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2023-124 PO 20240095- Pump Pipe & Tank Services, LLC
PF1A11 a , 7---)-17 �.Fti _ E ' Purchase Order FlaFiscal Year 2024 Page: 1 of: 1 aid 4 t l e TME__�ENNIYMI: IF1�7 , AtIN 0 iL B City of Ashland ATTN: Accounts Payable L 20 E. Main Purchase .20240095 Ashland, OR 97520 Order# T Phone: 541/552-2010 O Email: payable@ashland.or.us . V H C/O Facilities Maintenance Div E PUMP PIPE &TANK SERVICES, LLC I 90 North Mountain Ave N PO BOX 146 • P Ashland, OR 97520 O TALENT, OR 97540. Phone: 541/488-5358 R T Fax: 541/552-2304 O €13€s] 1�� "� Aaj{ �_ - _ _ e (541) 535-6542d Arnold _— ras--–At! avi rno�����}� . .. 08/22/2023 468 __ • FOB ASHLAND OR City Accounts Payable '� ---���z _z �-� _�� � -:� Car, *7,7__ On-call Fuel System Repairs 1 On-call fuel system management and repairs 1.0 $10,000.00 $10,000.00 Goods and Services Agreement($35,000 or less) S Completion date: 06/30/2024 Project Account: ***************GL SUMMARY*************** S 088400-602400 $10,000.00 I SI • By: Date:. 5 A t orized Signator 716—Oka' 10 000.00 1 . i • FORM #3 CITY OF 1 A request for a Purchase 0 It • ASHLAND REQUISITION f Date of request: 07/2012023. Required date for delivery: Vendor Name Pump,Pipe&Tank Services Address,City,State,Zip PO Box 146,Talent,OR 97540 Contact Name&Telephone Number Ryan McHenry,541-535-6542,www.pumppipetank.com Email address . SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Invitation to Bld . 0 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 0 Request for Proposal Cooperative Procurement Not exceeding$5,000 Date approved by Council: ❑ State of Oregon ❑ Direct Award _(Attach copy of council communication) Contract# IN Verbal/Written bid(s)or proposal(s) 0 Request for Qualifications(Public Works) ❑ State of Washington • Date approved by Council:_ Contract# • _(Attach copy of council communication) 0 Other government agency contract Intermediate Procurement 0 Sole Source Agency GOODS&SERVICES 0 Applicable Form(#5,6,7 or 8) Contract# Greater than$5,000 and less than$100,000 0 Written quote or proposal attached Intergovernmental Agreement O (3)Written bids&solicitation attached 0 Form#4,Personal Services$5K to$75K Agency PERSONAL SERVICES Date approved by Council:_ 0 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 0 Special Procurement City Administrator.AMC 2.50.070(4) ❑ (3)Written proposals&solicitation attached 0 Form#9,Request for Approval 0 Annual cost to City exceeds$25,000,Council ❑ Form#4,Personal Services$5K to$75K 0 Writteri quote or proposal attached • approval required.(Attach copy of council communication) Date approved by Council: Valid until:_ (Date) Description of SERVICES Total Cost Fuel System Management&Repairs as needed. Item# Quantity Unit Description of MATERIALS Unit Price Total Cost • ❑ Per attached quotelproposal I ;TOTAL-COST 1 0s10,\,(0. :0.i00 Project Number Account Number 0 o e 4 0 0 .e 0 2 4 0 0 Account 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 pubic contracting requirements have been satisfied. Employee: Department Head: 14• 1111‘41"1110411110b t• or greater treat2L n .. $5,000) Department Manager/Supervisor: City Manager: • (Equal to or grea r than 3 ,000) F Funds appropriated for current fiscal year: 44, /NO �}� i Z-11 12- • • Fina ce Director-(Equal balerlhan$5,000) Date J Comments: Form#3-Requisition • GOODS AND SERVICES AGREEMENT ($35,000 OR LESS) • • • PROVIDER: Pump,Pipe&Tank Services,LLC CITY OF PROVIDER'S • • AS H LAN D CONTACT: Ryan McHenry 20 East Main Street Ashland,Oregon 97520 ADDRESS: PO Box 146 • Telephone: 541/488-5587 Talent, OR 97540 Fax: 541/488-6006 • PHONE: 541-535-6542 • This Goods and Services Agreement (hereinafter "Agreement") is entered into by and between the City of • Ashland, an..Or•egon municipal corporation (hereinafter "City") and Pump, Pipe.& Tank Services, LLC, (a domestic/foreign business corporation) ("hereinafter"Provider"), for fuel system management and repairs. • 1. PROVIDER'S OBLIGATIONS • 1.1 Provide fuel •system management and repairs for FY24 as set forth in the "SUPPORTING • DOCUMENTS" attached hereto and, by this reference, incorporated herein. Provider expressly • acknowledges that time is of the essence of any completion 'date set forth in the SUPPORTING • DOCUMENTS,and that no waiver or extension of such deadline may be authorized except in the same manner as herein provided for authority to exceed the maximum compensation. The services defined and described in the "SUPPORTING DOCUMENTS" shall hereinafter be collectively referred to as •• "Work." • 1.2 Provider shall obtain and maintain during the term of this Agreement and until City's final acceptance of all Work received hereunder,a policy or policies of liability insurance including commercial general liability insurance with a combined single limit, or the equivalent, of not less than $2,000,000 (two million dollars) per occurrence for Bodily Injury and Property Damage. • 1.2.1 The insurance required in this Article shall include the following coverages: • Comprehensive General or Commercial General Liability, including personal injury, contractual liability,and products/completed operations coverage; and • Automobile Liability. 1,2.2 Each policy of such insurance shall be on an"occurrence" and not a "claims made" form,and shall: .41 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 primaryicoverage 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 froth 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 Page 1 of 6: Goods and Services Agreement between the City of Ashland and Pump,Pipe&Tank Services,LLC • • • Be evidenced by a certificate or certificates of such insurance approved by the City. 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 $25,335.05 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. • 1.7 Assignment: Provider shall not assign this Agreement or subcontract any portion of the Work to be provided hereunder without the prior written consent of the City. Any attempted assignment or • subcontract without written consent of the City shall be void. Provider shall be fully responsible for the acts or omissions of any assigns or subcontractors and of all persons employed by them,and the approval by the City of any assignment or subcontract shall not create any contractual relation between the assignee or subcontractor and the City. 2. CITY'S OBLIGATIONS 2.1 City shall pay Provider the hourly rates effective April 25, 2023 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 (this is maximum, not to exceed amount of ENTIRE Agreement) 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 h its sole discretion, Page 2 of 6: Goods and Services Agreement between the City of Ashland and Pump,Pipe&Tank Services,LLC • • • 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. 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 cowl 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. 3.1 1 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 Conimercial Code,ORS Chapter 72(UCC). Page 3 of 6: Goods and Services Agreement between the City of Ashland and Pump,Pipe&Tank Services,LLC 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 4.1 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 25,2023. 4.2 This Agreement and the SUPPORTING DOCUMENTS shall be construed to be mutually complimentary and supplementary wherever possible. In the event of a conflict which cannot be so resolved, the provisions of this Agreement itself shall control over any conflicting provisions in any of the SUPPORTING DOCUMENTS.* In the event of conflict between provisions of two of the SUPPORTING DOCUMENTS,the several supporting documents shall be given precedence in the order listed in Article 4.1. 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, 2024, 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 Page 4 of 6: Goods and Services Agreement between the City of Ashland and Pump,Pipe&Tank Services.LLC • • 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 • 20 E.Main Street 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: Pump, Pipe&Tank Services, LLC • Attn:Ryan McHenry PO Box 146 Talent,OR 97540 • 541-535-6542 • 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: (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 Page 5 of 6: Goods and Services Agreement between the City of Ashland and Pump,Pipe&Tank Services,LLC 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: Pump,Pipe&Ta►k ervices,LL . PROVIDER): • By: By: Si na a lb t iiggnat u'e Printed Name Printed Name.] p I L L Wog r. '�J�12�LRJ� jrvwe, Man OW/ e Title • Title Date • Date • (W-9 is to be submitted with this signed Agreement) • Purchase Order No, / rg- • • • • • • • • • Page 6 o1'6: Goods and Services Agreement between the City of Ashland and Pump,Pipe&Tank Services,LLC . .. • . • .• • . ____....."1 PUMPP-1 9 P ID:Al) ACC)RifY CERTIFICATE OF LIABILITY.AN.S.U.RANCE cycrp.pit#D.Dlyy.yy, ..,,. .. .. . .. . . . . . ki.------- ": • .......• THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CONFERSONLY:AND: 4‘10 RIGHTS UPON THE CERTIFICATE HOLDER THIS I: CERTIFICATE DOES NOT AFFIRMATIVELY OR.NEGATIVELY AMEND, .EXTEND.ORCALTER THE COVERAGE.AFFORDED„BY;THE POLICIES : BELOW. THIS•CERTIFICATE OF INSURANCE P0E5 NOT CONSTITUTE!A 'CONTRACT•13ETVI/EEN.7HE•IsEylkolp.INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: itthe tertlficat'e holder.is an ADDITIONAL INSURED„.tha:poilty(les)miiat.haveAbpiTipHAL,INSURED sprovisions.Or 1440pr:sad.' If SUBROGATION IS WAIVED, subject to the'terms.end.conditions of the policy,certain PoildieS may require an endorsement 'A;Stateinent...On. this certificate does not confer rights to the certificate holder In lieu of such endorsement(s),............ . .. s . . PRODUCER •: . . • 817-640-6036 geor.jimPeamCIC — •' ... Monroe•&Monroe Insurance PHONE'''.•"'.617.-640••6036.•:'• I PAK -817-840-011 Agency, Ltd." * ••' ' . .IAM;No,Est): .,. • -•.., '- (NC,No): :, • 2921-Galleria Dr., Sulfa 102 • Ii014, .--- ''..:—.-. Arlington,TX 76011 . .. . . Jim •:• Beam,CIC . . .. :.•;: 4NSURER(S)AFFORDING COVERAGE NAIC B ,. - • . .. .. ... INSURER A:MidLOcintinent Casualty Co. .'•''''23418 " ,".•• iNsuRap INsURERB:* ' - ThU•Hanover•Insuratice Group 22292..• rump pipe&Tank Services..LLC Robert Mollonry;dba.Parnp?Ipe.& INSURER C: Tank Services • • INSURER 6: ---- • Petroleum Pump Supply PO Box 146 INSURERS: •••'••' •• • Talent,OR•97540 . • INSURER F: ''':,: ' • - ... COVERAGES • 'CERTIFICATE NUMBER: . .-!-- .:.• ••.- ....-.-REVISION NUMBER: . '• THIS IS TO CERTIFY THAT THE POLICIES OF•INSURANCE LISTED BELOW HAVE.BEEN.ISSUEb TO THEANSOREDNAMED.ABOVE FOR THE'POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT;TERM OR C.ONDITION„CF•ANYCONTRACT,OROTHER DOCUMENT WITH RESPECT•TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES:CESCRIBEDJAEREIN.IS SUBJECT TO.ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED:BY PAID CLAIMS.. _. INSR ADDL SUBR I POLICY,EFF• POLICY EXP. LTR TYPE OF INSURANCE iNsn WVO POLICY NU MBER (MMIDDIYYYY) (NINUODNYYY) . LIMITS • A X COMMERCIAL GENERAL LiaiLITY '•'••••:• •••:• •• :. - EACH OCCURRENCE • •$• 1,00.0,000 CLAIMS MADE [X I OCCUR X' X b4GL1089188 11/15/2622 11/15/2023. DAMAGA:sTOERANTEDence . ..., PREMI ( ) .._.$ '100,000 X Pollution Liab • MED EXP(AnY one Person) S .:,..0: • X Professional Llab PERSONAL&ADV INJURY $ 1,00%000 • ; :•;' •' . . . ... - -GENt•AGGREGATE LIMIT'APPLIES PER: • • GENERAL AGGREGATE 1 .3,00 0,0(16 POLICY 1 X I 28.i. LOC . .. . :3,000,000 • PRODUCTS.:COMP/OPAGG ,S • . ...... •OTHER: $ • . B AUTOMOBILE mature . '• • • . COMBINED SINGLE LIMIT. .:(Ea.acc,IchanD •S 4,000,000 * X. ANY AUTO X x AWDA76436207 10/16/2022 10/15/2023. BODILY INJURY Per person) 5 : • OWNED — • •SCdEDULED. AUTOS ONLY. AUTOS . ' BODILY INJURY(Per Occident) $ • • • X .AirEs ONLY X Yiattsliii.? • : .- M.1a1N-46AmAcE. 's • .. • A UMBRELLA LIAB X •OCCUR - EACH OCCURRENCE s 1;000,000 S XEXCESS LIAB CLAIMS-MADE 04XS226861 11/14/204 11/16/2023 .-. AGuREGATE S DEO X RETENTION$ -0. WORKERS COMPENSATION • •• • . PER 0TH. AND EMPLOYERS..LIABILITY Y/N • • . . STATUTE ER • • ANY PROPRIETORWARTNN I A ER/EXEcUTIVE II . ' E.L.EACH ACCIDENT 5 OFFICER/MEMBER DtCLUDED? 1 1 (Mandatory,In Nm) E.L.DISEASE-EA EMPLOYEE 5 iDESCRIPTION OFOPERATIONSbelow . . . . . • • EL.DISEASE-PoLICY LIMIT S A Equipment Floater 04C1M30440 11/15/2O22 1 1/16/4g3 Owned Equ 31,878* : . . . • . . : , . ... . DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks.Scitaditta,may Ita.attached If intim space la requirad) The General.Liability and Commercial Auto policies include a blanket-: • " • •:• • • •• additional insured.and.walverof subrogation endorsement Which'provides . I • additional Insured.and.Waiver Of subrogation status to thb*city OfAstrlartd, • ; Oregon,.its offlo.ett,agents and employees only when there is.a written "insured contract"as defined by the ***SEE NOTES*** ' . . , . . 1 , CERTIFICATE HOLDER CANCELLATION ' ''.-": ' • '- " *. . CITASHI • . • • .SHol.ILD.ANY.iOF.THE•Agova oascRIBED.PoLIclas B5CANcELLED BEFORE ' • • City of.Ashland 'THE 'EXPIRATION is'DATE •THEREOF NOTICE WILL BE DELIVERED•:•IN .A0cORDANCE:WITH THE POLlorpRovIsloNs.. .'...:.'•"• '... .:•.'•:•••• •••..•..',..i. • Facility Maintenance•Dept. ... ..... , • 90 North Mountain Ave. . .,.• • • • . . . . . .••. •.•.. . • . Ashlana,..0R.975g0 - • AU.rtleRizsepepReeeNTATIVe •'.'•••' ' •'••• '. •;‘ • . .. • . . • 1 • .. . . .. .. • • •• , . .. .. ..... ...,. . . I • - "• •• • 1 , •• ACORD 26(2016/03) •• . • '• -.-0.18.201g AppRp.D.ORPORATION...AII:rights.reserved. . The ACORD name and logo are registered marks;Of ACORD •:. --1:.: . • -'- : • • 1 • • HOLDER CODE CITASHI ..` P.UMPP-.1, pAoE 2 NOTEPAD: INSURED'SNAME pump Pipe&Tank Services ILL; `OR.ID:AD Date '11129/2022 policy, .between the named, insured and the certificate holder;which requires such status. The General Liability. policy'oontairis. a.special endorsement with "primary and noncontributory" Wording.t.'?.,.. • • • • • • • • • • • i • • • 1(./ • •• • • / ,' 900621 ' kd April 26,2023 PUMP PIPE&TANK SERVICES LLC 5446 S PACIFIC HWY PHOENIX,OR 97535-6608 Re:Barrett Business Services,Inc.("BBSI"). Letter of Seif-Insurance for.WorkereCompensation 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: Employer Liability Limits; Self Insurance Certification#: 1068 Statutory $3,000,000.00 Each Accident $3,000,000.00 Dlsease,Coverage Limit by Client $3,000,000.00 Disease;Each Employee Other Comments(place an"X"If applicable): X Named"Letter Halder•': City of Ashland 20 East Main St Ashland;:OR 97520 • X Other: This letter of self-Insurance for workers'compensation replaces Acord form 25.Contract efffective 5/1/2012,renewed through 4/30/2024.Subject to 20 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 ayailable upon request. For additional Information,please contact your local BBSI office at: SOUTHERN OREGON (541.)772=5469 2045 Cardinal Way Sulte'100 Very truly yours, Medford,OR 97504 ' . Gary Kramer President'and Chief.Executive Officer ';/(,,4L021.2 • V • FORM#2 CITY OF- �S H LAN D • INVITATION TO BID INTERMEDIATE PROCUREMENT Release date: 18 Apr 2023 ' I Requested by: David Arnold;Facility Maintenance Representative Tel: 541-552-2292 Fax: 541-552-2304 • David.Arnold@ashland.or.us • • Bids are due prior to: 2:00 PM,Monday, 1 May 2023 • Project name: Fuel Pump Maintenance • Location: Service Center Fuel Island,90 N:Mountain,Ashland,OR 97520 Bids may be faxed,emailed or hand delivered.Contractors shall submit bid on their company letterhead. ,Informal email bids and/or late bids will not be accepted.Terms or discounts which are conditioned upon payment within a certain time will not be considered for purposes of comparison of bids.The successful contractor will be required to enter into a contract with the City for the services and provide insurance certificates in their own name for General Liability,Automobile and Workers' Compensation.Subcontracting will not be permitted. SCOPE OF SERVICES • The Facility Maintenance Department is requesting proposals for Fuel System services for fuel tanks and pumps and firm prices for these services to be guaranteed from July 1,2023 to June 30,2024.This contract may be extended for an additional year for a maximum term of two years. • Inspections as required and in accordance with the Oregon EPA UST State and Federal Requirements Repairs on an as needed basis with same day response time as requested by City of Ashland staff. Suggest Preventive Maintenance to prevent future maintenance issues. • Please provide an official proposal on your company letterhead,including the following information: 1. Firm prices for the following items: a. Annual Inspections in accordance with EPA Requirements b. Use of Quality Parts and Labor Practices • c. Hourly Rate for Service Calls during normal business hours d. Hourly Rate for Service Calls during after normal business hours • e. Hourly Rates for Travel • f. Milage Charge Per Mile g. Hazardous Material Disposal Fees 2. Written confirmation that you are willing to enter into a contract to provide these services from July 1,2023 to June 30,2024 and provide insurance certificates for general liability,automobile and Workers' Compensation,including the City of Ashland as the additional insured. Due date and time for submitting quotes is 2:00 PM,Monday 1 May 2023.Late quotes will not be considered. • If you have any questions and/or need additional information,please contact David Arnold at 541-552-2292. Thank you. Method of Award:ORS 279B.070Intermediate•Procurements.(4)If a contract is awarded,the contracting agency shall award the contract to the offeror whose quote or proposal will best serve the interests of the contracting agency, taking into account price as well as considerations including,but not limited to,experience,expertise,product functionality,suitability for a particular purpose and contractor responsibility under ORS 279B.110. • • ram Form#2—Intermediate Procurement,Invitation to Bid,Trade Services,Page 1 of 1,7/6/2023 *14 ' 1 Pji e " T1 Services, LLC CCB#197390, CA#569114.:1 PO Box 146 Talent;OR 9.7.540, rA,4:-ZZT, E-mail:servicerequest@pamppipetaak.Om . Phone:541-535-6542 or Toll Free:1-844-450-2503 ."J-10J1zal • April 25,.2023 ATTN: David Arnold • Facility Maintenance Representative 90.N. Mountain .j. Ashland,OR 97520 David,Arnoldpashland.or.us/PH:541-552-2292 FUEL PUMP:MAINTENANCE: CITY OF ASHLAND SERVICE CENTER FUEL ISLAND 90 N.MOUNTAIN,ASHLAND,OR 97520 la. Annual Inspections in accordance with the.DEQ/EPA requirements; Annual Line Tightness Testing-$275.00 Annual Leak DetectorTesting-$85.00 Annual Overfill Equipment Testing-$75.00 Annual Release detection/Tank Monitor Equipment Testing-.$75.00 lb. Yes,we do use quality parts and labor practices. 1g. Hazardous Material and Disposal Fees Vary: Used Filter Disposal;Set price$3.80 per filter.Our Misc./Job/Supplies,Safety supplies/Haz. Disposal etc./Per job fee$2 .O0 Please see rate sheet below for Items c,d,e,f CUSTOMER RATES PPT RATES Labor hourly rate $90.00 Travel hourly rate $0.00 Overtime Labor ' $135.00 Overtime Travel $0.00 • Weekend Labor Rate $180.00 Weekend Travel $0.00, Holiday Labor Rate $255.00..: Holiday Travel. $0.00. Mileage $0.00 * No Mileage or Travel in the Medford/Ashland area. C:\Shares\Company Data\City of Ashland\20231Form 2lnvitation to Bid-Fite]Pump:Nraintenance F?24,cloo 'OI~ ° ►' p ire 1 i 9 C CCB#197390,.CA#:5691141` PO Box 146 Talent,OR:97540 E-mail:servicerequest@pumppipetank•cotn • Phone:541-535-6542.or Toll.Free:;1-844-450-2503Fax:541-535-5557 ss Pump Pipe&Tank Services, LLC is willing to.enter.IMP a.contract:to.;provide:these.services:from J.uly,1,2023;to June 30,2024 and.provide Insurance Certificates for General Liability,Automobille.and Workers Compensation, including the.City of Ashland as additional insured. Pump Pipe&Tank Services, LLC is Licensed with the.below Departments:todoall required work: Oregon CCB:197390 • Department of Environmental Quality: Decommissioning License: 10442 Installation/Retrofit License: 10441 Tank Tightness Testing License:11264 UST Service Provider License:10606 Thank you, Ryan McHenry Service Manager—Owner ryan@pumppipetank.com/PH:541-535-6542 • I • • CAShares\Company Data\City of Ashlnnd12O231Porm 2•Invitation to I3jd=Fuel.P,ump Maintenance:PY24,dbe /C/ � . 3 Bid Process Fuel P Company Contact Infrmation 18-Apr Results Action Emailed Carson Invitation to carr@carsonteam.com Bid No Response KC 541 507 7656 Pump Pipe &Tank Emailed Received Awarded Addie Invitation Proposal 541 535 6542 to Bid 28 Apr Contract addie@pumppipetank.com SME Solutions Emailed 541 5077675 Invitation Grants Pass to Bid No Response iosh@sme-solutions.com J6/