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HomeMy WebLinkAbout2002-147 Agrmt - SOS AlarmSOS ALARM Billing Information - Commercial System Billing Address: Company Name: 140, Mailing Address: 20 .y .r 7-- City/State/Zip:. Q ?Q 2 S Z o Billing Contact: j??p,r?6- Phone: Tax ID#: 4?5,j e7ea-2/1 / or ,Pq e c! 4c .LAS t/ C_ d c• -&tlespeESe?t v c.e??,-,R ?c ? N ?.. Fa SSN# - Account number 1. Monthly C aR? (booklet to be mailed following installation) 2. Invoicing: Quarterly Semi-Annual Annual (All monitoring fees are billed the first day of the selected period and due within 1 3Q 3. Please bill my credit card (Visa, MasterCard, or Discover only, please) Monthly Quarterly Semi-Annually For all service invoices (a copy of the receipt & invoice will be mail- For the remainder of the installation and pro-rated f onth of service Cardholder's Name: Card Number: __ - ?- - Cardholder's Si, ' Annually Telephone: / Issuing Bank: Date: 4. Please take my monitoring fees directly out of my bank account (please choose period & accou Monthly Quarterly Semi-Annuall Annually Checking Savings Ba e: Routing Number: Account Holder's Account Number: -------------------------------------------------------------- *Form completed by (sign & print name): r? Title: p f P- e l Ile Exp. Date: Date: Date: y d X179-1959 GRANTS PA 1. SERVICES TO BE PROVIDED: A. MONITMING SERVICE (See Paragraphs 3 and 4) JK YES ? NO B. MAINTIIINANCE SERVICE (See Paragraph 5) ? YES W NO CHECK ONLY ONE OF THE FOLLOWING: r - 1. Time and Material Service........... ? 2. 24-Hour Maintenance........... ? 3. Limited Maintenance ........... ? Explain: _!895% 44,4.9±!!q S TO ?Yhxt lrh),C T4 M Syi% hep-1 C. 2. PAYMENT D TERMS: Subscriber agrees to pay to Co an ts? agents or assigns: (a) The sum of Dollars $ ?) for initial connection, installation and/or inspection, payable upon completion. (b) For monitoring and/or maintenance, the sum of Dollars ($ 2 ) per month, payable In advance on the 1st day of each • ?? s a _, commencing with the month following completion of the Installation for a period of =yrw W years. In addition, Subscriber shall pay the pro-rata share of the monthly charge for the month In which the connection, installation or inspect is? completed. ionY In the event any payment due hereunder is more than ten days delinquent, the Company may Impose and collect a delinquent charge of 142% per month (18% per annum) or $3.00 whichever is greater. Subscriber is to receive no credit against the service charge If the system is temporarily cut off or out of service for any reason. 3. MONITORING SERVICES: Company agrees to monitor without liability and not as an Insurer during the term of this Agreement, the signals of an alarm syss owne by ubscr er at the premises hereinabove set forth. Company shall make such repairs and replacements as may be necessary for proper operation and maintenance of the signal receiving equipment. If, In the opinion of Company, use by the Subscriber adversely affects the use of the monitoring equipment or services, this Agreement may be terminated thirty (30) days following written notice to Subscriber. Subscriber acknowledges that Company's maintenance obligation with respect to monitoring relates solely to the maintenance and operation of the signal receiving equipment and transmitting equipment owned by Company. Company Is In no way obligated to maintain, repair, service, replace, operate or assure the operation of the property, system or any devices or device of the Subscriber, unless expressly pro- vlded in Paragraph 1 (B1 hereinabove. 4. REC19IPT OF SIGNALS/RESPONSE: (a) CtNTRAL STATION ALARM: Company or its designee, except where the system terminates at a police or fire department, shall without warranty, make every reasonable of or to do the following: (1) Upon receipt of a burglar alarm signal, transmit the alarm to headquarters of the public police department unless there Is just cause to assume that an emergency condition does not exist; if deemed necessary by Company notify the Subscriber or his designated representative by calling the telephone number supplied to Company in writing by Subscriber. (2) Upon receipt of a hold-up alarm signal, transmit the alarm to the public police department. (3) Upon receipt of a sprinkler water-flow signal, manual or automatic fire alarm signal, transmit the alarm to the public fire department un- less there is just cause to assume that an emergency condition does not exist; if deemed necessary by Company notify Subscriber or his designated rep- resentative by calling the telephone number supplied to Company In writing by Subscriber. (4) Upon receipt of a monitor or supervisory signal, notify Subscriber or his designated representative by calling the telephone number sup- plied to Company In writing by Subscriber, unless instructed otherwise. (b) POLICE/FIRE DEPARTMENT CONNECTED ALARMS: Subscriber acknowledges that the slgnsis transmitted from Subscriber's premises will be monitored in municipal police and/or fire departments or other locations, and that the personnel of such municipal police and/or fire department or other location are not the agents of Company, nor does Company assume any responsibility for the manner In which such signals are monitored or the re- sponse. If any, to such slanals. (c) TtLEPHONE LINES: Subscriber acknowledges that signals which are transmitted over telephone company signal channel lines are wholly be- yond the control and iurisdletion of Company and are maintained and serviced by the applicable telephone company or utility. S. MAI TEN NCE SERVICE: INSPECTIONS COST OF REPAIRS: Subscriber authorizes and empowers Company to maintain and service the aforesaid systefil s and to make any necessary inspect ons, tests and repairs as required, subject to the following and the terms and conditions as set forth In Paragraph 1 (B) as hereinabove set forth: (a) TIME AND MATERIAL SERVICE: All repairs, inspections and tests shall be at Subscriber's expense. All necessary repairs, Inspections and tests which may a requ reds all be per ormed between the hours of 9:00 a.m. and 5:00 p.m, on Monday through Friday, excluding national holidays. Re- pairs that Company is obligated to perform pursuant to this section shall be performed on the next business day following the request for service by Sub- scriber unless otherwise provided. Subscriber agrees to pay for all materials, parts and labor used for said repairs, tests or inspections at Company's then pre- vailing rates. Labor charges shall be for a minimum of one hour for each visit to Subscriber's premises for the purposes of repairs, Inspections or tests. Pay- ment of charges for maintenance service made pursuant to this Paragraph shall be paid within ten (10) days of receipt of Company's Invoice therefor. (b)I ENTY-FOUR HOUR MAINTENANCE: Repairs necessitated by ordinary wear and tear shall be at Company's expense. All other repairs shall be at Subscr ber s expense pursuan tot a terms and conditions as set forth in Paragraph 5 (a) as hereinabove set forth. All necessary Inspections and tests which may be required on the part of the Company, other than emergency maintenance, shall be performed between the hours of 9:00 a.m. and 5:00 p.m. on Monday through Friday, excluding national holidays. Unless otherwise provided, repairs that Company is obligated to perform pursuant to this sec- tion, shall be performed within twenty-four (24) hours following the request for maintenance by Subscriber. (c) LIMITED MAINTENANCE: Repairs necessitated by ordinary wear and tear shall be at Company's expense. All other repairs shall be at Sub- scriber's expense pursuant to the terms and conditions as set forth In Paragraph 5 (a) as hereinabove set forth. All necessary service, repairs, Inspections and tests which may be required on the part of the Company shall be performed between the hours of 9:00 a.m. and 5:00 p.m. on Monday through Friday, ex- cluding national holidays. Unless otherwise provided, repairs that Company is obligated to perform pursuant to this section shall be performed on the next business day following the request for maintenance by Subscriber. •. REC IPT OF COPY: SUBSCRIBER ACKNOWLEDGES RECEIPT OF A COPY OF THIS AGREEMENT. 7. ?? 'CIABT ITY. Company does not represent nor warrant: that the alarm system serviced herein may not be compromised or circum- vented; or tha a system or services provided will prevent any loss by burglary, hold-up, fire, or otherwise; or that the system or services provided will in all cases provide the protection for which they are intended. SUBSCRIBER ACKNOWLEDGES AND AGREES: THAT COMPANY IS NOT AN INSURER; THAT SUBSCRIBER ASSUMES ALL RISK OF LOSS OR DAMAGE TO SUBSCRIBER'S PREMISES OR TO THE CONTENTS THEREOFi AND THAT SUBSCRIBER HAS READ AND UNDERSTANDS ALL OF THIS AGREEMENT, PARTICULARLY PARAGRAPHS 17 AND 19 WHICH SETS FORTH COMPANY'S MAXIMUM LIABILITY IN THE EVENT OF ANY LOSS OR DAMAGE TO SUBSCRIBER ORELSE. S. DISC IMER OF WARRANTIES: COMPANY MAKES NO EXPRESS OR IMPLIED WARRANTIES AS TO ANY MATTER WHATSOEVER, INCLUDI CONDITION OF THE EQUIPMENT, ITS MERCHANTABILITY, OR ITS FITNESS FOR ANY PARTICULAR PURPOSE, OR THAT THE EQUIPMENT OR SERVICES PROVIDED WILL AVERT OR PREVENT OCCURRENCES OR THE CONSEQUENCES THERE- FROM WHICH THESE SERVICE(S) OR SYSTEM 15 DESIGNED TO DETECT OR AVERT. SUBSCRIBER ACKNOWLEDGES: THAT COMPANY SHALL NOT BE LIABLE FOR CONSEQUENTIAL DAMAGES; THAT ANY AFFIRMATION OF FACT OR PROMISE MADE BY COMPANY SHALL NOT BE DEEMED TO CREAI-E AN EXPRESS WARRANTY; AND THAT THERE ARE NO WARRANTIES WHICH EXTEND BEYOND THOSE ON THE FACE OF THE AGREEMENT HEREOF. MEDFORD ARM & SIGNAL CO. gent ?.,..r APPROVED Authorized Officer THIS AGREEMENT SHALL NOT BE BINDING UPON COMPANY UNLESS APPROVED IN WRITING BY AN OFFICER OF COMPANY, IN THE EVENT OF NON-APPROVAL, THE SOLE LIABILITY OF COMPANY SHALL BE TO REFUND TO SUBSCRIBER THE AMOUNT THAT HAS BEEN PAID TO COMPANY BY SUBSCRIBER SUB IBER B - TITLE --- Z-_/411*11AC4 /?//6JlrC ??? ? CORPORATION ? SOLE PROPRIETOR ? PARTNERSHIP ? OTHER ee Ile- THE TERMS AND CONDITIONS CONTAINED ON THE RE- VERSE SIDE OF THIS AGREEMENT ARE INCORPORATED HEREIN AND BY REFERENCE MADE A PART HEREOF. IWONITORING-MAINTENANCE AGREEMENT N? 7657 This Agreement is entered into this g7 day of bry-10 1 by an b tween MEDF RD ALARM & SIGNAL CO., an Oregon Corporation er ' aft r referred to as "Company" and ? i? located at (Addre I y (City) (State) (Telephone No.) hereinafter referred to as Subscriber." MONITORING-MAINTENANCE AGREEMENT (continued) g, FALSE _ALARMS- In the event an excessive number of false alarms are caused by Subscriber's carelessness, malicious action, or accidental use of the alarm system, or in the event Subscriber in any manner misuses or abuses the system, Company may in its sole discretion deem same to be a material breach of contract on the part of Subscriber and, at its option, in addition to all other legal remedies set forth below, be excused from further Performance upon the giving of ten (10) days written notice to Subscriber. Company's excuse from performance shall not affect its right to recover damages from Subscriber. In the event a fine, penalty or fee Js assessed against Company by any governmental or municipal agency as a result of any alarm originating from Subscriber's prem. ises, Subscriber agrees to forthwith reimburse Company for same. In the event Company dispatches an agent to respond to an alarm originating from Sub. scriber's premises, where Subscriber intentionally, accidentally or negligently has activated the alarm signal, and no alarm condition exists, or if Company makes any maintenance call caus:id by the inadvertence or negligence of Subscriber. Subscriber shall pay to Company the sum of Fifteen ($15.00) Dollars for each such call. Subscriber reoresents he fully understands that the equipment, because of its sensitivity and natu,e, is subject to the influence of external events which are not within the control of :ompany and which may cause the alarm to activate. Any or an of such alarms shall not excuse any of the obligations of Sub- scriber as set forth in this Agreement. Subscriber agrees to make any changes necessary to prevent the occurrence of false alarms, will not take or permit any action that affects the proper operation of the system and agrees to turn off or remove all things animate or inanimate, including but not limited to all forced air heaters, air conditioners, animals, bells, horns and any other thing which may interfere with the effectiveness of the system during closed periods while the alarm system is on. 10. INTERRUPTION OF bERVICE: Company assumes no liability for interruption of monitoring and/or maintenance service due to strikes, riots, floods, storms, earthquakes, fires, power failures, insurrection, interruption or unavailability of telephone service, acts of God, or for any other cause beyond the control of Company and will not be required to supply monitoring and/or maintenance service.toSubscriber while interruption of service due to any such cause may continue. 11. SUSPENSION OR CANCELLATION OF THIS SYSTEM: This Agreement may be sospended or cancelled, without notice at the option of Com- pany: If Company's or Subscriber's premises or equipment are destroyed by fire or other catastrophe, or 50 substantially damaged that it is impractical to continue service; or in the event Company is unable to render service as a result of any action by any governmental authority. 12. INCREASE IN TAXES, UTILITY CHARGES OR MONTHLY SERVICE: (a) Subscriber acknowledges that all charges set forth herein are based upon existing federal, state and local taxes and utility charges, including but not limited to telephone company line charges, if any.. Company shall have the right, at any time, to increase the monthly charges provided herein, to reflect any additional taxes, fees, licenses or charges which hereafter may be imposed on Companv try any itility or governmental agency or for any additional costs incurred as a result of requirements imposed by law or by Subscrioer's insur- ance carrier, relating to the service(s) provided under the terms of this Agreement, and Subscriber agrees to pay the same. (b) In addition to the adjustments and charges specifically provided for in 12 (a) abo 8hd which Subscriber hereby agrees to pay, Company may, at any time or tirnes after the expiration of one (1) year from the initial connection, inspecti. W and/or installation, propose other increases in the service charges upon giving the Subscriber notice in writing. In the event the Subscriber is unwilling t0ray such other proposed increased service charges, the Sub- scriber may terminate this agreement upon giving notice in writing to Company by registered rir ertified mail, return receipt requested, within ten (10) days from the receipt of Company's notice, provided Subscriber is not in default of any of the terms and conditions of this agreement. Failure to notify Company within said ten (10) days will constitute Subscriber's consent to the increase and all of the other terms and conditions of this agreement shall remain in full force and effect. 13. AUTHORIZED PERSONNEL: Subscriber agrees to furnish Company forthwith a written list of the names, residences, residence phone numbers, and signatures n all persons authorized to enter the premises or be notified in the event of an alarm. All changes, revisions and modifications to the above shall be supplied to Company in writing. Company is hereby authorized to enter upon the premises at any time or times deemed necessary by Company to perform its services to maintain the system and in the event pf an alarm signal. Subscriber hereby authorizes Company to temporarily disconnect the system for nuisance, or electrical reasons if Company is unable to notify Subscriber at emergency numbers listed, if Subscriber declines or fails to arrive at the prem- ises within thirty (30) minutes, or if requested to do so by any governmental or municipal officer having jurisdiction. 14. TITLE TO MONITORING EU1PMENT: Subscriber agrees that all equipment installed by Company to monitor or supervise the system(s) shall at all times refrain the sole property OR Company. Subscriber will not tlamage, encumber or dispose of said equipment or permit the equipment to be dam. aged, encumbered, taken from the premises, tampered with or repaired by anyone but authorized agents of Company. In the event of loss or damage to the equipment -r ,ny part thereof, Subscriber agrees to pay Company the reasonable value thereof or the cost of repairs, as the case may be. At the expiration of this Agreement, or in the event of any default in performance by Subscriber, Company is authorized to enter upon the premises of Subscriber and remove Company owned equipment. Removal of the equipment shall be without prejudice to the collection of any and all sums due under the entire contract or ex. tensions or renewals thereof. Subscriber shall in such event return said equipment to Company in good condition, reasonable wear and tear excepted. Sub- scriber agrees that the installation of the equipment does not create a fixture to Subscriber's premises. 15. RIGHTS OF SUBCONTRACTORS: Company shall have the right to subcontract any of the work, monitoring or services to be pr med here- under, and in such event, Subscriber acknowledges and agrees that the terms and conditions of this Agreement, including but not limited to paragraphs 17 and 18 which limit Company's liability, shall inure to the benefit of said Subcontractors and shall bind Subscriber to said subcontractors with the same force and effect as they bind Subscriber to Company. 16. DEFAULT BY SUBSCRIBER:, If Subscriber fails to pay any amount herein provided within ten (10) days after the same is tlue and payable, or if Subscriber fails to perform any other provisions hereof within ten (10) days after Company shall have requested in writing performance thereof, or if any proceeding in bankruptcy, receivership or insolvency shall be commenced by or against Subscriber or his property, or if Subscriber makes any assignment for the benefit of creditors, Company shall have the right but shall not be obligated to exercise any one or more of the following remedies: (a) Recover the existing amounts due from Subscriber and continue to monitor and/or maintain the system, in which case Company shall be en- titled to recover, in addition, the monthly amounts due under the contract for said services; or (b) Discontinue monitoring and/or maintenance of the system and remove Company owned equipment upon five (5) days written notice to Sub- scriber at Subscriber's address listed above. If Company discontinues monitoring and/or maintenance service, Company shall be entitled to recover the existing amounts due under this said contract for said services up to the sate of discontinuance of service, and, in addition, for services provided pursuant to para- graphs 3, 5 (b) and 5 (c), damages computed by subtracting from the total sum Company would have recieved over the then term of the agreement, the total of the cost to Company of leasing telephone lines, if any, for any remaining unexpired term of the agreement, plus the anticipated cost of replacement mate- rials and equipment over the unexpired term of the contract. This Cost of materials and equipment it to be determined by Company in its sole discretion from its prior experience. Subscriber acknowledges and agrees that said costs are the only costs involved; or (r.) Recover from Subscriber all sums Company may be entitled to under the law. In the event of termination of this Agreement or upon expiration of this Agreement, Company shall have the immediate right to remove any Com- pany owned equipment under the terms and conditions set forth herein. Removal of the equipment as hereinabove set forth shall not be considered to con- stitute a breach by Company of this Agreement or waiver by Company of any such damages or rights. Company shall not be responsible for damage caused to Subscriber's premises by reason of the removal or abandonment thereof of Company owned equipment from Subscriber's premises. 17. COMPANY IS NOT AN INSURER: LIQUIDATED DAMAGES; LIMITATION OF LIABILITY: It is understood and agreed: That Company is not an insurer; that insurance, I any, shall be ob IN ne by Subscriber; t at the payments provided for herein are based solely on the value of the service as set forth herein and are unrelated to the value of the Subscriber's property or the property of others located on Subscriber's premises; that Company makes no guaranty or warranty, including any implied warranty of merchantability or fitness that the equipment or services supplied will avert or prevent occurrences or the consequences therefrom which the system or service is designed to detect or avert. Subscriber acknowledges that it is impractical and extremely diffi- cult to fix the actual damages, If any, which may proximately result from a failure to perform any of the obligations herein, or the failure of the system to properly operate with resulting loss to Subscriber because of, among other things: (a) The uncertain amount or value of Subscriber's property or the property of others kept on the premises which may be lost, stolen, destroyed, damaged or otherwise affected by occurrences which the system or service is designed to detect or avert; (b) The uncertainty of the response time of any police or fire department, Should the police or fire department be dispatched as a result of a signal being received or an audible device sounding; (c) The inability to ascertain what portion, if any, of any loss would be proximately caused by Company's failure to perform or by its equipment to operate; (d) The nature of the service to be performed by Company. Sub':Criber understands and agrees that if Company should be found liable for loss or damage due from failure of Company to perform any of the obligations herein, including but not limited to installation, maintenance, monitoring or service, or the failure of the system or equipment in any respect what- soever, Company's liability shall be limited to a sum equal to the total of six (6) monthly payments or Two Hundred Fifty ($250.00) Dollars, whichever is the lesser, as liquidated damages and not as a penalty and this liability shall be exclusive; and that the provisions of this Section shall apply if loss or damage, irre- spective of cause or origin, results directly or indirectly to persons or property, from performance or nonperformance of the obligations imposed by this con- tract, or from negligence, active or otherwise, of Company, its agents, assigns or employees. If Subscriber wishes Company to assume a limited liability In lieu of the liquidated damages as hereinabove set forth, Subscriber may obtain from Company a limited liability by paying an additional monthly service charge to Company. If Subscriber elects to exercise this option, a rider shall be attached to this agreement setting forth the terms, conditions and the amount of the limited liability, and the additional monthly charge. Such rider and additional obligation shall in no way be interpreted to hold Company as an Insurer. 16. THIRD PARTY INDEMNIFICATION: In the event any person, not a party to this Agreement, shall make any claim or file any lawsuit against Company for any reason relating to ompany'It duties and obligations pursuant to this Agreement, including but not limited to the design, installation, main- tersance, monitorinq, operation, or non-operation of the alarm system, Subscriber agrees to indemnify, defend and hold Company harmless from any and all 0,1,11o, a d ,,,,. i";. including but not limited to the payment of all damages, expenses, costs, and attorney's fees, k,fhether -^ler ms be based upon alleged uitent:n a, ronauct, act ere or passive negligence, or strict or product liability on the part of the Company, its agents, servant or employees. 19. ARREST: Subscriber authorizes Company to cause the arrest of any person or persons on or around the premises unauthorized by Subscriber and to hold such person or persons until released by Subscriber, his known representative or police authority. 20. PURCHASE ORDERS: It is understood and agreed by and between the parties hereto, that if there is any conflict between this contract and Subscribers wfrchase order, or any other document, this Agreement will govern, whether such purchase order or other document Is prior or subsequent to this Agreement. 21. PRIOR CONTRACTS: The parties hereby agree that the execution of this contract by both parties automatically Cancels all former contracts be. tween Company and the above named Subscriber for the same location or locations as contained in this contract, when the protection provided for herein Is intended to replace the existing protection presently installed. Any such cancellation, however, does not relieve the Subscriber from any past due balances owed to Company under the previous contract or any other liability that accrued under the terms thereof. 22. ATTORNEY'S FEES: In event it shall become necessary for Company to institute legal proceedings to collect any charges set forth or pro- vided for herein, then and in such proceeding the unsuccessful party shall pay to the successful party such sum as attorneys' fees as the court may adjudge reasonable, in addition to the costs and disbursements provided by law. 23. INVALID PROVISIONS: In the event any of the terms or provisions or this Agreement shall be declared to be invalid or inoperative, all of the remaining terms and provis ors s all remain in full force and effect. 24. ENTIRE INTEGRATED AGREEMENT MODIFICATION- ALTERATIONS; WAIVER: This writing is intended by the parties as a final expres- sion of their agreement and as a comp ete a exc uslve statement o the terms thereo ,and in particular paragraphs 17 and 18 which set forth Company's maximum liability in the event of loss or damage to Subscriber or others. This agreement Su persecies all prior representations, understandings or agreements of the parties, and the parties rely only upon the contents of this Agreement in executing it. This Agreement can only be modified by a writing signed by the parties or their duly authorized agent. No waiver of a breach of any term or condition of this Agreement shall be construed to be a waiver of any succeeding breach. 09/27/2002 03643 VENDOR 001967 SH~P TO: City of Ashland SOS ALARM (541) 488-6002 3273 BIDDLE RD 51 WINBURN WAY MEDFORD, OR 97504 ASHLAND, OR 97520 FOB Poin~ Req. No.: Terms Net Dept.: PUBLIC WORKS Req. Del. Date Contact: David Hard Special Ins! Confirming? No Quantity Unit : . DesCription ' ', ' Unit Price Ext. Price THIS IS A REVISED PURCHASE ORDER 51 Winburn Way Fire Alarm Monitoring Service '51 ' 29.00 ! , 348.00 Winburn Way, Community Development & I PubliCWorks, 12-Month Contract ~ ". $29.00/Month, October 1, 2002 to I October 1,2003, Contract is for, One ,, . ' ! year. ~ i One t me, initial set up fee, ~ , . '~ ,, , 90.00 SUBTOTAL 438.00 BILL TO: Acco[~r,t Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 438.00 ASHLAND. OR 97520 Account Number Amount ... AcCount Number ;' ::: · : Amount E 7~ 0.08.11.00.604160 438.00 Authorized Signature VENDOR COPY A request for a Purchase Order REQUISITION FORM THIS REQUEST IS A: ? Change Order(existing PO # ) Vendor Name: _ Address: City, State, Zip: Phone: - Fax Number Deliver Location CITY OF -ASHLANE R , MNwow Date of Request: ?? Required Date of Delivery/Service: Now e d '2- Services Only Description Total Cost Solicitat ion Process: ? ? M ?L C vn ? t. ? ?? 13 Exempt 3 Written Quotes ? 2 f Per /fi a (copies attached) v4l'm a fQ .,y., rhm? Sole Source Invitation to Bid i fil (cop es on e) C 7,? u f Y ?? 7[ , C, Less than $5000 Request for Proposal (copies on file) Account Number the Originai signed contract and Insurance certificate. Materials Only Item # Quantity Unit Unit Cost Total Cost Account Number _ _ _ 'Please attach the quotes. Employee Signature: Supervisor/Dept. Head Signature: NOTE. By signing this requisition form, l certify that the above request meets the City of Ashland Solicitation Process quire ents and can be provided when necessary.