HomeMy WebLinkAbout2007-023 IGA - USDA Forest Service
FS Agreement No. 04-CO-II061002-01O Mod #3
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MODIFICA TION No.3
to
COLLECTION AGREEMENT NO. 04-CO-II061002-01O
Between
CITY OF ASHLAND FIRE AND RESCUE
and
USDA FOREST SERVICE,
ROGUE RIVER-SISKIYOU NATIONAL FOREST
The parties hereto mutually agreed to modify the Agreement as follows:
Provisions BA. and C.3.:
Change the total hours of patrol time per week to 20 hours.
Provision c.l.:
For calendar year 2007 patrols of City owned land within the Ashland Interface and Ashland
Creek Watershed the Cooperator shall contribute $9,000.
See attached Financial Plan for 2007 Cooperator contributions.
Provision D.lO.:
PRINCIPAL CONTACT. The principal Forest Service contacts for this instrument are:
Forest Service Project Contact Forest Service Administrative Contact
Lee H. Fox Lorenda Cianci, Agreements
Specialist
Patrol Captain, SW Ore eon Zone, LEI Southwest Ore eon Acquisitions
3040 Biddle Road Ro~ue River-Siskiyou National Forest
Medford, OR 97504 PO Box 520, Medford, OR 97501
Phone: 541-858-2451 Phone: 541-858-2234
FAX: 541-618-2140 FAX: 541-858- 2224
E-Mail: lhfox@fs.fed.us E-Mail: 1cianci@fs.fed.us
Provision D.ll.:
No overhead will be assessed in 2007. Cooperators contribute toward mutually beneficial
activities.
Add Provision D.16.:
BUDGET AUTHORIZATION. (10/05) The Forest Service's performance under this
instrument is contingent upon receiving Budget Authority. Once Budget Authority is obtained,
Forest Service performance under the terms of the instrument may commence. Budget Authority
is limited to the Fiscal Year (October 1 through September 30). Amounts authorized but not
r
FS Agreement No. 04-CO-II061002-01O Mod #3
Page 3 of 3
2007 ESTIMATED FINANCIAL PLAN
FOR COOPERATOR CONTRffiUTIONS
FS Administrative Salary
County Deputy Patrols
1. NTE $ 25.00/hour
2. NTE $ 37.50/hour
3. $ NTE 53.0%/base rate
4. $ 519.00/month
5. $ .31/mile
6. $ 100.00/month
FS Job Code: FS2220
$ 700
$8,300
Seasonal deputy base rate with payroll deductions, actually
incurred
Seasonal deputy overtime rate with payroll deductions, actually
incurred
Fringes, actually incurred
Vehicle Rate
Vehicle Mileage
Administrative Costs
TOTAL
$9,000
USDA
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I BILL DATE: 01/22/07
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I AGREEMENT NO: 0610-04-CO-010
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I REMARKS:
I RE: PAYER CODE: 936002117 D BILL NO: BA RACA7000377
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I LINE: 001 ORG: 0610 JOB: FS222007
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ILlNE ORG JOB AMOUNT
1001 0610 FS222007 $
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USDA FOREST SERVICE
BILL FOR COLLECTION
~
PAGE:
ENCLOSE A COPY OF
DO NOT SEND CASH.
ON YOUR CHECK.
MAKE CHECK PAYABLE TO:
USDA
THIS BILL WITH YOUR CHECK OR MONEY ORDER.
PLEASE INCLUDE BILL NO. AND PAYER CODE
MAIL PAYMENT TO:
FOREST SERVICE
USDA FOREST SERVICE
C/O CITIBANK
P.O. BOX 894183
LOS ANGELES, CA 90189-4183
CITY OF ASHLAND
FIRE & RESCUE
455 SISKIYOU BLVD
ASHLAND
OR 97520
PAYER INDICATE
AMOUNT ENCLOSED:
NET AMOUNT DUE: $
9,000.00
DUE DATE:
02/21/07
BILL NUMBER:
BA RACA7000377
PAYER CODE:
936002117 D
CONTRACT NO:
DESCRIPTION:
PRINCIPAL:
9,000.00
INTEREST:
NOTE:
PLEASE SEND ALL CORRESPONDENCE, INQUIRIES, AND CHANGE OF ADDRESS
TO:
ROGUE RIVER-SISKIYOU NF
PO BOX 520
MEDFORD, OR 97501
541-858-2242
ADMINISTRATIVE COSTS:
PENALTY:
AMOUNT DUE:
9,000.00
AMOUNT CREDITED:
NET AMOUNT DUE:
$
9,000.00
FAILURE TO MAKE PAYMENT BY THE DUE DATE WILL RESULT IN THE
ASSESSMENT OF LATE PAYMENT CHARGES (INTEREST. ADMINISTRATIVE COST,
AND/OR PENALTY CHARGES) IN ACCORDANCE WITH YOUR CONTRACT, PERMIT,
OR THE DEBT COLLECTION ACT OF 1982, AS AMENDED. POSTMARKS ARE NOT
HONORED. LATE FEES DO NOT APPLY FOR BILLINGS IN ADVANCE OF RECEIPT
OF GOODS OR SERVICES
ROGUE RIVER/SISKIYOU NF AGRMT #04-CO-11061002-010. LAW ENFORCEMENT
PATROLS WITHIN THE ASHLAND WATERSHED AND ASHLAND CREEK.
ASKLAND CONTACT KEITH WOODLEY 541-482-2770. AND FS CONTACT LEE FOX
541-858-2451, BILLING 877-372-7248 OPTION 3
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9,000.001
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LINE ORG
JOB
AMOUNT
JOB
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~..
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CITY OF
ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
DATE
1/30/2007
PO NUMBER
07354
VENDOR: 002059
U S D A FOREST SERVICE, C/O CITIBANK
PO BOX 894183
LA, CA 90189-4183
SHIP TO: Ashland Fire Department
(541) 482-2770
455 SISKIYOU BLVD
ASHLAND, OR 97520
FOB Point:
Terms: Net
Req. Del. Date:
Speciallnst:
Req. No.:
Dept.: PUBLIC WORKS
Contact: Keith Woodley
Confirming? No
Quantity Unit Description Unit Price Ext. Price
2007 InteraQency Fire Patrol Ashland 9,000.00
Watershed Cost-Share AQreement
COA - USFS
ROQue River/Siskiyou NF AQreement
#04-CO-11 061 002-01 O. Law enforcement
patrols within the Ashland Watershed
and Ashland Creek.
SUBTOTAL 9 000.00
BILL TO: Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2028 TOTAL 9,000.00 I
ASHLAND, OR 97520
Account Num~r Project: Number Amount Account Number Project Number Amount
E 670.08.29.00.604161 9 000.00
~ ~gnat:re~?
VENDOR COPY
a
REQUISITION FORM
C I T Y 0 F
ASHLAND
Date of Request: 01126/07
THIS REQUEST IS A:
o Change Order(existing PO #
Required Date of Delivery/Service:
Vendor Name:
Address:
City, State, Zip:
Phone:
Fax Number
Deliver Location
l JSOA FORFST SFRVICF
CIO CITIBANK
P.O. BOX 894183
LOS ANGELES, CA 90189-4183
Services Only
Description
Total Cost
Solicitation Process:
2007 INTERAGENCY FIRE PATROL o Exempt o 3 Written Quotes
ASHLAND WATERSHED (copies attached)
COST -SHARE AGREEMENT o Sole Source o Invitation to Bid
COA I USFS (copies on file)
o Less than o Request for
$9,000.00 $5000 Proposal (copies on file)
Materials Only
~()b clif ( {; {
Account Number 670.08.29':66~ 16er
'Please attach the Original signed contract and Insurance certificat~
tJ {(,/
.(
~a['1
Item # Quantity Unit
Description
Unit Cost Total Cost
TOT AL COST OF
THE MATERIALS
Account Number ___. __. __. __. ______
'Please attach the quotes.
Employee Signature: SupervisorlDept. Head Signature: / .~~? LJ rvt1,it.
NOTE: By signing this requisition form, I certify that the above request meets the City of Ashland Solicitation Process requi ments and can be provided
when necessary.
G:Finance\ProcedureIAPlForms\Requisition form 2007 Agreement.doc.doc
on:07/15/02 .
Updated