish acceptable insurance certificates prior to
commencing work under this contract. 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 Consultant shall be financially responsible for all
pertinent deductibles, self-insured retentions and/or self-insurance.
15. 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 Consultant 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. Consultant, 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.
16. 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.
CONSULTANT, 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.
17. 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. Consultant
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 Consultant, with no further
liability to Consultant.
Certification. Consultant shall sign the certification attached hereto as Exhibit A and herein incorporated by reference.
Consultant: City of Ashland
By By
Signature Department Head
JACOB KANN
Print Name Print Name
PRESIDENT ( ( 1 G
Title Date
I
W-9 One copy of a W-9 is to be submitted with
the signed contract. Purchase Order No.
Contract for Personal Services less than $35,000.00, 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.
V (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.
1 01 /L ~6
Contrclctor (Date)
Contract for Personal Services less than $35,000.00, Page 4 of 5
AQUATIC ECOSYSTEM SCIENCES LLC
JACOB KANN, Ph.D.
PRESIDENT/AQUATIC ECOLOGIST
295 East Main St., Suite 7
Ashland, OR 97520
Ph: 541-482-1575
j Email: il: i acoacobCa~aguatic-ecosciences_com
June 27, 2016
Greg Hunter- Water Treatment Plant Supervisor
City of Ashland Water Division
90 N. Mountain Ave.
Ashland, Oregon, 97520
RE: Additional 2016 Consulting for Reeder Reservoir
Dear Greg,
As per our phone conversation here is an estimate to provide additional consulting services for
Reeder Reservoir water quality and algal blooms. The below estimate of Services to be
performed for the City of Ashland includes consultation regarding cyanobacteria blooms, algal
toxins, and taste and odor issues in Reeder Reservoir. Specific items may include but are not
limited to:
• Assistance with reservoir sampling (collection, preparation of COC's, shipping)
• Interpretation of algal density and algal toxin results
• Consultation with City staff on treatment and management of the reservoir
• Site visits to determine treatment timing
Billing Rate is $135/hr.
Quote: = $10,000.00
Please let me know if you have any questions. Thank you.
Sincerely,
Jacob Kann, Ph.D., President
Aquatic Ecosystem Sciences LLC
CITY • ASHLAND, OREGON
EXHIBIT B
of Ashland
City
LIVING
WA IE
• , 1792 .0 We
.
per hour effective June 30, 2016
(Increases annually every June 30 by the
Consumer Price Index)
Ir
portion of business of their 401 K and IRS eligible
employer, if the employer has cafeteria plans (including
ten or more employees, and childcare) benefits tot 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 $20,283.20. include temporary or part-time
Ashland if the contract employees hired for less than
twelve-
exceeds $20,283.20 or more. ➢ If their employer is the City of 1040 hours in any twelve-
Ashland including the Parks month period. For more
For all hours worked in a and Recreation Department. details on applicability of this
month if the employee spends policy, please see Ashland
50% or more of the ➢ In calculating the living wage, Municipal Code Section
employee's time in that month employers may add the value 3.12.020.
working on a project or of health care, retirement,
For 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 or visit 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 Personal Services less than $35,000.00, Page 5 of 5
ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE ~MIVgDDrY'YYY
- 6127/2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOPMA''ION
mTc~lz Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTII=IICATE
HOLDER. THIS CERTIFICATE DUES NOT AMEND, EXTEND OR
iskiyou Blvd Ste 5 ALTER THE COVERAGE AFFORDED BY THE POLICIES F S _OY;
: eland OR 97520
__-482--8463 INSURERS AFFORDING COVERAGE NAIC#
AQUATIC ECOSYSTEM SCIENCES LLC INSURER A FARMERS zxSUP"CZ EXCHMGE
JACOB KANN INSURER 8 C,
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295 E MAIN ST SUITE 7 INSURER _C
ASHLAM, OR 97520 INSURER D _
PE 41-482-157EX 541-552-1024 INSURER E
r..RAGES
wL`'IES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANL,,%G
- L: JIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
RTAIN,, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS CF SUCK
ES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
µµ2 POLICY NUMBER i POLICY EFFECTIVE POLICY EXPIRATION'
TYPE QF INSUOMCE A O" AT MMIDDMI LIMITS
GENERAL LIABILITY EACH OCCURRENCE S -2,-0,00,j
Q DAMAGE TO RENTED --X COMMERCIAL GENERA. LIABILITY PREMISES IEa ox~rense't ~S .75 t_.000
CLAIMS MADE _X_ OCCUR MED EXP (Any one persc{ 5 10 r"
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GENERAL AGGREGATE s .4_x C 1) 00,
CEN'L AIGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG S-2 , 0 0 0 ,,Q 0 -
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ANYAUTO OTHER THAN EA ACC S
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A~C3 'ESSIONAL EEH27-619-95-50 11-15-15 11-15-16 1,000,000 Per Occ
LIABILITY $1,004,000 PER YEAR
_ CIS OF OPERATIONS i LOCATIONS /VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CANCELLATION
-PTIFICATE HOLDER
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL " PIT-7-N,
city of Ashland NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TCi DO SO SHALL
20 E Main St. IMPOSE NO O " ION OR LIABILITY OF TI=E INSURER TS AGE*41'S OF,
Ashland, OR 97520 REPRE ENT TIVE
ESE T
AUTHOR 7wo
~ ~ F O 5 (2001108) ORD CORPORATION 1988
GEICO GEICO CASUALTY COMPANY
Washington DC VERIFICATION OF COVERAGE
(SEE BELOW UNDER CAUTIONr,,RY NOTE)
INSURSD Policy Dumber: 4286119542
Effective Date: 05-01-16
JACOB KANN Expiration Date: 11-01-16
374 IDAHO ST Registered State-OREGON
ASHLAND,-DR 97520-3034
Tu whoni it inay concern,
This letter is to verify, that we have issued the policyholder coverage under the above policy number for the dates indicated in the effec-
tivo and oxpiration data fields for the vehicle listed. This should serve es proof that the below mantioned vehicle meats or exceeds the
financial responsibility requirement for your state,
This verification of coverage does not amend, extend or alter the coverage afforded by this policy.
Vehicle Year- 1992
Make: ISUZU
Model: TROOPER S
VIN:3ACDH58V5N7907797
COVERAGES LIMITS DEDUCTIBLES
BODILY INJURY LIABILITY $100,000/$300,000
PROPERTY DAMAGE LIABILITY $100,000
MEDICAL PAYMENTS $5,000
PERSONAL INJURY PROTECTION NON-DED
UNINSURED MOTORIST BODILY INJ $100,000/$300,000
UNINSURED MOTORIST PROPERTY DAMAGE $20,000
COMPREHENSIVE $500 DED
EMERGENCY ROAD SERVICE FULL NON-DED
Lienholder Additional Insured Lttere5ted PutST
Additional Information:
Issued 06(27/2016
If you have any additional questions, please call 1-800-841-3404.
CA17rY0N R'y'N0TF.: TTIF. CTTRRFNT COVE.RAGFS, T:TWTS, AT-T7 DF.DTTCTT9T,F.S NTAY1)TFFF:R FR0TyT THE f'.0N'FRAGF.S, LnTTTS, ANT) DEDUC'TTRT:FS TTY F.FFF,(-, T AT OTHRR
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DOCUMENT WHICH IS SROWN UND-Ek"<l,DL)I 'lU-NU1LLNlORrvL71'ION" ORIFAN ISSUED-D.VUL 1S NUT SHO tit, 1'HJ• 1)l'1'r t?1 '1HL4rAL5L111L1
U-33 10 -07
Purchase Order
Fiscal Year 2017 Page: 1 of: 1
B City of Ashland -
ATTN: AP
L Purchase
L 20 E. Main
Ashland, OR 97520 Order #
T
O Delivery must be made within doors of
specified destination.
V S
E AQUATIC ECOSYSTEM SCIENCES LLC H C/O Water Division
N 295 EAST MAIN ST., SUITE 7
D ASHLAND, OR 97520 P 90 North Mountaiin Ave
O Ashland, OR 97520
R 0
Derr = of fic~rr 'urn : =~Cfum-:b
-541 482-1575 GREG HUNTER
---=T erg: _ - -mom=a
07/07/2016 828 FOB ASHLAND OR -City Accounts Payable
HIUMM92 WNW_ I al
WATER QUALITY CONSULTING
The Above Purchase Order Number Must Apppear On All
Correspondence - Packing Sheets And Bills Of Lading
1 PROVIDE CONSULTING SERVICES FOR WATER QUALITY 1.0 $10,000.00 $10,000.00
AND ALGAL BLOOMS
CONTRACT FOR PERSONAL SERVICES LESS THAN $35,000
BEGINNING: 07/01/16
COMPLETION: 11/30/16
GL Account: $10,000.00
GL SUMMARY
081900 - 604100 $10,000.00
By:
Authorized Signature
By:~
Authoriz d Signature0 a___ $10,000.00
gg kp _
FORM #3 CITY OF
ASHLAND
REQUISITION Date of request: 6-27-16
Required date for delivery: 7-1-16
Vendor Name AQUATIC ECOSYSTEM SCIENCES LLC
Address, City, State, Zip 295 EAST MAIN ST. SUITE 7 ASHLAND, OR. 97520
Contact Name & Telephone Number JACOB KANN 541-482-1575
-Fax Number
SOURCING METHOD
❑ Exempt from Competitive Biddinq ❑ 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
PROVIDE CONSULTING SERVICES FOR WATER QUALITY AND ALGAL BLOOMS. $ 10,000
Item # Quantity Unit Description of MATERIALS Unit Price Total Cost
TOTAL COST
❑ Per attached quote/proposal $ 10,000
Project Number _ _ _ _ _ _ - _ _ _ Account Number _ 670.08.19.00.604100
-
Account Number 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 Date Support -Yes /No
By signing this requisition form, I certify that the City's public contracting requirements have been satisfied.
Employee: Department Head: I
(Equal to or greater than $5,000)
Department Manager/Supervisor: City Administrator:
(Equal to or greater than $25,000)
Funds appropriated for current fiscal year. YES / NO
Finance Director- (Equal to orgroterthan $5,000) Date
Comments:
Form #3 - Requisition