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HomeMy WebLinkAbout2019-093-20190210 Bills Glass & windshields • GOODS & SERVICES AGREEMENT PROVIDER: Bill's Glass CITY OF PROVIDER'S ASHLAND CONTACT: Rick Gallagher 20 East Main Street Ashland, Oregon 97520 ADDRESS: 2407 Siskiyou Boulevard Telephone: 541/488-5587 Ashland, OR 97520 Fax: 541/488-6006 PHONE: (541)488-2500 This Goods and Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation(hereinafter "City") and Bill's Glass, a domestic business corporation ("hereinafter"Provider"), for glass repair and replacement. 1. PROVIDER'S OBLIGATIONS 1.1 Provide glass repair and replacement for FY19 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 goods and 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 commercial general liability insurance with a combined single limit, or the equivalent, of not less than $2,000,000 (two million dollars)per occurrence for Bodily Injury and Property Damage. 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 • 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. Page 1 of 5: Agreement between the City of Ashland and Bill's Glass • 1.3 All subject employers working under this Agreement are either employers that will comply with ORS 656.017 or employers that are exempt under ORS 656.126. 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. 2. CITY'S OBLIGATIONS 2.1 City shall pay Provider the sum of$4,500 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$4,500 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. 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 279B.220, 279B.230 and 279B.235. Page 2 of 5: Agreement between the City of Ashland and Bill's Glass 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 Rate Sheet. 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: 5.1.1 Termination of this Agreement; 5.1.2 Withholding 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; 5.1.3 Initiation of an action or proceeding for damages, specific performance, or declaratory or injunctive relief; 5.1.4 These 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 June 30, 2019, unless sooner terminated as provided in Subsection 6.2. 6.2 Termination Page 3 of 5: Agreement between the City of Ashland and Bill's Glass 6.2.1 The City and Provider may terminate this Agreement by mutual agreement at any time. 6.2.2 The City may, upon not less than thirty (30) days' prior written notice, terminate this Agreement for any reason deemed appropriate in its sole discretion. 6.2.3 Either 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 90 North Mountain Avenue 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: Bill's Glass Attn: Rick Gallagher 2407 Siskiyou Boulevard,Ashland, OR 97520 (541)488-2500 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. 9.1.2 Provider, for a period of no fewer than six (6) calendar years preceding the Effective Date of this Agreement, has faithfully complied with: Page 4 of 5: Agreement between the City of Ashland and Bill's Glass • (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. CITY OF ASHLAND: Bill's Glass (PROVIDER): By: By: Signature Signature PAuL.+ G �e•-) K;�k rQ/42,71i Pi' Printed Name /titan Printed Name Pw -/215GT1/� Q to I" / �s 4/4.5$ Q-'/4 A/Qnd Title lj is � �itle Sn A-v4 S -a1-`e Date Date (W-9 is to be submitted with this signed Agreement) Purchase Order No. 2 / l� / Page 5 of 5: Agreement between the City of Ashland and Bill's Glass : k b 1 C. 2407 SISKIYOU BLVD ASHLAND OR 97520 541-488-2500 • FAX-541-488-3270 BILL'S GLASS SERVICE City of Ashland Schedule of Labor Rates3+!ly;1 2018-Jo i 1 2019 Butler's Glass Service Inc. DBA Bill's Glass & Windshields. Cost per hour will be $60.00_ *per hour per man for work scheduled within the hours of 8:OOam-5:00 pm Monday through Friday. Cost per hour will be _$120.00_ *per hour per man for work that is performed outside of the above hours or days. *Additional men may be needed on some repairs due to size or safety restrictions. This is the labor rate only, materials and equipment rental if needed are additional. After hours Boardups-$350.00 MINIMUM FOR LABOR AND MATERIALS- LABOR TO INCLUDE TRAVEL TIMES FROM MEDFORD New commercial construction projects are exempt from this pricing and will be bid on a per job basis. Sincerely, General Manager Bill's Glass&Windshields 319 E.McAndrews Rd. Medford,OR.97501 541-773-5881 Page I of I b. BBB; 905384 A Human Resource Management Compmy August 02, 2018 BUTLERS GLASS SERVICE INC 319 E MCANDREWS RD MEDFORD, OR 97501 Re: Barrett Business Services, Inc. ("BBSI") • Letter of Self-Insurance for Workers' Compensation Coverage As the named addressee of this Letter, your company's required workers' compensation coverage is provided through BBSI's state approved Self-Insured Workers' Compensation Plan by way of your co-employment contract with BBSI. Additional information is as follows: State: Oregon Workers'Compensation Limits: Employer Liability Limits: Self Insurance Certification #: 1068 Statutory $5,000,000.00 Each Accident $5,000,000.00 Disease Coverage Limit by Client $5,000,000.00 Disease; Each Employee Other Comments (place an "X"if applicable): © Named "Letter Holder": City of Ashland, Attn: David Arnold Ashland, OR 97520 © Other: Contract effective 1/1/16, renewal date 1/1/19. Subject to 30 days' notice of cancellation. Additionally, BBSI's self-insured program is further supported by an excess workers' compensation insurance policy with ACE American Insurance Co.. Copy of certificate is available upon request. For additional information, please contact your local BBSI office at: MEDFORD (541) 772-5469 3512 Excel Drive Suite 107 • Very truly yours, Medford, OR 97504 Michael L. Elich President and Chief Executive Officer doe:LOSI-2 ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 06/20/2018 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 NAME: Tom Kaldunski Hart Insurance Agency PHONE FAX PO Box 1240 (A/C,No,Ext): (541) 779-4232 (A/C,No):(541) 772-3963 E-MAIL ADDRESS: Grants Pass OR 97528 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Cincinnati Specialty Underwriter 13037 INSURED (541) 773-5881 INSURERB: Cincinnati Insurance Company 10677 Butlers Glass Service Inc. INSURER C: dba Bill's Glass INSURERD: 319 E McAndrews Road Medford OR 97501 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER:Cert ID 7888 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 SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR Y CSU0079916 02/19/2018 02/19/2019 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ X Products & Completed PERSONAL&ADVINJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY X PRO-JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) g X ANY AUTO EBA 0374731 02/19/2018 02/19/2019 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY _ AUTOS ONLY (Per accident) A UMBRELLALIAB X OCCUR CSU0086650 02/19/2018 02/19/2019 EACH OCCURRENCE $ 1,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTION$ Aggregate $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/M EMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) certificate holder is listed as additional insured per attached forms CSGA4032 12/13 and waiver CSGA4087 12/12 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 N Mountain AUTHORIZED REPRESENTATIVE f/ Ashland OR 97520 "/ E2 cJ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD n.,_-,., i ,-c 1 COMMERCIAL GENERAL LIABILITY CSGA 4032 06 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - SCHEDULED PERSON OR ORGANIZATION - COMPLETED OPERATIONS ONLY (LIMITED) This endorsement modifies insurance provided under the following: PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s)or Organization(s): As Required by Written Contract. A. SECTION II - WHO IS AN INSURED is other because of damages arising out of amended to include as an additional insured such injury. any person or organization shown in the schedule, but only with respect to "bodily in- 4, "Bodily injury' or "property damage" for jury" or "property damage" caused by 'your which the Named Insured is afforded no work" performed for the additional insured and coverage under this policy of insurance. included in the "products-completed opera- C. With respect to the insurance afforded to tions hazard", these additional insureds, SECTION III - LIM- B. With respect to the insurance afforded to ITS OF INSURANCE is amended to include: these additional insureds, the following addi- The limits applicable to the additional insured tional exclusions apply: are those specified in any written contract or This insurance does not apply to: agreement or in the Dedarations of this Cov- erage Part, whichever is less. If no limits are 1. "Bodily injury"or"property damage arising specified in any written contract or agreement, out of the rendering of, or the failure to the limits applicable to the additional insured render, any professional architectural, en- are those specified in the Declarations of this gineering or surveying services, including: Coverage Part. The limits of insurance are in- clusive The preparing,approving, or failing b clusive of and not in addition to the limits of in- prepare or approve, maps, shop surance shown in the Declarations. drawings, opinions, reports, surveys, D. With respect to the insurance afforded to the- field orders, change orders or draw- se additional insureds, SECTION IV - COM- ings and specifications; or MERCIAL GENERAL LIABILITY CONDI- b. Supervisory, inspection, architectural TIONS, 4. Other Insurance is amended to in- clude: or engineering activities. 2. "Bodily Injury' Any coverage provided herein will be excess y fry' or "property damage" aris- out of'your work"for which a eonsoli- over any other valid and collectible insurance dated (wrap-up)of" insurance available to the additional insured whether program has primary, excess, contingent or on any other been provided by the prime contractor / basis unless you have agreed in a written con- project manager or owner of the construc- tract or written agreement executed prior to tion project in which you are involved. any loss that this insurance will be primary. 3. "Bodily injury'or"property damage"to any This insurance will be noncontributory only if employee of you or to any obligation of you have so agreed in a written contract or the additional insured to indemnity an- written agreement executed prior to any loss and this coverage is determined to be primary. Includes copyrighted material of insurance CSGA 4032 06 12 Services Office, Inc., with its permission. Page 1 of 1 COMMERCIAL GENERAL LIABILITY CSGA 4087 12 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - PER CONTRACT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to Paragraph 8.Transfer of Rights of Recovery Against Others to Us of SECTION IV-CONDITIONS: If you have agreed, in a written contract or agreement, to provide a waiver of any right of recovery against a person or organization, we will waive any right of recovery we may have against that person or organization because of payments we make for injury or damage arising out of your ongoing operations or"your work"done under a contract with that person or organization and included in the 'products-completed operations hazard". This waiver applies only to that person or organization for which you have agreed to in a written contract to provide said waiver. Includes copyrighted material of Insurance CSGA 408712 12 Services Office, Inc.,with its permission. Page 1 of 1 - { per_ 3 -y am �,� Purchase Order �i II 1 1 �`V��LA�+ ,Ma Fiscal Year 2019 Page: 1 of: 1 fiLM IMtjfif��3C3 rIMFNTH B City of Ashland I ATTN: Accounts Payable Purchase L L 20 E. Main Order# 20190210 Ashland, OR 97520 T Phone: 541/552-2010 0 Email: payable @ashland.or.us V H C/O Facilities Maintenance Div EBILL'S GLASS &WINDSHIELDS I 90 North Mountain Ave 2407 SISKIYOU BLVD p Ashland, OR 97520 ASHLAND, OR 97520 Phone: 541/488-5358 I Fax: 541/552-2304 R O. HAlboa W --ia�_I=I-I— - (541) 488-2500 David Arnold --.P=16151 I i—a1=1 (_E__:1. 09/10/2018 114 FOB ASHLAND OR/NET30 City Accounts Payable c: s/ —_ _— – g g z bra ��tavr_ -- � G= _o_=tE�i= t°r_ICE x e d pie On-call glass repair 1 On-call glass repair and replacement 1 $4,500.0000 $4,500.00 Goods &Services Agreement Completion date: 06/30/2019 Project Account: GL SUMMARY*******«**«**** 082400-602400 $4,500.00 - • I3 \ ( t Authorized ignature = — $4,500.00 . ce_.,-e_ ce--- t( ( 1,/. . FORM #3 CITY OF . ASHLAND REQUISITION Or/ /4 / /' ( V i7 Date of request: 8/28/2018 Required date for delivery: Vendor Name Bill's Glass Address,City,State,Zip 2407 Siskiyou Boulevard,Ashland,OR 97520_ Contact Name&Telephone Number Rick Gallagher 541-488-2500 Email address SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergency 1 ❑ Reason for exemption:_ ❑ Invitation to Bid ❑ Form#13,Written findings and Authorization ❑ AMC 2.50 Date approved by Council: ❑ Written quote or proposal attached Written quote or proposal attached _(Attach copy of council communication) (If council approval required,attach copy of CC) ❑ q P P ❑ Small Procurement ❑ Request for Proposal Cooperative Procurement Not exceeding$5,000 Date approved by Council: ❑ State of Oregon ❑ Direct Award _(Attach copy of council communication) Contract# ❑ Verbal/Written quote(s)or proposal(s) ❑ Request for Qualifications(Public Works) ❑ State of Washington Date approved by Council: Contract# _(Attach copy of council communication) ❑ Other government agency contract Intermediate Procurement ❑ Sole Source Agency GOODS&SERVICES ❑ Applicable Form(#5,6,7 or 8) Contract# Greater than$5,000 and less than$100,000 ❑ Written quote or proposal attached Intergovernmental Agreement ❑ (3)Written quotes and solicitation attached ❑ Form#4,Personal Services>$5K&<$75K Agency PERSONAL SERVICES ❑ Special Procurement ❑ Annual cost to City does not exceed$25,000. Greater than$5,000 and less than$75,000 ❑ Form#9,Request for Approval Agreement approved by Legal and approved/signed by 1 ❑ Direct appointment not to exceed$35,000 ❑ Written quote or proposal attached City Administrator.AMC 2.50.070(4) ❑ (3)Written proposals/written solicitation Date approved by Council: ❑ Annual cost to City exceeds$25,000,Council ❑ Form#4,Personal Services>$5K&<$75K Valid until: (Date) approval required.(Attach copy of council communication) Description of SERVICES Total Cost Provide glass repair and replacement for FY19(July 1,2018-June 30,2019) $4,500.00 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost ❑ Per attached quotelproposal TOTAL COST $ Project Number _ _ _ Account Number 082400-602400 . 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 certify that the City's public contracting requirements have been satisfied. Employee: ..„,. .,___t Department Head: Ati-6-04,,,•,.------ 30.4uG X',9 I (Equal to or greater than$5,000) Department Manager/Supervisor: City Administra r: (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