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Home My WebLink About2016-193 Contract - Anna Edmondson r Contract for GOODS AND SERVICES Small Procurement Less than $5,000 CITY OF INDEPENDENT CONTRACTOR: Ayivvq EJwuAA5r>y1 -ASHLAND CONTACT: 20 East Main Street ADDRESS: Ashland, Oregon 97520 ~ .y-0 . Telephone: 541/488-6002 ~ ;iw Fax: 541/488-5311 TELEPHONE: 5;Lf C1FAX. BEGINNING DATE: COMPLETION DATE: COMPENSATION: C1 d ace \ GOODS AND SERVICES TO BE PROVIDED: In the event of conflicts or discrepancies among Contract Documents, this standard form of the City of Ashland Contract 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 this standard form 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. Ownership of Production: All documents, materials or items produced by Contractor pursuant to this contract shall be the property of City. 4. Statutory Requirements: ORS 279B.220, 27913.225, 27913.230, 27913.235, ORS Chapter 244 and ORS 670.600 are made part of this contract. 5. Indemnification: Contractor agrees to defend, indemnify and save City, its officers, employees and agents harmless from those losses, expenses, or other damages resulting from injury to any person or damage to property arising out of or incident to the negligent performance of this contract by Contractor its employees, or agents. Contractor shall not be held responsible for any losses, expenses, or other damages, directly, solely, and proximately caused by the negligence of City. 6. Termination: City's Convenience. This contract may be terminated at any time by the City. 7. 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. 8. 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. 9. Asbestos Abatement License: If required under ORS 468A.710, Contractor or Subcontractor shall possess an asbestos abatement license. 10. Assignment and Subcontracts: Contractor shall not assign this contract or subcontract any portion of the work. 11. 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. 12. 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. 13. a. a. -VVofke ' r workers' rage or a eir subject wor Rs. worke , subcontractcrs, nr vnliinteers. Vl.)Crr ►'-vpk Laip . 11~ C~ BY INITIALING THIS SENTENCE, CONTRACTOR CERTIFIES UNDER PENA TY OF LAW THAT THE WORK REQUIRED BY THIS CONTRACT SHALL BE PERFORMED SOLELY BY THE UNDERSIGNED: - b.- Injury and-~repertq-BarTtirg'e. 'NC Arokkr-0, _ 1.~ C. A iabilit insurance with a combined for Bodily 14. Governing Law; Jurisdiction; Venue: This contract shall be governed and construed in accordance with the laws of the State of OregZSn 15. 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. , Certification. Contractor shall sign the certification attached hereto as Exhibit A and herein incorporated by reference. Contractor: City-.of .Ashland: j V V By By Signatur Depart ent Head A Print Name Pri t ~ame T Title Date ` f1 W-9 One copy of a W-9 is to be submitted with the signed contract. Purchase Order No. V~ Revised 10-28-14 Page 1 of 2 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. y- - (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) I 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) Revised 10-28-14 Page 2 of 2 6/30/16 Anna Edmondson 702 Pracht St Ashland, OR 97520 (541) 488-7497 Linda Chesney, Nature Center Stewardship Coordinator, I am looking forward ongoing facilitation of the Preschool Puppet Theater for North Mountain Park Nature Center as the "Preschool Puppet Theater Instructor". As in previous years, this service includes volunteer coordination, a gam-noon performance, craft facilitation and clean- up on the second Friday of each month, excluding October. In addition, I propose to add few additional hours of time to edit and improve select puppet show scripts. I'd also request reimbursement for the business license fee, which is a new requirement this season. For 11 performances and script re-writes as needed, the charge would be $75 per show. Then, including $100 reimbursement for business license fee, all together the payments are not to exceed $925 for the year. Sincerely, Anna Edmondson Purchase Order Fiscal Year 2017 Page. 1 of 1 EF~AP'FAF #i~LAL ill~ THISMIIVf INVo1C~S 1?ACKA - tl t~ t?I?J11 F FER = B City of Ashland _ s ATTN: AP L 20 E. Main Purchase 26 20 E. L Ashland, OR 97520 Order # T Delivery must be made within doors of O specified destination. S E EDMONDSON, ANNA B. H C/O Parks Department N E 702 PRACHT ST Admin Office D ASHLAND, OR 97520 P 340 South Pioneer O T Ashland, OR 97520 R O _~nLhne Nura~ber Vendor Fax Number Requisition Dumber., - Detrver Relern-,_i - - - LINDA CHESNE_Y W {30 #srd~Le~vT Number Date-Required Freight MetfidFferms _ Dparfat#t>q - - 21000- E - 07/18/2016 1608 FOB ASHLAND OR Parks Accounts Pa able D se> = IQa/PartN`o = 4 Y UAW = U - i ~r ?r~ PRESCHOOL PUPPET THEATRE The Above Purchase Order Number Must AD-Dear On All Correspondence - Packing Sheets And Bills Of Lading 1 Preschool Puppet Theatre 1.0 $975.00 $975.00 Contract for goods and services less than $5,000 Beginning: 07/08/16 Completion: 06/30/17 GL Account: $975.00 GL SUMMARY 125304 - 606921 $975.00 By: Authonz7d Signatur By: FORM #3 CITY OF ASHLAND REQUISITION Date of request: July 1, 2016 Required date for delivery: July 8, 2016 Vendor Name Anna Frfmnodsm Address, City, State, Zip 702 Pracht St. Ashland OR 97520 Contact Name & Telephone Number 207-514-6311 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 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 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 attached Date approved by Council: (Date) ❑ Form #4, Personal Services $5K to $75K Valid until: Date Description of SERVICES Total Cost $925.00 Please see attached. Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST ® Per attached quotelproposal $925.00 OZ.tl .0". tZ.S3, . ~+Zt Project Number - - - - - - - - - Account Number 2 - 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. 1 $ Employee Signatures Department Head Signature: F~ F (Equal to or greater than $5,000) F9~ City Administrator: (Equal to or greater than $25,000) Funds appropriated for current fiscal year. YES / NO Finance Director- (Equal to or greater than $5, 000) . Date Comments: