HomeMy WebLinkAbout2004-067 Agrmt - USDA Forest Service USDA FOREST SERVICE
BILL FOR COLLECTION
BILL DATE: 03/19/04
ENCLOSE A COPY OF THIS BILL WITH YOUR CHECK OR MONEY ORDER.
DO NOT SEND CASH. PLEASE INCLUDE BILL NO. AND PAYER CODE
ON YOUR CHECK.
MAKE CHECK PAYABLE TO:
USDA FOREST SERVICE
TO:
FIRE & RESCUE
455 SISKIYOU BLVD
ASHLAND
OR 97520
AGREEKE~T NO: CONTRACT NO:
MAIL PA194]~NT TO:
PAGE:
USDA FOREST SERVICE, C/O BANK OF AMERICA
FILE 71652
P.O. BOX 60000
SAM FRANCISCO, CA 94160-1652
PAYER INDICATE
AMOUNT ENCLOSED:
N~'TAMOUNT DUE: $ 9,000.00
DUE DATE: 04/18/04
BILL NCYMBER: AB 06102040006
PAYER CODE: 936002117 D
DESCRIPTION: 04-CO-11061002-010
01
_{
REMARKS:
RE: PAYER CODE: 936002117 D BILL NOs AB 06102040006
NOTE:
PLEASE SEND ALL CORRESPONDENCE, INQUIRIES, AND CHANGE OF ADDRESS
TO:
ROGUE RIVER-SISKIYOU }IF
PO BOX 520
MEDFORD, OR 97501
541-858-2242
PRINCIPAL: $ 9,000.00
INTEREST:
ADMINISTRATIVE COSTS:
PENALTY:
AMOUNT DUE: $ 9,000.00
AMOUNT CREDITED:
NET AMOUNT DUE: $ 9,000.00
FAILURE TO MAKE PAYMENT BY THE DUE DATE WILL RESULT IN THE
ASSESSM]~TT OF LATE PAY}{{~kIT CHARGES (INTEREST, ADMINISTRATIVE COST,
AND/OR PENALTY CHAROES) IN ACCORDANCE WITH YOUR CONTRACT, PERMIT,
OR THE DEBT COLLECTION ACT OF 1982, AS AMENDED. POSTMARKS ARE NOT
HONORED.
LINE; 001 0RG: 0610 JOB: FS222004 ROGUE RIVF~R/SISKIYOU NF AGREEMENT ~04-C0-11061002-010
LAW ENFORCEHENT PATROLS WITHIN THE ASHLAND WATERSHED AND
ASHLAND CREEK. FOREST CONTACT JILL ZAN 541-858-2230
LINE ORG JOB AMOUNT { LINE 0RG JOB AMOUNT LINE ORG JOB AMOUNT
001 0610 FS222004 $
9,ooo.ool
I
I
1
I
FS Agreement No. 04-CO- 11061002-010
Cooperator Tax ID No. 936002117
Cooperator Agreement No.
..Page 1 of 5 3/9/04
COLLECTION AGREEMENT
between
USDA FOREST SERVICE,
ROGUE RIVER-SISKIYOU NATIONAL FOREST
and
CITY OF ASHLAND FIRE AND RESCUE
This COLLECTION AGREEMENT is hereby entered into by and between the USDA
Forest Service, Rogue River-Siskiyou National Forest, hereinafter referred to as the
Forest Service, and the City of Ashland Fire and Rescue, hereinafter referred to as the
Cooperator under the provisions of the Granger-Thye Act of April 24, 1950.
A. PURPOSE:
The purpose of this Collection Agreement is to provide for law enforcement patrols
within the Ashland Interface and Ashland Creek Watershed above the City of Ashland.
These lands comprise of both City owned and National Forest lands.
This agreement will help accomplish mutually beneficial objectives related to fire
prevention and recreation use. The public will benefit as well by increased protection to
the City's domestic water supply, along with the ability to recreate in a safer forest
environment.
B. FOREST SERVICE SHALL:
1. Deposit all cash funds received under the terms of this Agreement to a Forest
Service Cooperative Work Fund to be used for the purpose for which contributed,
including related overhead expenses.
2. Provide for a cooperative deputy through an existing Law Enforcement
Agreement (#03-LE-11061000-014) with Jackson County Sheriffs Department.
3. Emphasize patrol areas as designated by the Forest Service and City of Ashland
Fire and Rescue.
4. Provide for at least 24 hours per week patrol duty in the Ashland Interface and
Watershed areas, above the City of Ashland, through October of each year covered by
this agreement or modification thereto.
FS Agreement No. 04-CO- 11061002-010
Cooperator Tax ID No. 936002117
Cooperator Agreement No.
Page 2 of 5 3/9/04
5. Annually execute a Financial and Operating Plan to Cooperative Law
Enforcement Agreement No. 03-LE- 11061000-014 to reflect both the additional patrol
activities and emphasis areas for lands within the Ashland Interface and Watershed.
C. ASHLAND FIRE AND RESCUE SHALL:
1. Upon presentation of a Bill of Collection, deposit with the Forest Service the
annually agreed upon amount which represents the estimate needed to provide the
additional patrols for City owned lands within the Ashland Interface and Watershed Area.
For 2004 this amount is $9,000.
2. Authorize the Forest Service to use any unused remaining balance already on
deposit under Collection Agreement #03-CO- 11061002-023 for agreed to work under
this agreement.
3. Meet with the Forest Service to agree upon the specific areas and frequency of
patrols, given that patrols will be performed in the Ashland Interface and Watershed Area
3 days (24 hours) per week.
D. IT IS MUTUALLY AGREED AND UNDERSTOOD BY ALL PARTIES THAT:
1. TAXPAYER IDENTIFICATION NUMBER. The cooperator shall furnish their tax
identification number upon execution of this instrument.
2. FREEDOM OF INFORMATION ACT (FOIA). Any information furnished to the
Forest Service under this instrument is subject to the Freedom of Information Act (5
U.S.C. 552).
3. MODIFICATION. Modifications within the scope of the instrument shall be made
by mutual consent of the parties, by the issuance of a written modification, signed and
dated by all parties, prior to any changes being performed.
4. REFUNDS. Contributions authorized for use by the Forest Service, which are not
spent or obligated for the project(s) approved under this instrument, will be refunded to
the cooperator or authorized for use for new projects by the cooperator and approved by
the Forest Service.
5. PROPERTY IMPROVEMENTS. Improvements placed on National Forest System
land at the direction of either of the parties, shall thereupon become property of the
United States, and shall be subject to the same regulations and administration of the
Forest Service as other National Forest improvements of a similar nature. No part of this
instrument shall entitle the cooperator to any share or interest in the project other than the
right to use and enjoy the same under the existing regulations of the Forest Service.
FS Agreement No. 04-CO- 11061002-010
Cooperator Tax ID No. 936002117
Cooperator Agreement No.
Page 3 of 5 3/9/04
6. LEGAL AUTHORITY. The cooperator has the legal authority to enter into this
instrument, and the institutional, managerial and financial capability (including funds
sufficient to pay nonfederal share of project costs) to ensure proper planning,
management, and completion of the project.
7. PARTICIPATION IN SIMILAR ACTIVITIES. This instrument in no way restricts
the Forest Service or the Cooperator(s) from participating in similar activities with other
public or private agencies, organizations, and individuals.
8. COMMENCEMENT/EXPIRATION DATE. The instrument is executed as of the
date of the last signature and is effective through December 31, 2008, at which time it
will expire unless extended.
9. TERMINATION. Any of the parties, in writing, may terminate the instrument in
whole, or in part, at any time before the date of expiration. Neither party shall incur any
new obligations for the terminated portion of the instrument aider the effective date and
shall cancel as many obligations as possible. Full credit shall be allowed for each Party's
expenses and all non-cancelable obligations properly incurred up to the effective date of
termination.
10. PRINCIPAL CONTACT. The principal contacts for this instrument are:
Forest Service Project Contact
Lee H. Fox
Patrol Captain, LEI
200 NE Greenfield Road
Grants Pass, OR 97526
Cooperator Project Contact
Keith Woodley
City of Ashland Fire and Rescue
455 Siskiyou Blvd.
Ashland, OR 97520
Phone: 541-471-6900 Phone: 541-482-2770
FAX: 541-471-6904 FAX:
E-Mail: lhfox~fs.fed.us
E-Mail: woodleyk~ashland.or.us
Forest Service Administrative Contact
Jill W. Zan, Agreements Specialist
Southwest Oregon Acquisitions
Rogue River National Forest
P.O. Box 520
Medford, OR 97501
Phone: 541-858-2230
FAX: 541-858-2224
E-Mail: jzan~fs.fed.us
Cooperator Administrative Contact
Phone:
FAX:
E-Mail:
FS Agreement No. 04-CO- 11061002-010
Cooperator Tax ID No. 936002117
Cooperator Agreement No.
Page 4 of 5 3/9/04
11. ADVANCE BILLING (1). Bill the cooperator prior to commencement of work for
deposits sufficient to cover the estimated costs (including overhead) for the specific
payment period. Overhead will be assessed at the rate of 19.2% in 2004 on Forest
Service non-contract costs.
Billings shall be sent to: City of Ashland Fire and Rescue
455 Siskiyou Blvd.
Ashland, OR 97520
12. ENDORSEMENT. Any cooperator contributions made under this instrument do not
by direct reference or implication convey Forest Service endorsement of the cooperator's
products or activities.
13. FOREST SERVICE LIABILITY. The Forest Service shall not be liable to the
depositor or landowner for any damage incident to the performance of this agreement.
14. MULTI YEARS. It is anticipated that the agreement will be in effect for a five (5)
year ordering period, with modifications adding funds for each subsequent year beyond
2004, contingent upon the availability of funds for both parties in subsequent years.
15. AUTHORIZED REPRESENTATIVES: By signature below, the cooperator certifies
that the individuals listed in this document as representatives of the cooperator are
authorized to act in their respective areas for matters related to this agreement.
IN WITNESS WHEREOF, the parties hereto have executed this agreement as of the last
written date below.
KEITH WOODLEY ~,
City of Ashland Fire and Rescue
Date
~OTT D.
Forest Supervisor
Rogue River-Siskiyou National Forest
Date
Forest Service Use
Job Code: FS2220 for Cooperator contribution'
S Agreement No. 04-CO-11061002-010
Cooperator Tax ID No. 936002117
Cooperator Agreement No.
Page 5 of 5 3/9/04
ESTIMATED FINANCIAL PLAN for 2004
FOREST SERVICE COOPERATOR
Cost Elements A B
Direct Costs Contribution Contribution Subtotal
Salaries/Labor * 500 500 1,000
Equipmt Use-Mileage 50 50
County Deputy Patrols 8,000 8,404 16,404
Indirect Costs 106 96 202
Subtotal 8,656 9,000 17,656
The area to be patrolled is comprised of approximately 50%(+) National Forest and
50%(-) City owned lands. The City owned portion is primarily at the lower elevations
where more activity occurs and therefore more patrols are needed. Column A reflects the
Forest Service costs for patrolling the National Forest portion and Column B reflects the
cost to the City for patrols for their portion of the Ashland Interface and Watershed.
* Each party to fund 2 days FS Rep (COR) costs with the County Agreement for patrols.
CITY OF ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
VENDOR: 002466
USDA FOREST SERVICE
PO BOX 60000 FILE 71652
SAN FRANCISCO, CA 94160-1652
FOB Point:
Terms: Net
Req. Del. Date:
Special Inst:
CITY
RECORDER'S COPY
["-~" .: *,DATE ;., J
[ 03/2'3/2004 "' J
Page 1 / 1
PONUMBER ::~
04946 '.~
SHIP TO:
Ashland Fire Department
(541) 482-2770
455 SISKIYOU BLVD
ASHLAND, OR 97520
Req. No.:
Dept.: PUBLIC WORKS
Contact: Keith Woodlev
Confirming? No
2004 Intera¢
;ost-Share
BILL TO: Account Payable
20 EAST MAIN ST
541-552-2028
ASHLAND, OR 97520
E 670.08.29.00.604160
Authorized Signature
9 000.00
VENDOR COPY
SUBTOTAL
TAX
FREIGHT
TOTAL
9,O00.OOJ
__ O.OOJ
9,000.00 J
A request for a Purchase Order
REQUISITION FORM
THIS REQUEST IS A:
[] Change Order(existing PO #__.)
CITY OF
-ASHLAND
Date of Request: I 3/22/04
Required Date of Delivery/Service:
Vendor Name:
Address:
City, State, Zip:
Phone:
Fax Number
Beliver Location
USDA FOREST SERVICE
FILE 71652
P.O. BOX 6000
SAN FRANCISCO, CA 94160-1652
Services Only
Description Total Cost Solicitatil Pn
COST-SHARE AGREEMENT (copies attached)
COA / USFS
~ Sole Source [] Invitation to Bid
(copies on file)
.:$~!~i~0 [] Lessthan [] Requestfo,
.... $5000 Proposal (copies on file)
Account Number 670-08-29-6~160
*P/ease attach the Original signed contract and Insurancefcertificate.
Materials Only
Item # Quantity Unit Description Unit Cost Total Cost
Account Number
*Please attach the quotes.
Employee Signature: Supervisor/Dept. Head Signatu re: ~¢4"41~... (¢/.~/--¢-¢~( ~.~.
NOTE: By signing this requisition form, I certify that the above request meets the City of Ashland Solicitation Process requirements and can be provided
when necessary,
G:Finance\ProcedurCAP~Forms\Requisition form 2004 Agreement.doc.doc.
Updated
on:07/15/02