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HomeMy WebLinkAbout2018-005-Contract for Goods and Services Metal Masters Contract for GOODS AND SERVICES less than $25,000 CITY OF CONTRACTOR: Metal Masters -4S H LA N D CONTACT: Lisa Stauffer 20 East Main Street Ashland, Oregon 97520 ADDRESS: 3825 Crater Lake Highway, Medford, OR 97504 Telephone: 541/488-6002 Fax: 541/488-5311 TELEPHONE: 541-779-1049 DATE AGREEMENT PREPARED: 8/31/2017 FAX: 541-779-6839 BEGINNING DATE: 7/1/2017 COMPLETION DATE: 6/30/2018 COMPENSATION: Per fee schedule attached as Exhibit C. GOODS AND SERVICES TO BE PROVIDED: Fire station exhaust removal for FY18 ADDITIONAL TERMS: In the event of conflicts or discrepancies among the contract documents, the City of Ashland Contract for Goods and Services will be primary and take precedence, and any exhibits or ancillary contracts or agreements having redundant or contrary provisions will be subordinate to and interpreted in a manner that will not conflict with the said primary City of Ashland Contract. NOW THEREFORE, pursuant to AMC 2.50.090 and after consideration of the mutual covenants contained herein the CITY AND CONTRACTOR AGREE as follows: 1. All Costs by Contractor: Contractor shall, provide all goods as specified above and shall at its own risk and expense, perform any work described above and, unless otherwise specified, furnish all labor, equipment and materials required for the proper performance of such work. 2. Qualified Work: Contractor has represented, and by entering into this contract now represents, that any personnel assigned to the work required under this contract are fully qualified to perform the work to which they will be assigned in a skilled and worker-like manner and, if required to be registered, licensed or bonded by the State of Oregon, are so registered, licensed and bonded. Contractor must also maintain a current City business license. 3. Completion Date: Contractor shall provide all goods in accordance with the standards and specifications, no later than the date indicated above and start performing the work under this contract by the beginning date indicated above and complete the work by the completion date indicated above. 4. Compensation: City shall pay Contractor for the specified goods and for any work performed, including costs and expenses, the sum specified above. Payments shall be made within 30 days of the date of the invoice. Should the contract be prematurely terminated, payments will be made for work completed and accepted to date of termination. Compensation under this contract, including all costs and expenses of Contractor, is limited to $25,000.00, unless a separate written contract is entered into by the City. 5. Ownership of Documents: All documents prepared by Contractor pursuant to this contract shall be the property of City. 6. Statutory Requirements: ORS 2796.220, 27913.225, 27913.230, 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 by certified mail or in person. C. For Cause. City may terminate or modify this contract, in whole or in part, effective upon delivery of written notice to Contractor, or at such later date as may be established by City under any of the following Contract for Goods and Services Less than $25,000, 06/30/2016, Page 1 of 5 conditions: i. If City funding from federal, state, county or other sources is not obtained and continued at levels sufficient to allow for the purchase of the indicated quantity of services; ii. If federal or state regulations or guidelines are modified, changed, or interpreted in such a way that the services are no longer allowable or appropriate for purchase under this contract or are no longer eligible for the funding proposed for payments authorized by this contract; or iii. If any license or certificate required by law or regulation to be held by Contractor to provide the services required by this contract is for any reason denied, revoked, suspended, or not renewed. d. For Default or Breach. i. Either City or Contractor may terminate this contract in the event of a breach of the contract by the other. Prior to such termination the party seeking termination shall give to the other party written notice of the breach and intent to terminate. If the party committing the breach has not entirely cured the breach within 15 days of the date of the notice, or within such other period as the party giving the notice may authorize or require, then the contract may be terminated at any time thereafter by a written notice of termination by the party giving notice. ii. Time is of the essence for Contractor's performance of each and every obligation and duty under this contract. City by written notice to Contractor of default or breach, may at any time terminate the whole or any part of this contract if Contractor fails to provide services called for by this contract within the time specified herein or in any extension thereof. iii. The rights and remedies of City provided in this subsection (d) are not exclusive and are in addition to any other rights and remedies provided by law or under this contract. e. Obligation/Liability of Parties. Termination or modification of this contract pursuant to subsections a, b, or c above shall be without prejudice to any obligations or liabilities of either party already accrued prior to such termination or modification. However, upon receiving a notice of termination (regardless whether such notice is given pursuant to subsections a, b, c or d of this section, Contractor shall immediately cease all activities under this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination, Contractor shall deliver to City all contract documents, information, works-in-progress and other property that are or would be deliverables had the contract been completed. City shall pay Contractor for work performed prior to the termination date if such work was performed in accordance with the Contract. 10. Independent Contractor Status: Contractor is an independent Contractor and not an employee of the City. Contractor shall have the complete responsibility for the performance of this contract. 11. Non-discrimination Certification: The undersigned certifies that the undersigned Contractor has not discriminated against minority, women or emerging small businesses enterprises in obtaining any required subcontracts. Contractor further certifies that it shall not discriminate in the award of such subcontracts, if any. The Contractor understands and acknowledges that it may be disqualified from bidding on this contract, including but not limited to City discovery of a misrepresentation or sham regarding a subcontract or that the Bidder has violated any requirement of ORS 279A.110 or the administrative rules implementing the Statute. 12. Asbestos Abatement License: If required under ORS 468A.710, Contractor or Subcontractor shall possess an asbestos abatement license. 13. Assignment and Subcontracts: Contractor shall not assign this contract or subcontract any portion of the work without the written consent of City. Any attempted assignment or subcontract without written consent of City shall be void. Contractor shall be fully responsible for the acts or omissions of any assigns or subcontractors and of all persons employed by them, and the approval by City of any assignment or subcontract shall not create any contractual relation between the assignee or subcontractor and City. 14. Use of Recyclable Products: Contractor shall use recyclable products to the maximum extent economically feasible in the performance of the contract work set forth in this document. 15. Default. The Contractor shall be in default of this agreement if Contractor: commits any material breach or default of any covenant, warranty, certification, or obligation it owes under the Contract; if it loses its QRF status pursuant to the QRF Rules or loses any license, certificate or certification that is required to perform the work or to qualify as a QRF if Contractor has qualified as a QRF for this agreement; institutes an action for relief in bankruptcy or has instituted against it an action for insolvency; makes a general assignment for the benefit of creditors; or ceases doing business on a regular basis of the type identified in its obligations under the Contract; or attempts to assign rights in, or delegate duties under, the Contract. 16. Insurance. Contractor shall at its own expense provide the following insurance: a. Worker's Compensation insurance in compliance with ORS 656.017, which requires subject employers to provide Oregon workers' compensation coverage for all their subject workers b. General Ua it insurance with a combined single limit, or the equivalent, of not less than Enter one. $200,000, $500,000 $1,000,000, -000-000 or Not Applicable for each occurrence for Bodily Injury and Property Damage. C. Automobile Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $200,000, $500,000, $1,000,000, or Not Applicable for each accident for Bodily Injury and Property Damage, includinq coverage for owned, hired or non-owned vehicles, as applicable. Contract for Goods and Services Less than $25,000, 06/30/2016, Page 2 of 5 d. Notice of cancellation or change. There shall be no cancellation, material change, reduction of limits or intent not to renew the insurance coverage(s) without 30 days' written notice from the Contractor or its insurer(s) to the City. e. Additional Insured/Certificates of Insurance. Contractor shall name The City of Ashland, Oregon, and its elected officials, officers and employees as Additional Insureds on any insurance policies, excluding Workers' Compensation, required herein but only with respect to Contractor's services to be provided under this Contract. As evidence of the insurance coverages required by this Contract, the Contractor shall furnish acceptable insurance certificates prior to commencing work under this contract. The contractor's insurance is primary and non-contributory. The certificate will specify all of the parties who are Additional Insureds. Insuring companies or entities are subject to the City's acceptance. If requested, complete copies of insurance policies, trust agreements, etc. shall be provided to the City. The Contractor shall be financially responsible for all pertinent deductibles, self-insured retentions and/or self-insurance. 17. Governing Law; Jurisdiction; Venue: This contract shall be governed and construed in accordance with the laws of the State of Oregon without resort to any jurisdiction's conflict of laws, rules or doctrines. Any claim, action, suit or proceeding (collectively, "the claim") between the City (and/or any other or department of the State of Oregon) and the Contractor that arises from or relates to this contract shall be brought and conducted solely and exclusively within the Circuit Court of Jackson County for the State of Oregon. If, however, the claim must be brought in a federal forum, then it shall be brought and conducted solely and exclusively within the United States District Court for the District of Oregon filed in Jackson County, Oregon. Contractor, by the signature herein of its authorized representative, hereby consents to the in personam jurisdiction of said courts. In no event shall this section be construed as a waiver by City of any form of defense or immunity, based on the Eleventh Amendment to the United States Constitution, or otherwise, from any claim or from the jurisdiction. 18. THIS CONTRACT AND ATTACHED EXHIBITS CONSTITUTE THE ENTIRE AGREEMENT BETWEEN THE PARTIES. NO WAIVER, CONSENT, MODIFICATION OR CHANGE OF TERMS OF THIS CONTRACT SHALL BIND EITHER PARTY UNLESS IN WRITING AND SIGNED BY BOTH PARTIES. SUCH WAIVER, CONSENT, MODIFICATION OR CHANGE, IF MADE, SHALL BE EFFECTIVE ONLY IN THE SPECIFIC INSTANCE AND FOR THE SPECIFIC PURPOSE GIVEN. THERE ARE NO UNDERSTANDINGS, AGREEMENTS, OR REPRESENTATIONS, ORAL OR WRITTEN, NOT SPECIFIED HEREIN REGARDING THIS CONTRACT. CONTRACTOR, BY SIGNATURE OF ITS AUTHORIZED REPRESENTATIVE, HEREBY ACKNOWLEDGES THAT HE/SHE HAS READ THIS CONTRACT, UNDERSTANDS IT, AND AGREES TO BE BOUND BY ITS TERMS AND CONDITIONS. 19. Nona ppropriations 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. Contra r: City of Ashland By j By Signature a ment Head Ill. GATL- PrintName Print Name VicF PRE-516mg- (2-1,,1(7- Title D to W-9 One copy of a W-9 is to be submitted with the signed contract. Purchase Order No. Contract for Goods and Services Less than $25,000, 06/30/2016, Page 3 of 5 EXHIBIT A CERTIFICATIONS/REPRESENTATIONS: Contractor, under penalty of perjury, certifies that (a) the number shown on the attached W-9 form is its correct taxpayer ID (or is waiting for the number to be issued to it and (b) Contractor is not subject to backup withholding because (i) it is exempt from backup withholding or (ii) it has not been notified by the Internal Revenue Service (IRS) that it is subject to backup withholding as a result of a failure to report all interest or dividends, or (iii) the IRS has notified it that it is no longer subject to backup withholding. Contractor further represents and warrants to City that (a) it has the power and authority to enter into and perform the work, (b) the Contract, when executed and delivered, shall be a valid and binding obligation of Contractor enforceable in accordance with its terms, (c) the work under the Contract shall be performed in accordance with the highest professional standards, and (d) Contractor is qualified, professionally competent and duly licensed to perform the work. Contractor also certifies under penalty of perjury that its business is not in violation of any Oregon tax laws, and it is a corporation authorized to act on behalf of the entity designated above and authorized to do business in Oregon or is an independent Contractor as defined in the contract documents, and has checked four or more of the following criteria: (1) 1 carry out the labor or services at a location separate from my residence or is in a / specific portion of my residence, set aside as the location of the business. (2) Commercial advertising or business cards or a trade association membership are purchased for the business. (3) Telephone listing is used for the business separate from the personal residence listing. ~L (4) Labor or services are performed only pursuant to written contracts. ✓ (5) Labor or services are performed for two or more different persons within a period of one year. (6) 1 assume financial responsibility for defective workmanship or for service not provided as evidenced by the ownership of performance bonds, warranties, errors and omission insurance or liability insurance relating to the labor or services to be provided- METAL- AAS►CP-S r~L 8' 3l Zv17 Contractor (Da e) Contract for Goods and Services Less than $25,000, 06/30/2016, Page 4 of 5 CITY OF ASHLAND, OREGON EXHIBIT B City of Ashland LIVING WAGE per hour effective June 30, 2017 (increases annually every June 30 by the Consumer Price Index) business of their and IRS eligible cafeteria employer, if the employer plans (including has ten or more childcare) benefits to the employees, and has amount of wages received financial received by the ➢ For all hours worked assistance for the project employee. under a service contract or business from the City between their employer of Ashland in excess of ➢ Note: "Employee" does and the City of Ashland if $20,688.86. not include temporary or the contract exceeds part-time employees $20,688.86 or more. ➢ If their employer is the hired for less than 1040 City of Ashland including hours in any twelve- For all hours worked in a the Parks and Recreation month period. For more month if the employee Department. details on applicability of spends 50% or more of this policy, please see the employee's time in ➢ In calculating the living Ashland Municipal Code that month working on a wage, employers may Section 3.12.020. project or portion of add the value of health care, retirement, 401 K For additional information: Call the Ashland City Administrator's office at 541-488-6002 or write to the City Administrator, City Hall, 20 East Main Street, Ashland, OR 97520 or visit the city's website at www.ashland.or.us. Notice to Employers: This notice must be posted predominantly in areas where it can be seen by all employees. CITY OF Contract for Goods and Services Less than $25,000, 06/19/2017, Page 5 of 5 ASHLAND NI ETA ILMedford Klamath Falls X':4t1.114 .XI, .Il,1111: 3825 Crater Lake Highway 4168 Washburn Way Medford, Oregon 97504 MASTERP Klamath Falls, Oregon 97601 tel 541.779.1049 tel 541.883.3237 fax 541.779.6839 fax 541.885.2480 August 31, 2017 Metal Masters Service Rates Commercial Hourly Rate $92.00 per hour Commercial Overtime Hourly Rate $184.00 per hour (after 4:30 p.m., evenings and weekends) Travel Charge $0 for Ashland area Please let me know if you need any other information. Thank you. Lisa Stauffer Commercial Services Coordinator Metal Masters Inc 541-779-1049 ` tel800.866.9437 • metalmasters-ine.com - CC60529 r i A~~ ® DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 12/11/2017 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 have ADDITIONAL INSURED provisions or 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 NAME: Kendall Pori CONTACT Protectors Insurance, LLC PHONE FAR P.O. Box 4669 IA Exth (541)842-2963 A/C No Medford OR 97504 noDRess: kendall protectors ins. com INSURERS AFFORDING COVERAGE NAIC # INSURER A: SAIF Corporation 524113 INSURED METAL-1 INSURER B: The Cincinnati Insurance Co 10677 Metal Masters Inc 3825 Crater Lake Hwy INSURER C Medford OR 97504 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1628769020 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 ADDL SUER POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MM/DDIYYYY B X COMMERCIALGENERALLIABILITY Y Y EPP 0280784 10/1/2017 10/1/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE ~ OCCUR PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ 1,000,000 0 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,00 X POLICY PRO ❑ LOC PRODUCTS-COMP/OPAGG $2,000,000 JECT OTHER: B AUTOMOBILE LIABILITY Y Y EBA0280784 10/1/2017 10/1/2018 COMBINED SINGLE LIMIT $1000000 Ea accident X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ B X UMBRELLA LIAB X OCCUR Y Y EPP 0280784 10/1/2017 10/1/2018 EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED X RETENTION $ lo ooo $ A WORKERS COMPENSATION Y 812256 10/1/2017 10/1/2018 X STATUTE OERH AND EMPLOYERS' LIABILITY Y I N ANYPROPRIETORIPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 F-] N11 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 B Inland Marine EPP 0280784 1011/2017 1011/2018 Installation Floater 125,000 Deductible 500 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Project: Fire station exhaust removal for FY18 As additional insured per policy endorsement GA 233 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE City of Ashland 200 East Main Street_ Ashland OR 97520 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Coverage Summary CGL Contractors' Broadened Endorsement Contractors' Commercial General Liability Broadened Endorsement GA233 Liability Coverages Limits Employee benefit liability ($1,000 deductible) $1,000,000 each employee/ $3,000,000 aggregate Expands damage to premises rented to insured to include lightning, At the lesser of $500,000 or the smoke, soot or water CGL each occurrence limit Waiver of subrogation if required in a written contract Included Unintentional failure to disclose existing hazards provision Included Broadened notice of occurrence Included Property damage to borrowed equipment when not in use $10,000 each occurrence ($250 deductible) Newly formed or newly acquired organizations for up to 180 days Included Automatic additional insured coverage where required in a written contract or oral agreement (where a certificate of insurance showing that person or organization as an additional insured has been issued) Included for: lessors of premises, lessors of equipment, vendors, state or political subdivision's permits relating to premises, state or political subdivision's permits relating to contractor operations Automatic additional insured coverage where required in a written contract or oral agreement (where a certificate of insurance showing that person or organization as an additional insured has been issued) from Included the named insured's work performed for that person or organization. Varying degrees of coverage apply based upon the additional insured requirements included in written and oral contracts (except AZ) Supplementary payments • Bail bonds $1,000 • Loss of earnings $350 per day Employees as insureds for specified healthcare services (nurses, EMTs Included and paramedics) Medical payments $10,000 any one person Voluntary property damage ($250 deductible) $1,000 each occurrence Care, custody or control ($250 deductible) $5,000 each occurrence Broadened contractual liability for work within 50 feet of railroad property Included This is not a policy. For a complete statement of the coverages and exclusions, please see the policy contract. For Informatlon, coverage availability in your state, quotes or policy service, please contact your local Independent agent recommending coverage. "The Cincinnati Insurance Companies" and "Cincinnati" refer to member companies of the Insurer group providing property and casualty coverages through o The Cincinnati Insurance Company or one of Its wholly owned subsidiaries - o The Cincinnati Indemnity Company, o The Cincinnati Casualty Company oro The Cincinnati Specialty Underwriters Insurance Company - and life and disability Income insurance and annuities through o The Cincinnati Life Insurance Company. Each Insurer has sole financial responsibility for its own products. Not all subsidiaries . Copyright 0 120states. 6200 S. 12 The Cincinnati Insurance Company. All rights 4reserveD www.cin&.com ~ CINCINNATI posonline, in whole or In part, without written permission. 4~ INSURANCE COMPANIES Adv. 694 (7/12) Ed.2 P~- p~ Purchase Order v~ Fiscal Year 2018 Page: 1 of: 1 THIS POD NUMBER MUST APPEAR ON ALL B City of Ashland INVOICES, AND SHIPPING DOCUMENTS ATTN: Accounts Payable-____,. L 20 E. Main Purchase 20181151 L Ashland, OR 97520 Order # T Phone: 541/552-2010 O Email: payable@ashland.or.us E C/O Facilities Maintenance Div H E METAL MASTERS INC I 90 North Mountain Ave N 3825 CRATER LAKE HWY P Ashland, OR 97520 D MEDFORD, OR 97504 Phone: 541/488-5358 O T Fax: 541/552-2304 R O _ qurs~tion Number Vendor P__fF umNrEM-R-11-7- =Vermo=x= amber J~ _ - - 541 779-1049 David Arnold Date`Ordje - ndofstum err= QuU ETeight-Me3hod- I - $pa-men t7Eo afiaw 12/21/2017 1709 FOB ASHLAND OR Cit Accounts Payable MISMOR W = xtentlea Prle Fire Station Exhaust Removal 1 Fire Station exhaust removal for FY2018 1 EACH $2,500.0000 $2,500.00 Contract for Goods and Services less than $25,000 Beginning date: 07/01/2017 Completion date: 06/30/2018 Project Account: GL SUMMARY 082400 - 602400 $2,500.00 r By Date. n 'Authorized Signature TO Total $2,500.00 FORM #3 - CITY OF ASHLAND REQUISITION 3 7; Date of request: 12/19/17 , 44Required date for delivery: Vendor Name Metal Masters Address, City, State, Zip 3825 Crater Lake Highway Medford OR 97504 Contact Name & Telephone Number Lisa Stauffer (541)779-1049 i FAX (541)779-6839 Fax Number SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergency ❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Form #13, Written findings and Authorization Date approved by Council: ❑ Written quote or proposal attached ❑ AMC 2.50 ❑ Written quote or proposal attached ® Small Procurement Cooperative Procurement Less than $5,000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon H Direct Award Date approved by Council: Contract # ❑ VerbalANritten quote(s) or proposal(s) ❑ State of Washington Contract # Intermediate Procurement ❑ Sole Source ❑ Other government agency contract GOODS & SERVICES ❑ Applicable Form (#5,6, 7 or 8) Agency $5,000 to $100,000 ❑ Written quote or proposal attached Contract # ❑ (3) Written quotes and solicitation ❑ Form #4, Personal Services $5K to $75K Intergovernmental Agreement attached ❑ Agency PERSONAL SERVICES ❑ Special Procurement Date original contract approved by Council: $5,000 to $75,000 ❑ Form #9, Request for Approval (Date) ❑ Less than $35,000, by direct ❑ Written quote or proposal attached appointment Date approved by Council: ❑ (3) Written proposals/written solicitation El Form #4, Personal Services $5K to $75K Valid until: (Date) Description of SERVICES Total Cost Fire station exhaust removal for FY18 $ 2,500.00 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST ® Per attached quote/proposal Project Number _ _ _ _ _ _ - _ _ _ Account Number 082400-802400 Account Number - Account Number - "Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures. IT Director in collaboration with department to approve all hardware and software purchases: IT Director Date Support -Yes / No By signing form, 1 c i th the City's public contracting requirements have been satisfied. Employee Signature: Department Head Signatu~~LaLb or than $5,000) City Administrator: - (Equal to or greater than $25,000) Funds appropriated for current fiscal year: YES / NO Finance Director- (Equal to or greater than $5,000) Date Comments: _ Form #3 - Requisition