HomeMy WebLinkAbout2016-285 Contract - Advanced Truck Body & Equipment
Contract for GOODS AND SERVICES less than $25,000
C I T Y OF CONTRACTOR: Advanced Truck Body & Equipment
-AS H LAND CONTACT: Mark Robinson
20 East Main Street
Ashland, Oregon 97520 ADDRESS: 4825 Table Rock Rd Central Point OR
Telephone: 541/488-6002
Fax: 541/488-5311 TELEPHONE: 1-888-289-1482
DATE AGREEMENT PREPARED: FAX: 541-664-1158
BEGINNING DATE: 10/11/2016 COMPLETION DATE: 6/30/2017
COMPENSATION: As per Exhibit C
GOODS AND SERVICES TO BE PROVIDED: install truck bed as per Exhibit C
ADDITIONAL TERMS:
In the event of conflicts or discrepancies among the contract documents, the City of Ashland Contract for Goods and Services will be primary and take
precedence, and any exhibits or ancillary contracts or agreements having redundant or contrary provisions will be subordinate to and interpreted in a
manner that will not conflict with the said primary City of Ashland Contract.
NOW THEREFORE, pursuant to AMC 2.50.090 and after consideration of the mutual covenants contained herein the
CITY AND CONTRACTOR AGREE as follows:
1. All Costs by Contractor: Contractor shall, provide all goods as specified above and shall at its own risk and
expense, perform any work described above and, unless otherwise specified, furnish all labor, equipment and
materials required for the proper performance of such work.
2. Qualified Work: Contractor has represented, and by entering into this contract now represents, that any personnel
assigned to the work required under this contract are fully qualified to perform the work to which they will be assigned
in a skilled and worker-like manner and, if required to be registered, licensed or bonded by the State of Oregon, are
so registered, licensed and bonded. Contractor must also maintain a current City business license.
3. Completion Date: Contractor shall provide all goods in accordance with the standards and specifications, no later
than the date indicated above and start performing the work under this contract by the beginning date indicated
above and complete the work by the completion date indicated above.
4. Compensation: City shall pay Contractor for the specified goods and for any work performed, including costs and
expenses, the sum specified above. Payments shall be made within 30 days of the date of the invoice. Should the
contract be prematurely terminated, payments will be made for work completed and accepted to date of termination.
Compensation under this contract, including all costs and expenses of Contractor, is limited to $25,000.00, unless a
separate written contract is entered into by the City.
5. Ownership of Documents: All documents prepared by Contractor pursuant to this contract shall be the property of
City.
6. Statutory Requirements: ORS 279B.220, 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 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
Contract for Goods and Services Less than $25,000, 06/30/2016, Page 1 of 5
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 Damage,
including coverage for owned, hired or non-owned vehicles, as applicable.
Contract for Goods and Services Less than $25,000, 06/30/2016, Page 2 of 5
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 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
By By
ignature Department Head
Print Name Print Name
Title Date
W-9 One copy of a W-9 is to be submitted with
the signed contract. Purchase Order No.
Contract for Goods and Services Less than $25,000, 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:
_ (1) 1 carry out the labor or services at a location separate from my residence or is in a
specific portion of my residence, set aside as the location of the business.
(2) Commercial advertising or business cards or a trade association membership are
purchased for the business.
_ (3) Telephone listing is used for the business separate from the personal residence listing.
~c (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.
ontractor (Date)
Contract for Goods and Services Less than $25,000, 06/30/2016, Page 4 of 5
CITY OF ASHLAND, OREGON
EXHIBIT B
City of Ash land
LIVING
WAGE
per hour effective June 30, 2016
(Increases annually every June 30 by the
~r Consumer Price Index)
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 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 $20,283.20. include temporary or part-time
Ashland if the contract employees hired for less than
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
low 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 Goods and Services Less than $25,000, 06/30/2016, Page 5 of 5
ALAD VA NCED Estimate
Date Estimate #
TRUCK BODY & EQUIPMENT CO. 10/5/2016 3162
4825 TABLE ROCK RD. CENTRAL POINT, OR. 97502
TOLL FREE 1 (888) 289-1482 FAX (541) 664-1158
Name / Address
CITY OF ASHLAND
20 E. MAIN ST.
ASHLAND, OR 97520
Reference
Service Body
Terms DELIVERY ARO Rep FOB Vehicle Type
Net 30 DJR Chevy 60" C.A. DRW
Item Description Qty
6108D54FJ40 Knapheide 6108D54FJ40 service body, 108" long X 78" wide with 20" 1
deep X 40.25" tall compartments,
vertical compartment configuration both sides,
rotary slam latches, tailgate,
flip top lids, adjustable shelves,
wiring with LED S/T/T,
fully undercoated,
6 year limited warranty.
26054130 Knapheide grip strut bumper with pintle hook recess, for use with 89" 1
wide bodies. Knap-White paint.
KNAPHEIDE MNFG Stainless steel 3 point twist latch 1
77000768 Master lock system for 108" and under bodies 1
26230151 LED compartment rope lights kit 1
77008787 Knap-White paint on UB108FJ and K60F bodies 1
26102533 Class V receiver hitch kit 1
77000156 Light holes installed at back of body, Two(2) each side. 1
21102876 Light kit 80" or wider bodies 1
26262667 2016 & Later GM C/K adapter 6-circuit 1
ADVANCED Bar window cab guard with lumber ears and strobe mount on both 1
side for 6" round strobe. Powder coated
INSTALLATION Installation labor 8
FREIGHT Freight 1
Thank You For The Opportunity To Quote!
Total $11,905.00
Prices firm for thirty (30) days from estimate date
Signature
Dallas Robinson
CITY OF
FORM #2 ASHLAND
INVITATION TO BID - EQUIPMENT
INTERMEDIATE PROCUREMENT
Release date: October 4th, 2016
Requested by: Wes Hoadley, Maintenance/Safety Supervisor
City of Ashland, Service Center
90 N. Mountain Avenue, Ashland, OR 97520
Tel: 541-552-2355, Fax: 541-552-2304
robustel' a,ashland.or.us
Bids are due: 1:OOPM, Thursday, October 6th, 2016.
Complete delivery required by: June 30, 2017 (Mandatory/No Exception)
Bids may be faxed, emailed or hand delivered. Vendors shall submit their bid on 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.
"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.
EQUIPMENT DESCRIPTION & SPECIFICATIONS
Service body to fit a 2016 Chevrolet 350OHD cab and chassis 60" cab to axle with dual fuel tanks
Bin configuration to match drawings exhibit A
Minimum of 108" length, 94" width. 40" height, and bin depth of 20"
Rotary bin latch handles
Service body bin tops that open both sides with adjustable dividers
Master bin lock system that allows all three bins on either side to be locked with a single locking mechanism.
LED compartment lighting wired to factory installed up litter switch.
Class V receiver hitch
Wired with 7 pin flat RV style trailer plug
Cab Guard with lumber stops on each side, with mounts for 6" strobe beacons on outboard side of each lumber stop.
Rear bumper that allows for clearance of pintle style hitch.
Rear lights to be LED
Service body to be bright white color to match Factory Chevy white.
All lighting to meet Dot requirements.
Please provide an official bid on your company letterhead, including the following information:
1. Manufacture name and part number
2. Firm price for bed with installation
3. Include freight charges, if applicable
4. Specify pickup from and delivery to Ashland of truck
5. Provide written warranty
6. Provide location of authorized warranty repair facility that is closest to Ashland. Oregon
7. Confirm delivery of Truck prior to June 30, 2017
Ifyou have any questions and/or need additional information, please email Wes 41? wes.hoadley(iashland.or.us
Due date and time for submitting bids is 1:00PM, Thursday, October 6th, 2016. Late bids will not be considered.
Thank you.
Wes Hoadley, Maintenance/Safety Supervisor
ITB - Chopper/Grinder Pumps. Page 1 of 3, 10/7/2016
Method of Award: ORS 27913.070 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.
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DOITNOWII-01 DGAMBLE
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CERTIFICATE CAF LIABILITY INSURANCE E D 1 0/13//22016
10/13
016
THIS CERTIFICATE IS ISSLED AS A MATT2R OF INFORMATION ONLY AND C014FERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEi%JD, EXTEND OR ALTER THE COVERAGE .e FFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES 1'IC.T CONST TUTE A CONTRACT BETWEEN` THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCE-9, AND THE CERTIFICATE -IOLDER.
IMPORTANT: If the certificate holder is an ADDITIONk.L INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, cert3il policies matt require an andorsemenf. A star*emenf on this cert fica,'.:e &ies not confer rights to the
certificate holder in lieu Of sL'ch endorserner.t(s). _
PRODUCER 'CONTACT - - - -
NAME:
Medford Office a/c, ho, Ext): (541) 779-13 21 FAX
N~); (541 } 779-9187
PayneWest Insurance, Inc.
E-MAIL
38 North Central Ave. ADDRESS;
Medford, OR 97501
INSURER(S; AFFORDING CCVr.Rt.3E NAIC #
iNSaRER A : Western Nati::)nai Assurance CL, 24465
INSURED !NS!IREP B : SAIF 36196
Do It Now, Inc. I IsuRSP c : !
Advanced Truck 8. Body Equirsment Company
4825 'T'able Rock Rd INS REP D
Central Point, OR 97502 INSURER E :
3
! INSU:4ER F
COVERAGES CEPTN IC.AT;E NURSE R:- REVISION HU ,RBER:
THIS IS TO CERTIFY THAT THE POLICIES OF 1 ISURANCE T BELC A HAVE BEEN ISSUED TO THE INSURE' NAM D kBC 'E FOR THE POLICY PERIOD
i iNDiCAT ED. I\IOTVJITHSTANDiAG ANY REO-.DIRE vENT, TERI.1 DR CONS' 1-ION OY ANY CONTRACT OR OTHER DOCUMENT V'/I' H RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTA.N, THE INS.JF A %,E AF, :,RDED BY TIHE POLICIES DESCRIBED HERE!N 1S S JEJ-CT TO ALL THE TERMS, I
EXCLUSIONS A.ND CONDITIONS OF SUCH POLICIES. LIB,':TS S~iO,VN :,rAYA`lE EEEN REDUCED BY PAID & .-AIMS.
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INSR TYPE OF INSURANCE AEDL'SUBR POLCY EFF POLIC'' EXP LIMITS
QTR iNSD N1'D. C'._ICY NUMBER- iMM/DD/YYYY_ iL.NUDD YY Y)_---,_-_-_--
A X COMMERCIAL GENERAL -iABIL!T' - - - - EACH ..JRREi '-;E S 1,000,001
! CLAMS-,MS- X 3~Cup CPP105 4F2 -L 01/0'':/2016 01/0 i2017 PRFV,~EJEeoccxrr nce) $ 100,000!
MED EX? (An/ on:, erson) $ 5,0001
I PE.RSCC JAL N-: RY $ 1,000,000
GEN'L AGGREGATE LI uLT APPLIES PER GENERAL AC--E $ 2,000,0031
PRO 2 X POLICY JECT LGC PRODUC-. S - C.O% /CP AGG $ ,000,000
OTHER:
AUTOMOBILE LIABILITY - - - - CCfAS,PIED SINGLE. Li.VIT S 1 030 000
(Ea acd fen,) ,
A ANY AUTO CPP105C 36104 01/0112016 01/01/2017 BCDILY INJURY (Per person; $
ALL OWNED X SCHEDU-EL BCDILY INJURY (Pe, Eccident) $
AUTOS AUTOS
X X NON- CVVNED PROPERTY CA.MA~E $
HIRED AUTOS AUTCS (PE., acc:deni)
- - - - - - $
X UMBRELLA L.IAB X OCCIi A H 'C C;JRRE".:.E $ 1,000,000
A EXCESS LIAS c_A IS- ^.ADE UMB.~J:l4 c05 01/0`:/2016 01/01;2017 AG RE-G -E $ 1,000,000
DED X RETE`JTION S 105000 S
WORKERS COMPENSATION - T-- - - o-R OTH-
AND EMPLOYERS' L AB!'LITY YIN - A LT= ER
B ANY PROPRIETOR/OARTt4ER/EXcCUTIVE 76854-i 01/01/2016 01101/2017 E EACH ACCIDENT $ 500,0001I
OFFICER/MEMBER EXCLUDED? N! A !
(Mandatory in NH) - L DISEASE- E1 c VP! OYEE S 500,000
!I If yes, describe under
DESCRIPTION OF OPERATIONS be ow _ L DI :E;.S-- PC C ( _I(V1,T 500,000
A Garage CPPI05C. BE 1,,'14 01/01/2016 01101,2017 Din, c'_ Pri arv, 250,000
A Garage CPP105('3E-1 0 4 01/01/2016 01!01;2017 Deductible 1,000!
DESCRIPTION OF OPERATIONS / LOCAT!ONS / VEHICLES (ACCRD 10-,, Adci';,:net; Re:,arks Scf,,duie, may be attached it :Wore space s required)
1
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF `-HE ABOVE DiESCR!aED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE: WILL BE DELIVERED IN
Advanced Truck Body & Equipment Co At' 3CORDANCE WITH THE PCLICY PROVISl'ONS.
4825 Table Rock Rd
Central Point, OR 97502 r- -
AUTHORIZED S,'EPRESENTATIV'_
i f
Cc,' 1981E-2014 ACGRD CGRPORATICK All rights reserved.
ACORD 25 (2014/01) The ACORD -:u me and loge ante registered marks of AC:ORD
Purchase Order
Fiscal Year 2017 Page: 1 of: 1
'Ml U
B City of Ashland la,N
ATTN: Accounts Payable Purchase
L 20 E. Main 396
Ashland, OR 97520 Order #
T Phone: 541/552-2010
O Email: payable@ashland.or.us
V ADVANCED TRUCK BODY & EQUIP CO H C/O Fleet/Shop Division
90 North Mountain Ave
E 4825 TABLE ROCK ROAD I
D CENTRAL POINT, OR 97502 P Ashland, OR 97520
O Phone: 541/488-5358
R O Fax: 541/552-2304
, *~r .}~4 a :'>N53, i(LlFP4itl , , i
Vendor. Phone NumberY,a~ ~Uepdo~rax#Num; a R i.S u. o_ fR{ ( ~t
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Date,Qrdered , ~fUendor Nube Da i
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10/28/2016 399 FOB ASHLAND OR Cit Accounts Pa Table
I t f":~,e ~cte, .ded, Pricel
Install service body -Veh 1019
1 Install service body as per Exhibit C on Vehicle #1019, Project 1 EACH $11,905.0000 $11,905.00
#000528.999
Contract for Goods and Services less than $25,000
Beginning date: 10/11/2016
Completion date: 06/30/2017
GL SUMMARY
081000 - 703000 $11,905.00
m
Date:
Authorized ianature $11905.00
FOR #3 CITY OF
ASHLAND
REQUISITION Date of request: 10/04/2016
Required date for delivery:
Vendor Name Arlynnrcrt Tnirk Rnriv k Fgiinment rn
Address, City, State, Zip 4825 Tahle Rnck RD Central Pnint nR 97,902
Contact Name & Telephone Number Mark Robinson 1-888-289-1482
Fax Number
541-664-1158
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
Date approved by Council:
❑ Direct Award -(Attach copy of council communication) 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 - (Attach copy of council communication)
Description of SERVICES Total Cost
Install service body as per exhibit C on vehicle # 1019 $11,905.00
Item # Quantity Unit Description of MATERIALS Unit Price Total Cost
TOTAL COST
® Per attached quotelproposal~ $
Project Number 000528-999 Account Number730-08-10-00-703000
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 Ire, isition form, 1 certify that the City's public contracting requirements have been satisfied.
i
Employee: Department Head:
/ (Equal to or greate~.than $5,000)
Department ManagerlSupe sor" r: City Administrator:
(Equal to or greater than $25,000)
Funds appropriated for current fiscal year. YES / NO
Finance Dire 0 - Equal to or greater than $5,000) ate
Comments:
Form #3 - Requisition