HomeMy WebLinkAbout2012-281 Contract - LaLande Archeology & History SRVCs
Contract for GOODS AND SERVICES Less than $25,000
CITY OF CONTRACTOR: LaLande Archeology and History Services
-ASH LAND CONTACT: Jeff LaLande R.P.A, P.H.D.
20 East Main Street
Ashland, Oregon 97520 ADDRESS: 495 Chestnut Street #8
Telephone: 541/488-6002
Fax: 541/488-5311 TELEPHONE: 541-778-3257
DATE AGREEMENT PREPARED: FAX:
BEGINNING DATE: 10/24/2012 COMPLETION DATE: 3/31/2012
COMPENSATION: NTE: $10,000
GOODS AND SERVICES TO BE PROVIDED: Reference Exhibit C: Scope of Services
ADDITIONAL TERMS: None
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 fully 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, 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.
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 2798.220, 27913.225, 2798.230, 2798.235, 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 $19,494 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 resulting 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. 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 whole 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, count or other sources is not obtained and continued at levels
Contract for Goods and Services Less than $25,000, Revised 06/30/2012, Page 1 of 5
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 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. 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, 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.110 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 assignment 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 Compensation insurance in compliance with ORS 656.017, which requires subject employers to
provide Oregon workers' compensation coverage for all their subject workers
b. General Liability insurance with a combined single limit, or the equivalent, of not less than Enter one:
$200,000, $500,000, 1 000 $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.
C. Automobile Liability insurance with a combined single limit, or the equivalent, of not less than Enter one:
,5900 no , $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.
d. Notice of cancellation or change. 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 insurers to
Contract for Goods and Services Less than $25,000, Revised 06/30/2012, Page 2 of 5
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 contractor's insurance is primary and non-contributory. 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 Council or the Public Contracting Officer is
required before any work may begin under this contract.
21. Certification. Contractors ign th rtification attached hereto as Exhibit A and herein incorporated by
re erence.
Con city~ Ashland
gy By v U^
iI tune p D artment Head
Print Name Print Name
ll2
10 [ 1`11
Titl Date
W-9 One copy of a W-9 is to be submitted with
the signed contract. Purchase Order No.
Contract for Goods and Services Less than $25,000, Revised 06/30/2012, Page 3 of 5
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 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.
y (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) 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.
d l~
Cont ctor (Date)
Contract for Goods and Services Less than $25,000, Revised 06/30/2012, Page 4 of 5
Exhibit C
Scope of Work
for
Contract Agreement between City of Ashland and Jeff LaLande
for
Archaeological Survey of the Ashland Plaza Project
1. Jeff LaLande (hereinafter Contractor) will develop an archaeological-survey strategy and
written plan for the Plaza project, this plan for review and comment by State Historic
Preservation (SHPO); City to send SHPO hard copy of survey strategy under formal cover letter;
Contractor to send e-version to SHPO for timely review.
2. City will prepare (with input/advice from Contractor) and send letters of notification about the
project to the appropriate federally recognized tribes.
3. Contractor will direct/conduct SHPO-approved archaeological-survey investigation and other
associated activities at the Plaza and to provide his own tools, shaker-screen(s), and other
appropriate fieldwork items; the City (i.e., City employees w/ City tools and equipment) will be
responsible for the removal of existing vegetation cover, concrete, excavation down through fill
materials, or any other tasks that may be necessary for the archaeological survey to proceed.
City crew will work under the overall direction of Contractor, w/ a City supervisor on-site or on-
call. City will be responsible for all backfilling of survey-related excavations and associated site
restoration.
4. Contractor and City's project manager will maintain ongoing mutual communication with
each other (including cc's of emails or letters to others); Contractor will deal directly w/ SHPO
on any specific developments relative to the fieldwork in process; City will handle all formal
communications with SHPO.
5. City will be responsible for any and all liability issues during the project, with the exception of
personal liability due to Contractor's own actions/negligence, which is covered by Contractor's
general personal liability coverage (up to an amount of $1,000,000) and personal automobile
insurance; Contractor will provide the City with a certificate-of-liability-insurance, naming City
of Ashland as certificate holder.
6. City will be responsible for all safety and security provisions (e.g., pedestrian- and vehicular-
traffic control by means of signs, barriers, etc.), media communication, public notice (including
posting of on-site explanatory posters).
7. The Contractor will be responsible only for archaeological survey sufficient to determine the
evident presence/absence of archaeological materials within the project area. Contractor is not
responsible for archaeological site-testing or site-mitigation/data recovery. (If a potentially
significant archaeological resource is encountered during the survey [e.g., a buried feature,
particularly one containing multiple artifacts], the Contractor will conduct only the minimum
amount of investigation necessary to assess the resource's possible significance; if of potential
significance, the survey investigation will halt in that location pending City's decision on
subsequent steps to take in that location.
8. Following completion of the fieldwork, the Contractor will, in a timely manner, prepare a
standard archaeological- survey report, for transmittal to SHPO by the City. This report will
provide project background, document the methods and results of the survey investigations, and,
if appropriate, provide recommendations for archaeological monitoring during project
implementation or for other project-related actions.
9. During preparation of archaeological-survey report, City will, as available and appropriate,
provide Contractor with graphic (e.g., CAD mapping) assistance, photocopying, and other
administrative support.
10. City will pay Contractor $75.00 per hour for all field-work time, as well as for time spent in
meetings w/ City staff and while preparing all project-related plans, correspondence, reports,
etc., with Contractor providing invoices to City on a bi-weekly basis. City will pay Contractor
for direct expenses incurred as part of completion of Plaza project (e.g., photocopying,
cartography or other graphics, postage, purchase of needed archival-quality paper, etc.).
11. It is expected that the Contractor will complete all contracted tasks for a total direct cost to
the City of an amount not to exceed $10,000.
10/18/2012 09:08 5414884215 PAUL VOLZ INS PAGE 02/02
.4c CORbr CERTIFICATE OF LIABILITY INSURANCE 10/1%2012
THIS CERTIFICATE 15 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), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policylies) must be anuorsod If SUBROGATION IS WAIVED, Subject to
the tome and conditions of the policy, certain policies may require an endorsement A statomoM on this Cortifieate does not eonfor rights to the
certificate holder In lieu of such endorsemom(s).
PRODUCER NAME
Paul W Volz Insurance Agency AME, x 541-482-8463 aC.NO541-488-4215
450 Siskiyou Blvd Ste 5 ADDRESS:?
Ashland OR 97520
INHURERIS) AFFORwns covawaE Nuu
INSURER A: MOUnt Vernon Fire
INSURED JEFFERY LALANDE INSURER B; Farmers Insurance CO Of Oregon
DBA: Lalande At:chaeology 6 History BtrC INSURER C:
495 Chesnut # 8 INSURER D:
Ashland, OR 97520 1 NSURER E:
INBURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IWA
LTR TYPE OF INSURANCE INSR wvo POLICY NUMBER MM/DD (MWDDrYYYy) LIMITS
GENERAL LIABILITY - EACH OCCURRENCE S 1 000 000
X COMMERCIAL GENERAL LAIIILRY PREMISES Ee coswenca S 10o'000
CLAIMS-MADE a OCCUR NED EXP(Any one person) E 5,000
A CL 2624317 7/2/2012 7/2/2013 PERSONA-LADVINJURY S
GENERAL AGGREGATE E 2,000,000
GEN'L AGGREGATE UNIT APPLIES PER _ PRODUCTS. COMP/OP AGG E
POLICY PE OT LOC E
AUTOMOBILE LIABILITY
- Ea aodd E
ANYAUTO BODILY INJURY (Par Fors ) E ZOO , OOO
ALL OWNED SCHEDULED BODILY INJURY P aced") b 300 , DDD
B AUTOS x AUTOS NON-OWNED 18924-41-62 04/30/12 04/30/13 1 G
HIRED AUTOS AUTOS Per accident E $0 000
S
UMBRELLA LIAR OCCUR EACH OCCURRENCE E
EXCESS LIAR CLAIMS-MADE AGGREGATE E
DIED RETENTIONS S
WORKERS COMPENSATION WCSTw 0
AND FMPLOYERT LIABILITY YIN TORY L Imn's ER
ANY PRQFRIE70RIPARTNER1El~£Ctli1VE
DFFICaaMENOElr EKCDNEm ❑ NIA EL EACH ACCIDENT E
(MS,wnory In NW) E.L DISEASE • EA EMPLOYE E
H yyeas~ describe under
DESCRIPTION OF OPERATIONS HelaY E1. DISEASE -POLICY LIMB $
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Aenh ACORD 101, AddRO= Remarks SU 16, H mere space is reprired) I
City of Ashland is named as Additional Insured, per contract requir~}i~:~ - Ls'
OCT 1 8 2012
Lt1~
In I of,
CERTIFICATE HOLDER CANCELLATION
City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
20 N Main THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Ashland, OR 97520 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
}Pakd w V012
C 1968-2010 ACORD CORPORATION. All rights reserved.
ACORD25(2010/O5) The ACORD name and logo are registered marks of ACORD
CITY OF
ASHLAND
DETERMINATIONS TO PROCURE
ARCHEOLOGICAL SERVICES
THREE QUOTES
To. Dave Kanner, Public Contracting Officer
From: Scott A. Fleury
Date: 1012612012
Re: DETERMINATIONS TO PROCURE ARCHEOLOGICAL SERVICES
Backeround
Through development of the Plaza redesign project the City of Ashland has been required by the State
Historic Preservation Office (SHPO) to perform an archeological site survey of the Plaza. This site survey
will determine the presence or absence of significant archeological items and provide all required
documentation to satisfy the requirements of SHPO.
The City of Ashland Engineering Department with the assistance of the Planning Department attempted
to obtain 3 quotes from local archeologists to satisfy the SHPO requirements.
The City contacted Dennis Gray from Cascade Research, Mark Tveskov, PhD, Professor of Anthropology
for Southern Oregon University and Jeff LaLonde R.P.A, PhD, from LaLande Archeology and History
Services.
Only Jeff LaLande supplied the City of Ashland with a quote and scope of services for the project. The
City is now entering into a contract with Jeff LaLande to perform required site survey.
. eTr e . F..E .
E0.4. 58R.vrc£S tri.~, /lP-4etZ `
r~z~~ r L
Form #4 - Department Head Determinations to Procure Personal Services, Page 1 of 1, 10/26/2012
UTY RECGIRvER Page 1 / 1
CITY OF fl
ASHLAND DATE PO NUMBER
20 E MAIN ST. 11/8/2012 11280
ASHLAND, OR 97520
(541) 488-5300
VENDOR: 014159 SHIP TO: Ashland Public Works
LALANDE, JEFFREY (541) 488-5587
ARCHAEOLOGY & HISTORY SERVICES 51 WINBURN WAY
495 CHESTNUT ST #8 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
THIS IS A REVISED PURCHASE ORDER
Archeoloqical Site Survey for the City 10,000.00
of Ashland Plaza to meet requirements
of State Historic Preservation Office
Contract for Goods and Services
Beginning date: 10/24/2012
Completion date: 03/31/2013
Processed chanqe order 11/14/2012 to
chanqe project number from 201213.999
to 000294.999
SUBTOTAL 10 000.00
BILL To: Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2010 TOTAL 10,000.00
ASHLAND, OR 97520
Account Number Project Number Amount Account Number Project Number Amount
E 110.01.02.00.60410 E 000294.999 10 000.00
"Ix
AU prized Signature VENDOR COPY
FORM #3 CITY OF
ASHLAND
A request for a Purchase Ordev
REQUISITION Date of request: 10/26/2012
Required date for delivery: asap
Vendor Name Lalande Archeology and History Services
Address, City, State, Zip 495 Chestnut Street #8
Contact Name & Telephone Number Jeff LaLande R.P.A., P.H.D. 541-778-3257
Fax Number
SOURCING METHOD
❑ Exempt from Competitive Bidding ❑ Emergency
❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Form #13, Written findings and Authorization
❑ AMC 2.50 Date approved by Council: ❑ Written quote or proposal attached
❑ Written quote or proposal attached
❑ Small Procurement Cooperative Procurement
Less than $5,000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon
❑ Direct Award Date approved by Council: Contract #
❑ VerbahWritlen quote(s) or proposal(s) ❑ Slate of Washington
Intermediate Procurement ❑ Sole Source Contract #
GOODS & SERVICES ❑ Applicable Form (#5,6, 7 or 8) ❑ Other government agency contract
$5.000 to $100.000 ❑ Written quote or proposal attached Agency
® (3) Written quotes attached ❑ Form #4, Personal Services $5K to $75K Contract #
PERSONAL SERVICES ❑ Special Procurement Intergovernmental Agreement
$5,000 to $75.000 ❑ Form #9, Request for Approval ❑ Agency
❑ Less than $35,000, by direct appointment ❑ Written quote or proposal attached Date original contract approved by Council:
❑ (3) Written proposals attached Date approved by Council: (Dale)
❑ Form #4, Personal Services $5K to $75K Valid until: Date
Description of SERVICES Total Cost
Archeological Site Survey for the City of Ashland Plaza to meet requirements of State $ 10,000
Historic Preservation Office.
Item # Quantity Unit Description of MATERIALS Unit Price Total Cost
TOTALCOST-
❑ Per attached quotelproposal $
Project Number L- 5 Account Number (to -Oi • O?- co. 6o4loo
Account Number Account Number
*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:
ITDirector Date Support -Yes/No
By lignin quisition form, I certify that the City's public contracting requireme is have been sadsItied.
Employee Signature: Department Head Signature:
(Equal to or greater than $5,000)
Additional signatures (if-appka
Funds appropriated for current fiscal year. ~S / NO C;Z ^ J- 2
Finance Director-(Equal to orgreaterthan$5,000) Date .
Comments:
Form #3 - Requisition