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HomeMy WebLinkAbout2019-319 Agrmt- Polaris Land Surveying, LLC SERVICES AGREEMENT (less than$25,000) CONSULTANT: Polaris Land Surveying, LLC ASH4 r• :./ ':..yqz CONTACT: Shawn Kampmann j' .P ...„ ADDRESS: PO Box 459 20 East Main Street Ashland, OR 97520 Ashland, Oregon 97520 TELEPHONE: (541) 482-5009 Telephone: 541/488-5587 Fax: 541/488-6006 EMAIL: Shawn@polarissurvey.com This Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and Polaris Land Surveying, LLC ("hereinafter "Provider"), for land surveying consulting at Ashland Creek Park. 1. PROVIDER'S OBLIGATIONS 1.1 Provide surveying services as needed 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: • 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 Polaris Land Surveying LLC 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 employees. 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 Requirement: 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$3,310.00 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$3,310.00 (three thousand three hundred and ten dollars) 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. Page 2 of 5: Agreement between the City of Ashland and Polaris Land Surveying LLC 3.4 All Work product or documents produced in furtherance of this Agreement belong to the City, and any copyright, patent, trademark proprietary or any other protected intellectual property right shall vest in and is hereby assigned to the City. 3.5 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. 3.6 This Agreement may be amended only by written instrument executed with the same formalities as this Agreement. 3.7 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. 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 invoice dated November 7, 2019. 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 Subsection 4.1. Page 3 of 5: Agreement between the City of Ashland and Polaris Land Surveying LLC 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. 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—Ashland Parks and Recreation Department Attn: Jason Minica 20 E. Main Street Ashland, Oregon 97520 Phone: (541) 552-2254 With a copy to: City of Ashland—Legal Department 20 E. Main Street Ashland, OR 97520 Phone: (541)488-5350 Page 4 of 5: Agreement between the City of Ashland and Polaris Land Surveying LLC If to Provider: Polaris Land Surveying, LLC Attn: Shawn Kampmann PO Box 459 Ashland, OR 97520 (541) 482-5009 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 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 5: Agreement between the City of Ashland and Polaris Land Surveying LLC CITY OF ASHLAND: Polaris Land Surveying,LLC By: 4441. By: 5 of S' a re Signature tok made, Printed ame Printed Nafne r I Tiile AJnrt- 1.4- Zoi9 Date Date Purchase Order No. (W-9 is to be submitted with this signed Agreement) Page 6 of 5: Agreement between the City of Ashland and Polaris Land Surveying LLC EXHIBIT A CITY OF ASHLAND, OREGON City of Ashland LIVING ALL employers described WAG E below must comply with City of Ashland laws regulating payment of a livings wage_ $15.12 per hour, effective June 30, 2018. The Living Wage is adjusted annually every rift June 30 by the Consumer Price Index. Employees must be paid a of business of their employer, 401Kand IRS eligible if the employer has ten or cafeteria plans(including living warge: more employees,and has cthidcare)benefits to the removed financial assistance amount of wages received by Far al hams worked under a for the project or business the employee. from the City of Ashland in service contractIsetvtvneen their of excess of$21,127A6. > Note: For temporary and employer and the ,r Ashland if the contract part-line employees,the If their employer is the City of Living Wage does not apply exceeds$21,127.46 or more. Ashland,including the Parks to the first 1040 hours worked 1~ Far al hours worked in a and Recreation Department_ in any calendar year. Far more detail,please see th month iffe employee spends moat hrt a of t la > In calculating the living wage, Ashland Municipal Code employers may add The value Section 3.12.020. employee's tine in that month of heath care,retirement, working an a profect or ►rtion For additional information: Call the Ashland City Administrators dime at 541-488-R102 or write to the City Administrator, City Hail,20 East Main Street,Ashland,OR 97520,or visit the City's website at iiwiar_ashiand_or_us_ Notice to Employers: This notice must be posted predominantly in areas where it can be seen by all employees. CITY OF ASH LAN D Exhibit A—City of Ashland Living Wage 2018 Form WRequest for Taxpayer Give Form to the 9 (Rev.October 2018) Identification Number and Certification requester.Do not . Department of the Treasury . • send to the IRS. Internal Revenue Service, -►Go towww.lrs.gov/FormW9 for Instructions and the latest Information. • . • 1 Name(as shown on your income tax return),Name Is required on this lino;.do not leave'thIs line blank, 2 Business name/disregardedd:entity name,If different from above Polaris Land Surveying, LLC. w 3 Check appropriate box for federal tax classification.ot the person whose name Is entered on line 1,Check only one.ot the 4 Exemptions(codes apply only to following seven,boxes. certain entitles,not individuals:see a • instructions on page 3): o 0 IndividuaVsole proprietor or ❑ C Corporation 0 S Corporation . 0 Partnership .. 0 Trust/estate - Ai c single-member LLC Exempt payee code(if any), ❑ ✓ Limited liability company.Enter the tax:classification(C-0 corporation,:S=S corporation,P=Partnership)► P 0 2 Note:Check the appropriate box in the line above for the tax classification of the single member owner. Do not check Exemption from FATCA reporting N LLC it the LLC is classified as a single-member LLC that Is disregarded from the owner unless the owner of the LLC.Is y) lc o another LLC that is not disregarded from- the owner for U.S.federal tax purposes.Otherwise,a single-member LLC that.code(if an F-1is disregarded from the owner should check the appropriate box for the tax classification of its owner. o ❑ Other(see instructions)► ' � _ _ /Applies f0 acc0un19 me/n)a%nod oufsbo trio(1.S.) to 5 Address(number,street,and apt.orsuite no.)See Instructions.' • • Requester's name and address(optionaq' in 151 Clear Creek Dr.,Suite 101 • 6 City,state,and ZIP code .. . Ashland,Oregon 97520.. 7 List account number(s)hero(Optional) : Part I Taxpayer Identification.Number(TIN) • .. . . Enter your TIN in the appropriate box.The TIN provided must match the name given.on line 1 to avoid 1 Social security number ' 'I backup withholding.For individuals,this is generally your social security number,(SSN).However,for a . resident alien,sole proprietor,or disregarded entity,see the instructions for Part I,later.For other - - entities,it is your employer identification number(EIN).If you do not have a number,see How to get a - TIN,later. . • . or Note:If the account.is in more than one name;see the Instructions for line 1.Also see What Name and • Part II Certification • . �• • • • Under penalties of perjury,I certify that: •• ' 1.The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and 2.I am not subject to backup withholding because:(a)I am exempt from backup withholding;or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the'IRS has notified me that I am no longer subject to backup withholding;and 3.I am a U.S.citizen or other U.S.person(defined below);and • ' , ' , 4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct. Certification instructions.You:must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid, acquisition or abandonment of secured property,'cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,you ere not required to sign the certification,but you must provide your correct TIN..See the instructions for Part II,later. Sign Signature of �" • l �/ . Here U.S.person► (��!' �GGZ+-c-( / �Lf�Q �� .Date I. (� / General Instructions Form 1099-DIV(dividends,including those from stocks or mutual funds) Section references are to the Internal Revenue Code unless otherwise ' ' •Form.1099-MISC(various types of income,prizes,awards,or gross noted. proceeds) • Future developments.For the latest information about developments •Form 1099-B(stock or mutual fund sales and certain other related to Form W-9 and its instructions,such as legislation enacted . . transactions by brokers) after they were published,go to www.irs.gov/FormW9. ' ' •.Form 1099-S.(proceeds from real estate transactions) • • Purpose of Form •Form 1099-K(merchant card and third party network transactions) An individual or entity(Form W-9 requester)who is required to file an:. •Form 1098(home mortgage interest),1098-E(student loan interest), information return with the IRS must obtain your correct taxpayer ' . 1098-T(tuition) - identification number(TIN)which may be your social security number ,..Form.1099-C(canceled debt) . (SSN),individual taxpayer identification number(ITIN),adoption. • taxpayer identification number(ATIN),or employer identification number •Form 1099=A(acquisition or abandonment of secured property) (EIN),to report on an information return the amount paid to you,or other Use Form W-9 only if you are a U.S.person(including a resident amount reportable on an information return.Examples of information ,. • alien),to provide your correct TIN. returns include,but are not limited to;the following: • ' 1f you do not return Form W-9 to:the requester with a TIN,you might •Form 1099-INT(interest earned or paid), • be subject to backup withholding.:See What is backup withholding, later. • Cat.No.10231X • Form W-9(Rev.10-2018) acoRD'1a CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDlYYYY) ki...--'-- 07/22/2019 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(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Jon Snowden NAME: StcateFari-n Jon Snowden Insurance Agency,Inc. (A/C. .Exo: (541)482-2461 FAX Ne); (541)482-4957 0 420 Bridge St ADDRESS: jon@jonsnowden.com °.F Ashland,OR 97520 INSURER(S)AFFORDING COVERAGE NAIL k INSURER A: State Farm Fire and Casualty Company 25143 INSURED INSURER B:State Farm Mutual Automobile Insurance Company 25178 Polaris Land Surveying,LLC INSURER C: PO Box 459 INSURER 0 Ashland,OR 97520 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD_SUBR POUCY EFF POLICY EXP LTR TYPE OF INSURANCE INS! WVD POLICY NUMBER (MMIDENYYYY) IMM/DD/YYYY) UMITS XCOMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 — CLAIMS-MADE1X1 PREMISES(Ea OCCUR PRMSO/ ccurence) $ 300,000 ooccurr MED EXP(Any one person) $ 5,000 A Y 97-86-K806-7 05/07/2019 05/07/2020 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 XP POLICY JECDT LOC PRODUCTS-COMP/OP AGG $ OTHER: S AUTOMOBILE LIABILITY L23 4521-D30-37H 04/30/2019 10/30/2019 (Ea acdrenV INGLE LIMIT s 1,000,000 – ANY AUTO L23 4521-D30-37H 10/30/2019 04/30/2020 BODILY INJURY(Per person) S B OWNED '�/ SCHEDULED BODILY INJURY ) AUTOS ONLY /� AUTOS (Per accident) $ HIRED `NON-CWNED 090 4953-809-37E 02/09/2019 08/09/2019 PROPERTY DAMAGES - AUTOS ONLY AUTOS ONLY (Per accident) 090 4953-B09-37E 08/09/2019 02/09/2020 $ UMBRELLA!JAB -._ OCCUR EACH OCCURRENCE $ I EXCESS UAB CLAIMS-MADE AGGREGATE S DED RETENTIONS S WORKERS COMPENSATIONPER OTH- AND EMPLOYERS'LIABILITY Y I N I STATUTE ER A ANY OFFICER/MEMBER XCLUDED?ECU'IVE N!A 97-CD-G901-4 05/05/2019 05/05/2020 E.L.FLiCHACCIDENT $ 500,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(ACORD 1 et,Additional Remarks Schedule,may be attached if more space is required) Land Surveying-151 Clear Creek Dr Ste 101&201 Ashland,OR 97520 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF ASHLAND OREGON AND ITS ELECTED OFFICIALS ACCORDANCE WITH THE POLICY PROVISIONS. OFFICERS&EMPLOYEES 20 E MAIN ST AUTHORIZED:REPR ENTATIVE Ashland OR 97520 I �, ©1988-20 CORD CORPO TION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 1001486 132849.12 03-16-2016 • FORM #3 CITY OF A request for a Purchase Order ASHLAND REQUISITION Date of request: 11/13/2019 Vendor Name Polaris Land Surveying,LLC Address,City,State,Zip • PO Box 459,Ashland OR 97520 Contact Name Shawn Kampmann • Telephone Number (541)482-5009 ' Email address Shawn aApolarissurvey.com SOURCING METHOD . ❑ Exempt from Competitive Bidding 0 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) El 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# , ❑ Verbal/Written quotes)or proposal(s) 0 Request for Qualifications(Public Works) 0 State of Washington Intermediate Procurement Date approved by Council: Contract# GOODS&SERVICES (Attach copy of council communication) ❑ Other government agency contract Greater than$5,000 and less than$100,000 ❑ Sole Source Agency El (3)Written quotes and solicitation attached IIIApplicable Form(#5,6,7 or 8) Contract# PERSONAL SERVICES 0 Written quote or proposal attached Form Intergovernmental Agreement Greater than$5,000 and less than$75,000 0 Form#4, Personal Services>$5K&<$75K Agency _ ❑Direct appointment not to exceed$35,000 ❑Annual cost to City does not exceed$25,000. ❑ Special Procurement • 0(3)Written proposals/written solicitation Agreement approved by Legal and approved/signed by El Form#4,Personal Services>$5K&<$75K 0 Form#9,Request for Approval City Administrator.AMC 2.50.070(4) El Written quote or proposal attached • Date approved by Council: . ❑Annual cost to City exceeds$25,000,Council Valid until: - (Date) approval required.(Attach copy of council communication) Description of SERVICES. Total Cost Research and surveying for Ashland Creek Park ' $ 3,310.00 Item# Quantity Unit Description of MATERIALS Unit Price Total Cost , Per attached quotelproposal TOTAL COST Expenditure must be charged to the appropriate account numbers for the financials to reflect the actual expenditures accurately. 331.0.00• Project Number — — — Account Number 123000 p _ 704200 $ 3 3 1 0 . 0 Cb Project Number _ _ _ Account Number - $ , , Project Number -_ — — Account Number - $ ,_ _ _,_ _ _.• IT Director in collaboration with department to approve all hardware and software purchases: By signing this requisition f ,I certify that t 'ty's public contracting requirements have been satisfied. IT Director D Support Yes/No Employee: , --/ Department Head: • (Equal to or greater than$5,000) . Departmen anager/Supervisoi: City Administrator: ' (Equal to or greater than$25,000) Funds appropriated for current fiscal year: YES / NO Finance Director-(Equal to or greater than$5,000) Date ' Comments: Form#3-Requisition