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2017-162 Contract - Ashland Construction
Contract for GOODS AND SERVICES less than $25,000 C i T Y O F CONTRACTOR: Ashland Construction ` ~ ~ ~ NTACT: Ron Hobson CO 20 East Main Street Ashland, Oregon 97520 ADDRESS: 102 Pleasant View, Talent, OR 97540 Telephone: 541 /488-6002 Fax: 5411488-5311 TELEPHONE: (541) 944-2728 DATE AGREEMENT PREPARED: 5110117 FAX: (541) 512-0809 BEGINNING DATE: July 1, 2017 COMPLETION DATE: June 30, 2019 COMPENSATION: ~O GODS AND SERVICES TO BE PROVIDED: Contractor to provide on-call CONCRETE services, pursuant to labor and equipment rates provided in Exhibit C (proposal). Services shall not exceed $10,000 per call-out. 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 rima Cit 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 2798.220, 2796.225, 2796.230, 2798.235, 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 b certified mail or in person. Contract for Goods and Services Less than $25,000, 06130/2016, Page 1 of 5 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 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 Q00 000, $2,000,000 or Not Applicable for each occurrence for Bodily Injury and Property Damage. c. Automobile Liabilit insurance with a combined sin le limit, or the e uivalent, of not less than Enter one: Contract for Goods and Services Less than $25,000, 06130/2016, Page 2 of 5 $200,000, $500,000, 1 QQQ OQQ, or Not Applicable for each accident for Bodily Injury and Property Damage, 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 coverages) 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/orself-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, suitor 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 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 INSTANCEAND 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 ~ ^ Contractorr~ City of Ashlan . gy gy Signature Departure t Head ~ r 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: ~CC`~ (1) 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 location of the business. ~C~ (2} Commercial advertising or business cards or a trade association membership are purchased for the business. r~~ (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) 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. C~~~Sr r~~,J~ r ~ Contractor (Date) Contract for Goods and Services Less than $25,000, 0613012016, Page 4 of 5 ~ ~ ~ ~ ~ ~ EXHIBIT 6 ~ o s an , . , . . , . - per hour effective June 30, 2016 (Increases annually every June 30 by the Consumer Price Index) - ~ - ~ , ~ portion of business of their 401 K and IRS eligible employer, if the employer has cafeteria plans (including ten ormore employees, and childcare) benefits to the has received financial amount of wages received by assistance forthe project or 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 orpart-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 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, 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 ~,SHLAND Contract for Goods and Services Less than $25,000, 0613012016, Page 5 of 5 . EXHIBIT C. PROPOSAL ~ City ai' A,sl3land Xnternaediate Procurement REQUEST FOR PROPOSAL ON-CALL CONTRACTING SERVICES (TRADEITECHNINCAL} Release date: March 1, 2017 Bids are due by 2:4~ PNI (PSTIDST), Air 2017 4'~ERVIE'VV The City of Ashland (the "City"} is accepting proposals for trade and technical an-call contracting services, including ARBOR~ST; AUTOMATIC GATES; BACKFLOW; BUILDING CONTROLS; CARD LOCK FUELING SYSTEMS; CONCRETE; DEBRIS CLEANUP & HAULING; DOORS OVERHEAD & HANGAR}; DOORS tHINGED} & WINDOWS; ELECTRrCAL; FENCING; FIDE ALARM; FIRE PROTECTION; FLOORING; GENERAL CONTRACTING; GENERAL EXCAVATION; HVAC; INDUSTRIAL WASTE MANAGEMENT; LANDSCAPING & IRRIGATION; LEAD DETECTION; MASONRY; PAINTING; PAVEMENT CUTTING; PEST CONTROL; PLUMBING; PRESSURE 'BASHING; ROOFING; TRAFFIC CONTROL; TRUCKING; TONING; anal v~lINDOW & GUTTER CLEANING. The City will then select no more than three of the highest ranked proposers to enter into cont~'acts with the City as pre-qualified contractors prepared to bid the services herein described, up to a maximum cost of $IO,000. The City will award individual jobs to the successful bidders as also provided herein, but generally according to a formula considering rotation of contractors, contractor availability, and p~~ce. These contracts will star t July 1, 201.7 and extend until June 34, ZOIg, with an option to renew for two additional years. Contracts are nonexclusive. Contractors who meet all of the City's qualification criteria, but are not selected for on-call service contracts, will be maintained in the City's database of prequalified contractors. Prequalif"ied contractors maybe considered for jobs at the City's discretion, including without limitation jobs that exceed the maximum cost of $10,00 or require specialized knowledge, skills, or abilities. Contractors will be required to maintain a presence within the local area to provide dependable on~call services for bath public and private prapez•ty, as applicable. The City requires contractor services to be done in a timely, safe and professional manner in compliance with the applicable industry standards and in accordance with the criteria, terms, and conditions established within this Request for Proposal tRFP}. The City of Ashland Project Manager, I~aylea Kathol, is the sole point of contact during the entire solicitation process. Info~•rnation, col-respandence and questions pertamtng to this solicitation shall ONLY be directed to; Name: t~aylea ~.athol Title: Project Manager Address: City of Ashland 5l VVi~~bUt•n V4~ay, Ashland, Olt 9752Q Telephone: 541-5522419 Email: lt~tatio~t~List~~c~asl~larrd,a~~.us Request for Proposals - ~n Cal[ Cont~'actit~g Services (TradelTechi~ical) Page 1 G:lpf~~-wrkslenglt5-I9 Rotation List RFP's1A I~dir~inlTechnical Services RFP~O15-19 RFP_on Call Tecljnical Services E Vers.docx ~ENER.AL INSTRUCTIONS In response to this RFP, interested contractors are requested to submit a proposal package consisting of the ~'orTns and documentation described herein. Proposers shall provide the information, including any additional documentation, requested in the attached exhibits in a clear and concise manner. CONTENTS OF PROPOSAL CHECKLIST} A. Exhibits ❑ Exhibit A: Proposal Form ❑ Exhibit B: Experience and Ability to Fulfill Service Requirements ❑ Exhibit C: References & Customer Service Standards ❑ Exhibit D: Facilities description and information ❑ Exhibit E. Equipment & Vehicle List ❑ Exhibit F: Employee Security Check Form (Plumbers and Electricians)'~t ❑ Exhlblt G: Proposed Fee Schedule ❑ Exhibit Contract Terms & Conditions ❑ Exhibit 1: Contract for GOODS AND SERVICES Less than $25,OOOt ❑ Exhibit J: Addendum to Contract for Goods and Services Less than ~z5,~0~' ~ Exhibit provided for reference purposes. Employee information will be required within seven (7) worl~ing days of notification of intent to a~vard. ~~Exhibits are templates. They include acknawledgementpoges that must be initialed and returned with the proposal, B. Additional documentation that must be provided within seven ('l} working days of notification of intent to award: ❑ Copy of current City of Ashland Business License (Per Exhibit 1, line 2 and Exhibit J, section S.l.l) Copies of applicable specialty licenses required by the Oregon Construction Contractors Board ❑ ❑ Copies of current Insurance Certificates, including without limitation: workers Compensation (as applicable}, General Liability, CommerciallBuslness Automobile (Per Exhibit I, line I b) St~MISSION o~ PROPOSALS One (J} electronic copy of the proposal must be received by the City of Ashland on or before the submission deadline set Earth below. The proposal must be include all exhibits described above, as well as any signed addendums that have been released by the City of Ashland, Exhibits A through J~ contain electronic text boxes in which the proposer may directly type responses. The proposal shall be submitted to the City electronically upon completion by clicking the "Upload" function prav~ded on the online applicatia~~ page. If proposer is unable to submit an electronic proposal, arrangements maybe made with the City for the delivery of a typed, hard cagy proposal. Please contact Kaylea l~athol as provided an Page l . Regtiiest for Proposals On Ca11 Conicaeting Services {Trade/Techi~ical} Page 2 G,lpub-wrkslengll5-19 Rotatio~~ List RFP'slA_AdminlTechi~ical Services RPP1241 S-i9 RFP On Cal(Tecl~nical Seivices~E Vers,docx DUE DATE AND TIME The proposals must be submitted to the City prior to 2.~0 pM ~PSTIDS~T} on Air 2017 LATE ar FACED proposals will NC}T be considered, Proposals not submitted electronically will N4T be considered unless prior arrange~nEnt has been made with the City. E'~ALC~A,TION ~`ROCESS An evaluation committee appointed by the City of Ashland, of no less than three ~3}, will evaluate the proposals based on the evaluation crlter~a established ~n this R.FP. Each category wall be scored with a number of paints, up to the maximum number of points assigned. to each category. The greater the number of points assigned to a category, the greater the category's level of irr~portance, Each proposal will be evaluated, scored and then ranked according to the evaluation criteria. The City of Ashland will carefully consider the fees being proposed by each of the potential proposers to determine if they are usual and customary. If the proposed fees are not usual and customary, the City of Ashland will not award the contract unless the City of Ashland. and proposer negotiate fees that are fair and reasonable, After the initial evaluation of the proposals has been completed, the Evaluation Committee may request written clarifications. The actual interview and/or additional lnqun~eS for clarifications may be performed ar requested in person ar by telephone, The City of Ashland may reject any proposal not in compliance with all prescribed solicitation procedures and requirements and other applicable laws, and the City may re~eet .far goad cause any or all proposals upon the City's findings that it is in the best interest of the City of Ashland. The total paints awarded to each proposal will be tabulated and the proposers shall be ranked accordingly. A contract and/or multiple cont~•acts with the proposer and/or proposers deemed to be mast qualified will then be negotiated. if negotiations with a proposer are unsuccessful, the City of Ashland may proceed to the next mast qualified, and so on until a contract is successfully negotiated. Request €or PrnPosals - Qn Call Contracting Services ('I'radel'1'eclinical~ Page 3 C:Ip~tb-wrksleng115-1~ Ratatinn List RFP's1A._AdminlTechnicak Services RFP12b15-1~ RP'P_On Call Technical Se~'vices 1J Vers.docx EVALUATION CRITERIA. The proposals will be evaluated according to the fallowing criteria. EV'AI.,UA,TI01~ CRITE~A POXNTS Exhibit A: Proposal Form ~ Mandatory Exhibit B: Experience and Ability to Fulfill Service requirements 3~ Exhibit C: References & Crrstamer Service Standards 3~ Exhibit D: Facilities desc~"iption anti in~or~nation 1~ Exhibit E: Equipment & Vehicle List 1 ~ Exhibit F: Employee Security Check Form (Plumbers and Mandatary Electricians}* {acknawledgementpege}* Exhibit G: Proposed Fee Schedule 20 Exhibit H: Contract Terms & Conditions .Mandatory Exhibit Contract for CrC)QI~S AI~I) SERVICES Less than $25,000 .Mandatary (acknowledgementpege} Exhibit Addendum to Contract for Caods and Services Less than Mandatory $25,000 {acknawledgementpege} Copy of current City of Ashland Business License (Per Exhibit I, Mandatory* line 2 and Exhibit section S,I,I); copses of applicable specialty licenses required by tl~e Oregon Construction Contractors Beard, and copies aI' current Insurance Ce~•tifcates, including without limitation: worlters' Compensation, General Liability, and CommerciallBus~ness Auton~ob~le (Per Exhibit I, line I6}. * ~"mployee infol°ta~atio~7 u~ill be ~•equit~~d within sewn wo~kir~g days o~'~~oti~catio7~ of intent to ewer°d contt•c~ct. Request for Proposals - Qn Call Contracting Services (TradelTechnical~ gage 4 G:IPub-wrlcslengll5-19 Rotation. ~.istRFl"s~A AdminlTech~~ical Se~viccs RP`Pi~al5-19 R~`P~On Call Technical Seivices_E ~ers.docx Exhibit A; Proposal Form (N1~~.NDATO1tY) The undersignedproposer submits this proposal in response to the City of Ashland's Request for Proposals (RFP) for ON-CALL CONTRACTING SERVICES (TRADE/TECI~NICAL~ dated Mara za~7 ,The proposer warrants that proposer has carefully reviewed the RFP and that this proposal represents propaser's full response to the requirements described in the RFP. The proposer further warrants that if this proposal is accepted, the proposer will contract with the City, ag~•ees to the teens and conditions found in the Agreement for ON-CALL CONTRACTING SERVICES (TRADE/TEC:HNICAL)ottached Exhibit I and RFP or has submitted terms and conditions acceptable to the City, and will provide all necessary labor, materials, equipment, and other means required to complete the work in accordance with the requirements of the RFP and contract documents. 1. Parent Company, ifapplicable: 2. Company Name (REQ[~IR~.ED): 3. Service Provided: Select Cane. Business Address: 5. Telephone Number: 6. Fax Number: 7. Email Address: " 8. Name of Authari~ed Signatory: . G~ Title: ~ 'f ~r~i' IU. Date: ~ . Proposer is a resident bidder as defined by ORS 27~A.I20(1}(b} Yes No~ Proposal Fo~-~n Page A.1 G:1pub-wrkslengll5-19 RotationList RFP's1A AdminlTechnicalSe~vices RFP12Q1S-19 Rl'P_OnCall Technical Services E Vers.docx E~chi~it B. Experience ar~d ~biizty t~ ~'~ul~li Service ~egairements ~~A~. 30 PINTS} Quaiifieatians:Desaibe the bidder's gllaii~cations and number a~' years providing - se(ect ore: sexvtces to confirm bidder has the expe~~tise to meet alI cant~actual respansibiiities. Pert'ormance: Provide a description o~ the bidder's record of satisfactory contract integrity and pe~~fot~nance, ~i l✓xperience and Ability to Fulfill Service Requireme~~ts Page X3.1 C:Ipub-vvrksiengll 5-19 Rotation List RFP's1A, AdminlTeclll~ical Services RFP12015-1 ~ ItFP Q~1 fall ~'oclinical Services E ~ers.docx Service Axea; Describe ge~g~apic a~~ea serviced, Indicate the appropriate industry experience you have to provide the type and scope of sez~~ices bei~~g requested below; Ca~nmereial new and existing (Ali trades: r Residential new and existing {p'L~TM~ING and. E~,ECTRIC only: Expe~~ience and Ability to Ful~l~ Se~~uice Requirements Page E.2 G:lpub-w~~kslengll5-t~ Rotation Dist ~'P's1A AdrniniTecl~nical Services RPP~OIS-l9 RFP_On Ca(l Teclu~ical Services_E ~ers.docx J Exhibit C. References ~ Customer Service Standards (MAC. 30 POINTS) Provide three references ~n the space below. Reference Name Organization or Relationship Phone Number ~•-R-•- Ilescribe the bidder's customer service standards L~-1 % f~' t ft's; 1~~`C;~. References Customer Sezvice Standards Page C ~ G:Ipub-wrkslen~ll5-19 Rotation List RFP's1A Adrninl~'echttical Services R~~12Q 15-19 RF~'man Call Technical Services _E Vers.docx i Exhibit ~acrlities description and infaarmation {1~A~ 1d PO~~TS) Physical r~_ _ Address ~.j ~ ~ .wiling Address {if different) ~~~,,~1 c~/'~ Description of business hours ~''~D ~~`J, 13escription of Description of vehicle storage Desc~~ption of - _ _ material supply j~~' ~1~~~1~'~~`~ ~ ~ r storage ~ ~acil%ties des~riptio~ and info~~rnation pa~~ ~ ~:1~ttb~wt~kslertgtlS-z9 Flotation ~,ist Ri~`P's1A Adminl~'ecllnical Services R.FP12015-19 RFP On Ca1~ Teclu~ica(Seivices E Vers,dacx exhibit E: ~',qui~ment 'Vehicle List ~N~~i~. POINTS) Describe any vehicles that will be used undez~ this contract in the space below, Vehicle ~eseliptzan License # Stag of Issue Year Condition ~~~~3 ~c~~ c~~- ~ ,EY1J~~ ~~C~-~~r ~ ~~c~1~~~ ~c~r~-~' ~~%r G~. ~ ~ ~ ~ 1~~~ - ~ ' equipment & Vehicle ~,ist Page i✓, l G:Ipub~tivrksiengi] 5~1917.otation List RFP`s1A_AdminlTcchnical Sec~vices ]~FP12a15-49 RFPJon Call Technical Sei-vicc;s_~ Vers.docx Exhibit F; Etnplayee Security Check li arm (Plumrbers and Electricians -MANDATORY) *To be completed following notification of decision to award contract's Security Checks far Contractor's Employees City of Ashland is prepared to assign the Contractor to enter upon or in private property of residents of the City of Ashland to make necessary plumbing and electric repairs, Contractor shall provide to the City of Ashland, a list of employees who will be performing work under this cantract. All employees will be required to satisfactoz~ily pass a City of Ashland background check prior to being assigned work under this contract. The City ofAshland shall determine the type of criminal background activity that would prohibit working under this cantract, This will be based on the nature of the business and level of security that is required. Work shall not be assigned to a new employee prior to satisfactoz~ily passing a City of Ashland background check. The Contractor shall maintain and have available at all times, current listings attached as Exhibit F, of all employees performing work under this contract. Please copy and attach additional pages if necessary. {Current Employee Residence Address Must Be Listed - Do Not Use Business Address) Name- Last, f first, Middle Driver's license License Crime State Conviction N~ Street Address City State Zip Date of Birth Hire Date Name- Last, First, Middle Driver's License CX~ime liccnse State Conviction N~ Street Address City State Zip r ~ ~S~ ' ~ '~S Date of Birth dire Date - ~ Employee Security Check Forn~ (Plumbers and Electl'ICians} Page F 1 G:1pub-wrkslengll5-19 Rotation Twist RFP's1A AdminlTechnical Services REP12015-19 RT'P on Cal! Tccl>nica! Sclvices E Vers.docx i Na~c-Last, First, Middle Driver's License Crime license State Conviction f~~ ri wq r. ~ ~ ~ Z,/ 4( Street Address City State Zip r /~C ~ Date of Birth Hire Date f _ -~f-~ Nave.. Last, Fi~~st, .Middle D~yiver's License Crime license State Conviction ~ ~ Sheet Address City State Zip bate al~ Birth Hzre Date r ~ -Z~' to 1~ame~ Last, First, Middle D~~ver's License CY-irne license State Conviction , . r ~ - Y ~ Utz. C~3 1Ca.l, C~k, Street Address City State Zip 7~.~' , ate 0~ BIZ'th ~Ir ~ bate Dame-Last, First, Middle Driver's License Crime license State Conviction ~ N Street Address City ~ State Zip Date ol'l3irth Hire bate 1lmployee Security Check Form (Plumbers and Electricians) Page ~ G:Ipub-wrkslengtt5-I9 Rotation List RF'P'sltl AdmintTechnical 5e~~vices RFP120I5-19 RFP an Call Technical Services E Vezs,docx { Acknowledgment of the ter~r~s and conditions of Exhibit E Employee Security Check dorm 4Plumbers and Electricians Unly}. I agree to provide the City of Ashland with employee information consistent with Exhibit F within seven woxking days of notification of intent to award contract, ~ (Initial to acknowledge} Employee Security Check Farm (Plun~~ers and E6ectricians) Page lY3 G:Ipub-wekslengll 5-19 Rotation List RFP's1A_AdminlTechnical Services R1~P12015-19 Rl~P~Qn Call Technical Seivices_E Vers,docx Exbibi~ Yro~ased Fee schedule (MAX, 2Q Pt~I~~'S} describe biddex's ~~ates end fees, including as applicable, minimum. callMout fee; hourly labor rates for specific job classifications; an-call ratesa hourly equipment rates, and any other applicable standardised rates or fees. ~'roposed hee Schedule Pa e G. ~ G:1pub-~vr1t51enb115-19 Rotation Dist R1''P's1t1. Adminl'rcchttical services RFP12~15-19 RI~I' _{~z~ Ca1I Technical 5crvices E Vers.cloex I Exhibit cantract Terms & Conditions (11~Al~CCDATCIR'S~} The proposal should indicate acceptance of the City of Ashland's c©ntract provisions attached as ~xbibit Z, Contract for GOC~D~ A~1D SERV~CE~ ~,ess than $25,OQQ, and/or suggest reasonable alternatives that do not substantially impair the City of Ashland's rights under the contract. The proposer may also propose contractual terms and conditions that relate to subject matter reasonably identified in the request far proposals. The City of Ashland resezves the right to negotiate the contractual terns anal conditions proposed as alternatives by the proposer. tf inclusion of any of the City of Ashland's contract provisions will result in higher costs for the services, such casts must be specifically identified in the proposal. Unconditional refusal to accept the contract provisions proposed by the City of Ashland without offering acceptable alternatives r~nay result in the disgcralificatian of the proposal. (initial to indicate acceptance} If applicable, provide recommended alternative cantract provisions; M.A.I~DAT+~R~' ,~ERVZCE RE+Q~1IR~11~~NTS Contractor shall comply with all federal, state, and local laws applicable to the urark under this cantract, and all regulations and administrative rules established pursuant to those laws. {Initial to indicate acceptance} Cantraetar~ shall provide awell-supervised, trained and fully staffed wank force at all tines to perform the contracted services in a timely and efficient manner. {initial to indicate acceptance} cantract Terms & Conditions Page tt.1 G:IFub-wrkslengil5-1~ RUtatian List RFt''s1A AdminlTechnicai Se~^viees RFP12QlS-~91tFF~C~n Call Technical Services ~ Vers.docx Contractor shall be responsible for providing acceptable staffing levels and employee supervision to ensure all contracted services are satisfactorily performed in tlae safest, most cost- effective manner possible. 1~~~''~ Initial to indicate acceptance) Contractor shall not subcontract any of the work rewired by this contract without the prior written consent of the City. Contractor will provide in all subcontract agreements that the Subcontractor will be bound by the terms and conditions of this Contract to the extent that they relate to the Subcontractor's work. Cont~•actor agrees that if subcontracts are employed in the performance of this contract, the Contractor and its subcontractors are subject to the requirements and sections of ORS Chapter 65~, '~Iorkers' Compensation, Initial to indicate acceptance) A~~~ss To ~col~s Contractor shall maintain fiscal xecords and all other records pertinent to this Contract. {Initial to indicate acceptance} All fiscal records shall be maintained pursuant to generally accepted accounting standards, and other records shall be maintained to the extent necessary to clearly reflect actions taken -1~~ {Initial to indicate acceptance) All such records shall be retained and kept accessible for a minimum of three years following final payment. {Initiat to indicate acceptance) The City of Ashland's authorized representatives shall have the right to access the Contractor's books, documents, papers and records related to this Contract far the purpose of conducting audits to monitor compliance with the terms of the contract. (Initial Co indicate acceptance) E~~G~BI~YTY TO PA~RT~C~~~ATE YN PUBLIC PROCUREMENTS Provide a written statement which identities proposer's status regarding its eligibility to participate in public procurement activities, if the firm, business ar person submitting this proposal has been debarred, suspended, disqualified or otherwise lawfizily precluded from participating in any public Contract "Te~'nls & Conditions Page H.2 G:Ipttb-wrksleng115~19 Rotation List RFP's1A A~minl~'ecl~nicai Services RT~'P1201S-19 RF'PTOn Call Teeltnical Se~vices~~ Vcrs.docx procurement activity, including being disapproved ar disqualified as a subcontractor with any federal, state ar local government, ar if any such preclusion fi•om pa~~ticipatian from any public procurement activity is currently pending, praposer shall bully disclose and explai~~ the circumstances relating to the preclusion ar pending preclusion as pa~•t of the required statement, The praposer shall identify the name, address and contact information of the govez~tnental unit that has the authority to issue the findings ar ruling, the effective date and duration of the current action ar proposed date and duration of any pending suspension ar debat~rnent and the circumstances relating to the culTent oz, pending suspension ar debarment, Are you eligible to participate in public procurement activities? Yes Igo if"NO",please provide the information requested above: A~~I~TI£~NA;L >~ClCI.1~ENTA.T~ON Contractor cut~~ently zetains or is willing to obtain the licenses and insurance policies listed. below, and will furnish the following documents to the City within seven ~7}business days of notification of intent to award.: Copy of current City of Ashland Business License {Per Exhibit I, line 2 and Exhibit section 5. L l } Copses of applicable specialty licenses required by the ~}regan Canstructian Contractors Baa~•d Copies of current fnsurance Certificates, including without limitation: 'Warl~ers' Compensation, General Liability`, CanlmerciallBusiness Autan~abile~` Per Exhibit Z, line l G} *,Pt~iora to ~rrlry into a ca~ztt•tzct, Wily ~f .~s~r~arad tnrrst be r2a~rred orr certificate as additi~rrar i~rsirr~ed. (Initial to indicate acceptance} Contract Terms & Conditions page ~,;1pub-wrkslengll S~19 Rotation List RFP's1A_AdminlTccl~nical Services ~FP12415-19 RI~P_On Gall Technical Services ~ vers.doc~ Exhibit 1; Contract far GOODS A1~D SERVICES Less than $5,000 {NIA.I~DATORY} *To be cottlpleted following notification of decision to award conti•act~ G I T Y O F CONTRACTOR: CONTACT. 20 East Main Street Ashland, Oregon 97520 ADDRESS: Telephone; 54114$8-6002 Fax: 5411488-5311 TELEPHONE: DATE AGREEMENT PREPARED: FAX: BEGINNING DATE: COMPLETION DATE; COMPENSATION: GOODS AND SERVICES TO BE PROVIDED: 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 rima Gi of Ashland Contract. NOW THEREFORE, pursuant to AMG 2,50,090 and after consideration of the mutual covenants contained herein the CITY AND CONTRACTOR AGREE as follows: ~ . All Casts by Contractor: Contractor shall, provide ail goods as specified above and shat! at its awn 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 ar banded by the State of Oregon, are sa registered, licensed and banded. 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 casts 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, 2798.225, 2798.230, 2798,235, 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, Cantractar is required to comply with chapter 3.12 of the Ashland Municipal Gade by paying a living wage, as defined in this chapter, to ail employees performing work under this contract and to any subcontractor who performs 54% or mare of the work under this contract. Cantractar is also required to post the notice attached hereto as Exhibit B predominantly in areas where it will be seen by aN employees, 8, Indemnification: Contractor agrees to defend, indemnify and save City, its officers, employees and agents harmless from any and all lasses, claims, actions, costs, expenses, judgments, subragations, or other damages resulting from injury to any person (including injury resulting in death, or damage {including lass or destruction) to property, of whatsoever nature arising out of or incident to the performance of this contract by Cantractar ~inciuding 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 an lasses, ex enses, claims, subrogatians, actions, costs, Contract far GOODS AND SERVICES Less than $25,OQ0 Page I.l G:1p~~b-~v~~ksleng115-I9 Rotation List RFP's1A Adn~inlTechnical Services RFP12015-I9 RFP On Call Technical Services E Vers.docx S T J[[ 6 judgments, or other damages, directly, solely, and proximately caused by the negligence of City. 9. Termination: a. Mutual Consent. This contract maybe terminated at any time by mutual consent of both parties, b. Ci~'s Convenience. This contract maybe terminated at any time by City upon 30 days' notice in writing and delivered by certified mail or in person. c. For Case. City may terminate or modify this cantract, in Whale or in part, effective upon delivery of written native to Contractor, ar at such Eater 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 far the purchase of the indicated quantity of services; ii. !f federa! ar state regulations or guidelines are modified, changed, or interpreted in such a way that the services are na !anger allowable or appropriate for purchase under this contract ar are na longer eligible for the funding proposed far payments authorized by this contract; ar iii. If any license or certi#lcate required by law ar regulation to be held by Cantractar to provide the services required by this contract is far any reason denied, revoked, suspended, or not renewed. d. Far Default or Breach, i. dither City or Cantractar may terminate this contract in the event of a breach of the cantract 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 ~ 5 days of the date of the native, or within such other period as the party giving the notice may authorize or require, then the contract maybe terminated at any time thereafter by a written notice of termination by the party giving notice. ii. Time is of the essence far Contractor's performance of each and every obligation and duty under this cantract. 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/Liabilit o~Parties. Termination or modification of this contract pursuant to subsections a, b, or c above shall be without prejudice to any obligations ar liabilities of either party already accrued prior to such termination ar modification. However, upon receiving a notice of termination ~regardfess 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 far work performed prior to the termination date if such work Was performed in accordance with the Contract. ~ 0. 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 cantract. 11. Nan-discrimination Certification; The undersigned certifies that the undersigned Contractor has not discriminated against minority, Women ar emerging small businesses enterprises in obtaining any required subcontracts. Contractor further certifies that it shalt 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, includ`€ng 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.~ ~ 0 ar the administrative rules implementing the Statute. Asbestos Abatement License: if required under C}RS 4~$A.710, Contractor ar Subcontractor shall possess an asbestos abatement license. 13. Assignment and Subcontracts: Contractor shall not assign this contract ar 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 oats or emissions of any assigns ar 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 ar subcontractor and City. ~ 4. 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. ~ 5. Default. The Contractor shall be in default of this agreement if Contractor: commits any material breach ar default of any covenant, Warranty, certification, ar obligation i# 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 Cozrtract foz• GO{~DS AND ~EI~VICES Less tlzarz X25,040 Page I.2 G:~pub~wz'kstengll S~I9 Rotation List ItFP's1A AdzninlTechz3ical Sezviees RFPl2D 15-19 R.F`l'_On Call Technical Services Vers,docx business an a regular basis of the type identified in its obligations under the Contract; ar attempts to assign rights in, ar delegate duties under, the Contract, 16. Insurance. Contractor shah at its awn expense provide the fallowing insurance: a, Worker's Compensation insurance in compliance with ORS 65~.~17, which requires subject employers to provide Oregon workers' compensation coverage far all their subject workers b. General Liability„insurance with a combined single limit, ar the equivalent, of not Tess than Enter one. ~~,gOD,aO(~, OOQ`'0~~ or Nat Applicable for each occurrence for Eadiiy Injury and Property Damage. c. Automobile Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $500,000, ~ UQO 040, ar Not Applicable for each accident far Bodily Injury and Property Damage, including coverage far owned, hired ar non~owned vehicles, as applicable. d. Notice of cancellation ar change. There shall be no cancellation, material change, reduction of limits ar intent not to renew the insurance coverage{s} without 30 days` written notice from the Contractor ar its insurer{s} to the City. e. Additional InsuredfCertificates of Insurance, Contractor shall name The City of Ashland, Oregon, and its elected officials, officers and employees as Additional insureds an 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 nan~ contributory. The certificate will specify al! 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 ail pertinent deductibles, self- insured retentions andlarsclf-insurance. ~7. 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, suitor proceeding {collectively, "the claim"} between the City {andlor any other ar 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 far 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 f©r the District of Oregon filed in Jackson County, Oregon. Contractor, by the signature herein of its authorized representative, hereby consents to the in person jurisdiction of said courts. In no event shall this section be construed as a waiver by Gity of any form of defense ar immunity, based on the Eleventh Amendment to the United States Constitution, ar otherwise, from any claim or from the jurisdiction. ~8. 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. ~ 9. Nonappropriations Clause. Funds Available and Authorized: City has sufficient funds currently available and authorized far 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, Gity may terminate this contract without penalty ar 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. ~~1. Certification. Contractarshailslgn the certification attached hereto as Exhibit A and herein incorporated by reference, Contract for GOODS AND ~I;R~r'1CES tress than $25,040 Page I.3 G;Ipltb-wrkslengll S-I9 Rota~i©n List RFP's1A A,dminlTeehnical Services RFP1201 S-I9 R~'P On Ca3I Technical Services ~ Vers,c~ocx Contractor: Clt~ of Ashland - ~y ~y Signature Department Head Print Name - - Print Nave Tine Date UU-9 Une copy of a VIJ.g is to be submitted with the signed contract. Purchase Urder No. Contract f~~' CiODDS AND SERVICES Less tl}a~ ~$25,~00 Page I.4 G,ipub-~vrksier~gll S~~I~ Rotation List RPP's1AWAd~~~it~lTecl~nical Sel~rices R.~P12Q15~I9 RI~P_C1n Call Technical Services_E Vers.docx Acknowledgment of the terms and conditions of Exhibit Contract for ~OaDS AND SERVICES Eess than $Z5,~40. I acl~nowledge that I have read and ant familiar with tei`rns of the template contract and the cant~act's exhibits A and B, herein refe~~ed to as Exhibit r. Initial to acknowledge} Cont3'act fog' GOODS AND SIJRVICI✓~S Less than $25,00 Pane 1.1 G:Ipul~-w~~ksleng115-19 Rotation List RI;P's1A.~AdminlTechnical Services RFP1201S-19 RFP_~n Call Technical Services,lJ Ve~~s.docx ~t~N~TRA~T E~~NIB~T ~ CERTfFICATIO~S/REPRESENTATIONS: Contractor, under penalty of perjury, certifies that {a} the number shown on the attached ~1~g form is its correct taxpayer 1D {or is waiting for the number to be issued to it and {b) Contractor is not subject to backup with}~olding 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 lRS has notified it that it is no (anger 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 an 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} 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 location of the business, {2) Commercial advertising or business cards ar a trade association membership are purchased far the business. {3) Telephone listing is used for the business separate Pram the personal residence listing, {4) L.abar ar services are performed only pursuant to written contracts. {5) labor or services are performed far two or more different persons within a period of one year, 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) CQrttcact for G40DS AND SER~IICES Less than $25,{?fl0 Page I.5 G:1pu6-wrkslet~gll5~l9 Rotation List ~FP'slA Admin~Tecl~nica(Sec•vices RFP120t5-I9 RFI' On CaII Technical Services E Vers.docx i i ~ ~ ~ ~ ! • ~~JNTR„ACT EX IBIT B fit of A~hla~n~ Y ~ E. ~ ~~~er hour effective June 30, 201G ~lncreases annually every June 30 by the Consumer Price Index} • ~ , ~ portion of twsiness of their 401 K and IRS eligible , i , employer, if the employer has cafeteria plans (including ten ar mare employees, and childcarey benefits to the has received financial amount of wages received by assistance far the project ar ~e em~ayee. For ail hours worked under a business from the City of service can~act between their Ashland in excess of ➢ No#e: "Empbyee" ~ not employer and the Gay of E2a,z83~10. indtxie temporary or part-time Ashland if the contract err~byees hired for less than exceeds E20,2~3.20 or mire. p If their em~oyer is the City of 1040hours irony twehre- ➢ For all hours worked in a Ashland including the Parks m~~ period. Far mare and Recreation Department. details on ap~icat~lity of #his month if the employee spends pd~y, p ~ Ashland b0% ar more of the ~ In calculating the living wage, Muniapal Code S~:c~ion employee's time in that month employers may add the value 3.12.020. working on a project or of heatlh care, retirement, Ca{I the Ashland City Administrators ofifice at 5~1-488.6002 or write to the City Administrator, City Nall, 20 East Main street, Ashland, OR 91520 Or visit the city's website at www.ashland.ar.us. Notice to Employers: This nofice must be posted predominantly in areas where it can be seen by all amp{oyeeS. C i T Y 0~ H LA~I D► Contract for GOODS ANT) SERVICES Less than $25,000 Page I.G G:lpub-~v~~ksleng115-19 Rotation List ItFP's1A Acl~~u~tlTcchnical Scfvices RFP12015-19 RPP_On Call "I'eclinical Services E Vers.dacx Exhibit J: Addendum to Cant~ract fair Goods and Services Less than $25,000 (NZANDATORY} AGREEMENT FOR ON-CALL ~`Gluc2~'T~- SER.~~CES (Speoify type HIS ADDENDUM to Ci of Ashland Goads 8z Services Contract Less Than $25,000 between the T ~ CITY 4F ASHLAND, as City, and ~ .s'~c~'l ~ ~ , as Contractor. WHEREAS, the City of .Ashland regularly requests on~call trade and technical services for the maintenance and repair of City facilities services}, and often when an emergency for such services may arise on both private and City owned. property; and WHEREAS, the City of Ashland would like to establish a speedy and efficient selection among qualified businesses that still fosters fair and equal competition among them to obtain the lowest price; and ~YHEREAS, Contractor responded to City's Request for Proposals for O~n-Call Contracting Services (Trade/Technical} and was selected by the panel that reviewed the proposals. NQyU THEREFORE, CITY AND CONTRACTOR HEREBY FURTHER AGREE AS FOLLOWS: 1. DEFINITIONS. 1.1., AGREEMENT: This document, entitled Agreement for On-Call Maintenance and Repair Services ~TradelTechnical), and any exhibits incol~orated herein. 1,2. BUSYNESS HOUR. fours during which business is nol~ally conducted, specifically 8:40 A.M to 5.04 PM, Monday through Friday, excluding holidays. 1.3. CYTY REPRESENTATXVE; Specifically designated employees authorized by this Contract to call Contractor, review bills, select, and dispatch Contractor to areas needing selvices. City Representative will include persons designated from the City of Ashland Public Works Department and the Ashland Parks and Recreation Depai~tlnent assigning services to Contractors for thelr respective departments, Addendum to Contract for Goads and Services Less than $25,000 Page J. ~ G:I~ub-tiv~'ksleng115-19 Rotation List RT'P's1A AdminlTecitnicatScrvices RFP12015-I9 RT'P_On Call Technical SetvicesTE Vers.docx 1,~. CONTRACTOR; A company which is pa~'ty to this Agreement, its employees, agents and associates, including all principal parties, such as its officers, directors and managers. 1.5. EII~ERGENCY: Any human caused or natural event or circumstances causing or threatening loss of life, injury to person. or property, [or similar human suffering, and includes, but is not limited to, fire explosion, flood, severe weather, drought, earthquake, spills or releases of oil or hazardous material, contamination, disease, blight, infestation, civil disturbance or riot. ~,6. HOLIDAYS: The days of the year obsexved by the City include: New Year's Day, Martin Luther King, Jr, Day, President's Day, Memorial Day, July nth, Labor Day, Veteran's Day, Thanksgiving Day, Day after Thanksgiving, and Christmas Day. 1.7.OWNER. The person in whose name a property is titled, or the person who has the tight to possession of the property. 1.8, O~YNER'S AGENT; A person authorized by an owner to have access to the property. 1.9. SERV1tCE(S}; .Any fade or technical services performed by contractors defined in this Agreement for the purposes of maintaining City facilities, including such activities as troubleshooting, repair, minor installation, and materials removal. 2. SCONE OF SERVICES, 2.1.I. Contractor agrees to provide services when requested to do so by City. The City Representative will forward such requests to Conti-actors under contract by the City. 3. COMPENSA.TYON. Contractor will be paid for its services by City at the rates attached to this Agreement and hereby incorporated as Fxl~ibit C. TERIVI. This Agreement is effective upon execution by bath parties, and it shall continue far two complete fiscal years therea~er (July 1 through June 30}. Upon expiration of this Ag~•eement, Contractor may request a two year eXtet1S10n by Contacting the Clty In WI'lting more than ~5 days before the expiration Addendum to Contract foz' Craads and Services Less than $ZS,000 Page J.2 G;lpub-wrkslengl(5-19 Rotation List RFP's1A AdminlTechnica~ Services RI~P12015-19 RFPJOn Calf Technical Services_~ ~Ters,docx of this A reement. The extension shah be granted unless the City objects in writing more than 30 days g befot'e the expiration of this Agreement. 5. CONTRACTOR MINIIVIUM SERVICE REQUIREMENTS. 5.1. LICENSES. 5.1.1. General Operations, Contractor shall possess a City business license and all commercial vehicle and operator licenses required under Local, state and federal regulations. S.l.z. Construction Contractors License. Contractors performing construction activities to ~'eaI properties must be licensed with the Oregon Construction Contractors Board shall meet all state re ui~'ements, possess and maintenance of licensing and bonding necessary for providing services per ORS q 701 and OAR 812. 5.2, PERSONNEL {PLUIVIING AND ELECTRICAL), All plumbers, electricians, and their assistants conducting any and all business related to this Ag~.'eement shall be identified an a personnel roster submitted prior to signing this Agreement. Any changes to personnel shall be reported to the City by the 10th day of the month following the change. 5.3. RESPONSE 'T'IME {non-emergency}, Contractor shall respond to all ser~rice requests to Contractor by the City Representative within eight (8) business hours of receiving the initial request. 5.4. PLACE OE BUSINESS AND OPERATIONS. 5.4.I. Business Office. 5,4,1.1, The Contractor has art established place of business within a 40 minute radius to the Ashland city limits. 5.4.1.2. The business office is open for the purpose of inspection of business records and equipment fi'o1~a 8: Q 0 AM to 5 ; 00 PM excluding weekends and holidays. Addendum to Contract for Goods and Services Less tlran $25,D00 Page J.3 G,1pui~-tivrksleng115-19 Rotation List RFP's1A AdntinlTechnical Services REP12~ i 5-~ 9 ItFP_On Call Technical Services_>; Vers.docx 5.4,1,3. The business office shall maintain records that contain the following information for at least three ears far each service: propet•ty description; reason for the service; time and date of service, identity of y the ern to ee{s}providing the service; and an itemized list of services and fees, PY 5.4.1.4, The Contractor has personnel available 2G~ hours a day, 365 days a year, who can be contacted to bid and perform services. 6. BID RaTA,TI~I~. 6.1. Rotation Schedule 6.1.1. The City will assign a range of dates to each Contractor from the approved list which will confer z'iority status to the assigned Contractor {hereafter P~~iority Contractor far reCelving services requests p from the City. Assignment pe~~iads extend far one calendar month, and will rotate according to a fixed schedule for the two-year pet-iod of the Agreement. The rotation schedule will be structured to provide e ual distribution of p~~iority status amongst all Contractors with respect to the seasonal trends in work q opportunities. G.~. Re nests for services for non-emergency and emergency events will be made from City Representative to the priority Contractor, if the Priority Contractor declines the request, the subsequent Contractor on the rotation list (Secondary Contractor) will be called. If work is declined by the Secondary Contractor, the City tivill call successive conh~actars according to the rotation until the request is accepted al~d a contractor is dispatched. Response to service calls by the Secondary Contractor or any successive contractor will not affect the order of the rotation list. ~Espolvs~ T111~E, 7,1, If communication pertains to an emergency event, Contractor shall inform City Representative whether it accepts an assignment within {30) thirty minutes of receiving a call, Contractor shall not accept an assi meet unless it has the equipment available and is capable ofi responding and arriving within the Addendum to Contract fog Goads and Services Less tl}an $25,000 gage J.4 G,Ipl~b-wrkslengli 519 Rotation List RFp's1A_AdminlTechnicai services RI~P12015-19 RFP_On Lail Teciu~ical Seivices_E ~ers.docx required timefi•ames outlined in this Agreement. Contractor shall not accept a call and then later decline it, except for circumstances beyond tl~e control of the Contractor. 7.2. Contractor shall respond to emergency service requests dispatched to Contractor by the City • Representative within sixty (60} minutes of receiving the dispatch. 7.3. Lack of a timely response may result in the Conh~actar being canceled from the call and placed at the bottom of the natation list. Repeated lack of timely response may result in termination of this Agreement. 8. DEC~~INING SERVICE REQ~JEST. 8.I. Contractor shall inform the City Representative, within thirty (3a}minutes of receiving a dispatch, if Contractor is far any reason unable to respond to an emergency service request, or unable to respond within the required time, and must decline the se~~ice request. Contractor shall inform the City Representative immediately if, upon arrival at the property, any condition prevents performance of the service. Declining a service request more than thirty minutes after the Contractor receives the dispatch shall be considered failure to respond. 8.~. If a Contractor declines a request, the rotation is advanced and the next available Contractor on the rotational list shall be dispatched. 9. CONTRACTOR'S OBL~GAT~ONS AND DUTIES. 9,1. Contractor ar its insurer shall give 3~ days written notice to the City pz-ior to any cancellation, material change, reduction of limits, ar intent not to renew the insurance coverages}. 9.~. After arriving at the property Contractor shall perform the service, or determine the appropriate equipment necessary and summon it, as long as Contractor is authorized to perfo~~n the service. 9.3. Contractor shall perfo~Tn all work in a safe, courteous, and respectful manner. 9.3.1.. Contractor shall not be verbally or physically offensive, abusive, disrespectful or discourteous to any owner or City employee related to the work performed. Addendum to Cont~~act fo~~ Goods and Services Less than $25,40Q Page J.5 G:lpub-wrkslengll 5-19 Rotation IJist RFI''s1A_AdminlTechnical Sez'vices RTP12015-19 RI'P_dn Call Technical Services_E Vers.docx 9.3,Z, Cont~'actor shall not operate any vehicle or other equipment in perfaz-rnance of this Agreement in a careless, recl~less, or negligent manner. 9.4. Contractor shall be responsible for cleanup of the project assigned. Contractor shall caz-ry, and use when necessary, absorbent material, brooms, shovels and waste containers to clean the usual debris and waste associated with completing se~•vices. 9.5. Contractor shall rrtake the business office available far inspection by the City at any reasonable time dut•ing nal~rnal business hours. 9~6. Contractor shall not cause unnecessary damage to the persons or property of others while performing under this .Agreement. 9,7, Contractor shall not make any false statements of material fact, or omit disclosure of material fact in perfo~xnance of this Agreement. 1~. N~ISCELLA~NE4US. se~e~~a~e; 1Q.1. I~4N~E~CLUSIVE. This is not an exclusive contract for ~'U~vC~ T~ services. The City may from time to time utilize Select Otte: f~~~ services for special needs outside this Agreement at its discretion. The City will make all efforts to utilize the services of Contractors on the list consistent with the interests of public safety and timeliness. Addcndu~lz to Contract far Goot€s and Services Less than $25,000 Page ~.b G:I~ab-wrksleng115-19 Rotation List R~'P's1A_AclminlTechc~ica[ ScEvices RIiP12015-19 RT~P_on Call Teclrnicai Sef~vices_E Vezs.docx Ackna~vledgment of the terms and condit~ans of E~chibit J, Addendum Contract for GQODS AND SERVICES Less than X25,000. i acknowledge that i have read and am familiar with terms of the Addendum to Contract, herein refetxed to as Exhibit J, (Initial to acknowledge) Addendum to Contract fog' Goods and Serviccs i,ess than $25,~~0 T'age J.7 G.Ipiab-wc'ksleng115-19 Rotation List REP's1A Adminl'1'echnical Services RF~12~I5-14 RFP_On Call Technical Se~vices_E Ve~'s,docx 1 t Y ® pQTE (MMIaDfYYYYj r ~t~C~'R't~ ~~,RTIFI~~TE ~F ~IABIL{TY INSURAN~F 316!2017 j THIS CERTIFICATE iS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NR RIGHTS UPaN TNT OEi2TIFICA7E HOLDER. THI$ CERTIFICATE DOES N4T AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND pR ALTER TEiE CpVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIF{GATE OF INSURANCE DQES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSiJRER(S), AUTHgRIZED RfriPRESEI!~TATIVE OR PROI?UGER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADl~1TIQNAL INSURED, the poficy(ies} must have AI7DITIQHAL ENSURED provisions or be endorsed. If SUBE7aGAT1t~N IS WAIVED, subject to the terms and conditions a# the policy, certain poiicles may require an endorsement. A statement on this certificate does. not confer rigf~ts to the certificate holder in lieu of such endarsement(s}. PRDpUCER CONTACT SUSan WIIsOn _ _ Brown &Brewn Narkhwest NAME. __._.__.__.-._._._,~.J _ 3256 Hillcrest Park Drive PHt1Nf 541 494-2659 ___^__~~c,r~oi_._~.._5411494.2758 s Nledfard, CSR 97504 -E.M~+L ADDRESS;.,,.-_-.____ swif$on@bbnw.COm INSURER(S1A1"FORDINGCOVERAGE ___NAfC# www.bt~nw.com ~~sut~r?a: -Ohio Securi~ insurance Company _ 24082 . _ INSURER 8 ; Developers Surety_& n emnlt ompan _ INSURED ~tshland Construction {nc INSURER C : SAiF 4 Sauthern C1regon Concrete Pumping - - - 1 t32 PleaSantView INSURER D : - Talent oR 97540 INSURER E : - ENSURER F : _ I CQVERAGES CER~'IF'IOATE NUMBER; 34544118 REVISION NUMBER; THIS 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE 6EEN iSSUEI~ TO THE INSURED NAMEi) ABOVE FOR THE POLICY PERIOD INDICATED, NQTWITHSTANpING 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 6Y THE POLICIE DESCRIBED HEREIN iS SUB.IECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS aF SUC}•i POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCEQ BY AID CLAIMS. ` ~ TR TYPl:OF1NSURANCE AO[lLSIiBR~OUOYNUMBER _•..........---t MM1DDlYYEF : MMIDDlYY P I LIMITS A ~ CQMMERCIALGENEFtALLIABILiTY ~ d BKS1856059356 3121J20i7 '312112018 EACH OCCURRENCE $ 1,000,0D0 OAMAGETO NTEp 1,oaa,DOO i CtAfMS-MAL1E OCCUR i I P EMISES. E{ a occurrencul. ~ I ~ h1ED EXP (Any one persorr} $ 15,000 ~ PERSONAL & AOV INJURY $ 1,ODD,OOD I I ~ GENERAL AGGREGATE $ 2,DDO,DOO t 6EN'LAGGREGATELIMITAPPLIESPER: _ 'k f POLICY PRO- LOC ~ ~ ~PRODUGI'S-- COMPIOP RGG , S v ~,OQp,000 Q JECT ~ i ~ OTHER: ~ I ~ ~ A AUTOMO91LlrLtA81LITY BAS1856059356 3!21!2017 3!2112018 ~~~I ~f01sINGLE uMIT g _ 1040,~DD0 f ANY AUTO I I ~--BOD~~LY IN-JURY (Per pe~aon~ S s AWNED ~ SCHEDUI)±D BODE !LY IN.IURY (Per acddrxit~ S AUTOS ONLY AUTOS - yIRED NON-OwNE1~ PROPERTY pAMAGE ~ AUTOS ONLY AUT05 ONLY ! E'er acrid©nt}~-^___ 5 i UMBRELLAUAB OCCUR EACH OCCURRENCE _ S ; EXCi;SS UAB CLAIMS-MADE I AGGREGATE _i~ ffi DED RETENTION 5 C WORKERS COMPENSATION 459D79 110/112015 1 D/1 !2017 ~ _ SrQM ~ ORH ANp EMPLOYERS' LIABILITY ANYPROPRIETORlPARTNEWEXECUTiVE Y f N E.L. EACH ACCIDENT 5 _500,000 F N!A _ aF1=1CERlMEhfaEREXCLUDEOZ I (Il~andafory In NH} ! ESL^DISEASE - EA EMPLOYEE $ _ _50O OOO r li yyes, tlesaibe under E,L DISEASE - POLICY f_IMiT $ SOO,OOO DESGRlPTiON QF OPERATIONS below B CCQ Commeraai License Bond 274336G 7/112016 7/1!2018 ;Limit: $50,ODq GCB Residential License Bond 2743370 i 7/1/2015 711!2017 ~ Limit: X20,000 DESCR1PTlpN OF 4PERATIUNS t LpCATtUNS !VEHICLES (ACdRd 701, Addltlonal Remarks Schvduie, may bo affached 1(maro space is roqulred) General Liability inciudss Additional Insured Coverage including Primary & iVon-contributory and Waiver of Subrogation when required by written contract per attached endorsement CG88100413. Subject to policy terms, limits, GDnditions and exclusions, i i y CERTIFICATE WOLDER ~AwOEt-~Tlp~ SfiOtJLD ANY OF THE ABt11lE DESCRiBEtI POLICIES BE CANCELLED BEFORE ~ilty Df Rshland THE EXFlftATION DATE THEREOF, NOTICE WILL Bf= DELiVERF..D iN 20 Eas# Main Street ACCORBANCE WITH THE I'QLiCY PROVISIONS. Ashland 97520 AUTHORIZEa REP}t;`SENTAi'IVE p i 9 Susan Wilson ' } ©1988y2Q15 AOQRD t✓t?I~PQRATiON. AI! ri~Itts reserved, I ',E I€ i i I { r Purchase Order Fiscal Year 2018 Page: 1 of: 1 ~~P~1~I _ _-~~P~~~N=ALL B City of Ashland - =~~~~~~~I~~Q~eu~~~ - _ _ :Accounts Payable ~ 20 E. Main Purchase - Q 1 Q A Order# V I V shland, OR 97520 T Phone: 541/552-2010 p Email: payable@ashland.or.us V S CIO Public Works Department E ASHLAND CONSTRUCTION H 51 Winburn Way D 102 PLEASANT VIEW P Ashland, OR 97520 0 TALENT, OR 97540 Phone: 5411488-5347 R ~ Fax:5411488-6006 _Vendo~PhoneNumber ~l.~r~ ~-~I~~m~~E~B~~ re== _ fl-- _ Ka lea Kathol _ - - - Date 0r_dered- ~enddr f~umt~~ a~----- -egr~irg~------ - . = - _ ~~~_~t~L~f~Qn _ _ _ _ 06/2612017 1508 FOB ASHLAND ORINET30 Cit Accounts Pa able Its m~_ ` _ = = -Qe`~__-~ - - - - _ ~ _ - - ~ _ = _ ~tC~ ~ t~n~e~=Pr_~ce- On-calf Concrete Services 1 Consultant toprovide on-call concrete services as needed 1 $4.0000 $4.00 Contract for Goods and Services less than $25,000 Beginning date: July 1, 2017 Completion date: June 30, 2019 Project Account: Project Account: Project Account: Project Account: GL SUMMARY 082400 - 602400 $1.00 085700 - 704100 $1.00 121200 - 602118 $1.00 125500 - 602118 $1.00 : By' ~ - Date: ~Authoriz ignature = - $4.00 F~RNZ#3 CITY OF . _ _ _ _ f~ ~S H LAN D 7~,~~l~~;. iii, ~ ~ i~;~.,,j ~ ~ ~ REQUISITION Date of request; 6. ~ .1~ Required date for delivery. 6.21.1 ~ Vendor Name Ashland Construction Address, City, State, Zlp 103 Pleasant View, Talent OR 97540 Contact Name & Telephone Number Ron Hobson 541.944.2728 Fax Number 541.512.0809 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 cop of council communication _ If council approval required, attach cop 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 # ❑ UerballWritten 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 ❑ Farm #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 Valid until; Date - (Attach copy of council communication) Description of SERVICES Total Cost Consultant to provide on-call concrete services as needed k ~ Fi ~ m Item # Quantity Unit Description of MATERIALS Unit Price Total Cost xxx xxx xxx TOTAL COST ® Per attached quote/proposal ~}eo# Number ~ Account Number ~ ~ ~ _ Account Number ~ ~ ~ ~ ~d ~ ~ ~ ~ Account Number ~ ~~s _ ~ ~ *Expenditure must be charged fo fhe appropriate account n ers for fhe financials fo accurately reflect fhe actual expenditures. !T Director in collaboration with department fo approve all hardware and software purchases: iT Director Date Support-Yes / No By signing this requisif', i~~rm,~! certify that f city's pubt~~onfracting requirements have been satisfied. 9 S F 1 ~ I Employee ~d ~ ~ : ~ Department Head: ~ ~ I R 1f f e ~qual to or greater than $5,000) s,~~ ~y~. _ c Department ManagerlSupervisor ~~`~~t,~ ~ ~ City Administrator: ~ ~ ~ ~ (Equal to°o greater than $25,000) Funds appropriated for current fiscal year N~ ~~F~tianee D~ Or- (Equal to orgreaterfhan X5,000) Date ter. Comments: Form #3 -Requisition