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HomeMy WebLinkAbout2019-186 20200070 Garon Lee Sound • GOODS AND SERVICES AGREEMENT (LESS THAN $25,000) PROVIDER: Garon Lee Sound CITY OF PROVIDER'S CONTACT: Garon Wells ASHLAND 20 East Main Street ADDRESS: 118 Hamilton Ashland,Oregon 97520 Jacksonville, OR 97530 Telephone: 541/488-5587 Fax: 541/488-6006 PHONE: 541-899-1314 This Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation(hereinafter"City")and Garon Lee Sound,an assumed business name("hereinafter "Provider"),for miscellaneous repairs of bandshell speakers. 1. PROVIDER'S OBLIGATIONS 1.1 Provide miscellaneous repairs of bandshell speakers 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 $1,000,000 (one 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 6: Agreement between the City of Ashland and Garon Lee Sound 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. Provider 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$1,232.92 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$1,232.92 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. Page 2 of 6: Agreement between the City of Ashland and Garon Lee Sound 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. 3.11 Deliveries will be F.O.B destination. Provider shall pay all transportation and handling charges for the Goods. Provider is responsible and liable for loss or damage until final inspection and acceptance of the Goods by the City. Provider remains liable for latent defects, fraud, and warranties. 3.12 The City may inspect and test the Goods. The City may reject non-conforming Goods and require Provider to correct them without charge or deliver them at a reduced price, as negotiated. If Provider does not cure any defects within a reasonable time, the City may reject the Goods and cancel this Agreement in whole or in part. This paragraph does not affect or limit the City's rights, including its rights under the Uniform Commercial Code, ORS Chapter 72 (UCC). 3.13 Provider represents and warrants that the Goods are new, current, and fully warranted by the manufacturer. Delivered Goods will comply with SUPPORTING DOCUMENTS and be free from defects in labor, material and manufacture. Provider shall transfer all warranties to the City. 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 06/03/2019. Page 3 of 6: Agreement between the City of Ashland and Garon Lee Sound 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 08/30/2019, 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—Public Works Department Attn: Kaylea Kathol 20 E. Main Street Ashland, Oregon 97520 Phone: (541)488-5587 With a copy to: City of Ashland—Legal Department 20 E. Main Street Ashland, OR 97520 Phone: (541) 488-5350 Page 4 of 6: Agreement between the City of Ashland and Garon Lee Sound • If to Provider: Caron Lee Sound Attn: Garon Lee 118 Hamilton Road Jacksonville, OR 97530 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 e Proved r, an d (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. Page 5 of 6: Agreement between the City of Ashland and Caron Lee Sound r CITY OF ASHLAND: GARO ' LEE SOUN I (PROV D R): By: BY Signature TN.-- VeWlq N - Wiaelci( 06- \ \....e,c- \ Printed Name ''rinted Name (' '- Title Title 2.)j I1 01 DS I to ate (W-9 is to be submitted with this signed Agreement) Purchase Order No. ` 0 70 Page 6 of 6: Agreement between the City of Ashland and Garon Lee Sound GARON LEE argil u Inn Estimate m MI fl 118 Hamilton Road DATE ESTIMATE# Jacksonville, OR 97530 Voice: (541) 899-1314 6/3/2019 2447 NAME./ADDRESS City of Ashland - Public Works Attn: Kaylea Kathol 90 North Mountain Avenue Ashland, Oregon 97520 (541) 331-1144 DESCRIPTION QTY COST TOTAL REPAIR EXISTING SPEAKERS &WIRE CORRECTLY AT LITHIA BAND SHELL (REVISED 07/03/2019) Speaker Wire+ NL4 Barrel Connector Extension 2 28.96 57.92 Scissor Lift+Transportation 1 575.00 575.00 Labor to Complete Job and Check Function of System When Complete 1 600.00 600.00 TOTAL $1,232.92 P Business Registry Business Name Search New Search Business Entity Data 06-10-2019 09:49 49 Entity Entity Registry Next Renewal Registry Nbr Type Status Jurisdiction Date Renewal Due? Date 698656-82 ABN ACT 07-01-1999 07-01-2021 Entity Name GARON LEE SOUND Foreign Name Affidavit? N New Search Associated Names Type PPB PRINCIPAL PLACE OF BUSINESS Addr 1 118 HAMILTON ROAD Addr 2 CSZ IJACKSONVILLEIOR 197530 10000 ICountrylUNITED STATES OF AMERICA The Authorized Representative address is the mailing address for this business. Type REP AUTHORIZED Start Date 07-01- Resign Date REPRESENTATIVE 1999 Name GARON IL 'WELLS I Addr 1 118 HAMILTON ROAD Addr 2 CSZ IJACKSONVILLEIOR 197530 1 ICountrylUNITED STATES OF AMERICA Type REGIREGISTRANT l Name GARON IL (WELLS I I Addr 1 .118 HAMILTON ROAD Addr 2 CSZ 1 ACKSONVILLEIOR 197530 l lCountrylUNITED STATES OF AMERICA New Search Name History Business Entity Name Name Name Start End Date Type Status Date GARON LEE SOUND EN CUR 07-01-1999 1 r A`O CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDITY") 6/13/2019 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(fes)must 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 Dianna Seal Y' P G1 ner NAME: Redwoods Leavitt Insurance Agency PHONNo EXth (541)479-2667 I FAX, NO): 122 NE Beacon Dr. E-MAIL SS:dianna-sealygipner@ Leavitt.corn INSURER'S)AFFORDING COVERAGE NAIL H Grants Pass OR 97526 INSURERA:Ohio Security Insurance Co 24082 INSURED INSURER B: Garen Lee Wells INSURER C: DBA: Garen Lee Sound INSURERD: 118 Hamilton Rd INSURER E: Jacksonville OR 97530 INSURER F: COVERAGES CERTIFICATE NUMBER:19/20 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 POLICYEFF POLICY EXP LIMITS DR TYPE WVD POLICY NUMBER IMMIDDITYYYI (MMIDDNYYY) X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 1,000,000 A CLAIMS-MADE © m OCCUR PREMISES (Ea arren®1 $ BK555010106 2/24/2019 2/24/2020 MED EXP(Any one person) $ 15,000 PERSONAL SADV INJURY $ 1,000,000 GEN'LAGGREGATE UMITAPPLIES PER: GENERALAGGREGATE $ 2,000,000 A POLICY n 2,8 fl L PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: LFYF $ AUTOMOBILE LIABILITY ' COMBINED SINGLE LIMIT - $ - .. '1,000,000 _ - (Ea accident A ANY AUTO " -". — : ••' BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BA555010106 • 2/24/2019 2/24/2020' BODILY INJURY(Per aoident) $ X AUTOS AUTOS .X. NON-OWNED -, _. -- - PROPERTY $ _ -- .• BACEE 5 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ LIED I RETENTION$ S WORKERS COMPENSATION I STATUTE I I W- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARrNER/EXECUTIVE E.L EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? n N/A I (Mandatory In NH) E.L DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Raylea Rathol, Project Manager THE EXPIRATI ON DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Ashland-Public works/Engineering ACCORDANCE WITH THE POLICY PROVISIONS. 51 Winburn Way - - • - .. _ • Ashland, OR 97520 'AUTHORIZED REPRESENTATIVE B TorrecillaS/BRLIND ki ^ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401) CITY OF ASHLAND Memo DATE: July 3,2019 TO: Paula Brown,Director of Public Works FROM: Kaylea Kathol,Project Manager VPIM 9 RE: Low Risk,Less Stringent Insurance Coverage ,\-);A\ It is my intention to hire Garon Wells,owner of Garon Lee Sound,to provide miscellaneous repairs to the PA system at the Lithia Park Bandshell. Garon Lee Sound carries insurance coverages that are lower the City's standards, including$1M general liability(City requires $2M)and$1M automobile liability(City requires $2M).I believe the City's requirements are not necessary for this project based on the reasons provided below. General Liability It is my opinion that the contractor has mitigated the risk on this project to a level that is sufficiently low to justify waiving the City's higher general liability insurance requirements. Originally,Mr. Wells proposed performing aerial work from scaffolding,which the City views as one of the riskiest aerial platforms from which to work. Mr. Wells revised his proposal to perform aerial work from a scissor lift,which the City views as one of the least risky platforms for conducting aerial work. Aside from the aerial platform,the nature of the work is inherently low-risk. Mr. Wells will be replacing a dysfunctional speaker wire connector with a suitable connecting device,which is a routine job he estimates will take less than an hour. Furthermore,Mr. Wells' experience doing this type of work is extensive. He has been performing commercial production work for 18 years and is well experienced in aerial work involving PA systems. This combination of using one of the safest aerial platforms available,performing routine tasks that are low-risk, and possessing significant specialized experience,justifies accepting a lower insurance limit. Automobile Liability Other than parking lot access and egress,this project will not require the operation of a vehicle on City-owned property. I believe that the type of driving,the spatial extent of where an automobile will be operated,and the duration of automobile operations do not necessitate the City's requirement for$1M in coverage. For a single day, Mr. Wells will access the public parking lot in Lithia Park near the bandshell and will exit that same lot once, upon job completion. Mr. Wells has done extensive production work at the bandshell, including setting up and taking down the highschool graduation stage and PA system each year. He is familiar with maneuvering commercial vehicles in this specific parking lot. It is reasonable to conclude that experience and familiarity with a route further reduces risks associated with operating an automobile along said route. Page 1 of 1 1/�, .. + CERTIFICATION OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REQUIREMENTS Contractor is exempt from the requirement to obtain workers compensation insurance under ORS C 656 for the following reason. Contractor is to initial the appropriate box as follows: C c..4 \ SOLE PROPRIETOR 17 (Initials) • Contractor is a sole propAietor,and • Contractor has no employees,and • Contractor will not hire employees or subcontractors to perform this contract. CORPORATION—FOR PROFIT (Initials) • Contractor's business is incorporated;and • All employees of the corporation are officers and directors and have a substantial ownership interest*in the corporation,and • All work will be performed by the officers and directors;Contractor will not hire other employees or subcontractors to perform this contract. CORPORATION-NONPROFIT (Initials) • Contractor's business is incorporated as a nonprofit corporation,and • Contractor has no employees;all work is performed by volunteers,and • Contractor will not hire employees or subcontractors to perform this contract. PARTNERSHIP (Initials) • Contractor is a partnership,and • Contractor has no employees,and • All work will be performed by the partners;Contractor will not hire employees or subcontractors to perform this contract,and • Contractor is not engaged in work performed in direct connection with the construction,alteration,repair, improvement,moving or demolition of an improvement to real property or appurtenances thereto.** LIMITED LIABILITY COMPANY (Initials) • Contractor is a limited liability company,and • Contractor has no employees,and • All work will be performed by the members;Contractor will not hire employees or subcontractors to perform this contract,and • If Contractor has more than one member,Contractor is not engaged in work performed in direct connection with the construc ''' alteration,repair,improvement,moving or demolition of an improvement to real property or 1i.ii, ,purten. i* reto.** \!.. __ '1 1 i I (Si a e of Authorized Signer) (Date) (Signer'sTitle *NOTE: Under OAR436-50-050 a shareholder has a"substantial ownership"interest if the shareholder owns 10%of the corporation,or if less than 10%is owned,the shareholder has ownership that is at least equal to or greater than the average percentage of ownership of all shareholders. **NOTE: Under certain circumstances partnerships and limited liability companies can claim an exemption even when performing construction work. The requirements for this exemption are complicated. Consult with City Attorney's Office before an exemption request is accepted from a contractor who will perform construction work. I I Purchase Order /MI t`���✓ Fiscal Year 2020 Page: 1 of: 1 B City of Ashland _ _ I ATTN: Accounts Payable Purchase L 20 E.L Ashland,IOR 97520 Order# 20200070 T Phone: 541/552-2010 O Email: payable @ashland.or.us V H C/O Public Works Department E GARON LEE SOUND I 51 Winburn Way N 118 HAMILTON ROAD p Ashland, OR 97520 0 JACKSONVILLE, OR 97530 Phone: 541/488-5347 R TO Fax: 541/488-6006 Paula Brown ®t r(:.�l�EI-3's=tee=eral�s° Ic€lei-1== r Ii-=° 08/01/2019 4838 FOB ASHLAND OR/NET30 Ci • i •_ able Bandshell Repairs 1 Miscellaneous repairs to bandshell speakers 1 $1,007.9200 $1,007.92 Goods and Services Agreement Completion date: 08/30/2019 Project Account: * ***** ** * GL SUMMARY **** * ** * * 082400 -704100 $1,007.92 By: f% �v Date: i JQL (( Authorized Signature 0_4 ____ $1 007.92 FORM #3 , �� �JJ/ CITY OF A request for a Purchase Order _ . 6 �% l_ _(') 7 SH LAND REQUISITION !1" Date of request: 06110/2019 Vendor Name Garon Lee Sound Address,City,State,Zip 118 Hamilton Jacksonville,OR 97530 Contact Name Garon Wells Telephone Number 541-899-1314 , Email address SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergency ❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Form#13,Written findings and Authorization ❑ AMC 2.50 Date approved by Council: ❑ Written quote or proposal attached ❑ Written quote or proposal attached _ (Attach copy of council communication) (If council approval required,attach copy of CC) ❑ Small Procurement Cooperative Procurement Less than$5,000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon ❑ Direct Award Date approved by Council: , Contract# El Verbal/Written quote(s)or proposal(s) _(Attach copy of council communication) ❑ State of Washington Intermediate Procurement ❑ Sole Source Contract# GOODS&SERVICES ❑ Applicable Form(#5,6,7 or 8) ❑ Other govemment agency contract $5,000 to$100,000 ❑ Written quote or proposal attached Agency ❑ (3)Written quotes and solicitation attached ❑ Form#4, Personal Services$5K to$75K Contract# PERSONAL SERVICES ❑ Special Procurement Intergovernmental Agreement•$5,000 to$75,000 ❑ Form#9,Request for Approval ❑ Agency ❑ Less than$35,000,by direct appointment ❑ Wdtten quote or proposal attached Date original contract approved by Council: ❑ (3)Written proposals/written solicitation Date approved by Council: (Date) — ❑ Form#4, Personal Services$5K to$75K Valid until: (Date) (Attach copy of council communication) Description of SERVICES Total Cost Misc.repairs to bandshell speakers $ 1,007:92 Item# Quantity Unit Description of MATERIALS Unit Price Total Cost T ... TAL_.CUST. ❑ Per attached quotelproposal Project Number Account Number o 8 2 a 0 0.7 0 4 1 0 0 $_I 1 , 0 0 7 ,9 2 Project Number •_ _ _ Account Number Project 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: f h ■ •r az ..' - 1,,h./....4 1 Department Head: n 2ZJ 29r 1 4 L(Equal to orgy eater than Department ManagerlSupervisor: City Administrator: l r t>~c--✓ I Z 3pIlei (Equal to or greatedthan$25,000) Funds appropriated for current fiscal year YES / NO Deputy Finance Director-(Equal to or greater than$5,000) Date Comments: Form#3-Requisition