HomeMy WebLinkAbout2005-156 Contract - Evergreen
CONSUL T ANT: Evergreen Job & Safety Training I
CITY OF
I ASHLAND
I CONTACT: Douglas J. Lindstrom, President
20 East Main Street
Ashland, Oregon 97520 ADDRESS: 309 Knoch Avenue, Susanville, CA 96130
Telephone: 541/488-6002
I Fax: 541/488-5311 TELEPHONE: (530) 257-7812
I DATE AGREEMENT PREPARED: July 5,2005 FAX: (530) 257-8266
BEGINNING DATE: July 1,2005 COMPLETION DATE: June 20, 2006
COMPENSATION: $1495.00 per month, 12-Months $17,940.00, Additional training will be billed accordingly and special
traininq manuals will be billed at cost.
SERVICES TO BE PROVIDED: Contractor to provide twelve (12) safety training sessions for the Public: Works Department. I
The programs will be determined by mutual agreement between the contractor and the City. I
Contract for PERSONAL SERVICES Less than $25,000
I ADDITIONAL TERMS. I
CITY AND CONSULTANT AGREE:
1. All Costs by Consultant: Consultant shall, at its own risk and expense, perform the personal services described above and, unless otherwise specified, furnish all labor,
equipment and materials required for the proper performance of such service.
2. Qualified Work: Consultant has represented, and by entering into this contract now represents, that all personnel assigned to the work required under this contract are fully
qualified to perform the service to which they will be assigned in a skilled and workerlike manner and, if required to be registered, licensed or bonded by the State of Oregon, are so
I registered, licensed and bonded.
3. Completion Date: Consultant shall start performing the service under this contract by the beginning date indicated above and complete the service by the completion date
indicated above.
4. Compensation: City shall pay Consultant for service performed, including costs and expenses, the sum specified above. Once work commences, invoices shall be prepared and
submitted by the tenth of the month for work completed in the prior month. Payments shall be made within 30 days of the date of the invoice. Should the contract be prematurely
terminated, payments will be made for work completed and accepted to date of termination.
I 5. Ownership of Documents: All documents prepared by Consultant pursuant to this contract shall be the property of City.
I 6. Statutory Requirements: ORS 279C.505, 279C.515, 279C.520 and 279C.530 are made part of this contract.
I 7. Living Wage Requirements: If the amount of this contract is $15,964 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 requir~d to post the attached notice predominantly in areas where it will be seen by all employees.
8. Indemnification: Consultant agrees to defend, indemnify and save City, its officers, employees and agents harmless from any and all losses, claims, actions, costs, expenses,
judgments, subrogations, or other damages resulting from injury to any person (including injury resulting in death), or damage (including loss or destruction) to property, of whatsoever
nature arising out of or incident to the performance of this contract by Consultant (including but not limited to, Consultant's employees, agents, and others designated by Consultant to
perform work or services attendant to this contract). Consultant shall not be held responsible for any losses, expenses, claims, subrogations, actions, costs, judgments, or other
damages, directly, solely, and proximately caused by the negligence of City.
9. Termination: This contract may be terminated by City by giving ten days written notice to Consultant and may be terminated by Consultant should City fail substantially to perform
its obligations through no fault of Consultant.
10. Independent Contractor Status: Consultant is an independent contractor and not an employee of the City. Consultant shall have the complete responsibility for the performance
of this contract. Consultant shall provide workers' compensation coverage as required in ORS Ch 656 for all persons employed to perform work pursuant to this contract. Consultant
is a subject employer that will comply with ORS 656.017.
11. Assignment and Subcontracts: Consultant shall not assign this contract or subcontract any portion of the work without the written consent of City. Any attempted assignment or
subContract without wriiten consent of City shaii be void. Consultant shaii be fuiiy responsible for the acts or omission5 of any assigns or subcontractors and of all persons employed
by them, and the approval by City of any assignment or subcontract shall not create any contractual relation between the assignee or subcontractor and City.
CONSULTANT CITY OF ASHLAND:
BY 2+~~ BY ~~
Oovlt \., < L i9,~~~r~ j -Mh FINANC O~RECTOR
j Print Name
~ CITY ADMINISTRATOR
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TITLE
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DATE
FederallD# (, 8 - () Y LiS-).. (,3
*Completed W9 form must be submitted with contract
ACCOUNT #
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CONT5NT RF-,VIEW: " --.
By: 'j __ ! j, \/ T~\ \/)~ -, (. \L.'\~. --.....---....
City Department Head Date:
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(For ci~~es 7';)- ~
DATE
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PURCHASE ORDER #
Revised 4-27-05
EVERGREEN JOB & SAFETY TRAININ'G
Douglas J. Lindstrom - President
309 Knoch Avenue, Susanville, California 96130
Office Phone: (530) 257-7812 Office Fax: (530) 257-8266 Cell Phone: (530) 251-7743
June 22, 2005
City of Ashland Public Works
90 N. Mountain
Ashland, OR 97520
Attn: Kari Olson
Re: Proposal Request
Dear Ms. Olson:
I appreciate the opportunity to present you with this proposal.
As an introduction, I would like to give you a little background. I have been providing Job and
Safety Training services as Evergreen Job & Safety Training since January, 2000. Prior to that, I
retired from over 25 years as a lineman to work for Ruralite Services from November, 1996 to
December, 1999. I am currently working with 14 utilities/municipalities in California and Oregon. It
is this experience, in addition to the reputation that I have developed with my other clients, that
ensures me that I can give you a quality product for your investment.
As your Job and Safety Training Instructor, I will be dedicated to providing you with the best
possible service to meet the specific needs of the City of Ashland Public Works. I anL confident that I
can best meet those needs by offering 12 meetings per year (one meeting per Jnonth). Yearly
programs such as CPRlFirst Aid, Emergency Response Procedures: Vault Rescue, Ernergency Action
Plan, Fire Extinguisher Training, Job Briefing and Job Audits, Personal Protective Equipment, or any
program desired from the attached "Optional Programs" list will be provided.
My charge for 12 meetings of Job and Safety Training for 30-40 employees will be $1,495 per
month ($17,940 per year). This includes all of my expenses, including Administration, Record
Keeping, Program Development, Travel, Lodging, Meals, etc. Certain additional Training Materials
such as CPRlFirst Aid and Traffic Control Training Manuals will be billed to you at my cost. I will
discuss the cost of these materials with you prior to supplying any of them to your employees.
I look forward to serving you in this capacity. Please call me if you have any questions.
Thank you for this opportunity.
Sincerely,
j}+~
Douglas J. Lindstrom
PresidentlInstructor
EVERGREEN JOB & SAFETY TRAININIG
Douglas J. Lindstrom - President
309 Knoch A venue - Susanville, California 96130
Office: (530) 257-7812 Fax: (530) 257-8266 Cell: (530) 251-7743 Home: (530) 257-5657
OPTIONAL PROGRAMS
GENERAL SAFETY
TECHNICAL TRAIr~ING
1. Electric Power Generation, Transmission
& Distribution 1910.269 (23 subjects).
2. Personal Protective Equipment (PPE)
3. Electrical Burns
4. Workplace Violence
5. Attitude & Safety Motivation
6. First Aid / CPR Care Plus - Adult / Child / Infant
7. First Aid / CPR - Adult
8. Bloodbome Pathogens
9. Ergonomics
10. Back Safety
11. Electrical Safety (General)
12. Job Safety Observation
13. Flagging
14. Confined Space Permit Required Training
15. Hand & Portable Power Tools
16. Mock OSHA Inspections
17. Loss Control
18. Safety Accreditation Assistance
19. Housekeeping (Trucks / Inside)
20. Rubber Gloving
21. NESC (1997 Edition)
22. Accident Investigation
23. Chainsaw Safety
24. Powered Industrial Truck
25. Hazard Recognition
26. Hazard Assessments on Site
27. Safety & Job Briefmg
28. Eye Safety
29. Dog Bite Prevention
30. Tree Trimming - (non-qualified /7 subjects)
31. Tree Trimming - (qualified)
32. Fiber Optic Training
33. Stretching Program
34. Automated External Defibrillation
Training
1. Fault Current
2. V oltage Regulators & Controls
3. Rigging
4. Systems Protection
5. Meter Setting & Installation
6. Transformer Connections
7 . Capacitors/Application & Installation
8. Underground/Grounding
9. Personal Grounds Testing
10. Emergency Response Procedure (Pole Top
Rescue/Bucket Truck RescueN ault Rescue)
11. Substation Safety
12. Switching Procedures
13. Bucket Trucks/Trouble Shooting
14. Insulation & Grounding
15. Live Line Tools & Maintenance
16. Lightning Arrestor Training
17. Excavation/Backhoe Safety
18. Electrical Burns
19. Boom Truck & Crane Safety
20. Hot Stick & Personal Grounds Testing
(Annual)
CITY RECORDER'S COpy
Page 1 /1
r~'
CITY OF
ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
06115
VENDOR: 002071
EVERGREEN JOB & SAFETY
309 KNOCH AVE
SUSANVILLE, CA 96130
SHIP TO: safety
(541) 488-5358
90 N MOUNTAIN
ASHLAND, OR 97520
FOB Point:
Terms: Net
Req. Del. Date: 7/1/2005
Speciallnst:
Req. No.:
Dept.: PUBLIC WORKS
Contact: Mike Morrison
Confirming? No
BILL TO: Account Payable
20 EAST MAIN ST
541-552-2028
ASHLAND, OR 97520
SUBTOTAL
TAX
FREIGHT
TOTAL
17 940.00
0.00
0.00
17,940.00
R,.(~" ?/!-~)
Author Ct Signature
VENDOR COpy
. A request for a rGhase Order
REQUISITION FORM
<:ITY OF
ASHLAND
THIS REQUEST IS A:
o Change Order(existing PO #
Date of Request: b-3o-o$""
Required Date of Delivery/Service:
Vendor Name
Address
City, State, Zip
Telephone Number
Fax Number
Contact Name
~Vt:~.~ 4 rL/~' ~
~
SOLICITATION PROCESS
Small Procurement Da. Sole Source -S; )Y\4t- C~+ra..L -!ot- Cl.. s. D Invitation to Bic!
D Less than $5,000 D Written findings attached ~/e,-fr'L ~t. (Copies on file)
D Quotes (Not required)
Coooerative Procurement D Reauest for Pmoosal
D State of ORIWA contract (Copies on file)
Intermediate Procurement D Other government agency contract D Soeciall Exemnt
D (3) Written Quotes D Copy of contract attached D Written findings attached
(Copies attached) D Emeraencv
D Contract # D Written findings attached
Description of SERVICES
AOh/~/f 5t\.tc.fy f.e,- f'VlI'~ ~V\c~. )O~ CA.iA..cl,' fs
~/y '05 - J;"'",c 'oG
~ Per attached PROPOSAL
Item #
Quantity
Unit
Description of MATERIALS
Unit Pric,e
Total Cost
Project Number ______. ___
D Per attached QUOTE
Account Number110 P'lrJ.':J.QQ.GIQ'f!JQ
· Items and services must be charged to the appropriate account numbers for the financials to reflect the actual expenditures accurately.
By signing this requisition form, I cerlify that the information provided above meets the City of Ashland public contracting requirements,
and the documentation can be provided upon request. ~ '
Employee Signature: ~U / ~ SupervisorJDept Head Signature: W~ . __ 'X7A t--.. .~
G: Finance\Procedure\AP\Forms\8_Requisition form revised.doc
Updated on: 5/26/2005