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HomeMy WebLinkAbout2011-048 Contract - Chown Security " . . " Contract for GOODS AND SERVICES Less than $25,000 CITY OF ,?ONTRACTOR: Chown Security ASHLAND CONTACT: Jason McCauley 20 East Main Street Ashland, Oregon 97520 ADDRESS: 333 NW 16th St., Portland, OR 97209 Telephone: 541/488-6002 Fax: 541/488-5311 TELEPHONE: 800-547-1930 DATE AGREEMENT PREPARED: 02/22/2011 FAX: 800-758-7654 BEGINNING DATE: February 1,2011 COMPLETION DATE: March 31, 2011 COMPENSATION: $8,994.00 GOODS AND SERVICES" TO BE PROVIDED: Contractor to provide access control to a new gate being installed at the East Main Street entrance to the City of Ashland, Service Center. Add to existing controller at the Service Center. Contractor's proposal (2 Paaes) is attached as Exhibit A. 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. 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 2798.220, 2798.225, 2798.230, 2798.235, 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 $18,703 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 50% or more of the work under this contract. Contractor is also required to post the notice attached hereto as Exhibit 8 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. Citv'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 written notice to Contractor, or at such later date as may be established 9Y City under any of the following conditions: i. If Citv funding from federal, state, countv or other sources is not obtained and continued at levels Contract for Goods and Services Less than $25,000, Revised 12/20/2010, Page 1 of 5 '- 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/Liabilitv of 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, cor 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 Compensation insurance in compliance with ORS 656.017, which requires subject employers to provide Oregon workers' compensation coverage for all their subject workers b. General Lia .. . ~e with a combined single limit, or the equivalent, of not less than Enter one: $200,000, $500,000, 1 ,000,0~2,000,000 or Not Applicable for each occurrence for Bodily Injury and Property Damage. It shall include c ractualliability coverage for the indemnity provided under this contract. c. Automobile . if' ,ce with a combined single limit, or the equivalent, of not less than Enter one: $200,000, $500,00 $1,000,000, or ot Applicable for each accident for Bodily Injury and Property Damage, including coverage for e4,--' or non-owned vehicles, as applicable. d. Notice of cancellation or chanae. There shall be no cancellation, material change, reduction of limits or intent not to renew the insurance covera e s without 30 da s' written notice from the Contractor or its insurer s to Contract for Goods and Services Less than $25,000, Revised 12/20/2010, Page 2 of 5 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 contractor's insurance is primary and non-contributory. 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, "the 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 othelWise, from any claim or from the jurisdiction. 18. THIS CONTRACT AND ATTACHED EXHIBITS CONSTITUTE THE ENTIRE AGREEMENT BE1WEEN 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 currentiy 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: ~... 1.rI\ . By ~~ Signature J>>i^ C~~ Print Name P(foi~+- City of AShl~nd { By ~"o\6' c.....- Department Head ~'<~,A-vl D FA-,-'(kf- Print Name Title 2:, /17 J:;Lo/( Date W-9 One copy of a W-9 is to be submitted with the signed contract. Pu~chase Order No. ("tJ tfJ ~ f!:; Contract for Goods and Services Less than $25,000, Revised 12/20/2010, Page 3 of 5 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 ID (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: v-/ ~ v'" ../ ../ /" (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. -~ Contractor z{Z.&JII (Date) Contract for Goods and Services Less than $25,000, Revised 12/20/2010, Page 4 of 5 .. Ex k,-' fLJ A 1 of 2 ,.", -:". . .. PROPOSAL SMS Gate Access Control ~..a ..-.'>.W_."........\',.A'~,.~l.,~.~~~.f~.,~~,;;;I Prepared for: CITY OF ASHLAND 20 E MAIN ST ASHLAND, OR 97520 Job location: City of Ashland-Service Center 90 N Mountain Ave Ashland, OR 97520 C/O DALE PETERS petersd@ashland.or.us 541-552-2292 Office 541-552~2304 Fax Project: PROPOSAL # DATE: East Main St. Gate '184093 February 17, 2011 We are pleased to offer YOll the following quotation for you consideration. "- System Overview --v.r_ .. Provide access control to a new gate being installed at the East Main Street entrance to the City ad Ashland Service Center. Add to existing controller at the Service Center. Attachments: Exhibit A - Service Policy Grand Total S 81994.00 lead-time: 4-6 weeks for materials Proposal price is good for 30 days. Please feel free to contact us with any questions Prepared by: Jason McCauley 541-915-5975 iasonm(@chown.com PonIand 333NW.l!ithAvenue Portland,OR 97209 Local:S03.243.65oo Fa~: S03.243.6519 MailinlAddress: P.O. Box 2888 Portland,OR 97208 Toll Free: 800.547.1930 Fa~: 800.758.7654 East Main 5lreel Gate Proposal-2-17-11 . 2012 _.~o:,.w-,J'"~~';~5i'r SYSTEM EQUIPMENT/SOFTWARE/HARDWARE ...H''''~''U:~''''''l'''''''''''''~_ ~,;;;c~~t,r;:,I,: ~._._...?..r~.~-",.'l~' SYSTEM EQUIPMENT 1 Ea. Panel Interface Module 1 Ea. Wireless Reader Interface 1 Ea. Power Supply with battery backup at gate 1 Ea. Non-metalic stanchion East Main Street Gate 1 Ea. MaxiProx Reader 1 Ea. Keypad Reader 1 Ea. Enclosure for power supply Responsibilities I Acceptance l't;,.... Chown Security: 1) Supply and install all equipment proposed, 2) Setup and program equipment proposed. CITY OF ASHLAND 1) Provide 110VAC at gate. 2) Provide access to all closets and necessary areas to complete installation 3} Pour pad for stanchion. Approved by: Date: P.O.# This proposal shall be void able, ot our option, unless accepted and delivered to us within sixty (60) days afthe date hereof. This proposal is the property of Chown Security. It Is not/or publication ond Is Issued expressly on the condition that It Is not to be copied, reprinted or reproduced in any manner; nor is It to be disclosed , to any third party; either wholly or In part without the express written consent of Chown Security. Portland 333N,W, 16th Avenue Portland,OR 9n09 LocaJ:503.243.6500 Fax: 503.243.6519 MaJllngAddre.s: P,O.Box2888 Portland,OR 97208 Toll Free: 800547.1930 Fax:800.7S8.76S4 Ea~tMiin5IreetGalePraposill'2'17'11 "From: Katie Dickinson At: Fullerton & Company FaxlD: Fullerton and Co To: Kari Olson Date: 3/112011 10:31 AM Page: 2 of 2 ~ ~R CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYYYY) OPIO KI 03/01/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVEL Y OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORiZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. "...._ ....... : IT the certificate holder Is an I-\UUII IUN1-\L INSUR~u, t e pollcy(les) must be endorsed. If SUI 115 . s~~Ject to the terms and conditions of the polley, 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). PRODUCER NAME: Fullerton & company r..o~.N~o, E~t): I (AiC, No}; P. O. Box 29018 ADDRESS: Portland OR 97296-9018 =~~~ 10 #. CHOWN-3 Phone:503-274-6511 Fax:503-274-6524 INSURER(S) AFFORDING COVERAGE NAlc#- INSURED INSURER A : SAIF corporation Xen 1, I nc . INSURER B : c/o xenium Resources 7401 SW Washo Court #200 INSURER C : Tualatin OR 97062 INSURER D ; INSURER E ; INSURER F ; COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY TKAT THE POLICIES OF INSURANCE LISTED BELa,^, HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE tv\AY BE ISSUED OR tv\AY PERTAIN, THE INSURANCE M"FORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO PJ...L THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN tv\AY HAVE BEEN REDUCED BY PAID CLAIMS 'LTR TYPE OF INSURANCE INSR WV POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE , - COMMERCIPJ... GENERAl LIABILITY PREMISES (Ea OCClJrrAncA) , I CLAIMS-MADE D OCCUR MED EX? (f\.ny anA pArsanl , - PERSONAL & N)V INJURY , GENERAL AGGREGATE , - GEN'L AGGREPl L~IMIT p.pPr~~{IER PRODUCTS - COMP/OP AGG $ II PRO- , POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ - (Eflflccidenl) - ANY AUTO BO[lIL Y INJURY (P<iJ p<iISOII) $ - ALL OWNED AUTOS 80DIL Y INJURY (PAr flcGidAnl) , - SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (PArflccidenl) $ - $ NON-OWNED AUTOS - , UMBRELLA L1AB H OCCUR EACH OCCURRENCE $ - EXCESS L1AB CLAIMs-MADE AGGREGATE $ - DEDUCTIBLE , RETENTION , $ A 01/01/11 01/01/12 KIT~~\~T6J+s I IUEfr AND EMPLOYERS' LIABILITY "N ANY PROPRIETOR/PARTNER/EXECUTIVE 0 IA EL EACH ACCIDENT $1000000 OFFICER/MEMBER EXCLUDED? (MandalorylnNH) E,L, OISEASE- EA EMPLOYEE $ 1000000 If Yfls,dflSCritlAllnder E.L. DISEASE- POLICY LIMIT $ 1000000 DESCRIPTION OF OPERATIONS 1,,,1,,... DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remark9 Schedule, If more space 18 required) As respects the ogerations of Chown, Inc. 333 NW 16th Ave, Portland OR, 97209, Client #95 928 CERTIFICATE HOLDER CANCEllATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITYASH THE EXPIRATION DATE THEREOF. NOTICE WIL.L. BE DELIVERED IN city of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing Representative Kari Olson AlITHORIZED REPRESENTATIVE 90 N. Mountain Avenue Ashland OR 97520 'i!a::kk{J,frJ oftcl:'--<>.A.lO/'-.. I ACORD 25 (2009109) .. @1988-2009ACORDCORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD , From: Katie Dickinson At: Fullerton & Company FaxlD: Fullerton and Co To: Kari Olson Date: 3/112011 10:31 AM Page: 1 of2 " ~ FULLERTON & COMPANY INSLJRANCI' To: Kari Olson From: Katie Dickinson Company: Phone: ( ) City of Ashland - Purchasing ~~t>ne: Fax: (503) 790-9330 (503) 274-6524 (541) 488-5320 Email kdickinson@fullertonco.com Fax: Date: 3/1/201110:31:37 AM Number of pages (including cover page): 2 Subject: Chown Inc - WC Certificate Attn: Kari Olson Please find the attached WC certificate as requested. Thank you, Katie Dickinson Information contained in this facsimile is confidential and intended for use by the individual or entity named above. If you received this telecopy in error, please immediately telephone us and retum the original via US Postal Service. P.O, Box 29018 Portland, OR 97296-9018 800-344-5581 ACO~DN CERTIFICATE OF LIABILITY INSURANCE I DATE (MMJDDlYYYY) 2/28/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMA TIVEL Y OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this c~rtificate does no~ confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER . NAME:~I".I Bambi Brown, CIC USI Northwest I r..tJgN,:'o Extl, 503.295.8312 Ifffc. NO" 610.362.8189 700 NE Multnomah, Suite 1300 I itfoA~~SS: Portland, OR 97232 CUSTOMER ID #: 503 224-8390 INSURER(S) AFFORDING COVERAGE NAle# INSURED INSURER A : Massachusetts Bay Insurance Com 22306 Chown, Inc. INSURER B; Hanover Insurance Company 22292 POBox 2888 INSURER c: Allmerica Financial Benefit 00000 Portland, OR 97208 INSURER 0 : - INSURER E : INSURER F : Client#. 325772 CHOWNINC COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS. INSR I ~~~L ~ IPOLlC~~ POLICY EXP ;'~' TYPE OF INSURANCE . N POLICY NUMBER MMIDO MMIDOIYYYY\ LIMITS A ~NERA"'AB'UTY ZDF904844000 3/01/2011 03/01/201' EACH OCCURRENCE .1000000 X COMMERCIAL GENERAL LIABILITY I ~~~~~~~~E~~~~~~nce\ $1,000 000 .1 CLAIMS-MADE ~ OCCUR MED EXP (Anyone person) .10,000 X WA Stop Gap Included PERSONAL &ADV INJURY .1,000,000 GENERAL AGGREGATE .2,000,000 ril'~ AGG~EnE LIMIT APnS PER: PRODUCTS - COMP/OP AGG .2,000,000 X POLICY ~~,9.,: LOC . C AUTOMOBILE LIABILITY AWF904849800 03/01/2011 03/01/201 COMBINED SINGLE LIMIT '1 000000 f- (Eaaccidenl) J< ANY AUTO BODILY INJURY (Per person) . I- ALL OWNED AUTOS BODILY INJURY (Per accident) . f- SCHEDULED AUTOS PROPERTY DAMAGE ~ (Peraccidenl) . HIRED AUTOS ~ NON-OWNED AUTOS . . B J< UMBRELLA LIAS ~ ~CCUR UHF900898600 ~3/01/2011 03/01/201' EACH OCCURRENCE .5 000 000 EXCESS L1AB CLAIMS-MADE AGGREGATE .5 000 000 - DEDUCTIBLE . X RETENTION . 10 000 . WORKERS COMPENSATlON WCSTATU., j I:?JH- AND EMPLOYERS' LIABILITY VIN ANY PROPR1ETORlPARTNERlEXECUTlVED E.L. EACH ACCIDENT . OFFICERJMEMBER EXCLUDED? N1A (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L DISEASE - POLICY LIMIT . DESCRIPTION OF OPERATIONS below I DESCRIPTlON OF OPERATlONS J LOCATlONS I VEHICLES (Attach ACORD 101, Additional Remarits Schedule,lf more space is required) It is hereby agreed that The City of Ashland and its elected officials, officers and employees are added as Additional Insured as required by written contract per form 42100800103. CERTIFICATE HOLDER CANCELLATION City of Ashland Attn: Karl Olson 901 N. Mountain Avenue Ashland, OR 97520 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEO BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2009/09) 1 of 1 #S5387094/M5384227 @19BB- 009 ACORD CORPORATION. All rights reselVed. The ACORD name and logo are registered marks of ACORD Pl5JA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY SPECIAL BROADENING ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SUMMARY OF COVERAGES 1. Additional Insured by Contract, Agreement or Permit 2. Additional Insured - Broad Form Vendors 3. Aggregate Limit per Location 4. Alienated Premises 5. Bodily injury Redefined 6. Broad Form Property Damage - Borrowed Equipment, Customers Goods & Use of Elevators 7. Extended Property Damage 8. Incidental Malpractice (Employed nurses, EMT's & paramedics) 9. Knowledge of Occurrence 10. Liberalization Clause 11. Medical Payments - Increased Limit 12. Mobile Equipment Redefined 13. Newly Acquired or Formed Organizations - Covered until end or policy period 14. Non-owned Watercraft 15. Personal Injury - Broad Form 16. Product Recall Expense - Each Occurrence Limit - Aggregate Limit 17. Property Damage Legal Liability (Fire, Lighting, Explosion, Smoke or Leakage Damage) 18. Supplementary Payments Increased Limits - Bail Bonds - Loss of Earnings 19. Unintentional Failure to Disclose Hazards 20. Unintentional Failure to Notify Included Included Included Included Included Included Included Included Included Included $ 10,000 Included Included 51 ft. Included $ 25,000 $ 50,000 $500,000 $ 2,500 $ 300 Included Included This endorsement amends coverages provided under the Commercial General Liability Coverage Form through new coverages, higher limits and broader coverage grants. 1. Additional Insured by Contract, Agreement or Permit Under Section II . Who Is An insured. Paragraph 5. is added as follows: 5. a. Any person or organization with whom you agreed, because of a written contract, written agreement or permit to provide insurance, is an insured, but only with respect to: (1) "Your work" for the additional insured(s) at the location designated in the contract, agreement or permit; or (2) Premises you own, rent, lease or occupy. This insurance applies on a primary basis if that is required by the written contract, written agreement or permit. b. This provision does not apply: (1) Unless the written contract or written agreement has been executed or permit has been issued prior to the "bodily injury", "property damage", "personal injury" or "advertising injury". Includes copyrighted material of Insurance Services Office, Inc. with its permission. Copyright, Insurance Service Office, Inc. 1998 421-0080 (01/03) Page 1 of 6 (2) To any person or organization included as an insured by an endorsement issued by us and made part of this Coverage Part. (3) To any person or organization included as an insured under item 2 of this endorsement. (4) To any lessor of equipment: (a) After the equipment lease expires; or (b) If the "bodily injury", "property dam- age", "personal injury" or "advertising injury" arises out of sole negligence of the lessor. (5) To any: (a) Owners or other interests from whom land has been leased which takes place after the lease for the land ex- pires; or (b) Managers or lessors of premises if: (i) The occurrence takes place after you cease to be a tenant in that premises; or (ii) The "bodily injury", "property damage", "personal injury" or "advertising injury" arises out of structural alterations, new con- struction or demolition operations performed by or on behalf of the manager or lessor. 2. Additional Insured - Broad Form Vendors Under Section II - Who Is An Insured, Paragraph 6. is added as foilows: 6. a. Any person or organization with whom you agreed, because of a written contract or written agreement to provide insurance, but only with respect to "bodily injury" or "property damage" arising out of "your products" which are distributed or sold in the regular course of the vendor's business, subject to the following additional exclusions: b. The insurance afforded the vendor does not apply to: (1) "Bodily injury" or "property damage" for which the vendor is obligated to pay dam- ages by reasons of the assumption of li- ability in a contract or agreement. This exclusion does not apply to liability for damages that the insured would have in the absence of the contract or agreement; (2) Any express warranty unauthorized by you; (3) Any physical or chemical change in the product made intentionaily by the vendor; (4) Repackaging, unless unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instruction from the manufacturer, and then repackaged in the original container; (5) Any failure to make such inspection, ad- justments, tests or servicing as the vendor has agreed to make or normaily undertakes to make in the usual course of business in connection with the sale of the product; (6) Demonstration, instailation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; (7) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any thing or substance by or for the vendor. c. This insurance does not apply to any insured person or organization, from whom you have acquired such products, or any ingredient, part or container, entering into, accompany- ing or containing such products. 3. Aggregate Limit Per Location (1) Under Section III - Limits of Insurance the General Aggregate Limit applies separately to each of your "locations" owned by or rented to you. (2) Under Section V - Definitions, definition 23, is added as foilows: 22. "Location" means premises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway or right-of-way of a rail- road. 4. Alienated Premises Under Section I - Coverage A, paragraph 2. Exclu- sions, j. (2) is replaced in its entirety with the foil owing: (2) Premises you seil, give away or abandon, if the "property damage" arises out of any part of those premises and occurred from hazards that were known by you, or should have reasonably been known by you, at the time the property was transferred or abandoned. 5. Bodily Injury Redefined Under Section V - Definitions, definition 3. "bodily injury" is replaced in its entirety with the foilowing: 421-0080 (01/03) Includes copyrighted material of Insurance Services Office, Inc. with its permission. Copyright, Insurance Service Office, Inc. 1998 Page 2 of 6 3. "Bodily injury" means bodily injury, sickness or disease sustained by a person. This includes mental anguish, mental injury, shock, fright or death resulting from "bodily injury", sickness or disease. 6. Broad Form Property Damage .. Borrowed Equipment, Customers Goods, Use of Elevators (1) Under Section I .. Coverage A, paragraph 2. Exclusion j. is amended as follows: Paragraph (4) does not apply to "property dam- age" to borrowed equipment while at a jobsite and not being used to perform operations. Paragraphs (3), (4) and (6) do not apply to "property damage" to "customers goods" while on your premises nor do they apply to the use of elevators at premises you own, rent, lease or occupy. (2) Under Section V .. Definitions, definition 24. is added as follows: 23. "Customers goods" means property of your customer on your premises for the purpose of being: a. worked on; or b. used in your manufacturing process. (3) The insurance afforded under this provision is excess over any other valid and collectible prop- erty insurance (inciuding deductible) available to the insured whether primary, excess, contingent or on any other basis. 7. Extended Property Damage Under Section I - Coverage A, paragraph 2. Exclusions, Exclusion a. is replaced in its entirety with the following: a. "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. 8. Incidental Malpractice - Employed Nurses, EMT's and Paramedics Under Section II .. Who Is An Insured, paragraph 2.a.(1)(d) does not apply to a nurse, emergency medical technician or paramedic employed by you if you are not engaged in the business or occupation of providing medical, paramedical, surgical, dental, x-ray or nursing services. 9. Knowledge of Occurrence Under Section IV - Commercial General Liability Conditions, Condition 2 - Duties in the Event of Occurrence, Offense, Claim or Suit, paragraph e. is added as follows: e. Notice of an "occurrence", offense, claim or "suit" will be considered knowledge of the insured if reported to an individual named insured, partner, executive officer or an "employee" designated by you to give us such a notice. 1 O. Liberalization Clause Under Section IV - Commercial General Liability Conditions, condition 10. is added as follows: 10. Liberalization Clause If we adopt any revision that would broaden the coverage under this Coverage Form without additional premium, within 45 days prior to or during the policy period, the broadened coverage will immediately apply to this Coverage Part. 11. Medical Payments - Increased Limits (1) Under Section I - Coverage C, paragraph a. (2) is replaced in its entirety by the following: (2) The expenses are incurred and reported to us within three years of the date of the accident; and (2) Under Section III .. Limits of Insurance, paragraph 7. is replaced in its entirety by the following: 7. Subject to 5. above, the higher of: a. $10,000; or b. The amount shown in the Declarations for Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by one person. (3) This coverage does not apply if Coverage C .. Medical Payments is excluded either by the provisions of the Coverage Part or by endorsement. 12. Mobile Equipment Redefined Under Section V - Definitions, definition 12, Mobile Equipment, paragraph f.(1)(a)(b)(c) does not apply to self-propelled vehicles of less than 1,000 pounds gross vehicle weight. 13. Newly Acquired Or Formed Organizations Under Section II - Who Is An Insured, paragraph 4.a. is replaced in its entirety by the following: 421-0080 (01/03) Includes copyrighted material of Insurance Services Office, Inc. with its permission. Copyright, Insurance Service Office, Inc. 1998 Page 3 of 6 a. Coverage under this provision is afforded only until the end of the policy period. repair, replacement, adjustment, removal or disposal of: (1) "Your product"; (2) "Your work"; or (3) "Impaired property"; if such product, work, or property is withdrawn or recalled from the market or from use by any person or organization because of a known or suspected defect, deficiency, inadequacy or dangerous condition in it, but this exclusion does not apply to "product recall expenses" that you incur for the "covered recall" of "your product". The exception to the exclusion does not apply to "Product recall expenses" resulting from: (1) Failure of any products to accomplish their intended purpose; (2) Breach of warranties of fitness, quality, durability or performance; (3) Loss of customer approval, or any cost incurred to regain customer approval; (4) Redistribution or replacement of "your product" which has been recalled by like products or substitutes; (5) Caprice or whim of the insured; (6) A condition likely to cause loss of which any insured knew or had reason to know at the inception of this insurance; (7) Asbestos, including loss, damage or clean up resulting from asbestos or asbestos containing materials; (8) Recall of "your products" that have no known or suspected defect solely because a known or suspected defect in another of "your products" has been found. (2) Under Section II - Who Is An Insured, paragraph 4.d. is added as follows: d. Coverage A does not apply to "product recall expense" arising out of any withdrawal or recall that occurred before you acquired or formed the organization. (3) Under Section III - Limits of Insurance, paragraph 8. is added as follows: 8. The Limits of Insurance and rules stated below fix the most we will pay under this coverage part. (1) The Aggregate Limit is the most we will reimburse you for the sum of all "product recall expenses" incurred for all "product recall expenses" initiated during the policy period. 14. Non-Owned Watercraft Under Section I - Coverage A, paragraph 2 Exclusions, g.(2) is replaced in its entirety by the following: (2) A watercraft you do not own that is: (a) Less than 51 feet long; and (b) Not being used to carry persons or property for a charge; This provision applies to any person, who with your consent, either uses or is responsible for the use of a watercraft. 15. Personal Injury - Broad Form (1) Under Section I - Coverage B, paragraph 2.e. is deleted in its entirety. (2) Under Section V - Definitions, definition 14, paragraph b. is replaced in its entirety by the following: b. Malicious prosecution or abuse of process. (3) Under Section V - Definitions, definition 14, paragraph h. is added as follows: h. Discrimination or humiliation (unless insurance thereof is prohibited by law) that results in injury to the feelings or reputation of a natural person. but only if such discrimination or humiliation is: (1) Not done intentionally by or at the direction of: (a) The insured; (b) Any officer of the corporation, director, stockholder, partner or member of the insured; and (2) Not directly or indirectly related to an "employee", not to the employment, prospective employment or termination of any person or persons by an insured. (4) This coverage does not apply if Coverage B - Personal and Advertising Injury Liability is excluded either by the provisions of the Coverage Part of by endorsement. 16. Product Recall Expense (1) Under Section I - Coverage A, paragraph 2 Exclusions, n. is replaced in its entirety by the fOllowing: n. Recall of Products, Work or Impaired Property Damages claimed for any loss, cost or expense incurred by you or others for the loss of use, withdrawal, recall, inspection, Includes copyrighted material of Insurance Services Office, Inc. with its permission. Copyright, Insurance Service Office, Inc. 1998 421-0080 (01/03) Page 4 of 6 (2) The Each Occurrence limit shown in the Summary of Coverages Declaration is the most we will pay in connection with anyone defect or deficiency. (a) All "product recall expenses" in connection with substantially the same general harmful condition will be deemed to arise out of the same defect or deficiency and considered one occurrence. such products are free from defects that could be a cause of loss under this insurance. (b) Any amount reimbursed for "product recall expenses" in connection with any one occurrence will reduce the amount of the Aggregate limit available for reimbursement of "product recall expenses" in connection with any other defect or deficiency. (c) If the Aggregate limit has been reduced by reimbursement of "product recall expenses" to an amount that is less than the Each Occurrence limit, the remaining Aggregate limit is the most that will be available for reimbursement of "product recall expenses" in connection with any other defect or deficiency. The limits of Insurance of Product Recall Expense apply separately to each consecutive annual period and to any remaining period of less than 12 months, starting with the beginning of the policy period shown in the Declarations, unless the policy period is extended after issuance for an additional period of less than 12 months. In that case, the additional period will be deemed part of the last preceding period for the purposes of determining the limits of Insurance. (3) A Deductible of $500 applies for Each Occurrence. (4) Under Section IV . Commercial General Liability Conditions, Condition 2 - Duties in the Event of Occurrence, Offense, Claim or Suit, paragraph f. is added as follows: f. You must see to it that the following are done in the event of an actual or anticipated "covered recall" that may result in "product recall expense": (1) Give us prompt notice of any discovery or notification that "your product" must be withdrawn or recalled. Include a description of "your product" and the reason for the withdrawal or recall; (2) Cease any further release, shipment, consignment or any other method of distribution of like or similar products until it has been determined that all Includes copyrighted material of Insurance Services Office, Inc. with its permission. Copyright, Insurance Service Office, Inc. 1998 (5) Under Section V - Definitions, the following definitions are added: 25. "Covered recall." means a recall made necessary because you or a government body has determined that a known or suspected defect, deficiency, inadequacy, or dangerous condition in "your product" has resulted or will result in "bodily injury" or "property damage". 26. "Product recall expense" means: a. Necessary and reasonable expenses for: (1) Communications, including radio or television announcements or printed advertisements including stationery, envelopes and postage; (2) Shipping the recalled products from any purchaser, distributor or user to the place or places designated by you; (3) Remuneration paid to your regular "employees" for necessary over- time; (4) Hiring additional persons, other than your regular "employees"; (5) Expenses incurred by "employees" including transportation and ac- commodations; (6) Expenses to rent additional ware- house or storage space; (7) Disposal of "your product", but only to the extent that specific methods of destruction other than those employed for trash discarding or disposal are required to avoid "bodily injury" or "property damage" as a result of such disposal; You incur exclusively for the purpose of recalling "your product"; and b. Your lost profit resulting from such "covered recall". 17. Property Damage Legal Liability (Fire, Lightning, Explosion, Smoke or Leakage from Fire Protective Systems Damage) (1) The word fire is changed to fire, lightning, explosion, smoke and leakage from fire pro- tective systems where it appears in the limits of Insurance section of the Declarations for the Commercial General liability Coverage Part. 421-0080 (01/03) Page 5 of 6 (2) Under Section I - Coverage A, the last para- graph (after the exclusions) is replaced in its entirety by the following: Exclusions c. through n. do not apply to dam- age by fire, lightning, explosion, smoke or leak- age from fire protective systems to premises while rented to you or temporarily occupied by you with the pennission of the owner. A sepa- rate limit of insurance applies to this coverage as described in LIMITS OF INSURANCE (SEC- TION III). This limit will apply to all damage proximately caused by the same event, whether such damage results from fire, lightning, ex- plosion, smoke or leakage from fire protective systems or any combination of the five. (3) Under Section III - Limits Of Insurance, para- graph 6. is replaced in its entirety by the follow- ing: 6. Subject to 5. above, the higher of: a. $500,000; or b. The Fire, Lightning, Explosion, Smoke or Leakage from Fire Protective Sys- tems Damage Limit shown in the Dec- larations is the most we will pay under Coverage A for damages because of "property damage" from fire, lightning, explosion, smoke and leakage from fire protective systems to premises, while rented to you or temporarily occupied by you with permission of the owner. (4) Under Section IV - Commercial General Liability Conditions, Condition 4. Other Insurance, paragraph b.(2) is replaced by the following: b.(2) That is fire, lightning, explosion, smoke or leakage from fire protective systems insurance for premises rented to you or temporarily occupied by you with per- mission of the owner; or (5) Under Section V - Definitions, definition 9. "Insured contract", a. is replaced in its entirety by the following: a. A contract for a lease of premises. How- ever, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire, lightning, explosion, smoke or leakage from fire pro- tective systems to premises while rented to you or temporarily occupied by you with permission of the owner is not an "insured contract" . (6) This coverage does not apply if Fire Damage Legal Liability of Coverage A is excluded either by the provisions of the Coverage Part or by endorsement. 18. Supplementary Payments Increased Limits Under Section I - Supplementary Payments, Coverages A and S, paragraphs 1.b. and 1.d. are replaced in their entirety as follows: 1.b. Up to $2,500 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. 1.d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit", including actual loss of earnings up to $300 a day because of time off from work. 19. Unintentional Failure to Disclose Hazards Under Section IV - Commercial General Liability Conditions, Condition 6. - Representations, paragraph d. is added as follows: d. We will not disclaim coverage under this Coverage Part if you fail to disclose all hazards existing as of the inception date of the policy provided such failure is not intentional. 20. Unintentional Failure to Notify Under Section IV - Commercial General Liability Conditions, Condition 2. - Duties in the Event of Occurrence, Offense, Claim or Suit, paragraph g. is added as follows: f. Your rights afforded under this policy shall not be prejudiced if you fail to give us notice of an "occurrence", offense, claim or "suit", solely due to your reasonable and documented belief that the "bodily injury" or "property damage" is not covered under this policy. " 421-0080 (01/03) Includes copyrighted material of Insurance Services Office, Inc. with its pennission. Copyright, Insurance Service Office, Inc. 1998 Page 6 of 6 CITY OF ASHLAND Memo DATE: TO: FROM: RE: 17 FEBRUARY 2011 Mike Morrison/Mike Faught! Martha Bennet! Finance Department Dale Peters Security Improvements in City Buildings Background: This purchase is for continued improvements to the overall security of city buildings and properties. Over the past several years we have made improvements within the Police Department, City Hall, Community Development, and Electric Department. The equipment and software we have chosen is provided by CHOWN HARDWARE. The software is the Schlage SMS software. Chown Hardware is located in Portland, OR and they are the Southern Oregon Dealer and Installer for the equipment compatible with the Schlage SMS software. This software is expandable and can be use in all city owned facilities. Procurement Procedure: AMC 2.50.090 Section F. Sole Source Proc\.1rernents - A public contract in which the department head finds in writing that there is only one provider of a product or service of the quality and type required available. Sole Source Procurements shall be awarded in accordance with ORS 2798.075 and all other applicable provisions of the law. We ask that this be treated as a sole source. We have contacted Ingrersoll Rand also in the Seattle- Portland area and they do not want to compete with CHOWN and they do not have the Service Technicians available in Southern Oregon to support this project. , MAINTENANCE DEPARTMENT 90 N. Mountain Ave Ashland, Oregon 97520 oetersd.ashland.or.us Tel: 541.552-2292 Fax: 541-552-2304 TTY: 800-735-2900 r.l' ~.. ._~ CITY RECORDER Page 1/1 CITY OF ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 (541) 488-5300 . ..' DATE }'.,,', 3/23/2011 :'r'.'RO'NUMBER:' ,. 10088 , VENDOR: 000687 CHOWN SECURITY, CHOWN INC DBA POBOX 2888 PORTLAND, OR 97208 SHIP TO: Ashland Building Maintenance (541) 488-5358 90 N MOUNTAIN AVENUE ASHLAND, OR 97520 FOB Point: Terms: Net 30 days Req. Del. Date: Speciallnst: ReQ. No.: Dept.: Contact: Dale Peters Confirming? No ',.r; OtiantiH/;;':" ':.Uilif.,' . 'o,' ',.,-'; .. .. . .:. :Oescrfotion ~. . . . " . . "'-'1".: . ;.;. ::UnffPrice',. :_'j ExE'"F~Hce';;l.:.; . ~ ,. . . ... Provide access control to new East Main 8,994.00 Street gate. Add to existing controller at Service Center. Per attached proposal #184093, dated February 17, 2011 Contract for Goods & Services Beginning date: 02/11/2011 Completion date: 03/31/2011 Insurance required/On file . , SUBTOTAL 8994.00 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 000 541-552-2028 TOTAL 8,994.00 ASHLAND OR 97520 , 1?~:t~ccount\}IUmb~e~;:i;~ ~',1~ ,:,.,', Project Numti'e'r.:;'r~, f ,~_:_~:'\AmoucnfL;)'.: ;;;L' t 'X Acc_oiu1tNumDer'! ;'::::1 "," ':'~.P.fo}ect:Nlj'inbe~~,;:;;.:.'~ ~._{}Q~'An'i"Qtifii?si7fl; (.,.,;; E 41 0.08.24.00.70420 E 000228.999 8 994.00 I I M-- .;!. - ~ .~/f- A~lgnature VENDOR COpy A request for a Purchase Order REQUISITION FORM CITY OF ASHLAND Date of Request: 17 FEB 2011 THIS REQUEST IS A: o Change Order(existing PO # Required Date of Delivery/Service: ASAP Vendor Name Address City, State, Zip Telephone Number Fax Number Contact Name CHnWN ~Fr.IIRITV 33.~ NW 1 fith ~frAPt PORTI AND OR gnag 503-243-6500 '-800-547-1930 '-800-758-7654 . .:rASe'" t1CC.A.........." SOLICITATION PROCESS Small Procurement ~Sole Source D Invitation to Bid D Less than $5,000 D Written findings attached (Copies on file) D Quotes (Optional) D Quote or Proposal attached Cooperative Procurement D Reauest for Proposal D Slale 01 ORJWA contract (Copies on file) Intermediate Procurement D Other govemment agency contract D Special I Exempt D (3) Written Quotes D Copy at contract attached D Written tindings attached (Copies attached) D Quote or ProDOsal attached D Contract # D Emeraencv D Written findings attached D Quote or ProDOsal allached Description of SERVICES 'i>r=v 10\5- l4<:>'c.e.sS ~..~,-"'\-c NIS:\.U E::. MRIN ...... G.J"\Tf!.. Add. -b", a)<.1 ST. N t:. C:"O,.,.,.Ro........lSR.. ""I" S~" 1<!..lS:.- c.......I\YnS.l<.. ~ Per attached PROPOSAL ,$' i1~~~b . .-.'.' Item # Quantity Unit Description of MATERIALS Unit Price Total Cost o Per attached QUOTE all ~U.'M~<~ C?,::?_p I'-,r/ Project Number _000228.999 cftP-~/Lr2<,. '''><--) C7 3' - ilt _ / I Account Number 410.08.24.00.704200 ~ IJ .JJ'~..J ~~bf;;( . 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 provided upon request. Employee Sign~re~ ~~ Supervisor/Dept. Head Signature: \'f\-uLl 0.4.. eeL G: Finance\Procedure\AP\Forms\8_Requisition form revised.doc . Updated on: 21171201 1