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HomeMy WebLinkAbout2004-146 Contract - Small WoodlandsASHLAND FOREST WORK PROJECT CONSULTANT SERVICES CONTRACT Consultant services contract made on the date specified below in Recital A between the City and Consultant as follows: Recitals: A. The following information applies to this contract: CITY: CITY OF ASHLAND City Hall 20 E. Main St. Ashland, Oregon 97520 (541) 488-6002 FAX: (541) 488-5311 Date of this agreement: Consultant: Marty Main Small Woodland Services, Inc. Address' 1305 Butte Falls Hwy. Eagle Point, OR 97524 Telephone: (541) 826-5306 FAX: ¶ B' RFP date: April 10, 2002 Proposal date' May 20, 2002 May 18, 2004 ¶2.2. Contracting officer: Keith E. Woodley ¶2.4. Project: Ashland Forest Work Project ¶6. Consultant's representative: Marty Main ¶8.3. Maximum contract amount: Not To Exceed $75,000 For FY 2004-2005. B. On the date noted above, City issued a request for proposals (RFP) for consulting services needed by City for the project described above. Consultant submitted a proposal in response to the RFP on the date noted above. C. After reviewing Consultant's proposal and proposals submitted by other offerors, City selected Consultant to provide the services covered by the RFP. City and Consultant agree as follows: 1. Relationship between City and Consultant: Consultant accepts the relationship of trust and confidence established between Consultant and City by this contract. Consultant covenants with the City to perform services and duties in conformance to and consistent with the standards generally recognized as being employed by professionals of consultant's caliber in the locality of the project. Consultant further covenants to cooperate with City, City's representatives, contractors, and other interested parties in furthering the interests of City with respect to the project. In order to promote successful completion of the project in an expeditious and economical manner, Consultant shall provide professional consulting services for City in all phases of the 1 - RFP Contract project to which this contract applies, serve as City's professional consulting representative for the project, and give professional consultation and advice during the term of this contract. Consultant acknowledges that City is relying on consultant to provide professional consulting services in a manner that is consistent with the interests of City. 2. Definitions: Generally words, terms and phrases used in this contract shall have the meaning ascribed to them in the construction industry, unless the context clearly indicates otherwise. As used in this contract: 2.1. "City" means the City of Ashland, Oregon. 2.2. "Contracting officer" means the person specified in Recital A above or that person's designee. 2.3. "Project" means the project described in Recital A. 2.4. "Work" or "Services" shall mean all labor, materials, plans, specifications, opinions, reports, and other consulting services and products which Consultant is required to provide under this contract. 3. Term: The term of this contract shall commence on the date specified in Recital A above and end on completion of all services required by this contract unless sooner terminated as provided in this contract. This agreement may be extended for additional terms of (one year each) if no default is existing or continuing in the performance of any of the provisions of this agreement. The extension shall be accomplished by an exchange of correspondence between the (consultant) and the person authorized to administer the agreement on the behalf of the City, if such person accepts the extension in writing. Except for the (rate to be charged) which the City shall negotiate with the (consultant), the extension shall be on the same terms, covenants and conditions as provided in this agreement except that there shall be no privilege to extend the term beyond the expiration of (5) years. 4. Authority of contractinq Officer: The contracting officer shall have the authority to act on behalf of City in the administration and interpretation of this contract. The contracting officer shall have complete authority to authorize services, transmit instructions, receive information, interpret and define City's policies and make other decisions with respect to Consultant's services. 5. Consulting Services: Consultant shall provide services to City that are described in the RFP. 5.1. In connection with the services described in the RFP, Consultant shall: 5.1.1. Consult appropriate representatives of City to clarify and define City's requirements relative to the services. 5.1.2. Review available data relative to the services. 5.1.3. Identify data which is not available and is needed to fulfill the services, and act as City's representative in obtaining such data. 5.1.4. Prepare monthly progress reports to the contracting Officer 2 - RFP Contract on the status of services. 5.1.5. Cooperate with other consultants retained by City in the exchange of information needed for completion of the services and the project. 5.2. Consultant shall commence performance of services within five days after receiving written authorization from the contracting officer for work described in the RFP. Consultant shall perform the services as expeditiously as is consistent with professional skill and care and the orderly progress of the project. Upon request of City, Consultant shall submit for City's approval, a schedule for the performance of work elements described in the RFP. Each schedule shall include allowance for periods of time required for City's review and approval of Consultant's services. Each schedule, approved by City, shall become a part of this contract. 5.3. Consultant shall perform the services as an independent contractor in accordance with generally accepted standards in Consultant's profession. Consultant shall be responsible for the professional quality, technical accuracy and the coordination of all services performed by Consultant. Consultant shall, without additional compensation, correct or revise any error or deficiencies in the services that are caused by Consultant's negligence. City's review, approval, acceptance of, or payment for, any of the services shall not be construed to waive any of City's rights under this contract or of any cause of action arising out of Consultant's services. In the event of any breach of this contract by Consultant or negligent performance of any of the services, City's cause of action against Consultant shall not be deemed to accrue until City discovers such breach or negligence, or should have, with reasonable diligence, discovered such breach or negligence. The preceding sentence shall not be construed, however, to allow City to prosecute an action against Consultant beyond the maximum time limitation provided by Oregon law. 6. Assignment of Consultant's Personnel: 6.1. The services covered by this contract shall be rendered by, or under the supervision of the person specified in Recital A above, who shall act as Consultant's representative in all communications and transactions with City. 6.2. Consultant will endeavor to honor reasonable specific requests of City with regard to assignment of Consultant's employees to perform services if the requests are consistent with sound business and professional practices. 7. Responsibilities of City: 7.1. City will cooperate fully with Consultant to achieve the objectives of this contract. 7.2. City will provide information, documents, materials and services that are within the possession or control of City and are required by Consultant for performance of the services. 7.3. City will arrange for access to, and make all provisions for Consultant to enter upon, public and private property as required for Consultant to perform the services. 7.4. City will provide all permits necessary for completion of the project. 3 - RFP Contract 7.5. The contracting officer will act as liaison between City, Consultant, public agencies, and others involved in the project. 8. Payment: 8.1. City shall pay Consultant for services and reimburse Consultant for expenses incurred by Consultant in performance of services in accordance with a payment schedule to be submitted by Consultant and accepted by City. No reimbursement will be made for expenses that are not specifically itemized in this payment schedule without prior approval by the contracting officer. 8.2. Consultant shall submit monthly invoices to City for Consultant's services within ten days after the end of the month covered by the invoice. 8.3. Total payments under this contract or any amendments shall not exceed the sum specified in Recital A above. 9. Compliance with Law: 9.1. This contract will be governed by and construed in accordance with laws of the State of Oregon. Consultant shall promptly observe and comply with all present and future laws, orders, regulations, rules and ordinances of federal, state, City and city governments with respect to the services including, but not limited to, provisions of ORS 279.312,279.314, 279.316 and 279.320. 9.2. Pursuant to ORS 279.316(2) any person employed by Consultant who performs work under this contract shall be paid at least time and a half pay for all overtime in excess of 40 hours in any one week, except for persons who are excluded or exempt from overtime pay under ORS 653.010 to 653.261 or under 29 U.S.C. Sections 201 to 209. 9.3. Consultant is a "subject employer" as defined in ORS 656.005 and shall comply with ORS 656.017. Prior to commencing any work, Consultant shall certify to City that Consultant has workers' compensation coverage required by ORS Chapter 656. If Consultant is a carrier insured employer, Consultant shall provide City with a certificate of insurance. If Consultant is a self-insured employer, Consultant shall provide City with a certification from the Oregon Department of Insurance and Finance as evidence of Consultant's status. 9.4. If the amount of this contract is $15,000 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 attached notice predominantly in areas where it will be seen by all employees. 10. Ownership of Documents: All documents prepared by Consultant pursuant to this contract shall be the property of City. To the extent permitted by law, City shall, within the limits of the Oregon Tort Claims Act, defend, indemnify and hold harmless Consultant, its consultants, agents and employees against all damages, claims, expenses and losses arising out of any reuse of plans, specifications and other documents prepared by Consultant without prior written authorization of Consultant. 4 - RFP Contract 11. Indemnification: Consultant shall defend, indemnify and save City, its officers, agents, and employees harmless from any and all claims, actions, costs, judgments, damages or other expenses resulting from injury to any person (including injury resulting in death,) or damage to property (including loss or destruction), of whatsoever nature arising out of or incident to the negligent performance of this contract by Consultant (including but not limited to, the negligent acts or omissions of 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 claims, actions, costs, judgments, damages or other expenses, directly and proximately caused by the negligence of City. 12. Insurance: 12.1. Consultant shall, at its own expense, at all times during the term of this contract, maintain in force: 12.1.1. A comprehensive general liability policy including coverage for contractual liability for obligations assumed under this contract, blanket contractual liability, products and completed operations and owner's and contractor's protective insurance; 12.1.2. A professional errors and omissions liability policy; and 12.1.3. A comprehensive automobile liability policy including owned and non-owned automobiles. 12.2. The coverage under each liability insurance policy shall be equal to or greater than the limits for claims made under the Oregon Tort Claims Act with minimum coverage of $500,000 per occurrence (combined single limit for bodily injury and property damage claims) or $500,000 per occurrence for bodily injury and $100,000 per occurrence for property damage. 12.3. Liability coverage shall be provided on an "occurrence" basis. "Claims made" coverage will not be acceptable, except for the coverage required by subsection 12.1.2. 12.4. Certificates of insurance acceptable to the City shall be filed with City prior to the commencement of any work by Consultant. Each certificate shall state that coverage afforded under the policy cannot be cancelled or reduced in coverage cannot be made until at least 30 days prior written notice has been given to City. A certificate which states merely that the issuing company "will endeavor to mail" written notice is unacceptable. 13. Default: 13.1. There shall be a default under this contract if either party fails to perform any act or obligation required by this contract within ten days after the other party gives written notice specifying the nature of the breach with reasonable particularity. If the breach specified in the notice is of such a nature that it cannot be completely cured within the ten day period, no default shall occur if the party receiving the notice begins performance of the act or obligation within the ten day period and thereafter proceeds with reasonable diligence and in good faith to effect the remedy as soon as practicable. 5- RFP Contract 13.2. Notwithstanding subsection 14.1, either party may declare a default by written notice to the other party, without allowing an opportunity to cure, if the other party repeatedly breaches the terms of this contract. 13.3. If a default occurs, the party injured by the default may elect to terminate this contract and pursue any equitable or legal rights and remedies available under Oregon law. All remedies shall be cumulative. 13.4. Any litigation arising out of this contract shall be conducted in Circuit Court of the State of Oregon for Jackson County. 14. Termination without Cause: 14.1.' In addition to the right to terminate this contract under subsection 14.3, City may terminate by giving Consultant written notice sixty days prior to the termination date. 14.2. In addition to the right to terminate this contract under subsection 14.3, Consultant may complete such analyses and records as may be necessary to place its files in order and, where considered necessary to protect its professional reputation, to complete a report on the services performed to date of termination. 14.3. If City terminates the contract under subsection 15.2, Consultant shall be paid for all fees earned and costs incurred prior to the termination date. Consultant shall not be entitled to compensation for lost profits. 15. Notices: Any notice required to be given under this contract or any notice required to be given by law shall be in writing and may be given by personal delivery or by registered or certified mail, or by any other manner prescribed by law. 15.1. Notices to City shall be addressed to the contracting officer at the address provided for the City in Recital A above. 15.2. Notices to Consultant shall be addressed to the Consultant's representative at the address provided for the Consultant in Recital A above. 16. Assignment: City and Consultant and the respective successors, administrators, assigns and legal representatives of each are bound by this contract to the other party and to the partners, successors, administrators, assigns and legal representatives of the other party. Consultant shall not assign or subcontract Consultant's rights or obligations under this contract without prior written consent of City. Except as stated in this section, nothing in this contract shall be construed to give any rights or benefits to anyone other than City and Consultant. 6 - RFP Contract 17. Modification: No modification of this contract shall be valid unless in writing and signed by the parties. Consultant Fed. ID # CITY City De~artmenkHead, Date: ~'-' / ~" - ~¢ ~/ REVI ~. ~~ ~/~5~i By Da~e: ,~ - ~_ ,~ ~ Coding ~ ¢ ~ ~;' (for Cit~'use only) 7 - RFP Contract N~y 19 200~ 13'25 P. 01 .4CORD,.' CERTIFICATE OF LIABILITY INSURANCE ~RODUCER ......... THIS CERTIFICATE 18 ISSUED A8 A MATTER OF INFORMATION NorbhWesb Znsur~nue Agency- FB ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency License fi0580581 HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO ~ox 1207, 522 N ~ranklin St ~TER THE COVE~GE AFFORDED BY THE POMClES BELOW. For= Erase CA 95~37-1207 P~one= 707-964-1271 Fax=?0?-96%-0108 INSURERS AFFORDING COVE~GE NAIC~ INSUE~ INSUR~RA'. Gulf Insurance ComPany IN$U~ER 8: Small Woodland Services Inc Ma~=y Main . INSURER C: ~e~=or~, O~ ~7B01 INSU~ ~,. ., COVERAGE8 THE POLICIES OF INSURANCE LISTED BELOW HAVE ~EEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT wrrH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AF;ORDED BY THE POLICIES OESORIBEO HEREIN 18 SUBJECT TO ALL THE TERMS, ~CLUSION~ AND CONDITION~ OF ~UCH ~LICIE~. A~REGATE LIMIT8 SHOWN ~Y HA~ BEEN RE.OEO BY PAID IN~ ~'L LTR INSRE TYPE OF INSURANCE POLICY NUMBER ~ POLICY EFg~CTNE POLICY EXPIATION ...... DATE (MMtDD~Y) DAT~ (MM/DD~ MMIT8 GENiaL LIABILI~ EACH ~CURRENCE A X X COMMERCIALGENE~LLIA~IL~TY ~U0435728 07/01/03 07/01/04 PREMISES {Es oc~rence) ----J CLAIMS MADE ~ OCCUR MED E~ ~ny one oem~) PERSONAL & ADV INJURY GENE~L AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PE~ PRODUCTS. ~MP/OP AGG AUTOMOBILE UABILITY COMBINED SINGLE LIMIT A -- ANY AUTO ~0~3 5~2a 07/01/03 07/01/04 (La egcldent) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Pe~ Z HIRED AUTO8 BODILY iNJURY ~ NON-OWNED AUTOS {Per acciden0 PROPERTY DAMAGE .,., G~AGE LIABILITY AUTO ONLY ANY AUTO ......... AUTO ONLY; AGG , DEDUCTIBLE R~T~NTION $ wo~ COa~NSAT~ON ~N~ WC EMPEOYE~' EIABIUTY TORY LIMITS ~ ~OTH- ~. ANY PROPRIETO~PARTNE~ECUTIVE E.L. EACH ACCIDENT OFFICE~MEMBER EXCLUDED? -' .... Ifye~, describe undo~ E.L. DISEASE. SPEC~A~ P R~_~]gw ,. OTHER - ' A Errors & ~ission GU0435728 07/01/03 07/01/04 Aggreffa~e Occurre~c D~CRIPYI0N OF OPE~TJON8 ~ LOCATIONS/'~HiCLE~ / ~CLUSlONS ADDED BY ENDORSEMENT / SPECIAL PROVI~ION$ CITY OF ASH~, ITS OFFICERS, EMPLOYEES a AGE. S ARE N~D AS ~DITIONAL INS~DS BUT O~Y AS RESPECTS ITS LZ~ILITY ~ISING OUT OF THE ACTIVITIES THE N~ED iNSURED ~ CANCEm m.ATION MISC- 03 City of A~hland C/O Kei~h E. Woodley Ashland Fire & Rescue 455 ~i~kiyou Blvd. Ashland 0k 97520 ACORD 25 (2001108) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF;~ THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO TNE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT F;AILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILI'/'Y OF; ANY KIND UPON THE INSURER, ITS AGENTS OR REPRF~ENTATIVE$, ESENTATIVE ' ~ r © ACORD CORPORATION t g8i - <-W,gS-'-- 1 ACORD. CERTIFICATE OF LIABILITY INSURANCE SMALL-5I 07/02/04 PRODUCER THIS CERTIFICATE IS ISsuED AS A MATTER OF INFORMATION ~TorthWest Insurance Agency-FB ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency License #0580581 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 1207, 522 N Franklin St ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Bragg CA 95437-1207 Phone= 707-964-1271 Fax: 707-964-0108 INSURERS AFFORDING COVERAGE NAIC# NSURED -. INSURERA: Gulf Insurance Company INSURER B: Small Woodland Services Inc. Marry Main . INSURER C: 2779 C.amp Baker Roam Medford, OR 97501 INSURERD: INSURER E: 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 MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .TR INSRE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE {MM/DD/YYI DATE (MM/DD/YY) LIMITS I GENERAL LIABILITY i -EACH OCCURRENCE $ 1, 0 0 0, 0 0 0 UAMAG~ I O ~['-N I ~u A X COMMERCIAL GENERAL LIABILITYi ~ GU0435741 07/01/04 07/01/05 PREMISES (ER occurence) $ ~L00,000 CLAIMS MADE IA.] OCCUR MED EXP (Any one person) $ 5, 0 0 0 PERSONAL & ADV INJURY $ 1, 0 0 0, 0 0 0 GENERAL AGGREGATE $ '1 , 0 0 0 ~ 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP/OP AGG $ '1 0 0 0 0 0 0 X POUCY JECT LOC ~np Ben. N/A AUTOMOBILE Ct~u'rv COMBINED SINGLE LIMIT A ANYAUTO GU0435741 07/01/04 07/01/05 (EM acodent) $ 1, 000, 000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per pemon) $ X HIRED AUTOS ,- ~ BODILY INJURY X NON-OWNEDAUTOS (Per accident) PROPERTY DAMAGE I (Per accident)I GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ t ANY AUTO OTHERTHAN EAACC $ AUTO ONLY: AGG $ ooou.. .o ] ooc . DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I WC STATU- I OTH- EMPLOYER~' LIABILITY ..... [T_O.R_~Y LI_M_LT.S_J- _J__E_R__I ANY PROPRIETOPJPARTNER/EXECUTiVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? Ifyes, describe under E.L. DISEASE - EA EMPLOYEE $ SPECIAL PROVISIONS below E.L. DISEASE- POLICY LIMIT $ OTHER A ~.rrors & Ommissio GU0435741 07/01/04 07/01/05 Aggregate 1,000,000 Occurrenc '1, 000,000 )ESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS IT IS UNDERSTOOD AND AGR'~.~.D THAT THE CER'fI. FTCAT~'. Ho'r,D~.R IS NAMED AS ]~O GENERAL T.IA~IT.I~¥ ONLY". *~.ZC~.~ 10 DAYS NOTICe. FOR CANC~.T.LA~ION DUE ~O ~ON-~AYMENT OF ~REMIUM. I:~.~"v7'ISED 5/19/04 :Fi~TIFI~bTI:: Mf~l r~l:l~ .............. CANCELLATION MISC-03 City of Ashland, Its employees, agents ATTN= KATHY GRIFFIN City Hall Ashland, OR 97520 officers, SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAJL * 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAJLURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. .,"JJ T:: $ ~.-'-" -" ,~.-~.[~,E S E N TATIV E ~ ~CORD 25 (2001/08) ' ' (D ACORD CORPORATION 1981 City of Ashland LIVING WAGE D by the For all hours worked under a service contract between their employer and the City of Ashland if the contract exceeds $15,964 or more. For all hours worked in a month if the employee spends 50% or more of the employee's time in that month working on a project or portion of business of their employer, if the employer has ten or more employees, and has received financial assistance for the project or business from the City of Ashland in excess of $15,964. If their employer is the City of Ashland including the Parks and Recreation Department. In calculating the living wage, employers may add the value of health care, retirement, 401K and IRS eligible cafeteria plans (including childcare) benefits to the amount of wages received by the employee. 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 vwvw.ashland.or, us. Notice to Employers: This notice must be posted predominantly in areas where it will be seen by all employees. CITY OF : ,,SHLAND City of Ashland LIVING er hour 2OO3 For all hours worked under a service contract between their employer and the City of Ashland if the contract exceeds $15,713 or more. For all hours worked in a month if the employee spends 50% or more of the employee's time in that month working on a project or portion of business of their employer, if the employer has ten or more employees, and has received financial assistance for the project or business from the City of Ashland in excess of $15,713. If their employer is the City of Ashland including the Parks and Recreation Department. In calculating the living wage, employers may add the value of health care, retirement, 401K and IRS eligible cafeteria plans (including childcare) benefits to the amount of wages received by the employee. 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 will be seen by all employees. CITY OF -ASHLAND PAGE 1-REQUEST FOR PROPOSALS (Living Wage Form.doc)(Rev'd 9/01) CITY OF ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 (541) 488-5300 VENDOR: 001765 SMALL WOODLANDS SERVICES, INC. 2779 CAMP BAKER ROAD MEDFORD, OR 97501 FOB Point: Terms: Net 15 days Req. Del. Date: 7/1/2004 Special Inst: CiTY RECORDER'S COPY Page 1 /1 05i93 SHIP TO: Ashland Fire Department (541 ) 482-2770 455 SlSKIYOU BLVD ASHLAND, OR 97520 Req. No.: Dept.: PUbLiC W~::~J~S Contact: ~dley ~onfirming? BLANKET PURCHASE ORDER for 2004-2005 FY of contract. RFP BILL TO: Account Payable 20 EAST MAIN ST 541-552-2028 ASHLAND, OR 97520 E 670.08.29.00.604160 ized Signature 75 oo~q_Q~o.o~ SUBTOTAL TAX FREIGHT TOTAL O.OOJ o.oO/ 75,oo~.-0-~/ VENDOR COPY REQUISITION FORM THIS REQUEST IS A: I--I Change Order(existing PO # 03358) CITY OF -ASHLAND Date of Request: Required Date of Delivery/Service: Vendor Name: Address: City, State, Zip: Phone: Fax Number Deliver Location SMALL WOODLANDS SERVICES 2779 Camp Baker Road Medford, OR 97501 (H) 535-3603 (CELL) 890-8609 Services Only Description RENEWAL OF FOREST WORK PROJECT APPROPRIATION FOE 2004-2005 FY OF OPERATIONS Total Cost $ 75,000,00 Solicitation Process: -~ Exempt --~ 3 Written Quotes (copies attached) LJ Sole Source C3 Invitation to Bid (copies on file) XX Request for Proposal $5000 (copies on file) LJ Lessthan Account Number 670-08-29.00.604160 *Please attach the Original signed contract and Insurance certificate. Materials Only Item # Quantity Unit Description Unit C~ ...... r' ..... vi.II, ~.,~,,oL i Utal Account Number . . . *Please attach the quotes. Employee Signature: SupervisoflDept. Head Signature: '~'~~ NOTE: By signing this requisition form, I certify that the above request meets the City of Ashland Solicitation Process requi~.~ments and can be provided when necessary. G:Finance\ProcedurCAP\Forms\Requisition Form 2004.doc Updated on:07/15/02