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HomeMy WebLinkAbout2005-185 Contract - Zucker Systems CITY OF ASHLAND PERSONAL SERVICES CONTRACT Personal 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 Consultant: Zucker Systems City Hall Address: 1545 Hotel Circle South, Suite 300 20 E. Main St. SanDiego, CA 92108 Ashland, Oregon 97520 (541) 488-6002 FAX: (541) 488-5311 Telephone: 619-260-2680 FAX: Date of this agreement:August 2, 2005 B: Date RFP 1 sl Advertised: April 6, 2005 Beginning Date: September, 2005 Proposal opening date: June 3,2005 Completion Date: December, 2005 2.2. Contracting officer: Gino Grimaldi 2.3. Project Name: Community DevelopmentlPlanning Division Operational and Organizational Review Project Description: Review of operations, process, procedures of the Planning Division and its related workflow divisions 6.1 Consultant's representative: P-eW Zucker, President f Ai.' &.- 8.3. Maximum contract amount: $38,950 B. On the date noted above, City issued a request for proposals (RFP) for consulting services needed by City fm 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 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 no later than the completion date specified in Recital A above, or on one of the following occurrences: 1) completion of all services required by this contract; or 2) a date mutually agreed upon by all parties to this contract. 4. Authority of Contractina 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. Consultina 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 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 Ci~{, 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 acculracy 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. Assianment 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. 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 279C.505, 279C.515, 279C.520, and 279C.530. 9.2. Pursuant to ORS 279C.520(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 anyone 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 $15,964 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 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. 11. Records: 11.1. Consultant shall develop and maintain complete books of account and other records on the services, which are adequate for evaluating Consultant's performance. Consultant shall maintain records in such a manner as to provide a clear distinction between the expenditures and revenues related to the project and the expenditures and revenues related to Consultant's other business. 11.2. Consultant's books and records shall be made available for inspection by City at reasonable times, to verify Consultant's compliance with this contract. City shall have the right to request an audit of Consultant's books and records by a certified public accountant retained by City. To the extent allowed by law, confidential information collected by tlhe consultant shall only be made available to the City in summary fashion 12. 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. 13. Insurance: 13.1. Consultant shall, at its own expense, at all times during the term of this contract, maintain in force: 13.1.1. 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; and 13.1.2. A comprehensive automobile liability policy including owned and non-owned automobiles. 13.2. The coverage under each liability insurance policy shall be equal to or greater than the limits for c:laims made under the Oregon Tort Claims Act, ORS 30.260-30.270, 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 pel' occurrence for property damage. 13.3. Liability coverage shall be provided on an "occurrence" basis. "Claims made" coverage will not be acceptable 13.4. Contractor shall submit certificates of insurance acceptable to the City with the signed contract prior to the commencement of any work under this agreement. 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 Ci1y. A certificate which states merely that the issuing company .will endeavor to mail" written notice is unacceptable. Each certificate of insurance shall provide proof of required insurance for the duration of the contract period. 14. Default: 14.1. 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. 14.2. 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. 14.3. 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. 14.4. Any litigation arising out of this contract shall be conducted in Circuit Court of the State of Oregon for Jackson County. 15. Termination without Cause: 15.1. 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. 15.2. 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. 15.3. 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. 16. Notices: Any notice required to be given under this contract or any notice required to be given by law shall b~~ in writing and may be given by personal delivery or by registered or certified mail, or by any other manner prescribed by law. 16.1. Notices to City shall be addressed to the contracting officer at the address provided for the City in Recital A above. 16.2. Notices to Consultant shall be addressed to the Consultant's representative at the address provided for the Consultant in Recital A above. 17. Assianment: 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. 18. Modifjc~tion: No modification of this contract shall be valid unless in writing and signed by the parties. .- --..,~ " -- CONSULTANT: .,.,) ~ CITY OF ASHLAND: " l/-/F. '""') i ~ BY '!' /'.(;,.. / ./'p ~ BY t\Al,:,g~ vctr2 BY ,FINA~bk I ~ri.~tNam~ ". . " DATE ~( ~T~DrTRATOR , ! fL... l .. ~ f .~ ) (i)-' , t , CONTENT REVIEW TITLE DATE ;/c; //( ~/ CITY DEPARTMENT HEAD DATE FederallD # r -. ') ..) ~~.CISI16f. ACCOUNT # PURCHASE ORDER # (for City purposes only) *Completed IRS W-9 and Proof of required insurance form must be submitted with contract , CITY OF ASHLAND, OREGON City of Ashland LIVING ALL employers described below must comply with City of Ashland laws regulating payment of a living wage. ~.Iji.i. IJ_~ ~ 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 ~per hour effective Junle 30, 2005 (Increases annually every JUlrle 30 by the Consumer Price Index) 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, 401 K and IRS eligible cafeteria plans (including childcare) benems to the amount of wage~s received by the employee. ~ Note: "EmploYI~e" does not include temporary or part-time employees hired for less than 1 040 hours in any twelve- month period. For more details on applicability of this policy, please see Ashland Municipal Code Section 3.12.020. For additional information: 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 can be seen by all employees. C,ITY OF ASHLAND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . t . . . . . . Figure 1 Methodology Overview Consulting" ... Experience '" ~ ~ City Staff Operational Analysis Observations /~ Records ( .~ Recommendati4:>n and Action Plan ~ ~,l~it.~ Customers .,. i.itidJ!;.i.... Policy Makers B. SCOPE OF SERVICES We carefully reviewed the Request for Proposal (RFP) to formulate our scope of services in accordance with the study objectives. All of the work elements. required by the RFP are included in our proposed scope of services. The work progralTI, described below, consists of nine (9) tasks and thirty-nine (38) subtasks. Task 1.0 - Project Initiation and Project Management Task 2.0 - External Interviews and Meetings Task 3.0 - Focus Groups Task 4.0 - Customer Surveys Task 5.0 - Staff Meetings and Questionnaires Task 6.0 - Organizational Issues Task 7.0 - Development Review and Plan Checking Process Process Task 8.0 - Performance Standards/Benchmarks Task 9.0 - Study Report and Action Plan City of Ashland 3 Zucker Systems RU[J-11-2005(THU) ld:Od Kettering Rose Ins. P.002./002 _A~QflD.. CERTIFICATE OF LIABILITY INSURANCE OP 110 271 DATl: tMMIDtllYYYY1 ZOCltE:-J. 'I OS/1.1LOS THIS CERTIFICATE IS ISSUED AS A MAifER OF INFORMATION ONI.Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOl.DER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR AL TEfl THE COVERAGE AFFORDED BY THe POLICIES eEl-OW. INSU~ERS AFFORDING CO~~~E ~ _~ __ ~G/lA~ Philad~lphia _InJ:I. _ c:.~ ~ INSU~F.!R tit CNA Insuranco ~ - ti . ... ---...... _1_ _ ~~URERCi.. se~. Paul ;n8 ~"_ Co. _r _ INSUtll!1( 0' J".Rr .. ~ III ~ - IN:OU/l~1't ~: PrlOOUCUR Keeeering-Roao Insurance 1650 Hotel Circlo North~ #115 San Diogc CA 92108 Phon~lG19-291.-7777 Fax:6~9-291"77i6 INSUAU.O Zuckor Syt'Jtt"lmtJ 1545 Hotol C~~el~ S. #300 San D10gc CA 92108 COVERAGES Tl-I~ f10LICIEG or IN:llJI-tANCf: I.I:;;r\:D Ii~LOW H^VC tll!~N ISBUl;C 'to 1M!: INGUFl~1:l NA/.1I!P AMOVE FO~ 1'1'11: rOl.lcy PE~IOO INl:lICA r~t:l.. NOTWlrll~ANPIINO ANY I;fEOUIR'M~Nr. TERM OR CONDITION or- ANY CONTAAc:T QIl Of HER. OOCUMl:NT WITH REGPlicT TO WHICH nllG c:l:llrllflCATE MAY 01: 15SUt:O O~ MAY r~H1'AIN, THI; tN~UtU.NC!; ^~r-ORD~O BY 11'11: POl.lCleS D~GeRlbCP HeREIN 16 fitJlJJCC1' TO ~1.1. THIi Tl:RMS.l9lCl.lJGION::f ANO CQNDITIONG or- SUCH POUClli::o. AI;tCH~GATIi ~IMlrS SHOWN MAY HAVE BEF-N Rl;tlUCl;tl 8'( PAlO CI.AIM9. 1~~~ r~Rr: -- -- , - p_c"\~~ r!&!alb~ 'POI:IC't' f'll'b~~1'I -~ 'TYpO of! IfII!tUAANCI1 POl.ICY NUMIlI!R DA M 0 rrt CAT~ tMMIOll I.IMlr~ oaNl!RAl. LIABILITY eACH OCeUr-ltll:N(:11 :Ii 1, OQg_,~ ~ C1AMAh~1 /:) jtl!N1'l~t:1. B X 1:0MMliRCIM. ClENE~1. I.IA~ILITY 2026553005 04/23/04 04/23/05 "Hl::t.lI!:iH. I~ ucc:t~l._. s l, 000 ,.~OL -".- ~ ClAIMS MAC!: [!] ot:eul\ - --. MhO I:XP 1~IlV~)flt':j/:ltll_ : ~O.'~. "'E~ON^1. & ADV INJUtfv $ 10 0., 0 00 - .. .... h. ..... - -~ II" ~ IM<! Q~NERA~GCRC~~re s 2, 00_9_,~ QEN'I. Af<<ORI:CA1 E 1.IMIT APPI.II~S ~ER~ Pl10tlUC'I'B . COM!"OP "or; .~ :a ~ 0 CuO , 0 0 0 I ~OLICV I-l j~S: I-~I ~OC --. - I AUTOMODII.I! 1.1Aft1Lln' COMlll/lllitl ~INt;L~~ LIMIT ~l,OOO,CCO Ii ~ ~yAUTO B2049532422 04l23/04 04/23/05 (l::Il11Cdll""'l ...._~ - .-- Al.l. ClWNlib AU"O~ ~OlJII. Y INJURY _. sCHeOUI.EO AUTOS lPef perlafl) S 11<I. _. - X HIIl!:D Auros nODI!. y INJU~Y ---- $ X NON.OWNCC AU I'OS {Pr:t nl:l:lthmll _ L-- .. ~ - . ~ 1 T pnOrl:l{I'r D^M^(~t Is (PilI ~ccl~.nll aAAAC;;~ I.IAftll.rrv AUTO ClNI. Y · ~A ftI:CIO!iNT ~ ==i AN'" AUTO _.._~-- . ---........---- ~A Ace . orftu~~ TH^N ., AUto ONI.YI -,.- AOO $ exC~IUMD~IlI.t.A \.lAelLtTY t:AI;H OCCURRr.NI::C s :J oecull o CI.AIMS MaD!; _..~. ... -. .-- AQ~I'tI:l;:ATE $ --'. . ......---.....~. - . $ - --.-- ---- ---- ==i Q"QUCTIDLC S - I1I:n:NTION s S WOHl<ijFlS CO"'P~NSATION ANI:J X IroQyJ.'IMlri.l I\oW;- liMPI.OY~s:I:1' LIAI!UI.ITY .-.... C AN'f PRClP~I~QAJ~A~TN'IlJS:X~CUT1VE 13706 09/01/04 09/01/05 E.L. ~AeH AeCI~~Nr $ 1, q_o 0 , 000 O"j;ICI:~M'Mtll::R e.JI,Cl.UOli07 e.l.. t:1IS~ASli . t:A I:Mr~Q'I'Ef:1 s 1. 0 q.o , .9_0~ ~~~I~~gr~~v~gr~~G ~Illtlw 1:.1.. DISEASI; . pOI.ley I.IMlr I S l. 0 0 0 , 0 0 0 OTHeR A PROFESS!ONAL L~ PHSD127J.Bl 03/20/05 03/20/06 EACH I~CCO' 1,000.000 AGGREI~ATE 1,000,000 O~CRIPTIO!ll oft OP~RATll:lN51 L.cCATIONS I VeHICLes I GXCI.LlSICNS ADOIlO DY I:NDCR3f!MI!NT I GPr:CIAl. PROVISIONS '*10 Day Not.ico of ~anccllation Duo to Non-payment of Premium CERTIFICATE HOl.DER CANCELLATION CI'rYOF3 SHOUI.D ANY el' THf! AI!JOUII DOSCRltlelJ rOLICll!S DII C:ANl:el..l.~D ftl!!~ORU THe ex~IRA TIC OAT! THBRIlOj:l, THe I~UINO lN~URI!R Wll.l. eNIJ~VOllt TO MAlI. ~ t1AVS wRlrreN NOTU:l! TO THIi CI1RTll'lCATe HOLDBR NAMI:P 'to THe L~I'T. DUT FAlLUIlI: TO 0080 SHA!.1 IMPO:J1: NO ClI!JI.IOATION OR 1.1~11..O'Y Oil ANY I<IND UP~1I11 rH~ INSURSR,ITIl AQ~Nrs OH A~"'RB&IINTA'TIVes. AUTMOAl%BD RI:PR~eNTArlVe cit:y of MhalAnd City Hall 20 E. Main sereat Ashland OR ~7520 Rcbyn ltettt!lrinq V;(. /G~ ACORD 25 (2001/091 ltl ACORD CORPORATION 19l Page 1 / 1 r~, C I T Y 0 F CITY RE(~ORD ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 (541) 488-5300 E PO NUMBER 06286 VENDOR: 010161 ZUCKER SYSTEMS 1545 HOTEL CIRCLE SOUTH #300 SAN DIEGO, CA 92108 SHIP TO: City of Ashland (541 ) 488-6002 20 E MAIN STREET ASHLAND, OR 97520 FOB Point: Terms: Net Req. Del. Date: 9/1/2005 Speciallnst: Req. No.: Dept.: COMMUNITY DEVELOPMENT Contact: Gino Grimaldi Confirming? No BLANKET PURCHASE ORDER PlanninQ Division Operational Audit Per attached aQreement and scope of services 38,950.00 RFP Date of aQreement: AUQust 2, 2005 BeQinninQ date: September, 2005 Completion date: December, 2005 BILL TO: Account Payable 20 EAST MAIN ST 541-552-2028 ASHLAND, OR 97520 SUlBTOTAL TAX FREIGHT TOTAL 38 950.00 0.00 0.00 38,950.00 / 0' "? ii'ii>'. i.i,. ".i /i:','.;.' / .....'t, ... . ;~ ."", . .....,<. A~G()yotNul1)ber Pr()j~Gt\N urn ber Amount .... E' ~J""...~ "'." .? ."""'Y,,"." E 1 1 0.09.27.00.6041 O( 38.950.00 . ~~~ .~ :r~kS-- Autho' d Signature VENDOR COpy <:ITY OF ASHLAND REQUISITION FORM Date of Request: 8/~ /cu- THIS REQUEST IS A: D Change Order(existing PO # Required Date of Delivery/Service: Vendor Name Address City, State, Zip Telephone Number Fax Number Contact Name 2uel,r Jy.rkW\J' IJ-YS- "?blt!/ 0~k fa....#. S~ iJ/'t!.?A d 92/08 J2,.,,{, 'd ~~O SOLICITATION PROCESS Small Procurement o Sole Source o Invitation to Bi(~ o Less than $5,000 o Written findings attached (Copies on file) o Quotes (Optional) o Quote or Proposal attached Cooperative Procurement ~ Reauest for Pre.posal o State of aRM/A contract (Copies on file) Intermediate Procurement o Other government agency contract 0 Special I Exeml)t o (3) Written Quotes 0 Copy of contract attached 0 Written findings attached (Copies attached) 0 Quote or Proposal attached 0 Contract # 0 Emeraencv 0 Written findings attached 0 Quote or Proposal attached Description of SERVICES 'p,hn;n^, j)'tA:.r-/~ cp(Jr~lto"e.1 QlAdl"l- o Per attached PROPOSAL Iotal Cost Item # Quantity Unit Description of MATERIALS Unit Price Total Cost Project Number ______ - ___ o Per attached QUOTE Account Number t.(.~ - g1-~Z- py. .6.of-L~O .. 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 certify that the information provided above meets the City of AShland]UbliC 1Jt~~cti Ii quirements, and the documentation can be provided upon request. 1 ~ Employee Signature: ~ Supervisor/Dept. Head Signature:' . u G: Finance\Procedure\AP\Forms\8_Requisition form revised Updated on: 8/26/2005