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HomeMy WebLinkAbout2019-104 20190369 Crete Co. LLC GOODS & SERVICES AGREEMENT PROVIDER: Crete Co. LLC CITY OF PROVIDER'S Justin Puls ASHLAND CONTACT: 20 East Main Street Ashland,Oregon 97520 ADDRESS: PO Box 160, Eagle Point, OR 97524 Telephone: 541/488-5587 Fax: 541/488-6006 PHONE: 541-621-8332 This Goods and Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and Crete Co. LLC, a domestic business corporation("hereinafter"Provider"), for concrete work at Fire Station 1. 1. PROVIDER'S OBLIGATIONS 1.1 Provide removal and replacement of stairs and landing at Fire Station 1 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$2.049-,4306-(two million dollars)per occurrence for Bodily Injury and Property Damage. I,000 t) 1.2.1 The insurance required in this Article shall include the following coverages: x,a ' • 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 Crete Co.LLC 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$4,895 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$4,895 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 Crete Co.LLC 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 11/5/2018. 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: 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. Page 3 of 5: Agreement between the City of Ashland and Crete Co.LLC 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—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: Crete Co. LLC Attn: Justin Puls PO Box 160, Eagle Point, OR 97524 (541-621-8332 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 Crete Co.LLC -- r (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: Crete Co.LLC (PROVIDE/R�): AL04493- Signature Signature /G. . ■ I �oJ ��.�t,°k R- (S Printed Name Printed Name Ctk1 vvui ri — OWhc r Title Title Date Date (W-9 is to be submitted with this signed Agreement) Purchase Order No. / ? ,56 Page 5 of 5: Agreement between the City of Ashland and Crete Co.LLC Crete Co LLC Po Box 160 Eagle Point OR 97524 Phone#541-621-8332 CCB Lic#219140 January 18, 2019 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 Crete Co LLC, my company currently carries$1,000,000 worth of Liability Insurance while providing Concrete Construction. During the process of performing this removal and replace of concrete, incidents are extremely rare and personal injury or property damage is almost unheard of. Please contact me if you have questions or would like more information as you consider my request. Thank you, //listen Puls,owner/operator V Crete Co LLC Crete Co. LLC Estimate Po Box 160 Eagle Point OR 97524 (541)621-8332 Number E310 creteco18@outlook.com License#219140 Date 11/5/2018 Bill To Chance Metcalf City of Ashland,Public Works 20 East Main Street Ashland,OR,97520 Project Fire Department Description Amount Remove&replace approximately 75 square feet of concrete $3,695.00 surface area with 5 steps. Removal&replace of landing at bottom of stairs p g $1,200.00 approximately 80 square feet Price includes all concrete,rebar,labor,sawcutting hauling of material off site. Total $4,895.00 • AC RO I$ CERTIFICATE OF LIABILITY INSURANCE DATE IMMIOD/YYYY) 1/17/2019 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 NAME: BLALOCK INSURANCE PHONE FAX INC.No.ExtI: (A/C,No): 531 NE E STREET,STE E E-MAIL ADDRESS: GRANTS PASS,OR 97526 INSURER(S)AFFORDING COVERAGE NAIC fI INSURER A: Contractors Bonding and Insurance Company 37206 INSURED INSURER B: CRETE CO LLC INSURER C PO BOX 160 INSURER D: EAGLE POINT,OR 97524 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. INTR MD PO TYPE OF INSURANCE D 4WD POUCY NUMBER POUCY EFF POLICY EXP IMM/DD/YYYY) (MM/DD/YYYY) UMITS A X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE S 1,000,000 MAGE TO CLAIMS-MADE X OCCUR D11 PE5010 6/20/2018 6/20/2019 pREM SES EaEtrri Hence) $ 300,000_ MED EXP(Any one person) $ 5,000 PERSONAL ii ADV INJURY _ 5 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000_ X POLICY PRO I I LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER E AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO - BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident $ AUTOS ONLY AUTOS ( ) HIRED NON-OWNED FF-10PERTY DAMAGE AUTOS ONLY _AUTOS ONLY (Per accident _ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S _ DED RETENTIONS $ WORKERS COMPENSATION PER I OTH- AND EMPLOYERS'UABIUTY YIN STATUTE ER ANYPROPRIETOR/PARTN ERIEXECUTNE OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT 5 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If mom space is required) Products and completed operations coverage is included according to the terms of the policy and subject to applicable policy exclusions. CERTIFICATE HOLDER CANCELLATION City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 East Main St Ashland,OR 97520 AUTHORIZED REPRESENTATIVE I , ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD MetLife Auto& Home Economy Preferred Insurance Company 10/16/2018 Automobile Insurance Declarations ST 36 Policy Number: 1554313730 Page 1 of 2 Policy Effective Date: 08/18/2018 Change 01 Policy Expiration Date: 08/18/2019 At: 12:01 A.M. Standard Time Policy Change Effective Date: 10/16/2018 Named Insured: Bill To: Insured JUSTIN PULS AND NICOLE PULS PO BOX 160 EAGLE POINT OR 97524 Insured Vehicle(s) Veh Year Make Model Body Type Vehicle ID Number Com/Col Sym Terr 1 2007 CHEVROLET SILVERA PKCREW 1GCHK336X7F522754 26/22 12 2 2016 HONDA ACCORD SEDAN 1HGCR3F96GA012539 28/19 12 3 1953 FORD PICKUP PU F10R3R20321 12 ' Coverage Description Applicable Limits Annual Premiums 2007 2016 1953 CHEVR HONDA FORD Personal Injury Protection $ 0 Deductible 42 55 57 $ 15,000 Medical Expense Each Person Liability Bodily Injury $ 50,000 Each Person/ $ 100,000 Each Accident 162 111 87 Property Damage $ 50,000 Each Accident 172 109 81 Uninsured Motorists Bodily Injury $ 50,000 Each Person/ $ 100,000 Each Accident 24 30 24 Property Damage $ 50,000 Each Accident 20 22 20 Physical Damage 2007 2016 1953 CHEVR HONDA FORD Actual Cash Value (ACV) or Limit ACV ACV Collision Less Deductible $ 1000 $ 1000 218 261 Comprehensive Less Deductible $ 1000 $ 1000 121 111 Towing and Labor Limit $ 100 $ 100 Intl Inc' Optional Coverages Glass Deductible Buyback Inc' Intl Total Annual Premium: $ 1,727.00 Vehicle Totals: 759 699 269 Prior Annual Premium: $ 1,532.00 Change in premium from 10/16/2018 through 08/18/2019: $ 163 This Declarations does not supersede any cancellation notices. Deductible Savings Benefit(DSB) $ 200 Deductible Savings reduces Collision or Comprehensive deductibles, excluding towing and glass claims, effective 10/16/2018 for claims occurring after this date. Your next anniversary date is 08/18/2019. Forms and Endorsements: AP6000 0513 AP6100 0513 AE60OR 0715 AE70OR 0513 AE9110 0513 AE400R 0116 AE42OR 0513 AE5300 0513 MetLife Auto&Home is a brand of Metropolitan Property and Casualty Insurance Company and its affiliates,Warwick,RI. MPL 1380-000 Printed in U.S.A.0298 MetLife Auto& Homes Economy Preferred Insurance Company 10/16/2018 • Automobile Insurance Declarations ST 36 Policy Number: 1554313730 Policy Effective Date: 08/18/2018 Page 2 of 2 Policy Expiration Date: 08/18/2019 Change 01 At: 12:01 A.M. Standard Time Policy Change Effective Date: 10/16/2018 Discounts The following have been included in the total annual premium: MetRewards Discount Airbag Discount applies to 2007 CHEVR 2016 HONDA Anti-lock Brake Discount applies to 2007 CHEVR 2016 HONDA Active Anti-theft Discount applies to 2007 CHEVR 2016 HONDA Auto Policy Plus, including Homeowners Rating Information Household Drivers: 01/25/1982 JUSTIN M PULS Married Licensed 19 Years 06/26/1986 NICOLE PULS Married Licensed 15 Years IF YOU HAVE A DRIVER IN YOUR HOUSEHOLD WHO IS NOT LISTED ABOVE, PLEASE NOTIFY US IMMEDIATELY. A $28 surcharge applies to 2007 CHEVR. This surcharge is due to a chargeable accident or conviction. A $26 surcharge applies to 2016 HONDA. This surcharge is due to a chargeable accident or conviction. Interested Parties 2007 CHEVROLET Lien/Loss Payee: NORTHWEST COMM CU PO BOX 58770 TUKWILA WA98138 2016 HONDA Lien/Loss Payee: ROGUE CREDIT UNION PO BOX 4550 MEDFORD OR97501 Updated Policy Information Vehicle Added To Policy Address/Territory Changed MetRewards Discount Changed For service or claims, see the Customer Your representative is: Service and Claim Directory located on BLALOCK INSURANCE the back of your cover page. TEL: 541 -476 - 2246 7AG - 803 - 1 MetLife Auto 8 Home is a brand of Metropolitan Property and Casualty Insurance Company and its affiliates,Warwick,RI. ' I www.saif.com Oregon Workers' Compensation Work. Certificate of Insurance sail Oregon. Certificate holder: CITY OF ASHLAND PUBLIC WORKS DEPARTMENT 20 EAST MAIN ASHLAND, OR 97520 The policy of insurance listed below has been issued to the insured named below for the policy period indicated.The insurance afforded by this policy is subject to all the terms,exclusions and conditions of such policy;this policy is subject to change or cancellation at any time. Insured Producer/contact Crete Co LLC United Insurance Agencies PO Box 160 United Insurance Agencies Eagle Point, Or 97524-0160 541.242.6464 workerscomp @uiaoregon.com Issued 02/05/2019 Limits of liability Policy 879837 Bodily Injury by Accident $500,000 each accident Period 04/01/2018 to 04/01/2019 Bodily Injury by Disease $500,000 each employee Body Injury by Disease $500,000 policy limit Description of operations/locations/special items All operations Important This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies above.This certificate does not constitute a contract between the issuing insurer, authorized representative or producer and the certificate holder. Authorized representative Kerry Barnett President and CEO 400 High Street SE Salem,OR 97312 P:800.285.8525 F:503.584.9812 Pol icy_OLCA_CertificateOfInsurance r • • www.saif.com Oregon Workers' Compensation Work. 9 p Certificate of Insurance sail Life. Oregon. Certificate holder: CITY OF ASHLAND PUBLIC WORKS DEPARTMENT 20 EAST MAIN ASHLAND, OR 97520 The policy of insurance listed below has been issued to the insured named below for the policy period indicated.The insurance afforded by this policy is subject to all the terms, exclusions and conditions of such policy;this policy is subject to change or cancellation at any time. Insured Producer/contact Crete Co LLC United Insurance Agencies PO Box 160 United Insurance Agencies Eagle Point, Or 97524-0160 541.242.6464 workerscomp @uiaoregon.com Issued 02/05/2019 Limits of liability Policy 879837 Bodily Injury by Accident $500,000 each accident Period 04/01/2019 to 04/01/2020 Bodily Injury by Disease $500,000 each employee Body Injury by Disease $500,000 policy limit Description of operations/locations/special items All operations during policy term Important This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies above. This certificate does not constitute a contract between the issuing insurer, authorized representative or producer and the certificate holder. Authorized representative )(12) Ctsf2>4-- Kerry Barnett President and CEO 400 High Street SE Salem,OR 97312 P:800.285.8525 F:503.584.9812 Poli cy_OLCA_CertificateOfInsurance • II Tami Campos From: David Arnold Sent: Wednesday, January 30, 2019 1:21 PM To: Tami Campos Subject: FS1/Stairs/RR/2 Quotes/1 Failed Attempt Attachments: Timber Ridge City of Ashland Firehouse steps.pdf Hi Tami, Regarding quotes for the removal of the stairs at Fire Station 1: Nov 6—Received quote from Timber Ridge Nov—6 Received quote from CreteCo (Chance arranged and conducted on site eval Oct—31 Requested written quote from Ashland Construction Oct—17 Requested quote from Ashland Construction Unknown Date—Ron evaluated without me present Sep—21 Invited Ron of Ashland Construction to attend an onsite eval Dave 1 f Timber Ridge Contracting, LLC Estimate RTheron Logan PO BOX: 127 Date Estimate# Eagle Point,OR 97524 Phone# 541-538-9025 tlogan@timberridgenorthwest.com 11/6/2018 l8-51 www.timberridgenorthwest.com Name/Address City of Ashland Chance Metcalf 20 E.Main St., Ashland OR 97520 Project Description Qty Ashland Fire Dept. Concrete removal and replace. Removal of existing concrete at location 161 9.50 1,529.50 Construction and installation of five new concrete steps approximately 74.75 22.00 1,644.50 11'6"x 6'6"*size to be field verified Construction and installation of new concrete landing 7'x 11'6*size 86.25 22.00 1,897.50 to be field verified Total $5,071.50 • orivi Purchase Order rail Fiscal Year 2019 Page: 1 of: 1 B City of Ashland L I 20 E. Accounts Payable Purchase 20190369 L 20 E. Main Ashland, OR 97520 Order# T Phone: 541/552-2010 0 Email: payable @ashland.or.us V H C/O Facilities Maintenance Div E CRETE CO. LLC I 90 North Mountain Ave N PO BOX 160 P Ashland, OR 97520 O EAGLE POINT, OR 97524 Phone: 541/488-5358 R T Fax: 541/552-2304 O .____YEl-lllkl F=_lion - bli Lv...1@ e e a :?ion-%1 rI irLi[ . e 4iiia1=Li - __--&--jllp� (i :re -- -f, David Arnold __ --..—M 1e=6__—I@ 91e1qOND: ==e:la tylir:a0____: ._.__. Lu m rtil1--�-_= _ _______ �@f a1=48 @1=1 @7t_nm 02/27/2019 4419 FOB ASHLAND OR/NET30 City Accounts Payable Concrete work Fire St#1 1 Concrete work at Fire Station#1 1 $4,895.0000 $4,895.00 Goods & Services Agreement Completion date: 06/30/2019 Project Account: ...............GL SUMMARY............... 082400-602400 $4,895.00 c--- 1 1 \ IA ----1 By Date: - Au'orized @ ature _F Z l -__ _- $4 895.001 1 f / / T V' t,eny 1/1 l" - � . 1T W 1 ,-,-(4,g,,T--- OF FORM #3 �' C A fec nest . r a 7ureilse 0 ler ASHLAND 61,.,Z) "7 # / 47 19 0 REQUISITION Ff Date of request: 01/30/2019 , Vendor Name Crete Co.LLC G-z.? ;;r6 14--; ed-s.- Address,City,State,Zip PO Box 160 Eagle Point OR 97524 i c/fr...,? - Contact Name Justin Puls �i Telephone Number 541-621-8332 Email address SO URCING METHOD ❑ Exempt from Competitive Bidding ❑ Invitation to Bid ❑ Emergency I ❑ 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# ❑ Verbal/Written quote(s)or proposal(s) ❑ Request for Qualifications(Public Works) ❑ State of Washington Intermediate Procurement Date approved by Council: Contract# GOODS&SERVICES (Attach copy of council communication) ❑ Other government 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 Agreement approved by and approved/signed b 0(3)Written proposals/written solicitation ❑ Form#9,Request for Approval A g pp y Le al g pp roved/si g by ❑Form#4,Personal Services>$5K&<$75K City Administrator.AMC 2.50.070(4) ❑ Written quote or proposal attached Date approved by Council: ❑Annual cost to City exceeds$25;000,Council Valid until: (Date) approval required.(Attach copy of council communication) Description of SERVICES • Total Cost concrete work at Fire Station 1 $4,895.00 1 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost if Per attached quote/proposal TOTAL COST Expenditure must be charged to the appropriate account numbers for the financials to reflect the actual expenditures accurately. Project Number - - Account Number 082400 _ 602400 $ 4895 — - - 1 1— .- Project Number -_ _ _ Account Number - $ , . Project Number -_ - - Account Number - $ IT Director in collaboration with department to approye all hardware and software purchases: By signing this requisition.farrn I certify that the Citys public contracting requirements have been satisfied. lT Director Date Support Yes/No ----1 / Employee: -- /- Department Head: i 5-Fett3 Zo/9 ''.--- ,,,o (-qual . .rgreate thari$5000) Department Manager/Supervisor: City Administrat r:/ l, v "L '1 0� (Equal t, •reate than$ 5,000) Funds appropriated for current fiscal year: ES / NO 31 ce Di_reC to or $5,000) Date Comments: Form#3-Requisition