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Home My WebLink About2022-081 PO 20220090- USIC Locating Services LLC FirAli Purchase Order ,aft Fiscal Year 2022 Page 1 of: 1 CITY RcCCB City of Ashland t _ I ATTN: Accounts Payable20 E. Main Purchase L Ashland, OR 97520 Order# 20220090 T Phone: 541/552-2010 O Email: payable@ashland.or.us ✓ H .C/O Ashland Fiber Network E USIC LOCATING SERVICES, LLC I 90 North Mountain Ave N PO BOX 713359 p Ashland, OR 97520 CINCINNATI, OH 45271-3359 Phone: 541/552-2222 R O Fax: 541/552-2436 Ma McClary wisitrosami>t=[xjig 08/11/2021 1652 FOB ASHLAND OR/NET30 Ci Accounts Pa able _ ��e a ��:: �' �.:� .,s "ia7� a[§ � a [ :s_ _� +_'��'a ` '. ''� � ,x±,-�� M , �-�=. 13r�--_�d�s�i� E[ ,-'�--a€;:9�4�� _fa � '4=----- vs AFN Utility Locating Services _. 1 ,Provide locating.and marking services for AFN underground 1.0 $20,000.00 $20,000.00 facilities as required by Oregon One Call. Not to exceed $20,000.00 'Services Agreement(Less than $25,000.00) Completion date: August 9, 2022 Project Account: 2 ADDED: Processed change order 08/15/2022 1.0 $20,600.00 $20,600.00 Year 2 of 3, Increase 3% Term (Year 2): August 10, 2022 to August 9, 2023 Estimate: $20,600.00 Project Account: ***************GL SUMMARY*************** 024700-604100 $40,600.00 // By: I ��_ , Date: k1(2/L A on e• i•natur- . �� .40600.00 - , ,A-------,---'-',:v--;•7<c•.,,,,--v;_-7,-,--04 FORM #3 , TY OF ,:_,,,,.....„,„60:77 LYAN D ,, : � A request for a Purchase Order REQUISITION Date of request: 06/23/2022 Required date for delivery: Vendor Name LOCATE HOLDINGS INC;DBA USIC LOCATING SERVICES LLC Address,City,State,Zip 9045 NORTH RIVER ROAD,SUITE 30; INDIANAPOLIS,IN 46240 Contact Name&Telephone Number ANNE BIRD,530.407.5724,AnneBird@usicllc.com Email address 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# ❑ Verbal/Written bid(s)or proposal(s) ❑ Request for Qualifications(Public Works) ❑ State of Washington Date approved by Council: Contract# _(Attach copy of council communication) ❑ Other government agency contract Intermediate Procurement ❑ Sole Source Agency GOODS&SERVICES ❑ Applicable Form(#5,6,7 or 8) Contract# Greater than$5,000 and less than$100,000 ❑ Written quote or proposal attached Intergovernmental Agreement ❑ (3)Written bids&solicitation attached ❑ Form#4,Personal Services$5K to$75K Agency PERSONAL SERVICES Date approved by Council: ❑ Annual cost to City does not exceed$25,000. Greater than$5,000 and less than$75,000 Valid until: Date Agreement approved by Legal and approved/signed by ❑ Less than$35,000,by direct appointment ❑ Special Procurement City Administrator.AMC 2.50.070(4) • ❑ (3)Written proposals&solicitation attached ❑ Form#9,Request for Approval ❑ Annual cost to City exceeds$25,000,Council ❑ Form#4,Personal Services$5K to$75K ❑ Written quote or proposal attached approval required.(Attach copy of council communication) Date approved by Council: ' ' Valid until:_ ' (Date). Description of SERVICES • , TOTAL COST Provide locating and marking se t'ces for AFN tomer round fac'"i s•as required b y Oregon One , Call. Increase 3%year 2 of 3._August 10,2020 t" ,° 23. FY 2023 Item# Quantity Unit, . Description of MATERIALS Unit Price Total Cost l ❑ Per attached quote/proposal `` TOTAL COST Project Number Account Number 0 2 4 7 0 0. 6 0 4 1 0 0 20 6 . • ` ' Account Number - Account Number - , *Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures. LI ,ttyv IT Director in collaboration with department to approve all hardware and software purchases: . +:- 8/22/2022 i Director Date u ppo Yes By signing this requisition form,I certify that the City's public contracting requirements have been satisfied. • Employee: Department Head: ''a'c-"" a to or rest "hon i , 9 $5,000) Department Manager/Supervisor: City/anagerr: /, r,/, ' /_, �/� (Greatertha� sii Funds appropriated for current fiscal year: a)/ NO V ;� . ina4c• -ir'-ctor-( qu. o or greater than$5,000) r•t• J 1 Comments: Form#3-Requisition e , ADDENDUM TO CITY OF ASHLAND CONTRACT FOR GOODS AND SERVICES LESS THAN $25,000 Addendum made this 9th day of August 2022, between the City of Ashland ("City") and Locate Holdings Inc; DBA USIC Locating Services LLC. ("Contractor). Recitals: A. On August 17, 2021, City and Contractor entered into a "City of Ashland Contract for Goods and Services Less than $25,000" (further referred to in this addendum as "the agreement"). B. The parties desire to amend the agreement to 08/09/2023 and increase compensation 3% per original contract. City and Contractor agree to amend the agreement in the following manner: 1. "The date for completion as specified in Paragraph 3 of the agreement is extended to.August 09, 2023, and original contracted compensation is increased by 3%. The total new contract is increased to $20.600.00. 2. USIC pricing breakdown includes: Per One Call Ticket—$13.39 Project—$13.39 Per 1/4 Hour Watchdog's (Optional) - $15.45 Per 1 Hour Business Hour Emergencies - $25.75 Flat Fee After Hour Emergencies - $51.50 • Damage Investigation - $180.25 3. Except as modified above the terms of the agreement shall remain in full force and effect. CONTRACTOR: CITY OF ASHLAND: c9.4A.4'w BY Chuck Adams BY Department Head Its Chief Financial Officer Date 8/11/2022 DATE 8/11//2022 Purchase Order# 20220090 Acct. No.: (For City purposes only) 1=CITY OF ASHLAND,ADDENDUM TO CONTRACT FOR GOODS AND SERVICES<$25,000 r . r Mil . . Purchase Order Fiscal Year 2022 Page: 1 of: 1 I4fII ?i lNIITAI Iv►fl �,firi�it�a , .Z B Cit of Ashland r_e`�F G ` "11 °- a h i�u""_ . ]fi JI 1-s na 16��u 1r1��anTuTu 11 7 � t�r- AT N:Accounts.Payable ' L. 20 E.Main Purchase ,V O O Ashland, OR 97620 Orders T Phone: 641/652-2010 0 Email: payable@ashiand.or.us ' H C/O Ashland Fiber Network E USIC LOCATING SERVICES, LLC I 90 North Mountain:Ave • DN PO BOX 713359 p Ashland, OR 97620 CINCINNATI, OH 45271-3359 Phone:541/552-2222 R O Fax: 641/062-2436 9 i e•i ii¢al i fl"�:13t0-•,:y-1 r 41-umiiiili1 i ILEtl-m ... !i i-4: —mss— '_ i-' r_ -+ = - �m - I - z..`:_:_. Mme .._.... �e(1t-18'-IaleL; -K-.-` �, tis: =i i�' v�_i i i��.�F,s � Ma 4 M a• L =' `-Ort.-,'=_J[ .iii L ~—=ci ii"II i�1fIi;i ikal'igi_-F:__,,'.�4it -._.m e ii tf,i t.1Y1 1REI , 08/11/2021 1652 FOB ASHLAND OR/NET30 Cit Accounts Payable f. .. eu: _ >.. _„r _ ..:_ ; : ,_ ._ _ 'i a� NM AFN Utility Locating Services ' . . ' 1 Provide locating and markingservices for AFN underground 1.0 $20,000.00 $20,000.00 • facilities as required by Oregon One Call. Not to exceed , • $20,000.00 Services Agreement(Less than$25,000.00) Completion date: August 9,2022 . Project Account: • ***************Gt.SUMMARY*************** • 024700-604100 $20,000.00 ' _ i • i • . i • I • I 1 I •• i • •. • By: Date: • T Authorized lcdnature 12- l lig ) ',20 000.00