HomeMy WebLinkAbout2010-041 Advance Pymt - ODOT - Greensprings Bundle 316
Dregon
Theodore R. Kulongoski, Governor
Department of Transportation
Transportation Building
355 Capitol Street NE
Salem, Oregon 97301
March 17, 2010
Revised
File Code:
City of Ashland
Attn: Terry Ellis
20 East Main Street
Ashland, OR 97520
Subject: 1-5: GREEN SPRINGS HWY (EXIT 14) - BUNDLE 316
Project Number: X-STP-SO-SOOI(036)
EA Number: 31621163
Key Number 16956
Per the Add Work Letter Agreement dated January 29, 2010 The City of Ashland is to deposit
$3,750.00 for the project.
Amount Due
$3,750.00
Please submit your advance deposit upon receipt of this notice. Please return the remittance copy of
this letter to ensure the proper project is credited.
When making your advance deposit please make it based on the key number and not on the project
number. This will allow us to transfer funds from one project phase to another.
If you have any questions concerning this request or plan to use fund exchange, please contact me
at 503-986-3224. Thank you for your prompt attention to this matter.
S incerel y,
~14d-LA-
Colleen Hunter
Program and Funding Services
Colleen.P,Hunter@odot.state.or.us
Attachments
cc: D Larson, Financial Services
Heather I-j:owe
Project File
734.3122/01-03
(Y
~
dvance Deposit Payment Options
a Agency will make their check in the prescribed amount payable to the Oregon
DepartmentofTransportation (ODOT) and send it to:
Oregon Department of Transportation
Financial Services
Attention: Cash Receipts Technician
355 Capitol Street NE, Room 434
Salem, Oregon, 97301-3872
Option 2 - Letter of Credit
The Local Agency will obtain an irrevocable letter of credit from a bank, savings bank, trust
cDmpany or savings association, and send it to:
Oregon Department of Transportation
Program & Funding Services
Attention: Colleen Hunter
355 Capitol Street NE, Room 212
Salem, Oregon, 97301-3872
Note: The Local Government share of the estimated cost must at all times be covered by some
form of advanced deposit. We may ask the Local Government to extend a letter of credit upon its
expiration, or they may choose to replace the balance of an expired letter of credit with either
cash or a deposit in the Local Government Investment Pool.
Option 3 - Local Government Investment Pool (LGIPl
The Local Agency will wire the prescribed amount from their bank to the State Treasurer's Office
for deposit in the Local Government Investment Pool. The Local Agency will furnish ODOT
Highway Program Office with an irrevocable limited power of attorney, and a letter of
confirmation of deposit of funds (sample attached). The letter of confirmation must include:
1. LGIP account #
2. Agreement #
3. Project #
4. Dollar amount of the funds deposited
5.' Specifically state the funds have been deposited for ODOT withdrawal
6. Name of the project the funds are being deposited for
7. Authorized signature of Local Agency
Send to:
Oregon Department of Transportation
Program & Funding Services
Attention: Colleen Hunter
355 Capitol Street NE, Room 212
Salem Oregon, 97310-3872
The Local Agency will receive the interest, which is credited daily and posted inonth1y.A
monthly statement will be furnished by the State Treasurer, showing transactions and accrued
interest.
Sample Confirmation Letter of LGIP Deposit
Attention: Accountant Technician
ODOT
Program and Funding Services
355 Capitol Street NE, Room 212
Salem, OR, 97301-3872
RE: Deposit to LGIP account #=
(Name oflocal agencv)
(LGIP) account #XXXX
made a deposit into the Local Government Investment Pool
, for ODOT to withdraw against for:
Project Name:
Project #:
Agreement #:
Amount transferred:
xvz proiect
=(xxx)
xxxxx
$xx.xxx
S~e-
Name of signer authorized by Local Agency to release funds to ODOT
Title of signer
Address
Phone
Fax
Email
IRREVOCABLE
LIMITED POWER OF ATTORNEY
LOCAL GOVERNMENT INVESTMENT POOL
, hereby appoints the Investment Manager
of Oregon State Excess Fund, as attorney-in-fact for it, and said officer shall have the
Power of Attorney to negotiate transfers to the Oregon Department of Transportation and
delivered to said officer by either the Chief Financial Officer or Staff delegated the
authority for the .SJate of Oregon, for the purpose of depositing the proceeds of such fund
transfers to the account of the Oregon Department of Transportation, with the Oregon
State Treasurer,
,has deposited with the State of Oregon Investment
Pool the sum of $ in Account No. . The purpose of
this deposit is to create a fund from which to pay its share of the cost of certain
improvements to be made in connection with
This document authorizes the Chief Financial Officer ofthe Oregon Department
of Transportation to draw, or delegate the authority to draw, on the account to pay project
costs. The signature of the State upon a voucher in a form acceptable to the custodians of
the State Investment Pool shall constitute proper authority for the withdrawal of money
up to the amount of the deposit identified above.
The authorized signatures shall be furnished by the Chief Financial Officer of the
Oregon Department of Transportation to the State Treasury Department.
The local agency can withdraw interest earned by this account, as it deems
appropriate.
The local agency, by approval of individual County/State or City/State project
finance agreements, delegates authority to the Administration Manager, or duly appointed
representative, to execute appropriate fund transactions.
By the power vested in the Administrative Manager, this Power of Attorney is authorized
by ,this day of .20_
Approved by:
Title:
Date:
Department of Transportation
Hight of Way Section
355 Capitol Street NE, Room 420
Salem, OR 97301-3871
503.986.3600
Fax 503.986.3625
'n)('C(lom R Kulongr.l.4.i., G(1\1~mor
January 29, 2010
City of Ashland
AlIn: Terry Ellis, Public Works Superintendent
20 East Main Street
Ashland, OR 97520
SUBJECT:
PROJECT:
KEY#:
Add WDrl< Letter Agreement
1-5: .GREEN SPRINGS HWY (EXIT 14) - BUNDLE 316
16956
This letter serves as an agreement between the City of Ashland and the OregDn Depatiment of Transpmiation
(000'1') for utility relocation work that is to be added to the above tilled Oregon TranspDrtation Commission
project. This agreement sets fmih the provisions for including utility work into an ODOT contract.
For lhe ulility work included in the above mentioned project, the City of Ashland will be respDnsible for paying
100% of the relocatiDn/installation costs as requested in a letter from the City of Ashland on January 14, 2010.
The estimated cost to aecDmmDdate tbe City Df Ashland reloeationwDrl< is shDwn below:
Item DeseriptiDn Item Code Unit Quantity Esth1l3 ted Cost Split CDst
Unit Price %
REMOVAL OF 0310-
STRUCTURES AND 0106000A LS I $750.00 100 $750.00
OBSTRUCTIONS
ADJUSTING BOXES 0490- EA 5 $200.00 100 $1,000.00
0100000E
MINOR ADJUSTMENT OF 0490- EA I $500.00 100 $500.00
MANHOLES 0120000E
WATERLINE CAP 0490. FT 30 $50.00 100 $1,500.00
9Z90000F
TDtal $3,750.00
With regard tD the payment of funds, the Oregon Constitution states that the' revenue collected from taxes on mDtor
vehicle use and fuel are used exclusively for highway purposes. Highway trust funds cannDt be utilized for non-
highway purpDses, i.e., non.reimbursable utility work. Therefore, funds covering the cost Df non-highway
construction must be deposited with the agency administering the Ilighway constmctiDn contract in advance of the
actual construction. Since ODOT will administer the contract for this project, the City of Ashland will be required
to make a depDsit ofmDnies to ODOT for the non.reimbursable work included in the cDntract.
At this time, no payment of fnnds is due. A letter will be sent by our Highway Program Office, prior to the bid
opening, requesting the abDve stated payment. Please note that the bid CDsls could vary substantially from the
estimated costs. YDU shDnld be advised tbat tbe exeeutiDn of this agreement means that the nDn-reimbnrsable
utility wDd, eanuDt be removed frDIll ODOT's cDnstructiDn contract, even if the cost of the bid items exceeds
'1
i
I
I
i
, .
Key # 16956 Letler of Agreement
January 29. 2010
the estimate. The City Df Ashland will be l'espDnsible fDI' paying its entire share Df the charges fDr the ahDve
WOI'I<.
When cOl1stmctiDn has been completed, verification' will- be made of the expenditures involved in the ODOT
contract. The City of Ash]and will be billed for any costs t1l!it exceed the bid amollut, or a refund will be issued for
any excess funds that were collected.
The City Df Ashland is required to pay actual costs as per 23 CFR 645.]]7 (Code of Federal RegulatiDns). To view
the awarded contract bid prices, precede to
http://www.oregon.gov/ODOT/CS/CONSTRUCTION/Bid iI. ward .shtml.
Iflhe tenns set forth above are acccplable to the City of Ashland, please sign in the space provided on the fDlIowing
page and I'etul'll the original tD this Dffiee by February 5, 2010. Tfyou have any questions, please do I1DI hesitate
to contact me at 503-986-3658.
Si7Gbh\ ~h'~
Heather Howe
State Ulility Liaison
355 Capitol St. NE
Salem, OR 9730l-387t
Cc: Guy Johnson, OBDP Utility Coordinator
Oavid Gies, Wastewater Supervisor
Tell")' Oldfield, Water Quality Supervisor
I
I
,
Page 2 Df3
, .
Key # 16956 Letler of Agreement
January 29,2010
By signing this letter agreement, you agree to the conditions of the letter and acknowledge that the City of Ashland
is responsible for the cost of the non-reimbursable utility work The City of Ashland will compensate OOOT for
that portion of non.reimbursable utility work added to ODOT's contract, including any administrative CDsls OnOT
incurs that are associated with the work
Print name and title of the authorized the City of Ashland representative then sign and date as provided
below.
APPROVED:
Name
!:I ' "_ ,...
Y;')7ZWW L/M.. I Lul€t3o:.ec,
Signature
~~~
Title
hJf}FtNC<€.. .D//2..f:. "-/'Z'I(..
2-1 r/z.-<> I ()
Date
\
Page 3 00
CITy RECORDER
Page 1/1
~~,!
CITY OF
ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
llli~j;0ATE~lt):1tJ1i
4/16/2010
iiill.'iiI:!OoNUMBER.\lIIU,
09509
VENDOR: 001104
OREGON DEPT OF TRANSPORTATION
355 CAPITOL STREET NE RM#434
SALEM, OR 97301
SHIP TO: Ashland Water Department
(541) 488-5354
90 N MOUNTAIN
ASHLAND, OR 97520
FOB Point:
Tenn.: Net
Req. Del. Date:
Special Inst:
Req. No.:
Dep!.:
Contact: Terry Ellis
Confinning? No
~~1IIli'iiTi1ilI ~~<f!~~jtJ,t'!!F~~'i't1ll:Uiiit'P.rii:.;~~P.'f~1t
ADVANCE PAYMENT (Deposit) 3,750.00
1-5 - Green Springs Hwy (Exit 14)
Bundle 316
Project Number: X-STP-SO-S001(036)
EA Number: 31621163
Key Number 16956
Per Add Work Agreement dated
January 29,2010
SUBTOTAL
TAX
FREIGHT
TOTAL
3750.00
0.00
0.00
3,750.00
31LL TO: Account Payable
20 EAST MAIN ST
541-552-2028
ASHLAND, OR 97520
_...ccount!NUriiIiii, - BP.i'"oTeCtTNU~ IIillIB'Amounl_ lIf"'ccouiit1Numtier_ "'P.rojec!lNiffiilier,!
E 670.08.18.00.70410 3250.00
E 675.08.17.00.70410 500.00
Amount!iR
.di;( ...%
-~%~o
Au Ized Signature
VENDOR COPY
D Exemot frDm Comoetitive Blddina D Invitation tD Bid (CDpies Dn file) D Emeraencv
ReasDn fDr exemptlDn: D Written findings attached
D QUDte Dr PrDpDsal attached
D Small Procurement & PersDnal Services D Reauest for ProoDsal (CDpies Dn file) CooDerative Procurement
Less than $5.000 Please check Dne: D State Df OregDn
NDte: TDtal cDntract amDunt, including any D GDDds & Services CDntract #
amendments may nDt exceed $6,000 D PersDnal Services D Slate Df WashingtDn
CDntract #
Intermediate Procurement D SDle SDurce D Other gDvernment agency contract
GOODS & SERVICES D Wrillen findings attached Agency
$5.000 tD $75.000 D Quote Dr PrDpDsal allached ~tract#
D (3\ Written Quotes Interagency~~. 8 p
PERSONAL SERVICES D Soeclal Procurement
Agency
CDnlract# d t:U...~ a~I""U!d'.....".
$5.000 to $75.000 D Written findings attached.
D (3) Written PrDpDsals D QUDte Dr PropDsal attached UJ AYU2r S~eL-'"
I FORM #10 I
.-,r.....'., ..~1'Of'I\".....,;""T"....-:"7~ '.', , __"I'd""_",, ..r'...~;-.,___h':C.~~~,.,~-:::"':''''._~_............,~"c,-r:-;':''~....,...,.~, .,1
G"'0NmUem~~p;eROV/~~:IRE::"IJjEsm,r:FO'RM
t:~..j,s:t~'tt.-;~,:... ,.I""'-~"-""'~\_+'_f~,:;;';:;.:XL~.b::..';:';';":'~b~~1 ;,",.., '''.~. I
Description of GOODS & SERVICES or PERSONAL SERVICES
ContractDr/CDnsultant: tJ ~ .
~ #= t9fr:?"6J.'1
~er attached cDntract
PUBLIC CONTRACTING REQUIREMENTS - Solicitation Process
Have all public cDntractlng requirements been satisfied?
V'
YES
If "NO', CDuncil approval is required. CDuncil approval received Dn
CITY OF
ASHLAND
Total Amount
.....--11
NOC.r-?" t7r7~d-)
(Date)
Have funds been budgeted fDr the purpDse Df this cDntract?
..----
NO
YES
If "NO', CDuncil apprDval is required. CDuncil approval received Dn
(Date)
Please provide: Account Number
-
-- -- ------
Is the amDunt Df the cDntract less than $25,OOO?
........--
YES
NO
...---
If "NO', Legal review is required. CDntract was "Approved as tD fDrm" by the Legal Department Dn
(Date)
Is the amDunt Df the cDntract less than $75,000 for GDDds & Services
Dr $50,000 fDr PersDnal Services?
YES
NO
(Date)
AI;A ~
04tJr~
(Date)?/! N~
c.u-" ..y !::-
If "NO', CDuncil approval is required. CDuncil approval received Dn
Is the contract for a periDd Df 24-mDnths Dr less?
YES
~
If "NO', CDuncil approval is reqU~DUnCil approval received Dn
Prepared by: V.,.... ~. Pleas. Circl.~pprDved NDt ApprDved
Department: - ~ ~ h~'(' #'tjl. ~ ~
_ 1" Lee Tuneberg .
Date: tJ~ ~I G ~( t/ Date: Wtli)
If "NO', CDuncil approval is required. Council apprDval received Dn
Please provide terms:
Start date:
CDmpletiDn date:
Can the cDntract be terminated fDr cDnvenience thirty (30) Dr fewer days
fDIlDwing delivery Df written nDtice tD the cDntractDr? YES
/
NO
NO
(Date)
FDrm #10 - CDntractApproval Request FDrm, Page 1 Df 1, 4/16/2010
Arequest for a. Purchase Order
REQUISITION FORM
CITY OF
ASHLAND
THIS REQUEST IS A:
D Change Order(existing PO #
Date ot Request: 1'9Ai-A:~;~
.
Required Date ot Deiivery/Service: I~. :...:.' ':.;,1
VendDr Name
Address
City, State, Zip
TelephDne Number
Fax Number
CDntact Name
Oi'-e.a""" ~~ Do\-- T('a.I\~flo/*'--I-t;.....
..." c:;-<, c:.. C\f \ , <;\, pC ko","'11 'i
s.....~ 01<.. qy~c \
fr1:f1.J. FII1AnC1Q I S<uul(,l!.j - C.",,~l R..e.c..e..p-h T~t...
SOLICITATION PROCESS
Small Procurement o Sole Source 0 Invitation tD Bid
3-Less than $5,000 o Written findings attached (Copies Dn file)
o QUDtes (Optional) o QUDte Dr PrDDOsal attached
Coooerative Procurement 0 Reauest for ProDosaJ
o State Df ORIWA cDnfract (CDpies Dn file)
Intermediate Procurement o Other gDvernment agency contract 0 Soecial f Exemot
o (3) Written QUDtes 0 CDPY Df contract attached 0 Written findings attached
(Copies attached) 0 QUDte Dr Prooosal attached
0 Contract # 0 Emeraencv
0 Written findings attached
0 QUDte Dr Prooosai attached
Description of SERVICES
~ A-cW. (...lark.. 4~~
(Q..f: 1~5 DucC~,> ~~ Is~ ..........'0
.
(/ M
o Per altached PROPOSAL A tfl4t.. t!.e
~.
~
..;.C:tJ-
Item # Quantity
Unit
Description of MATERIALS
Unit Price
Total Cost
o Per altached QUOTE
Project Number ______.___ ::! <<'3,..Sb....
&7o.oe. ,119.00. 7041.:l~
AccDunt Number<:>?S::. ~EL .1]_ .~,-::?~j lOC -= I .:,"00.....
. Ilems and services must be charged to the appropriate accounl numbers for Ihe financials to reflect Ihe aclua/expenditures accurately.
. By signing this requisition form, / certify that the information provided above meets the City of Ashland public contracting requirements,
and the documentation can be provided upon request.
Employee Signature:
SupervisorlDept. Head Signature:. ~ c...., 00&
G: Finance\Procedure\A.P\Forms\8_Requisition form revised
Updated on: 4/15/2010