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HomeMy WebLinkAbout2015-300 Contract - Brenntag Pacific Contract for WTP & WWTP Chemicals CITY OF CONTRACTOR: Brenntag Pacific, Inc. ASHLAND CONTACT: Laura Tua 20 East Main Street Ashland, Oregon 97520 ADDRESS: 10747 Patterson Place, Santa Fe Springs, Telephone: 541/488-6002 California 90670 Fax: 541/488-5311 TELEPHONE: 562-903-9626 FAX:562-944-7484 DATE AGREEMENT PREPARED: Jul 29, 2015 EMAIL: BEGINNING DATE: Jul 29, 2015 COMPLETION DATE: June 30, 2017 COMPENSATION: WTP Chemical #1 Sodium Hypochlorite 12.5% (HASA/JCI) Pricing for July 2015 to June 2016: $2,836.60 per order ($1.42 per gal, 330 gal per tote, (6) totes per order, plus $25 delivery chg) Pricing for July 2016 to June 2017: $2,975.20 per order ($1.49 per gal, 330 gal per tote, (6) totes per order, plus $25 delivery chg) GOODS AND SERVICES TO BE PROVIDED: Chemical listed above to be delivered as specified for the WTP per Invitation to Bid #2015-101, Approved by Council July 21, 2015, Brenntag's bid form is attached as Exhibit C. ADDITIONAL TERMS: In the event of conflicts or discrepancies among the contract documents, the City of Ashland Contract for Goods and Services will be primary and take precedence, and any exhibits or ancillary contracts or agreements having redundant or contrary provisions will be subordinate to and interpreted in a manner that will not conflict with the said primary City of Ashland Contract. 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. 5. Ownership of Documents: All documents prepared by Contractor pursuant to this contract shall be the property of City. 6. Statutory Requirements: ORS 27913.220, 27913.225, 27913.230, 27913.235, 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 $20,142.20 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: Contract for Goods and Services Less than $25,000, Revised 06/02/2015, Page 1 of 5 i a. Mutual Consent. This contract may be terminated at arty 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, 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 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 & 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 $2,000,000 for Contract for Goods and Services Less than $25,000, Revised 06/02/2015, Page 2 of 5 i each occurrence for Bodily Injury and Property Damage. C. Automobile Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $2,000,000 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 insurer(s) to 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 pprsonam 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. Contractor shall sign the certification attached hereto as Exhibit A and herein incorporated by reference. Contra r: City of Ashl nd F By Ik~_ By Signature De rtment Head Print Narrtp ! Print Name Title ate 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 06/02/2015, Page 3 of 5 EXHIBIT A CERTIFICATIONS/REPRESENTATIONS: Contractor, under penalty of p y 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 Idcation 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. (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. / I/Y Contractor (Date) Contract for Goods and Services Less than $25,000, Revised 06/02/2015, Page 4 of 5 i CITY OF ASHLAND, ~,OREGON EXHIBIT B City of Ashland LIVING WAGE per hour effective June 30, 2015 (Increases annually every June 30 by the ~r Consumer Price Index) • - • - • . portion of business of their 401 K and IRS eligible employer, if the employerlhas cafeteria plans (including ten or more employees, and childcare) benefits to the has received financial amount of wages received by For all hours worked under a assistance for the projector the employee. ➢ business from the City of service contract between their Ashland in excess of ➢ Note: "Employee" does not employer and the City of $20,142.20. include temporary or part-time Ashland if the contract employees hired for less than exceeds $20,142.20 or more. ➢ If their employer is the City of 1040 hours in any twelve- Ashland including the Parks month period. For more ➢ For all hours worked in a and Recreation Department. details on applicability of this month if the employee spends policy, please see Ashland 50 or more of the ➢ In calculating the living wage, Municipal Code Section employee's time in that month employers may add the value 3.12.020. working on a project or of health care, retirement, additional For Call the Ashland City Administrator's office at 541-488-6002 or write to the City Administrator, City Hall, 20 East Main Street, Ashland, OR 97520 or visit the city's website at www.ashland.or.us. Notice to Employers: This notice must be posted predominantly in areas where it can be seen by all employees. CITY OF ASHLAND Contract for Goods and Services Less than $25,000, Revised 06/02/2015, Page 5 of 5 WTP (Water Treatment Plant) - CHEMICAL #1:X SODIUM HYPOCHLORITE 12.5%+ Sodium Hypochlorite 12.5% must meet the following specifications: 1) Must meet A.W.W.A. specifications for potable water. 2) Estimated annual usage - July through June - 23,760 Gallons (if 330/tote). 3) Currently an order is placed for six (6) totes @ 300-330 gallons per tote, ten (10) times per fiscal year. 4) Delivery to be directly at the City of Ashland, Water Treatment Plant (located above Lithia Park) - limited access above Lithia Park - 28' delivery truck is acceptable. Accessibility will need to be verified and confirmed. No exception. 5) No Tote Deposit. Delivered by tote and pumped immediately into tanks at time of delivery. Empty totes are then immediately available to be returned on empty delivery truck. 6) Deliver in 300-330 gallon totes. 7) Labeling must include NSF certification symbols on product containers. 8) Bids must be in the form of dollars per gallon. Manufacturer #45,+ / -~C~- Number of gallons per tote 3 July 2015 - June 2016 July 2016 - June 2017 Price per gallon (gal) $ y $ ) , Cost per tote $ 7 $ d $ zlg l ?D Cost per load/order - (6) Totes $ q~ 1 $ c?, 15-0 . 2-c7 Delivery charge per order $ 0~5 $ ~5✓ Comments: rTB - Chemicals for WTP & WWTP, Page 9 of 25, 6/5/2015 DATE (MM/DD/YYYY) ACRD CERTIFICATE OF LIABILITY INSURANCE 12/19/2014 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), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Marsh USA Inc. NAME: -Ti 1717 Arch Street (AJC, PHONE (A/C No): _ E-MAIL Philadelphia, PA 19103-2797 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # 424780 'ALL-GAW-15-16 INSURER A : Insurance Company Of The State Of PA 19429 INSURED INSURER B : Greenwich Insurance Company 22322 BRENNTAG PACIFIC, INC. 10747 PATTERSON PLACE INSURER C : XL Specialty Insurance Company 37885 SANTA FE SPRINGS, CA 90670 INSURER D : INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: CLE-003286428-23 REVISION NUMBER: 12 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOr 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. INSR~ _ADDCS_UBR j POLICY EFF POLICY EXP LTR TYPE OF INSURANCE IN SR WVD POLICY NUMBER MM/DD/YYYY MMIDDIYYYY LIMITS A GENERAL LIABILITY GL 0696955 101/01/2015 01/01/2016 EACH OCCURRENCE $ 2,000,000 X- DAMAGE TO RENTED $ , 1,000,000 aoccurrence COMMERCIAL GENERAL ]IABILITY PREMISES 1I MED EXP (Any one person) $ 10,000 _ - CLAIMS-MADE OCCUR III I PERSONAL & ADV INJURY I $ 2,000,000 ' J .GENERAL AGGREGATE $ - _ 2,000,000 0 COMP/OP AGG $ ,000000 _GE_lNl'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - 2 X POLICY PRO- LOC 17 B AUTOMOBILE LIABILITY RAD943713310 101/01/2015 01/01/2016 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X ALL OWNED 1 SCHEDULED BODILY BODILY INJURY INJURY (Pe Per r ersonaccident) A -1 UTO NON-OWNED PROPERTY DAMAGE HIR DSAUTOS AUTOS ill (Per accident AUTOS 1-------- ~ - - $ IL_ UMBRELLA LIAR OCCUR ! EACH OCCURRENCE $ EXCESS LIAB I CLAIMS-MADE I . AGGREGATE $ ~T DIED RETENTION $ $ C WORKERS COMPENSATION RWR943509010 (WI) 01/01/2015 101/01/2016 X 1 WC STATU- 0TH- AND EMPLOYERS' LIABILITY I TORY LIMITS ER _ C Y / N RWD943509110 (AOS) 01/01/2015 1101/01/2016 E L EACH ACCIDENT $ 2,00G ANY PROPRIETOR/PARTNER/EXECUTIVE C OFFICER/MEMBER EXCLUDED? ❑N N / A (Mandatory in NH) RWD943544101 (AK) 01/01/2015 01/01/2016 E.L. DISEASE - EA EMPLOYEE! $ 2 000 If yes describe under I'I 2000 DESCRIPTION OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT $ I DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: SUPPLYING CHEMICALS TO BOTH THE WATER TREATMENT PLANT LOCATED AT: 90 N, MOUNTAIN AVENUE, ASHLAND. OR 97520 AND THE WASTE WATER TREATMENT PLANT LOCATED AT 1195 OAK STREET, ASHLAND, OR 97520. THE CITY OF ASHLAND, OREGON, AND ITS ELECTED OFFICIALS, OFFICERS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSURED, EXCEPT FOR WORKERS COMPENSATION, WHERE REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION CITY OF ASHLAND, OR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN: KARI OLSON THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 90 NORTH MOUNTAIN AVENUE ACCORDANCE WITH THE POLICY PROVISIONS. ASHLAND, OR 97520 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi MukherjeeLcx~rt^~ ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD _ Page 1 / 1 CITY OF ® -AS H L AN n DATE PO NUMBER 20 E MAIN ST. 8/6/2015 13038 ASHLAND, OR 97520 -FIF (541) 488-5300 VENDOR: 011148 SHIP 1,:): Ashland Water Treatment Plant BRENNTAG PACIFIC, INC (541) 488-5345 FILE # 2674 ASHLAND, OR 97520 LOS ANGELES, CA 90074-2674 FOB Point: Ashland, Oreqon Req. No.: Terms: Net Dept.: Req. Del. Date: Contact: Greq Hunter Special Inst: Confirmin13? Yes Quantity Unit Description Unit Price Ext. Price 12.00 Ordr Invitation to Bid 2015-101 Chemicals 2,836.60000 34,039.20 for WTP & WWTP FY 16 -12.5% Sodium HVpochlorite Location: WTP 12.00 Ordr FY 17 - 12.5% Sodium HVpochlorite 2,975.20000 35,702.40 Location: WTP i I SUBTOTAL 69 741.60 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 69,741.60 ASHLAND, OR 97520 Account Number Project Number Amount Account IJumber Project Number Amount E 670.08.19.00.60150 69 741.60 Authorized ature VENDOR COPY FORM #3 CITY OF -1SHLAN D REQUISITION Date of request: 7-1-15 Required date for delivery: 7-1-IS Vendor Name BRENNTAG PACIFIC INC. Address, City, State, Zip 5700 NW FRONT AVE, PORTLAND, OR. 97210 Contact Name & Telephone Number RICK SABOL 503-781-1905 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 Attach co of council communication If council approval required, attach co of CC ❑ Small Procurement Cooperative Procurement Less than $5,000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon ❑ Direct Award Date approved by Council: Contract # 17-1 Verbal/Written quote(s) or proposal(s) -(Attach copy of council communication) ❑ State 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 and solicitation attached ❑ Form #4, Personal Services $5K to $75K Contract # PERSONAL SERVICES ❑ Special Procurement Intergovernmental Aqreement $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/written solicitation Date approved by Council: (Date) ❑ Form #4, Personal Services $5K to $75K Valid until: Date - (Attach copy of council communication) Description of SERVICES Total Cost TWO YEAR BLANKET PURCHASE ORDER FOR 7-1-2015 TO 6-30-2017. WATER TREATMENT CHEMICALS Item # Quantity Unit Description of MATERIALS Unit Price Total Cost 1 2016 12 ORDERS 6 EACH'330 GALLON TOTES I ORDER OF 12.5% $ 2,836.60 $ 34,039.20 SODIUM HYPOCHLORITE 2 2017 12 ORDERS 6 EACH 330 GALLON TOTES I ORDER OF 12.5% $2,975.20 $ 35,702.40 SODIUM HYPOCHLORITE TOTAL COST ® Per attached quote/proposal $ 69,741.60 Project Number _ _ _ _ _ _ - _ _ _ Account Number 670.08.19.00.601500 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: IT Director Date Support -Yes /No By signing this requisition form, 1 certify that the City's public contracting requirements have been satisfied. / Department Head: Employee:. ~i (Equal to or greatbMhan $5,000) Department Manager/Supervisor: City Administrator: - L<~ - (Equal to or greater than $25,000) Funds appropriated for current fiscal year 1 ES / NO r17 l / Finance Director- (Equal to orgreatecj,an $5,000) Date Comments: Form #3 - Requisition