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HomeMy WebLinkAbout2019-096 20190311 Wilson Pro Pole LLC SERVICES AGREEMENT PROVIDER: Wilson Pro Pole CITY OF PROVIDER'S CONTACT: Justin Wilson ASHLAND 20 East Main Street ADDRESS: P.O. Box 3423 Ashland, Oregon 97520 Central Point, OR 97502 Telephone: 541/488-5587 Fax: 541/488-6006 PHONE: 541-944-5044 This Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and Wilson Pro Pole, a domestic limited liability company ("hereinafter "Provider"), for peeling and cutting raw logs for the Nature Play Area at North Mountain Park. 1. PROVIDER'S OBLIGATIONS 1.1 Provide peeling the bark from logs, cutting them to the lengths, and transporting them to Ashland 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 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 Wilson Pro Pole 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$5.50 per log-linear-foot and $125 for each trip (delivery or pick up) to Ashland OR., 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 $1,500 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. Page 2 of 5: Agreement between the City of Ashland and Wilson Pro Pole 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. 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 Proposal dated 11/21/18 • North Mountain Nature Play Project Log List 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. Page 3 of 5: Agreement between the City of Ashland and Wilson Pro Pole 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 May 31, 2019, 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. 6.2.2 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—Parks and Recreation Department Attn: Libby VanWyhe 620 North Mountain Ave. Ashland, Oregon 97520 Phone: (541) 488-6606 With a copy to: City of Ashland—Legal Department 20 E. Main Street Ashland, OR 97520 Phone: (541)488-5350 If to Provider: Wilson Pro Pole Attn: Justin Wilson P.O. Box 3423 Central Point, OR 97502 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: Page 4 of 5: Agreement between the City of Ashland and Wilson Pro Pole • 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: (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 A HLAND: Wilson Pro ' i 0 t OVIDER): By: , By: Signature Signature Mrdiaid A . hiat - is-frh [v, Is9A Printed Name Printed Name �j; w�tr ��ytAr� t Title Title l a-Pl o/ s ! ItL9 •l�/ Date Date (W-9 is to be submitted with this signed Agreement) Purchase Order No. Page 5 of 5: Agreement between the City of Ashland and Wilson Pro Pole AcORO CERTIFICATE OF LIABILITY INSURANCE •DATE(MMIDDA"YY) L.-----• 11119/2018 ' 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. Astatement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Katie Higgins Insurance Marketplace,Inc. foot"No Ext4 (541)779-0177 I FrAAic No)-(541)772-8235 1998 Sky Park Dr ADDRESS' katie eiinsmarke[:com Medford, OR 97501 INSURERS)AFFORDING COVERAGE NAIL O INSURER A: Allied Insurance Company 73787 INSURED INSURERS: Mutual of Enumclaw 14761 Justin Wilson INSURER C: SAIF Corporation DBA:Wilson Pro Pole PO Box 3423 INSURER D: Central Point,OR 97502 NsuRER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 00000000.0 REVISION NUMBER: 1 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 DOCUMENTWITH RESPECT TO WHICH THIS CERTIFICATEMAY 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. ILiF TYPEOFINSURANCE ADDL SUBS POLICY EFF POLICY EXP• INcr wvn POLICY NUMBER (MMIDOM'YY) (MMIDDIYYYYL LIMITS A X COMMERCIAL GENERAL LIABILITY ACP7556156637 07/20/2018 07/20/2019 EACH OCCURRENCE $ 1,000,000 CLAIMSMADE OCCUR PREMISES ETOREMED $ 100,000 X PREMISES R occurrence) MED D(P(My one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY Pr. I f I LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ B AUTOMOBILEUABILnY BAP0003999 07/202018 07/20/2019 (0Ea aNEDSINGLELIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS ONLY X AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY LPer accident) UMBRELLALIAB _ OCCLR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ C WORKERS COMPENSATION 753598 09/012018 09/01/2019 X PER OTH- ANDEMPLOYERS'LIABILITY STATUTE FR ANY PROPRETORIPARTNEERXECU1IVE 7 NIA E.L.EACH ACCIDENT $ 500,000 • OFFICER/MEMBER EXCLUDED? I (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE 4 500,000 (DESCRIPTION OFOPERATIONS below E.L.DISEASE-POLICY UMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additlonal Remarks Schedule,may be attached If more space Is required) 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. 20 E Main St Ashland, OR 97520 AUTHORIZED REPRESENTATIVE I L'�'i'n��"SEN 1 "/L, (KLH) ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed.by KLH on November 19,2018 at 02:25PM Wilson Pro Pole, LLC Proposal: Ashland Parks and Recreation and North Mountain Park Nature Center Scope of Work Contractor: Name: Justin Wilson Address: 4283 Colver Rd Phoenix, OR 97535 Email: justin @wilsonpropole.com Phone: 541-944-5044 Log Peeling and Cutting : Charges:$5.50 per log-linear foot ➢ Peel the bark from raw logs harvested from the Ashland Watershed. ➢ Cut the logs into lengths and sizes as detailed in the project log list. ➢ Palletize the logs for transport. Log Transport to and from Ashland: Charges:$125 per trip ➢ Transport the raw logs from Ashland to Wilson Pro Pole facilities in Central Point. ➢ Deliver the finished (peeled and cut) logs back to Ashland Parks and Recreation. ESTIMATED TOTAL: Not To Exceed $1,500 Date of Proposal 11/21/2018 • North Mountain Nature Play Project Log List ID Color Assignment Table W Sand and Water Pla C Lo• Climber Lo. Ste••ers Next to Lo.Climber Ed•es B Benches M Movable Seats B I i, T Table Linear Feet Total Linear ID Log Description Detail Qnty Length for Each Feet Needed Diameter Orientation Cost To Peel Sand and Water Play W1 Upper Log Channel 2/L3.1 1 8'-0" 8 8 14" H $44.00 W2 Lower Log Channel 2/L3.1 1 6-0" 6 6 14" H $33.00 W3,4 Log Steppers at Sand Play x 2 30" 2.5 5 18" V $27.50 W5,6 Log Steppers at Sand Play x 2 27" 2.25 4.5 18" V $24.75 W7 Log Steppers at Sand Play x 1 24" 2 2 18" V $11.00 Log Climber C1 Upper Log Climber 3/L3.2 1 17'-0" 17 17 22" H $93.50 C2 Lower Log Climber 3/L3.2 1 14'-0" 14 14 22" H $77.00 S1 Log Stepper 2/L3.2 1 42" 3.5 3.5 16" V $19.25 S2 Log Stepper 2/L3.2 1 38" 3.17 _ 3.17 16" V $17.42 S3 Log Stepper _ 2/L3.2 1 34" 2.83 2.83 16" V $15.58 S4 Log Stepper 2/L3.2 1 30" 2.50 _ 2.50 16" V $13.75 S5 .Log Stepper 2/L3.2 1 26" 2.17 2.17 16" V $11.92 S6 Log Stepper 2/L3.2 1 22" 1.83 1.83 16" V $10.08 S7 Log Stepper 2/L3.2 1 18" 1.5 1.5 16" V $8.25 B1-5 Log Bench 5/L3.1 5 8'-0" 8 40 18" H $220.00 Movable Seats M Movable Log Rounds x 13 9" 0.75 9.75 9" H $53.63 M Movable Log Rounds x 13 12" 1 13 12" H $71.50 T Log Table-7 log rounds x 7 36" 3 21 12" V $115.50 Total Linear Feet 157.75 Cost per Linear Foot $5.50 Minimum Cost to Peel the Expected Logs $867.63 Pick Up and Delivery to Ashland $250.00 $1,117.63 nut( Ch ''ll 1-CLAAJhUlail Purchase Order F Les,<°_' Fiscal Year 2019 Page: 1 of: 1 P FflNA�L B Ashland Parks Commission _ V_ -1- AL" �_ _a_ LA TN: Accounts Payable Purchase Ashland, OR 97520 Order# 20190311 T Phone: 541/552-2010 O Email: payable @ashland.or.us ✓ S CIO Nature Center E WILSON PRO POLE LLC H North Mountain Park N PO BOX 3423 I 620 N Mountain Ave D CENTRAL POINT, OR 97502 P Ashland, OR 97520 R • T Phone: 541/488-6606 O Fax: 541/488-6607 /Endneymher=�--__ sndQrumhet L#e-" Libby Vanwhve at ? ma f Este= —__ ' q — 12/19/2018 4242 • FOB ASHLAND,OR/NET30 Parks Accounts Payable Jtel 7 _ - -a Ne-- -_= — -- olio M?„i 1 T-dateffc Peeling and Cutting Raw Logs 1 Provide peeling the bark from logs, cutting them to the lengths, ' 1 $1,500.0000 $1,500.00 and transporting them to Ashland as set forth in the supporting documents. Charges to include $5.50 per linear foot and $125 per visit for transport to and from Ashland. Not to exceed $1,500 Services Agreement Completion date: 05/31/2019 Project Account: E-000646-400 $1,500.00 ............... GL SUMMARY...,........... 123000-704200 $1,500.00 I • • / • . _____=____-- _7 _ _ _ By: -- —Date: lit 1 1-1/1 ( 6 Ay orized Siyl'%!ture ?oin- "_— ___ $1,500.00 • FORM #3 we? ,....ea.--6---- CITY OF '`� q o f ASHLAND ,� rSq9.ga:,e�sor a Pa1st:6ge,^��D �r & i � � REQUISITION Date of request: 11/21/2018 •Vendor Name Wilson Pro Pole Address,City,State,Zip P.O.Box 3423 Central Point,OR 97502 Contact Name Justin Wilson ' Telephone Number 541-944-5044 Email address justin(a)wilsanpropole.com SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Invitation to Bid ❑ Emergency • ❑ Reason for exemption: • • Date approved by Council: , ❑ Form#13,Written findings and Authorization ❑ AMC 2.50 _(Attach copy of council communication) ❑ Written quote or proposal attached ❑ Written quote or proposal attached (If council approval required,attach copy of CC) ❑ 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#_ ❑ VerbalMritten quote(s)or proposal(s). 0 Request for Qualifications(Public Works) ❑ State of Washington , Intermediate Procurement. Date approved by Council: Contract# GOODS&SERVICES (Attach copy of council communication) ❑ Other govemment agency contract 'Greater than$5,000 and less than$100,000 ❑ Sole Source Agency ❑ (3)Written quotes and solicitation attached ❑Applicable Form(#5,6,7 or 8) Contract# PERSONAL SERVICES ❑Written quote or proposal attached Form Intergovernmental Agreement Greater than$5,000 and less than$75,000 ❑ Form#4, Personal Services>$5K&<$75K Agency ❑Direct appointment not to exceed$35,000 ❑Annual cost to City does not exceed$25,000. ❑ Special Procurement 0(3)Written proposals/written solicitation Agreement approved by Legal and approved/signed by ❑Form#4,Personal Services>$5K&<$75K ❑ Form#9,Request for Approval City Administrator.AMC 2.50,070(4) ❑ Written quote or proposal attached Annual cost to City Date approved by Council: ❑ y exceeds$25,000,Council Valid until: (Date) approval required.(Attach copy of council communication) Description of SERVICES Total Cost • Provide peeling the bark from logs,cutting them to the lengths,and transporting them to Ashland as set forth in the"SUPPORTING DOCUMENTS". Charges to include$5.50 per linear foot and$125 per visit for transport to and from Ashland. Total project cost Not to Exceed$1,500 $ 1,500.00 Item# Quantity Unit Description of MATERIALS Unit Price Total Cost I 'F'j/`Per attached quotelproposal TOTAL COST T Expenditure must be charged to the appropriate account numbers for the financials to reflect the actual expenditures accurately. $1 g 5 00 Project Number E 000646 . 400 Account Number 123000 - 704200 $ Project Number _ _ _ Account Number - $ , , . Project Number _ _ _ Account Number - $ , 1. . IT Director in collaboration with department to approve all hardware and software purchases: . • By signing this requisition fo ,I certify that t .1-City's public contracting requirements have been satisfied. IT Director Date Support-Yes/No Employee. .■ y Department Head: Department a erlSll erviso xj) (Equal to or greater than$5,000) P � p »�/ �t t 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 43-Requisition .