HomeMy WebLinkAbout2006-073 Contract - Malot Environmental
05/01/2008 12:44 FAX
04/.28/2008 12;47
5418842554
FAX 5415522304
C I TY_O F-A SHLAND_
~ 002/004
III 04
Contract for WORK less than $26,000
CITY OF
ASHLAND
CONTRACTOR: Matet Envlronmentallne.
CONTACT: Sid Pach~
20 ~ Matn Strut
Aahtar'ld, Otegon 97520
Telephone: (541) 4Bll-eOO~
FAX; {54'> 46a-5311
ADDRESS; PO Bole 3847, CeMraJ ~cint, OR 97so.a
!
Til.iPHONa; (541) 664-2400
FAX: (541) 564-:2554
OMPENSA TION: $1.050.00 - Per proposal dated 0411412006
^ e: .Ame 30, 2oqt5
I
I
VICES 0 BE PROVIDED: ContrllGtor to provid" labor, equipment, OEa permrt. and materials to Hlmo.... end dlepoee of
approximately 552 sq ft or tl'l!nalte sleling. Work to be perlgnnllCl on twg (2) exterior walls of Pion~er ~.lIl 73 Winburn Way.
A.shland. Per proposal daled 04/1412.006. ;
CllY AND ~C\lraclor AGREI!:
1. 611 Costs bv Contractor: CanU'aclOr ahan, at Its own ri$k and 8xp&nIG, perform the work deecribad above and, unless otheI'Wis8
8I*ifled. fUrnish air labor, eqUIP"l8r1t and matef1als required for the proptr ptI'formatlct of .UCh work. :
2. Ouallfied Worle: Contractor has r~rM8l'lt5Jd. and by entering into this contract now repreeents, that all persotlnel !iWllgned to Iht work
required under this conl:ract are fully qualified to perform ltIe WCIrk to which they Will be IMignecl in 8 skille<f and _erlil<e manner and. If
requIred to be regislered, liOBI"lIf~ or bQnd<<J by 1tnr St4lte of Oregon, ilre so l'9gi~, licei1\sed and Doodad. C'onttactor must aIm
malnlain a cu.rr~nt City business ticeON. I
3. ~Dlelion Dille: Contractor .shaD stan performinS the wor1< under thIs contracl by the elate indlcated ICe",. and eompl81t the 'WOrt( by
the completion date indicated above. :
4. Com~ensation: City shall pay ContractDr far werk periormed, including coats and oxplilA8es, the SISn apecffied ab!ove. OnCII wcrk
QQmmences. invoices shari be prepared and submitted by fuEl tan1h of the manU'! for work completed In the prior month. Payments ahalI be
made wlthlllJO days of the dam of ttle Invotca. Should the COtl~ b4J premltUr.sy fGrmlnato9Cl payment! wlll be mdt for WOf'k COIl"IP/'.\9d
ana accepted to date of te!lTlimltiofl. Ccmpunsation under th~ IXlntract, including all CO&S ancIt);penses of Corllratitcr, is limited to
$25.000.00 and City shall not be obligated to pay any sum In excess of $25,000.00 IJnleSllllepara!1 written con1l$t i.s entared into by
C~ I
5. C!w.neralJlp of Qocumg; All docvmenlS prepared by Contractor pursuant to this contract thlll be the property of City.
6. $ta!\,fiqey Aaouiremllnts; OFlS 279C.505, 2790.515, 279C.520. and 279C.53Q are made part ot this contract :
7, Lilling Walill R8!:1uirQmQn~: If 1t\e amount Of this contract is $15,964 ar mOTe, and Contractor is not payln9 prA'l/4l1fng wage f~r1tl. work,
Contractor must comply wittl chapter 3. , 2 of the Ashland Municipal Code by paying a living wage, BS defined in thill chepttr. to ill
employees performing work under this contr'8Ct and to any subcontractor who patfom'ls 50% or more of the Work un~er tJ'lls contract.
ContractOr must post tile anacned Il(ItIce Predom~dy In arese where it will be BHn by aD employees. :
B. IndemnirJOsHon: Contractor agrees to defend. indemnify SlId saVEl City, its officers, employees and agents hirmleiU ftCm illY and all
IoSCQll, claims. actioni. costli, elCpenses. i'JI;igmenls. lil,lbrogalions. or other damagqs f~ from inju~ 10 any person <ine!udi~ injul)'
resulting in dealh.) or damage (including loSS or destrl.dion) to property, 01 wtli\llt80S..er nature artsing our Of 0' incid,ent 10 tl'le pertormal1Ce
of this contract by Contractor (including bl.lt net lirn~ toj Coi"ltrsctol"a employeea. agents, end others dleelgnated by Controctol to perform
work or services attendant to lt1is contract.) Contractor shall not be held responsible tor any 1a85es. e~s, claims, subrogations,
action.. COSI$, judgments, or Olher dlmlga. directly, solelY. and approximately caused by"/ile negligence at City. :
9. TerrninatiOl'l; ThIs conrract may be terminated by Ctty by giving ten clays wrttten notice tD Contractcr and may be ~1rtatid 01'
Contraotor should City f9,il suhstatl~ io pltfofl'l'llls obligatlol\l through 1\0 fault of Col'ltracfOr. :
, O. IndependAnt ~n\tiictlr ~~tuJ; COMraetot is aI'l iM~nt contractor aM not In emplOyee or the City. Con~or shall have the
COmplGUl responsibility tor the performance of this contraot Contractor shall provide worluJr!' compenaatlol't cov.r~" as required in ORS
05/01/2008 12:45 FAX
04/26/2006 12:41
5416642554
FA! 34US22304
CITY_OF_~SHLAND_
1ZI 003/004
I4l OS
Ch O~6 for e111 persons employed 10 pertorm WOrk pUrsuant to Itlle CQnb1lct and prlor to commencing any \'fork, ContraClOr ahall provkle CItr
wltl1 ad61ql.late proof ofworkera' r;ompenlllilllon COV8mgS. ContractDf is a subjltCt employe' tMltwill comply witl't OAS es5.011.
, ,. Insurance: Contractor shall I al il1I own lUpin", at aU timH Wring"" tarm c' \h\I agrHm8llt, maln\aln in forte a 'XUT\pretrenai~
j;JeneralllabllJty policy lnc:tuding covtrlgl fol' COfltT'ldLallllblltty for obligdons anumed under this Conlract, blanket contractua1llabilJly.
pn:It.luclt and completed oparationl, QWl')er'1 and oonttac'Ior't protective il'lluranclltld comprthensivl automobile liability including owned
Ind l'Ion..oWfltd automobiles. The lIabRity under eaCI'l polley lJhaIl ~ a minimum Of S5OO.000 per occurrence (OOmblMcltlnglt limit tOt'
Dodily 1l'lIury al'iCl property damage claims) or $500.000 per occurrence for bodily hju/y and $100.000 p.r o~urrlnclii for property clamaga.
Liability co....erage 6\~a\1 be provided an an "Q(lQUITSfH:'" not "t;laim8' basis. Tl1e CI\y of AehI.and, its offaf'l. employ... II'ld IQfnCl ahaII bt
named at ackliliol'lal insureds. CorItractor $hall eubmit certiticates of lM$u~ ICCtpllbl. to the CIty with lhe ,ignec:l conttact Pfior to 1M
commenctfllflnt of any work under thls aGreement. TtI.I certificates tin.' ~\lln proViSion th~t ~ov..ges afforotld UI'lCItr the pollclte
cannot be cancel8Cl and l'tflrictMr mocIiflC8tions cannot bl made unUI at lust 30 days prior writttft notic. hu been giwn to CIty. EaCfi
cenlfieala of insuranc. .hall provide proof 0' ~ulred Ih,uranc. for the duration of the contract period.
1 i. Aasianmsnt and Subccntrac\a; Contrleior ,hall not alSlgn this COJ'ltfld or autlccntl1lct tny portion of the work ~ithout lhe writtln
ClOl'lHl'lt of City My atl'ampted u.ignmenf Of .ubcontntct without written consent of Oily shall be vorcl. Contrllotor ~all " tu/t'J '~ib\.
for 1M. acts Of on1isll\anc of any uligns or lIubcorltratllors Blld of all per&OI'I8 employed by them, and the approval by City of any
as.ignment or 5ubcontract shalll1Clt cl1Iate any contrl:CNall'8latlon between 1M aaslgnee or lIUbc:cntrBlZtor ilJ'lQ Clty'.
em OF ASHLAND:
BY ~ ~~c;;1;E74:JI\~
OPt
CONTRACTOR:
- 1./ ~( ~
Signature
Thomas Eric Malot
Print Name
BY
BV
TITI.,.~ Pres i dent
DATE
crrv AOMINISTAATOR
.5,/J~t
CC8N"m8 Ma10t EnvironmeOjal. Inc.
OONTEN"r AiVl~lA..k. ~~........,
CITV IJI!JIlAFI'fMeNi HEAD
e?~ ""?J ~ - tt!P 6
/f' / / ?? g r/; ?J?J ??J;Z r c'-C)
ACCOUNT #
06 '773
OATe
DATE 4/27/06
....deral 10. 93-1298621
CO! t 1 MlS?6
PUACHASE OAO!:A ..
(for CifJ 1l'I'P04H cnJy)
City of Ashland - Business uoen$e f/l
· In.wi.nc. c.rtll1c.... .nd a comptcJled IRS W-i form must be submitted wtth 5111""" contnu::t.
Revisod ~.27-o5
A request for a Purchase Order
REQUISITION FORM
CITY OF
ASHLAND
Date of Request:
THIS REQUEST IS A:
D Change Order(existing PO #
Required Date of Delivery/Service:
Vendor Name
Address
City, State, ZIp
Telephone Number
Fax Number
Contact Name
M. ~ L ~, ~ ~U lIlO'J<-. W\. ~ \Vflt\ c.... \ 'Va...
'i 0 ~O')( ~~~ 7-
e.--.-l~=' ~ci...r{ Dt2... "'TS"Cn-
80LICITATION PROC_
Small Procurement
~ less than $5,000
R Quotes (Optional)
Intermediate Procurement
. (3) Written Quotes
(Copies attached)
o CopY of contract attached
o Contract #
Description of 811RVIeI!8
~~ ~O\J<=- C;;, d"\' -. \
9 { tJ 1Jv ~
cI l rJ \ C (;1rY
c;. t- , 4 JA, t-'-
~{//
o Per attached PROPOSAL
Item # Quantity Unit
Description of MATI!R1AL8
Unit Price
Total Cost
Project Number ______. ___
Account Number~! ~. ~!- ~~_ ~. ~ _'C /!.!':. I #t?
· Items and services must be charged to the appropriate account numbers for the financials to reflect the actual expenditures accurately.
o Per attached QUOTE
By signing this requisition fonn, I certify that the infonnation provided above meets the City of Ashland public contracting requirements,
and the documentation can be provi request.
I"\-
Supervisor /Dept. Head Signature: ~ h ~~ ~
G: Finanoe\Prooedure\AP\Fonns'B_Requisition form revised.doc
Updated on: 3JllI2OO6
O~/O~/~UUti I~:~~ t^^ ~4Ititi4~~~4
Certificate ofInsurance
IfIJ VVLI VVL
Page 1 of 1
3EFCCAPORATIQN
400 High st SE
Salem, OR. 97312-1000
Toll Free 1-800-285-8525
OREGON WORKERS' COMPENSAnON
CERTIFICATE OF INSURANCE
MAIL TO:
CERnFlCATE HOLDERI
CITY OF ASHLAND
20 EAST MAIN STREET
ASHLAND, OR 97520
CITY OF ASHLAND
20 EAST MAIN STREET
ASHLAND, OR 97520
The policy of Insurance listed below has been issued to the insured named below for the polic;:y period
indicated. The insurance afforded by the policy described herein is subject to an the tenns, exclusions
and conditions of such policy.
POUCY NO.
921154
POUCY PERIOD
07 01 2005 TO 07 01 2006
ISSUE DATE
05 03 2006
INeUUDI
MALOT ENVIRONMENTAL INC
PO BOX 3847
CENTRAL POINT, OR 97502
BROKER OF RECORD;
UNITED RISK SOLl1T10NS INC
PO BOX 936
MEDFORD, OR 97501
UMrn O' U"BILlTVI
Bodily Injury by Accident $500,000 each accident
Bodily Injury by Disease $500,000 eBch employee
Bodily Injury by Disease $500,000 policy limit
DESCIIIPTION 0' Op!RAnONs/LOCAnONs/....Cl,AL n1!Jls=
Pioneer Hall, 73 Winburn Way, Ashland, OR
IMPORTANTI
The coverage described above is in effect 85 or the issue date of this certlncate. It Is subject to change at
any time in the future.
This. certificate's Issued as a matter of information only and confers no rights to the certificate holder.
This certificate does not amend, e)l;tend or alter the coverage afforded by the policies above.
CANCEUATlON:
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELED BEFORE THE eXPIRATION DATE
THEREOF, THE ISSUING COMPANY WILL MAIL 30 DAYS' WRI1l'eN NonCE TO nlE ABOVE NAMED
CERTIFICATE HOL.DER.
AUTHORIZED REPRESENTATIVE
~f
-
https://saifonline.saif.comlCertificateslcertForm.aspx
5/3/2006
Ma~ 01 OS 04:35p
UNITED RISK
15412451112
p.2
ACORD.. CERTIFICATE OF LIABILITY INSURANCE ~b'1cP~ DAlE (MMIDD1YYYY)
05/01/06
PROOUC!R THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
~ted ~.k Solut~onB, J:nl::.. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Fonaerly known .. KPD Medford. HOLDER. THIS CERTlFICATi DOES NDT AMEND, EXTEND OR
PO Box 936 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
~ord OR 9'SOl-0~,
Phone: 541-245-1111 Fax:S4~-24S-1112 INSURERS AFFORDING COVERAGE NAlC #I
IH8UR!!D '-
~A: _dean Int':!, ....ciaUy Lin..
INSURER S:
Maliot Envi.:cotullen.ta:l, I.t"il" INSURER c:
'-
65 E P~n. St. Sui.te 20 INSURER 0:
CentraJ Point: OR 97502
INSURER E:
COVERAGES
THe POUClE'SOF INstlRAN'CE USTEtl BELOW H"ve eEI!N ISSUED TO THE INSURED NMfED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
NN REQUIREMENT. TERM OR CONDITION OF AN'( CONTRACT OR OntER DOCUMEN:r WITH RESPeCT TO ~ THIS CE'P(l'lfICATIi w.y BE 1S8\YettOR
MAY PERTAIN. THE INSURANCe "FFORlJEO BY THE POLICIES DEiCRlBED HEREIN IS SUBJeCT TO "LL T11E TeRMS. excUJSlONS AND OONDITlONS OF SUCH
POUCIES. AGGREGATE LIMITS SHOWN MAY HAlI.E'SEEN REDUcED BY AUDCl.AlMS.
, L Tft 1NSRl: ~QfINl~ I'OLICV tv.IH8ER ~ DATE~ l.lMITS
~NERAL. LIA8IUTY EACH ~Nce $ 1 000,000
A ~ COMMERCiAl GENERAL LIABILITY 9354300 08/03./05 08/01/06 I ~ 11:8 oa:urtnoel , lQO ,000
J- =:J CLAIMS MIlO!: ~ OCCUR MEO EX!> (Anyone /lllI'IOIl) $25,000
PeRSON"L" f\DV INJURY , 1,000,000
GENE~AGGREGATE $2 000,000
I- ---.-
GENt. AGGMGA TE LIMIT APPLIES PER: PRODUCTS" COMPfOP AGG $2 000,000
!Xl ~ICY n ~ n LOC
AUTOMOBILE lJAIIUTY COMBINED SINGLE UMIT
- (Ea e.cddenl) $
'-- ANY AUTO
r-- ALL OWNeD AUTOS BODIL.Y INJURY $
SCHEDULED AUTOS (Per panon)
I--
HIRl!'D AUTOS BODILY INJURY S
- (Par accid..,t)
- NON-OWNED AUTOS
- PROPERTY DMtAGE $
(Per Iccldenl)
cr=~ ,1 AUTO ONLY. EA ACCIDENT $
OTHER THAN EA ACC $
AUTO ONLY: "00 $
txCESI/UMBR!U.A UAlSIUTY J:.<lCH OCCVRMNCE $
tJ OCCUR 0 ClAIMS MI\DE AGGREGATE $
$
-
R DEOUCTIBLE $
~Nl'ItM $ S
WORKElDtoMPENMnoN AND I TORY LIMITS I I "EA'"
IMPLOYERS' LIABILITY E.L. EACH ACCIDENT S
"''rIlr PROPRIE1OR1PARTNERlEXECUTlVE
OFFlCERfMEMIlER EXClUOED'I E.L. a/SEASE - EA EMPlOYEE $
~ClA~~~1~below i..L OISEMlE . POLICV \.MT $
OntliR
) H OF Dl'ERA7JOMt I LQCAmlNS J '<IeHfCU!a, QCW'SION8 ADIXD BY I!HDORANl!NT "PECIAL PROVISIONS
Re: Operations o~ the Named Insured
:::ERnFICATE HOLDER
CITASOl
CANCI!!UAnON
SHOULD ANY 01' ntI! ABOVE DESCRIBED POLlCIl!S BE CANCEIJ.J!D BlIFOAE THE I!lCPIAAno
OAT! THl!ReaF. THE ISSUING INSURI!R WILL I!NDEAVOR TO MAlL ~ DAYS WRITTEN
NOTICE TO THE CERTFICATE HOLD!R NAMED TO THE LEFT,BUT FAILURE TO DO 80 SHALL
IllP08I! NO OBlIGATION OR UA8lLITY OF ANY ICIND UPON ntl! INSURIiR. ITS AGSNTI OR
~ATNU.
Ci ty of Ashland
20 E Main St
Ashland OR 91S20
'CORD 25 (2001101)
Cl ACORD CORPORATION 1 HI
04/14/2008 14:15 FAX 5418842554
ICII 002/003
~II
MALOT
EN V 110" M un A 1 HI (
P.O. BcD 3841
c...... Pobat. OR 97582
(541) '"-2" Fa (541) '"-2554
CCBll45818
PROPOSAL
April 14. 2006
Pr-opoNl....hdu.cl to: City of Aehland
AttD: Dale Peten
Addr...: 90 N Mountain Avenue. A.blud. OR 9'7520
PItor&e N.......: 552-2292
P.. N.,."."..: 552-2304
.A.ddreN: of ProJece: Log bouse I.OZOII from Litbia Park
~don 0/ WorIJ: All labor. equipment. DEQ pe~ materiala u.d cliaPOI" to ~ove
approximately 552 aq.t\. of truaite aidiq. .
PropoNd Pric<< 11,050.00
Pa,..,.... T.....: Due upon completion
Cont.-aet01" paraat.eea. that .n lllaterWt will be _ epooified. All work will. be complet.ed in .
wOI'lunaullke and timely maDDer ~ to ltaucWd practiCM. by a1\8I'atio.o. 01' deviation from
lpecUlC8tioat below iDvolvins au. eoet. will be executed oal, upon written awl aiped cbup ord.e,n
and will become an ~ chup over ud .bove the estimate. AU agreemata CODtiDpat upon etrikes,
UDueual delay in tnDaportatiou. advene weather ooDdi~ unavoidable ca....tiat or cau.. beyond
04/14/2008 14:15 FAX 5418842554
IZI 003/003
the ClOJJtJ"Ol of the ClOlltraClOJ', acta of IUlture, acta of war, or acta of God, pVemmeat rul.., replation.
and/or ordinAncel andlor unavailability of materiaJa, .upp~ reDtal equipment or au.beoatncton.
Note: Thia propoeal may he withdrllWll by us if Dote aooepted within 30 da"..
Author..... S.........../tJr..Milloc ."Iroa....N11.1nc.
,
~d f I'J. f .l1IJI ~
Sip.ture
~HllptA
D.te
~~"J~ oJ ~.~a' - The above pnoee, epeoifioatioDB, and ooaditiou are satisfactory aDd are hereby
accepted. llwe 8nthoriH Malot Enviroumeuul. 1110. to do the work as epeai:fied and apee to the
payment tenD.t .. torth above.
~~~
Sipatw'e of Owner
Date or Aceeptanoe: Z ~ l4. r R. Q l
Sipatun of Owuer
I&IVV4/VV,
ASN6
~.'\
~
DEQ NOTIFICATION FORM
For N onfrJabJe ...l\sbestos RemovaJ
Far DEC~ ulllllllly
'D.u. IU,*,-, ol4t
. Amounl Reeotve((:
Check Numblll~
IPraject NUl:lbcr.
ATTENTION]
t,~ 3jS?
CONT~CTORS: Tha notification ill DOl eomplcw UJUOSS it iJ aocompaniad bytbo required .s3~.OO fee and it submitted., da)',
priOr ~o lhe Sl:arl c1Ale. AU notilica~iuns wft~ tIw S'di1y period bas been wllivcd arc subject to a f'ee incrollse elf SIJ'Yc, To inquire
a''lN~'' ',\. W(l:"~f \)\ lho 5-\!t4y I'lolif~ation J)t.'ri'bd or f1:lt ~ct ir&mnation tlall 1.800~51.401 ~ for me phc~ nUlnbeE Df your lcea~
r~!!iull.u Dr:Q ClfCiCl:. '
.. · (PLEASE TYPE OR PRINT CLEARLY)".
1 Is Ihi.~ a re-viSlon 10 a previous nOtification? Yes No X
Sland:lteofpfojccr: May 9, 2006 ElJdda~ofprojeot: May 10. 2006
Days ol'wcekandhours looeworked: \uesda)' - We~"esday 7:00 - 3~30
PrOJC';lsil\!nnm~: Winburn HuildhlaOwner: City of Ashland
PrOjC':1 address: 73 Winburn ~ay
(111<1. ^Ilt., F'- M, Bid. -, "".....1_ or .nV "die pen...". ... IoluQon w"""..ionj
Uty: Ashland County: Jackson
Was II sut\'CY pel'fonned: Yes: X No: By whom?
Typ~ or t1t1Il-rrillbl~ maLerial to be removed: Trans; te $; ding
Ao'.oUl1t o\" ~\ol\-f\'1 able asbestos ulateria110 be. temoved. Squate footage:
Comractorname: Malot Environmental. rne.
COlltraclor addre$S: P. l). Box 3847
City; Central Point _ County:
eC'l) rejiS!rnlion lllJmbc:r: 1458:78
Wast.:: cisposal SIte: Dry Creek Landf'\ll
Situ nadrc$s: Dry err< Rd
<..:ilY: Ea~l@ Point
Was!.:- ha\d~r: Rogue Di sposa 1
State:
Unknown
OR
Zip:
97520
55'2
Phone:
(54!) 664-2400
Jackson
State:
Con2pMent Pft'.90a:
OR Zip:
Don Cast1i 11 0
97502
Count} :
Jackson
State: OR Zip: 9752~
Phone: 779-4161
SI21l halo\\' ;U.II! $l!lIl1lbi. funn with the appropriate fel ro The bEQ Bushwu omc:e at 811 SW 6th, PortlaJId., Orqolt
~n\l4. MlIkll dllll:\.:.S Il1Ifab\e tu "DEQ"
NllInnlf t\\vn(;T, Ofleli110r OT contrllctor: Ma 1 ot Envi ronmenta 1, Inc.
/'.lJm~: Tina Richardson PJlon~: (541) 6611-24DO
. (1'(.I!,'I;: PPJi7iT."-
SlgnULlJOl';, \.~ll/\CA. ~.~ r h(/.lI't' ~ Datc~ 5/2/Ofi
CAUTlO.''.(! Irthen\a\Cri,\1 ~i rc:mo"oo. is h~d in a manner \hat causes it to *0l1J0 &i~b\l: (thattetoo." pul"tlfllWlci.l)I
reduc.:d"IO ,~uSt)_ u,tlO oDly B DEQ liccmcd asbatos abl.temem conU"o.ctotnuly ped'orm the removaJ work. Submit nonftiable
nOtiljCQliollS iIl1" tees in aCCQrdano~ with OAR 340.248.02.60. RevLtians to no1incauons may be land to Portland NWR. at (~03)
229-5265, Bend ER al (.541) 388-828:l, Sa.lcmWR at (503)378.4196, (lr Medford wR at (541) 776-6262,
{Ru, ""'~ 1 :,Oll
#
F-ll C)G!73
~..
...~
Page 1 / 1
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
VENDOR: 010904
MALOT ENVIRONMENTAL INC
PO BOX 3847
CENTRAL POINT, OR 97502
SHIP TO: Ashland Building Maintenance
(541) 488-5358
90 N MOUNTAIN AVENUE
ASHLAND, OR 97520
FOB Point:
Terms: Net
Req. Del. Date:
Speciallnst:
Req. No.:
Dept.: ADMINISTRATIVE SERVICES
Contact: Dale Peters
Confirming? No
Contractqr to provide labor, equipment,
DEQ Permit, and materials to remove and
dispose of approximately 552 SQ ft of
transite sidinQ. Work to be performed
on two (2) exterior walls of Pioneer
Hall, 73 Winburn Way, Ashland. Per
proposal dated 04/14/2006.
1 ,050.00
Contract for Work
BeQinninQ date: May 1, 2006
Completion date: June 30, 2006
BILL TO: Account Payable
20 EAST MAIN ST
541-552-2028
ASHLAND, OR 97520
SUBTOTAL
TAX
FREIGHT
TOTAL
1
4,( ~ S~4
Au orized Signature.
VENDOR COPY