HomeMy WebLinkAbout2008-221 Contract - Engineered Monitoring
RECEIVED
AUG2 Ii 2008
City of Ashland
Enfineer,ed..Monltorin:fSolutions
20345 SW.Pacific Highway, Suite t04
Sherwood,OR97140
503-925;.1700 ph
503-925-1701 fax
August 20,2008
City of Ashland
PUblic .Works[)epartm~nt
20 EastMain Street
Ashl~nd, Oregon 97520
Attn: Mr. Pieter Smeenk, P.E.
Re: Hosler Dam Failure Warning System
EquiJ;)ment Maintenance Ihspectionand Servioing
Dear .Pieter:
,.J
Weare pleased to submit this proposal to pfovide maintenance inspections and servicing of the
Hosler Dam FailureWarningSyslem. As you are aware. the systern waseJesigned and installed in
2003 bySqui.erlKleinfeldertoimprovethe City of Ashland's ability to provideearlywEuningtothe
downstream community of the need to evacuate eluetoa developing failure condition atthedarn.
The failure warning .systemeonsistsoflwo subsystems. {the deteoliOnsystem and. the .notifiPEition
systsrp)thafare fuUy integrated together to form the failure warning system. AdeJitionallYi a system
inspeotion was performed by EMS on Maroh 21, 2007 and a nurnberof maintenance related items
Were identified and recommended.
It Is our understanding that the City desires an annual inspeotion and assistance related to the
maintenance and SEuvioing'thewarningsystemcomponents. Toaooomplish.the inspection visit and
perform themaintenanoe tasks, We propose the following scope of work.
SQOPEOF SERVIGES
Our proposed stope ofworl<includes performing an annual maintenance insp.eotion whioh would
include. anon"sit~ visit to the. proJe~tto perform. .an inspeotionoftl1e detection system components
and to review the results oftheCity'snotificationsystemperfol"mancetssts. The scope ofservice.s
wo.uld also inelude.pre.paringa letterreporttodooumenl the findings and recommended foUow...up
efforts.
To accomplish .this, avisittQthe dam Will be performed to inspect the system components including
the. reservoir level. sensor, seismic recorders, ADAS. equipment, solar pOWer supplies, radio
equipment, and the reservoir level site gauge. A visit to the water treatment plant (WTP) will also be .
III I --~
performed to inspect the ADAS equipment and radio equipment. We will manually trigger an alarm
condition to the ADAS to test the integration of the ADAS and SCADA programming. We will also
conduct a silent test of the siren network and meet with City personnel to review the observed
performance of the siren network over the past year.
The results of the maintenance inspection will be presented in a letter report documenting the
observed condition of each of the items inspected and will include recommendations for servicing or
repair efforts, if needed.
In addition to the maintenance inspection, we will perform the following items that were included in the
inspection letter report dated April 19, 2007.
· Provide and install a conduit plug between the MCU enclosure and the battery enclosure at
MCU2.
· Provide and install desiccant packs in the MCU and battery enclosure at MCU2.
· Replace the vent tube desiccant capsules at the Reservoir Level sensor (RL 1).
· Replace the internal clock batteries of both strong motions recorders (SR 1 and SR2)
· Replace 12 volt batteries in both solar charging systems (MCU1 and MCU2).
· Provide and install high visibility paint on the Reservoir Level Site Gage.
For our cost estimate, we have assumed that all of these maintenance items will be performed during
the annual maintenance inspection task.
COMPENSATION
We estimate that the total cost for the scope of work outlined above would be on the order of $4,469.
We propose to perform this work on a time and materials basis in accordance with the attached
Terms of Agreement For Monitoring System Services (July 2008). This estimate is based on the
assumptions listed herein. Should you wish to modify the scope of work prior to accepting this
agreement, we would be pleased to review this proposal and our estimated fee with you.
The annual maintenance inspection would not include the cost of servicing, repairing, or replacing
system components other than those identified in the scope of work above. The servicing, repairing.
or replacing of additional system components not described above would be provided on a time and
materials basis in accordance with the fee schedule that is included in the attached Terms of
Agreement.
Page 2
MainllnspectiOll Proposal-200B.doc
SCHEDULE
We>arein a position to begin wOrk on thIs project within two weeks sfter receivingyoursuthorizstion
to proceed. We anticipate thatthe letter report can be complet$d within three weeks following the site
visit.
CONOLUDINGCOMMENTS
Acceptance of this proposaland<attached <:Iocuments is indicated by signing and datingin the space
provided below and returning one .copyof this letter to us. If more than 90 days pass before
authorizing the propos.edwork, wer$serve the opportunity to review and modify this proposal where
necessary .
We look forward to continuing to be of service to yo.u on this project. Shouldyou.hsveany questions
fesarding this proposal, or if renegotiations of the Scope of Services, Terms of "greement,. or
.Limitation of LiabUity were . considered advisable, we wouJdbe pleased to confer with you at your
convenience.
b4~
. anyMyers. P.E.
President
by
reg Dutson
Senior SysteO'lslntegrator
Very truly yours,
Engineered Monitoring Solutions
GOD/xxx
EnoL Terms of Agreementfor Monitoring System Services July200B (H)
ProposfilAccQptanceandAuthorization to Proceed
Printed Name
Authorized Signature
Date
Page 3
Maint IlJSpectiOn PropoSal-2008.cJoc
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TERMS OF AGREEMENT FOR MONITORING SYSTEM SERVICES
ENGINEERED MONITORING SOLUTIONS (referred to herein as Consultant)
July 2008 (H)
FEES FOR SERVICES
Fees for services are based on the time expended on the project by professional, technical, and clerical personnel at the following
schedule of hourly charges:
Position
Administrative Staff
Project Engineer, Systems Integrator
Senior Project Engineer, Systems Integrator
Senior Engineer, Systems Integrator
Principal Engineer, Systems Integrator
Senior Principal
11 These rates shall remain in effect until completion of the agreed scope of services or one year from
date of agreement, whichever occurs first.
REIMBURSABLE EXPENSES
Expenses incurred in connection with project tasks such as equipment purchases, rental equipment, out-of-town subsistence, vehicle
costs,. expedited delivery and similar, will be invoiced at direct cost plus 12 percent. Communication oosts, including telephone, fax,
cellular. and postage wiil be charged at 2 percent of labor costs. Special technical computer programs, CAD, and GIS usage wilt be
charged at $15 per hour.
Hourlv Rate 1)
70.00
105.00
115.00
125.00
140.00
160.00
SERVICES BY OTHERS
On occasion specialized services by design consultants, contractors, or other technical companies may be needed. Such services will
be utilized only with your approval, with the cost of such services included in our invoice plus 15 percent.
PRODUCTS PURCHASED
All hardware and software products are being procured by Consultant as a service for the Client. Client agrees that the relationship for
all prOduct warranty, support, servicing, and performance or defect liability issues is between the Client and the product manufactures.
INVOICES
Consultant will submit invoices to you, the Client on a monthly basis and a final bill upon completion of services. Payment is due upon
reCeipt of the invoice unless otherwise agreed, and is past due thirty (30) days from invoice date. A service charge will be added to any
account balance in arrears at a monthlY rate of 1 % percent of the balance due. Client agrees that the invoice balance is correct unless
we are notified in writing within ten days of date of invoice.
INSURANCE
The ConSultant represents and warrants that it and its agents, staff and other consultants employed by it are protected by workers' compensation
insurance and that the Consultant has such coverage under pubic liability and property damage insurance policies which it deems to be adequate.
Certificates br all such poflCies of inslnnce will be provided to Client upon request in writing. Within the limits and conditions of such insurance, we
agree to inctermify and save Client harmless from and against any loss, damage, or liability arising from grossly negligent acts by the Consultant, its
agents, staff, and other sub-consultants employed by it. Consultant shaD not be responsible for any loss, damage, or liability beyond the amounts,
Omits, and conditions ci such insurance. The Consultant shall not be responsibE for any loss, damage, or liability arising from any acts by Client, its
agents, staff, and other consultants employed by it
STANDARD OF CARE
Services performed by the Consultant under this Agreement win be conducted in a manner consistent with that level of care and skill
ordinarily exercised by the profeSSion currently practicing under similar conditions in this area at this time.
Client recognizes that conditions may vary from those encountered at the iocation where surveys or investigations are made by the
Consultant, and that the data, interpretations and recommendations of the Consultant are based solely on the information available to it.
The Consultant will be responsible for those data, interpretations, and recommendations, but shaft not be responsible for the interpretations
by others of the information developed.
LIMIT ATIONOF LIABILITY
Client agrees to limit the Consultant's liability to Client, and to any other person or entity, for any claim arising from, or alleged to arise
from any acts, errors, or omissions in the performance of this Agreement, whether such claim sounds in negligence, breach of contract,
strict liability or other legal theory, and including any legal fees or costs awarded under this Agreement. to an aggregate limit of the
amount of fees paid to Consultant under this Agreement, or $50,000, whichever is greater. Waiver of this clause or a higher limitation
may be negotiated for an additional fee.
DISCOVERY OF UNANTICIPATED HAZARDOUS MATERIALS
Hazardous materials, including biological pollutants (molds, fungi, spores, bacteria, and viruses, and the byproducts of any such
organisms or life forms) may exist, or occur later, at a site where there is no reason to believe they could or should be present.
Consultant and Client agree that the discovery of unanticipated hazardous materials, including biological pollutants, constitutes a
changed condition mandating a renegotiation of the scope of work or termination of services. Client agrees to compensate Consultant
for the additional cost of working to protect employees' and public's health and safety. In addition, Client waives any resulting claim
Client's initials
Date
Page 1 of2
July 2008 (H)
against Consultant, and agrees to defend, indemnify and save Consultant harmless from any claim or liability for injury or loss arising
from Consultant's discovery of unanticipated hazardous materials or suspected hazardous materials. Client also agrees to fairly
compensate Consultant as outlined herein for any time spent and expenses incurred by Consultant in defense of any such claim.
AQUIFER CONTAMINATION
Client recognizes that it is impossible for Consultant to know the exact composition of a site's subsurface even after emplOying the most
comprehensive exploratory program reasonably possible. As result, there is a risk that instrument installations or sampling may result in
contamination of certain subsurface areas. as when a prObe or boring device moves through a contaminated area, linking it to an
aquifer or other hydrous body not previously contaminated and capable of spreading hazardous materials offsite. Because nothing can
be done to prevent such an occurrence. and because such installation and. sampling is a necessary aspect of the work which
Consultant will perform for Clienfs benefit, Client waives any resulting claim against Consultant, and agrees to defend. indemnify and
save Consultant harmless from any claim or liability for injury or loss which may arise as a result of cross-contamination caused by
instrument installation or sampling. Client further agrees to fairly compensate Consultant as outlined herein for any time spent or
expenses incurred by Consultant in defense of any such claim.
RIGHT OF ENTRY
The Client will prOVide for right of entry of the Consultant, their contractors, and all necessary equipment, in order to complete the work.
While the Consultant will take all reasonable precautions to minimize damage to the property, the Client understands that in the normal
course of work some damage may occur, the correction of which is not part of this Agreement.
UTILlTI~
In the prosecution of the work, the Consultant will take reasonable precautions to avoid damage or injury to subterranean structures or utilities.
The Client agrees to hold the Consultant harmless for any damages to subterranean structures or utilities which are not called to the
Consultanfs attention and correctly shown on the plans furnished.
OWNERSHIP OF DOCUMENTS
All reports, field data, field notes, calculations. estimates, and other documents prepared by the Consultant, as instruments of service,
shall remain confidential and the property of the Consultant. Client agrees that all reports and other work furnished to the Client. which
'is not paid for, win be returned upon demand and will not be used by the Client for any purpose whatever,
The Consultant will retain all pertinent records relating to the services performed for an appropriate period following submission of the
report or completion of work, during which period the records will be made available to the Client at all reasonable times.
DISPUTES
In. the event that a dispute arises in any way Connected with this Agreement, and if the dispute cannot be settled through direct
discussions. the parties agree to first attempt to settle the dispute by mediation, before recourse to arbitration or a judicial forum. If the
dispute eventually results in litigation, it is agreed that the prevailing party shalf be entitled to recover all reasonable costs incurred,
including staff time, court costs, attorney's fees, and other claim-related expenses, including at trial and on appeal.
TERMINATION
This Agreement may be terminated by either party upon seven (7) days written notice in the event of substantial failure by the other
party to perform in accordance with the terms hereof. Such termination shall not be effective if that substantial failure has been
remedied before expiration of the period specified in the written notice. In the event of termination, the Consultant shall be paid for
services performed to the termination notice date plus reasonable termination expenses.
In the event of termination or suspension for more than three (3) months prior to completion of all reports contemplated by this
Agreement, the Consultant may complete such analyses and records as are necessary to complete its files and may also complete a
report on the services performed to the date of notice of termination or suspenSion. The expenses of termination or suspension shall
include all direct costs of the Consultant in completing such analyses, records and reports.
ASSIGNS
Neither the Client nor the Consultant may delegate, assign, sublet or transfer Its duties or interest in this Agreement without the written
consent of the other party.
SEVERABILITY
Client and Consultant have entered into this Agreement of their own free will to communicate to one another mutual understandings and
responsibilities. Any element of this Agreement later held to violate a law or regulation shall be deemed void, and all remaining
provisions shaH continue in force. However, Client and Consultant win in good faith attempt to replace any invalid or unenforceable
provision with one that is valid and enforceable, and which comes as close as possible to expressing the intent of the original provision.
Client's initials
Date
Page 20f2
Contract for GOODS AND SERVICES Less than $25,000
CITY OF
ASHLAND
20 East Main Street
Ashland, Oregon 97520
Telephone: 541/488-6002
Fax: 541/488-5311
CONTRACTOR: Engineered Monitoring Solutions
CONTACT: Barry Meyers, P.E., President
ADDRESS: 20345 SW Pacific Highway, Suite 104, Sherwood,
OR 97140
TELEPHONE: 503-925-1700
FAX: 503-925-1701 yt
DATE AGREEMENT PREPARED: 10/28/2008 .
,
BEGINNING DATE: 11/03/2008 COMPLETION DATE: 02/03/2008'
COMPENSATION: Not to exceed $4,469.00, per attached estimate dated August 20,2008. Travel expenses (out-of-town
subsistence, vehicle costs, and lOdging) must be within reason and will be reimbursed at cost.
GOODS AND SERVICES TO BE PROVIDED: Contractor to conduct a maintenance inspection on the Hosler Dam
Failure Warning System. The six (6) items requiring servicing that were included in the inspection letter dated
April 19, 2007, will also be fully completed at the same time as the annual inspection.
ADDITIONAL TERMS: Engineered Monitoring'Solutions terms and conditions are incorporated into this contract as an
extension of their proposal; however, the City's contract terms and conditions will prevail over any conflicting terms and
conditions. .' \
NOW THEREFORE, pursuant to AMC 2.50.090 and after consideration of the mutual covenants contained herein the
CITY AND CONTRACTOR AGREE as follows:
1. All Costs by Contractor: Contractor shall, provide all goods as specified above and shall at its own risk and
expense, perform any work described above and, unless otherwise specified, furnish all labor, equipment and
materials required for the proper performance of such work.
2. Qualified Work: Contractor has represented, and by entering into this contract now represents, that any personnel
assigned to the work required under this contract are fully qualified to perform the work to which they will be assigned
in a skilled and worker-like manner and, if required to be registered, licensed or bonded by the State of Oregon, are
so registered, licensed and bonded. Contractor must also maintain a current City business license.
3. Completion Date: Contractor shall provide all goods in accordance with the standards and specifications, no later
than the date indicated above and start performing the work under this contract by the beginning date indicated
above and complete the work by the completion date indicated above.
4. Compensation: City shall pay Contractor for the specified goods and for any work performed, including costs and
expenses, the sum specified above. Goods shall be paid for within 30 days of an invoice after delivery of goods
conforming to the standards and specifications. Once work. commences, invoices shall be prepared and submitted by
the tenth of the month for work completed in the prior month. Payments shall be made within 30 days of the date of
the invoice. Should the contract be prematurely terminated, payments will be made for work completed and accepted
to date of termination. Compensation under this contract, including all costs and expenses of Contractor, is limited to
$25,000.00, unless a separate written contract is entered into by the City.
5. Ownership of Documents: All documents prepared by Contractor pursuant to this contract shall be the property of
City.
6. Statutory Requirements: ORS 2798.220, 2798.225, 2798.230, 2798.235, ORS Chapter 244 and ORS 670.600 are
made part of this contract.
7. Living Wage Requirements: If contractor is providing services under this contract and the amount of this contract
is $18,088 or more, Contractor is required to comply with chapter 3.12 of the Ashland Municipal Code by paying a
living wage, as defined in this chapter, to all employees performing work under this contract and to any subcontractor
who performs 50% or more of the work under this contract. Contractor is also required to post the notice attached
hereto as Exhibit B predominantly in areas where it will be seen by all employees.
8. Indemnification: Contractor agrees to defend, indemnify and save City, its officers, employees and agents harmless
from any and all losses, claims, actions, costs, expenses, judgments, subrogations, or other damages resulting from
injury to any person (including injury resulting in death), or damage (including loss or destruction) to property, of
whatsoever nature arising out of or incident to th~erformance of this contract by Contractor (including but not limited
to, Contracto~s employees, agents, and others d signated by Contractor to perform work or services attendant to this
contract). Contractor shall not be held responsib for any losses, expenses, claims, subrogations, actions, costs,
judgments, or other damages, directly, solely, an proximately caused by the negligence of City.
9. Termination: ~~ ~"",
a. Mutual Consent. This contract may be terminated at any time W mutual consent of both parties.
b. Citvs Convenience. This contract may be terminated at any time by City upon 30 days' notice in writing
I and delivered by certified mail or in person.
Contract for Goods and Services Less than $25,000, Revised 06/30/2008, Page 1 of 9
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.c. For Cause. City may terminate or modify this contract, in whole or in part, effective upon delivery of
written notice to Contractor, or at such later date as may be established by City under any of the following
conditions:
i. If City funding from federal, state, county or other sources is not obtained and continued at levels
sufficient to allow for the purchase of the indicated quantity of services;
ii. If federal or state regulations or guidelines are modified, changed, or interpreted in such a way
that the services are no longer allowable or appropriate for purchase under this contract or are
no longer eligible for the funding proposed for payments.authorized by this contract; or
iii. If any license or certificate required by law or regulation to be held by Contractor to provide the
services required by this contract is for any reason denied, revoked, suspended, or not renewed.
d. For Default or Breach.
i. Either City or Contractor may terminate this contract in the event of a breach of the contract by
the other. Prior to such termination the party seeking termination shall give to the other party
written notice of the breach and intent to terminate. If the party committing the breach has not
entirely cured the breach within 15 days of the date of the notice, or within such other period as
the party giving the notice may authorize or require, then the contract may be terminated at any
time thereafter by a written notice of termination by the party giving notice.
ii. Time is of the essence for Contractor's performance of each and every obligation and duty under
this contract. City by written notice to Contractor of default or breach, may at any time terminate
the whole or any part of this contract if Contractor fails to provide services called for by this
contract within the time specified herein or in any extension thereof.
iii. The rights and remedies of City provided in this subsection (d) are not exclusive and are in
addition to any other rights and remedies provided by law or under this contract.
e. Obliaation/Liabilitvof Parties. Termination or modification of this contract pursuant to subsections a, b, or
c above shall be without prejudice to any obligations or liabilities of either party already accrued prior to such
termination or modification. However, upon receiving a notice of termination (regardless whether such notice is
given pursuant to subsections a, b, c or d of this section, Contractor shall immediately cease all activities under
this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination,
Contractor shall deliver to City all contract documents, information, works-in-progress and other property that are
or would be deliverables had the contract been completed. City shall pay Contractor for work performed prior to
the termination date if such work was performed in accordance with the Contract.
10. Independent Contractor Status: Contractor is an independent Contractor and not an employee of the City.
Contractor shall have the complete responsibility for the performance of this contract.
11. Non-discrimination Certification: The undersigned certifies that the undersigned Contractor has not discriminated
against minority, women or emerging small businesses enterprises in obtaining any required subcontracts.
Contractor further certifies that it shall not discriminate in the award of such subcontracts, if any. The Contractor
understands and acknowledges that it may be disqualified from bidding on this contract, including but not limited to
City discovery of a misrepresentation or sham regarding a subcontract or that the Bidder has violated any
requirement of ORS 279A.11 0 or the administrative rules implementing the Statute.
12. Asbestos Abatement License: If required under ORS 468A.71 0, Contractor or Subcontractor shall possess an
asbestos abatement license.
13. Assignment and Subcontracts: Contractor shall not assign this contract or subcontract any portion of the work
without the written consent of City. Any attempted assignment or subcontract without written consent of City shall be
void. Contractor 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 City of any assignment or subcontract shall not create any
contractual relation between the assignee or subcontractor and City.
14. Use of Recyclable Products: Contractor shall use recyclable products to the maximum extent economically feasible
in the performance of the contract work set forth in this document.
15. Default. The Contractor shall be in default of this agreement if Contractor: commits any material breach or default of
any covenant, warranty, certification, or obligation it owes under the Contract; if it loses its ORF status pursuant to
the ORF Rules or loses any license, certificate or certification that is required to perform the work or to qualify as a
ORF if Contractor has qualified as a ORF for this agreement; institutes an action for relief in bankruptcy or has
instituted against it an action for insolvency; makes a general assignment for the benefit of creditors; or ceases doing
business on a regular basis of the type identified in its obligations under the Contract; or attempts to assign rights in,
or delegate duties under, the Contract.
16. Insurance. Contractor shall at its own expense provide the following insurance:
a. Worker's Comoensation insurance in compliance with ORS 656.017, which requires subject employers to
provide Oregon workers' compensation coverage for all their subject workers
b. General Liabilitv insurance with a combined single limit, or the equivalent, of not less than EAter eA8:
$2ee,eee, $See,eee, $1,000,000, $2,999,999 eT ~J8t .~,JtI31i88818 for each occurrence for Bodily Injury and Property
Damage. It shall include contractual liability coverage for the indemnity provided under this contract.
c. Automobile Liabilit insurance with a combined sin Ie limit, or the e uivalent, of not less than iRter eRe:
Contract for Goods and Services Less than $25,000, Revised 06/30/2008, Page 2 of 9
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$~99,999, $599,999, $1,000,000, er t~et Applieabl6 for each accident for Bodily Injury and Property Damage,
including coverage for owned, hired or non-owned vehicles, as applicable. .
d. Notice of cancellation or chance. There shall be no cancellation, material change, reduction of limits or
intent not to renew the insurance coverage(s} without 30 days' written notice from the Contractor or its insurer(s} to
the City.
e. Additional Insured/Certificates of Insurance. Contractor shall name The City of Ashland, Oregon, and its
elected officials, officers and employees as Additional Insureds on any insurance policies required herein but only
with respect to Contractor's services to be provided under this Contract. As evidence of the insurance coverages
required by this Contract, the Contractor shall furnish acceptable insurance certificates prior to commencing work
under this contract. The certificate will specify all of the parties who are Additional Insureds. Insuring companies
or entities are subject to the City's acceptance. If requested, complete copies of insurance policies, trust
agreements, etc. shall be provided to the City. The Contractor shall be financially responsible for all pertinent
deductibles, self-insured retentions and/or self-insurance.
17. Governing Law; Jurisdiction; Venue: This contract shall be governed and construed in accordance with the laws
of the State of Oregon without resort to any jurisdiction's conflict of lawsJ rules or doctrines. Any claim, action, suit or
proceeding (collectively, lithe claim ") between the City (and/or any other or department of the State of Oregon) and
the Contractor that arises from or relates to this contract shall be brought and conducted solely and exclusively within
the Circuit Court of Jackson County for the State of Oregon. If, however, the claim must be brought in a federal
forum, then it shall be brought and conducted solely and exclusively within the United States District Court for the
District of Oregon filed in Jackson County, Oregon. Contractor, by the signature herein of its authorized
representative, hereby consents to the in personam jurisdiction of said courts. In no event shall this section be
construed as a waiver by City of any form of defense or immunity, based on the Eleventh Amendment to the United
States Constitution, or otherwise, from any claim or from the jurisdiction.
18. THIS CONTRACT AND ATTACHED EXHIBITS CONSTITUTE THE ENTIRE AGREEMENT BETWEEN THE
PARTIES. NO WAIVER, CONSENT, MODIFICATION OR CHANGE OF TERMS OF THIS CONTRACT SHALL
BIND EITHER PARTY UNLESS IN WRITING AND SIGNED BY BOTH PARTIES. SUCH WAIVER, CONSENT,
MODIFICATION OR CHANGE, IF MADE, SHALL BE EFFECTIVE ONLY IN THE SPECIFIC INSTANCE AND FOR
THE SPECIFIC PURPOSE GIVEN. THERE ARE NO UNDERSTANDINGS, AGREEMENTS, OR
REPRESENTATIONS, ORAL OR WRITTEN, NOT SPECIFIED HEREIN REGARDING THIS CONTRACT.
CONTRACTOR, BY SIGNATURE OF ITS AUTHORIZED REPRESENTATIVE, HEREBY ACKNOWLEDGES THAT
HE/SHE HAS READ THIS CONTRACT, UNDERSTANDS IT, AND AGREES TO BE BOUND BY ITS TERMS AND
CONDITIONS.
19. Nonappropriations Clause. Funds Available and Authorized: City has sufficient funds currently available and
authorized for expenditure to finance the costs of this contract within the City's fiscal year budget. Contractor
understands and agrees that City's payment of amounts under this contract attributable to work performed after the
last day of the current fiscal year is contingent on City appropriations, or other expenditure authority sufficient to allow
City in the exercise of its reasonable administrative discretion, to continue to make payments under this contract. In
the event City has insufficient appropriations, limitations or other expenditure authority, City may terminate this
contract without penalty or liability to City, effective upon the delivery of written notice to Contractor, with no further
liability to Contractor.
20. Prior Approval Required Provision. Approval by the City of Ashland Council or the Public Contracting Officer is
required before any work may begin under this contract.
21. Certification. Contractor shall sign the certification attached hereto as Exhibit A and herein incorporated by
reference.
CONTRACTOR
BY ~~~Q--
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Print Name
CITY OF ASHLAND:
BY
~
TITLE
;o/f.6SI()~ r
DATE
//
FederallD#
// /3/08"
V I oS?' 3 enS-
CONTRACT AWARD AND INDINGS DETERMINED BY:
By:
I t
City Department Hea Date:
ACCOUNT # '1 ?' t? ~ ( 'f)C t:/
ca
DATE
Completed W9 form must be submitted with contract
PURCHASE ORDER # G/ g 6 :2. 7
Contract for Goods and Services Less than $25,000, Revised 06/30/2008, Page 3 of 9
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EXHIBIT A
CERTIFICATIONS/REPRESENTATIONS: Contractor, under penalty of perjury, certifies that (a) the
number shown on the attached W-9 form is its correct taxpayer 10 (or is waiting for the number to be
issued to it and (b) Contractor is not subject to backup withholding because (i) it is exempt from
backup withholding or (ii) it has not been notified by the Internal Revenue Service (IRS) that it is
subject to backup withholding as a result of a failure to report all interest or dividends, or (iii) the IRS
has notified it that it is no longer subject to backup withholding. Contractor further represents and
warrants to City that (a) it has the power and authority to enter into and perform the work, (b) the
Contract, when executed and delivered, shall be a valid and binding obligation of Contractor
enforceable in accordance with its terms, (c) the work under the Contract shall be performed in
accordance with the . rofessional standards, and (d) Contractor is qualified, professionally
competent and duly lice ed to perform the work. Contractor also certifies under penalty of perjury
that its business is not in iolation of any Oregon tax laws, and it is a corporation authorized to act on
behalf of the entity desig ated above and authorized to do business in Oregon or is an independent
Contractor as defined in he contract documents, and has checked four or more of the following
criteria: ~
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(1) I carry out the labor or services at a location separate from my residence or is in a
specific portion of my residence, set aside as the location of the business.
(2) Commercial advertising or business cards or a trade association membership are
purchased for the business.
(3) Telephone listing is used for the business separate from the personal residence listing.
(4) Labor or services are performed only pursuant to written contracts.
(5) Labor or services are performed for two or more different persons within a period of one
year.
(6) I assume financial responsibility for defective workmanship or for service not provided
as evidenced by the ownership of performance bonds, warranties, errors and omission
insurance or liability insurance relating to the labor or services to be provided.
~~~
Contract
/1/3/~?
(Date)
Contract for Goods and Services Less than $25,000, Revised 06/30/2008, Page 4 of 9
Fo~ W-9
(Rev. Odober 2007)
Depaltmenl of the TrealUY
Internal Revenue Service
Nam. shown on your income tax re m)
Request for Taxpayer
Identification Number and Certification
Give form to the
request.r. Do not
send to the IRS.
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Enter your TIN in the-appropriate box. The TIN provided must match the name given on Une 1 to avoid
backup withholding. For individuals. this is your social security number (SsN). However. for a resident
'allen, sol.& proprietor, or disregarded entity, see the Part I instructioos on page 3. For other entities, it is
your employer Identification nUmber (EIN). If you do not have a number, see How to get a TIN on page 3.
N.ot.e. If the account is in more than one name, see the chart .on page 4 for guidelines on whose
n!Jmb~ to enter.
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 lTie)~ and
2. I am not subjeCt to baQkup withholding because: (Ei) I am e)(empt from backup withholding. or (b) I have not been notified by the Internal
Revenue Service (IRS) tl181 I am subject 10 backup withholding as a resultofa failure to report all interest or dhilderids,or (e) the IRS ha~
no~ified me tha,t I am no longer subject to bacl<up withholding, and
3. [am a U.S. citizen or other U.S. p~son (defined below).
Certlfl~catlon Instructhms. You must cross out item 2 above if you have been notified by the [RStnat you are currentlysubjed to backup
withhoiciii"lgbecause you have failed to. report aU intEirest and dividends 'on your tax return. For real estate transactions; item 2 does not apply.
For mortgage interest paid, acquisition or abandonment of seoured property.. cancellatioo of debt, contributions to an individual retirement
arral10ement (IRA), and,generally; pa~el'\ts other than interest and diVidends, you ar& not required to sign the Certification,. but .you must
proyi,de your Correct TIN. S~ th~ inst dions-on page 4.
Taxpayer Identification Number (TIN)
O Exempt
pllyee
Requester's name and addreea (optiona~
1 Social ..eu~ numi'
or
Sign
Here
General InstructiOns
Section references are..to the Internal Revenue Ood~ unless
pth$rwise noted. .
Date .
Purpos~ of Form
A perso.n who is required to file. an information return with the
IRS must obtain your cOrr~t taxpayer identification number (TIN)
to report, for example~ income paid to you, real estate
transactions. mortgage interest -you paid, acquisition or
abandonment of secured property, cancellation of debt, or
'contributlons you made to.an IRA
Use FormW-9 only If you are a U.S. person (including_ a
resident alien), to provide your correct TIN to the person
requesting it (the requester) and, when applicable, to:
1. Certify that the llNyou are gIVIng is correct (or you are
waiting for ,a number to be iS$ue~),
2. Certify that you are not subjeCt to backup withholding, or
3. Claim exemptionJrom back.!JPwlthholding if you are ~.U.S.
exempt payee. If applicable. you are also CQrtifying that ,as a
U.S. person, your allocable share of any p~nership income from
a U.S. trade or business. Is not subject to the withholding tax on
foreign partners' share of effectiv~y connected income.
Note. If a requester giv'es you a form other than Form W-9 to
request your TIN. 'you must use_ the requester's form if it is
substantially similar to this Form W-9.
DeftnnJon 01 a U.s. pers_on. For federal tax purposes, you are
considered a U.S. person if you are:
. An individual who is a U:S. citizen or U.S. resident alien,
. A partnership, corporatiOn. company, or association created or
orgailiZE!d in the United states or under the laws of the United
States,
. An estate (other than 'a foreign estate), or
. A domestic trust (as defined in Regulations' section
301 .7701-7).
Special rule, lor partnershiPs. Partnerships that conduct a
trade or business in the United States are generally required to
pay a withholding tax on any foreign partners' share of income
from such busin-ess. Further, in certain cases where a Form W-9
has' not been received, a partnership is required to presume that
a partner is 'a foreign person, and pay the withnolding tax.
Therefore, if yo!,! are a U.S. person that is a partrier in ~
~rtnershipconQL!cting a tra~h~ or business in the United,States,
provideFam W-9Oto the partiiElrShip to establl.sh your U:S.
status and avoid withholding on y.o~r share of partnership
income.
, The per.son who gives Form W..9 to the partnership for
purposes of establishing its U.S. status and avoiding withholding
on :its allocable shar,e of net incorrie from the partnership
cQnducting a trade or business in the United states is' In the
following cases:
. The U.S. owner of a disregarded entity and not the entity.
Cat. No.1Q231X Form W-9(Rev. 1()'2007)
Contract for Goods and Services Less than $25,000, Revised 06/30/2008, Page 5 of 9
----rrr-r- -~--
r~'
C I T Y 0 F CITY RECORDE
ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
Page 1 / 1
r::;-,
VENDOR: 009478
ENGINEERED MONITORING SOLUTION, LLC
20345 SW PACIFIC HWY STE 104
SHERWOOD, OR 97140
SHIP TO: Ashland Public Works
(541) 488-5587
51 WINBURN WAY
ASHLAND, OR 97520
FOB Point:
Tenns: Net
Req. Del. Date:
SPeciallnst:
Req. No.:
Dept.: PUBLIC WORKS
Contact: Pieter Smeenk
Confinning? No
THIS IS A REVISED PURCHASE ORDER
. Siren Maintenance, Per attached
proposal dated AUQust 20, 2008
4,469.00
Contract for Services
Date of aQreement: 10/28/2008
BeQinninQ date: 11/03/2008
Completion date: 02103/2009
BILL TO: Account Payable
20 EAST MAIN ST
541-552-2028
ASHLAND, OR 97520
SUBTOTAL
TAX
FREIGHT
TOTAL
4469.00
0.00
0.00
4,469.00
Ah<~ I/~~
Auth . ed Signature ~
VENDOR COPY
A requ~st 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
Engineeered Monitoring Solutions
20345 SW Pacific Highway Su 104
Sherwood, OR 97140
541-925-1700
541-925-1701
t3arry Myers P. C.
80LICITAnON PROCESS
Small Procurement D Sole Source D Invitation to Bid
[8J Less than $5,000 D Written findings attached (Copies on file)
[8J Quotes (Optional) D Quote or Proposal attached
Coooerative Procurement D Reauest for ProDOsal
D State of ORIWA contract (Copies on file)
Intermediate Procurement D Other government agency contract D SDeCia11 Exemot
D (3) Written Quotes D Copy of contract attached D Written findings attached
(Copies attached) D Quote or Proposal attached
D Contract # D Emeraency
D Written findings attached
. D Quote or Proposal attached
Description of SERVICES
~
Sire () m ~1e ,,~~
Per the attached PROPOSAL
Total Cost
Item # Quantity
Unit
Description of MATERIALS
Unit Price
Total Cost
Project Number 01-24 Hosler Dam Siren System
~ Per attached QUOTE
Account Number 670.08.15.00.604130
* Items and services must be charged to the appropriate account numbers for the financia/s to reflect the actual expenditures accurately.
By signing this requisition form, I certify that the information provided above meets the City of Ashland public contracting requirements,
and the documentation can rovide on req est. \
Employee Signature: Supervisor/Dept. Head Signature: ~:.l ~ ~ ~~
~
G:\pub-wrks\eng\08-45\2008-08-05 Algacide Requisition - PAW - Findings Memo - Contract for 25K merged.doc