HomeMy WebLinkAbout2010-033 Contract - Rogue Valley Electric
CiTY RECORDER
Page 1/1
~~,
CITY OF
ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
~DATE~('i'!l',!
4/6/2010
~p.o1NOMBERil'IM.
09490
VENDOR: 001699
ROGUE VALLEY ELECTRIC
PO BOX 475
PHOENIX, OR 97535
SHIP TO: Ashland Electric Department
(541) 488-5354
90 N MOUNTAIN
ASHLAND, OR 97520
FOB Point:
Terms: Net 30 days
Req. Del. Date:
Speclallnst:
Req. No.:
Dept.:
Contact: Dave Tygerson
Confirming? No
F~Quanti ~ !funit~ ~~~~!-i1~~~~~t&Jl~Jf~gu3'~fbescrr~'iiOii1E,'f'~~'~~,f~~j~~r~~~~~&~-iir~t~;lr~,!f ~n~;Uiiif~~ ~Ext~P.rice~
Electrical contractor to provide
services on an on-call as needed basis.
Hourly rate: $61.50/Per hour, See
contract and proposal for additional
information.
5,000.00
Contract for Services
Beginning date: April 5, 2010
Completion date: May 31,2010
Insurance required/On file
BILL TO: Account Payable
20 EAST MAIN ST
541-552-2028
SUBTOTAL
TAX
FREIGHT
TOTAL
5 000.00
0.00
0.00
5,000.00
ASHLAND, OR 97520
_Accouiii1Niiiiioer - ~j~" ~Amount_ _A'ccountlNum~eiBI ~p.rojectlNiiiii~er_
E690.11.18.00.60410 5000.00
~ ..,:l.-. .e""g- ?7:~
Au orlzed Signature
VENDOR COPY
I FORM #10 I
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CONTRACT APPRO"AL ftEQl!JEST.i;oRM
t ".;, -',:,_,' -.--'--,.il' .' .~. _n.-. ., _. ;::"::;:'.- . _ ' - '':': . '. .'_.J
CITY OF
ASHLAND
Description of GOODS & SERVICES or PERSONAL SERVICES
Contractor/Consultant: / /7 . /C' /' ~/? __ . :.
~ tl~ V d--C (l{.../ Y cz. CCA' <!..-r;-r " e....../
G"Per attached contract q ~ c? 0
PUBLIC CONTRACTING RE UIREMENTS - Solicitation Process
D Exemot from Comoetitlve Blddina D Invitation to Bid (Copies on file) D Emeraencv
Reason for exemption: D Written findings attache<!
D Quote or Proposal attached
Cooperative Procurement
D State of Oregon
Contract #
D State of Washington
Contract #
D Other govemment agency contract
Agency
Contract #
D Interagency Contract
Agency
Contract #
D Small Procurement & Personal Services
Less than $5.000
Note: Total contract amount, including any
amendrilents may not excee<! $6,000
D Reauestlor Prooosal (Copies on file)
Please check one:
D Goods & Services
D Personal Services
Intermediate Procurement
GOODS SERVtCES
500 75000
3 Written Quotes
PERSONAL SERVICES
$5.000 to $75.000
D (3) Written Proposals
D Sole Source
D Written findings attached
D Quote or Proposal attached
D
D
D
Soeciat Procurement
Written findings attached
Quote or Proposal attached
Have all public contracting requirements been satisfied?
YES
If "NO", CDuncil approval is required. Council approval received on
v-----
Total Amount
NO
(Date)
Have funds been budgeted for the purpose of this contract?
YES
NO
If "NO", Council approval is required. CDuncil apprDval received on
~
(Date)
Please provide: Account Number - - - -
Is the amount of the contract less than $25,0~0~ - - - - - - - - Y~~ - ~
NO
If "NO", Legal review Is required. CDntract was "Approved as to form" by the Legal Department on
Is the amount of the contract less than $75,000 for Goods & Services
or $50,000 for Personal Services?
YES
If "NO", CDuncil approval is required. Council approval received on
~
IDate)
NO
(Date)
NO
Is the contract for a period of 24-months or less? YES
If "NO", Council approval is required. Council approval received Dn
.----
Start date:
Completion date:
(Date)
Please provide terms:
Can the contract be terminated for convenience thirty (30) or fewer days
following delivery of written notice to the contractor? YES
~
NO
If "NO", Council approval is required. C "cil approval received on (Date)
Prepared by: ~ &---/ ~Please~ I Not Approved
Department: ~~~ /{ /L";; .-t:. ~ J... r--~
If / j) Lee Tuneberg
Date: (j C '/ - eg. /8 Date: ~/~d
Form #10 - Contract Approval Request Form, Page 1 of 1, 4/812010
t - ,
CITY OF CONTRACTOR: Rogue Valley Electric
ASHLAND CONTACT: Jonathan Robertson
20 East Main Street
Ashland, Oregon 97520 ADDRESS: PO Box 475, Phoenix, OR 97535
Telephone: 541/488-6002
Fax: 541/488-5311 TELEPHONE: 541-488-1937
DATE AGREEMENT PREPARED: 04/02/2010 FAX: 541-512-0530
BEGINNING DATE: 04/05/2010 COMPLETION DATE: Mav 31,2010
COMPENSATION: Licensed Journeyman Electrician; $61.50 per hour, Overtime $92.25 per hour. Regular business
hours: 7:00am to 5:00pm Mondav throuoh Fridav. See attached proDosal dated March 31, 2010.
GOODS AND SERVICES TO BE PROVIDED: Electrical contractor to provide services on an on-call as needed
basis for a period of 30-60 davs.
ADDITIONAL TERMS: If more than one Journeyman Electrician is required for the job, prior approval must be
obtained from the Electric DeDartment-Dave Tvaerson, Desk 541-552-2389, Cell 541-951-0387.
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 fuliy 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, inciuding 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 279B.220, 2796.225, 279B.230, 279B.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 resuiting in death), or damage (including loss or destruction) to property, of
whatsoever nature arising out of or incident to the performance of this contract by Contractor (including but not limited
to, Contractor's employees, agents, and others designated by Contractor to perform work or services attendant to this
contract). Contractor shall not be held responsible for any losses, expenses, claims, subrogations, actions, costs,
judgments, or other damages, directly, solely, and proximately caused by the negligence of City.
9. Termination:
a. Mutual Consent. This contract may be terminated at any time by mutual consent of both parties.
b. Citv's Convenience. This contract may be terminated at any time by City upon 30 days' notice in writing
and delivered by certified mail or in person.
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 mav be established bv Citv under anv of the followino
Contract for GOODS AND SERVICES
Contract for Goods and Services, Revised 06/30/2008, Page 1 of 9
,
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
Hi. If any license or certificate required by law or regulation to be held by c'ontractor 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. Oblioation/Liabilitv of 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.710, 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 assi9nment 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 QRF status pursuant to
the QRF Rules or loses any license, certificate or certification that is required to perform the work or to qualify as a
QRF if Contractor has qualified as a QRF 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 Enter one:
$200,000, $500,000, $1,000,000, =;mrnpr Not Applicable for each occurrence for Bodily Injury and Property
Damage. It shall include contractual la iljty coverage for the indemnity provided under this contract.
~c Automobile Liabilitv insurance with a combined single limit, or the equivalent, of not less than Enter one:
200,000 $500,000, $1,000,000, or Not Applicable for each accident for Bodily Injury and Property Damage,
inc u in coveraoe for owned, hired or non-owned vehicles, as aODlicable.
Contract for Goods and Services, Revised 06/30/2008, Page 2 of 9
d. Notice of cancellation or chanae. 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 laws, rules or doctrines. Any claim, action, suit or
proceeding (collectively, "the 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 Councilor 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 CITY OF ASHLAND:
BY
beN=
BY
TITLE
O\.U (\€J.f
DATE
DATE
~'I\ till 2Dlu
CONT
By:
FederallD#
C\"b- \'2"be2l"?)
ACCOUNT #
'Completed W9 form must be submitted with contract
FINANCE OR
..; / 7. ~/o
ARD AND. FF~I ItN~ERMINED BY;
~~U.~
City Department Head Date:
- 8 - dc:J (0
64'ell I ~ rfld 6t:'Nlr~-C)
(For City purposes only)
PURCHASE ORDER #
o Cf-tJclO
Contract for Goods and Services, Revised 06/30/2008, Page 3 of 9
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 ID (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 highest professional standards, and (d) Contractor is qualified, professionally
competent and duly licensed to perform the work. Contractor also certifies under penalty of perjury
that its business is not in violation of any Oregon tax laws, and it is a corporation authorized to act on
behalf of the entity designated above and authorized to do business in Oregon or is an independent
Contractor as defined in the contract documents, and has checked four or more of the following
criteria:
.1-
+
(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.
~H\ (2hJk
Contr tor
~/~I/o
( ate)
Contract for Goods and Services, Revised 06/30/2008, Page 4 of 9
po,," W-g
(Rev. October 2007):
"Dai;l;mmel1t of the T~'~.
Intefi'lal Reven;eSefvlee
Name (as. shown on-your income tax return)
. ." . .
Requ;est for Taxpay~r
Identification Number and Certification
~k appropriate box:; 0 Individulll/Sole proprietor 0 ,Corporation 0 Partnerel'lp
~] Umited liability eompBriy. Enter the tax ClassifiCation (D=disregard8d entity. C=corporatfcin, P::partnership)..... hC~_
o Other(6eejn$lTuC~Ql&)....
Add:r~-(numbar.-.street, and t. or &Uite nO:1
o
Entl;lr-your~IN'in the:app~oprtat~ bo?,. The 'TIN proVided must match th~ ~?lT!a,grven on Una 1 t~ avoid
backup withholding. fOr indivlduals, this is your social security numbsr;(SSN). However; for's resident
alieni sole proprietor, or sfisregarded"orrt1ty. see the Part llnstfuctJonsoti page 3. For other entities, It is
your employer identifioation number (EIN). If.you do not have a number, seeHow to get a 17N oil,page 3,
Note', If the accouirt!s in more tftill1' one n'ame, see the' chart on page. 4 for. guIdelines on whose
mn:nQ~r to' enter.
CertificatiOn
Under penalties of perjury, I certify that
1. The number shown on this form is my c()(rect t~ayer Identification number (or I am Waiting_ for a:nuinber to be_issued to me), and
2-. I am n,()t.subje~'to backup' Withholding 'b'ecllus"e: (a) I ,_am ex"empt_ from backUp ,~ithholdhig, or (b) I have not been notified by the Internal
A~ve_~ue Servi,c;:e (iA~) th'!!~ I :~m .subjf)ct ~<? b,~ck~p WithholdilJ_9 ~s a result of ,a fallu,ra'to report all,inter'est or- div!de'nds",~r (c) 'he !RS has
notified me t!lat I am.no lorlge,r suoJec~.,to' backyp wlthlloldfng, and
3~ I ~m a U.S, citizen or other u.s. person ~deflned below),. _, . ,', .
CertlflcatJon Instruc1lon~. You~ust cross:out)tem 2 above If )'ou have been notified by ,the IAS'.that you are' currently subject to backup .
withholding-because you have failed to:report aU interest and dividends:onyour tax retum. For real estate transactions, item~2ldoes not-apply.
For mortgage interest paid, acquisition or abandonment of secured property, caricellation of debt; contributions ta'-an individual retirement
.arrangem'ent (IRA), and generally, paymen_t,s other than Interestand dividends, yOU are not required to sign ttie. C~fication, but you must
p'rovid~ you~ ca-rect TJN.-Se~ the hl.s.tructlons on p~ge 4. ".
Deflnltfon 01 a U.S" person. For federal taX p'urposes, y,oiJ are
consIdered a U.S. person if y'ou are:' .' . , .
. An In~:nvl<;t.ual who is ~. u.s. citizen C!r U:S. resident allen,
. A partnership, corporation, company, or asspclatlon created or'
organized In the United states or 'under the laws of the United
states, .
. An estate' (other tha.-~ ~ for,eign e'st~te), .or
. A dornastlctrust (as defined In' Regulations section
301.7701-7). ..
special rulosfor partners.hlps; Pa_rtnerships that conduct a
trade or business-in the United states are generally re_quired to
pay a withholding tax on.any .foreIgn partners' share of Income
from such business, Further, In certain"cases wtiere a Form W-g
has not been receIVed, ,a partnership Is required to preslJmethat
a, partner Is II foreign person, and pay the withholding t~.
.Theref9l",e.. if you Elr.e a U.R person'that Is a partner In' a
partnership conducting a trade or busIness in the United states,
provide Fbrm W-9.'to the partnership to establish your U.S.
status and avoid withholding on your share of partnership
Income. ' .
The person who gives Form W-g 'to the partnership for
purposes of establishIng ns U.S. status and avoiding withholding
on .Its.allacable sh,are.of net Income from the partnership
conducting 'a trade_ or busIness In the United States Is, in the
f<,JlIowlng cases: .
.' The U.S. owner Of a,dlsregarded entity and not the entity,
Cat. No. 10Zl1X FOfITI W..9 (Rev. 10-2007)
oj
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Taxpayer Identification Number IN
Sign
Here
SignB~-,of
'U.8. ptlnilon"
~eneral h'lstructioris
.Sectlon references are,fo the Ihternal Revenue Cooe unless
_otharwise noted. .. . , , .
I?urp.ose of FQrm
A per:s-c:>:r who Is required to. file 'an InfOrmation return with the
IRS must obtain your correct'taxpayer ldentifipation number (TIN)
to. repart, for example, Jr:tGorna paid to. you, real estate
transactions, mortgage interest you paId, acquIsition or
abandonment of secured propi?rty, cancellation of debt, or
contributions'you made to an IRA
.Use Form W-9 only jf you are a u.s. person Qnciuding a
resident alien), to. provide, your correct. TIN to the person
requestIng It (the requester) and, when applicable, to.:
'1. OertifY. that the TlN you are giving is' cOrreet (or you are
waitIng. for a number to be lssue~);
2; Certify that you are f1~t s.ubject to backup with!ioldlfl9, or
3. Claim .exemptlon fr9rT1 ba9kuP withholding if you are a U.S.
exempt payee. If applicable, you .ve also, C9_rtifylng that as a_
U.S. person, your allocable share of ariy partnerShip income from
a U.S.' trade or business Is not subject to the withholdIng tax on
foreign' partners' share of effectively ,connec~ed:income.
Noto. If. a requester gives you a form other than Form W.9to
request your TIN, you must uSa the req'l!6$t;er's form if it l!;i
substahtfally sImilar to !his' Form W.g. "
Contract for Goods and Services, Revised 06/30/2008, Page 5 of 9
Give form to'the
~-quester. 06 not
.send to' the IRS.
o ~einpt
~ee
Requester's nllme and address (optional)
I Social 567 Nlmjr
or
Date.~
.=<. Rogue Valley
~~. - -
/i~~, Electric
5enrldq all .,._r elllc.tJ'I~" aeed.
March 31, 2010
City of Ashland
Attn: Scott Johnson
Electrical Superintendent
90 N. Mountain Avenue
Ashland, OR 97520
Re: Proposal for On-Call Electrical Contractor Position
Dear Scott,
Attached is a proposal for the On-Call Electrical Contractor position for the City of
Ashland. We are also attaching copies of licenses and insurance information needed to
retain this position. As you are aware Rogue Valley electric is well qualified and will
provide all needed services of an experienced Journeyman Electrician.
Please feel free to call me if you require any additional information.
Thank you for the opportunity to provide you with this proposal. It is our privilege to
work with you. We look forward to a long and successful business relationship with
the City of Ashland.
Sincerely,
~~
Steve Rouse
Attachments
P.O. Box 475 Phoenix, OR 97535
(541) 488-1937
CCB# 51466
...".. .Rogue Valley
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City of Ashland Electrical Contract Proposal
PROPOSAL: On-Call Electrical Contractor
The following is a proposal to provide the service of On-Call Electrical Contractor for
the City of Ashland. We are confident that you will find that Rogue Valley Electric will
best serve the City of Ashland's need for a journeyman electrician, taking into account
price as well as experience, expertise, product functionality, suitability for this
purpose and contractor responsibility under the requirements of ORS 279B.110. This
proposal contains an introduction to our company, our fees / rate schedule proposed
and our qualifications for this position. Thank you for your time and you may contact
us at the following:
Jonathan Robertson
Steve Rouse
Rogue Valley Electric, LLC
(541) 488-1937 - Office
(541) 621-1734 - Cell
(541) 512-0530 - Fax
P.O. Box 475
Phoenix, OR 97530
irrve@aol.com
CCB #51466
Company Overview:
Rogue Valley Electric is a full-service electrical shop serving the commercial,
industrial, residential and retail sectors. Our office is based in Talent, serving the
entire Rogue Valley and a five minute drive to Ashland. Rogue Valley Electric has
served the City of Ashland's commercial and residential electrical needs for over27
years. We work in all phases of electrical design, installation, service and
maintenance. The Rogue Valley Electric work force consists of licensed, skilled
employees dedicated to providing you with courteous and professional service. We
have been a family owned business in the Rogue Valley for over 27 years. Our
workforce has over 50 years of combined experience.
Rogue Valley Electric is known for our quality of work, on-time delivery and staying
within budget. We take great pride in our work and strive to communicate honestly
and effectively with our clients.
We work hard to establish and maintain long-term relationships.
, .~. Rogue Valley
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City of Ashland Electrical Contract Proposal
Qualifications:
Rogue Valley Electric's qualifications for this position are as follows:
Rogue Valley Electric has available the appropriate financial, material,
equipment, facility and personnel resources and expertise necessary to meet
and exceed all contractual responsibilities per ORS 2798.110 (2) (a). The
company has over fifty years of combined experience. Detailed resumes of our
staff are available upon request. We have financial accounts in excellent
standing and can provide financial references on request.
Rogue Valley Electric has completed previous work for the City of Ashland such
as the electrical installations for Ashland's 911 Emergency Response Center.
We installed critical back-up power and other services while retaining the
essential power needs of the police facility throughout this remodel work. RVE
fulfills the requirements of ORS 2798.110 (2) (b), "Completed previous
contracts of similar nature with a satisfactory record of service,"
Rogue Valley Electrical fulfills all needed licenses and insurance requirements.
Rogue Valley Electric has a satisfactory record of integrity. We meet the
requirements ofORS 2798.110 (2) (c).
, ."".. Rogue Valley
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City of Ashland Electrical Contract Proposal
Fees / Rates:
Electrical Repair jService Contract Rates:
LICENSED JOURNEYMAN ELECTRICIAN - Hourly Cost $
LICENSED APPRENTICE ELECTRICIAN - Hourly Cost $
$61.50
$50.00
per hour
per hour
Hourly Rates - for OVERTIME or AFTER HOURS emergency calls:
. LICENSED JOURNEYMAN ELECTRICIAN - OT Hourly Cost $
LICENSED APPRENTICE ELECTRICIAN - OT Hourly Cost $
$92.25
$75.00
per hour
per hour
Rogue Valley Electric is prepared to provide 24.hour "on call" emergency coverage. Any
calls received outside of our regular business hours of 7:00 am - 5:00 pm Monday-
Friday will be considered an emergency call and will be billed according to that rate.
Overtime is calculated according to the requirements of ORS 2798.020-"Maximum
hours ofIabor on public contracts; holidays; exceptions; liability to workers"; rules.
The overtime rate will only be billed when the hours exceed the guidelines set in the
above mentioned ORS 2798.020 rules.
MATERIALS COST:
Mark-up
15
% (expressed as percentage over cost)
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State of Oregon License
C-Electrical Contractor
Building Codes Division
PO Box 14470
Salem, OR 97309-0404
503-378-4133 .:FAX 503-378-2322
Licensee:' ROQUE VALLEY ELECTRIC LLC .
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License nUinber: 15-151C
Expiration date: 07/01/20 II
Address: . PO BOX 475
PHOENIX OR. 97535
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NON-TRANSFERABLE
Cory Streisinger, Director
Department of Consumer
and Business ServiCC'S
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STREET ADDRESS:
CITY OF ASHLAND TAX REGISTRATION
(FOR REVENUE PURPOSES ONLY)
BUSINESS LOCATION INFORMATION
1007 S PACIFIC HWY
PHONE: (541) 512-0530
OWNER It.iFORMATION ".,', ".", "
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'," ,",;<C'~,;,,;,':: '; ,'/,i",::,;,;.','-",: :" REGISTRATION EXPIRES JUNE 30.
REGISTRATION NO.
BL-002990
NAME: STEVE ROUSE
Barbara Christensen
CITY RECORDERlTREASURER
ROGUE VALLEY ELECTRIC LLC
PO BOX 475
PHOENIX, OR 97535
2010
TO BE POSTED IN A CONSPICUOUS PLACE.
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License Details:
EXPIRATION DATE' 021261~\61o ;\i;(1~\ ""V;dS:<!t;"/f,/,
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ENTITY TYPE: Lj'rtlited.Lia~nilY~oml!iinYl/i;f
.~~~~ ~:~I~~t~~rto~~~'~::;~/~:'';i!!l)",\'j&r;*i; I
M1NIMUM'INSiJRANCE AMOUIilT:'$1 ,000,000""
RMJiiSTEVENWARREN ROUSE
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saifcorporation
400 High Street SE
Salem, OR 97312-1000
Toll Free 1.80o-2~25
OREGON WORKERS COMPENSATION
CERTIFICATE OF INSURANCE
- .
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..
MAil TO:
ROGUE VALLEY ELECTRIC LLC
PO BOX 475
PHOENIX, OR 97535
The policy of insurance listed below has been issued to the insured named below for the policy
period indicated. The insurance afforded by the policy described herein is subject to all the
terms exclusions and conditions of such Dolicv.
POLICY NO.
464166
INSURED:
ROGUE VALLEY ELECTRIC LLC
PO BOX 475
PHOENIX, OR 97535
POLICY PERIOD ISSUE DATE
10/01/2009 to 10/01/2010 10/22/2009
BROKER OF RECORD:
LIMITS OF LIABILITY
Bodily Injury by Accident $500,000 each accident
Bodily Injury by Disease $500,000 each employee
Bodily Injury by Disease $500,000 policy limit
DESCRIPTION OF OPERATIONS/lOCATIONS/SPECIAlITEMS:
All Operations
IMPORTANT:
The coverage described above is in effect as of the issue date of this certificate. It is subject
to change at any time in the future.
This,certificateis issued as.a matter-of.information:only and-confers no rights.to.tne.C6llificate
holder. This certificate does not amend, extend or alter the coverage afforded by the policies
above.
AUTHORIZED REPRESENTATIVE
~r?J>' Jr l<c4d-iJ.-
~
President and CEO
-1-
MELBUR
ACORD. CERTIFICATE OF LIABILITY INSURANCE CSR DB I DATE (MM/DDlYYYYI,
ROGUE10 03/31/10
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Insurance Marketplace, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1998 Skypark Dr Suite 100 ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
Medford OR 97504
phone: 541-779-017? Fax: FAX 772-8235 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: American States Ins. Co. 19704
INSURER B:
Rogue Valley Electric, LLC INSURER c:
Steven W Rouse
PO Box 475 INSURER 0:
phoenix OR 97535
, INSURER E:
COVERAGES
.
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONOmON OF ANY CONTRACT OR OTHEROOCUMENT WITH RESPECT TO WHICH THIS CERTlFlCATE MAY BE ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POliCIES DESCRIBED HERBN IS SUBJECT TO ALL THE TERMS, EXClUSIONS AND CONDmONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. D~
LTR NSR TYPE OFIN5URANCE POLICY NUMBER DATE M DATE MMIODIYY'-- LIMITS
~NERAlllAElIUTY EACH OCCURRENCE $1,000,000
A X X COMMERCIALGENERAlLlABllITY 01-CI-325445-1 02/10/10 02/10/11 PREMISES Ea OCClJrllnce\ $200,000
- W CLAIMS MADE [!] OCCUR MED EX? (Anyone pamn) $10,000
- PERSONAL & ADV INJURY $1,000,000
- GENERAL AGGREGATE $2,000,000
~~AGG~n~LIMIT APrlS :ER: PRODUCTS. COMPtOP AGO $2',000,000
POLICY ~~8r LOC
~OMOBILE UABIUTY COMBINED SINGLE LIMiT $
ANY AUTO (Eaaccldenl)
---1
---' All OWNED AUTOS BOOD..Y INJURY
$
SCHEDULED A1JTOS (Perpel1itMl)
-
- HIRED AUTOS 60DllYINJURY
(Perllccldent) $
----j NON-OWNED AUTOS
PROPERTY DAMAGE $
(Peraccidanl) .
~~GE UABIUTY AUTO ONLY. EA ACCIDENT $
ANY AUTO OTI-lER THAN EA ACC $
AUTO ONLY: AGG $
pESSJUMBRELLA llABIUTY EACH OCCURRENCE $
OCCUR D CLAIMS MADE AGGREGATE $
$
=l DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND lroRlLI~lTS livER'"
EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $
Am PROPRlETORfPARTNERlEXECUT\VE
OFFICERlMEt-I.BER EXCLUDED? E.L. DISEASE. EA EMPLOYEE $
~~~8l'P"FMvl~foN5 below E.L.. DISEASE. POL.ICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS I LOCA.TIONS 1 VEHICLES I EXCLUSIONS ADDEO BY ENDORSEMENT' SPECIAL PROVISIONS
Certificate holder is additional insured per the attached CG7635 02/07
CERTIFICATE HOLDER
CANCELLATION
ASHLAND SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, TKE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRmEN
City of Ashland All Officers NOTICE TO THe CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO so SHAlL
and Employees IMPOSE NO OBUGATION OR LIABIUlY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
90 N Mountain Ave.
Ashland OR 97520 REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
- --------------.------ -.- -.----- --- -.-... ----..-- -----.-------------
ACORD 25 (2001/08)
@ACORDCORPORATION 1988
nAlI.....
A
'CERTIFICATE OF INSURANCE
INSU.AN'\
SUCH INSURANCE AS RESPECTS THE INTEREST OF THE CERTIFICATE HOLDER NAMED BELOW WILL NOT BE
CANCELED OR OTHERWISE TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE
CERTIFICATE HOLDER, BUT IN NO EVENT SHALL THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM
THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE DOES NOT CHANGE THE COVERAGE PROVIDED BY
ANY POLICY DESCRIBED BELOW.
This certifies that: 12] STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois
D STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois
D STATE FARM COUNTY MUTUAL INSURANCE COMPANY OF TEXAS of Dallas, Texas
D STATE FARM INDEMNITY COMPANY of Bloomington, Illinois, or
D STATE FARM GUARANTY INSURANCE COMPANY of Bloomington, Illinois
has coverage in force for the following Named Insured as shown below:
NAMED INSURED: ROGUE VALLEY ELECTRIC LLC
ADDRESS OF NAMED INSURED: 1007 s PACIFIC HWY, TALENT, OR 97540
POLICY NUMBER 058 8869-E16-37B 008 4539-A19-37C 114 3148-Fl5-37 112 3265-D27-37A
EFFECTIVE DATE
OF POLICY 11/16/10-05/16/11 ~ 01/19/10-07/19/10 12/15/09-D6/15/10 10/27/09-04/27/10
DESCRIPTION OF
VEHICLE (Including VIN) 95FORD VAN 96FORD VAN OOCHEVY VAN 89DODGE p/u
LIABILITY COVERAGE 12] YES DNO 12] YES DNO 12] YES DNO 12] YES DNO
LIMITS OF LIABILITY
a. Bodily Injury 100 100 100 100
Each Person
.-
Each Accident 300 300 300 300
b. Property Damage
Each Accident 50 25 25 50
c. Bodily Injury &
Property Damage
Single Limit
Each Accident
PHYSICAL DAMAGE 12] YES DNO 12] YES DNO 12] YES DNO 12] YES DNO
COVERAGES
a. ComDrehensive $ 100 Deductible $ 100 Deductible $ 100 Deductible $ 100 Deductible
12] YES DNO 12] YES DNO 12] YES DNO 12] YES DNO
b. Collision $ 250 Deductible $ 250 Deductible $ 250 Deductible $ 250 Deductible
EMPLOYERS NON-OWNED DYES 12] NO DYES 12] NO DYES i:8JNO DYES i:8JNO
CAR LiABILITY-COVERAGE
HIRED CAR LiABILITY DYES 12] NO DYES i:8JNO DYES 12] NO DYES 12] NO
COVERAGE FLEET - COVERAGE FOR
ALL OWNED AND LICENSED DYES i:8JNO DYES i:8JNO DYES i:8JNO DYES i:8JNO
MOTOR VEHICLES
Signature of Authorized Representative
Name and Address of Certificate Holder
CITY OF ASHLAND
LTCP,AGENT 37-2155 03/31/10
Title Agent's Code Number. Date
Name and Address of AQent
INTERNAL STATE FARM USE ONLY: 0 Request permanent Certificate of Insurance for liability coverage. .
122429.3 Rev. 07-26-2005 0 Request Certificate Holder to be added as an Additional Insured.