HomeMy WebLinkAbout2008-175 Contract - Pathway Enterprises
Contract for Janitorial Services
CITY OF
ASHLAND
20 East Main Street
Ashland, Oregon 97520
Telephone: 541/488-6002
Fax: 541/488-5311
CONTRACTOR: Pathways Enterprise, Inc.
CONTACT: Don L. Libby, Program Director
ADDRESS: 722 Jefferson Ave., Ashland, OR 97520
TELEPHONE: 541-488-1536
DATE AGREEMENT PREPARED: July 18, 2008 FAX: 541-488-5948
BEGINNING DATE: July 1, 2008 COMPLETION DATE: June 30, 2009
COMPENSATION: $81,066.45 - Costing Workbooks are included for each location.
GOODS AND SERVICES TO BE PROVIDED: Pathways Enterprise, Inc. (QRF) to provide city-wide janitorial
services at the following locations: City Hall, Community Development, Municipal Court, Police Department,
Service Center, Street and Shop, and the Grove.
ADDITIONAL TERMS:
NOW THEREFORE, pursuant to AMC 2.50.090 and after consideration of the mutual covenants contained herein the
CITY AND CONTRACTOR AGREE as follows:
1. All Costs by Contractor: Contractor shall, provide all goods as specified above and shall at its own risk and
expense, perform any work described above and, unless otherwise specified, furnish all labor, equipment and
materials required for the proper performance of such work.
2. Qualified Work: Contractor has represented, and by entering into this contract now represents, that any personnel
assigned to the work required under this contract are fully qualified to perform the work to which they will be assigned
in a skilled and worker-like manner and, if required to be registered, licensed or bonded by the State of Oregon, are
so registered, licensed and bonded. Contractor must also maintain a current City business license.
3. Completion Date: Contractor shall provide all goods in accordance with the standards and specifications, no later
than the date indicated above and start performing the work under this contract by the beginning date indicated
above and complete the work by the completion date indicated above.
4. Compensation: City shall pay Contractor for the specified goods and for any work performed, including costs and
expenses, the sum specified above. Goods shall be paid for within 30 days of an invoice after delivery of goods
conforming to the standards and specifications. Once work commences, invoices shall be prepared and submitted by
the tenth of the month for work completed in the prior month. Payments shall be made within 30 days of the date of
the invoice. Should the contract be prematurely terminated, payments will be made for work completed and accepted
to date of termination. Compensation under this contract, including all costs and expenses of Contractor, is limited to
$25,000.00, unless a separate written contract is entered into by the City.
5. Ownership of Documents: All documents prepared by Contractor pursuant to this contract shall be the property of
City.
6. Statutory Requirements: ORS 279B.220, 279B.225, 279B.230, 279B.235, ORS Chapter 244 and ORS 670.600 are
made part of this contract.
7. Living Wage Requirements: If contractor is providing services under this contract and the amount of this contract
is $18,088 or more, Contractor 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 500/0 or more of the work under this contract. Contractor is also required to post the notice attached
hereto as Exhibit B predominantly in areas where it will be seen by all employees.
8. 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 proximately caused by the negligence of City.
9. Termination:
a. Mutual Consent. This contract may be terminated at any time by mutual consent of both parties.
b. City's Convenience. This contract may be terminated at any time by City upon 30 days' notice in writing
and delivered by certified mail or in person.
c. For Cause. City may terminate or modify this contract, in whole or in part, effective upon delivery of
Contract for Goods and Services, Revised 06/30/2008, Page 1 of 9
written .notice to Contractor, or at such later date as may be established by City under any of the following
, ' conditions:
i. If City funding from federal, state, county or other sources is not obtained and continued at levels
sufficient to allow for the purchase of the indicated quantity of services;
ii. If federal or state regulations or guidelines are modified, changed, or interpreted in such a way
that the services are no longer allowable or appropriate for purchase under this contract or are
no longer eligible for the funding proposed for payments authorized by this contract; or
iii. If any license or certificate required by law or regulation to be held by Contractor to provide the
services required by this contract is for any reason denied, revoked, suspended, or not renewed.
d. For Default or Breach.
i. Either City or Contractor may terminate this contract in the event of a breach of the contract by
the other. Prior to such termination the party seeking termination shall give to the other party
written notice of the breach and intent to terminate. If the party committing the breach has not
entirely cured the breach within 15 days of the date of the notice, or within such other period as
the party giving the notice may authorize or require, then the contract may be terminated at any
time thereafter by a written notice of termination by the party giving notice.
ii. Time is of the essence for Contractor's performance of each and every obligation and duty under
this contract. City by written notice to Contractor of default or breach, may at any time terminate
the whole or any part of this contract if Contractor fails to provide services called for by this
contract within the time specified herein or in any extension thereof.
iii. The rights and remedies of City provided in this subsection (d) are not exclusive and are in
addition to any other rights and remedies provided by law or under this contract.
e. Obliaation/Liabilitvof Parties. Termination or modification of this contract pursuant to subsections a, b, or
c above shall be without prejudice to any obligations or liabilities of either party already accrued prior to such
termination or modification. However, upon receiving a notice of termination (regardless whether such notice is
given pursuant to subsections a, b, c or d of this section, Contractor shall immediately cease all activities under
this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination,
Contractor shall deliver to City all contract documents, information, works-in-progress and other property that are
or would be deliverables had the contract been completed. City shall pay Contractor for work performed prior to
the termination date if such work was performed in accordance with the Contract.
10. Independent Contractor Status: Contractor is an independent Contractor and not an employee of the City.
Contractor shall have the complete responsibility for the performance of this contract.
11. Non-discrimination Certification: The undersigned certifies that the undersigned Contractor has not discriminated
against minority, women or emerging small businesses enterprises in obtaining any required subcontracts.
Contractor further certifies that it shall not discriminate in the award of such subcontracts, if any. The Contractor
understands and acknowledges that it may be disqualified from bidding on this contract, including but not limited to
City discovery of a misrepresentation or sham regarding a subcontract or that the Bidder has violated any
requirement of ORS 279A.11 0 or the administrative rules implementing the Statute.
12. Asbestos Abatement License: If required under ORS 468A. 710, Contractor or Subcontractor shall possess an
asbestos abatement license.
13. Assignment and Subcontracts: Contractor shall not assign this contract or subcontract any portion of the work
without the written consent of City. Any attempted assignment or subcontract 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.
14. Use of Recyclable Products: Contractor shall use recyclable products to the maximum extent economically feasible
in the performance of the contract work set forth in this document.
15. Default. The Contractor shall be in default of this agreement if Contractor: commits any material breach or default of
any covenant, warranty, certification, or obligation it owes under the Contract; if it loses its QRF status pursuant to
the QRF Rules or loses any license, certificate or certification that is required to perform the work or to qualify as a
QRF if Contractor has qualified as a QRF for this agreement; institutes an action for relief in bankruptcy or has
instituted against it an action for insolvency; makes a general assignment for the benefit of creditors; or ceases doing
business on a regular basis of the type identified in its obligations under the Contract; or attempts to assign rights in,
or delegate duties under, the Contract.
16. Insurance. Contractor shall at its own expense provide the following insurance:
a. Worker's Comoensation insurance in compliance with ORS 656.017, which requires subject employers to
provide Oregon workers' compensation coverage for all their subject workers
b. General Liabilitv insurance with a combined single limit, or the equivalent, of not less than Enter one:
$200,000, $500,000, $1,000,000, $2.000.000 or Not Applicable for each occurrence for Bodily Injury and Property
Damage. It shall include contractual liability coverage for the indemnity provided under this contract.
c. Automobile Liabilitv insurance with a combined single limit, or the equivalent, of not less than Enter one:
$200,000, $500,000, 1 000000, or Not A licable for each accident for Bodil In'ur and Pro ert Dama e,
Contract for Goods and Services, Revised 06/30/2008, Page 2 of 9
including coverage for owned, hired or non-owned vehicles, as applicable.
,0. Notice of cancellation or chanae. There shall be no cancellation, material change, reduction of limits or
intent not to renew the insurance coverage(s) without 30 days' written notice from the Contractor or its insurer(s) to
the City.
e. Additional Insured/Certificates of Insurance. Contractor shall name The City of Ashland, Oregon, and its
elected officials, officers and employees as Additional Insureds on any insurance policies required herein but only
with respect to Contractor's services to be provided under this Contract. As evidence of the insurance coverages
required by this Contract, the Contractor shall furnish acceptable insurance certificates prior to commencing work
under this contract. The certificate will specify all of the parties who are Additional Insureds. Insuring companies
or entities are subject to the City's acceptance. If requested, complete copies of insurance policies, trust
agreements, etc. shall be provided to the City. The Contractor shall be financially responsible for all pertinent
deductibles, self-insured retentions and/or self-insurance.
17. Governing Law; Jurisdiction; Venue: This contract shall be governed and construed in accordance with the laws
of the State of Oregon without resort to any jurisdiction's conflict of laws, rules or doctrines. Any claim, action, suit or
proceeding (collectively, lithe claim ") between the City (and/or any other or department of the State of Oregon) and
the Contractor that arises from or relates to this contract shall be brought and conducted solely and exclusively within
the Circuit Court of Jackson County for the State of Oregon. If, however, the claim must be brought in a federal
forum, then it shall be brought and conducted solely and exclusively within the United States District Court for the
District of Oregon filed in Jackson County, Oregon. Contractor, by the signature herein of its authorized
representative, hereby consents to the in personam jurisdiction of said courts. In no event shall this section be
construed as a waiver by City of any form of defense or immunity, based on the Eleventh Amendment to the United
States Constitution, or otherwise, from any claim or from the jurisdiction.
18. THIS CONTRACT AND ATTACHED EXHIBITS CONSTITUTE THE ENTIRE AGREEMENT BETWEEN THE
PARTIES. NO WAIVER, CONSENT, MODIFICATION OR CHANGE OF TERMS OF THIS CONTRACT SHALL
BIND EITHER PARTY UNLESS IN WRITING AND SIGNED BY BOTH PARTIES. SUCH WAIVER, CONSENT,
MODIFICATION OR CHANGE, IF MADE, SHALL BE EFFECTIVE ONLY IN THE SPECIFIC INSTANCE AND FOR
THE SPECIFIC PURPOSE GIVEN. THERE ARE NO UNDERSTANDINGS, AGREEMENTS, OR
REPRESENTATIONS, ORAL OR WRITTEN, NOT SPECIFIED HEREIN REGARDING THIS CONTRACT.
CONTRACTOR, BY SIGNATURE OF ITS AUTHORIZED REPRESENTATIVE, HEREBY ACKNOWLEDGES THAT
HE/SHE HAS READ THIS CONTRACT, UNDERSTANDS IT, AND AGREES TO BE BOUND BY ITS TERMS AND
CONDITIONS.
19. Nonappropriations Clause. Funds Available and Authorized: City has sufficient funds currently available and
authorized for expenditure to finance the costs of this contract within the City's fiscal year budget. Contractor
understands and agrees that City's payment of amounts under this contract attributable to work performed after the
last day of the current fiscal year is contingent on City appropriations, or other expenditure authority sufficient to allow
City in the exercise of its reasonable administrative discretion, to continue to make payments under this contract. In
the event City has insufficient appropriations, limitations or other expenditure authority, City may terminate this
contract without penalty or liability to City, effective upon the delivery of written notice to Contractor, with no further
liability to Contractor.
20. Prior Approval Required Provision. Approval by the City of Ashland Councilor the Public Contracting Officer is
required before any work may begin under this contract.
21. Certification. Contractor shall sign the certification attached hereto as Exhibit A and herein incorporated by
reference.
CONTRACTOR
tr~W
~ Signa~
r-ot?::. ~ JC- p~ q-.J c:
Print Name
CITY OF ASHLAND:
BY
BY
TITLE
'l) I ~o:rz:::, 12- 0 r::- ~ I f'J ~ ~
DATE
DATE
r?- ICJ-OJ?
CONTRACT AWARD AND NDINGS DETERMINED BY:
By: , R-.:
FederallD#
93- of9/t./33
ACCOUNT #
City Department Head Date: ~ ;)-~ ~
11 d Il ~#ttf I~ 6()P '3~;?-
(For City purposes only)
PURCHASE ORDER # tJ e t! ~
~~
*Completed W9 form must be submitted with contract
Contract for Goods and Services, Revised 06/30/2008, Page 3 of 9
EXHIBIT A
CERTIFICATIONS/REPRESENTATIONS: Contractor, under penalty of perjury, certifies that (a) the
number shown on the attached W-9 form is its correct taxpayer 10 (or is waiting for the number to be
issued to it and (b) Contractor is not subject to backup withholding because (i) it is exempt from
backup withholding or (ii) it has not been notified by the Internal Revenue Service (IRS) that it is
subject to backup withholding as a result of a failure to report all interest or dividends, or (iii) the IRS
has notified it that it is no longer subject to backup withholding. Contractor further represents and
warrants to City that (a) it has the power and authority to enter into and perform the work, (b) the
Contract, when executed and delivered, shall be a valid and binding obligation of Contractor
enforceable in accordance with its terms, (c) the work under the Contract shall be performed in
accordance with the highest professional standards, and (d) Contractor is qualified, professionally
competent and duly licensed to perform the work. Contractor also certifies under penalty of perjury
that its business is not in violation of any Oregon tax laws, and it is a corporation authorized to act on
behalf of the entity designated above and authorized to do business in Oregon or is an independent
Contractor as defined in the contract documents, and has checked four or more of the following
criteria:
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(1) I carry out the labor or services at a location separate from my residence or is in a
specific portion of my residence, set aside as the location of the business.
(2) Commercial advertising or business cards or a trade association membership are
purchased for the business.
(3) Telephone listing is used for the business separate from the personal residence listing.
(4) Labor or services are performed only pursuant to written contracts.
(5) Labor or services are performed for two or more different persons within a period of one
year.
(6) I assume financial responsibility for defective workmanship or for service not provided
as evidenced by the ownership of performance bonds, warranties, errors and omission
insurance or liability insurance relating to the labor or services to be provided.
ClcI!#I e~ VR f"-/!>--Z)j'
Contr~ I -L v- () (Date)
, ~ f-f~ - ~-Ig'-Dg'
Contract for Goods and Services, Revised 06/30/2008, Page 4 of 9
Fo~ W-g
Request for Taxpayer
Identification Number and Certification
Givefonn to the
re.quester. Do not
send to the IRS.
Check appropriate box: 0 Individual/Sole proprietor ~ Corporation 0 Partnership
o Limited liability company. Enter the tax classification (D=disregarded entity, C:::corporation, P=partnership) II>- ..
o Other (see inelructione) ~
AddreS$ (number, street, and apt. or suite no.)
Co '-I ( LV AS}f/fU 6--ro ,.J
City, state, and ZIP code
A- 5 JI L.-fh1-S1:>
List account number(s) here. (optional)
Enter your TIN in the appropriate box. The TIN provided must match tl1e name given on Une 1 to avoid
backup withholding. For individuals, this is your social security number (SSN). However, for a resident
alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is
your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3.
Not~. If the account is in more than one name, see the chart on page 4 for guidelines on whose
number to enter.
Certification
Under penalties of perjury, I certify that:
1. The number shown On this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal
Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has
notified me that I am no longer subject to backup withholding, and
3. I am a U.S. citizen or other U.S. person (defined below).
Certification Instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup
withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply.
For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement
arrangement ORA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must
provide your correct TIN. See the instructions on page 4.
~i~~~~~r::;:~f .. ~ Date .. 8 ~ / 8 -B K
(Rev. O.ctober 2007)
Department of the Treasury
Internal Revenue Service
Name (as shown on your income tax return)
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Business name, if different from above
SI
of!-
15 ;)..D
Taxpayer Identification Number (TIN)
General Instructions
Section references are to the Internal Revenue Code unless
otherwise noted.
Purpose of Form
A person who is required to file an information return with the
IRS must obtain your correct taxpayer identification number (TIN)
to report, for example, income paid to you, real estate
transactions, mortgage interest you paid, acquisition or
abandonment of secured property, cancellation of debt, or
contributions you made to an IRA.
Use Form W-9 only if you are a U.S. person (including a
resident alien), to provide your correct TIN to the person
requesting it (the requester) and, when applicable, to:
1. Certify that the TIN you are giving is correct (or you are
waiting for a number to be issued),
2. Certify that you are not subject to backup withholding, or
3. Claim exemption from backup withholding if you are a U.S.
exempt payee. If applicable, you are also certifying that as a
U.S. person, your allocable share of any partnership income from
a U.S. trade or business is not subject to the withholding tax on
foreign partners' share of effectively connected income.
Note. If a requester gives you a form other than Form W-9 to
request your TIN, you must use the requester's form if it is
substantially similar to this Form W-9.
o Exempt
payee
Requester's name and address (optional)
I Social 88C~ num~r
or
Employer identification nl.luber
93 :D~9/q33
DeftnlUon of a U.S. person. For federal tax purposes, you are
considered a U.S. person if you are:
. An individual who is a U.S. citizen or U.S. resident alien,
. A partnership, corporation, company, or association created or
organized in the United States or under the laws of the United
States,
. An estate (other than a foreign estate), or
. A domestic trust (as defined in Regulations section
301.7701-7).
Special rules for partnerships. Partnerships that conduct a
trade or business in the United States are generally required to
pay a withholding tax on any foreign partners' share of income
from such business. Further, in certain cases where a Form W-9
has not been received, a partnership is required to presume that
a partner is a foreign person, and pay the withholding tax.
Therefore, if you are a U.S. person that is a partner ina
partnership conducting a trade or business in the United States,
provide Form W-9 to the partnership to establish your U.S.
status and avoid withholding on your share of partnership
income.
The person who gives Form W-9 to the partnership for
purposes of establishing its U.S. status and avoiding withholding
on its allocable share of net income from the partnership
conducting a trade or busineSS in the United States is in the
following cases:
. The U.S. owner of a disregarded entity and not the entity,
Contract for Goods and Services, Revised 06/30/2008, Page 5 of 9
Cat. No. 10231X
Fo~ W-9 (Rev. 10-2007)
- - DATE (llMlDDIYYYY)
ACOR.D. CERTIFICATE OF LIABILITY INSURANCE OP 10 4M I
PATHW-1 05/15/08
"RQDUC~ THIS CERnFlCATE IS ISSUED AS A MATTER OF INFORMA11ON
ONLY AND CONFERS NO RIGHTS UPON THE CERllFICATE
Western States Ins. - M8dford HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
739 Medford Center ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Medford OR 97504
Phone:541-779-1321 Fax: 541-779-9187 INSURERS AFFORDING COVERAGE NAlC #
INSURED INSURER A Grani te State Insurance
INSURER B: National Union Fire Ins
pathw~I Enterprises, Inc. INSURER c:
722 Je f.rs~n Ave INSURER D:
Ash1and OR 7520
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDING
ANY REQUIREMENT, TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLANS.
LTR NSRI: TYPE OF INSURANCE POLICY NUIlBER ~(IIIIIIfIiW) 'D'mT~ LIIIrr5
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
- 05/11/08 05/11/09 ~~$(E~~)
A X X COMMERCIAL GENERAL LIABILITY 02LX0050599374000 $200,000
I CLAIMS MADE ~ OCCUR MED EXP (My one perIOl"l) $ 10000
PERSONAL & ADV INJURY $1,000,000
,..--
X Professional Liab GENERAL AGGREGATE $ 3,000,000
r--
GEN'L AGGREGATE LNlT APPUES PER: PRODUCTS - COMPIOP AGG $ 3,000,000
nPOUC~n~ nLOC Zap Ben. 1mi.l/1 mil
AUTOMOBILE LIAR.ITY COMBINED SINGlE LIMIT $ 1,000,000
-
A X X ANY AUTO 02CA0062675284000 05/11/08 05/11/09 (Eli ECident)
-
ALL OWNED AUTOS BOOt. Y INJURY
- (Per perIOf'l) $
SCHEDULED AUTOS
-
HIRED AUTOS BOOt. Y INJURY
- $
NON-OWNED AUTOS (Per 1ICCldent)
-
- PROPERTY DAMAGE $
(Per 1ICCldent)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
=i-~ OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCES8IUIIItRELLA LIABILITY EACH OCCURRENCE $ 3,000 , 000
B X ~ OCCUR D CLANS MADE 29000046599734000 05/11/08 05/11/09 AGGREGATE $ 3,000 ,000
$
Fxi~ $
. X RETENTION $10,000 $
WORKH8 COIIPENSATION AND I T&il(~1i\'s I lu~1t
EMPLOYERS' LIAIILITY E.L. EACH ACCIDENT $
AHY PROPRIETORIPARTNERlEXECUTIVE
OFFlCERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPlOYEE $
~ detcrIbe lI1CIer E.L. DISEASE - POLICY LIMIT $
ECIAL PROVISIONS below
OTHER
DE8CRIPTION OF OPERATIONS' LOCATIONS' VEHICLES' EXCLUSIONS ADDED BY ENDORSEIIENT 'SPECIAL PROVISIONS
Certificate holder is additional insured.
CERTIFICATE HOLDER
Ci ty of Ashl.and
Attn: Kari Olson
90 N Mountain
Ashland OR 97520
CANCELLATION
SHOULD AMY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE~, THE ISSUING INSURER WlU.INDEAWR TO 11M. ~ DAY'I WRITTEN
NOTICE TO THE CERTFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 10 SHALL
IMPOSE NO OBLIGATION OR LIABIUTY OF MY KIND UPON THE INIUMR, rTI MINTS OR
REPRESENTATIVES.
A
c./6
. ACORD CORPORATION 1988
ACORD 25 (2001108)
saiifcorporation
400 High Street SE
Salem, OR 97312-1000
Toll Free 1-800-285-8525
OREGON WORKERS COMPENSATION
CERTIFICATE OF INSURANCE
MAIL TO:
CERTIFICATE HOLDER:
CITY OF ASHLAND
A IT KARl OLSON
90 N MOUNTAIN
ASHLAND, OR 97520
CITY OF ASHLAND
AlT KARl OLSON
90 N MOUNTAIN
ASHLAND, OR 97520
The policy of insurance listed below has been issued to the insured named below for the policy
period indicated. The insurance afforded by the policy described herein is subject to all the
terms. exclusions and oonditions of such Dolicv.
POLICY NO.
524679
INSURED:
PATHWAY ENTERPRISES
722 JEFFERSON AVE
ASHLAND, OR 97520
POLICY PERIOD ISSUE DATE
04/01/2008 to 04/01/2009 04/02/2008
BROKER OF RECORD:
RUSS SCHWEIKERT
801 O'HARE PARKWAY #101
MEDFORD, OR 97504
UMITS OF UABILITY
Bodily Injury by Accident $500,000 each accident
Bodily Injury by Disease $500,000 each employee
Bodily Injury by Disease $500,000 policy limit
DESCRIPTION OF OPERAnONSlLOCATlONSlSPECIAL ITEMS:
IMPORTANT:
The coverage described above is in effect as of the issue date of this certificate. It is subject
to change at any time in the future.
This certificate is issued as a matter of information only and confers no rights to the certificate
holder. This certificate does not amend, extend or alter the coverage afforded by the policies
above.
AUTHORIZED REPRESENTATIVE
~r
INSURED
r.,
CITY RECORDER
CITY OF
ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
Page 1 / 1
DATE
7/21/2008
PO NUMBER
08430
VENDOR: 00572?,
PATHWAY ENTERPRISES INC
722 JEFFERSON AVENUE
ASHLAND, OR 97520
SHIP TO: Ashland Building Maintenance
(541) 488-5358
90 N MOUNTAIN AVENUE
ASHLAND, OR 97520
FOB Point:
Terms: Net
Req. Del. Date:
Speciallnst:
Req. No.:
Dept.: PUBLIC WORKS
Contact: Dale Peters
Confirming? No
..... c... '.<Unit ... ,...<<.> <.. ... ..... .. . ... .... ........ .... Ul'1itPrice Ext.\Price
..<... ....... .....
THIS IS A REVISED PURCHASE ORDER
Janitorial Services FY 2008 - 2009 81,066.45
City Hall $801.90/Mo $9,622.78/Yr
Comm Dev $1,811.13/Mo $21,733.53/Yr
Municipal Court $561.61/Mo $6,739.26/Yr
Police Dept $1,042.19/Mo $12,506.29/Yr
ServiceCenter $1,138.31 /Mo 13,659.69/Yr
Street & Shop $550.45/Mo $6,605.42/Yr
Grove $849.96/Mo $1 O,199.48/Yr
TOTAL $6,755.55/Mo $81,066.45/Yr
NOTE: Request for Approval to enter
into an annual contract for janitorial
services with Pathway Enterprises (QRF)
was approved by the City Council,
actinQ as the local contract review
board, on AUQust 5, 2008.
SUBTOTAL 81.066.45
BILL TO: Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2028 TOTAL 81,066.45
ASHLAND, OR 97520
Account'Numbel: '.......frojeclNumbel: . .. .. AccountNurriber Project!Ndrriber Amount
<. . d. ....... ... I
E 41 0.08.24.00.60235~ 81,066.45
.
PK t .. L Sign;(.~flY
-"7 -- - ...r
Authoratd VENDOR COpy
CITY OF
ASHLAND
REQUISITION FORM
Date of Request: 15 July 2008
THIS REQUEST IS A:
D Change Order(existing PO #
Required Date of Delivery/Service:
N/A
Vendor Name
Address
City, State, Zip
Telephone Number
Fax Number
Contact Name
P~thw~y~ Fntj:!l:pri~j:!~ In~
]')? .IAffAr~nn
Ashland OR 97520
541-488-1536
541-488-1536
n~~~~n~__.. ~e6Gn-t --=teNt'J1
SOLICITATION PROCESS
Small Procurement
o Less than $5,000
o Quotes (Optional)
Intermediate Procurement
o (3) Written Quotes
(Copies attached)
o Sole Source
o Written findings attached
o Quote or Pro osal attached
Coooerative Procurement
o State of OR/WA contract
o Other government agency contract
o Copy of contract attached
o Contract #
o Invitation to Bid
(Copies on file)
o
Description of SERVICES
~~1\..)kG-t ~~~~.n:::- CJ~S-YC-
IAI'-,j rhOV2-"" <-\ 5<:;1'0 ~QC-S r-Y 2COg - 2009
~. attached PROPOSAL
$
Item #
Quantity
Unit
Description of MATERIALS
Unit Price
Total Cost
I
TOTAL....CO.,..
0 Per attached QUOTE
Project Number _ _ _ _ _ _ . _ _ _ $
Account Number 410.08.24.00.602352
* 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 public contracting requirements,
and the documentation can be provi u on request.
SupervisorlDepl. Head Signature: "'~C'-"-" ~ ~
G: Finance\Procedure\AP\Forms\8_Requisition form revised.doc
Updated on: 7/15/2008