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HomeMy WebLinkAbout2017-137 Contract - GPR Data i Contract for FOODS AND SERVICES less than $25,000 __s_._ _ _ . _ _ _e _ _ C i T Y o~ `CONTRACTOR: GPR Data ~.SHLA~ID CONTACT: Matthew Edwards 20 East Main Street Ashland, Oregon 97520 ADDRESS: 2580 Edgewater Dr. Telephone: 5411488-0002 Eugene, OR 97401 Fax: 5411488-5311 _ TELEPHONE: 541-345-1075 DATE AGREEMENT' PREPARED; Aril 27, 201.7 _ FAX: 54.684-7865 ; i BEGINNING DATE: M~ 8rh 2017 COMPLETION DATE: December 8t'~, 2017 .T_-_._. ~ COMPENSATION: Not~ta exceed $2,280.00 _ _ _ _ . m ~ ~ _ GOODS AND SERVICES TO BE PROVIDED: Use of Ground Penetratin Radar to locate and characterize I the presencelabsence of thrust blocks and restraint devices on the 24" TID waterline as described in the attached "Exhibit C" . _ . _._.M.. _ ADDITIONAL TERMS: In the event of conflicts ar d~screpane►es among the contract documents, the City of Ashland Contract far Goads and Services will be primary and take i precedence, and any exhibits or ancillary contracts or agreements having redundant or contrary provisions vnll be subordinate to and interpreted ~n a . _ _ NOWrTHE ~~tµcanflict w~fh the said primary C~~wof Ashland Contract FORE, pursuant to AMC 2.54.494 and after cansideratian of the mutual covenants contained herein the CITY AND CONTRACTOR AGREE as follows: 1 All Costs ay Contractor: Contractor shall, provide all gaols 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. I j 2 Qualified Work: Gontractor,has represented, and by entering Into this contract now represents, that any personnel i assigned to the work required under this contract are fully qualified to perform the work to which they wilt 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 shalt provide all goads in accordance with the standards and speciflcatians, 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 goads and for any work performed, includin costs and g expenses, the sum specified above. Payments shall be made within 34 days of the date of the invoice. Should the contract be prematurely terminated, payments will be made for wank completed and accepted to date of termination. ' Compensation under this contract, including ail casts and expenses of Contractor, ~s limited to $25,444.40, unless a separate written contract Is entered into by the City. Qwnership of Documents: All documents prepared by Contractor pursuant to this contract shall be the property of City. E Statutory Requirements: ORS 2798.224, 2798,225, 2798.234, 2798.235, ORS Cho ter 244 and ORS 674.644 are p made part of this contract. r Living Wage Requirements: if contractor Is providing services under this contract and the amount of this contract is $24,283.24 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 8 predominantly in areas where it will be seen by ail 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 destructions 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, subrogatians, actions, casts, 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, Cites Cao~nven~ience. This contract maybe terminated at and time by City _u~on_30 dais notice in writi~~ Contract far Goods and Services Less than $25,000, 06/30/2016, Page 1 of 5 and delivered by certified mail or in person. c For Cause. City may terminate or modify this contract, m 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 fallowing 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 sernces; ii. if federal or state regulations or guidelines are modified, changed, or interpreted in such a way j that the services are no longer allowable or appropriate far purchase under this contract or are no longer eligible for the funding proposed far payments author7zed by this contract; or i iii. if any license ar certificate required by law ar regulation to be held by Contractor to provide the services required by this contract is far any reason denied, revoked, Suspended, or not renewed. d. For Default or Breach. j ty y Y s i. Either Ci or Contractor ma terminate this contract in the event of a breach of the contact b the other. Prior to such termination the parry 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 i entirely cured the breach within 15 days of the date of the notice, or within such other period as j 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. ~ j ii. Time is of the essence for Contractor's performance of each and every obligation and duty under this contract. City by written riotice to Contractor of default ar bream, may at any time terminate ~ the whole or any part of this contract if Contractor fails to provide services called far by this contract within the time specified herein ar En any extension therea#. iii The rights and remedies of City provided in this subsection (dj are not exclusive and are in addition to any ether rights and remedies provided by law or under this contract. e. Obligation/L~abili~ of Parties. Termination or modification of this contract pursuant to subsections a, b, or j c above shall be without prejudice to any obligat►ans or liab~liiies 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. 1g. Independent Contractor Status: Contractor is an independent Contractor and not an employee of the City. Contractor shall have the complete responsibility far 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 rn 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 ~ G~ty discovery of a misrepresentation or sham regarding a subcontract or that the Bidder has violated any regwrement 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 I 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 ar 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 l contractual relation between the assEgnee or subconts~actor and City. 14 Use of Recyclable Products: Contractor shat! use recyclable products to the maximum extent economically feasible f 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 ar to qualify as a QRF if Contractor has qualified as a QRF far this agreement; institutes an action for relief in bankruptcy or ftas instituted against it an action far insolvency; makes a general assignment. far the benefit of creditors; or ceases doing business on a regular basis of the type identified in its obligatbns under the Contract; or attempts to assign rights in, or delegate duties under, the Contract. 16. Insu__~__ranc,~e. Contractor shall at its own expense provide the following insurance. a. Worker's Compensation insurance incompliance with ORS 6b6.017, which requires subject employers to provide Oregon workers' compensation coverage for all their subject workers b. General Liability insurance with a combined single limit, ar the equivalent, of not less than $1>000,000 for , each occurrence for Bodily injury and Property Damage. c. Automobile Liabilit insurance with a combined sin le limit, or the a uivalent, of not less than ~1,OQ0,000 _ _.w..w_. ~ ~ Contract far Goods and Services Less than $25,000, 06130,'201 fi, Page 2 of 5 - - for each accident far Bodily Injury and Property Damage.. including coverage for owned, hired or non-owned vehicles, as applicable. d. Nonce of cancellation or change. There shat! be no cancellation. material change, reduction of limits or intent not to renew the insurance coverages}without 3d days` written notice from the Contractor ar +ts rnsurer(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 sernces to be provided under this Contract. As evidence of the insurance coverages required by this Contract, the Contractor shalt furnish acceptable insurance certificates prior to commencing work under this contract. The contractor's insurance is primary and non-contributory. The certificate will specify ail 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 a!I pertinent deductibles, self-insured retentions andlor self-insurance. 117, Governing Law; Jurisdiction; Venue. This contract shall be governed and construed in accordance with the ►aws of the State of Oregon without resort to any furisdiction's conflict of laws, rules ar doctnnes. Any claim, action, suit ar proceeding (collectively, "the claim") between the City (andlor 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 safely and exclusively within the Circuit Court of Jackson County far the State of Oregon. 1f, however, the clam must be brought in a federal farurrt, then ~t shall be brought ono conducted solely and excluswely within the Un€ted 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 ~n persanam jurisdict~an of said courts Jn no event shah this section be construed as a waiver by City of any farm of defense ar immunity, based an the Eleventh Amendment to the United States Constitution, or otherwise, from any claim or from the ~urisdictian. 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, SHAD. 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 HEISHE 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 curreniiy available and authorized for expenditure to finance the costs of this contract within the City's fisca~ 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 an City appropriations, or other expenditure authority sufficient to allow City rn the exercise of its reasonable administrative discretion, to continue to make payments under this contract. In the event City has insufficient appropriations, I~m~tat~ons 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 IiabiGty to Contractor 20 Pri pprova squired Provision. Approval by the City of Ashland Council ar the Public Contracting Officer is squired,, before a work may begin under this contract. 21, ~:e~catiart ,o tra or all s f►cat,an attached hereto as Exhibit A ~ d herein mcorparated by reference ~ ;font ctQr. City of Ashland r. y X r. ~ ~ . v , B p Signature De artment He d _ ~ ~'r~nt Name Pant ame Tit(e Qate W-9 One copy of a W-9 is to be submitted with t the s~gnea contract. l=~urc►~ase Order No L__._.__..._.-.r_._~...~._,......_....~_._~_._.__,._..._~____...__.~..__._.__~_._._,.~._..._......_._____._..___.~..._..~__._,__._..__.~_._.,.._._-_...A..,........_._....~.._..._.__W___..._.._... ._._..._.,~.. Contract far Goods and Services Less than $25,~DU, 06l3tI/2015, Page 3 of 5 EXHIBIT A CERTIFlCATlONStREPRESENTATlONS: 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 nat been notified by the Internal Revenue Service (lRS}that it is subject to backup withholding as a result of a failure to report all interest or dividends, ar (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, shah 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 (Jregon or is an independent Contractor as defined 1►~ the contract documents, and has checked four or more of the follov~rir~g criteria: ~ 41) I 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 iocatian of the business. (2) Commercial advertising or business cards or a trade association membership are purchased far the business. . v' (3) Telephone listing ~s used for the business separate Pram the personal residence listing. ~~~~e~- (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. h ~ 1 ~ ~ ~a ~ ~ _ _ __..a . Contractor (Date) Contract far Goods and Services E.ess than $25,000, 06/3012096, Page 4 of 5 ~ ~ i • • EXHIBIT B ~ ~ ~ ~ + t ~ ► a ~ a i r. ► ~ .s- '~LL~per hour effective June 30, 201 fi {Increases annuall eve June 30 b the r~Ir y ~ ~ 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 project ar the empbyee, Far all hours worked u~~der a business from the City of service contract between their j Ashland in excess of Nate: ~Empb ee"does not emplayer and the City of Y Ashland if the contract $20,283.20. include temporary orpart-time employees hired for less than exceeds X20,283.20 ar mare, !f their emplayer 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 an applicability of this month if the employee spends ~ ~ policy p{ease see Ashland 50% ar more of the ' ! In calculating the living wage Nfunicipal Cade Section empbyeels time in that month employers may add the value 3.12.020. working an a project or of health care, retirement. ~ Cal! the Ashland City Administrator's office at541-488-6002 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 en areas where it can be seen by ail employees. CITY l?f ~,S H ~.A,N I~ Contract far Goads and Services Less than $5,444, 46/34/2416, Page 5 of 5 EXHIBIT C 2584 Edgewater Dr. Eugene, OR 97441 t;P) 541.345.14]5 R~: (F) 541.684-]865 _D_A_TAh _ Carqun~ Penetr~t~ng Radar £xpert~ G~S~ PRi~P~SJ~~.. Pro Deal Submrtteo Tc~~ _ Fax Date Ci of Ashland, Kevin Caldwell 4125~2p17 Job Name. Job Location; Phone: GPMR lm in Ashland, GR 541-552-2414 ! Descri Lion Q slUnlt Subtotal GPMR IMAGING Use hi h resolution round netratin mrcrowave radar to rma a areas 1 da 52.20p.pp of a 24" water line for the presence or absence of thrust blocks m 91 each areas. Mark positrons with dimensions and de ihs on concrete surface, nose ortin . If time a!#ows also ima a areas where meta( caliears on r e could exsist. Pt e ail nrrent r, referenced ort drawrt'i rrvided b +Wi~~ail fr't~tn Kevin. M081LIZATION S 1. S~Iled r mob e ut went and ersannei 2 $80.p0 TOTAL S 2,280.44 TERMS AND C~NDITiONS 1 G.C i eneral contractort res onsible far la out anted stun line` 2. Utilt ~Conduits111Uater Lrnes are the res onsibilit of others to locate 3. Assumrn da ~ time work 4 G.C responsible for access to complete worx (Scaffoldin /lrfts rf needed) 5. Work rs to be cantmuous until completed Pa ert fo be matte as fapaws. materrad viz uaranteed to be ass ieQ. AM v~tc to ~ 4arn ,eteW ~n a vror~;rnart~ica marines aced to standartt .ract~s An alteratan or deviation from the above s icatior, invorvin extra costs vw~ be ezecvteo c~n u n wntten ortse+s attC will become art extra Ctt over and etxave the estin~te. A~ a re~;rnents cnntm t u strikbs acx~denEs ar deb be d txx antra! Authorized Si natur@~ Matthew Edwards Nate i his nr, asa! ma be w+thdrawn b u5 it na accx as u+tthtn 30 dts CCQ~? tiC@ o ro[JaSa above prices, spe uattons and conddlans ~~e sett actcxy ana are hereby accepted. ou are au prized is da the work ass led. Pa nt wrq be made as x,tiined above icash cx deck if nc~ c~t~€so abovel Si naturo of Acce ranee: t CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) o51os12o17 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 Dana Miller Steele Group Insurance Agency Inc. PHONE , 541 687.2600 FAx .541 744-2697 P.O. Box 11534 E"MAIL dana steele rou .info Eugene OR 97440 INSURERS AFFORDING COVERAGE NAIC # INSURER A : Continential Casual Com an 20443 INSURED INSURER B : S81f COr Oration 36196 GPR Data Inc. INSURER c : Llo ds of London 2580 Edgewater Dr INSURER D Eugene OR 97401 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUB POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIDD MMID /YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A► CLAIMS-MADE ~ OCCUR DAMAGE TO RENTED $ 300,000 Y Y 6011775381 10/2212016 10!2212017 MED EXP An one erson $10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY ~ ECT ~ LOC PRODUCTS - COMPlOP AGG $ 4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 A X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED Y Y 6011721045 1012212016 1012212017 BODILY INJURY (Per accident) $ AUTOS AUTOS X NON-OWNED PROPERTY DAMAGE HIRED AUTOS X AUTOS $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $1,000,000 A EXCESS LIAR CLAIMS-MADE Y Y 6011780127 1012212016 1012212017 AGGREGATE $ DED x RETENTION 10,000 $ WORKERS COMPENSATION X PER OTH- ANDEMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N E.L. EACH ACCIDENT $ 500,000 B OFFICERlMEMBER EXCLUDED? Y❑ NIA Y 965893 06!0112016 06!0112017 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 500,00 Professional Liability B0621 PGPRD000116 1012212016 1012212017 Per Claim $1,000,000 C Annual Aggregate $2,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is listed as additional insured as per written conract. Insurance is primary and non-contributory and includes waiver of subrogation This form is subject to policy terms, conditions 8~ exclusions. CERTIFICATE HOLDER CANCELLATION City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Public Works ACCORDANCE WITH THE POLICY PROVISIONS. 20 East Main Street Ashland, OR 97520 AUTHORIZED REPRESENTATIV <DA> Fax: 541 488-6066 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD Purchase ~}rder Fiscal Year 2017 Page: 1 of:1 City of Ashland 1 L ATTN: Accounts Payable _ _ . 20 E. Main ~ ~ Purchase L Ashland, OR 97520 Order # T Phone: 541.1552-2a1a p Email: payable a~ashland.ar.us V ~ H C!U Engineering Division E GPR DATA INC 151 Winburn Way D 2580 EDGEWATER DR P Ashland, dR 97520 G EUGENE, OR 97401 T Faxn541488 6x0547 R p ~7en~iQr-PtrQn~~lum~= o ' .um - ~ - _ - - : _ - _w = _ Kevin Caldwell 05/2312017 3354 Cit Accounts Pa able - - - - - _ - - ~ ~ roc Locate TlD Waterline 1 Use of round penetrating radar to locate and characterize the 1 $2,280.0000 $2,280.00 TID waterline, per attached proposal. Nat to exceed $2,280.00 Contract for Goods and Services Less than $25,Oaa Beginning date: 05108!2017 Completion date: 12!08!2017 Project Account: E-2x1531-999 GL SUMMARY a819aa-7042oa ~2,2sa.ao i I I 1 I B 1 Date: Y~ Aurthorized Signature - $2,280.00 9r_ 1 ~ ~ ~ ~ , FORM#3 c1TY of c _ _ _ _ 4 _ _ _ REQU~S~1'ION ~ Date of re uest: s~ls~l~ q Required date for delivery: ASAP Vendor Name ~;PR Plata Address, City, State, Zlp 25(1 Frtnewater ~r FunenP, ~R 9741 Contact Name & Telephone Number Fax Number Matthew Edwards. 541-345-1075 Fax. 541-684-7865 SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emer enc ❑ 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 uote or ro osal attached _ Attach co of council communication _ If council a royal re uired, 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 # ❑ VerballWritten 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 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 proposalslwritten solicitation Date approved by Council: (Date) ❑ Form #4, Personal Services $5K to $75K Ualid until: Date - (Attach copy of council communication) Description of SERVICES Total Cost Use of ground penetrating radar to locate and characterize the TID waterline, per attached Z 2g~,40 proposal. ~ i Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST ® Per attached quotelproposal $ Project Number 2015 - 31 Account Number 081900.704200 Expenditure must be charged to the appropriate account numbers for the financials fo accurately reflect the actual expenditures. !T Director in collaboration with department to approve all hardware and software purchases: iT Director Dafe Support -Yes / No By signing this requisition form ertify that the City's public contracting requirements have been satisfied. Employee: ~ - Department Head: ~~,:4 ~ ~ ~ ~e ~ ~y ~ i A n~ (Equal to or greater than $5,000) Department ManagerlSupervisor: City Administrator: / . ~ (Equal to or greater than $25,000) Funds appropriated for current fiscal year: ~~ES~~ NO ~ ,%j ~ - ~ ~ I F1nar~e DireGt~1'`(Equal to or greater Phan $5,000) Da e Comments: Cnm, alb D~„~