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HomeMy WebLinkAbout2017-101 Contract - Measure-Tech Contract for PERSONAL SERVICES less than $35,000 C I? Y O F CONSULTANT: MEASURE TECH INC. ~S H LAN D NTACT: STEVE DAHL CO 20 East Main Street Ashland, Oregon 97520 ADDRESS: P.O. BOX 499 ARIEL, WA. 98603 Telephone: 541 /488-6002 Fax: 5411488-5311 TELEPHONE: 360-772-1888 DATE AGREEMENT PREPARED: 2-22-17 FAX: 360-841-8374 BEGINNING DATE: 2-22-17 COMPLETION DATE: 2-22-17 COMPENSATION: $789.42 BASED ON $95.00 PER HOUR RATE. AND TRAVEL. EXPENSES. SERVICES TO BE PROVIDED: TROUBLESHOOT AND REPAIR SIGNAL COMMUNICATION MALFUNCTION ON 24" KROHNE IFC 300 MAG METER. ADDITIONAL TERMS: In the event of conflicts or discrepancies among the contract documents, the City of Ashland Contract for Personal 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 prima Cit of Ashland Contract. 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 1 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 $20,142.20 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 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 Consultant (including but not limited to, Consultant's 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, ~ud ments, or other lama es, direct) ,sole) ,and roximatel caused b the ne li ence of Cit . Contract for Personal Services, Revised 061022015, Page 1 of 5 10. 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 Consultant, 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 far 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. ObligationlLiability 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 Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $200,000, $500,000, $1,000,000, 2:400 000 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 Liability 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 occurrence for Bodily Injury and Property Damage. d. Automobile Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $200,000, $500,000, 1000 000, or Not Applicable for each accident for Bodil In~u and Propert Dama e, Contract for Personal Services, Revised 0610212015, Page 2 of 5 including coverage for owned, hired or non-owned vehicles, as applicable. e. Notice of cancellation or change. There shall be no cancellation, material change, reduction of limits or intent not to renew the insurance coverages) 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 andlor 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, suitor proceeding (collectively, "the claim") between the City (andlor 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. 77. 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 si n the certification attached hereto as Exhibit A and herein incor orated b reference. onsultant: City of Ashland gy BY S nature Department Hea ~ t ~,G Print Name Print Name . 3~l~ ~ h'~,~T' ~7 J~ 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 0610212015, Page 3 of 5 EXHl61T 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) I 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. (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 eriod of one p year. 6 I assume financial res onsibilit for defective workm p y anship 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. „c,~. -l ntractor (Date) Contract for Personal Services, Revised 0610212015, Page 4 of 5 ~ ~ ~ ~ ~ EXHIBIT B ~ o s an . . - - per hour effective June 30, 2015 (Increases annually every June 30 by the Consumer Price .Index - ~ , ~ portion of business of their 401 K and IRS eligible employer, if the employer has cafeteria plans (including ten ormore employees, and childcare) benefits to the has received financial amount of wages received by assistance for the projector the employee. ➢ For all hours worked under a 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 orpart-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- Ashlandincluding 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%ormore 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, ~ ~ ~ ~ ~ , ~ 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 Personal Services, Revised 0610212015, Page 5 of 5 i e~su~e- ec 1~G. Instrument calibration & field service Office: 360.841.8314 Fax: 360.841.8374 Emailaervice@measuretechinc.com Remit to: PO Box 499, Ariel, WA 98603 Ship to: 1823 Schurman Way Suite 306, Woodland, WA 98674 City of Ashland Thursday, February 23, 2017 Water Department 90N Mountain Ave Ashland, OR 97520 Attention: Greg Hunter Reference: Influent Flow repair and annual calibrations Greg, Below is the cost for the Influent flowmeter Krohne IFC300 that was repaired on 02-22-17. 1 ea. Repair of Krohne IFC300, technician found incorrect wiring. $ 789.42 Includes onsite time, travel and mileage split with Ashland Sewer For Annual calibrations, see the estimate below: 1 ea. Annual calibrations of 7 flow meters. $1,121.92 Includes 1 Krohne IFC300 (influent), l GE Sensing DF868 (Influent) 5 Rosemount 1151 Smart differential pressure transmitters (filters) Includes onsite time, travel and mileage split with Ashland Sewer Very best regards, Steve Dahl Field Technician 360-772-1888 Page 1 of 1 Quote#: Ashland Water.022317.smd . Phone: (541)488.6002 Fax: (541 }488.5311 ~c~~t~~ CATE OF LIABILITY INSURANCE DATE(MMIDDIYYI'Y) CERTIFI 0212712017 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 have ADDITIONAL INSURED provisions or 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 NAME: CT Samuel Boatright ALMEA Insurance, Inc. PHONE 360-694-7994 ~ No ; 360-694-8575 201 NE Park Plaza Dr #293 E--MAIL Ext ADDRESS: sboatright almeainsurance.com Vancouver, WA 98684 License 920891 ~ INSURERS AFFORDING COVERAGE NA1C # INSURERA: Houston S ecial Insurance Com an INSURED INSURERB: Ohio Securi Insurance Com an 24082 Measure-Tech, InC. INSURER c : National Union Fire Insurance Com an of Pittsb PO Box 499 INSURER D ; Ariel, WA 98603 INSURER E INSURER F ; COVERAGES CERTIFICATE NUMBER: 00000000-0 REVISION NUMBER: 83 THIS IS TO CERTIFY THAT THE POLICIES 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 MAYBE 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE tNV POLICY NUMBER MMIDDIYYYY MM1DD A X COMMERCIAL GENERAL LIABILITY Y Y TEN-17865 0712912016 0712912017 EACH OCCURRENCE $ 1 OO4 000 CLAIMS-MADE a OCCUR PREM SES Ea occurrence $ 1 444 MED EXP (Any one person) $ 5 000 PERSONAL & ADV INJURY $ 1 400 OOO GEN'LAGGREGATELIMITAPPLIESPER: GENERALAGGREGATE $ 2 OOO OO4 POLICY ~ ECT ~ LOC PRODUCTS - COMPIOP AGG $ 2 OOO 44O OTHER: $ B AUTOMOBILE LIABILITY BAS55874962 12103/2016 12103!2017 tE0 aB~lNdeD SINGLE LIMIT $ 1 404 444 X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ X AUT05 ONLY X AUTOS - HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY Per accident C X UMBRELLALIAB x OCCUR EBU023073290 07!2912016 0712912017 EACH OCCURRENCE $ 5,40,400 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,444,444 DED RETENTIONS crisis response $ 254,004 A WORKERS COMPENSATION TEN-17865 07!2912016 0712912017 X STATUTE ERH Stop Ga AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE Y~ E.L. EACH ACCIDENT $ 1,444,444 OFFICERIMEMBER EXCLUDED? N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ 1,404,444 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ .1,440,444 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Ashland, Oregon, and its elected officials, officers and employees are named as additional insured for both ongoing CG2010 and completed CG2037 operations when required by written contract, Excess liability is followform. Coverage is primary and non-contributory per foam TEN0215. Waiver of Subrogation applies per form CG 2404. Workers Compensation is through the State of Washing, current certificate attached, and WA Stop GaplEmployers Liability is afforded through form CG 0442. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland, Oregon ACCORDANCE WITH THE POLICY PROVISIONS. 20 East Main Street • Ashland, OR 97520 AUTHORIZED REPRESENTATIVE SHB) ©1988-201 CORD COR ORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Printed by SHB on February 27, 2017 at 09:29AM Kariann Olson From: Kariann Olson Sent: Friday, March 17, 201711:25 AM To: Greg Hunter Cc: Kariann Olson Subject: RE: Contract wlMeasure Tech Hello again, Also, not sure why you used Contract for Personal Services less than $35K (requires professional liability too)???? Contract for Goods and Services Less than $25K is for trade services. If I can be of assistance, please let me know. Thank you. Kariann Olson Purchasing Representative City of Ashland 90 N. Mountain Ave. Ashland, Oregon 97520 Tel 541-488-5354 Fax 541-488-5320 TTY 800-735-2900 I<ari.olson~ashland.or.us Visit the City's web site at: www.ashland.or.us This email transmission is official business of the City of Ashland, and it is subject to Oregon Public Records law for disclosure and retention. If you have received this message in error, please contact me at (541) 488-5354. Thank you. From: Kariann Olson Sent: Friday, March 17, 201711:18 AM To: Greg Hunter <greg.hunter~ashland.or.us> Cc: Kariann Olson <kari.olson@ashland.or.us> Subject: Contract w/Measure Tech Hello Greg, Just a heads up.. . There are no insurance certificates attached to the PO flocs for contract w/Measure Tech. Thank you. Kariann Olson Purchasing Representative City of Ashland 90 N. Mountain Ave. Ashland, Oregon 97520 Tel 541-488-5354 Fax 541-488-5320 TTY 800-735-2900 kari.olson ashland.or.us ' 1 Purchase CJrder r Fiscal Year 2017 Page: 1 of:1 ~ _ . . a ~ t~ U ytyl.y ' = ~ B ~ uL. City of Ashland j r,~.. ! ~ .iriil:f~i~t ~~i4il.E~!i~:~i1jC1~Ili?j ATTN: Accounts Payable Purchase r+ L..~~,, L 20 E. Main ~ Ashland, OR 97520 Order # T Phone: 541/552-2010 p Email: payable@ashland.or.us V H CJp Water Treatment Plant E MEASURE-TECH, INC l 90 North Mountain Ave N Pp BOX ~ P Ashland, pR 97520 O AR1EL, WA 98603 Phone: 541J488-5345 ~ Fax: 541 /552-2329 R a! Uendar,Phori~" Nu i„~u~~ua ~ ~ n.~~. _ ~ ~ m. : , ,~~~i ~ r~;j a'' ~ ~ if ~li4!L Yt ~~•~Irw ~ I~ 7 .4+7.,. ~1 ~l~~l~ °1~;..i I: rn ~aMm:~r~!u.~m iKri, 360 841-8314 Gre Hunter ~ i iuU~ua"~rJ~:l~'F"1 n}oi~J'~"y ' r ~I~II'~I i 1i" P i tr I ! _.!-,:~i~t~~'~~?` r r,.l~i~, ~!.~.!.n n+.. ' ~nr++~--~., nn:nr.±~~, ~ ~ ~ t . ' ~ f ~~immm~n~' +~It}"'°lillll ~ . i 1 1 f~ui~il'illl;~y~'~N' I~j !~,=Date :Qrdered~ ~ L~let~do ~ ~ u b a u~ le ~ ~1 ~ ~ ~ 1. cafi~~ ~ ~il"hi{rr~,~ 03J1712017 688 FOB ASHLAND pRINET30 Ci Accounts Pa able /I~ i ~ dwEPr~ i~rt ~i ~~~~;~?'t ' :.,it.' 2±~ .:.._.7~ ~ 'fit.',.... ? . , r~ m yt~~~l -~r~LtMr ~Ltem#a: ~,r...~„ ~ Repair Wiring 1 Troubleshoot and repair signal communication malfunction on 24" 1 $789.4200 $789.42 KROHNE !FC 300 Mag Meter Contract for Personal Services Less than $35,000 Beginning date: 02/22J2017 Completion date: 02122/2017 Project Account: GL SUMMARY I I asl9oo - 6o41ao $789.42 I ! I I I . z ~ ~l gy: G~'1~-w Date: ' ~ ~ ~ ' horized ignature ~ n ; , ~ , ~ , $789.42 F~~#3 CITY OF t 1 ~ SHL~~,N REQUISITION Date of request; 3-15-17 Required date for delivery; 3-15-17 Vendor Name MEASURE TECH INC. Address, City, State, Zip P.O. BOX 499 ARIEL, WA. 98603 Contact Name & Telephone Number STEVE DAHL 360-772-1888 Fax Number 360-841-8374 SOURCING METHOD ❑ Exempt from Competitive Biddinq ❑ Emer enc ❑ 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 uote or ro osal attached Attach co of council communication If council a royal re uired, 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 # ❑ VerballWritten 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 IntergovernmentalAgveement ~ $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 proposalslwrittensolicitotion Date approved by Council: Att (Date) ❑ Form #4, Personal Services $5K to $75K Valid until: Date - ( ach copy of council commurncation) Description of SERVICES Total Cost REPAIR WIRING TO 24" KROHNE IFC300 MAG METER. $789.42 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost ❑ Per attached quotelproposal TOTAL COST $789,42 Project Number _ _ _ _ _ _ - _ _ _ Account Number 08.19.00.604100 AccountNumber___-__-__-__-______ AccountNumber___-__- ~Expendifure must be charged to fhe appropriate account numbers for fhe financials fo accurately reflect the actual expenditures. 1T Director in collaboration with department to approve all hardware and software purchases: 1T Direcfo Date Su,nport -Yes /No By signing Phis requisition form, I cert'fy that the Cites public contracting requirements have been satisfied. Em to ee: ~1/' N Y ~ department Head: _ /~,l/~- ~ (Equal~to or greater than $5,000) Department ManagerlSupervisor: City Administrator: (Equal to or greater than $25,000) Funds appropriafed for current fiscal year: YES / NO Finance DlreCfOr (Equal fo or greater than $5,000) Date Comments: . Form #3 -Requisition