HomeMy WebLinkAbout2006-029 Contract - Tobiasson Excavating
CITY OF ASHLAND
CONTRACT FOR PUBLIC WORKS CONSTRUCTION
Contract made this " .}h day of A/I Q"~ , 2006, between the City of
Ashland, ("City") and Tobiasson Excavation, Inc. "(Contractor").
City and Contractor agree:
1. Contract Documents: This contract is made as a result of an Advertisement for Bid
issued by City for the 2005 Utility Construction Project No. 2004-07. Contractor was awarded
the bid as the lowest responsible bidder. In the event of any inconsistencies in the terms of this
contract, the contract documents defined in the Advertisement for Bid and Contractor's bid, this
contract shall take precedence over the contract documents, which shall take precedence over the
bid.
2. Scope: Contractor shall begin and complete the project described in the contract
documents within the time prescribed in the contract documents. The following exceptions,
alterations, or modifications to the contract documents are incorporated into this contract:
3. Price & Payment: City shall pay Contractor amounts earned under the contract. All
payments will be made at the times and in the manner provided in the contract documents.
4. Performance and Payment Bonds: Contractor shall, within five days after execution
of the contract and prior to doing any work under the contract, furnish bonds to the City of
Ashland in a form and with a surety satisfactory to City in the penal sum of $359,967.00
conditioned upon the faithful payment and performance of this contract upon the part of the
Contractor as required by ORS 279C.380.
5. Indemnification: Contractor 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 Contractor (including but not
limited to, Contractor's employees, agents, and others designated by Contractor to perform work
or services attendant to this contract.) Contractor shall not be held responsible for any losses,
expenses, claims, subrogations, actions, costs, judgments, or other damages, directly, solely, and
approximately caused by the negligence of City.
6. Insurance: Contractor shall, at its own expense, at all times during the term of this
agreement, maintain in force a comprehensive general liability policy including coverage for
contractual liability for obligations assumed under this Contract, blanket contractual liability,
products and completed operations, owner's and contractor's protective insurance and
comprehensive automobile liability including owned and non-owned automobiles. The liability
under each policy shall be a minimum 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. Liability coverage shall be provided on an
G:\pub-wrks\eng\dept-admin\ENGINEER\PROJEC1\2004\04-07 Tobiasson Contract Docs 1 06.doc
"occurrence" not "claims" basis. The City of Ashland, its officers, employees and agents shall be
named as additional insureds. Contractor shall submit certificates of insurance acceptable to the
City with the signed contract prior to the commencement of any work under this agreement.
These certificates shall contain provision that coverages afforded under the policies can not be
canceled and restrictive modifications cannot be made until at least 30 days prior written notice
has been given to City.
7. Default: A default shall occur under any of the following circumstances:
7.1 If the Contractor fails to begin the work under contract within the time
specified, or fails to perform the work with sufficient workers or equipment or
with sufficient materials to insure the prompt completion of the project, or
shall neglect or refuse to remove materials or perform anew such work as
shall be rejected as defective or unsuitable, or shall discontinue the
prosecution of the work.
1.2 If the Contractor shall become insolvent or declared bankrupt, or commit any
act of bankruptcy or insolvency, or allow any final judgment to stand against
the Contractor unsatisfied for a period of forty-eight (48) hours, or shall make
an assignment for the benefit of creditors.
1.3 From any other cause whatsoever, shall not carryon the work in an acceptable
manner.
8. Remedies: In addition to the rights and remedies to which the City may be entitled by
law for the enforcement of its rights under this contract, City shall have full power and authority,
without violating this contract, to take prosecution of the work from the Contractor, and
appropriate or use any or all of the materials and equipment on the ground that may be suitable
and acceptable and may cause a contract for the completion of this contract according to its terms
and provisions, or use such methods as required for the completion of the contract, in any
acceptable manner. All costs and charges incurred by the City together with the costs of
completing the work under the contract, shall be deducted from any money due or which shall
become due the Contractor. In case the expense so incurred by the City shall be less than the
sum which would have been payable under the contract if it had been completed by the
Contractor, then the Contractor shall be entitled to received the difference less any damages for
delay to which the City may be entitled. In case such expense shall exceed the sum which would
have been payable under the contract, the Contractor and the surety shall be liable and agree to
and shall pay the City the amount of the excess with damages for delay of performance, if any.
9. Prevailing Wage Rates: The Contractor shall pay a fee equal to one-tenth of one percent
(0.1 percent) of price of this Contract. The fee shall be paid on or before the first progress
payment or 60 days from the date work first begins on the Contract, whichever comes first. The
fee is payable to the Bureau of Labor & Industries and shall be mailed or otherwise delivered to
the Bureau at the following address:
Bureau of Labor & Industries
Wage & Hour Division Prevailing Wage Unit
800 N.E. Oregon Street #32
Portland OR 97232
G:\pub-wrks\eng\dept-admin\ENGINEER\PROJECT\2004\04-07 Tobiasson Contract Docs 1 06.doc
The Contractor shall fully comply with the provisions of ORS 279C.800 through 279C.870
pertaining to prevailing wage rates.
10. Living Wage Rates: If the amount of this contract is $15,964 or more, and Contractor
is not paying prevailing wage for the work, Contractor must 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
work under this contract. Contractor must post the attached notice predominantly in areas where
it will be seen by all employees.
The Contractor shall fully comply with the provisions of ORS 279C.800 through 279C.870
pertaining to prevailing wage rates.
11. Assignment and Subcontracts: Contractor shall not assign this contract without the
written consent of City. Any attempted assignment without written consent of City shall be void.
Contractor shall be fully responsible for the acts or omissions 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.
Contractor may not substitute any subcontractors from the submitted list of First-Tier
Subcontractor Disclosure Form without written consent of the City, or by following the
procedures ofORS 279C.585 and OAR 137-049-0360.
CONTRACTOR
By: ~~~~
Signature
~ \,.. I
~l:I........ ". ,au."\ u--...
Printed Name '
CITY OF ASHLAND
By: ,cJ~e~~
Finance Director
Its:
'3 - ~ - O{,
REVIEWED AS TO CONTENT:
By: ~ 3*/!:&
Department Head
By:
Lega
Coding:
(For City use only)
G:\pub-wrks\eng\dept-admin\ENGINEER\PROJEcru004\04-07 Tobiasson Contract Docs I 06.doc
~ MAR .06 2006
4:03PM
CHIC
5032876100
p. 1
PBRFO~CE BO~
Bond #PE3745
Premium $8,999
The undersigned Tobiasson Excavation Inc.. as principal, furtherrefen-ed to in this bond 'as
ContractOr, and Contractors Bondin.e and Insurance Company . as
surety, further refenea to in this bond as Surety, are joi~y and ~a1ly 6ound. unto City of
Ashland, as obligee, ft1J;ther refeaed to in this baud 88 City. in, tho sum of Three hUf'ldred fifty-
nine thousand nine hundred sixty-seven dollors and zero centB. Dollars ($359,967.00).
Contractor ODd City have entered into a written contract dated . for
the following project: 2005 UtiliW Comt:nJ~on Proiect No. 2004-07. This contract is further
reforred to in this bond as the Contract and is incorporated into this bond by this reference.
The conditions of this bond are:
1. If Contractor faithfully performs the Contract in ~ce wi1h the plans,
s~ifications and coDditions of the contract ~thin 1he'time pre.scn"bed by the
Contract, as l"equired by 0&8 279C. 380 through 279C.385, then 'this obligation is
null and void; o1hc:nvise it shall reznain in full force and effect.
2. If Contractor is declared by City to be in default unde;r:file Contract, the Surety
. .
shall promptly remedy the default, perfom1 all ofContxaptor's obligati()1'1s under
the cOnb'act in accordance with its terms and cOnditions and pay to City all
damages that are due under the Contraat.
. .
3. This bond is subject to claims under ORS 279C.380 through 279C.390.
. 4. This obligation jointly and severally binds Contmctor and SUrety and their
respective ~eirs, eJf.eC\ltors, administraton, 5IlCCCSSors.
5. Surety waives notice of modification of tho Contract or ~tension of the Contract
time.
6. Nonpayment of the bond premium shall not invalidate this bond.
MAR 06 2006 4:03PM
CHIC
5032876100
p.2
7. The bond number and the name, addtess, and telephone number of the agent
authorized. to receive notices conc<<nJng this ~ond are Il.9 follows.
Bond Number: PE374S
Bond Agent: Western States Insurance
Addre5s: POBoJe 3745
Ashland OR 97520
Telephone:
i;.541 482 2725
, SIONED this 6 th '
day of
March ,
2006. .
WITNESS: .
(Corporate SOftl)
CONTRACTOR:
By:
Titlo;
Legal Address:
Inc.
Attest:
Corporate Secretary
WITNESS:
SURElY: Contractors Bonding and Insurance Company
By:
Title: Edward J. Cols~n, Attorney in Fact
Legal Address: 1213 val1~St. _
. Seatt~A L:
Attest: ~ -~s~
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LIMITED POWER OF ATTORNEY - READ CAREFULLY
CONTRACTORS BONDING AND INSURANCE COMPANY IS RESPONSIBLE ONLY FOR THE BOND DESCRIBED AND UP TO THE AMOUNT SET
FORTH IN THIS LIMITED POWER OF ATTORNEY. ANY ERASURE WILL VOID THIS POWER OF A TORNEY. IF YOU HAVE ANY QUESTIONS
ABOUT OR WANT TO VERIFY THIS POWER OF ATTORNEY CALL CONTRACfORS BONDING AND INSURANCE COMPANY TOLL FREE AT
1(800)765-2242
Power Number:
Date Approved: 3/07/2006
Bond No. : PE3745
Penal Sum : $ $359.967.00 Attorney No.: P0285
Limited Power of Attornev Exoires: 3/07/2007
Approved by : .-/
~
Name of Principal: TOBIASSON EXCAVATION INC.
Name of Obligee: CITY OF ASHLAND OREGON
Descriptions(s): 2005 UTILITY CONSTRUCTION PROJECT NO. 2004-07
(~on~rkin
nm ame)
Location (if applicable): ASHLAND OREGON
KNOW ALL MEN BY THESE PRESENTS that CONTRACTORS BONDING AND INSURANCE COMPANY, a corporation duly organized and
existing under the laws of the State of Washington and having its principal office in Seattle, King County, Washington does by these presents make,
constitute and appoint EDWARD 1. COLSON OF ASHLAND OR
its true and lawful Attorney-in-Fact, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver the bond(s) and/or
other documents incidental1hereto descnbed above; and to bind the Company thereby as fully ai1d to the same extent as if each such bond, or other docwnents incidental
thereto was signed by the Pn:sident, sealed with the cmporate seal of the Company and duly attested by its Secretuy; hereby ratifYing and confirmimt all that the said
Attorney-In-F"act may do in the premises. Said appointment is made under and by the authority of the following resolutions adoptedby the Board ofbirectors of
CONIRACTORS BONDING AND INSURANCE COMPANY on September 10, 2001.
RESOLVED that the Chief Executive Officer, Presiden~ Chief Financial Officer, Secretuy or any Vice Pn:sident of the Company is authorized to appoint .
Attorneys-In-Fact for and on behalf of the Company with the power and authority to sign on behalf of the Company those surety bonds orundertakiii.gs of suretyship
which may fi:um time to time be approved by tlie Chief Executive Officer, Pn:siden~ Chief Financial Officer,.Secretuy or any Vice Pn:sident of the Company; proVided,
however, that no Attorney-In-Fact shall be authorized to execute and deliver any bond orwxlertaking that shall oblig<!te the Co~y for any portion of the penaI sum
thereof in excess of$15,000,000, and provided, further, that no Attorney-In-Fact shall have the authority to issue a bid or proposal bond for any project where, if the
contract is awarded, any bond orundei1akingwould be required with a penal sum in excess of$15,000,000. AnAttorney-Iri-Factmay also be autliorized by Power of
Attorney to excecute any consent or other dOcument incidental to said fund orundertaking, provided such document does not obligate the Company is excess of the limit
set forth above. In no event shall any Attorney-In-Fact have any authority to sign any dociDllent or otherwise bind the Company in any way in connection with a claim on
a surety bond or undertaking.
RESOLVED FURTHER that each Power of Attorney must set forth the specific description of the surety bond or ~ to which it applies, the name of the
principal, the name of the obligee, the penal sum, the bond number (except for a bid booo where there is no number), the idenfiiVing numbei of the Attorney-In-Fact, and
ihe iden~ number of the Power of Attorney. The Attorney-In-Fact shall not be authorized to obligate Company for surety 0000 orJn!dertalcing specified in the Power
of Attorney (mcluding any consents or other docwnents incidental to the surety bond or tmdetaking) fOr more 1h3n the penal sum specified in the Power of Attorney.
RESOLVED FURTHER that the Chief Executive Officer, Presiden~ Chief Financial Officer, Secretary or any Vice Pn:sident of the Company is authorized to establish a
specific expiration date for the Power of Attorney and to modifY that date fi:um time to time as the Chief Executive Officer Presiden~ Chief Financial Officer Secretuy or
any Vice President of the Company deems necessary in hisIhei sole discretion; the applicable expiration date is to be cl;;Jy set forth in any written Power ofAttorney.
RESOLVED FURTHER that all previous resolutions by the Board of Directors authorizing the Chief Executive Officer, President, Chief Financial Officer, SecretaJy or
any Vice President of the Company to appoint Attomeys-In-Fact for and on behalf of the COmpany remain in full force and effect; and that if a Power of Attorney baSed
on this resolution is attached to a bOnd (for example, a liid bond), and a Power qf Attorney based on another Boanl of Directors resolution is attached to another bond (for
example, a perfonnance and payment bond), it shall not affect tlie validity of either Power of Attorney or Bond
RESOLVED FURTHER that this Limited Power of Attorney containing this and the furegoing resolutions and the signatures of the Pn:si~ ~, and NotaIy
Public, and the ~rate and Notary seals appearing hereon, are generatOO, stored and transmitted electronically, and therefore appear in printed fonn ;~~ at recipient's fax
machine. This fax printed Limited "Power of Attoniey docwnent and the signatures and seals appearing hereoi1 therefore are, and shall be deemed o' in all respects.
RESOLVED FURTHER that the ConJpanyacknowledges the applicability of the Electronic Signatures in Global and National Commerce Act to this Limited Power of
Attorney and that the signatures of the Pn:sident, Secretaiv and Notuy Public and the COIpOI'ate and Notary seals appearing on any Limited Power of Attorney containing
this and the foregoing resolutions as well as the Limited Power of Attorney itself and its transmission maybe, or may be bY facsimile or other means of electronic or
electro-mechanical transmission or reproduction; and any such Limited Power of Attorney shall be deemed an original in all respects.
IN WITNESS WHEREOF CONIRACTORS BONDING AND INSURANCE COMPANY has caused these presents to be signed by Don S~~~rate seal
to be hereto affix::<9/9f2 2. 4~,,'~pciii"':~"""",
:::i :yO "J'~.. ~ I,
CONIRACTORS BONDING AND INSURANCE COMPANY ff SEAL '1~~
~c. -0'
By' 'I,"".. .:' f
. Don Sukm, PresIdent \, ~~...!.~!.'\~~ /
-"\l S", PC G .._---
'\\........'.,...........
STAlE OF WASHINGTON -COUNIY OF KING
On 9/9/2002, personally appeared DON SIRKIN to me known to be the representative of the corporation that executed the foregoing Limited
Power of Attorney and acknowledged said Limited Power of Attorney to oe free and voluntary act and deed of said corporation, for the uses and
purposes therein mentioned, and on oath stated that he is authorized to execute the said Limited Power of Attorney.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal the day and year first above written.
~~~,
f ~..~. ~ (0, -r...(V1'~1l
. ~.....~ i WU; t1
\-~=''''';,;~f Notary Public in and for the State of Washington, residing at Seattle
~"""~",-",,,""
The undersigned acting under authority of the Board of Directors of CONTRACTORS BONDING AND INSURANCE COMPANY, hereby
certifies, as or in lieu of Certificate of the Secretary of CONTRACTORS BONDING AND INSURANCE COMPANY, that the above and
foregoing is a full, true and correct copy of the Onginal Power of Attorney issued by said Company, and does hereby further certify that the said
Power of Attorney is still in force and effect.
GIVEN under my hand. at Portland. OR this I!:L- day of MAR 2006
~
R. Kirk Eland, Secretary
Al(052004)
MAR 06 2006 4:03PM
CHIC
5032876100
p.3
Bond #PE3745
Premium $8,999
PAYMENT BOND
The undersigned Tobiasson Excavation me. . lIS principal, fbrtbcr referred to in this bond as
Contractor. and ,.contractors Bonding and Insurance Company . as
surety~ ~er referred to in this-,bond 8.$ S~, are jointly and severally bound unto City of
Ashl~ as obligee,' further referred to in this bond as City, in the sum of Three hun&ed fifty-
nine thousand nine hundred sixtv-seven dollars and zero cents, Dolllml ($3~9,967.00).
. Contractor and City have entered into a written contraCt dated
. for the foUowing project: 2005l.ltilitv Construction.
Project No. 2004-97. This contract is further rcfc:rred to in this bond as the Contract and ,is
incorporated into this bond by this reference.
lbe conditions of this bond are:
1. If Contractor faithfully pCrfo~s the Contract within the time prescn'bed by the
, ,
Contract, and ptomptly makes payment Co aU claimants, as defined in ORS 279C.600
through. 279C.620. then this 'obligation is null and void; otherwise it shaJl remain in
full force and effect.
2. If Contractor is declared by City to be in default lDlder the Contract. l.h:e Surety shall
promptly remedy the default, ~orm aU of Contractor' 8 obligations under the .
contract in IC:COldance with its terms and conditions and pay to City all dama.g~ that
are due lIDder the Contract.
3. This bond is subject to claims under ORS 279C.600 through 279Gii20.
.
4. This obligation jointly ~d sevEnlly binds Contractor. and Surety and their .tcspective
heirs, executors, administrators. successors,
. 5. Surety waives notice of modification of the Contract or extension ofthc: Contract
time.
6. Nonpayment of tile bond premium shall not invalidate this bond.
MAR 06 2006 4:03PM
CHIC
5032876100
p.4
7. The bond number and the nm:ne, address, and telephone number of the agent
authorized to receive notices concerning this bond are as follows.
Bond Number:
PE3745
Western States Insurance
Bond ~gen1:
Address:
Telephone:
PO Box 3745
Ashland OR 97520
541 482 2725
2006.
SIGNED this 6 th
day of' March
WITNESS:
(CoIporate Seal)
WITNESS:
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CONTRACTOR:
By:
TItle:
Legal A~:
. \
Attest:
SURElY:
By:
Title:
~ga1 Address:
Attest:
Inc.
3055 Hi2hwav 66
AShland OR 97520
Corporate Secretary
Attorney in Fact
1213 Valley St.
Seatt~e WA 98109
Corporate Secretary
LIMITED POWER OF ATTORNEY - READ CAREFULLY
CONTRACTORS BONDING AND INSURANCE COMPANY IS RESPONSIBLE ONLY FOR THE BOND DESCRIBED AND UP TO THE AMOUNT SET
FORTH IN THIS LIMITED POWER OF ATTORNEY. ANY ERASURE WILL VOID THIS POWER OF A TORNEY. IF YOU HAVE ANY QUESTIONS
ABOUT OR WANT TO VERIFY THIS POWER OF ATTORNEY CALL CONTRACTORS BONDING AND INSURANCE COMPANY TOLL FREE AT
1(800)765-2242
Attorney No.: P0285 Power Number:
3/07/2007 Date Approved: 3/07/2006
Bond No. : PE3745
Penal Sum: $ $359.967.00
Limited Power of Attorney Expires:
Approved by : ~
~
Name of Principal: TOBIAS SON EXCAVATION INC.
Name of Obligee: CITY OF ASHLAND OREGON
Descriptions(s): 2005 UTILITY CONSTRUCTION PROJECT NO. 2004-07
~on ~rkin
( nm arne)
Location (if applicable): ASHLAND OREGON
KNOW ALL MEN BY THESE PRESENTS that CONTRACTORS BONDING AND INSURANCE COMPANY, a corporation duly organized and
existing under the laws of the State of Washington and having its principal office in Seattle, King County, Washington does by these presents make,
constitute and appoint EDWARD J. COLSON OF ASHLAND OR
its true and lawful Attorney-in-Fact, with full power and authorit)' hereby conferred in its name, place and stead, to execute, acknowledge and deliver the bond(s) and/or
other documents incidental thereto described above; and to bind the Company thereby as fully and to the same extent as if each such bOnd, or other documents incidental
thereto was signed by the President, sealed with the corporate seal of the Company and duly lIttested b)' its SecretaIy; hereby ratifying and confirming all that the said
Attorney-In-Fact may do in the premises. Said appointment is made under an(! by the authority of the following resolutions adoptedby the Board of Directors of
CON1RACTORS BONDING AND INSURANCE COMPANY on September 10,2001.
RESOLVED that the ChiefExecutiye Officer, President, Chief Financial Officer, SecretaIy or any Vice President of the Company is authorized to appoint
Attorneys-In-Fact for and on behalf of the Company with the power and authority to sign on behalf of the Company those surety bonds orundertakiiiES of suretyship
which may from time to time be approved by !lie ChiefExecutiye Officer, President, Chief Financial Officer, SecretaIy or any Vice President of the Company; provided,
however, that no Attorney-In-Fact shall be authorized to execute and deliver any bond or undertaking that shall obli~ the Company for any portion of the penlIl sum
thereof in excess of$15,000,000, and provided, further, that no Attorney-In-Fact shall have the authority to issue a bid or prop<>sal bond for any project where, if the
contract is awarded, any bond or undeitaking would be required with a penal sum in excess of$ I 5,000,000. An Attorney-Iri-Fact may also be au!liorized by Power of
Attorney to excecute any consent or other dOcument incidental to said bond or undertaking, provided such document does not obligate the Company is excess of the limit
set forth above. In no event shall any Attorney-In-Fact have any authority to sign any document or otherwise bind the Company in any way in connection with a claim on
a surety bond or undertaking.
RESOLVED FURTIffiR that each Power of Attorney must set forth the specific description of the surety bond or undertaking to which it applies, the name of the
principa4 the name of the obligee, the penal SlllII, the fund number (except for a bid bond where there is no number), the identifying number of the Attorney-In-Fact, and
!he identifYing number of the Power ot Attorney. The Attorney-In-Fact shall not be authorized to obligate Company for surety bona or undertaking specified in the Power
of Attorney (mcluding any consents or other documents incidental to the surety bond or undetaking) for more than the penal sum specified in the Power of Attorney.
RESOLVED FURTIffiR that the Chief Executive Officer, President, Chief Financial Officer, SecretaIy or any Vice President of the Company is authorized to establish a
specific expiration date for the Power of Attorney and to modifY that date from time to time as the Chief Executive Officer, President, Chief Financial Officer, SecretaIy or
any Vice President of the Company deems necessary in his/her sole discretion; the applicable expiration date is to be clearly set forth in any written Power of Attorney.
RESOLVED FURTIffiR that all previous resolutions by the Board of Directors authorizing the Chief Executive Officer, President, Chief Financial Officer, SecretaIy or
any Vice President of the Company to appoint Attorneys-In-Fact for and on behalf of the COmpany remain in full force and effect; and that if a Power of Attorney baSed
on this resolution is attached to a bond (for example, a bid bond), and a Power of Attorney based on another Board of Directors resolution is attached to another bond (for
example, a performance and payment bond), it shall not affect the validity of either Power of Attorney or Bond
RESOLVED FURTIffiR that this Limited Power of Attorney containing this and the foregoing resolutions and the signatures of the President, Secretary, and NotaIy
Public, and the corporate and NotaIy seals appearing hereon, are generated, stored and transmitted electronically, and tli.erefore appear in printed form <?ruy at recipient's fax
machine. This fax printed Limited "Power of Attorney document and the signatures and seals appearing hereon therefore are, and shall be deemed orginals in all respects.
RESOLVED FURTIffiR that the Company acknowledges the applicability of the Electronic Signatures in Global and National Commerce Act to this Limited Power of
Attorney and that the signatures of the President, Secretaiy and Notary Public and the corporate and Notary seals appearing on any Limited Power of Attorney containing
this and the foregoing resolutior1S as well as the Limited Power of Attorney itself and its transmission may be, or may be by facsiririle or other means of electronic or
electro-mechaniCal transmission or reproduction; and any such Limited Power of Attorney shall be deemed an original in all respects.
IN WTINESS WHEREOF CON1RACTORS BONDING AND INSURANCE COMPANY has caused these presents to be signed by Don S~~\lQw.orate seal
to be hereto affix~9/9!2 . /,,'> ..:.:j;oi;...:..J'"....
:~...O"" 6fJ-O."""
'V.V f:'..~"
CON1RACTORS BONDING AND INSURANCE COMPANY ~ ~ ( SEAL J ~ ~
~ \~\ ;"f
Don Sirkin, President "" "'~"'~ .~?'!.;:~~ /
1",\~~L~..~....~---
STATE OF WASHINGTON - COUNTY OF KING
On 9/9/2002, personally appeared DON SIRKIN to me known to be the representative of the corporation that executed the foregoing Limited
Power of Attorney and actmowledged said Limited Power of Attorney to be free and voluntary act and deed of said corporation, for the uses and
purposes therein mentioned, and on oath stated that he is authorized to execute the said Limited Power of Attorney.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal the day and year first above written.
~..,.",",\~Illtl
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~~ .....~ J i
'i,,"~"6~
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(~flt~.#. .1Ptr
Notary Public in and for the State of Washington, residing at Seattle
The undersigned acting under authorit)' of the Board of Directors of CONTRACTORS BONDING AND INSURANCE COMPANY, hereby
certifies, as or in lieu of Certificate of the Secretary of CONTRACTORS BONDING AND INSURANCE COMPANY, that the above and
foregoing is a full, true and correct cop)' ofthe Onginal Power of Attorney issued by said Company, and does hereby further certifY that the said
Power of Attorney is still in force and effect.
GIVEN under my hand. at Portland. OR this ~ day of MAR 2006
~
R. Kirk Eland, Secretary
A1(052004)
Page 9
PROPOSAL
Mayor & City Council
Ashland, Oregon
The undersigned bidder declares that the bidder has received, read and understood all bid
documents; received, read and understood all addenda; the bidder has taken no exceptions other than
those clearly stated in this proposal; the bidder will be liable for increased costs (and attorney fees)
for retaining a replacement bidder if the undersigned bidder is awarded the contract but refuses to
sign the contract; the bidder has examined the plans and specifications, has visited the site, and made
such investigation as is necessary to determine the character of the materials and conditions to be
encountered in the work and that if this Proposal is accepted, the bidder will contract with the City of
Ashland, Oregon for the construction of the proposed improvement in a form of contract contained
in the bid documents, will provide the necessary equipment, materials, tools, apparatus, and labor, in
accordance with the plans and specifications on file at the City Engineering Office, Ashland,
Oregon, under the following conditions:
1. It is understood that all the work will be performed under a lump sum or unit price basis
and that for the lump sum or unit price all services, materials, labor, equipment, and all work
necessary to complete the project in accordance with the plans and specifications shall be furnished
for the said lump sum or unit price named. It is understood that the quantities stated in connection
with the price schedule for the contract are approximate only and paYment shall be made at the unit
prices named for the actual quantities incorporated in the completed work. If there shall be an
increase in the amount of work covered by the lump sum price, it shall be computed on a basis of
"extra work" for which an increase in paYment will have been earned and if there be a decrease in
the lump sum paYment, it shall be made only as a result of negotiation between the undersigned and
the Owner. Furthermore, it is understood that any estimate with respect to time, materials,
equipment, or service which may appear on the plans or in the specifications is for the sole purpose
of assisting the undersigned in checking the undersigned's own independent calculations and that at
no time shall the undersigned attempt to hold the Owner, the Engineer, or any other person, firm or
corporation responsible for any errors or omissions that may appear in any estimate.
2. The undersigned will furnish the bonds required by the specifications and comply with
all the laws of the Federal Government, State of Oregon, and the City of Ashland which are pertinent
to construction contracts of this nature even though such laws or municipal ordinances may not have
been quoted or referred to in these specifications.
3. All items for the contract for which forms are provided in the bid documents have been
completed in full by the showing of a lump sum price or prices for each and every item and by the
showing of other information indicated by the proposal form. The undersigned submits the unit
prices set forth as those at which the bidder will perform the work involved. The extensions in the
column headed "Total" are made up for the sole purpose of facilitating comparison of bids and if
there are any discrepancies between the unit prices and the totals shown, the unit prices shall govern.
G:\pub-wrks\eng\dept-admin\ENGINEER\PROJECT\2004\04-Q7 2005 Utility Construction Bid Doc 11 05.doc
dated 11.29.05
Page 10
.
4. The undersigned agrees that the "Time of Completion" shall be as defined in the
specifications and that the bidder will complete the work by the completion date.
Bidder furthermore agrees to pay as liquidated damages, for each calendar day thereafter,
the amounts shown in Subsection 00180.85 of the Special Provisions, for each day the project
remains incomplete.
5. The undersigned, as bidder, acknowledges that addenda(s) numbered , through
1-. have been received by the bidder and have been examined as part of the contract
documents.
6. The undersigned, as bidder, acknowledges that provisions of Oregon Revised Statute
(O.R.S.) 279.350 relating to workers on public works to be paid not less than prevailing rate of wage
shall be included in the contract.
7. Instructions for First-Tier Subcontractors Disclosure. Bidders are required to disclose
information about certain first-tier subcontractors (those subcontractors contracting directly with the
bidder) when the contract price exceeds $75,000 (see ORS 279.027). Specifically, when the contract
amount of a first-tier subcontractor is greater than or equal to: (I) 5% of the project bid, but at least
$15,000, or (ii) $500,000 regardless of the percentage, you must disclose the following information
about that subcontract within four hours of bid closing:
7.1 The subcontractor's name and address;
7.2 The subcontractor's Construction Contractor Board registration number:, if one is
required, and;
7.3 The subcontract dollar value.
If you will not be using any subcontractors that are subject to the above disclosure requirements, you
are required to indicate "NONE" on the form.
THE CITY MAY REJECT A BID IF THE BIDDER FAILS TO SUBMIT THE DISCLOSURE
FORM WITH THIS INFORMATION WITHIN FOUR HOURS OF BID CLOSING.
To determine disclosure requirements, the City recommends that you disclose subcontract
information for any subcontractor as follows:
1) Determine the lowest possible contract price. That price will be the base bid amount less all
alternate deductive bid amounts (exclusive of any options that can only be exercised after
contract award).
2) Provide the required disclosure information for any first-tier subcontractor whose potential
contract services (i.e., subcontractor's base bid amount plus all alternate additive bid
amounts, exclusive of any options that can only be exercised after contract award) are greater
than or equal to: (I) 5% of the lowest contract price, but at least $15,000, or (ii) $500,000
regardless of the percentage. Total all possible work for each subcontractor in making this
determination (e.g., if a subcontractor will provide $15,000 worth of services on the base bid
and $40,000 on an additive alternate, then the potential amount of subcontractor's services is
. $55,000. Assuming that $55,000 exceeds 5% of the lowest contract price, provide the
disclosure for both the $15,000 services and the ($40,000 services).
G:\pub-wrks\eng\dept-admin\ENGINEER\PROJECT\2004\04-07 2005 Utility Construction Bid Doc 11 05.doc
dated 11.29.05
Page 12
Proiect o. 2004-07
NO DESCRIPTION QTY. UNIT UNIT PRICE AMOUNT
(FIGURES)
Mobilization and Traffic Control
Mobilization $S"'6'6U~ $ $" c:.2.,() elL'
1 for Dollars 1 LS
Work Zone Traffic Control Complete , ,
$ '\ ~l> $ 1GSb Ut:.
2 for Dollars 1 LS 6~
Erosion & Sediment Control / /
$ J ~ ,'I.l $ tb
3 for Dollars 1 LS II lSlro
Remove A.C. Surfacing ~ , Ul>
$ (b $
4 for Dollars 230 SY 1.."\. ~ ubb
Remove Existing SS Pipe ,
$ ~(t) $ 5" ~~O Q>
5 for Dollars 1495 LF
Remove Existing SS Manhole 1
$ lS'~ $ 1, ~()~(.\>
.6 for Dollars 5 EA
,
Utilities
8" Sewer Main (PVC ASTM D-3034) for $ $ CIt.
Dollars 1).~ 1~1 ~ ') '}.
7 956 LF
8" Sewer Main" (PVC C 900, CLASS 150) for ,
$ '-i 'i .'b $ 1~ ~1~ (b
8 Dollars 886 LF
4" Sanitary Sewer Lateral Connection $ <;Cfu I
$ ) \SO ~
9 for Dollars 23 EA
1
Replace Existing 4" 55 Lateral $ <Ib $ ~
10 for Dollars 90 LF 'L(,) '<l~
48" Sanitary Sewer Manhole } f'"
$ 3OU1)~ $
11 for Dollars 5 EA 1< (tlU
Connection to Existing Manhole J I .I ~~
$ Il\lm~ $
12 for Dollars 2 EA 1 t.L()
Connection to Existing Pipe $ I <If $ J ~
13 for Dollars 2 EA 5ro J (\~
Trench Resurfacing $ 3s~ $ J t\
14 for Dollars 230 SY 1. c)~()
Bypass Pumping $1 Gm. a." $ 3601)
15 for Dollars 1 LS
SCHEDULE A BID TOTAL I $ / .. J
\)..~ \\htb
,
BID SCHEDULE A
WALNUT STREET SANITARY SEWER REPLACEMENT
N
G:\pub-wrks\eng\dept-admin\ENGINEER\PROJECli2004\04-07 2005 Utility Construction Bid Doc 11 05.doc
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Page 11
The disclosure should be submitted on the following form:
City of Ashland
First-Tier Subcontractor Disclosure Form
(As Required by ORS 279.027 and OAR 137-040-0017)
2005 UTILITY CONSTRUCTION
PROJECT 2004 - 07
CATEGORY OF WORK
2.
3 ~r~L ~~\ ~
~~~~
'\
~w-o~~,
. 4
5
6
7
8
9
10
* Attach additional pages if needed.
G:\pub-wrks\eng\dept-admin\ENGINEER\PROJECl\2004\04-07 2005 Utility Construction Bid Doc 11 05.doc
dated 11.29.05
Page 13
rOJec Q. -
NO DESCRIPTION QTY. UNIT UNIT PRICE AMOUNT
(FIGURES)
Mobilization and Traffic Control
Mobilization _\ \ (;t cJ~ $
for Dollars "1 ~~
1 1 LS o.'b
Work Zone Traffic Control ,
2 for Dollars 1 $ 2. ..)) $ '\.... ~ u>
LS \'-''b
Erosion & Sediment Control $, ,1> $
for Dollars \~
3 1 LS \6't) l\~"t)
, I
Roadwork
Remove & Replace Concrete Curb & Gutter $ ~t)~ $ S \.tl.''(,
4 for Dollars 10 LF
Remove & Replace Concrete Sidewalks $~, !~ $ '\.. <; ~~ liQ
5 for Dollars 30 SF
Remove AC Surfacing $ 1.~-{ $ ~').....~~~..
6 for Dollars 586 SY
Utilities
Remove Existing SS Pipe .- $ - ,,--v $ ~ ~S'b ""
7 for Dollars 726 LF ~
Remove Existing SS Manhole I
8 for Dollars 2 $1~~ $ \ C;r..'b''b
EA
6" Sewer Main (PVC SDR35, D-3034) ;
$ 'Ll;<b $ 1')~Cb
9 for Dollars 15 LF
8" Sewer Main (PVC SDR35, D-3034) $ '\).... C\. $ ~
10 for Dollars 671 LF ')..\. l\'))
8" Sewer Main (PVC C-900) ,
$ <r;(jf>b $ \'\>
11 for Dollars 40 LF 1. O""'-U
4" Sanitary Sewer Lateral Connection $ $ )
ct"'O(\. IrQ
12 for Dollars 11 EA ~ , -> )'0
Replace Existing 4" SS Lateral $ $ ~
13 for Dollars 55 LF \... () ~ ,) ~
48" Sanitary Sewer Manhole ,
$ n. $ ') &b~ no
14 for Dollars 1 EA "'> ,. t.'"tI
48" Sanitary Sewer Manhole with Outside Drop I
Connection $) r- $ ~~CSb (f'>
15 for Dollars 1 EA 5€b
Connection to Existing Manhole .
$ I t\~~ $ n..
16 for Dollars 6 EA ~. ()~()
Connection to Existing Pipe $ C; (;b (l:) $ ~ t'->
17 for Dollars 3 EA , ,S l:\~
,
BID SCHEDULE B
GRANITE STREET SANITARY SEWER REPLACEMENT & WATERLINE
CONSTRUCTION
p . t N 2004 07
G:\pub-wrks\eng\dept-admin\ENGINEER\PROJECT\2004\04-07 2005 Utility Construction Bid Doc 11 05.doc
dated 11.29.05
Page 14
NO DESCRIPTION QTY. UNIT UNIT PRICE AMOUNT
(FIGURES)
~---------._-----
Trench Resurfacing $ ~) ~6':> $ ).<=5 .~'b(;'t>
18 for . Dollars 586 SQYD
-
Bypass Pumping $.)~:' $
19 for Dollars 1 LS ~ ()'"b \~
,
WATER LINE
16" Potable Water Pipe, Fittings and Couplings
with Class "B" Backfill $ ~O\> $ \.\ 0 .~)O.
13 for Dollars 682 LF
Hydrant Assemblies $') t>b'"O eQ $ \0 .~tSb
14 for Dollars 2 EA
SCHEDULE B BID TOTAL I $ , ,
'Lf~ ~J~ c.~
I
G:\pub-wrks\eng\dept-admin\ENGINEER\PROJECT\2004\04_07 2005 Utility Construction Bid Doc 11 05.doc
dated 11.29.05
Page 15
rOJec o. .
NO DESCRIPTION QTY. UNIT UNIT PRICE I AMOUNT
(FIGURES)
Mobilization and Traffic Control
Mobilization $~ ,-,\> $
1 for Dollars 1 ~ ~b II\.}
LS
Work Zone Traffic Control Complete , ,
$.\~ $ '\ db
2 for Dollars 1 LS b~
Erosion & Sediment Control , I
for Dollars $'.b~ $ e;.'l,
3 1 LS \.~1)
, ,
Roadwork
Remove AC Surfacing $ L.~b $
4 for Dollars 370 SY <l\"O~
Remove & Replace Concrete Sidewalk ,
$ 1-t> "" $ C' t'b
5 for Dollars 25 SF ~~b
Utilities
24 Inch Storm Sewer Pipe, 10ft Depth $)J..~ $ ~ \ \...Sro €b
6 for Dollars 573 LF
12 Inch Storm Sewer Pipe, 5 ft Depth $ )()(b $ ,
7 for Dollars 71 LF '} \ ''\Q ,,,,
48" Storm Drain Manhole I
$ ~~ Cb $ to Ob"b ~
8 for Dollars 2 EA
48" Storm Drain Control Structure , /
$ (10 $ 1':- CSb. (;,'0
9 for Dollars 1 EA t;'Cb ~
24" RCP Bell End Section Manhole $ , cl.b $ t.
10 for Dollars 1 EA \ .(::)~l)
Connection to Existing Curb Inlet , ,
$ ~ $ ~..
11 for Dollars 1 EA I~'b IO~
Trench Resurfacing $ '\~ $ (\;>
12 for Dollars 370 SY \")., ,~~ ()
7
Permanent Traffic Safety and Guidance Devices
Thermoplastic Pavement Line, White, 8 inch $'\. .('l> $ 'l"i:::>
13 for Dollars 300 SF ~Cft)
SCHEDULE C BID TOTAL 1 $ ~~ \,b(,r"O
}
BID SCHEDULE C
WALKER AVENUE STORM DRAIN CONSTRUCTION
P . t N 2004 07
G:\pub-wrks\eng\dept-admin\ENGINEER\PROJECT\2004\04-07 2005 Utility Construction Bid Doc 11 05.doc
dated 11.29.05
Page 16
BID SUMMARY
SCHEDULE A: WALNUT STREET SANITARY SEWER REPLACEMENT
SUBTOTAL $ \f)... ~ . , , b t,'i)
SCHEDULE B: GRANITE STREET SANITARY SEWER REPLACEMENT & WATERLINE
CONSTRUCTION SUBTOTAL $ p.'S'.bJ~.\>
,
SCHEDULE C: WALKER AVENUE STORM DRAIN CONSTRUCTION
SUBTOTAL $ ~ c; \J ~
,
PROJECT 2004-07 TOTAL BID: $ ~<>~i~\o'~
.
G:\pub-wrks\eng\dept-admin\ENGINEER\PROJECT\2004\04-Q7 2005 Utility Construction Bid Doc 11 05.doc
dated 11.29.05
Page 17
The City reserves the right to reject any and all bids, waive formalities, or accept any bid which
appears to serve the best interests of the City.
The foregoing prices shall include all labor, materials, equipment, overhead, profit, insurance, and
all other incidental expenses to cover the finished work of the several kinds called for. Unit prices
are to be shown in both words and figures. In case of discrepancy, the amounts shown in words will
govern.
Upon receipt of written notice of the acceptance of this bid, Bidder shall execute the formal contract
attached within ten days and deliver surety bond or bonds as required. The bid security attached in
the sum of five percent ofthe total price for the bid or combination of bids is to become the property
of the Owner in the event the contract and bond are not executed within the time above set forth as
liquidated damages for the delay and additional expense to the Owner caused thereby.
The Bidder is V or is not
a resident Bidder as defined in O.R.S. 279.029.
lOb I'Q sS () n E)(('l.tlltILi-,'on I The:..
Firm Name of Bidder
___ ~cL" ..:..
ature of Bidder
0"1
?~S; dett-t
Official Title
OR
State of Incorporation
))1-\\..\6
CCB Number
Address
3 dayof:& n uard 2006.
I
3~~"~:; -::~av;;~~:;c .()~~~~~~
54/- Y2/-5fool
,Dated this
Name of Bidder
Telephone No.
G:\pub-wrks\eng\dept-admin\ENGINEER\PROJECT\2004\04-07 2005 Utility Construction Bid Doc 11 05.doc
dated 11.29.05
--
ACORD.. CERTIFICATE OF LIABILITY INSURANCE OP 10 101 DATE (MMlDDIYYYY)
"l'OEIA-1 03/07/06
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Western States - Ashland HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
400 West Henley ALTER THE COVERAGE ,A;FORDED BY THE POLICIES BELOW.
Ashland OR 97520
Phone: 541-482-2725 Fax:S41-488-0086 INSURERS AFFORDING COVERAGE NAlC#
INsuRED INSURER A: American States Insurance 24740
INSURER B: CBIC Contractors
TobiassoD E~cavation Inc INSURER c:
30S5 Hwy 66 INSURER D:
Ashland OR 97520
INSuRER E:
COVERAGES
iHE PQLICIES OF INSuAAIIlCE; LISTED BELOW HAVE BEEN lSSUE;D TO THE INSURED NAMED AeOIJE FOR. THE POLICY PERIOD INDICATED. N01WITHSTANDING
ANY REQUIREMENT. TERM OR CONDmON 01' ANY CONTRACT OR OTHER DOCUMEN, WITH REsPECT TO WHICH THIS CERTIFICATE WlY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCR.IBED HEREIN IS SUBJECT TO ALL 'filE TERMS. I<XCLUS10NS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAII6 BEEN RE;DUCED BY PAID CLAIMS.
L7R, NSRI TYPE OF INSURANCE POLICY NUMBER DATE IMM/DDIYYl ~~ LIMITS
GENERAL LIABILItY EACH OCCURRENCE $ 500000
- 04/15/05 04/15/06 ~~~Es IE:o OCOlrencel $200000
A ~ COMMERCIAL GENERAL LIABILITY 01CG3342492
n ClAIMS MADE [!] OCCUR MEO EXP (Any one person) $10000
PERSONAL & WV INJURY $ 500000
-
GENERAL AGGREGATE S 1000000
- s 1000000
GEN'L AGGREGATE LIMIT APPLIES PER: pROOUCTS-COMPIOPAGG
I poLICY h rr8;: n lOC
AUTOMOBILE! LIABILITY COMBINE;D SINGLE UMIT $ 750000
- 04/15/05 04/15/06 lEe aoodenl)
A ANY AUTO 01CG3342492
-
ALL OWNED AUTOS BODILY INJURY
- (Perp~) S
X SCHEDULED AUTOS
-
HIRED AuTOS BODILY INJURY
- (Per aoclo:lent) $
- NQN-OWNED AUTOS
PROPERTY DAMAGE $
(Per aOOdent)
G,t.AAGE LIABILItY AlITO ONLY - EA ACCIDENT $
R ANY AUrO OTHER THAN EAACC $
AUTO ONLY: AGG $
EXC~MBRELLA LIABIUlY EACH OCCURRENCE $
tJ OCCUR D Cl.,A1MS MADE .AGGREGATE S
$
R DEDUCTIBLE $
RETENTION $ $
WORKE.RS COMPENSATION AND T TORY LIMITS I IU~~-
ENlPLOyeRS' LIABILITY E.L EACH ACCIDENT S
ANY PROPRIETORlPARTN~UTIVI;
OFFICERlMEMBER EXCLUDED? E.l. OIS~SE . EA EMPLOYEE S
~e9, o:Iescr1be unoer E.L. DISEASE - POLICY LIMIT $
ECIAI.. PROVISIONS belOW
OTHER
A Equipment Floater OlCG3342492 04/15/05 04/15/06 bond 15000
B license Bond 808448 06/30/04 06/30/05
OESCRIPTJON OF OPEAATlONS f LOCATIONS ,~HICLES f EXCLUSIONS ADDEO PY EatolDORSEMENT f SPECIAl. PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
CITY006 SHOULD A.'/N OF THE ABOVE DESCRIBm POLICIES BE CANCELLED BEFORE TllE EXPIRATION
DATE THEREOF, THIOISSlJING ItIiSURER WILL EllltI.l<AVOR TO MAIL ~ DAYS WRITTEN
NOllCE TO THE CERTIFICATEi HOLDER. NAMED TO THE LEFT. eUT FAILURE TO DO SO SHALL
City of Ashland IMPOSE NO OBLIGATION OR LlABlLlTY 0F'.AWf I<lND UPON THE INSURER, ITS AGENTS OR
Public Works Dept
20 East Main REPRESENTATlVES.
Ashland OR 97520 AUTHORIZED REPRE.SEl'lTATlVE
CindY' Clark
ACORD 25 (2001/08)
@ ACORD CORPORATION 1988
8/ l . d
vl9v'ON
~VOl:6 900l 'L 'Je~
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 (2001108)
8/Z 'd vl9v'ON
~Vll:6 900Z 'L 'Je~
City of Ash1and iB an
named insuX"ed.
insured as reBpects ~he operations of the
.
8/8 'd
vl9v'ON
~Vll:6 900Z 'L 'Je~
rA'
CITY OF
ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
CITY RECORDER'S COpy
I I
Page 1 /1
3/16/2006
06680
VENDOR: 002814
TOBIASSON EXCAVATION INC
3055 HIGHWAY 66
ASHLAND, OR 97520
SHIP TO: Ashland Public Works
(541) 488-5587
51 WINBURN WAY
ASHLAND, OR 97520
FOB Point:
Tenn.: Net
Req. Del. Date: 3/20/2006
Speclallnst:
Req. No.:
Depl: PUBLIC WORKS
Contact: Paula Brown
Conflnnlng? No
THIS I~ 8EVISEgJ URCHASE ORDER
BLANKET PUFfCAASE ORDER
2005 Utility Construction Project
Schedule A: Walnut St Sanitary Sewer
Schedule B: Granite St Sewer & Water
Replacement
Schedule C: Walker Ave Storm Drain
129.116.00
145.675.00
85,176.00
BILL TO: Account Payable
20 EAST MAIN ST
541-552-2028
ASHLAND, OR 97520
SUBTOTAL
TAX
FREIGHT
TOTAL
E 260.08.17.00.7042
E 670.08.18.00.7042
E 675.08.17.00.7042
200407.120
200407.120
200407.120
86 392.08
46795.71
226 n9.21
M~ .Ji.yb~
. orlzed Signature
VENDOR copy
CCl T 1'..0' f'
.8S.I-i.LAR..O
REQUISITION
No. PW - FY 2006
Deparbnent Public Works
Vendor TOBIASSON EXCAVATION INC.
3055 HWY 66
ASHLAND OR 97520
Account No. 675.08.17.00.704200
670.08.18.00.704200
260.08.17.704200
Date March 13, 2006
Requested Delivery Date ASAP
Deliver To Jim Olson
Via Paula Brown
63% (* Note: Pi.... allow approximaIeIy two(2) weeb for deliWI}' on items not
13% ~Iy caried in stored. ond epproximalely two (2) months on prinlingjobs.)
24%
Item No. Quantity
Unit
DescriptiOll
Use of Purchasin Office Only
Unit Price Total Price PO No.
2005 Utility Construction Project
Schedule A: Walnut St Sanitary Sewer
Schedule B: Granite St Sewer & Water
Replacement
Schedule C: Walker Ave Storm Drain
$129,116.00
$ 145,675.00
$ 85,176.00
TOTAL $
359,967.00
Job No.
Unit No.
I hereby certifY tIIlIl the above items are necessaoy for the opention
of this depertment ond ... budgeted
Department Head or Aut!lori7aI Penon
~--IP
Is By
Date
Received By
,.,