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2019-042 20190352 West Coast Tub Repair
SERVICES AGREEMENT PROVIDER: West Coast Tub Repair CITY OF PROVIDER'S CONTACT: John Ried -ASHLAND 20 East Main Street ADDRESS: 22875 Highway 20 Bend OR 97701 Ashland, Oregon 97520 Telephone: 541/488-5587 PHONE: (541) 382-2300 Fax: 541/488-6006 This Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and West Coast Tub Repair, a domestic business corporation ("hereinafter "Provider"), for plumbing work at Com Dev. 1. PROVIDER'S OBLIGATIONS 1.1 Provide refit of the women's shower drain at Community Development Building as set forth in the "SUPPORTING DOCUMENTS" attached hereto and, by this reference, incorporated herein. Provider expressly acknowledges that time is of the essence of any completion date set forth in the SUPPORTING DOCUMENTS, and that no waiver or extension of such deadline may be authorized except in the same manner as herein provided for authority to exceed the maximum compensation. The services defined and described in the "SUPPORTING DOCUMENTS" shall hereinafter be collectively referred to as "Work." 1.2 Provider shall obtain and maintain during the term of this Agreement and until City's final acceptance of all Work received hereunder, a policy or policies of liability insurance including Q~U commercial general liability insurance with a combined single limit, or the equivalent, of not less than x;66e-,O 6- (tw7 million dollars) per occurrence for Bodily Injury and Property \~Q Damage. I bG 1.2.1 The insurance required in this Article shall include the following coverages: • Comprehensive General or Commercial General Liability, including personal injury, contractual liability, and products/completed operations coverage; and • Automobile Liability. 1.2.2 Each policy of such insurance shall be on an "occurrence" and not a "claims made" form, and shall: • Name as additional insured "the City of Ashland, Oregon, its officers, agents and employees" with respect to claims arising out of the provision of Work under this Agreement; • Apply to each named and additional named insured as though a separate policy had been issued to each, provided that the policy limits shall not be increased thereby; • Apply as primary coverage for each additional named insured except to the extent that two or more such policies are intended to "layer" coverage and, taken together, they provide total coverage from the first dollar of liability; • Provider shall immediately notify the City of any change in insurance coverage Page 1 of 5: Agreement between the City of Ashland and West Coast Tub Repair • Provider shall supply an endorsement naming the City, its officers, employees and agents as additional insureds by the Effective Date of this Agreement; and • Be evidenced by a certificate or certificates of such insurance approved by the City. 1.3 Provider shall, at its own expense, maintain Worker's Compensation insurance in compliance with ORS 656.017, which requires subject employers to provide workers' compensation coverage for all of its subject workers. 1.4 Provider agrees that no person shall, on the grounds of race, color, religion, creed, sex, marital status, familial status or domestic partnership, national origin, age, mental or physical disability, sexual orientation, gender identity or source of income, suffer discrimination in the performance of this Agreement when employed by Provider. Provider agrees to comply with all applicable requirements of federal and state civil rights and rehabilitation statutes, rules and regulations. Further, Provider agrees not to discriminate against a disadvantaged business enterprise, minority-owned business, woman-owned business, a business that a service-disabled veteran owns or an emerging small business enterprise certified under ORS 200.055, in awarding subcontracts as required by ORS 279A.110. 1.5 In all solicitations either by competitive bidding or negotiation made by Provider for work to be performed under a subcontract, including procurements of materials or leases of equipment, each potential subcontractor or supplier shall be notified by the Providers of the Provider's obligations under this Agreement and Title VI of the Civil Rights Act of 1964 and other federal nondiscrimination laws. 1.6 Living Wage Requirements: If the amount of this Agreement is $21,127.46 or more, Provider is required to comply with Chapter 3.12 of the Ashland Municipal Code by paying a living wage, as defined in that chapter, to all employees performing Work under this Agreement and to any Subcontractor who performs 50% or more of the Work under this Agreement. Consultant is also required to post the notice attached hereto as "Exhibit A" predominantly in areas where it will be seen by all employees. 2. CITY'S OBLIGATIONS 2.1 City shall pay Provider the sum of $1,100.00 as provided herein as full compensation for the Work as specified in the SUPPORTING DOCUMENTS. 2.2 In no event shall Provider's total of all compensation and reimbursement under this Agreement exceed the sum of $1,100.00 without express, written approval from the City official whose signature appears below, or such official's successor in office. Provider expressly acknowledges that no other person has authority to order or authorize additional Work which would cause this maximum sum to be exceeded and that any authorization from the responsible official must be in writing. Provider further acknowledges that any Work delivered or expenses incurred without authorization as provided herein is done at Provider's own risk and as a volunteer without expectation of compensation or reimbursement. 3. GENERAL PROVISIONS 3.1 This is a non-exclusive Agreement. City is not obligated to procure any specific amount of Work from Provider and is free to procure similar types of goods and services from other providers in its sole discretion. Page 2 of 5: Agreement between the City of Ashland and West Coast Tub Repair 3.2 Provider is an independent contractor and not an employee or agent of the City for any purpose. 3.3 Provider is not entitled to, and expressly waives all claims to City benefits such as health and disability insurance, paid leave, and retirement. 3.4 This Agreement embodies the full and complete understanding of the parties respecting the subject matter hereof. It supersedes all prior agreements, negotiations, and representations between the parties, whether written or oral. 3.5 This Agreement may be amended only by written instrument executed with the same formalities as this Agreement. 3.6 The following laws of the State of Oregon are hereby incorporated by reference into this Agreement: ORS 27913.220, 27913.230 and 2798.235. 3.7 This Agreement shall be governed by the laws of the State of Oregon without regard to conflict of laws principles. Exclusive venue for litigation of any action arising under this Agreement shall be in the Circuit Court of the State of Oregon for Jackson County unless exclusive jurisdiction is in federal court, in which case exclusive venue shall be in the federal district court for the district of Oregon. Each party expressly waives any and all rights to maintain an action under this Agreement in any other venue, and expressly consents that, upon motion of the other party, any case may be dismissed or its venue transferred, as appropriate, so as to effectuate this choice of venue. 3.8 Provider shall defend, save, hold harmless and indemnify the City and its officers, employees and agents from and against any and all claims, suits, actions, losses, damages, liabilities, costs, and expenses of any nature resulting from, arising out of, or relating to the activities of Provider or its officers, employees, contractors, or agents under this Agreement. 3.9 Neither party to this Agreement shall hold the other responsible for damages or delay in performance caused by acts of God, strikes, lockouts, accidents, or other events beyond the control of the other or the other's officers, employees or agents. 3.10 If any provision of this Agreement is found by a court of competent jurisdiction to be unenforceable, such provision shall not affect the other provisions, but such unenforceable provision shall be deemed modified to the extent necessary to render it enforceable, preserving to the fullest extent permitted the intent of Provider and the City set forth in this Agreement. 4. SUPPORTING DOCUMENTS The following documents are, by this reference, expressly incorporated in this Agreement, and are collectively referred to in this Agreement as the "SUPPORTING DOCUMENTS:" The Provider's complete written Estimate dated 19 September, 2018. 5. REMEDIES 5.1 In the event Provider is in default of this Agreement, City may, at its option, pursue any or all of the remedies available to it under this Agreement and at law or in equity, including, but not limited to: Page 3 of 5: Agreement between the City of Ashland and West Coast Tub Repair 5. 1.1 Termination of this Agreement; 5.1.2Withhold ing all monies due for the Work that Provider has failed to deliver within any scheduled completion dates or any Work that have been delivered inadequately or defectively; 5.1.3initiation of an action or proceeding for damages, specific performance, or declaratory or injunctive relief; 5.1.4These remedies are cumulative to the extent the remedies are not inconsistent, and City may pursue any remedy or remedies singly, collectively, successively or in any order whatsoever. 5.2 In no event shall City be liable to Provider for any expenses related to termination of this Agreement or for anticipated profits. If previous amounts paid to Provider exceed the amount due, Provider shall pay immediately any excess to City upon written demand provided. 6. TERM AND TERMINATION 6.1 Term This Agreement shall be effective from the date of execution on behalf of the City as set forth below (the "Effective Date"), and shall continue in full force and effect until 30 June 2018, unless sooner terminated as provided in Subsection 6.2. 6.2 Termination 6.2.1 The City and Provider may terminate this Agreement by mutual agreement at any time. 6.2.2The City may, upon not less than thirty (30) days' prior written notice, terminate this Agreement for any reason deemed appropriate in its sole discretion. 6.2.3Either party may terminate this Agreement, with cause, by not less than fourteen (14) days' prior written notice if the cause is not cured within that fourteen (14) day period after written notice. Such termination is in addition to and not in lieu of any other remedy at law or equity. 7. NOTICE Whenever notice is required or permitted to be given under this Agreement, such notice shall be given in writing to the other party by personal delivery, by sending via a reputable commercial overnight courier, or by mailing using registered or certified United States mail, return receipt requested, postage prepaid, to the address set forth below: If to the City: City of Ashland - Facilities Maintenance Department Attn: David Arnold 20 E. Main Street Ashland, Oregon 97520 Phone: (541) 552-2292 With a copy to: City of Ashland - Legal Department 20 E. Main Street Ashland, OR 97520 Phone: (541) 488-5350 If to Provider: West Coast Tub Repair Page 4 of 5: Agreement between the City of Ashland and West Coast Tub Repair Attn: John Reid 22875 Highway 20, Bend, OR 97701 (541) 382-2300 8. WAIVER OF BREACH One or more waivers or failures to object by either party to the other's breach of any provision, term, condition, or covenant contained in this Agreement shall not be construed as a waiver of any subsequent breach, whether or not of the same nature. 9. PROVIDER'S COMPLIANCE WITH TAX LAWS 9.1 Provider represents and warrants to the City that: 9. 1.1 Provider shall, throughout the term of this Agreement, including any extensions hereof, comply with: (i) All tax laws of the State of Oregon, including but not limited to ORS 305.620 and ORS chapters 316, 317, and 318; (ii) Any tax provisions imposed by a political subdivision of the State of Oregon applicable to Provider; and (iii) Any rules, regulations, charter provisions, or ordinances that implement or enforce any of the foregoing tax laws or provisions. 9.1.2Provider, for a period of no fewer than six (6) calendar years preceding the Effective Date of this Agreement, has faithfully complied with: (i) All tax laws of the State of Oregon, including but not limited to ORS 305.620 and ORS chapters 316, 317, and 318; (ii) Any tax provisions imposed by a political subdivision of the State of Oregon applicable to Provider; and (iii) Any rules, regulations, charter provisions, or ordinances that implement or enforce any of the foregoing tax laws or provisions. 9.2 Provider's failure to comply with the tax laws of the State of Oregon and all applicable tax laws of any political subdivision of the State of Oregon shall constitute a material breach of this Agreement. Further, any violation of Provider's warranty, as set forth in this Article 9, shall constitute a material breach of this Agreement. Any material breach of this Agreement shall entitle the City to terminate this Agreement and to seek damages and any other relief available under this Agreement, at law, or in equity. IN WITNESS WHEREOF the parties have caused this Agreement to be signed in their respective names by their duly authorized representatives as of the dates set forth below. Page 5 of 5: Agreement between the City of Ashland and West Coast Tub Repair j CITY OF ASHLAND: West Coa ub Re air (PROVIDER): By: ✓ By: , Signature Signature A, 'Jo h n F-Q I d i ~ Printed Namees Printed Name A -,5 IY4U-rYZ o UM {1, Y Title Title l Date ate (W-9 is to be submitted with this signed Agreement)- Purchase Order No. i Page 6 of 5: Agreement between the City of Ashland and West Coast Tub Repair David Arnold From: wctrco@gmail.com Sent: Sunday, December 23, 2018 23:18 To: David Arnold Subject: Invoice 1851 from West Coast Tub Repair, Central Or Division Attachments: Inv_1851_from_West_Coast_Tub_Repair_Central_Or Division_9440.pdf Invoice :-,to,io7izc~ 100. 00 1851 Amount Due: 7 Your invoice-1851 for 1,100.00 is attached. Please remit payment at your earliest convenience. Thank you for your business - we appreciate it very much. West Coast Tub Repair, Central Or Division 22875 Hwy 20 Bend Or 97701 541.382.2300 wctrco@gmail.com 1 .r West Coast Tub Repair, Central Or Division Invoice CCB #218475 Date Invoice# 22875 Hwy 20 12/23/2018 1851 Bend, Or 97701 office 541.382.2300 cell 541.948.6533 wetrco@gmail.com Bill To City Of Ashland Com Dev Building 51 Winburn Way WorkOrder# Terms Net 15 Item Description Quantity Rate Amount Repair Woman's Bath: unit was installed with drain almost level with 1,100.00 1,100.00 outside lip of tile floor causing water to pool up around drain. While doing original repairs I attempted to fix this issue but just ended up chasing the water around the unit. I cannot build up floor to level out since unit is an ADA and the the lip is already flush with the drain. The only way to repair is to cut out and drop drain down so it is low enough for us to float while keeping it ADA compliant. I will do this repair for my cost of materials and labor at a daily rate, but will need to do on a friday and complete saturday. Daily Rate: $750 Materials: $350 Thank you for your business. Total $1,100.00 Payments/Credits $0.00 Balance Due $1,100.00 I ® 7EMMIDDIYYYY) AC~ o CERTIFICATE OF LIABILITY INSURANCE 1 /10/2019 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 CONTACT Sierra Shore NAME: Century Ins Group I PHONE (541) 382-4211 FAX (541) 382-7468 AIC No Ext : A/C, No): 572 SW Bluff Dr. E-MAIL Sierra@centuryins.com ADDRESS: Suite 100 INSURER(S) AFFORDING COVERAGE NAIC # Bend OR 97702 INSURERA: American Hallmark In. Co.ofTX INSURED INSURER B : SAIF John's Tub Repair LLC, DBA: West Coast Tub Repair, Central OR INSURER C : 22875 Highway 20 INSURER D : INSURER E : Bend OR 97701 INSURER F : COVERAGES CERTIFICATE NUMBER: Master 18/19 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 ADDLISUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TRENTED 100,000 CLAIMS-MADE Fx_]OCCUR PREMISES Ea occurrence $ _7 MED EXP (Any one person) $ 5,000 A 44CL496047 12115/2018 12/15/2019 PERSONAL &ADV INJURY $ 1,000,000 GEN'LAGGREGATELIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 2,000,000 X POLICY F-] PRO JECT ❑ LOC PRODUCTS-COMP/OPAGG $ T OTHER: Employment Practices $ 100,000 AUTOMOBILE LIABILITY 6CtM91NED SINGLE LIMIT $ Ea accident 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 $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY STATUTE ER YIN 500,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA 878721 12/21/2018 01/01/2020 E. L. EACH ACCIDENT $ OFFICER/MEMBER MBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 500,000 if yes, describe under 500,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Ashland, Oregon, its officers, agents and employees is named as an additional insured with respects to General Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. 90 North Mountain Avenue AUTHORIZED REPRESENTATIVE Ashland OR 97520 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD aiw'u ro Gmail -Tub repair [Quoted text hidden] John's Tub Repair LLC DBA: West Coast Tub Repair, Central OR Division 22875 Hwy 20 Bend, Oregon 97701 CCB# 218475 Phone: 541-382-2300 Email: wctrco@gmail.com To: City of Ashland To whom it concerns, Regarding the City of Ashland's Service Agreement General Liability insurance requirement, I would like to request an exception. As the owner of West Coast Tub Repair, my company currently carries $1,000,000 worth of Liability Insurance while providing the repair service to residential and commercial showers and tubs. During the process of performing these repairs incidents are extremely rare and, personal injury or property damage is almost unheard of. Please contact me if y u have any questions or would like more information as you consider my request, u Thank you, owner/operator West Coast Tub Repair httpsJ/mail.google.com/malf/u/O/7ui=2&ik=7e74df3736&jsver-b]MLivrOgbken.&cbl=gmall fe_180827.13y4&vievr-pt&soarch=inbox&th=l65a65337A 1 DATE (MMIDDIYYVY) CERTIFICATE OF LIABILITY INSURANCE 05/17/2018 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 CONTACT Micki Goodeill NAME: State Farm Richard Downie State Farm PHC. N , 503-645-8616 fAA/c No : 503-645-2531 • 18335 NW West Union Rd, Ste J E-MAIL s: micki@dcharddownie.com ADDRES • Portland, OR 97229 INSURERS AFFORDING COVERAGE NAIC R INSURER A: State Farm Mutual Automobile Insurance Company 25178 INSURED INSURER B : Reld, Alexandria & John INSURER C : 22875 Highway 20 INSURER D : Bend, OR 97701 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMIDDY EFF MMILDID/ EXP LIMITS LTR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS-MADE LJOCCUR PREM E T RENTED PREMISES Ea occurrence S MED EXP An one person) $ PERSONAL d ADV INJURY $ GERL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY Y Y 341 6320-B22-37D 08/22/2018 02/22/2019 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 ANY AUTO BODILY INJURY (Per person) S A OWNED SCHEDULED BODILY INJURY (Per accident) $ 1,000,000 AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ 1,000,000 AUTOS ONLY AUTOS ONLY Per accident) $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE 3 EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS 3 WORKERS COMPENSATION PER TH- ANDEMPLOYERS'UABILITY YIN STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT S OFFICERIMEMBER EXCLUDED? NIA , (Mandatary In NH) E.L. DISEASE - EA EMPLOYE S If yes, describe under I DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is required) refinishes bathtubs 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 ©1988- 015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 1001486 132849.12 03-16.2016 West Coast Tub Repair, Central Or Division Estimate CCB #218475 Date Estimate # 22875 Hwy 20 Bend, Or 97701 9/19/2018 12 office 541.382.2300 cell 541.948.6533 wctrco@gmail.com Name /Address City Of Ashland Com Dev Building 51 Winbun Way WorkOrder# Terms Project Net 15 Item Description Qty Rate Total Repair Woman's Bath: unit was installed with drain almost level 1,100.00 1,100.00 with outside lip of tile floor causing water to pool up around drain. While doing original repairs I attempted to fix this issue but just ended up chasing the water around the unit. I cannot build up floor to level out since unit is an ADA and the tile lip is already flush with the drain. The only way to repair is to cut out and drop drain down so it is low enough for us to float while keeping it ADA compliant. I will do this repair for my cost of materials and labor at a daily rate, but will need to do on a friday and complete saturday. Daily Rate: $750 Materials: $350 i Estimate is valid for 30 days. Please sign and return when accepted. Total $1,100.00 Signature Purchase Order p~ Fiscal Year 2019 Page: 1 of: 1 THIS PG NUMBER MUST APPEAR ON ALL INVOICES. AND S{JIPPING DOCUMENTS: B City of Ashland ATTN. Accounts Payable Purchase L 20 E. Main 20190352 Ashland, OR 97520 Order # T Phone: 541/552-2010 O Email: payable@ashland.or.us V H C/O Facilities Maintenance Div E WEST COAST TUB REPAIR, CENTRAL OR DIVISION 1 90 North Mountain Ave N 22875 HWY 20 P Ashland, OR 97520 D BEND, OR 97701 Phone: 541/488-5358 O T Fax: 541/552-2304 R O 1081 David Arnold 01/29/2019 1953 FOB ASHLAND OR/NET30 City Accounts Pa able Refit Shower Drains 1 Provide refit of the women's shower drains at Community 1 $1,100.0000 $1,100.00 Development building. Services Agreement Completion date: 06/30/2018 Project Account: E-000067-999 GL SUMMARY 082400 - 602400 $1,100.00 B ,Date: 1 I _ AUthoriz Signature I .T.0 Total _ $1,100.00 I FORM #3 CITY of ASHLAND REQUISITION "Date of request: 1/15/19 Required date for delivery: Vendor Name West Coast Tub Repair Address, City, State, Zip 22875 Highway 20, Bend, Oregon 97701 Contact Name & Telephone Number John Ried 541-382-2300 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 ® Direct Award Date approved by Council: Contract # ❑ VerbalANritten quote(s) or proposal(s) ❑ State of Washington Contract Intermediate Procurement El Sole Source # agency contract GOODS & SERVICES El Applicable Form (#5,6, 7 or 8) El Other Agency 9 Y $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 #9, Request for Approval Date original contract approved by Council: ❑ Written quote or proposal attached (Date) ❑ Less than $35,000, by direct 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 Provide refit of the women's shower drains at Community Development Building $ 1,100.00 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST ® Per attached quote/proposal Account Number 082400-602400 Project Numbel!2QfV *Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures. I IT Director in collaboration with department to approve all hardware and software purchases: IT Director Date Support -Yes / No By signing th ition form, 1 certi hat the City's public contracting requirements have been s tisffed. Employee Signature: Department Head Signature: i l (E uo or 'realer than $5,000) City Administrator: (Equal to o r ter 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