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HomeMy WebLinkAbout2019-101 20190383 Dominion Mechanical LLC SERVICES AGREEMENT PROVIDER: Dominion Mechanical CITY OF PROVIDER'S CONTACT: Dominic Crenshaw ASHLAND 20 East Main Street ADDRESS: 3070 Pineview Ct Ashland,Oregon 97520 Medford, OR 97504 Telephone: 541/488-5587 Fax: 541/488-6006 PHONE: 541-227-4143 This Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and Dominion Mechanical, a Domestic Limited Liability Company("hereinafter"Provider"), for removal and installation of 5 upstairs shower drains and contingency for unforeseen time and materials as approved by the City of Ashland. 1. PROVIDER'S OBLIGATIONS 1.1 Provide removal and installation of 5 upstairs shower drains and contingency for unforeseen time and materials as approved by the City of Ashland as set forth in the "SUPPORTING DOCUMENTS" attached hereto and,by this reference, incorporated herein. Provider expressly acknowledges that time is of the essence of any completion date set forth in the SUPPORTING DOCUMENTS, and that no waiver or extension of such deadline may be authorized except in the same manner as herein provided for authority to exceed the maximum compensation. The services defined and described in the "SUPPORTING DOCUMENTS" shall hereinafter be collectively referred to as"Work." 1.2 Provider shall obtain and maintain during the term of this Agreement and until City's final acceptance of all Work received hereunder,a policy or policies of liability insurance including commercial general liability insurance with a combined single limit, or the equivalent, of not less than $1,000,000 (tae one 4/140A million dollars)per occurrence for Bodily Injury and Property Damage. 1.2.1 The insurance required in this Article shall include the following coverages: • Comprehensive General or Commercial General Liability, including personal injury, contractual liability, and products/completed operations coverage; and • Automobile Liability. 1.2.2 Each policy of such insurance shall be on an "occurrence" and not a "claims made" form, and shall: • Name as additional insured "the City of Ashland, Oregon, its officers, agents and employees" with respect to claims arising out of the provision of Work under this Agreement; • Apply 1 to each named and additional named insured as though a separate policy had been issued to each,provided that the policy limits shall not be increased thereby; • Apply as primary coverage for each additional named insured except to the extent that two or more such policies are intended to "layer" coverage and, taken together, they provide total coverage from the first dollar of liability; • Provider shall immediately notify the City of any change in insurance coverage • Provider shall supply an endorsement naming the City, its officers, employees and agents as additional insureds by the Effective Date of this Agreement; and Page 1 of 5: Agreement between the City of Ashland and Dominion Mechanical • • • Be evidenced by a certificate or certificates of such insurance approved by the City. 1.3 Provider shall,at its own expense,maintain Worker's Compensation insurance in compliance with ORS 656.017, which requires subject employers to provide workers' compensation coverage for all of its subject workers. 1.4 Provider agrees that no person shall, on the grounds of race, color, religion, creed, sex, marital status, familial status or domestic partnership, national origin, age, mental or physical disability, sexual orientation, gender identity or source of income, suffer discrimination in the performance of this Agreement when employed by Provider. Provider agrees to comply with all applicable requirements of federal and state civil rights and rehabilitation statutes, rules and regulations. Further, Provider agrees not to discriminate against a disadvantaged business enterprise,minority-owned business,woman-owned business, a business that a service-disabled veteran owns or an emerging small business enterprise certified under ORS 200.055, in awarding subcontracts as required by ORS 279A.110. 1.5 In all solicitations either by competitive bidding or negotiation made by Provider for work to be performed under a subcontract, including procurements of materials or leases of equipment, each potential subcontractor or supplier shall be notified by the Providers of the Provider's obligations under this Agreement and Title VI of the Civil Rights Act of 1964 and other federal nondiscrimination laws. 1.6 Living Wage Requirements: If the amount of this Agreement is $21,127.46 or more, Provider is required to comply with Chapter 3.12 of the Ashland Municipal Code by paying a living wage,as defined in that chapter, to all employees performing Work under this Agreement and to any Subcontractor who performs 50% or more of the Work under this Agreement. Consultant is also required to post the notice attached hereto as"Exhibit A"predominantly in areas where it will be seen by all employees. 2. CITY'S OBLIGATIONS 2.1 City shall pay Provider the sum of$6,200.00 as provided herein as full compensation for the Work as specified in the SUPPORTING DOCUMENTS. 2.2 In no event shall Provider's total of all compensation and reimbursement under this Agreement exceed the sum of$6,200.00 without express, written approval from the City official whose signature appears below, or such official's successor in office. Provider expressly acknowledges that no other person has authority to order or authorize additional Work which would cause this maximum sum to be exceeded and that any authorization from the responsible official must be in writing. Provider further acknowledges that any Work delivered or expenses incurred without authorization as provided herein is done at Provider's own risk and as a volunteer without expectation of compensation or reimbursement. 3. GENERAL PROVISIONS 3.1 This is a non-exclusive Agreement. City is not obligated to procure any specific amount of Work from Provider and is free to procure similar types of goods and services from other providers in its sole discretion. 3.2 Provider is an independent contractor and not an employee or agent of the City for any purpose. 3.3 Provider is not entitled to, and expressly waives all claims to City benefits such as health and disability insurance, paid leave, and retirement. Page 2 of 5: Agreement between the City of Ashland and Dominion Mechanical 3.4 This Agreement embodies the full and complete understanding of the parties respecting the subject matter hereof It supersedes all prior agreements,negotiations, and representations between the parties, whether written or oral. 3.5 This Agreement may be amended only by written instrument executed with the same formalities as this Agreement. 3.6 The following laws of the State of Oregon are hereby incorporated by reference into this Agreement: ORS 279B.220, 279B.230 and 279B.235. 3.7 This Agreement shall be governed by the laws of the State of Oregon without regard to conflict of laws principles. Exclusive venue for litigation of any action arising under this Agreement shall be in the Circuit Court of the State of Oregon for Jackson County unless exclusive jurisdiction is in federal court, in which case exclusive venue shall be in the federal district court for the district of Oregon. Each party expressly waives any and all rights to maintain an action under this Agreement in any other venue, and expressly consents that, upon motion of the other party, any case may be dismissed or its venue transferred, as appropriate, so as to effectuate this choice of venue. 3.8 Provider shall defend,save,hold harmless and indemnify the City and its officers,employees and agents from and against any and all claims, suits, actions, losses, damages, liabilities, costs, and expenses of any nature resulting from, arising out of, or relating to the activities of Provider or its officers, employees, contractors, or agents under this Agreement. 3.9 Neither party to this Agreement shall hold the other responsible for damages or delay in performance caused by acts of God, strikes, lockouts, accidents, or other events beyond the control of the other or the other's officers, employees or agents. 3.10 If any provision of this Agreement is found by a court of competent jurisdiction to be unenforceable, such provision shall not affect the other provisions, but such unenforceable provision shall be deemed modified to the extent necessary to render it enforceable, preserving to the fullest extent permitted the intent of Provider and the City set forth in this Agreement. 4. SUPPORTING DOCUMENTS The following documents are,by this reference,expressly incorporated in this Agreement,and are collectively referred to in this Agreement as the "SUPPORTING DOCUMENTS:" • The Provider's complete written Estimate dated 01/17/2019. 5. REMEDIES 5.1 In the event Provider is in default of this Agreement, City may, at its option, pursue any or all of the remedies available to it under this Agreement and at law or in equity, including,but not limited to: 5.1.1 Termination of this Agreement; 5.1.2 Withholding all monies due for the Work that Provider has failed to deliver within any scheduled completion dates or any Work that have been delivered inadequately or defectively; 5.1.3 Initiation of an action or proceeding for damages, specific performance, or declaratory or injunctive relief; 5.1.4 These remedies are cumulative to the extent the remedies are not inconsistent,and City may pursue any remedy or remedies singly, collectively, successively or in any order whatsoever. Page 3 of 5: Agreement between the City of Ashland and Dominion Mechanical 5.2 In no event shall City be liable to Provider for any expenses related to termination of this Agreement or for anticipated profits. If previous amounts paid to Provider exceed the amount due,Provider shall pay immediately any excess to City upon written demand provided. 6. TERM AND TERMINATION 6.1 Term This Agreement shall be effective from the date of execution on behalf of the City as set forth below (the "Effective Date"), and shall continue in full force and effect until June 30, 2019, unless sooner terminated as provided in Subsection 6.2. 6.2 Termination 6.2.1 The City and Provider may terminate this Agreement by mutual agreement at any time. 6.2.2 The City may, upon not less than thirty (30) days' prior written notice, terminate this Agreement for any reason deemed appropriate in its sole discretion. 6.2.3 Either party may terminate this Agreement,with cause, by not less than fourteen(14) days' prior written notice if the cause is not cured within that fourteen (14) day period after written notice. Such termination is in addition to and not in lieu of any other remedy at law or equity. 7. NOTICE Whenever notice is required or permitted to be given under this Agreement, such notice shall be given in writing to the other party by personal delivery, by sending via a reputable commercial overnight courier, or by mailing using registered or certified United States mail, return receipt requested, postage prepaid, to the address set forth below: If to the City: City of Ashland—Public Works Department Attn: Tami De Mille-Campos 20 E. Main Street Ashland, Oregon 97520 Phone: (541)488-5587 With a copy to: City of Ashland—Legal Department 20 E. Main Street Ashland, OR 97520 Phone: (541)488-5350 If to Provider: Dominion Mechanical Attn: Dominic Crenshaw 3070 Pineview Ct. Medford, OR 97504 8. WAIVER OF BREACH One or more waivers or failures to object by either party to the other's breach of any provision,term,condition, or covenant contained in this Agreement shall not be construed as a waiver of any subsequent breach,whether or not of the same nature. 9. PROVIDER'S COMPLIANCE WITH TAX LAWS 9.1 Provider represents and warrants to the City that: Page 4 of 5: Agreement between the City of Ashland and Dominion Mechanical 9.1.1 Provider shall, throughout the term of this Agreement, including any extensions hereof, comply with: (i) All tax laws of the State of Oregon, including but not limited to ORS 305.620 and ORS chapters 316, 317, and 318; (ii) Any tax provisions imposed by a political subdivision of the State of Oregon applicable to Provider; and (iii) Any rules,regulations, charter provisions, or ordinances that implement or enforce any of the foregoing tax laws or provisions. 9.1.2 Provider, for a period of no fewer than six(6) calendar years preceding the Effective Date of this Agreement, has faithfully complied with: (i) All tax laws of the State of Oregon, including but not limited to ORS 305.620 and ORS chapters 316, 317, and 318; (ii) Any tax provisions imposed by a political subdivision of the State of Oregon applicable to Provider; and (iii) Any rules, regulations, charter provisions, or ordinances that implement or enforce any of the foregoing tax laws or provisions. 9.2 Provider's failure to comply with the tax laws of the State of Oregon and all applicable tax laws of any political subdivision of the State of Oregon shall constitute a material breach of this Agreement. Further, any violation of Provider's warranty, as set forth in this Article 9, shall constitute a material breach of this Agreement. Any material breach of this Agreement shall entitle the City to terminate this Agreement and to seek damages and any other relief available under this Agreement,at law,or in equity. IN WITNESS WHEREOF the parties have caused this Agreement to be signed in their respective names by their duly authorized representatives as of the dates set forth below. CITY OF ASHLAND: DOMINION MECHANICAL (PROVIDER): By: 4 *(JA. By: Signature Signature zdti, At. Printed Name d Printed Name Ct f �yytiY1i 5 A-�pn- bc�Un/ea— Title Title /q 2/7 �l Date Date (W-9 is to be submitted with this signed Agreement) /q Purchase Order No. & � g . Page 5 of 5: Agreement between the City of Ashland and Dominion Mechanical Estimate Dominion ��� Mechanical Plumbing - Hydronics Dominion Mechanical LLC 3070 Pineview Ct Medford, OR 97504 CCB: #202782 541-227-4143 Name/Address David Arnold City of Ashland Date Estimate No. Project 01/17/19 92 Item Description Total Plumbing Remove and install 5 upstairs shower drains replacing waterproof 3,200.00 gaskets. Plumbing Install 1 1/2" trap with trap primer for Stainless catch pan.This bid is to 3,000.00 tie into 4" vertical drain line and bring water from kitchen across the hall. This does not include the cutting or patching of sheet rock. -Due to the complexity of this project, this is an estimate and any further cost will be for time and materials as specified in attached rate sheet. $3000 is for contingency for the unforseen. Total $6,200.00 Dominion 4SMechanical Plumbing - Hydronics CCB#202782 December 20, 2018 Dominion Mechanical specializes in design, alteration, construction of plumbing, gas and hydronic heating and cooling systems. We do not service, snake or repair broken fixtures or plumbing lines, however we do new construction, alter existing plumbing systems, add to, remove and replace fixtures, water heaters and appurtenance. -Our hours of operation is 8am-5pm Monday thru Friday with any hours greater than 8 are subject to over time hours at a rate of 150% working hourly rate of $115.00 per journeyman plumber and $40.00 per laborer. Labor rate is port to port with the cost of fuel incorporated. -We prefer to bid work however we understand the need for time and materials. Installation of plumber provided materials and fixtures due to warranty and availability of products allows the us the ability to provide superior products and services. Thank you for the opportunity. Dominic Crenshaw, Owner f Dominion e��Mechanical Plumbing - Hydronics DOMINIC CRENSHAW I dunnn anmeaQvcboo com Dominion Mechanical LLC CCB#202182 PB1453 Dominion 40 Mechanical Plumbing - Hydronics To whom this may concern: Due to the limited risk of the Fire Station 1 shower drain removal and replacement as well as adding a drain and trap primer for catchment pan please allow for insurance liability to be 1,000,000 per occurrence for this job. Thank you. DOMINIC CRENSHAW Dominion Mechanical LLC dominionmech @yahoo.com CCB#202782 PB1453 c RIJ CERTIFICATE OF LIABILITY INSURANCE 171 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CELT AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED Elf THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT SE-TWEEN THE ISSUING INSURERISI,AUTHORIZED • REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER. IMPORTANT; II VIA csrdlllaln Withal.Is an ADDITIONAL INSURED,Bus DESETIlar4 must be endorsod. II EUHROOATION IS WAIVED,subJScl In the tom=and noodlSene et the policy,csutnls poEclas may roqulm an enSnTecrnant A statomDM on Uitn cortilleats down not confer 601 f*to the cornfields holder In lieu ur such indorammongs), qq oI+OCKJ4ra ItRTHEAST AGENCIES,INC, elac tin CsSz --Z 11467 MAIN STREET STE1O4 . „ADDSIDIB.---- V,ILL1AVSVILLE.Fre 14221 p4S11BER1IIAFPOa yM)COJEBABI Mee sowfosy 4•CONTRACTORS BONDING AND INSURANCE COI PBX ndUa z B: DOMINION MECHANICAL 3070 PINE 49EW CT Anauo,__ CENTRAL pow.OR 7/7542 'Akin*E: COVERAGES CERTIFICATE NUMBER: REVISITYV NUMBE11, THIS IS TO CERTFY THAT THE PDLk'JES OF INSURANCE LISTED BELOW HAVE aEEN ISSUE=D TO TIC INSURED NAMED Al1DVE FOR THE POLICY PERIOD INDICATED_ NQWATHSTANDING ANT REQUIREMENT,TERM OR CONDITION OF NY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VkIICH THIS CERTIHCATE MT BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE PCLICIBS DESCRIBED HEREIN IS SUBJECT TO AU,THE TERMS, IMLU51Of6i ANt CONDITIONS CF SUCH POLICIES.UNITS SHOMi IiAYHAYE BEES REDUCED BY PAID CLAUS. LTA TYPEOFURFFLI I E -, : „`-- F L.E' BaSIDWC IL—EliParfr 4 Lair 1 X J cpralc ictaxsu R.ILlumnm Ve-PI CA,U AFPW: s T.Dea 7100 `tSw:4.,c.;swLV:US J .II (XI Otari PIU_ucLS¢.amasal 1 0.000 A C118L552 1EV5 DiB tlt»015 v EB1DaB!iADVeIIKY s 1.0000) .� r r�r;'mrAVVassrs � kALAFiEGTE 1 toecO pq� I[�0 M 0 LOC Pl CDUCIS-r COMPABG 1 2,000.000 A+ aLMairtt I # Arn'AU1:0 I I BO[LLYIJUEVIlr gnaw) I ASLOWAIID IC E LYelAlYJv r�aai# AusEs IatIO.$F6 ,WIC% FDAIMSE E # 1 OIPBLACIAB •OC'.1.f1 BENCE I LIAR CLA`VSNJOE -.. e w nEtRESe fASA I E I mu ENPUTTEPSE LVSUTY r<I PPZ YI I CDE)T $ 6.Fi Ub I�O[OCIIeXD7 t dA Irl.nzAetylANNI 1 •EMENPLENEE I r>�F ISMrItEWAA=NEAra. 1 -PCIiA^r LIMO S i oEBCPAPIN 4DPOPEA x4$II ATIOH6JVENIcul$/RCOnotatA hforaaao l3ua.M,cmlw.Ibd.Qen,...p.../...0.4I PRODUCTS AND COMPLETED OPERATIONS OCOVERAGE IS INCLUDED ACCORDING TO THE TERMS OF THE POLICY AND SUBJECT TO APPLICABLE POLICY EKCLUSIONS. TABLE ROCK RD WHITE CITY OR 07503 ADDmOIfAL INSURED PER CBGLOO71 CERTIFICATE HOLDER CANCELLATION N EHDIR.A ANY OF TIE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPI-I • DATE THEREOF, NOTICE Wit. BE DELIVERED IN OA*Atrial AC •J IUL WITH THE POLICY PRO'.ISIONB. CHForAchliid Pub Nkuks D]eparlmeni — t 20 E tAin El A ,i i 4 Ashland,Or 07.320. f f 0110/1.2014 AGO'4, •'i • TIOIIL All rights reserved. ACORO 26 1 201 4101) Tho ACORD T5.Im5 RINI kip in'r?D cturud darks of ACORD 2 • Tami Campos From: Dominion Mechanical <dominionmech @yahoo.com> Sent: Friday, February 08, 2019 8:18 AM To: Tami Campos Subject: insurance/contract Attachments: AFS1.insur.2.2019.pdf The A next to the commercial GL shows that you guys are additional insured. Here is my signed contract and a waiver for workers comp due to no employees. 1 CERTIFICATION OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REQUIREMENTS Contractor is exempt from the requirement to obtain workers compensation insurance under ORS Chapter 656 for the following reason. Contractor is to initial the appropriate box as follows: SOLE PROPRIETOR (Initials) • Contractor is a sole proprietor,and • Contractor has no employees,and • Contractor will not hire employees or subcontractors to perform this contract. CORPORATION—FOR PROFIT (Initials) • Contractor's business is incorporated;and • All employees of the corporation are officers and directors and have a substantial ownership interest*in the corporation,and • All work will be performed by the officers and directors;Contractor will not hire other employees or subcontractors to perform this contract. CORPORATION-NONPROFIT (Initials) • Contractor's business is incorporated as a nonprofit corporation,and • Contractor has no employees;all work is performed by volunteers,and • Contractor will not hire employees or subcontractors to perform this contract. PARTNERSHIP (Initials) • Contractor is a partnership,and • Contractor has no employees,and • All work will be performed by the partners;Contractor will not hire employees or subcontractors to perform this contract,and • Contractor is not engaged in work performed in direct connection with the construction,alteration,repair, improvement,moving or demolition of an improvement to real property or appurtenances thereto.** ��" IMITED LIABILITY COMPANY ni ls) • Contractor is a limited liability company,and • Contractor has no employees,and • All work will be performed by the members;Contractor will not hire employees or subcontractors to perform this contract,and • If Contractor has more than one member,Contractor is not engaged in work performed in direct connection with the construction,alteration,repair,improvement,moving or demolition of an improvement to real property or app -nan es thereto.** /4 e of Au orized Signer) ( (Date) owr'J e.e- (Signer'sTitle *NOTE: Under OAR436-50-050 a shareholder has a"substantial ownership"interest if the shareholder owns 10%of the corporation,or if less than 10%is owned,the shareholder has ownership that is at least equal to or greater than the average percentage of ownership of all shareholders. **NOTE: Under certain circumstances partnerships and limited liability companies can claim an exemption even when performing construction work. The requirements for this exemption are complicated. Consult with City Attorney's Office before an exemption request is accepted from a contractor who will perform construction work. Business Registry Business Name Search Page 1 of 2 Business Registry Business Name Search New Search Business Entity 11:Data 02-011.139 13 Entity Entity Registry Next Renewal Registry Nbr Type Status Jurisdiction Date Renewal Due? Date 1014580-99 DLLC ACT OREGON 04-22-2014 04-22-2019 Entity Name DOMINION MECHANICAL LLC Foreign Name New Search Associated Names Type PPB RINCIPAL PLACE OF USINESS Addr 1 3070 PINEVIEW CT Addr 2 CSZ MEDFORD IOR 197504 1 ICountrylUNITED STATES OF AMERICA Please click here for general information about registered agents and service of process. Type AGTREGISTERED AGENT I Start Date 18 Resign Date Name DOMINIC 1 'CRENSHAW 1 �` Addr 1 3070 PINEVIEW CT Addr 2 CSZ MEDFORD FOR 197504 1 CountryIUNITED STATES OF AMERICA Type MAL1MAILING ADDRESS I Addr 1 3070 PINEVIEW CT Addr 2 CSZ MEDFORD IOR 197504 1 ICountrylUNITED STATES OF AMERICA Type MEMIMEMBER 1 Resign Date Name DOMINIC 1 'CRENSHAW 1 Addr 1 3070 PINEVIEW CT • Addr 2 CSZ MEDFORD IOR 197504 I ICountrylUNITED STATES OF AMERICA New Search Name History Business Entity Name Name Type Name Start Date End Date I St= I http://egov.sos.state.or.us/br/pkg_web_name_srch_inq.show detl?p_be_rsn=1695254&p_sr... 2/7/2019 Business Registry Business Name Search Page 2 of 2 'DOMINION MECHANICAL LLC 1 EN 1 CUR 104-22-20141 Please read before ordering Copies. New Search Summary History Image Action Transaction Effective Status Name/Agent Dissolved By Available Date Date Change REINSTATEMENT AMENDED 05-03-2018 FI Agent ADMINISTRATIVE 06-23-2016 SYS DISSOLUTION 0 AMENDED ANNUAL REPORT 04-07-2015 FI ARTICLES OF ORGANIZATION 04-22-2014 FI Agent © 2019 Oregon Secretary of State. All Rights Reserved. http://egov.sos.state.or.us/br/pkgwebname_srch inq.showdetl?p be_rsn=1695254&p_sr... 2/7/2019 f AMPS Ashland Medford Plumbing, Inc. 12/19/2018 0 PO Box 8494 Medford, OR 97501 Phone 541-488-1751 or 541-734-3236 Fax 541-732-0092 Contract Estimate # 0723 City of Ashland 20 E. Main St. Ashland, OR 97520 ESTIMATOR JSJ PROJECT: COA001 Fire Station 1 - 455 Siskiyou Blvd Scope of Work Desciption Three (3) shower drains in the men's room accessible from the office space. Will remove 5,500.00 shower drains and replace using silicone to seal drains. Two (2) showers in women's room accessible from communication room. Propose building a trapeze from ceiling to access drains and replace sealing drains with silicone. Plumb in drain from supplied drip pan down to the floor for easy recognition of leaks in drains. 1 Tota I: $5,500.00 All materials are guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements are contingent upon strikes,accidents or delays beyond our control. Owner to carry fire,tornado,flood and other necessary insurance. Our workers are fully covered by Workman's Compensation Insurance. A late payment service charge of 2%per month will be charged on accounts 30 days past due from date of billing. The service charge is an annual percentage rate of 24%. Minimum service charge is$100.00,plus the reasonable cost of collection,including but not limited to attorney and legal fees. I agree that my liability for the charges is not waived and I agree to be held personally liable for such charges. NOTE:This proposal may be withdrawn by us if not accepted within 15 days. Acceptance of Contract Estimate-The above price,specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments to collected immediately upon completion of work-unless prior written arrangements have been made. Signature of Acceptance: Date: Proposal • S.O.S. Plumbing Inc. December 19, 2018 206 S. Pacific Hwy. Talent, Or 97540 Reference#: 1321-87030 541 779-3472 541 488-2680 Fax 541-535-3964 SR MIKE D Due Date: 1/18/2019 Job Name: City of Ashland Fire Station 1 20 E Main Ashland, OR 97520 Ashland, OR 97520 541-488-5345 541-488-6006 We Hereby Submit Specifications And Estimates For: Estimate to replace five shower drains: 1 . Remove existing shower drains at Men' s and Women' s showers on second floor. 2 . Provide and install five Wing Tite shower drains . 3 . Connect new drains to existing drain piping. 4 . Install drain for new drip pan under showers. Drip pan installation by others . 5 . City of Ashland to provide and install scaffolding for access to drains . 6. City of Ashland to coordinate shower floor reinforcement after drain repairs . 7 . This is an estimate only. All work will be done on a time and material basis . Estimated cost: $7560 . 00 We propose hereby to furnish material and labor-complete in accordance with the above specifications,for the sum of: $7,560.00 All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will become an extra charge over and above the estimate. All agreements contingent upon delays beyond our control. Purchaser agrees to pay all costs of collection, including attorney's fees. This proposal may be withdrawn by us if not accepted by the above due date. Authorized Acceptance Signature Signature Date , pire. Purchase Order ,Ma Fiscal Year 2019 Page: 1 of: 1 = t MB ntiS=1 E 2L -r= [ __rise _ B City of Ashland - - I ATTN: Accounts Payable Purchase 20 E. Main L Ashland, OR 97520 Order# 20190383 T Phone: 541/552-2010 O Email: payable @ashland.or.us V H C/O Public Works Department E DOMINION MECHANICAL LLC I 51 Winburn Way N 3070 PINEVIEW CT p Ashland, OR 97520 O MEDFORD, OR 97504 Phone: 541/488-5347 R T Fax: 541/488-6006 O L ve.IB[.Mgroc=iiiiirial.!—� �'iThelE rTr.s.igliElsr100e Ilirise MeI=! - ,@ri,,,,=!Ta i(.h,:-,,? � sf= Paula Brown = _ j 6!-!d-= vMele.Z!'I,sl 5 I=l !(_ i.'=!=rI-'-'_-m- 1=I q ll .I 1ii=e T E,:i#19I•_ _ �:e l- FI II-- ;-Re_`_ e e _ 02/27/2019 4421 FOB ASHAND OR/NET30 Cit Accounts Pa able Installation of Shower Drains 1 Removal and installation of five (5) upstairs shower drains and 1 EACH $6,200.0000 $6,200.00 contingency for unforeseen time and materials per attached estimate. ($3,200 plus $3,000 contingency for unforeseen) Services Agreement Completion date: 06/30/2019 Project Account: **.....******** GL SUMMARY *************** 082400-602400 $6,200.00 1 By: �" C Date: 3 I 1 LS thorii-.'Signature -1 $6,200.00 FORM #3 7 ? p, j ITY OF • 1 ASHLAND A request for a Purchase Order < . 1 �'� REQUISITION , Date of request: 02/07/2019 Vendor Name Dominion Mechancial Address,City,State,Zip 3070 Pineview Ct.Medford, OR 97504 Contact Name Dominic Crenshaw Telephone Number 541-227-4143 Email address dominionmechRvahoo.com SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Invitation to Bid ❑ Emergency ❑ Reason for exemption: Date approved by Council: ❑ Form#13,Written findings and Authorization ❑ AMC 2.50 _ (Attach copy of council communication) ❑ Written quote or proposal attached ❑ Written quote or proposal attached (If council approval required,attach copy of CC) ❑ Small Procurement ❑ Request for Proposal Cooperative Procurement Not exceeding$5,000 Date approved by Council: ❑ State of Oregon ❑ Direct Award (Attach copy of council communication) Contract# ❑ Verbal/Written quote(s)or proposal(s) 0 Request for Qualifications(Public Works) ❑ State of Washington Intermediate Procurement Date approved by Council: Contract# _ GOODS&SERVICES (Attach copy of council communication) ❑ Other government agency contract Greater than$5,000 and less than$100,000 ❑ Sole Source Agency CI (3)Written quotes and solicitation attached ❑Applicable Form(#5,6,7 or 8) Contract# PERSONAL SERVICES Intergovernmental Agreement ❑Written quote or proposal attached Form Greater than$5,000 and less than$75,000 ❑ Form#4, Personal Services>$5K&<$75K Agency ❑Direct appointment not to exceed$35,000 ❑Annual cost to City does not exceed$25,000. ❑ Special Procurement 0(3)Written proposals/written solicitation Agreement a pp roved by Legal and approved/signed by ❑ Form#9,Request for Approval City Administrator,AMC 2.50.070 4 ❑Form#4,Personal Services>$5K&<$75K Y ( ) ❑ Written quote or proposal attached Date approved by Council: ill Annual cost to City exceeds$25,000,Council Valid until: (Date) approval required.(Attach copy of council communication) Description of SERVICES Total Cost Removal and installation of 5 upstairs shower drains and contingency for unforeseen time and materials as approved by the City of Ashland. $ 6,200.00 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost • Per attached quote/proposal TOTAL COST Expenditure must be charged to the appropriate account numbers for the financials to reflect the actual expenditures accurately. Project Number -_ _ _ Account Number 082400 - 602400 $ 6200.00 Project Number -_ _ _ Account Number - $ ,_ _ _,_ _ _•_ _ Project Number -_ _ _ Account Number $ ,_ _ _,_ _ _•_ _ IT Director in collaboration with department to approve all hardware and software purchases: By signing this requisition form,I certify that the City's public contracting requirements have been satisfied. IT Director Date Support Yes/No y A�. _ Employee\D t ,l�IAJik Department Head: �� �'�-��� SF Z v toorgrea••rt an$5,00 ) I. Department Manager/Supervisor: City Administrator: 4/1 g, Z t l (Eq - • • greatert an 5,000) Funds appropriated for current fiscal year: ES NO C _3) q finance Director-(Equal to or greater than$5,000) Date Comments: