HomeMy WebLinkAbout2006-097 Contract - Asphalt Maintenance
JUN 30 2006 12:14PM ASPHALT MAINTENANCE ASSOC 5414612330
p.2
Asphalt Maintenance Associates, Inc.
2080 Prairie Rd
Eugene, OR 97402
541/461-2220 FAX: 5411461-2330
CCB#62952
Invoice
BILL TO
City of Ashland
Public Works/John Peterson
20 E. Main St.
Ashland, OR 97520
(541)5522304/fl (541)488 5313
DATE INVOICE #
6130/2006. 2006-27
- ax: -
PROJECT
2006 Sl.urry Seal
DESCRIPTION QTY RATE AMOUNT
Ashland U/f Type ill as per contract with the City of Medford 29,716.81[) 29,716.8Q
"Contra.ct. for Slurry ~ VariOUt\ Streets m1he City t:lfMedf()1d and
City of Ashland, 2006/#MS-0608"
ASHLAND PORTION COMPLETED: 6/3012006
Ie ~ f1
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b(~/Ob.
Thank you for doing business with us. It's been a pleasure! Total $29,716.80
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BID NUMBER: 6-7-131 PW
I ITEM I
.
DATE GF OPENING: 6-6-06
DESCRIPTION
1. Latex Modified Slurry Seal Type II Medford
2. Latex Modified Slurry Seal Type III Ashland'
3. Remove Vegetation and Debris from Cracks
Item A$phalt Maintenance Blackline Inc.
Assoc, Inc.
l. 1.05/SY 61,929.00 1.25.1SY 73,725.00
2. 1.51/SY 29,716.80 1,48/SY 29,126.40 -,
3. 50.76 9,136.00 $10.00 1,800.00 ,7.
TOTAL $WO,782.60 $104,651.40
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2006 Slurry Seal List
See 18-59 VAN NESS AV
See 13-14 HUNTER CT
See 5-76 JENNIFER ST
See 5-80 LONG WY
LAUREL ST
HOMES AV
HEATHER ST
ASHLAND ST
HELMAN ST
END OF ROAD
HERBERT ST
END OF CUL DE SAC
Total YDS=
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PURCHASING
purchasing@ci.medford.org
CITY OF MEDFORD
411 WEST 8th STREET
MEDFORD,OREGON97501
TELEPHONE: (541)774-2035
F.A.X: (541) 774-2526
www.ci.medford.or.us
July 10, 2006
Bruce Yokum
Asphalt Maintenance Associates, Inc.
2080 Prairie Road
Eugene, Oregon 97402
Regarding:
Contract for Slurry Sealing Various Streets in the City of Medford
Dear Mr. Yokum:
Enclosed please fmd your fully executed copy of the above referenced contracts. If you have any
questions, please do not hesitate to contact me.
Sincerely,
~~
Kathy Ameral
Purchasing Manager
Enclosures
CONSTRUCTION CONTRACT
(Construction, Reconstruction or Major Renovation on Real Property)
IS AGREEMENT, made and entered into in duplicate this ~L day of
, 2~y and between the City of Medford, Oregon, a municipal corporation
of the State of regon, hereinafter termed "CITY" and Asphalt Maintenance Associates, Inc.,
hereinafter termed the "CONTRACTOR".
I. THE WORK.
That the CONTRACTOR, in consideration of the payments to be made to him by the CITY,
in the manner and at the times hereinafter provided, and of the covenants and agreements
hereinafter contained, hereby agrees to furnish all materials and labor for the construction of:
Slurry Sealing various streets in the City of Medford, per exhibit A
and to furnish all necessary machinery, tools, apparatus, materials and labor and to do the
said work in the most substantial and workmanlike manner according to the proposal, general
provisions, general specifications and special provisions hereto attached, and the plans
therefor on file in the office of the City Engineer of the said City of Medford, Oregon, and in
accordance with such modifications of the same and other directions as may be made by the
City Engineer as provided for therein.
It is agreed that said plans, specifications and provisions, and the schedule of mtes and prices
at time of construction as set forth in the proposal and in the said provisions and
specifications, are hereby specifically referred to and made a part of this contract, and shall
have the same force and effect as though all the sums and provisions thereof were fully
inserted herein.
-I-Contract
LEG510
II. CONDITIONS CONCERNING PAYMENT OF LABORERS AND MA TERlALMEN.
CONTRIBUTIONS TO INDUSTRIAL ACCIDENT FUND. LIENS AND WITHHOLDING
TAXES CORS 279C.SOS):
The Contractor shall:
(I) Make payment promptly, as due, to all persons supplying to such Contractor labor or
material for the prosecution of the work provided for in such contract.
(2) Pay all contributions or amounts due the Industrial Accident Fund from sUlch contractor
or subcontractor incurred in the performance of the contract.
(3) Not permit any lien or claim to be filed or prosecuted against the state, county, school
district, municipality, municipal corporation or subdivision thereof, on account of any labor
or material furnished.
(4) Pay to the Department of Revenue all sums withheld from employees pursuant to ORS
316.167.
m. CONDITION CONCERNING PAYMENT OF CLAIMS BY PUBLIC OFFICERS
CORS 279C.S15):
It is a condition of this contract and agreed that should the Contractor fail, neglect, or refuse
to make prompt payment of any claim for material, labor or services furnished by any person,
firm or corporation, in connection with this contract, as said claim becomes dw::, whether for
material or services performed for the Contractor or subcontractor, then and in such event,
the proper officers representing the City may, at its election, pay such services, and charge
the amount thereof against funds due, or to become due said Contractor, by reason of this
contract, but the payment of any such claims in the manner herein authorized, shall not
relieve the Contractor or his surety from his or its obligation with respect to any unpaid
claims.
IV. CONDITION CONCERNING HOURS OF LABOR CORS 279C.S20):
Contractor agrees that no person shall be employed more than eight hours in anyone day, or
forty hours in anyone week, except in case of necessity, emergency, or whe:re the public
policy absolutely requires it, and in such cases the laborer shall be paid at least time and a
half pay for all overtime in excess of eight hours a day and for work performed on Saturday
and on any legal holiday specified in ORS 279C.S40.
- 2-Contract
LEG510
V. CONDITION CONCERNING WORKERS COMPENSATION AND MEDICAL
BENEFITS CORS Chapter 279C.530):
All employers working under this contract are subject to the workers compensation laws of
the State of Oregon and must comply with ORS 656.017.
The Contractor further agrees promptly as due, to make payment to any person, fIrm,
corporation, company, partnership, or association furnishing medical, surgicaJl and hospital
care or other needed care and attention incident to sickness or injury to the employees of the
Contractor, or all sums which the Contractor agrees to pay for such services and all monies
and sum which the Contractor mayor shall deduct from the wages of his employees for such
services pursuant to the terms of Oregon Revised Statutes Chapter 656 relating thereto, and
any contract entered into pursuant thereto, or collected or deducted from the wages of said
employees, pursuant to any law, contract or agreement, for the purpose of providing or
paying for such service.
VI. CONDITION RELATING TO PAYMENT OF MINIMUM WAGE RATES AND
PAYMENT OF FEES TO BOLI CaRS 279C.830):
If the contract price exceeds $50,000, the CONTRACTOR, subcontractor or other person
doing or contracting to do the whole or any part of the work contemplated by the contract
shall pay all workers, in each trade or occupation employed in the perfonnance of the
contract not less than the minimum hourly rate of wage specifIed in the attached wage
schedule.
In the event the initial contract is less than $50,000, and through the course of the project the
total contract amount is extended above $50,000, CONTRACTOR is responsible for paying
and certifying payment of prevailing wages. CONTRACTOR is required to fIle amended
wage statements in addition to paying the BOLl fee as indicated below if prevailing wages or
the BOLl fee were not originally paid.
Also, if the contract price exceeds $50,000, CONTRACTOR shall pay a fee equal to one-
tenth of one percent (.1 percent) of the price of this contract, but not less than $100 nor more
than $5,000, regardless of the contract price. The fee shall be paid on or before the fIrst
progress payment or 60 days from the date work fIrst began on the contract, whiGhever comes
fIrst. The fee is payable to the Bureau of Labor and Industries and shall be mailed or
otherwise delivered to the Bureau at the following address: Bureau of Labor and Industries,
Wage and Hour Division, Prevailing Wage Unit, 800 N.E. Oregon Street, #32, Portland, OR
97232.
-3-Contract
LEGS 1 0
VIT. CONTRACTS GOVERNED BY FEDERAL LAW.
Notwithstanding any other provision hereof, any applicable federal laws, rules or regulations
are to govern in any case where federal funds are involved and the federal laws conflict with
any provision hereof. Where applicable, CONTRACTOR shall comply with the attached
conditions regarding federally funded projects.
vm. INDEMNITY AND COMPLIANCE WITH LAWS AND REGULATIONS.
CONTRACTOR agrees that CONTRACTOR will be solely responsible for any damage or
trespass to or upon adjacent property or injury thereto and any and all other liability or
damages resulting from or in connection with CONTRACTOR's operation, and that
CONTRACTOR will hold CITY harmless from any claim, liability, damages or obligation
arising therefrom and indemnify CITY for the amount of any obligation it may incur on
account thereof or arising therefrom. Provided, however, that CONTRACTOR shall not be
required to indemnify CITY against liability for damage arising out of death or bodily injury
to persons or damage to property caused in whole or in part by the negligence of CITY,
except to the extent that the death or bodily injury to persons or damage to prop1erty arises out
of the fault of CONTRACTOR or CONTRACTOR's agents, representatives or
subcontractors.
CONTRACTOR shall at all times observe and comply with all federal and state laws and
local ordinances and regulations, in any manner affecting the conduct of the work, and all
such orders or decrees as exist at the present and those which may be made or enacted later
by bodies or tribunals having any jurisdiction or authority over the work, and shall indemnify
and save harmless CITY and all its officers, agents and servants against any claim or liability
arising or based on the violation by any such law, ordinance, regulation, order or decrees,
whether by himself or his employees.
IX. DEFAULT.
If CONTRACTOR fails to begin the work under the contract within the time specified, or fails
to perform the work with sufficient workmen or equipment or with sufficient mate:rials to insure
the prompt completion of the work, or shall neglect or refuse to remove and replac:e materials or
work that have been rejected as defective or unsuitable, or shall discontinue the prosecution of
the work or if CONTRACTOR shall become insolvent or declared bankrupt, or commit any act
of bankruptcy or insolvency, or allow any [mal judgment to stand against CONTRACTOR
unsatisfied for a period of forty-eight hours, or shall make an assignment for the benefit of
creditors, or from any other cause whatsoever, shall not carry on the work in iID acceptable
manner, the City Engineer shall give notice in writing to CONTRACTOR and
CONTRACTOR's surety of such delay, neglect or default, and if CONTRACTOR, within a
period of ten days after such notice shall not proceed in accordance therewith, then CITY in
addition to the rights and remedies to which CITY may be entitled by law for the enforcement of
-4-Contract
LEG510
its rights hereunder or upon breach of covenant shall have full power and authority, without
violating this contract, to take the prosecution of the work out ofthe hands of CONTRACTOR,
to appropriate or use any or all of the materials and equipment on the ground that may be
suitable and acceptable and may award a contract for the completion ofthis contract according
to the terms and provisions hereof, or use such methods as in its opinion shall be required for the
completion of this contract, in an acceptable manner. All costs and charges incurred by CITY
together with the costs of completing the work under the contract, shall be deducted from any
money due or which shall become due said CONTRACTOR. In case the expense so incurred by
CITY shall be less than the sum which would have been payable under the contract, if it had
been completed by CONTRACTOR hereunder, then CONTRACTOR shall1be entitled to
receive the difference less any damages for delay to which CITY may be entitled, and in case
such expense shall exceed the sum which would have been payable under the contract,
CONTRACTOR and the surety shall be liable and agree to and shall pay CITY the amount of
said excess with damages for delay of performance, if any. CONTRACTOR shalJl not make any
disposition of the plant, machinery, tools, appliances, supplies or materials used on or in
connection with the work, whether by sale, covenants, or encumbrance, inconsistent with the
provisions of this contract. The contract may be canceled at the election of CITY for any failure
or refusal on the part of CONTRACTOR to faithfully perform this contract according to its
terms and conditions.
x. PAYMENTS TO CONTRACTOR.
In consideration of the faithful performance of the work herein embraced and provided for, as
set forth in this contract, general specifications and special provisions, notice to contractors,
instructions to bidders, proposal, general and detailed specifications, and plans which are a part
thereof, in accordance with the directions of the Engineer and to his satisfaction, the City agrees
to pay to said Contractor the amount earned by him under said contract, as provided in the
general specifications and special provisions hereto annexed. All payments will be made at the
times and in the manner provided in the general and special provisions incorporated herein and
in accordance with the regulations of the City in regard to the payment of c:laims, which
regulations provide, among other things, that all claims against the City shall be submitted to the
City upon vouchers.
XI. PERFORMANCE AND PAYMENT BOND.
CONTRACTOR shall, within ten days after award of the contract and prior to doing any work
under this contract, furnish to CITY, in a form and with a surety thereon satisfactory to the
CITY:
(1) A performance bond in an amount equal to the full contract price conditioned upon the
faithful performance of this contract upon the part of CONTRACTOR in aCGordance with
the plans, specifications, and conditions of this contract, and also complying with the
provisions of Oregon Revised Statute 279C.380(a) and any other laws of the State of Oregon
relating to faithful performance bonds for construction of public works.
(2) Pursuant to ORS 279C.380(b), a payment bond in an amount equal to the full contract
price, solely for the protection of claimants under ORS 279C.600.
-5-Contract
LEGS 10
Xll. INSURANCE
During the life of this Agreement, CONTRACTOR shall maintain the following minimum
msurance:
(1) Commercial general liability insurance, including personal injury liability, blanket
contractual liability, and broad-form property damage liability coverage. The following
minimum limits are required: General Aggregate- $1,000,000; Products/Completed
Operations Aggregate- $1,000,000; Personal & Advertising Injury Aggregate-
$1,000,000; Each Occurrence- $500,000. "The City of Medford and its officers,
employees and agents while acting within the scope of their duties as such" shall be a
named Insured.
(2) Commercial automobile bodily injury and property damage liability insurance covering
owned, non-owned, rented and hired autos. The combined single limit for bodily injury
and property damage shall be not less than $500,000. "The City of Medford and its
officers, employees and agents while acting within the scope of their duties as such"
shall be a named Insured.
(3) Statutory workers compensation and employers liability insurance as reqlllired by State
law.
Coverages 1 and 2 shall be written on an occurrence basis, not on a claim made basis.
CONTRACTOR shall submit to CITY certificates of insurance for all policies listed above. The
certificates shall provide that the insurance company give written notice to CITY at least ten (10) days
prior to cancellation of or any material change in the policy.
-6-Contract
LEGS 10
IN WITNESS WHEREOF, CITY and CONTRACTOR have caused this contract to be executed
for and on their behalf by their duly authorized officer(s) on the day and year first above"written.
ATTEST: ~~ {./V) rn ';
By
CITY OF MEDFORD, OREGON
City Recorder
Title
Signed by the Contractor
m my presence as:
U-b 1h.-
~ff:ral- {ltJUtivztVt4 I~SI ~.
C NTRACTO
B~/{#I~K~~
Title k/~
I
- 7 -Contract
LEGSIO
BID SCHEDULE
Division 00
Section 00320
BID SCHEDULE
The undersigned bidder understands that the quantities of work, as shown herein are approximate only and are subject to
increase or decrease, and offers to do the work whether the quantities are increased or decreased at the unit prices stated in the
following schedule to wit:
SLURRY SEAL STREETS 2006
MEDFORD-(Iype II}
STREET
. 1. Blackthorn
2. Bron Cir.
3. Burgundy Cir.
4. Cashmere Cir.
5. Cerene Dr.
6. Chantel Ct.
7. Cheltenham Way
8. Cody St.
9. Diana Ct.
10. Ford Dr.
11. Ford Dr,
12. Gardendale Cir.
13: Ginger Way
14. Kingsgate Cir. .
15. Kona Cir.
16. Levi Cir.
17. Louise Ave.
18. Magenta Cir.
19. Milhoan Dr.
20. Nettie Cir.
21. Paul Cir.
22. Pinebrook Cir.
23. Sharman Way.
24. Smokethorn Way.
25. Spring hills Dr.
26. Springbrook Rd.
27. Stacie Way.
28. Tara Cir.
29. Wellington Dr.
30. Winderemere Dr.
31. Yukon/Fairbanks St.
SECTION
Springbrook to cul-de-sac
Timothy to cul-de-sac
Greenbrook to cul-de-sac
Greenbrook to cul-de-sac
Ginger to Garfield
Greenbrook to cul-de-sac
Delta Waters to Shasta
Delta Waters to cul-de-sac
Cerene to cul-de-sac
Spring brook E. to end
Sprinbrook W. to new pavement
Gardendale to cul-de-sac
100' E. of Cerene to Louise
Winderemere to cul-de-sac
Gardendale to cul-de-sac
Timothy to cul-de-sac
Garfield to 100' S. of Char
Greenbrook to cul-de-sac
Delta Waters to cul-de-sac
Timothy to cul-de~sac
Timothy to cul-de-sac
Springbrook to cul-de-sac
Springbrook to end
Blackthorn to cul-de-sac
Modoc to Gardendale
Delta Waters to Blackthorn
Cheltenham to Heartwood
Springhills to cul-de-sac
Springbrook to Springbrook
Springbrook to Wood briar
Whittle to Alcan
bREA
987 S.Y.
12:32 S.Y.
16!i9 S.Y.
8BO S.Y.
17'16 S.Y.
11S1 S.Y.
5988 S.Y.
12~J5 S.Y.
4BO S.Y.
1248 S.Y.
4B6 S.Y.
5111 S.Y.
20112 S.Y.
8jrO S.Y.
6B9 S.Y.
8jr4 S.Y.
2Hl0 S.Y.
10J7 S.Y.
20E15 S. Y.
18~~4 S.Y.
1mr6 S.Y.
34Ei1 S.Y.
11~!3 S.Y.
2049 S.Y.
35,'1 S.Y.
70~~5 S.Y.
7B2 S.Y.
26Ei6 S.Y.
1686 S.Y.
23Ei4 S.Y.
2802 S.Y.
TOTAL S.Y. ~~,984
13
, ,
1. Allison S1..
2. Ashland St.
3. Beach St.
4. Elkader
- 5. Hunter et.
6. Jennifer St.
7. Long Way
9. Mountain Ave (S)
10. Van Ness Ave.
ASHLAND (Iype III}
Union to Sherman
Gutherie to Taylor
Henry to Ashland
Fem to Ashland
Homes to end of rd.
Heather to Herbert
Ashland to cul-de-sac
Henry to Ashland
Laurel to Helman
18B5 S. Y.
16:~2 S.Y.
2704 S.Y.
19B3 S.Y.
2456 S.Y.
1562 S.Y.
1941 S.Y.
2916 S.Y.
2617 S.Y.
TOTAL S.Y. jJ!I,676
Details of the .extent of work at intersections to be determined in the field at time of constructiOll by the City's representative.
ITEM
1.
2.
3.
DESCRIPTION
SCHEDULE OF PROPOSAL PRICES
AMOUNT
Latex Modified Slurry Seal Type II - Medford
~ dP./I6.V1Ul. d {J-Irf fe. NIs Per SY
or .t>>
.. }. ()~ . . Per SY
Figures . .
Latex Modified Slurry Seal Type ill - Ashland
04dQlL/LV 11M .o.~ DhJCeIds Per SY
Words ,4. .
TJ~ P~SY
Figures
. .
approximately 58,980 SY
$ t,J /1~a1 D9-
.
approximately 19,680 SY
$ Ai, ~1lt,
.
(J
?-
Remove Vegetation and Debris from Cracks Medford
. ~~. dOI\~ a....d.~ Per Hour
Wor . ~
. 50 .7 /tJ . er Hour
Figures
approximately 180 Hours
$ 3r~~ (.9
TOTAL BID
$ J/J), 7'J~.~'i2
*************************************************************************************************
14
Exhibit B
STATUTORY PUBLIC CONTRACT PROVISIONS
279C.505 Conditions of public contracts concerning payment oflaborers and suppliers of
materials, contributions to Industrial Accident Fund, liens, withholding taxes and employee drug
testing.
(1) CONTRACTOR shall:
(a) Make payment promptly, as due, to all persons supplying to CONTRACTOR labor or
material for the performance of the work provided for in this contract.
(b) Pay all contributions or amounts due the Industrial Accident Fund from CONTRACTOR or
subcontractor incurred in the performance of this contract.
(c) Not permit any lien or claim to be filed or prosecuted against CITY on account of any labor
or material furnished.
(d) Pay to the Department of Revenue all sums withheld from employees pursuant to ORS
316.167.
(2) If a public improvement contract, CONTRACTOR shall demonstrate that an employee drug-
testing program is in place.
279C.510 Demolition contracts to require material salvage; lawn ami landscape
maintenance contracts to require composting or mulching.
(I) If a contract for demolition, CONTRACTOR shall salvage or recycle construction and
demolition debris, if feasible and cost effective.
(2) If a contract for lawn and landscape maintenance, CONTRACTOR shall compost or mulch
yard waste material at an approved site, if feasible and cost effective.
279C.515 Conditions concerning payment of claims by public officers, payment to persons
furnishing labor or materials and complaints.
(1) If CONTRACTOR fails, neglects or refuses to make prompt payment of any c:laim for labor
or services furnished to CONTRACTOR or a subcontractor by any person in connection with the public
contract as such claim becomes due, the proper officer or officers representing CITY may pay such
claim to the person furnishing the labor or services and charge the amount of the payment against funds
due or to become due CONTRACTOR by reason of such contract.
(2) The payment of a claim in the manner authorized in this section shall not relieve
CONTRACTOR or CONTRACTOR's surety from obligation with respect to any unpaid claims.
-8-Contract
LEG510
279C.520 Condition concerning hours of labor.
(1) (a) No person shall be employed for more than 10 hours in anyone day, or 40 hours in any
one week, except in cases of necessity, emergency, or where the public policy absolutely requires it, and
in such cases, except in cases of contracts for personal services designated under ORS 279A.055, the
employee shall be paid at least time and a half pay:
(A) For all overtime in excess of eight hours a day or 40 hours in anyone week when the work
week is five consecutive days, Monday through Friday; or
(B) For all overtime in excess of 10 hours a day or 40 hours in anyone week when the work
week is four consecutive days, Monday through Friday; and
(b) For all work performed on Saturday and on any legal holiday specified in ORS 279C.540.
(2) CONTRACTOR shall give notice in writing to employees who work on a public contract,
either at the time of hire or before commencement of work on the contract, or by posting a notice in a
location frequented by employees, of the number ofhours per day and days per week that the employees
may be required to work.
(3) Persons employed under contracts for personal services as described in ORS 279A.055 shall
be paid at least time and a half for all overtime work in excess of 40 hours in anyone week, except for
individuals under personal services contracts who are excluded under ORS 653.010 to 653.261 or under
29 D.S.C. 201 to 209 from receiving overtime.
(4 )( a) Persons employed under contracts for services shall receive at least time and a half pay for
work performed on the legal holidays specified in a collective bargaining agreement or in ORS
279C.540(l)(b )(B) to (G) and for all time worked in excess of 10 hours a day or in excess of 40 hours in
a week, whichever is greater.
(b) CONTRACTOR shall give notice in writing to employees who work on a contract for
services, either at the time of hire or before commencement of work on the contract, or by posting a
notice in a location frequented by employees, of the number of hours per day and days per week that the
employees may be required to work.
279C.530 Condition concerning payment for medical care and providing workers'
compensation.
(1) CONTRACTOR shall promptly, as due, make payment to any person, copartnership,
association or corporation, furnishing medical, surgical and hospital care services or other needed care
and attention, incident to sickness or injury, to the employees of CONTRACTOR, of all sums which
CONTRACTOR agrees to pay for such services and all moneys and sums which CONTRACTOR
collected or deducted from the wages of employees pursuant to any law, contract or agreement for the
purpose of providing or paying for such service.
(2) All subj ect employers working under this contract are either employers that will comply with
ORS 656.017 or are employers that are exempt under ORS 656.126.
-9-Contract
LEG510
r~'
c,
.ECORDER'S COpy
Page 1 / 1
CITY OF
ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
r ';,
"ti)~jF!t
6/30/2006
1
r.. ;'~8~~.".".'cl
VENDOR: 004331
ASPHALT MAINTENANCE ASSOCIATES
2080 PRAIRIE ROAD
EUGENE, OR 97402
SHIP TO: Ashland Street Department
(541) 488-5313
90 N. MOUNTAIN
ASHLAND, OR 97520
FOB Point:
Tenns: Net
Req. Del. Date:
Speciallnst:
Req. No.:
Dept.: PUBLIC WORKS
Contact: Mike Morrison / John Petorson
Confinning? No
Slurry seal: Mountain Ave, Beach
Street, Ashland Street, Elkader Street,
Allison Street, VanNess Ave, Hunter Ct,
Jennifer Street, LonQ Way
29,716.80
As per City of Medford Bid 6-7-131 PW
Invoice 2006-27,06/30/2006
Work completed 06/30/2006
BILL TO: Account Payable
20 EAST MAIN ST
541-552-2028
ASHLAND, OR 97520
SUBTOTAL
TAX
FREIGHT
TOTAL
29 716.80
0.00
0.00
29,716.80
29 716.80
~~ 0~b
orized Signature
VENDOR COPY
CIITY OF
ASI-lLAND
REQUISITION FORM
Date of Request:
June/30/2006
THIS REQUEST IS A:
o Change Order(existing PO #
Required Date of Delivery/Service:
June/30/2006
Vendor Name
Address
City, State, Zip
Telephone Number
Fax Number
Contact Name
A~ph::llt M::Iint~n::lnr.p A~c;nd::lt~~ Inr.
?ORO Pr;Jirip. Rrt
Eugene OR 97401
541-461-2220
Bruce Yokern
SOLICITATION PROCESS
Small Procurement o Sole Source D Invitation to Bid
o Less than $5,000 o Written findings attached (Copies on file)
o Quotes (Optional) D Quote or Prooosal attached
Cooperative Procurement D Request for Proposal
o State of ORlWA contract (Copies on file)
Intermediate Procurement o Other government agency contract D Special I Exempt
o (3) Written Quotes 0 Copy of contract attached D Written findings attached
(Copies attached) D Quote or Prooosal attached
D Contract # D Emergency
D Written findings attached
I D Quote or Proposal attached
Description of SERVICES
o Per attached PROPOSAL
Item # Quantity
Unit
Description of MATERIALS
Unit Price
Total Cost
Slurry seal; Mountain Av, Beach Street, Ashland Street, E1kader
1 9 Street, Allison Street, VanNess Av., Hunter Ct., Jennifer Street, Long $29,716.80
Way.
0 Per attached QUOTE I'O....CO$!,
Project Number _ _ __ __. _ __ $29.71~.8Q .
Account Number 260. 08 .12 - 00 - 602400
. Items and services must be charged to the appropriate account numbers for the financia/s to reflect the actual expenditures accurately.
Employee Signature:
provided above meets the City of Ashland public contracting requirements,
By signing this requisition form, I certifY..
and the documentation can b fI vi
SupervisorlDept. Head Signature: k \'t' \h ~ ~
G: FinanceIProcedurelAPlFormslAsphalt Maintenance2006.doc
Updated on: 6130/2006