HomeMy WebLinkAbout2018-007-Contract for Goods & Services S&S Sheetmetal I
HVAC repair for Service Center Building
CITY OF INDEPENDENT CONTRACTOR: S & S SHEETMETAL, INC.
ASHLAND CONTACT: MIKE SHIPLEY, VP
20 East Main Street
Ashland, Oregon 97520 ADDRESS: 912 ANTELOPE RD. WHITE CITY, OR 97503
Telephone: 541/488-6002 mike0sandsheating.com
Fax: 541/488-5311 TELEPHONE: 541.210.2946 FAX: 541 826-6601
BEGINNING DATE: 09/14/17 COMPLETION DATE: 11/30/17
COMPENSATION: $1,545.00
GOODS AND SERVICES TO BE PROVIDED:
Per quote dated 08/23/17, replace and repair existing ducting for Service Center Building directly impacting IT, Electric and AFN offices as
explaining in uote document, Exhibit C.
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. Ownership of Production: All documents, materials or items produced by Contractor pursuant to this contract shall be the property of City.
4. Statutory Requirements: ORS 279B.220, 2796.225, 279B.230, 279B.235, ORS Chapter 244 and ORS 670.600 are made part of this contract.
5. Indemnification: Contractor agrees to defend, indemnify and save City, its officers, employees and agents harmless from those losses, expenses,
or other damages resulting from injury to any person or damage to property arising out of or incident to the negligent performance of this contract
by Contractor its employees, or agents. Contractor shall not be held responsible for any losses, expenses, or other damages, directly, solely, and
proximately caused by the negligence of City.
6. Termination: City's Convenience. This contract may be terminated at any time by the City.
7. 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.
8. 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.
9. Asbestos Abatement License: if required under ORS 468A.710, Contractor or Subcontractor shall possess an asbestos abatement license.
10. Assignment and Subcontracts: Contractor shall not assign this contract or subcontract any portion of the work.
11. 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.
12. 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.
13. Insurance. Contractor shall at its own expense provide the following insurance:
a. 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. Worker's compensation insurance is required if work is performed by employees,
subcontractors, or volunteers.
BY INITIALING THIS SENTENCE, CONTRACTOR CERTIFIES UNDER PENAaf LAW THAT THE WORK REQUIRED BY THIS
CONTRACT SHALL BE PERFORMED SOLELY BY THE UNDERSIGNED:
b. General Liability insurance with a combined single limit, or the equivalent, of no less than $1,000,000 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 $1,000,000 for each accident for Bodily
Injury and Property Damage, including coverage for owned, hired or non-owned vehicles, as applicable.
14. Governing Law; Jurisdiction; Venue: This contract shall be governed and construed in accordance with the laws of the State of Oregon
15. 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.
Certification. Contractor all sign the a ification attached hereto as Exhibit A and herein incorporated by reference.
Contractor: City of Ashland:
By By
I tur pa ent Head
M I k a> ? S c err- c. F- y Q_
Narqe
V r C~~ n~Ar(_ Print
Title Date
W-9 One copy of a W-9 is to be submitted with the signed contract. Purchase Order No.
I
Revised 10-2s-14 Page 1 of 2
EXHIBIT A
CERTIFICATIONSIREPRESENTATIONS: 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
coact 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.
V (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 th l• 9_21- t 1
Contractor V1 (Date)
Revised 10-28-14 Page 2 of 2
OGONIPRO~'1/ ~ ` - --a
DBA, Oregon S&S Sheetmetal, Inc.
~kCiLLE1`~G~
TO: CITY OF ASHLAND
ATTN: DAVID ARNOLD/WES HOADLEY
RE: I.T. HELP DESK ROOM HVAC QUOTE
EMAIL: david._arnold a)ashland.orus
wes.hoadley@ashland.or.us
DATE: 8-23-17
SPLIT ONE EXISTING 10" DUCT TO PROVIDE AN 8" DUCT TO NEW OFFICE AND A NEW 8" SUPPLY
REGISTER TO MAIN ROOM. PRICE INCLUDES A 10" TRANSFER GRILLE FROM OFFICE TO MAIN ROOM,
REMOVE EXISTING 10" RETURN FROM WALL DUCT TO NEW CEILING REGISTER, INSTALL MATCHING
10" SUPPLY REGISTER TO REPLACE EXISTING ABOVE CEILING, INSTALL NEW DIGITAL PROGRAMMABLE
T-STAT AND START-UP. EXISTING DUCTING WILL NOT ALLOW THE FULL 1200 CFM DF-1.11 ED BY
EXISTING RTU (SEE OPTION #1 BELOW).
I 1 t;u~ . to e $1,545.00
"OPTION 91:
PROVIDE AND INSTALL A 10" SUPPLY AND RETURN DUCT FROM RTU PLENUMS TO ADJACENT
HALLWAY TO ALLOW THE FULL CAPACITY OF AIR FLOW FOR I.T. HELP DESK ROOM PACKAGE UNIT.
PRICE INCLUDES NEW CEILING REGISTERS AND COMPLETE INSTALLATION.
$960.00
ACCEPTED BY: DATE:
MIKE SHIPLEY, VICE PRESIDENT
S&S SHEETMETAL, INC.
ACOR°® DATE IMMmemm
u CERTIFICATE OF LIABILITY INSURANCE- 10msrzo17
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(les) 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 rl ms to the certificate holder In lieu of such antlorsemerd s .
PRODUCER CONT CT CLIENT CONTACT CENTER
FEDERATED MUTUAL INSURANCE COMPANY PHONE Fax
HOME OFFICE: P.O. BOX 328 A/C No Ert :888-333-4949 A/c Nei: 507-4464664
OWATONNA, MN 55060 aounlsss: CLIENTCONTACTCENTER FEDINS.COM
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935
INSURED - 343-547-6 INSURER e:
S & 5 SHEETMETAL INC INSURER C:
912 ANTELOPE RD
WHITE CITY, OR 97503-1607 INSURER on
` INSURER E:
NSURER F:
COVERAGES CERTIFICATE NUMBER: 126 REVISION NUMBER:2
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.
UIS TYPE OF INSURANCE NSR sWVUSR o POLICY NUMBER M MIDDY EFF MMID~ EXP LIMITS
X COMMERCIALGENERAI-UABIUTY EACH OCCURRENCE $1,000,000
CLAIMS-MADE DAMAGE TO RENTED $100,000
❑X OCCUR S PREMIEEIC.,..Ul' ce
MED EXP(Any one person) EXCLUDED
A Y Y 9910853 04/24/2017 04/24/2018 PERSONAL &ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
POLICY ZPRO- ❑LOC PRODUCTS - COMP/OP ACC $2,000,000
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
Ea acclden
X ANY AUTO BODILY INJURY (Per person)
A OWNED AUTOS ONLY SCHEDULED N N 9910853 04/24/2017 0412412018 BODILY INJURY (Per accident)
HIRED AUTOS ONLY NON -OWNED PROPERTY DAMAGE
AUTOS ONLY Per accident
X UMB0.ELLA LIAB X OCCUR EACH OCCURRENCE $1,000,000
A EXCESS LIAB CLAIMS-MADE N N 9910854 04124/2017 04/24/2018 AGGREGATE $1,000,000
LIED RETENTION
WORKERS COMPENSATION PER STATUTE OTH-
AND EMPLOYERS' LIABILITY Y I x ER
ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT
OFHCERIMEMSER EXCLUDED? N I A
E.L DISEASE - EA EMPLOYEE
It Mandatary in NH)
ye under E.L DISEASE-POLICY LIMIT
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be ailadled it more space is required)
SEE ATTACHED PAGE
CERTIFICATE HOLDER CANCELLATION
343-547-6 1262
THE CITY OF ASHLAND OREGON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
20 E MAIN ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ASHLAND, OR 97520-1814 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
O 1988.2015 ACORD CORPORATION. All rights reserved.
ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: _343-547-6
LOC
A ADDITIONAL REMARKS SCHEDULE Page of 7
AGENCY NAMED INSURED
FEDERATED MUTUAL INSURANCE COMPANY S &S SHEETMETAL INC
POLICY NUMBER 912 ANTELOPE RD
SEE CERTIFICATE # 126.2 WHITE CITY, OR 97503-1607
CARRIER NAIC CODE
SEE CERTIFICATE # 126.2 EFFECTIVE DATE: SEE CERTIFICATE # 126.2
ADDITIONAL REMARKS -
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE
CERTIFICATE HOLDER NAME IS AMENDED TO READ THE CITY OF ASHLAND, OREGON ITS ELECTED OFFICIALS, OFFICERS 8
EMPLOYEES. '
PROJECT: HVAC SYSTEM INSTALL - NO. MOUNTAIN SHOP EFFECTIVE 07/28/14
THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED - OWNERS,
LESSORS OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU ENDORSEMENT FOR
GENERAL LIABILITY.
INSURANCE PROVIDED BY THE GENERAL LIABILITY COVERAGE IS PRIMARY AND NONCONTRIBUTORY OVER OTHER INSURANCE.
GENERAL LIABILITY CONTAINS A WAIVER OF SUBROGATION IN FAVOR OF THE CERTIFICATE HOLDER SUBJECT TO THE CONDITIONS
OF THE BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY ENDORSEMENT.
EACH CONSTRUCTION PROJECT AS REQUIRED BY WRITTEN CONTRACT OR WRITTEN AGREEMENT.
ACORD 101 (2008101) O 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
Purchase Order
Fiscal Year 2018 Page: 1 of: 1
fHIS-PO NUMBER MUSTAPPEAR ON ALL
B City of Ashland INVOICES'; AND SHIPPING DOCUMENTS.
I ATTN: Accounts Payable
L 20 E. Main Purchase 20181150
L Ashland, OR 97520 Order # T Phone: 541/552-2010
p Email: payable@ashland.or.us
V H C/O Facilities Maintenance Div
E S & S SHEETMETAL, INC 1 90 North Mountain Ave
N 912 ANTELOP ROAD P Ashland, OR 97520
D WHITE CITY, OR 97503 Phone: 541/488-5358
O T Fax: 541/552-2304
R O
1f~~Qr=P oro6~;~ =a~~ ~ - - - . ~ e - _ e r~-__l~eferen
David Arnold
atOrcfe=n~nrNum _ e~if-ht Nl~tho _ bepartmenf/Lion
12/21/2017 390 FOB ASHLAND OR Cit Accounts Pa able
(tem#- - _ es rt tour! a~tr t] = _ 0 ~r
- Elrnt Price Extend Prlc
HVAC Repair
1 Repair work for help desk room HVAC
1 EACH
$1,545.0000 $1,545.00
HVAC Repair for Service Center Building
Beginning date: 09/14/2017
Completion date; 11/30/2017
Project Account:
GL SUMMARY****.*********
020500 - 601100 $1,545.00
By. Date:
Authorized/_Sig'nature PO Total $1,545.00,
/J
®YZIVg#3 [e` ( ( CITY OF
J ASHLAND
REQUISITION ~ o j i~;-O Date of request: 12/13/17
Required date for delivery:
Vendor Name S&S Sheetmetal, Inc.
Address, City, State, Zip 912 Antelope Road, White City, OR 97503
Contact Name & Telephone Number Mike Shipley (541)210-2946 FAX: (541)826-6601 email: mike@sandsheating.com
Fax Number
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
❑ Small Procurement Cooperative Procurement
Less than $5,000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon
® Direct Award Date approved by Council: Contract#
❑ VerbaVWritten 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
$5.000 to $75.000 ❑ Form #0, Request for Approval Date original contract approved by Council:
❑ Less than $35,000, by direct El Written quote or proposal attached (Date)
appointment Date approved by Council:
❑ (3) Written proposals/written solicitation
❑ Form #4, Personal Services $5K to $75K Valid until: (Date)
Description of SERVICES Total Cost
Per Exhibit C, repair work for help desk room HVAC 11,545:00'
Item # Quantity Unit Description of MATERIALS Unit Price Total Cost
'TOTAL.COS.T.
® Per attached quote/proposal
Project Number---------- Account Number 020500-601100
Account Number Account Number
`Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures.
IT Director in collaboration with department to approve all hardware and software purchases:
IT Director Date Support-Yes/No
By signing this requisition form, I ce ' t et the City's public contracting requirements have been satisfied.
Employee Signature: Department Head Signature: t tit It I
/ FA or grea er 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