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�. CITY OF CITY RECORDER
ASHLAND - DATE. i.. � ,.'.'PO NUMBERS _
20 E MAIN ST. 8/16/2011 10384
ASHLAND, OR 97520
(541)488-5300
VENDOR: 002241 SHIP TO: Ashland Fire Department
L.N. CURTIS &SONS (541) 482-2770
FILE 31009 455 SISKIYOU BLVD
PO BOX 60000 ASHLAND, OR 97520
SAN FRANCISCO, CA 94160
FOB Point: ' Req.No.:
Terms: Net 30 days Dept.:
Req.Del.Date: contact: John Karns
Special Inst: - Confirming? NO
"'Quanti . 'Unit-!" DescFition - - "': '• "' Unit Prii:e - " Ezt}Price-
Invitation to Bid#2011-102 64,989.25
Fire Hose & Related Equipment
Option#1 (Includes 4", 50' Lengths)
i
i
SUBTOTAL. 64 989.25
BILL TO:Account Payable. TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2028 TOTAL 64,989.25
' 6
ASHLAND, OR 97520 i
er.Account;Numlier, "_'_.,Project<Number'. Amount. Account.Number , -• Project Number .', 'Amount
E 110.07.12.00.601400 E 000259.999 64 989.25
I
O`
AutlWized Signature VENDOR COPY
FOFM:#:3 CITY OF
A requesf'fora Purchase Order ASHLAND
REQUISITION Date of request:
Required date for delivery:
Vendor Name
Address,City,State,Zip
Contact Name&Telephone Number
Fax Number
SOLICITATION PROCESS
❑ Exempt from Competitive Bidding - _' '/ —/ Emergency
❑ Written Findings(Farm attached) nvitation to Bid (Copies on file) ❑ Written findings attached
❑ Quote or Proposal attached Date a roved b Council: �y / ❑ Quote or Pro osal attached
❑ Small Procurement Cooperative Procurement
Less than$5,000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon
Note:Total contract amount,including any Date approved by Council: Contract#
amendments may not exceed$6,000 ❑ State of Washington
Intermediate Procurement ❑ Sole Source Contract#
GOODS&SERVICES ❑ Written Findings(Form attached) ❑ Other government agency contract
$5.000 to$100,000 ❑ Quote or Proposal attached Agency
❑ (3)Written quotes attached Contract If
PERSONAL SERVICES ❑ Special Procurement ❑ Intergovernmental Agreement
$5.000 to$75.000_. . ❑ Written Findings(Form attached) - Agency
—Q-Lesslhan$35;000,l y-directappointment —❑—Quote orProposal attached Contract-#
❑ 3 Written proposals attached Date approved by Council: Dale approved by Council:
Description of SERVICES Total Cost
Mry � �
ab4b Ci
Item # Quantity Unit Description of MATERIALS Unit Price Total Cost
i
I
TOTALt bST
❑ Per attached quotelproposal g a�
;WProjectNumber I / Account Number-/i 00- rl00
Account Number Account Number
'Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures. j
I
IT Director in collaboration with department to approve all hardware and software purchases: j
IT Director Date
By signing this requisition form,I certify that the information provided above satisfies the City's public contracting requirements, and the documentation can be
provided upon request.
Employee Signature: Department Head Signature: LCd
Additional signatures(if applicable):
Funds appropriated for current fiscal year 4S / NO
Finance Director Date
Comments:
i
G:FinancaTrocedureWPIFormfform#3-Requisition.doc Updated on:81152011
EXHIBIT H
CITY OF ASHLAND
CONTRACT FOR PURCHASE OF EQUIPMENT
CONTRACT
Contract made this 27th day of July 2011, between the City of Ashland ("City") and
L.N. Curtis & Sons ("Contractor").
City and Contractor agree:
1. Contract Documents: This contract is made as a result of an Invitation to Bid issued by City entitled
"INVITATION TO BID" for a Fire Hose & Related Equipment, Bid No. #2011-102, Contractor was
awarded the bid as the lowest responsible bidder on July 20, 2011 . The contract documents are
comprised of the Invitation to Bid and all included attachments, which are hereby incorporated by-this
reference, and the Contractor's Bid, which is also incorporated by this reference. In the event of a conflict
between this contract and the Invitation to Bid, the terms of this contract govern. In the event of a conflict
between the Invitation to Bid and the Bid, the Invitation to Bid shall,take precedence over the Bid.
2. Scone: Contractor shall produce and deliver the equipment described in the contract documents within
the time prescribed in the contract documents. The following exceptions, alterations or modifications to
the contract documents are incorporated into this contract:
3. Price and Payment: City shall pay Contractor the sum of $64,989.25 for the new equipment.
Per Exhibit E: Price Sheet for Fire Hose & Related Equipment Option#1 (4", 50' Lengths) $40,294.25
Per Exhibit D: Related Equipment $24,695.00
Delivery shall be FOB Ashland within 65 days after receipt of order.
CORPOR.ATE OFFICEIZ CITY OF 0:1)
BY CAL BY C 'Q
Signat e J hn Karns
Fire Chief
Son C2�°tIK
Print Name
REV WED AS TO FORM:
Title: MaN•titr
o
BY
u Le ment
Fed ID # q_ I4- 12 1��� Date
Coding //O D?lam BD�pDIh�DD
Purchase Order ID 3e
(for city use only)
ITB 2011-102, Fire Hose& Related Equipment, May 5, 2011, Page 31 of 31
EXHIBIT E
ASHLAND FIRE& RESCUE
CE SHEET
FIRE HOSE-Option #1 411, 50' Len hs
NUMBER
LENGTH TOTAL
QF_ PRICE PER EXTENDED
ITEM N SIZE OF HOSE LINEAL
Feet LENGTHS FEET LINEAL FOOT PRICE
Each
1 4"Fire Hose So' 54 2,700 6.65 17,955.00
3 4"Fire Hose 25' 5 125 8.85 1,106.25
4 3"Fire Hose 50' 70 3,500 3.71 12,985.00
5 3"Fire Hose 25' 3 75 4.86 364.50
6 2-1/2"Fire Hose 50' 17 850 2.89 2,456.50
7 1-3/4"Fire Hose 50' 54 2,700 2.01 5,427.00
Total Cost of Related Equipment(Per Exhibit D) 24,695.00
Subtotal 64,989.25
Shippin hacges
TOTAL 64,989.25
FIRE HOSE-O tion #2 4".1 ' Lengthsl
NUMBER
4LEGT H TOTAL
OF PRICE PER EXTENDED
ITEM# SIZE OSE LIN EAL et LENGTHS FEET LINEAL FOOT PRICE
Each
1 4"Fire Hose 100' 27 2,700 5.51 14,877.00
3 4"Fire Hose 25' 5 125 8.85 1,106.25
4 3"Fire Hose 50' 70 3,500 3.71 12,985.00
5 3"Fire Hose 25' 3 75 4.86 364.50
6 2-1/2"Fire Hose 50' 17 850 2.89 2,456.50
7 1-3/4"Fire Hose 50' 54 2,700 2.01 5,427.00
Total Cost of Related Equipment(Per Exhibit D) 24,695.00
Subtotal 61,911.25
Shipping Charges 0
TOTAL 61,911.25
ITB 2011-102,Fire Hose&Related Equipment,May 5,2011,Page 28 of 31
EXHIBIT D
ASHLAND FIRE& RESCUE
RELATED EQUIPMENT
SPECIFICATIONS
All STORZ couplings shall be of the locking type and be compatible with the fire hose 4" STORZ
as well.
All aluminum castings shall be hard coat anodized and powder coated to reduce corrosion.
All couplings will be hard coat anodized.
All components above shall be light weight and heavy duty.
OUANTITY DESCRIPTION
3 4"swivel STORZ X 2=2 '/2"NHT FEMALE SWIVEL ROCKER LUG COUPLINGS
CLAPPERED SIAMESE
3 4"swivel STORZ X 2=4"swivel STORZ CLAPPERED SIAMESE
3 4"swivel STORZ to 3=2 %2"NHT MALE ROCKER LUG COUPLINGS 3 WAY
VALVE MANIFOLD WITH PRESSURE RELIEF VALVE,TO INCLUDE FOLDING
HANDLES
3 4"swivel STORZ to 2 %2"NHT MALE ROCKER LUG COUPLINGS GATED WYE,
TO INCLUDE FOLDING HANDLES
3 2 '/2"NHT FEMALE SWIVEL ROCKER LUG COUPLING TO 4"fixed STORZ, 30
degree ELBOW
3 2 '/2"NHT FEMALE SWIVEL ROCKER LUG COUPLING TO 4"fixed STORZ
straight adapter
3 2 '/2"NHT MALE ROCKER LUG COUPLING TO 4"fixed STORZ straight adapter
3 4V2"NHT FEMALE SWIVEL ROCKER LUG COUPLING TO 4"fixed STORZ, 30
degree ELBOW
2 5"NHT FEMALE SWIVEL ROCKER LUG COUPLING TO 4" fixed STORZ,30
degree swivel ELBOW WITH MUTIPLE DETENTS TO HELP REDUCE HOSE
KINKING
1 3"NHT FEMALE SWIVEL ROCKER LUG COUPLING TO fixed 4" STORZ 30 degree
ELBOW
1 4"NHT FEMALE SWIVEL ROCKER LUG COUPLING TO fixed 4" STORZ
ADAPTER
1 5"NHT MALE ROCKER LUG COUPLING TO 4"fixed STORZ ADAPTER
1 5"NHT FEMALE SWIVEL ROCKER LUG COUPLING TO 4"fixed STORZ
ADAPTER
9 4"STORZ SPANNER WRENCH MOUNTS SETS WITH 4 WRENCHES EACH
3 4"swivel STORZ to 2 Y2"NHT MALE ROCKER LUG COUPLING ADAPTER
2 5"DOUBLE FEMALE NHT ROCKER LUG COUPLING WITH ONE FIXED AND
ONE SWIVEL
ITB 2011-102,Fire Hose&Related Equipment,May 5,2011,Page 26 of 31
OUANTITY DESCRIPTION
3 5" STORZ TO 4"STORZ ADAPTER
6 4" STORZ BLIND CAPS
18 4" STORZ MOUNTING BRACKETS
3 4"swivel STORZ MONITOR BASES
3 BALL INTAKE VALVE, 6"FEMALE SWIVEL NHT COUPLING TO 4"STORZ
RIGID,VALVE SHALL BE EQUIPPED WITH A PRV, VENT DRAIN VALVE, SIDE
MOUNTED WHEEL TYPE HANDLE WITH SLOW CLOSE FEATURES, SHALL
HAVE A VALVE POSITION INDICATER. 30 DEGREE INTAKE ELBOW SHALL
HAVE A 360 DEGREE FEATURE WITH MULTIPLE LOCKING DETENTS,THIS
FEATURE WILL HELP TO PREVENT KINKING OF HOSE.
9 4"PVC LIGHTWEIGHT 10' EA.SUCTION HOSE WITH 4"NHT COUPLINGS,
FEMALE COUPLING WILL BE OF THE LONG HANDLE TYPE
3 SETS OF FIRE ENGINE MOUNTING BRACKETS FOR 2 - 10 FOOT SECTIONS
OF 4"'SUCTION HOSE
3 4"NHT BARREL STRAINERS
3 6"NHT FEMALE X 4"NHT MALE CHROME ADAPTER
3 4"NHT LONG HANDLE FEMALE CHROME CAPS
3 12 %2"NHT MALE X 4"NHT MALE ADAPTER
3 4"NHT FEMALE SWIVEL COUPLING X 6"NHT MALE COUPLING ADAPTER
ITB 2011-102,Fire Hose&Related Equipment,May 5,2011,Page 27 of 31