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HomeMy WebLinkAbout2016-257 Contract - Deluxe Awning Company Contract for GOODS AND SERVICES less than $25,000 CITY OF CONTRACTOR: Deluxe Awning Company -ASH LAN D 20 East Main Street CONTACT: Bill Welch Ashland, Oregon 97520 Telephone: 541/488-6002 ADDRESS: 260 4th St. Fax: 541/488-5311 APRC TELEPHONE: (541) 488-1575 DATE AGREEMENT PREPARED: August 29, 2016 FAX: (541) 488-3683 BEGINNING DATE: September 15, 2016 COMPLETION DATE: November 8th 2016 COMPENSATION: $5,545.00 GOODS AND SERVICES TO BE PROVIDED: Installation of two awnings at the Grove 1195 E. Main Ashland Oregon. Contractor will provide sign and building permits from the City of Ashland prior to doing work. 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 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 $20,283.20 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 deliver of Contract for Goods and Services Less than $25,000, 06/30/2016, 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. 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 Enter one: $200,000, $500,000, $1,000,000, $2,000,000 or Not Applicable 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 Enter one: $200,000, $500,000, $1,000,000, or Not Applicable for each accident for Bodily Injury and Property e, Contract for Goods and Services Less than $25,000, 06/30/2016, 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, excluding Workers' Compensation, 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 befor ork may begin under this contract. tractor shall sign the certification attached hereto as Exhibit A and herein incorporated by 21. Certificati o .1 referen Contract9f City of Ashland gy By Signature , Department Headj Print Name Print Name Title Date i 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, 06/30/2016, 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: V from my or is in a (1) I carry out the labor or services at a location separate y ssp ific portion of my residence, s7 et aside as the location of the business. (2) Commercial advertising or business cards or a trade association membership are p hased for the business. 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 ear. (6) 1 assume financial responsibility for defective workmanship or for service not provided -A7 as evidenced by the ownership of performance bonds, warranties, errors and omission insure or liability insurance relating to the labor or services to be provided. f` f Contractor (Date) Contract for Goods and Services Less than $25,000, 06/30/2016, Page 4 of 5 All" PRO "(,-'f TYPE COMPANY C'US'JOINIER A Shade B ~ ,~J 260 4th Street • Ashland OR 97520 PHONE. FAX I Phone (541) 488-1575 • Fax (541> 488-3683 .11 l.I xii sc 38911, flo-lit#Nt7 •ttl :i! l1 s lEZ'r www.deluxeawnin.corn r f- ~ REFE RR ' . ; APRRt}WD B SPECIFICATIONS COSTS Canvas T)I)e: Color: Grommet Color: Lace C oloir. . Frame "I)T)e: coatizig: Color: ~ ~ - - - - - Valance Stvle: Height: Edge: Light Flap LOLat on(s): w ' APPROXIMATE COMPLETION DATE" ~C vas Order Date: Source- Ydge: TOTAL Ago- _ 'TYPE a, CUISTO Exit A Shade Better! ni-iON 1, CE II FAX 26(? 4th Street - Ashland OR 9732(1 Phone (341) 488-1373 • Fax (341) 488-3683 Ii~~. ;li I -,x9911. 1>c,.sc GCi ! srtr<:vF t C)t.A" ION t www.deluxcawniing.com l Sau LX ef~ I-DKt~ OFST'tMAIT X'TRt13'(?I:ai_ TJCO;^v"1IR)vl.~V'iO REF.RRED A, w A4 P ~r t\) A ,A') o- fy~ ♦4. gam,. SPECIFICATIONS cosrrs f color Canvas T pe: lor- Grommet Color: - C I IT, t Frame `T" Te: ~-7 r 'G3att11g; , . ;uior; / 14- Valance Stvic, Height: Edge: . i I,iglit Flap Lrcaticnfsi APPROXIMATE c: OMPL E'I iON DATE. ~ i. ~ Ydge: TOTAL Canvas Order L7~ite: Sc~urcc: r ~ FORM #2 REQUEST FOR QUOTATION - GOODS AND MATERIALS INTERMEDIATE PROCUREMENT Release date:August 22, 2016 Requested by Bruce Dickens: Parks/541-880-3852/fax 541-488-5314 ~--1?--'__1----1` Quotes are due by (time/day/date): Complete delivery required by 10/7!2016 Delivery Address/Contact Name: 1195 E. Main St. Ashland OR 97520 Preferred method of shipment: FOB Ashland - Freight Prepaid Quotes may be faxed, emailed or hand delivered. Vendors shall submit their quotes on company letterhead. Informal email quotes and/or late quotes 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 quotes. "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 differences, 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. All Pricing Must Be Held Firm For 30 Days DESCRIPTION QUANTITY 2- new canvas awnings installed at the Grove. Material, Sunbrella with 2 black grommets and lacing. Rigid valance. Graphics as shown on drawings. i i i Color Black Cherry Si and Building Permit I ~ I ~ I Preferred method of shipment: FOB Ashland- Freight Prepaid (Vendor to include shipping terms and cost in their bid.) Method ofAward: 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. ...mow--....... > T 48 r Aco tj-, s Bruce Dickens From: Randy@BurksCustomAwnings.com Sent: Wednesday, August 24, 2016 5:23 PM To: Bruce Dickens Subject: RE: FW : Grove bid Gentlemen, Thank you for your consideration. I am sadly currently to far out to make your deadline, So I will unfortunately not be bidding on this project. Thank you, Regards, -Randy Burk, Burks Custom Awnings Original Message Subject: FW: Grove bid From: Bruce Dickens <bruce.dickens@ashland.or.us> Date: Wed, August 24, 2016 10:14 am To: "randy@burkscustomawnings.com" <randy@burkscustomawnings.com> Please let us know if you would like to submit a bid. Thank you, Bruce Dickens From: Bruce Dickens Sent: Thursday, August 18, 2016 1:41 PM To: 'randy@burkscustomawnin sq com' Subject: Grove bid Bruce Dickens Parks and Recreation - Parks Superintendent City of Ashland 340 S Pioneer st, Ashland, OR 97520 Direct 541-552-2252 541-488-5314 fax This email transmission is official business of the City of Ashland, and it is subject to Oregon public records law for disclosure and retention. If you have received this message in error, please contact me at 541-552-2252. Thank You. 1 1v~ ry .L , 't s{~f ~ A e 74 - _ 4 • / ` ~ ~ ~ i % M1± 7 . 3 ~ ~ ~ - •~~i-~ ,w~;- ~ X01_ ~ i i - a S.~ j -,.As 77 1 4 ^VI 3,m p . Y..l _ t i ' ~M r - -d•' ^ * ~ w/1 _ _ .•t Y gyp..' - Y 'R 1f _i .f a - - D:. - ..~t 4 . a - ♦ l.a ,,'mil 'S s 7q. YS ~ If ~ VA s IW ,f 'a i r; / i T .r} ~J r-eg+ ~ ~rt~rr • s '~'1 9 / IW ~ v nq j C. ~C t. Rit 'UVV r Ok, s DATE (MM/DD/YYYY) AC RU CERTIFICATE OF LIABILITY INSURANCE 9/8/2016 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: Julie Asher Ashland Insurance Inc PHONE (541) 482-0831 FAX . (541)488-5651 A/C No Ex_J N°L - 585 A Street Suite 1 ADDRESS: Sher@ashlandinsurance.com P. 0. BOX 880 ' INSURER(S) AFFORDING COVERAGE NAIC Ashland OR 97520 INSURER A :American States Insurance Co 19704 INSURED INSURER B :SAIF CO oration DELUXE INDUSTRIES INC INSURER C:Western Surer Coma _ DBA : Deluxe Awning Company INSURER D 260 4TH ST INSURER E : ,ASHLAND OR 97520 INSURER F COVERAGES CERTIFICATE NUMBER:CL1633006119 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. INSIR ADDL SUBRI POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD POLICY NUMBER 'MM/DD/YYYY MM/DD/YYYY 7( COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED A CLAIMS-MADE x OCCUR PREMISES (Ea occurrence $ 200,000 X 01C175228730 4/18/2016 4/18/2017 MED EXP (Any one person) $ 10 , 000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 PRO- _X_ POLICY - JECT LOG _ PRODUCTS - COMP/OP AGG $ 2,000, 000 _ OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 (Ea accident ANY AUTO BODILY INJURY (Per persons S ALL OWNED X SCHEDULED 01CI33366470 4/18/2016 4/18/2017 BODILY INJURY (Per accident) S AUTO S AUTOS - - X X NON-OWNED PePROPERTY ntDAMAGE $ HIRED AUTOS AUTOS . 1 - - - Uninsured motorist combined $ 1,000,000 A ti UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 X x EXCESS LIA B CLAIMS MADE 01SU43500210 09/6/2016 09/6/2016 AGGREGATE $ - - - - - - DED RETENTION $ $ j WORKERS COMPENSATION SPER TATUTE ERH- : AND EMPLOYERS' LIABILITY _ - - YiN~ :ANY /PARTN / OFFICER/MEMBER EXCLUDR/EX NIA E.L. EACH ACCIDENT $ 1,000,000 - - B (Mandatory in NH) 517157 4/1/2016 4/1/2017 E.L. DISEASE - EA EMPLOYE S _ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Residentaal Bond 70637181 2/11/2015 2/11/2018 Limit $20,000 Commercial Bond 61316629 4/02/2016 4/02/2017 Lima $20,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Ashland, and its elected officials, officers and employees as are listed as additional insured with respects to contractor's services, This insurance is primary and non contributory. CERTIFICATE HOLDER CANCELLATION (541) 488-5320 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 E . Main St . ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 j AUTHORIZED REPRESENTATIVE i Julie Asher/JAA r © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) Purchase Order 9 1111 ~ o sf r a Fiscal Year 2017 Page: 1 of: 1 REGR o^ 1IXL B Ashland Parks Commission I ATTN: Accounts Payable Purchase L 20 E. Main 174 Ashland, OR 97520 Order # T Phone: 541/552-2010 O Email: payable@ashland.or.us V S C/O Recreation Division (Grove E DELUXE AWNING COMPANY H 1195 East Main Street N 260 4TH ST D ASHLAND, OR 97520 P Ashland, OR 97520 O Phone: 541/488-5340 R TT Fax: 541/488-5314 en fir PhQn~Number ETMi ndo=h WN ffib r Bruce Dickens =Qte =rer_ = a_nxiQlum~erc 09/12/2016 - 23 FOB ASHLAND OR Parks Accounts Pa able Sunbrella Auwnings - Grove 1 Sunbrella Awnings (2 Each) includes graphics, sign, building 1 $5,545.0000 $5,545.00 permits and installation at the Grove. Contract for Goods and Services less than $25,000 Beginning date: September 15, 2016 Completion date: November 8, 2016 GL SUMMARY 121200 - 602118 $5,545.00 By: ~9 s Date:a Authorized Signature = - $5,545.00 P, FORM #3 CITY OF ASHLAND <r REQUISITION Date of request: 8/29/16 Required date for delivery 11/04116 Vendor Name D Address, City, State, Zip 260 4th St. Ashland OR 97520 Contact Name & Telephone Number Bill Welch 541-488-1575 Fax Number 541-488-3683 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 co of council communication _ If council approval required, attach co of CC ❑ 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) -(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 IF-11 Agency ernmentai Agreement $5,000 to $75,000 ❑ Form #9, Request for Approval Agency Date original contract approved by Council: ❑ Less than $35,000, by direct appointment ❑ Written quote or proposal attached (Date) ❑ (3) Written proposals/written solicitation Date approved by Council: _ (Attach copy of council communication) ❑ Form #4, Personal Services $51K to $75K Valid until: Date Description of SERVICES Total Cost 2 Sunbrella awnings installed at the Grove including graphics, sign and building permit $ Item # Quantity Unit Description of MATERIALS Unit Price Total Cost 1 2 Awnings installed $4,913.00 2 Bulldin~ and J cn Plnrvis ?oar two awnincs s 632.00 TOTAL COST ❑ Per attached quotelproposal _ $ 5,545.00 Project Number - - - - - - - Account Number - - - " - - H - - _ - - - - IC, Account Number 211.12.02.06.602118 Account Number e!-2 f' {f j *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: /T 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: (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. DES NO Finance Director E :uual « ar yreater tr,an 55.0001 Date Form #3 - Requisition