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Home My WebLink About2010-106 CONT Addendum - Small Woodland Services ADDENDUM TO CITY OF ASHLAND CONTRACT FOR CONSULTING FORESTER AND FOREST SILVICULTURE Addendum made this ~day of June, 2010, between the City of Ashland ("City") and Small Woodland Services. Inc. ("Contractor"). Recitals: A. On July 1. 2007 , City and Contractor entered into a "City of Ashland Contract for Consulting Forester and Forest Silviculture (further referred to in this addendum as "the agreement"). B. The parties desire to amend the agreement to "extend the date of comoletion". City and Consultant agree to amend the agreement in the following manner: 1. The date for completion is extended to June 30, 2011. 2. Except as modified above the terms of the agreement shall remain in full force and effect. CON~~~~ ~ BY /P'~ CITY OF ASHLAND: BY ~mS:~ ::T e (-{tV . KA-ra...v .5 (Print Name) DATE Date 7-1;). -/0 Funds have been appropriated for this project In FY 2010 and FY 2011. u,;J. '(!';;J-: Fin~nce Director Date: ~ /:30 ~/ l> Purchase Order # 0 ? 1551 A t N ('7().()~. -z..9. #0. (;o'l/6fJ cc. 0.: (For City purposes only) 1- CITY OF ASHLAND, ADDENDUM TO CONTRACT FOR CONSULTING FORESTER AND FOREST SILVICULTURE AC-C;;;U '---" 07 01 10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHOR/ZED REPRESI;NTATlVE OR PRODUCER. AND THE CERTIFICATE HOLDER. : ec;e cae er san ,thepo cyles mu r. ED.su ec 0 the terms and conditions of the policy, certain policIes may require an endorsement. A statement on this certificate does not confer rights to the certfftcate holder in lieu of such endorsement(s). . PRODuceR Protectors Insurance, LLC Pil.o"t Roclc Ins Agency LLC (CA) PO Box 4669 M~dford. OR 97501 Phone:541-773-5358 Fax: 541-772-1906 THIS lS TO CERllFY THAT THE POLICIES OF INSURANCE USTEO BEl.OW HAVE ~~~ ~,UEO TO THE Ir.:sURED NANED N30VE FOR THE POlley PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONomON OF /IN{ CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THe INSURANCE AFFORDED BY TliE POUClES DESCRIBED HEREIN IS SUBJECT TO ALl THe TERMS, EXClUSIONS AND COtlmmONS OF SUCH POlICIES. lIM:TS SHOWN MAY HAVE BEEN REDUCED BY PAID CL.AMS. i'Lr3 TYPE OF INSURANCE INSR wvt POLICY NUMBeR ~ID IMMIDOIVYYV GENERAL UABIUTY f- B f..!.. COI.lMERQAL GENERAL LIABILITY I- :J ClAlMS-MADE ~ OCCUR i CERTIFICATE OF LIABILITY INSURANCE OP 10 SAW SHALL-2 INSURER{S) AFFORDING COVERAGE SAli' Co oration CUSTOME" lD tII: INSURED INSURER A: INSURER B : LHSURER C: INSURER D: INSURER E: INSURERP: fbU,a4elpbia :IDallraraee C:qI, Small Woodland Services 7no Martin L Main 2799 C~ Baker Road Medford OR 97501 .1;..... COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: PGA003000 EACH OCCURRENCE PREMISES(EaDCCU~' MED EXP (Any one per1IOn) PERSONAL & ADV INJUR'f GENERAL AGGREGAlE PROOUCTS. COMPJOP AGO 01101/10 01/01/11 x X Forestr E&O $1mi.l GEN1. AGGREGATE UMIT APPLIES PER: IPOl.<:Yn~ nLOC AUTOM081LE LlA8llJTY l- I- I- BCX F B ~ NON-OlNNED AUTOS PGA003000 07/01/1.0 0.7101/11 01/01/11 01/01111 COMBINED SINGLE uwr . (Eo"""oot) 9OOIlYINJURYlPerpenrcn> $ BOOlI..yIN.ft.JRYlPet~ent;l $ PROP~ OMtAGE (Pe<......"" ANY AUTO AU C70NNED AUTOS SCIiElllliD AUTOS HIRED AUTOS PGA003000 PGA003000 01/01/10 07/01/10 UMBRElLA LIAB U OCCUR - EXCESS LlAB J I CLAIMS-MADE _0EDUC!1Bl.E RETENTlON . A WORKERS COMPeHSATION AND EMPlDYERS"LIABlUTY Y/N NoN PROPRIETORIPARTNER1EXECUT1VET-l 'A ~aER EXCLUOEO? L-l (Mand:lIkorylnNH) ~~g~~ERAnONSbft?w EACH OCCURRENCE AGGREGATE 43.:1'"'' 01101/10 01/01/11 ITORY UMmi I IV.!lt E.L EAOi ACCIDENT ILL. OI~. EA e.lfIL.OVEl EL DISEASE. POleY UMIT DI!SCRlPTION Of OPERATIONS f UX:ATlDHS1VEHICLES ~cb ACORD 10t, AddItIonal Remarks Schedule. WIIIOIW sJllIFIIIs ~_ Per pol~cy endorsement CG2026, it ~s agreed ana understood that the oer't~ricau ho~der is named. as additional insured but only wi1:h respeot. to it.s ~ ahi1ity arising out of 'the activities of the named ~DSUred. CERTIFICATE HOLDER CANCElLA 1l0N ._,,~~. {AIC,No ""'c. UMlTS S 1,000 000 . 100 000 .5 000 .1,000 ODD 51,000,000 .1,000,000 5 . . 5 . 5 . . . " I . 500000 .600000 .500000 CUYASH SHOULD ANY Of THE ABOVE DESCRIBED POLICIES BE CANCB-LED BEFORE THE! EXPIRATION DATE THEREOf, NOTICE WIlL BE OEUWRED IN ACCORDANCe: WITH THE POLICY PROVIStoN!. city of Ashland Ashland rire , Rescue 455 Siak~you Blvd Ashland OR 97520 AUTHOftIZED Ra'Rf:SENTATIVE 1IH1ir 1988-2009 ACORD CORPORATI . All rights reserved. The ACORD name and logo are reglatered marks 01 ACORD ACORD 25 (2009109) i."'. f !/ /: 1'0LlCY NUMBER: PGA002000 COMMERCIAL GENERAL UABIUTY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organlzationls} '.' . .'. ,. '. ,'" , CITY OF ASHLAND Information required to complete this Schedule, If not shown above, will be shown In the Declarations. Section " - Who Is An Insured is amended to In- clude as an additional Insured the person(s) or organi- zation(s) shown in the Schedule, but only with respect to liability for "bodily InJUry", "property damage" or "personal and advertising injury" caused, In whole or in part, by your acts or omissions or the acts or omis- sions of those acting on your behalf: A. In the performence of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 C ISO Properties, Inc., 2004 Page 1 of1 [J ADDENDUM TO CITY OF ASHLAND CONTRACT FOR CONSULTING FORESTER AND FOREST SILVICULTURE Addendum made this 6TH day of Auqust ,2009, between the City of Ashland ("City") and Small Woodland Services, Inc. ("Consultant"). Recitals: A. On July 1. 2007 ,City and Consultant entered into a "City of Ashland Contract for Personal Services" (further referred to in this addendum as "the agreement"). B. The parties desire to amend the agreement to "extend the date of completion". City and Consultant agree t9 amend the agreement in the following manner: 1. The date for completion is extended to June 30, 2010. 2. Except as modified aboye the terms of the agreement shall remain in full force and effect. CONSULTANT: CITY OF ASHLAND: BY ~$k~ BY Its PIP. <; /~j-f;,y ~t1!<//UAZm!jnl~fl..Il$lc Date DATE ,9'-7 -09 ~ <'7--1. - ..1': . 'If. F~nce Directod, 1{//,J d" f . Date: o.q /' ~Af? Purchase Order # Acct. No.:til70. 08. 2Q. DO. &o<lIIRO (For City purposes only) 1- CITY OF ASHLAND, CONTRACT FOR PERSONAL SERVICES <$2S,OOO " ' rz.... 6L--1L~ -ra..-L.Yr-- ~--p Yd'-V~ . Contract for PERSONAL SERVICES d.-'5 S2t",,- ~e.e . . f{YL-.-.~ ~ ~~ CONTRACTOR: .Small Woodland~ Services, Inc. ~ tPrIf r 'r7 (07 .. " CITY Of ASHLAND 20 East Main Street Ashland, Oregon 97\j20 Telephone: 541/488-6002 Fax: 541/488-5311 ' CONTACT: Marty Main ADDRESS: 2779 Camp Baker Road Medford, OR 97501 TELEPHONE: (541 )778-4545 DATE AGREEMENT PREPARED: BEGINNING DATE: Julv 1, 2007 COMPENSATION: Not to Exceed' $75,000 Der fiscal vear SERVICES TO BE PROVIDED: Consulting Forester and Forest Land Silviculture. Services as set forth in the attached scooe of services. n . ADDITIONAL TERMS: This contract may be extended by mutual consent of both parties annually for up to three (3) additional years for a maximum period of five (5) years. FAX: COMPLETION DATE: June 30, 2009 FINDINGS: Pursuant to AMC 2.52.040E and AMC 2.52.060, after reasonable. inquiry and evaluation, the underslgnecj Department Head finds and determines that: (1) .the services to be acquired are personal services; (2) the City does not have adequate personnel nor resources. to perform the services; (3) the statement of work represents the departmenfs plan for utilization of suc:ih personal services; (4) the undersigned Contractor has specialized experience, educl;Ition, training al)d capability sufficient to perform the quality, quantity and type of work requested in the sCope of work within the lime and financial constreints provided; . (5) the Contractor's proposal will best serVe the needs of the City; and. (6) the compensation rmgotialed herein is fair and reasonable. NOW THEREFORE, in consideration of the mutual covenants contained herein the CITY AND CONTRACTOR AGREE as foHows: . 1. Findings I Recitations. The findings and recitations set forth above are true and correct and are Incorporated herein by this reference. ' . . 2. All Costs b]ll Contractor: Contractor shall, at its own risk and expense, perform the personal services described above and, Ulmless otherwisf;l specified, furnish all labor, equipment and materials required for the proper performance of such serv6te. 3. qualified -Work: Contractor has represented, and by eniering into this contract now represents, that all pers<:mnel assigned to Ifhe work required under this contract are fully qualified to perform the service 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, ara so registered, licensed and bonded. . 4. Completloll'Date: Contractor shall start performing the service under this contract by the 'beginning date Indicated above and Qllmplete the service by the completion date Indicatell above. . . 5. CompensaCilon: City shall pay Contractor for service performed, Including costs an.d expenses, the sum specified above. Once work commences; invoices shall be prepare.d and submitted by the tenth of the month for work completed IIIl the prior month. Payments shall be made within 30 days of the date of the invoice. Should the contract be prematullely terminated, payments will be made for work completed and accepted to date of termination. '6. OWnership !Of Documents: All documents prep'lred by Contractor pursuant to this contract shall be the property of City." .' 7. Statutory Requirements: ORS 279C.505, 279C.515, 279C.520 and 279C.530 are made part of this contraci. '. 8. Living Wa9lll'Requlrements: If the amount of this contract is $16,936 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 service work under . this. contract. 'Contractor is also required to post the notice attached hereto as Exhibit B predominanliy il) areas where it will be selllh by all employees. 9. Indemnlflcallon: Contractor agrees to defend, Indemnify and save City, its ,officers; employees and agents harmless from any and all losses, claims, actions, .costs, expenses, judgments, subrogatlons, 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 the performal1ce of this contract l1y Contractor (including but noi limited to, Con~aC!llll's einployees, agents, and others designated by Contractor to perform work or services attendant to this contractl. Oontractor shall not be held resnonsible for anv losses, exoenses, claims, subrooatlons' actions costs, Allhland Forest \<VOlIkContract Page 1 of7 I . , . 'jllqg~er1!s, or other damages, directly; solely, and proximately caused by the negligence of City. . ' '. . ", . 10.' Ternilnatlon: . a. . 'Mutual Consent. This c~lIitract may be terminated at any time by mutual consent of both parties. . b. City'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 whol~ 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 reas,on denied, revoked, ~uspended, or noj 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 suc.h termination the party seeking terminatibn shall 'give to the other PEirty written notlcll of the breach' and intent to terminate. if the party committing the breach has not entirely cured the breach'wit~in 15 days of ihe date of the notice, or within such other period !Is the party giving the notice may authorize or require, then the contract lT!ay be terminated at any time thereafter by a written notice of termination by the party giving notice. ii. Time Is of the !l~sence 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 Contra.ctor fails to provide services called for by this contract within the time specified herein or in any extension thereof. . iii. The rights and remedllls of City provided in this subsection (d) are riot exclusive and are in . addition to any other rights and remedies provided by law or under this co'!tract. 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. Howllver, upon receiving a notice of termination (regardless w~ether such'notlce is given pursuant to subsections a, b; c or d of this section, Contractor shaJllmmedlately cease all activities imder this contract, unless'exprEls~ly dlrected'.othelWisll by City In the notlce'of termination, Further, upon.terminaticm, Contractor shall deliver to City all contract documents, informl;ltion, works-In-progress and other property that are or would be dellverables 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. . 11. .Independent Contractor Status:' Gontractor is.an independent contractor and not an employee of the City. Contraptor shall have the complete responsibility for the performance of this contract. Contractor shall provldll workers' compensation coverage as re.qulred in ORS Ch 656 for all persons employed to perform work pursuant to this contract. Contractor is a subject employer that will comply with ORS 656.017. . .12. Assignment and Subcontt;lcts: Contractor shall not assign this contract or subcontract any. portion Of the work ' without the wrlllen consent of City; Any attempteil assignment or sul;lconb:act without. written cons!lnt of City ,$hall be , void, Contractor shall qe 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.s.hall not create any contractual relation between the assignee or subcontractor and City. . 13. Default.. The Contractor shall be In default of ihis agreement If Contractor: commits any material breach or default of any covenant, warranty, certification, or obligation it owes under the Contract; its QRF status pursuant to the QRF" Rules or. loses any license; certificate or certification that is required to perform the Services 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 agaln~t 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. 14. Insurance. Contractor shall at its own expense provide the following Insurance; a. . Worker's ComDEmsation Insurance in compliance with ORS 656.017, which requires sul>ject employers. to provide Oregon workers' compensation coverage for all ttieir subject workers , b. Professional L1abllltv insurance with a combined.singlellmit,.or the equivalent, of not less than $1 ,<;lOO,OOO for each claim, incident or occurrence. This Is to cover damages caused by error, omission or negligent acts related to the professional services to be provided under this contract. .' . c. . General L1abilitv Insurance with a combined single limit, or the equivalent, of not less than $1,000,000 for each occurrence for Bodilv Inluni and Pronerlv Damaoe. It shall include contractOalllabilitv coveralle for the Ashland Forest Wor!< Contract Page20f7 . , . . .In .emnlty.~rovided under this contract.. . . 'd, Automobile Liabilitvinsurance with a combined single limit, or the l;lquivalent, of not less than $500,000, for each accident for Bodily Injury and Property Damage, including coverage for owned, hired or non-owned vehicles, as applicable. e. Notice of cancellation or chanoe. 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 ba~ ' f. Additional InsuredlCertificates 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 Con'tractor'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 prlorto commencing work under this contract. T.he 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 amd/or self-insuran'ce, . 15, Gilvernlng Law; ,Jurlsdiction;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 flied in Jackson County, Oregon. Contractor, by the'signature herein of its authorized representative, hereby consents to the 1m personam jurisdiction of said courts. In no event shall this section be construed as a waiver l>y 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. . 16. THIS CONTRACT AND ATTACHED EXHIBITS CONSTITUTE THE i:NTIRE AGREEMENT BETWEEN THE PARTIES. NO WAIVER, CONSENT, MODIF.ICATION OR CHANGE OF TERMS OF THIS CONTRACT SHALL BIND EITHER PARTY UNLESS IN WRrrlNG 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 WRIITEN, 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. . 17. Nonapproprlatlons Clause. 'Funds Available and Authqrized: City has sufficient funds cl,lrrently 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 perfonned 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 approprlatiions, limitations or other expenditure authority, City may tenninate this contract without penalty or liability to City, 'effective upon the delivery of written notice to Contractor, with no further liability to Contractor. Certification. Contractor shalrsi n the certlfieationattached hereto as Exhibit Aand herein incor orated b reference. CONTRACTOR ... ~ CITY OF ASHLAND:. BY ~. DATE '7 DATE CONTRACT AWAAD AND FINDINGS DEJERMINED BY: By: .~I-U City Department Head Date: s- ~2..- 11'1 FederallD# . 13 ';"//13 O/~Q ACCOUNT # 70 of. .2...1.00,. (,o"'M (For City purposes only) PURCHASE ORDER # /1'7 P ~~, 'Completed W9 form must be ,submitted with contract Ashland Forest Work Contract Page30f7 ,f . ". EXHIBIT A CE:RTIFICATIONSIREPRESENTATIONS: Contractor, under penalty of perjury, certifies that (a) the . . number shown cin 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 exemptfrom backup withholding or (ii) it has not been notified by the Internal Reyenue Service (IRS) that it is subject to backup witlJholding as a res~lt of a failure to report all iriterest or diyidends, 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 yalid 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 yiolation of any Oregon tax laws, and it is a corporation authorized to act On behalf of the entity designated aboye 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: .JL ~ )( K .K (1) I carry out the labor or services at a location separate from my residence or is in a specifi~ portion of my residence, set aside as the "location of the business. (2) COmmercial adyertising 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 9r 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 proYided as evidenced by the ownership of performance bonds, warranties, errors and omission insurance or Iil,'lbility insurance relating to the labor or services to be. provided. 1lI4f/1~/t1/H/~~~~~ 5-2J-tJ7 Contractor (Date) Ashland Forest Work Contract Page 4 of 7 CITY RECORDER Page 1/1 r~' CITY OF ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 (541) 488-5300 JjO'NUMBER., " 09630 .1..., ;;:'DATE;_;.~.! '._.:~ I'" ",-' 7/13/2010 VENDOR: 001765 SMALL WOODLAND SERVICES, INC. 2779 CAMP BAKER ROAD MEDFORD, OR 97501 SHIP TO: Ashland Fire Department (541) 482-2770 455 SISKIYOU BLVD ASHLAND, OR 97520 FOB Point: Terms: Net 15 days Req. Del. Date: Speciallnst: Req. No.: Depl.: Contact: John Karns Confirming? No !';~'~,Quanii'tv ,'\ ': ~Unft::. ,,'" ". "<(' .c,~: ;: .,' '::, . "D~scri';iion : ., ::c: ", ~ . <:. " 'j'Urm'R~icE{.": .',"ll ;~~Ex't;.Wace~' .'! i Consulting Forester and Silvaculture 74,000.00 Services, Contract Amendment, The date for completion has been extended to June 30, 2011. (Year 4 of 5 year contract) Not to exceed $74,000 " , , SUBTOTAL 74000,00 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2028 TOTAL 74,000.00 ASHLAND OR 97520 , ~ \~;._:Accounf;~umber&~:- ;~j!f ~;.~~Yphjject'Nuinber ':':;:,;:. '. "J\iii'iluht' , AccoiinfNurnber~" :~';;, .' ~roject'Ni1mbe~}r~~~t t1t2lf!Am'bum~M.t E 670.08.29.00.60416 74 000.00 ~ _"/. -o~ YS,,/o Au orized Signature . VENDOR COPY A request for a Purchase Order REQUISITION FORM CITY OF ASHLAND Yendor Name Address City, State, Zip Telephone Number Fax Number Contact Name Date of Request: 17-1J,.-/V..I' Required Date of Delivery/Service: I ,. I THIS REQUEST IS A: D Change Order(existing PO # SOLICITATION PROCESS Small Procurement D Sole Source D Invitation to Bid D Less than $5,000 D Written findings allached (Copies on file) D Quotes (Optional) D Quote or Proposal attached Coooerative Procurement D Reauest for I'roDosal D State of OR/WA contract (Copies on file) Intermediate I'rocurement D Other government agency contract D Soeciall ExemDt D (3) Written Quotes D Copy of contract attached D Written findings attached (Copies attached) D Quote or ProDosal attached D Contract # D Emeraencv D Written findings attached D Quote or Proposal attached Description of SERVICES C & '" 5 u I.h......x l="C9' ~s +e.... C<. \..A..~~ t9 te.s i- S I I v't c.v[ +\1., e.. S a v Ite:.s . o PerallachedPROPOSAL C eM,. L..{ crt' 5" eN w'-lfv~ct Total Cost . :'" ';:~/~~:\~t;('-~ ,':". , "/'." C!J.efff "~~",,",,,t~t~';J, <::;';<;.l$~~ik';,';' .$.'\' ~;>.<:7;- .. !.."--'''t:'\''!'it~r~ :-'_l]i~,;}~'::'~~"*~~:~~~ Item # Quantity Unit Description of MATERIALS COlA!,U I f ~ Unit Price Total Cost I L{ 7 oeD- 2. ~J /I:{(,.e.u(+v~a. ( S'evv.e.e.s d- 7. I' 00 I .';01'ALltCOST0' o Per attached QUOTE Account Number Io-7.12().iJfJ!.l! j,P..1..Lk.O Project Number __nno. n_ . Items and services must be charged to the appropriale account numbers ior Ihe financiais to refiect Ihe aclual expenditures accuretely. "::--' fis 1 NO A1~' Lee Tuneberg . ~ h./; d . Dale Funds appropriated for current fiscal year: Comments: By signing this requisition form, I certify thai the information provided above meets the City of Ashland public contracting requirements, and the documentation can be provided upon request.. Employee Signature: Supervisor/Dept. Head Signature: ~t(~ G: Finance\ProcedureIAP\Forms\Fonn #3 - Requisition.doc Updated on: 71112010