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HomeMy WebLinkAbout2012-268 Contract - Covey Pardee Contract for PERSONAL SERVICES less than $35,000 CITY OF CONSULTANT: Covey Pardee Landscape Architects ASHLAND CONTACT: Greg Covey 20 East Main Street Ashland, Oregon 97520 ADDRESS: 295 E. Main St. Telephone: 541/488-6002 Ashland OR 97520 Fax: 541/488-5311 TELEPHONE: 541-552-1015 DATE AGREEMENT PREPARED: 09/24/12 FAX: BEGINNING DATE: 09/24/2012 COMPLETION DATE: 06/30/13 COMPENSATION: NTE: $25,700 per Exhibit C SERVICES TO BE PROVIDED: Exhibit C: Scope of Services ADDITIONAL TERMS: None FINDINGS: Pursuant to AMC 2.50.120, after reasonable inquiry and evaluation, the undersigned 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 department's plan for utilization of such personal services; (4) the undersigned consultant has specialized experience, education, training and capability sufficient to perform the quality, quantity and type of work requested in the scope of work within the time and financial constraints provided; (5) the consultant's proposal will best serve the needs of the City; and (6) the compensation negotiated herein is fair and reasonable. NOW THEREFORE, in consideration of the mutual covenants contained herein the CITY AND CONSULTANT AGREE as follows: 1. Findings / Recitations. The findings and recitations set forth above are true and correct and are incorporated herein by this reference. 2. All Costs by Consultant: Consultant shall, at its own risk and expense, perform the personal services described above and, unless otherwise specified, furnish all labor, equipment and materials required for the proper performance of such service. 3. Qualified Work: Consultant has represented, and by entering into this contract now represents, that all personnel assigned to the 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, are so registered, licensed and bonded. 4. Completion Date: Consultant shall start performing the service under this contract by the beginning date indicated above and complete the service by the completion date indicated above. 5. Compensation: City shall pay Consultant for service performed, including costs and expenses, the sum specified above. 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. 6. Ownership of Documents: All documents prepared by Consultant 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 contract. 8. Living Wage Requirements: If the amount of this contract is $19,494 or more, Consultant 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. Consultant is also required to post the notice attached hereto as Exhibit B predominantly in areas where it will be seen by all employees. 9. Indemnification: Consultant agrees to indemnify and save City, its officers, employees and agents harmless from losses, claims, actions, costs, expenses, judgments, subrogations, or other damages resulting from injury (including injury resulting in death), or damage (including loss or destruction) to property, of whatsoever nature to the extent the harm caused arises out of or is incident to the negligent acts, or errors or omissions in performance of this contract by Consultant (including but not limited to, Consultants' employees, agents, and others designated by Consultant to perform work or services attendant to this contract). Consultant 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. 10. Termination: a. Mutual Consent. This contract may be terminated at an time b mutual consent of both parties. Contract for Personal Services, Revised 06/30/2012, Page 1 of 5 b. C t '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 Consultant, or at such later date as may be established by City under any of the following conditions: L If City funding from federal, slate, 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 Consultant 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 Consultant 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 Consultant's performance of each and every obligation and duty under this contract. City by written notice to Consultant of default or breach may at any time terminate the whole or any part of this contract if Consultant 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.. Obligation/Liability 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, Consultant shall immediately cease all activities under this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination, Consultant 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 Consultant for work performed prior to the termination date if such work was performed in accordance with the Contract. 11. Independent Contractor Status: Consultant is an independent contractor and not an employee of the City. Consultant shall have the complete responsibility for the performance of this contract. Consultant shall provide workers' compensation coverage as required in ORS Ch 656 for all persons employed to perform work pursuant to this contract. Consultant is a subject employer that will comply with ORS 656.017. 12. Assignment and Subcontracts: Consultant 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. Consultant shall be fully responsible for the acts or omissions of any assigns or Subcontractors and of all persons employed by them, and the approval by City of any assignment or subcontract shall not create any contractual relation between the assignee or subcontractor and City. 13. Default. The Consultant shall be in default of this agreement if Consultant 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 consultant 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 14. Insurance. Consultant shall at its own expense provide the following insurance: a. Worker's Compensation insurance in compliance with ORS 656.017, which requires subject employers to provide Oregon workers' compensation coverage for all their subject workers b. Professional Liabilitv insurance with a combined single limit, or the equivalent, of not less than Enter one: $200,000, $500,000, $1,000,000, $2,000,000 or Not Applicable 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 Liabilitv insurance with a combined single limit, or the equivalent, of not less than Enter one: $200,000, $500,000, 1 OS . 00,000, $2,000,000 or Not Applicable for each occurrence for Bodily Injury and Property Damage. It shall include contractual liability coverage for the indemnity provided under this contract, d. Automobile Liability 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, including coverage for owned, hired or non-owned vehicles, as applicable. e. Nofice of cancellation or chap e. There shall be no cancellation material change, reduction of limits or Contract for Personal Services, Revised 06/302012, Page 2 of 5 intent not to renew the insurance coverage(s) without 30 days' written notice from the Consultant or its insurer(s) to the City. f. Additional Insured/Certificates of Insurance. Consultant 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 Consultant's services to be provided under this Contract. The consultant's insurance is primary and non-contributory. As evidence of the Insurance coverages required by this Contract, the Consultant 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 Consultant shall be financially responsible for all pertinent deductibles, self-insured retentions and/or self- insurance. 15. 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 Consultant 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. Consultant, 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. 16. 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. CONSULTANT, 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. 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. Consultant 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 Consultant, with no further liability to Consultant Certification. Consultant shall sign the certification attached hereto as Exhibit A and herein incorporated b reference. onsultant: City of Ashland By By e-c L~~ Signature Depart lent Head 61f 61a1'ZY 7 c~? OMId Khad~R Print Name Print Name V4: MAI01 PA-t- 101, 1112- Title Date- W-9 One copy of a W-9 is to be submitted with the signed contract. Purchase Order No. Contract for Personal Services, Revised 06/300012, Page 3 of 5 EXHIBIT A CERTIFICATIONSIREPRESENTATIONS: 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 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. y (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. V (6) 1 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. ~~~r'l~i t ' ~f7~crt'ld - 3 -2012 Contractor (Date) Contract for Personal Services, Revised 06/3012012, Page 4 of 5 295 Earl Main, Na 8, Ashland, OR 97520 / 541 552 1015 1 grog covey Ik / C0V%Wrdm.can LANDSCAPE ARCHITECTS Exhibit C Scope of Services Date: September 20, 2012 Project: Construction Documentation Services for the Plaza in Downtown Ashland To: Scott A. Fleury Subject: Basic Services: Construction Documents for the Plaza and Planting Plans for the Downtown Planter Boxes The scope of Services herein is based on the Final Design approved by City Council on August 21, 2012. Scope of Work Covey Pardee's Basic Services include the following: 1. Design Development a. City Staff Meeting #1: Meet with City staff, including the City of Ashland's Engineering Division (AED) project manager, and representatives from Public Works, Electric Department, Community Development, and Parks and Recreation Department (APRD), to review the scope of work. Basic services will include construction documents and construction observation for the plaza improvements, and planting plans for the downtown planter boxes. Completed: September 6, 2012 b. Archeology: Coordinate with City planning staff and prepare a narrative describing the proposed construction project and a site plan exhibit diagramming the proposed locations and limits of excavation. c. Public Arts Commission Meeting #1: Meet with Public Arts Commission (PAC) to hear . their design proposal for including public art in the plaza. d. Revise the Final Design Plan to incorporate input from the City Council, City staff, and the PAC. Prepare a written list of proposed paving and wall materials, light fixtures, tree grates, and benches. e. Public Arts Commission Meeting #2: Meet with Public Arts Commission to review how the public art design will be incorporated into the construction documents. f. City Staff Meeting #2: Meet with City Staff to review revised final design and consider site lighting concepts and luminaire options. To be scheduled 2. Downtown Planter Box Design a. APRD Staff Meeting #1: Attend a site visit with APRD staff to tour the planter boxes, review the scope of work, and identify existing plants to remain. To be scheduled City of Ashland -Downtown Plaza Redesign Project Scope of Work for Construction Documents September 20, 2012 b. Measure each planter box by hand and inventory existing plants to remain. Prepare a composite AutoCAD base plan for the planter boxes. c. Prepare a preliminary Planting Plan for each planter box. d. APRD Staff Meeting 1/2: Meet with APRD staff to review and comment on the preliminary Planting Plan. e. Revise Planting Plan based on comments received from APRD staff, and provide electronic copies of revised plans to AED and APRD. Irrigation design, planting specifications, and installation details will be provided by APRD. 3. Lighting Design: a. Prepare preliminary site lighting concepts and luminaire selections, and present to City staff. b. Based on comments received, prepare site lighting design indicating all pedestrian and accent lighting. Design to include power distribution to lighting and convenience outlets. c. Coordinate power supply requirements with City Electric Department. 4. Construction Documents: a. Prepare 50% complete Construction Document (CD) drawings and technical specifications for the proposed plaza improvements for APRD / AED review and comment. Drawings will indicate demolition of existing paving, tree removal and transplanting, construction layout, grading, drainage, lighting, and construction details for paving, masonry seat walls, tree grates, trash receptacles, lighting, benches, irrigation, and planting. b. Prepare CD technical specifications for masonry seat walls, site furniture, lighting, irrigation, soil preparation, and planting. Contracting and General Requirements of the specifications (Divisions 0 & 1) will be provided by the City. c. City Staff Meeting u3: Meet with APRD / AED staff to review 50% comments. d. Provide 90% complete CD drawings and technical specifications for APRD / AED review and comment. e. City Staff Meeting 1w: Meet with APRD / AED staff to review 90% comments. f. Provide 100% complete CD drawings and technical specifications for AED bidding and construction. 5. Bidding & Permitting: a. Attend (1) one pre-bid conference administered by AED at project site. b. Assist with AED's interpretation and clarification of CD's and preparation of addenda if needed. c Assist AED with evaluation of bids. 6. Construction Observation: a. Attend (1) pre-construction conference administered by AED. b. Landscape Architect shall review required contractor submittals, such as shop drawings and samples, but only to determine if they conform to the Landscape Architect's visual and aesthetic design intent. Covey Pardee Landscape Architects Page 2 of 4 City of Ashland -Downtown Plaza Redesign Project Scope of Work for Construction Documents September 20, 2012 c. Attend a maximum of (8) project site visits with AED during construction to generally observe the progress of construction and to assess if the work completed Is generally consistent with the intent of Landscape Architect's CD's. d. Additional site visits requested by AED shall be considered Additional Services. e. Although Landscape Architect may observe and discuss potential problems, these visits are not construction inspections or a guarantee that construction deficiencies will not exist. f. Landscape Architect shall assist AED with review of contractor's payment applications to determine if the amount of work represented as complete is generally consistent with the Landscape Architect's observations during its site visits. Landscape Architect's review shall be subject to any noted qualifications by the Landscape Architect. AED understands that the frequency of the Landscape Architect's site visits may limit Landscape Architect's ability to review certain payment applications. Landscape Architect's review shall not be a representation that Landscape Architect has supervised the work, or that Landscape Architect has reviewed how or for what purpose contractor has used or intends to use payments. Additional Services beyond Landscape Architect's Basic Services may be provided if confirmed in writing. Additional services include, but are not limited to, additional presentations and project meetings requested by the City. Changes to the proposed scope of work, project schedule, or total project area may result in additional services fees. Excluded Services are not a part of Landscape Architect's Basic or Additional Services and are the responsibility of others. Excluded services include, but are not limited to, the following: signage design, modifications to the information booth, applications for permits, and project management during construction. Fees and Payment Total Fee for Basic Services $25,700 Billing will be once per month for Basic Services and approved Additional Services. Additional Services, requested by the City and approved In writing, will be billed on an hourly basis. Our current billing rates are as follows: Principal Landscape Architect $110 / Hour Project Manager $90 / Hour Associate Landscape Architect $75 / Hour Design and construction services to be provided by the City: 1. Traffic control: including design of control measures, preparation of drawings for permitting, and full implementation, monitoring, and maintenance of control measures during construction. 2. Demolition: including acquisition of permits, and removal of concrete, base rock, trees, vegetation, and light poles required for site construction, and transplanting of the Japanese maple tree. Covey Pardee Landscape Architects Page 3 of 4 City of Ashland -Downtown Plaza Redesign Project Scope of Work for Construction Documents September 20, 2012 3. Utility relocation: including, but not limited to storm, sanitary sewer, gas, electric, telephone, cable TV, and fiber optic utilities, inside or outside the project limits, that require relocation due to the proposed plaza design. 4. Planting for the plaza: including acquisition and installation of all shrub and groundcover plantings. 5. Irrigation and Planting for the downtown planters: including acquisition and installation of all trees, shrubs and groundcover plantings, and required irrigation repairs. 6. Trash receptacles: including selection, acquisition, and installation. 7. Electrical System: including electric service panel relocation, re-feeding existing electrical features to remain, conduits, wiring, and load calculations for new lighting. The City will provide electrical engineering services if required. Our understanding is that the City will prepare a contract to authorize the services described herein to proceed. Sincerely, Greg Covey Covey Pardee Landscape Architects Page 4 of 4 Scott Fleury From: Greg Covey )greg@coveypardee.com) Sent: Monday, September 24, 2012 10:37 AM To: 'Scott Fleury' Cc: Alan Pardee Subject: Ashland Plaza: CD Project Schedule Scott, our proposed schedule is: Wed, Sep 26 - Begin work / Public Arts Commission Meeting #1 Thurs, Oct 4 - City Staff Meeting #2 (Review final design revisions) TBD - Public Arts Commission Meeting #2 (mid-October) Fri, Oct 26 -50%CD's delivered to City Fri, Nov 2 - 50% City comments due to CPLA Mon, Nov 5 -City Staff Meeting #3 (Review 50% comments) Fri, Nov 16 - 90% CD's delivered to City Wed, Nov 21-90% City comments due to CPLA Mon, Nov 26-City Staff Meeting #4 (Review 90% comments) Fri, Dec 7 -100%CD's delivered to City We realize this is not what we discussed last week, but the end.date you proposed was too tight to allow enough time for document prep, review periods, and meetings. Our intention is that the 90% set will essentially be complete and allow you to finalize your front end bid docs. We are also proposing to defer the Downtown Planter Box Design (Task 2 of our scope) until after we have completed the Plaza CD's. Please call me if you have any questions. I will be in the office most of today. Thank you, Greg Covey Covey Pardee Landscape Architects 5415521015 iANDSEAPC ARCOMOTS 1 CITY RECORDER Page 1 / 1 CITY OF DATE PO NUMBER ASHLAND 20 E MAIN ST. 10/31/2012 11265 . ASHLAND, OR 97520 (541) 488-5300 VENDOR: 016982 SHIP TO: Ashland Public Works COVEY PARDEE (541) 488-5587 295 EAST MAIN STREET STE 8 51 WINBURN WAY ASHLAND, OR 97520 ASHLAND, OR 97520 FOB Point Req. No.: Terms: Net Dept.: Req. Del. Date: Contact: Scott Fleury . Special Inst: - Confirming? NO ,Quantity Unit Description Unit Price Ext..Price Provide construction documents for 25,700.00 Plaza redesiqn Contract for Personal Services Beqinninq date: 09/24/2012 Completion date: 06130/2013 SUBTOTAL 25 700.00 BILL TO: Account Payable TAXI 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 25,700.00 ASHLAND, OR 97520 Account Number Project Number Amount Account Number Project Number Amount E 110.01.02.00.60410 E 000294.999 25 700.00 Authorilati Signature VENDOR COPY FORM #3 CITY OF G. request for a Purchase Order ASHLAND REQUISITION Date of request: 09/24/2012 Required date for delivery: ASAP Vendor Name Covey Pardee Landscape Architects Address, City, State, Zip 295 E. Main St. Ashland OR 97520 Contact Name & Telephone Number Greg Covey 541-552-1015 Fax Number SOURCING METHOD ❑ Exempt from Comoetitive Bidding -T-'.1 o5oz,6 lCf Cv A ❑ Reason for exemption: ❑ Invitation to Bid (Copie vization ❑ AMC 2.50 Date approved by Council:_ etc E ❑ Written quote or proposal attached ❑ Small Procurement t Less than $5.000 ❑ Request for Proposal ( Y~\4 er..c t ❑ Direct Award Date approved by Council:_ ❑ Verbal/Wdtten quote(s) or proposal(s) Intermediate Procurement ❑ Sole Source GOODS & SERVICES ❑ Applicable Form (#5,6, 7 c $5,000 to $100.000 ❑ Written quote or proposal ❑ (3) Written quotes attached ❑ Form #4, Personal Servic PERSONAL SERVICES ❑ Special Procurement $5,000 to $75.000 ❑ Form #9, Request for Appi ® Less than $35,000, by direct appointment ❑ Written quote or proposal ; )until: ❑ (3) Written proposals attached Date approved by Council:_ ❑ Form #4, Personal Services $5K to $75K Valid until: Description of SERVICES i Provide construction documentation for the Plaza redesign. $ 25,700 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost e~e $TOTAL COST ® Per attached quotelproposal_-~ Project N Account Numb- Account ber Account Number 110 -ot -02 0e - (0041 6m 'Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures. IT Director in collaboration with department to approve all hardware and software purchases: IT Director Date Support -Yes / No 8 r 'guia tis re uisition form, 1 ce lily that the City's public contracting requiremepts have keen satisfe . Employee Signatu Department Head Signature: w f N - - Additional signatures 15 Department Head Sigrn~ (Equal to or g eaterthan $5,000) Funds appropriated for current fiscal year Y / NO Finance Director- (Equaltoorgreerthan$5,000) Date Comments: Form #3 - Requisition