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HomeMy WebLinkAbout2019-266 20200085 Ashland Meford Plumbing AMENDMENT NO. 1 to GOODS AND SERVICES AGREEMENT between THE CITY OF ASHLAND, an Oregon municipal corporation, ("cily"\ and l1 ASHLAND MEDFORD PLUMBING, INC., a domestic business corporation, ("Provider") for Plumbing Services RECITALS A. The City and Provider previously entered into a Goods and Services Agreement effective July 18, 2019, (the "Agreement") to provide plumbing services; and B. The Parties wish to amend the terms of the Agreement to reflect the hourly rates of compensation to be paid to Provider as set forth in the SUPPORTING DOCUMENTS. AGREEMENT NOW THEREFORE, in consideration of the mutual benefits and obligations set forth herein, the parties agree as follows: 1. Amend Section 2.1 as follows, with strikeout wording deleted and underscored wording added: 2.1 City shall pay Provider at the hourly rates the sufn of $10,000 aprovided herein full -e m,ensafienfor the 3A'efk as specified in the SUPPORTING DOCUMENTS for any Work performed pursuant to this Agreement. 2. This Amendment No. 1 is effective retroactively to the Effective Date of July 18, 2019. 2. Except as specifically modified by this Amendment No. 1, the terms and conditions of the Agreement remain in full force and effect. Page I of 2: Amendment No. I to Goods and Services Agreement between the City of Ashland and Ashland Medford Plumbing, Inc. IN WITNESS WHEREOF the parties have caused this Amendment No. 1 to be signed in their respective names by their duly authorized representatives as of the dates set forth below: CITY OF ASHLAND, OREGON ASH LAN ME ORD PLUMBING, INC. By: ,,1.--- By aula C. Brown, Public Works Director Printed Na}re. Date:. 3,9 tot Title: Date: Cl Lu (S ~l i I I i Page 2 of 2: Amendment No. I to Goods and Services Agreement between the City of Ashland and Ashland Medford Plumbing, Inc. Proposals { ego &ate 7tee Rate Sheet Race SEteet Awa Status' 6o any Company - Company Re nest Bec'd eyuest ec'd equest Rectl IA Bette rPest ~P: Bugs Northwest; 4/12/19 4/15/19 4/1249 In Process Control' American Industrial Refused Aoo Overhead. Overhead Doors 4/12/19 4/12119 Door 41/15/19 4/15/19 The Door Guy 6/27/19 to bid Overhead Doors In Process River City, Mitchell,; Refused I Farrell Glass 4/12/19 4/12/19 Bill's Glass 4/12/19 4/12719 6/27/19 Bill's Glass In Process` Bubba's Glass to bid Hudson Saw and Carlton Enterprise UUasher. Tool- 6/27/19 6/27/19 7/9/19. General Equipment 5/21/19 5/22/19 General Equipment In Process (Burney) r a ups a National Firefighter '4/12/19 4/15/19 tC&S In Process Alternative Energy Ban 6/27119 7/9/19. Rogue Boilerworks 5/21/19 Curtis Huntley 6/27/19 In Process Systems Rogue Valley Rogue Valley Ba 4/12/19 4/19/19 In Process Backflow Backflow ❑e SME Solutions 4/12/19 5/2/19 I Pipe, Pump and 6/26/19 Carson 5/14/19 Pipe, Pump and In Process >na gefnent Tank 6/27/19 Tank { Western States _ ThermoFluids 4/12/19 4/30/19 (Safety Clean 6/26/19 Environment 6/27/19 ThermoFluids In Process West toast 5121/19 4T. - - In Process Dominion P um rt AMPS 4/12/19 4/16/19 Mechanical 6/4/19 6/4/19 SOS Plumbing 4/12/19 4/12/19 AMPS Completed - GOODS & SERVICES AGREEMENT PROVIDER: AMPS CITY, Of PROVIDER'S Joela Oetterer ASHLAND CONTACT: 20 East Main Street Ashland, Oregon 97520 ADDRESS: PO Box 8494 Telephone: 541/488-5587 Medford, OR 97501 Fax: 541/488-6006 PHONE: 541-734-3236 This Goods and Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and AMPS, a domestic business corporation ("hereinafter "Provider"), for plumbing services. 1. PROVIDER'S OBLIGATIONS 1.1 Provide plumbing services for FY20 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 AMPS 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.I 10. 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. I 2. CITY'S OBLIGATIONS 2.1 City shall pay Provider the sum of $10,000 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 $10,000 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 27913.220, 27913.230 and 279B.235. Page 2 of 5: Agreement between the City of Ashland and AMPS i 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 dated April 16, 2019. 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, 2020, unless sooner terminated as provided in Subsection 6.2. Page 3 of 5: Agreement between the City of Ashland and AMPS 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: AMPS Attn: Joela Oetterer PO Box 8494 Medford, OR 97501 541-734-3236 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. Page 4 of 5: Agreement between the City of Ashland and AMPS 9.12 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 ASHLAND: AMPS (PPROVIDE By: By: bll/. , A.t~~ Signature Signature Kim Janakes Printed Name Printed Name Pc~~iTblL President Title Title ~ /8 Ju[t~ Zor y ~ - Ct _ ~ G~' 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 AMPS Ashland Medford Plumbing and Excavation Services PO Box 8494; Medford, OR 97501 • Phone: 541-734-3236 Fax: 541-732-0092 City of Ashland Contract Fiscal Year 2019/2020 Rate Sheet July 1, 2019 - June 30, 2020 April 16, 2019 Billing on a Time and Material Basis - to be paid within 30 days of billing. Plumbing Service Regular Rates Mon-Fri 8am - 5pm Regular Labor Rates (Plus Materials) PER HOUR 1 Plumber $100 1 Plumber and 1 Helper $165 2 Plumbers $185 Camera Lines $250 (1st Hour, $100 hour after Jetter Lines $250 (1st Hour, $100 hour after) After Hour Rates $15o an hour (2 hour min) Holiday Weekend Rates $2oo an hour (2 hour min) Excavation Service Rates Mon - Fri 8am - 5pm MACHINE WITH OPERATOR PER HOUR EX LG EXCAVATOR $120 MINI EXCAVATOR $100 DUMP TRUCK $95 SKID STEER $100 BACK HOE $100 BULL DOZER $100 ROLLER $100 LABOR PER HOUR FOREMAN $100 LABOR CLASS 1 $85 LABOR CLASS 2 $75 ROCK PER TON 3/4" ROCK $11.50 4" SHALE / ROCK $10.50 S ecinliainf in Plnnebin , Aleclrrrniced, 1 drorsics, Resditent. Ceodkernud nrul Full Sere-ice Excnrntion AlC DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 03/7/2019 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 endorsements . PRODUCER CONTACT FEDERATED MUTUAL INSURANCE COMPANY NAME: CLIENT CONTACT CENTER PHONE OFFICE: P.O. BOX 328 A/CNo Ext : 888-333-4949 A/c No): 507-446-4664 OWATONNA, MN 55060 E-MAIL ADDREss: CLIENTCONTACTCENTER FEDINS.COM INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: FEDERATED RESERVE INSURANCE COMPANY 16024 INSURED 358-611-2 INSURER B: ASHLAND MEDFORD PLUMBING INC INSURER C: PO BOX 8494 MEDFORD, OR 97501-0894 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 124 REVISION NUMBER: 4 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 NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD MM/DD/YYYY MM/DD/YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 DA AGE To REMISES Ea oN uErence $100,000 CLAIMS-MADE ~ OCCUR P MED EXP (Any one person) EXCLUDED A N N 9337481 03/20/2019 03/20/2020 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY ❑ JJE EC T LOC PRODUCTS - COMPIOP AGG $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY (Per person) OWNED AUTOS ONLY SCHEDULED A AUTOS N N 9337481 03/20/2019 03/20/2020 BODILY INJURY (Per accident) HIRED AUTOS ONLY NON-OWNED AUTOS ONLY PROPERTY DAMAGE Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $2,000,000 A EXCESS LIAB CLAIMS-MADE N N 9337482 03/20/2019 03/20/2020 AGGREGATE $2,000,000 DED RETENTION R WORKERS COMPENSATION PER STATUTE E OTH- AND EMPLOYERS' LIABILITY ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT YD OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE It yes, describe under E.L DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) POLICY COVERAGE AS OF 03/26/2019 CERTIFICATE HOLDER CANCELLATION 358-611-2 1244 CITY OF ASHLAND SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 E MAIN ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ASHLAND, OR 97520-1814 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 304350 AH.Ra Mmmg=m rnmgmy March 25, 2019 ASHLAND MEDFORD PLUMBING INC 5555 N MEDFORD INDUSTRIAL RD CENTRAL POINT, OR 97502-9400 Re: Barrett Business Services, Inc. ("BBSP) 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: Emolover 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): I ~X Named "Letter Holder": City of Ashland 20 East Main St Ashland, OR 97520 FX Other: RE: All Operations. Contract effective 9/17/12, renewed through 9130/19. 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: LOST-2 SOS 206 So. Pacific Hwy. Talent, OR 97540 Plumbing & Drain Service 535-5063 (Talent) 488-2680 (Ashland) 779-3472 (Medford) Fax: 535-3964 -CCB #079604 4/12/19 Schedule of Labor Rates: Standard Service Calls (One Plumber) $120.00/HR Larger Projects (Multiple Plumbers) $90/HR per plumber Notes: We no longer offer after hours or weekend emergency service. Any job that that will need to be done after hours or on the weekend will be organized beforehand with an agreed upon bid amount. Our hours of operation are Monday-Friday 7:30 a.m.-4:30 p.m. Same day service might not always be possible, but we will always make every effort to accommodate emergency calls. Michael Davis i Dominion Mechanical Plumbing - Hydronics CCB#202782 April 18, 2019 Dominion Mechanical specializes in design, alteration, construction of plumbing, gas and hydronic heating and cooling systems. We do not service, snake or repair broken fixtures or plumbing lines, however we do new construction, alter existing plumbing systems, add to, remove and replace fixtures, water heaters and appurtenance. -Our hours of operation is 8am-5pm Monday thru Friday with any hours greater than 8 are subject to over time hours at a rate of 150% working hourly rate of $115.00 per journeyman plumber and $40.00 per laborer. Labor rate is port to port with the cost of fuel incorporated. -We prefer to bid work however we understand the need for time and materials. Installation of plumber provided materials and fixtures due to warranty and availability of products allows the us the ability to provide superior products and services. Thank you for the opportunity. Dominic Crenshaw, Owner Dominion 4 Mechanical Plumbing - Hydronics DOMINIC CRENSHAW Purchase Order Fiscal Year 2020 Page 1 of: 1 - B VO .f_4, ANID SHIPPING-DOCUMENTS City of Ashland I L ATTN: Accounts Payable Purchase L 20 E. Main Order# 20200085 Ashland, OR 97520 T Phone: 541/552-2010 O Email: payable@ashland.or.us V H C/O Facilities Maintenance Div E AMPS, ASHLAND MEDFORD PLUMBING 1 90 North Mountain Ave N P O BOX 8494 P Ashland, OR 97520 D MEDFORD, OR 97504 Phone: 541/488-5358 O T Fax: 541/552-2304 R O David Arnold 08/13/2019 372 FOB ASHLAND OR/NET30 Cit Accounts Pa able 7 1 On-call plumbing services On-call plumbing services for FY 20 1 $10,000.0000 $10,000.00 Goods & Services Agreement Completion date: 06/30/2020 Project Account: GL SUMMARY 082400 - 602400 $10,000.00 l By: Date: Authorized Signature - $10,000.00 `V FORM#3 CITY OF ASHLAND REQUISITION; r; Date of request 7/3/2019 14 r ell Required date for delivery: Vendor Name AMPS Address, City, State, Zip PO Box 8494, Medford, OR 97501 Contact Name & Telephone Number Jon Janakes 541-734-3236 Fax Number SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergency ❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Form #13, Written findings and Authorization Date approved by Council: ❑ Written quote or proposal attached ❑ AMC 2.50 ❑ Written quote or proposal attached ❑ Small Procurement Cooperative Procurement Less than $5,000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon ❑ Direct Award Date approved by Council: Contract # ❑ Verbal/Written quote(s) or propo al(s) ❑ State of Washington e Contract # Intermediate Procure en I j ❑ Sole Source ❑ Other government agency contract GOODS & SERVICE 1 1 ❑ Applicable Form (#5,6, 7 or 8) Agency $5,000 o$100,000 - ❑ Written quote or proposal attached Contract # ® (3) Written quotes and AP ❑ Form #4, Personal Services $5K to $75K Intergovernmental Agreement attached ❑ Agency ❑ Special Procurement PERSONAL SERVICES 4 Date original contract approved by Council: $5,000 to $75,000 ❑ Form #9, Request for Approval (Date) 1-1 Less than $35,000, by di ect El Written quote or proposal attached appointment Date approved by Council: ❑ (3) Written proposals/written solicitation ❑ Form #4, Personal Services $5K to $75K Valid until: (Date) Description of SERVICES Total Cost On-call plumbing services for FY20 $ 10,000.00 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST ® Per attached quote/proposal Project Number _ _ _ _ _ _ - _ _ _ Account Number 082400-602400 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 requ)n form, 1 ce the City's public contracting requirements have been satisfied. Employee Signature: Department Head Signature: r ~Jua. (Eq I to or greater than $5,000) City Administrator: (Equal to or greater than $25,000) Funds appropriated for current fiscal year YES, / NO 14' 11.0 Finance Director- (Equal to or greater than $5, 000) Date Comments: Form #3 - Requisition