HomeMy WebLinkAbout2011-129 Agrmt - SOU RVTV Services
CITY OF
ASHLAND
AGREEMENT FOR RVTV SERVICES BETWEEN
CITY OF ASHLAND AND SOUTHERN OREGON UNIVERSITY
This Agreemenlis entered into this 15day of July, 2008, by and between THE CITY
OF ASHLAND, a municipal corporation (hereinafter 'City"), and the Stale of Oregon
acling by and Ihrough the State Board of Higher Education on behalf of SOUTHERN,
OREGON UNIVERSITY ("SOU")
RECITALS
A. ORS 190,110 and ORS 190.010 aulhorizes a unit of local government to
enter inlo an agreement with ana/her unit of local government or state
agency for the performance of any or all functions and activities Ihat a party
to Ihe agreement has authority to perform; and
B. The City and SOU have provided cable access television to Ihe community
lor several years as reflected in the prior agreements belween the City and
SOU and ils predecessors, including agreements dated June 11, 1996 and
September 9, 2005; and
8, The 2005 agreement expires on June 30, 2008 and Ihis Agreement is
intended to replace all prior wrilten or verbat agreements belween the
' pariies; and
C,' City and SOU enter inlo this Agreement to identily their roles and
responsibilities in the provision of cable access services by SOU through
the operalion of Rogue Valley Community Television (RVTV); and
NOW, THEREFORE, in consideration for Ihe mutual covenants contained herein, the
receipt and sufficiency of which are hereby acknowledged, the pariies agree as follows:
1. RECITALS. The recitals sel forih aboye are true and correcl and are
incorporated herein by this reference.
2. DURATION. [ORS 190.020(1)(e)) Except for termination as provided
herein, the term of this agreement shall commence upon approval and
execution by both Cily and SOU and shatllerminate on June 30, 2010,
unless administratively extended in writing as provided for herein. The
City Administrator may extend Ihis Agreement twice, by one year each
extension, by indicating in writing to SOU that an extension of the
Agreement is sought under the same terms and conditions of this
Agreemenl. The extension shall be effective upon receipLoi- a
documenl from an authorized SOU representative consenling to Ihe
RVTV Agreemenlbelween sou & CITY 7-15-08
extension under the same terms and conditions, allowing for increase in
funding as noted herein.
3. SOU SERVICES, FUNCTIONS AND RESPONSIBIlITIES. IORS
190.020(1)J SOU shall use ils best efforis to achieve the following
objectives during the period of Ihis Agreement:
3.1 Opera Ie Rogue Valley Community Television (RVTV).
3.2 Engage in the cablecast of Public, Education and Government
(PEG) access programming and subject to this agreement, assume
control of, all cable channels and interconnect facililies made available
to the City for ils use,
3.3 Provide to Ihe citizens of Ashland educational courses in video
production. Upon complelion, citizens become Certified Producers and
are trained in the safe, proper and effeclive use of RVTV's equipment
, and facilities. Certified Producers are granted access to RVTV facilities
and equipment to produce local community programming that will be
cablecast free of charge on the designated Public Access channel.
3.4 Provide regular equipment maintenance services up to four hou~' '/
per month t6'311 video equipment at City'S council chambers. All such \
equipment is the properiy of CITY .------>
3.5 Ensure proper repair, maintenance and security of equipment v
purchased for use at the RVTV facility with City funds, All such
equipment shall become properiy of SOU,
3.6 Produce government access programming for the City, the regularly
scheduled bi,monthly City Council meetings, monthly Planning
Commission meetings, annual Budget Hearings per fiscal year, one
, hour,long monthly live studio show, such as Town Hall and up to twelve /'
additionalteleyised meetings in council chambers and up to seyen City
Band conceris in Lithia Park (weather permitling), Additional services
may be purchased by or under the direction of the City Administrator
with unrestricted city funds or PEG fees notwithstanding the not-to-
exceed limit of this agreement; such additional services shall be
charged at the rates reflected on the attached Exhibit A, "price sheet
addendum". '
3.7 RVTV will reserve playback capabilities for a channel provided by
Ashland Fiber Network (AFN), or its designated cable television
provider. If AFN, or its designated provider chooses to utilize the
playback capaJ!iljties reserved for ilsuse, SDU agrees)omake ,
available all programming listed in 1.7, all programming paid for in the
price list for RVTV services and other RVTV programming. If AFN, or
RVTV Agreemenl belween sou & CITY 7-15-08
2
ils designated provider, wishes RVTV to "package" content for the ,
channel, a conlract for services shall be agreed to by the parties,
3.8 Proyide Video on Demand ("VOD") services 10 include archiving up
to 1 00 proQram files of City government access programming for a '
period of one yea.rJLQQ! date of captLMe. RVTV provides the City wilh
links to tne-Cltywebsite and the City determines program selection for
the VOD services.
39 Determine, after consultation and approval by city, use of channels
assigned 10 City.
310 SOU shalt provide information to the City, upon request, that Ihe
City deemsreasonably appropriate regarding SOU's RVTV actiYities,
including ;::;e of funds and accomplisl1ments under this Agreement.
3.11 SOU shall immedialely report to the City upon becoming aware of
any unexpected development or prob1ems regarding programming or
fiscal considerations which may jeopardize theprovisions of service
under this Agreement.
3.12 SOU shall provide an unaudited.i!onual report to the City prior 10
September 30 of each year regarding RVTV workshops and training
conducted; government and public access programming; revenue and
capital and operaling expenses and a budget-Io-aclual financial
slatement based on the fiscal year. SOU !ViII certify that the unaudited
annual report provided to the City are the final numbers reported 10
SOU by RVTV,
4, PAYMENT. [ORS 190.020(1)(a)J This agreement inyotves the payment
of money from the City of Ashland to SOU for RVTV services.
4,1 Subject to the conditions set out in this Agreement, the Cily shall
pay to SOU for RVTV services includted in the body of this agreement
from legally available funds, in amoul'Jts nOl,lo exceed:
FY 08 - 09 $49,500
FY 09 - 10 $50,985
FY 10,11 $52,515
4.2 When paying for RVTV services under this Agreement, City shall
first ulilize PEG fees, if any, colleclefj under franchise agreements, In
the event City receives PEG iees in ;amounts greater than the amounts
specified above, Ihe overage shall be used to purchase addition at RVTV
services set forth in Exhibit 1 or PEG equipment upgrades at Ashland
Cily' Councilcham15els-bTotnercitY-l6tatioiis:-
RVTV Agreemenl between SOU & CITY 7.15-08
...--'
~
/'
3
4,3 City shall provide all necessary inforrnation to SOU to establish the
City as a vendor of SOU, such information shall include, but 'not be
limited to City's contact information and tax identification number.
4.4 Equipment upgrades desired by the City, as contrasted with
, ~
replacement, will be funded separately by the City, SOU will be
responsible for repairingand'repiaCmg-this equiprnent.
,/
4.5 SOU will credit the City $4501or each in studio show, such as Town
Hall when City cancels the show up to twenly four (24) hours in advance
of the scheduled show and will credit fhe City for cancelled meetings f'Yr
when the City cancels Ihe show up to Iwenty four hours in advance.
The credit will show as $145 for the first hour and $100 for each
subsequent hour,
4.6 All payments made to SOU under fhis Agreement should be sent to
the following address: .'
SOU Business Services
Attn: Valerie Dean, Accounts Receivabte
1250 Siskiyou Blvd.
Ashland, OR 97520
4.7 SOU is required t9 comply with the Ashland Municipal Code by
paying a liYing wage, as defined in City Code, 10 all employees
performing work under this Agreement and to any subcontracfor who
performs 50% or more, of Ihe service work under this Agreement. SOU
is also required to posl the living wage notice predominantly in areas
where all employees will see it.
5. BUDGET NONAPPROPR!ATION The City's obligation to pay and
SOU's obligation to provide services under this Agreement are subject
to non- ~ppropriation of funds in the budget process.
5.1 The amount of money payable to SOU under section 4.1 is subject
10 final appropriation by the City in the budget process on an annual
basis. Notwithstanding the termination provisions herein, termination
may also occur for such non-appropriation. Specifically, all City
obligations to expend money under this Agreement are contingent upon
future appropriation as part of the City budget process and local budget
law, and the failure of the Council and Budgel Commiliee to make the
appropriation shall necessarily result in termination of the Agreement. As
such, in the event insufficient funds are appropriated for the payments
under this Agreement and the City elects ncit to utilize any other lawfully
, 'available-funds~then the City may terminate this Agreemenl at the end
of its current fiscal year, with no fur1her liability or penalty to the City.
The City shall deliver written notice to SOU of such termination no later
I
I
i
I
I
I
I
RVTV Agre~menl between sou & CITY 7-15-08
4
"
than thirty (30) days from the determination by Ihe City of the event of
non,apPJopriation.
5.2 If sufficient funds are not provided in future legislatively approved
budgets of SOU to permit SOU in the exercise of its reasonable
administrative discretion to continue this Agreement, or if the program
for which this Agreement was executed is abolished, notwithstanding
any other provision of Ihis agreement, SOU may terminate this
Agreement without further liabilily by giving Ihe City nolless than 30
days prior notice, In detennining the ayailability of funds for Ihis
Agreement, SOU may use the budgel adopled for it by the Joint Ways
and Means Committee of the Oregon Legislative Assembly, SOU will
include in its budgel request for each fiscal year sufficient for this
Agreement.
'6. REVENUE. IORS 190.020(1)(b).) This agreement does not involve Ihe
receipt of revenue which must be apportioned between the parties.
Each party shall be solely responsible for revenue, if any, received.
7, PERSONNEL. IORS 190.020(1)(c).] No employees will be transferred
pursuant to this Agreement. SOU shall be solely responsible for wages
and benefits paid to employees working for RVTV,
8. REAL OR PERSONAL PROPERTY. IORS 190,020(1)(d),] There shall
be no transfer of title or possession to any real or personal property
pursuant to this agreement.
9. TERMINATION, [ORS 190.020(1)(0,)
9.1 All or part of this agreement may be terminated by mutual consent
by both parties; or by either party at any time, upon ninety days (90)
days notice in writing and delivered by certified mail. In the event of '
termination of Ihe agreement, each party shall be responsible for its own
costs and expenses in complying with the agreement.
9.2 This Agreement may be terminated by eilher party if the other party
commits any material breach of any of the terms or conditions of this
Agreement and fails or neglects to correct the same within 30 days after
written notice of such breach. If the breach is of such nature that it
cannot be completely remedied within the 30-day period, this proYision
shall be complied with if correction of the breach begins within the 30-
day period and thereafter proceeds with reasonable diligence and in
good faith to effect the remedy as soon as is practicable.
9.3 This Agreement may be terminated for non-appropriation as
specified in Section 5.
RVTV Agreement between SOU & ~rTY 7-15-08
5
10. REMEDIES. In the event of termination, SOU shall pay 10,Ihe City any
unexpended funds received by SOU at any time from the City, City
shall pay SOU for services rendered and costs incurred by RVTV prior
to the termination date.
11. ASSIGNMENT. SOU shall not assign or transfer any interest in this
Agreement without prior written consent of the City, provided, however,
thaI SOU may subcontract the performance of any provision or
obligation required by this Agreement, so long as SOU remains
primarily responsible 10 the City for the performance of such provision or
obtigation,
12. INSPECTION RECORDS.
12,1 City shall maintain books, records, documents, and other evidence
and accounting procedures and practices sufficient to refiect properly all
costs of whateyer nature claimed 10 have been incurred and anticipated
in the performance of the Agreement. The Oregon Depar1ment of
Higher Education, Oregon Secretary of State, Federat Government, and
their duly authorized representatives shall haye access to the books,
documents, papers, and records of City which are directly per1inent to
the Agreement for the purpose of making audit, examination, excerpts,
and transcripts. Such books and records shall be maintained by Cily for
three years from the date of the completion of work unless a shorter
period is aulhorized in wriling. City is responsible for any CITY audit
discrepancies involYing deviation from the terms of the Agreement.
12.2 City shall have access at all reasonable times, including during
normal working hours, to all books and records of RVTV. SOU shall
maintain books, records, documents, and other eyidence and
accounting procedures and practices sufficient to refiect properly all
costs of whatever nature claimed 10 have been incurred and anticipated
in the performance of the Agreement. CITY, and their duly authorized
representatives shall have access to the books, documents, papers,
and records of SOU which are directly per1inent to the Agreement for
the purpose of making audit, examination, excerpts, and transcripts.
Such books and records shall be maintained by SOU for three years
from the date of the comptetion of work unless a shor1er period is
authorized in writing. SOU is responsible for any SOU audit
discrepancies inyolving deyiation from the terms of the Agreement.
13. HOLD HARMLESS AND INDEMNIFICATION,
13,1 The City of Ashland is not providing services but purchasing
services through SOU. Accordingly, to the extent permitted by the
Oregon Constitution and the Oregon T or1 Claims Act, the par1ies both
RVTV Agreemenl between sou & CITY 7-15-08
6
. !.
shal.1 hold each olher harmless, defend and indemnify the other from
any and all claims, demands, damages or injuries, Iiabilily of damage,
including injury resulting in death or damage to property, Ihat anyone
may have or assert by reason of any error, act or omission of the other,
'its Dfficers, employees, agents and contractors pursuant t6 Ihis
Agreement or the Amendment contemplated herein. Such
indemnification shall also cover claims brought against either party
under state or federal employees' compensation laws. ProYided
however, SOU shall not be held responsible for any claims, actions,
costs, judgments or other damages, directly and proximately caused by
the criminal or wanton acts of the City of Ashland, its officers,
employees or agents or the negligence of the City of Ashland, its
officers, employees or agents. Similarly, the Cily of Ashland shall not
be held responsible for any claims, actions, costs, judgments or other
damages, directly and proximately caused by the criminal or wanton
acts of SOU, its officers, employees, or agents or the negligence of
SOU, its officers, employees or agents. If any aspect of this indemnity
shall be found to be illegal or invalid for any reason whatsoever, such
illegalily or invalidity shall not affect the validity of the remainder of this
indernnification,
13.2 Except as provided for in this Agreement, the City shatl not be
liable for any obligations incurred by SOU. SOU shall nDt represent to
any person Ihat Ihe City is liable for SOU'sobligations; except for such
obligations the City may be liable as provided for in this Agreement.
14. INSURANCE. City and SOU, at their sole cost and expense shall
maintain all risk property and public liability insurance policies on the
prospective properties and resources included in this agreement. The
initial limits of liability required will be, $2,000,000 for each occurrence
and $2,000,000 in the aggregate for the . liability coverages and all
property upon completion of construction shall be written on
replacement costs basis.
15. DISPUTE RESOLUTION. City and SOU shall attempt to resolve all
disputes through staff discussions at the lowest possible level. Both
parties to this Agreement agree to provide other resources and
personnel to negotiate and find resolution to disputes that cannot be
resolved at the staff level. As a next step, claims, disputes or other
matters in question between the parties to this Agreement arising out of
or relating to this Agreement, or 9reach thereof shall be determined by
mediation, arbitration, or litigation. Disputes shall be initially submitted
to mediation by a mediator chosen by Ihe parties, The cost of mediation
shall be bome equally by the parties. If the parties are unable to agree
upon a mediator within 5 days or if medialion fails to resolve the dispute
and if either party wants to further pursue the dispute, either party'may
request that the dispute be submilled 10 arbitration before a single
Rvrv Agreement between SOU & CITY 7.15-08
7
arbitrator agreed to by the parties. If both parties agree to arbitration
but are unable to agree upon an arbitrator, each party shall select an
arbitrator. The arbitrators so chosen shall select a third, and the
decision of a majority of the arbitrators shall be final, bind,ing the parties;
and judgment may be entered thereon. Unless the parties mutually
agree otherwise, any arbitration proceeding shall be conducted in
accordance with the currently in effect Arbitration Rules of the American
Arbitration Association pursuant to ORS 190,720. Notwithstanding the
above, either party may, at its own discretion, elect to resolve disputes
in excess of $50,000 by litigation, if mediation is not successful.
16, NOTICE AND REPRESENTATtVES. All notices,. certificates, or
communications shall be delivered or mailed postage prepaid 10 the
parties at their respective ptaces of business as set forth below or at a
place designated hereafter in writing by the parties.
CITY of Ashland:
Martha Bennelt
City Administrator
20 East Main
Ashland, OR 97520
Southem Oreqon University
Beth Sunitsch
Contracts Officer
1250 Siskiyou Bouleyard
Ashland, OR 97520
And when so addressed, shall be deemed given upon deposit in the
United States Mail, postage prepaid, In all other instances, notices,
billS, and payments shall be deemed given at the time of actual deliyery.
Changes may be made in the names and addresses of the person to
whom notices, bills, and payments are to be giyen by giving notice
, pursuant to this paragraph.
17. MERGER. This Agreement constitutes the Entire Agreement between
the parties: .There are no understandings, agreements, or .
representations, oral or written, not specified herein regarding this
agreement. No amendment, consent, or waiver or lerms of this
agreement shall bind either party unless in writing and signed by all
parties. Any such amendment, consent or waiver shall be effective only
in the specific instance and for the specific purpose given. The parties,
by the signatures below or their authorized representalives,
ackrlOwledge having read and understood the Agreement and the
parties agree to be bound by its terms and conditions.
RVTV Agreemenl between SOU & CITY 7-15-08
8
IN WITN ESS WHEREOF, the parties hereto have caused this instnument to be
executed in two (2) duplicate'originals, either as individuals, or by their officers,
thereunto duly authorized,
DATED this k day of July, 2008.
CITY OF ASHLAND
By AC>~ ~'\<-.
Tille ~ C>-V\'
Date '. \
STATE OF OREGON,
By and through the State Board of Higher Education.on.behalf of Southern
o,regon un!2sity d.. '. '
By - ~(///'lNU~
~~sun~, /)~ )' (
Date Assodate,Directorof Z-'f 0
Bosiness Services :
APPROVED AS TO FORM
By:
RVTV Agreemenl between sou & CITY 7-15-08
APPROVED AS TO
FORM
fQl~~
'CilyAttorney
9
Addendum
City of Ashland Price List for RVTV Services
The following applies to all services not included in the
Agreement for Services
Service Description Unit Fee
Live Government meeling in Per Hour $145/first hour
Council Chambers $100/each additional hour
Studio based live call-in TV Per Hour $450
production
City Band ' Per Show $350
Single camera shoot for a Per Show $250
meetinq / presentation
RVTV Mobile Truck '-individually Per Per shoot
neqotiated Shoot
Video Productions -aye rage cost $2500
per 15 min. Each production shall
be
a negotiated price, depending on
complexity
Studio Producer 5 classes $50/$35'
Field Producer 5 classes $50/$35'
'Reduced fee of $35 for residents have completed either the Studio Producer classes or
Field Producer classes,
10.
RVTV Agreement between sou & Cln' 7.15..08
RECEIVED
JUN 1 7 2011
Southern
OREGON
UNIVERSITY
June 15,2011
Ms. Martha Bennett
City Administrator
City of AsWand
20 E, Main Street
AsWand, OR 97520
Dear Ms. Bennett:
Thank you for the written request to continue the Agreement for RVTV Services between the
City of AsWand and Southern Oregon University.
This letter serves as SOU's consent to the extension of the Agreement under the same terms and
conditions.
Sincerely,
Craigt:::! ~
Vice President for Finance and Administration
cc: Sue Walsh, SOU Associate Provost
Ann Seltzer, City of AsWand Management Analyst
Vice President for Finance and Administration
1250 Siskiyou Boulevard
Ashland, Oregon 97520-5033
Tel 541-552-6319
Fax 541-552-6337
C I TYO F
ASHLAND
May 16, 201]
Elizabeth Sunitch, Associate Director of Business Services
Southern Oregon University
1250 Siskiyou Boulevard
Ashland, OR 97520
Dear Ms. Sunitch:
The current Agreement for RVTV Services'between the City and SOU expires on June
30 20 10, unless, as stated in Section 2 "the Citv Administrator indicates in writing to
SOU that an extension of the Agreement is sought under the same terms and
conditions... the Agreement mav be extended twice.
Section 2 further states "the extension is effective upon receipt of a document from an
authorized SOU representative consenting to the extension under the same terms and
conditions."
ln April of 20 10 the City requested and received an extension of the Agreement. This
letter serves as the City's written request to extend the current Agreement to June 30,
2012 and represents the second and final extension as allowed Section 2.
i look forward to receiving a letter from SOU agreeing to the extension.
Thanks to SOU and the RVTV staff for their excellent work for the City of Ashland.
Sincerely
~~/~
M rtha Bennett, City Administrator
cc: Susan Walsh, SOU Associate Provost
Joe Brett, RVTV
Ann Seltzer, City of Ashland Managemen1 Analyst
\1
..
:i~~"~~1~~!"
..;' ,.~l"'<~:(
SOUTHERN
OREGON
UNIVERSITY
April 12, 2010
Ms, Martha Bennett
City Administrator
City of AsWand
20 E. Main Street
AsWand, OR 97520
Dear Ms. Bennett:
Thank you for the written request to continue the Agreement for RVTV Services between the
City of AsWand and Southern Oregon University.
This letter serves as SOU's consent to the extension ofthe Agreement under the same terms and
conditions.
Sincerely,
~
Craig Monis
Vice President for Finance and Administration
cc: Paul Steinle, SOU Associate Provost
Nena Heitz, RVfV Admirlistrative Manager
Ann Sel1zer, City of AsWand Management Analyst
Vice President for Administration and Finance
1250 Siskiyou Boulevard
Ashland, Oregon 97520-5033
Tel 541-552-6319
Fax 541-552-6337
bolstad@sou.edu
CITY OF
ASHLAND
April 1,2010
Elizabeth Sunitch, Associate Director of Business Services
Southern Oregon University
1250 Siskiyou Boulevard
Ashland, OR 97520
Dear Ms. Sunitch:
The current Agreement for RVTV Services between the City and SOU expires on June
302010, unless, as stated in Section 2 "the City Administrator indicates in writing to
SOU that an extension of the Agreement is sought under the same terms and conditions."
Section 2 further states "the extension is effective upon receipt of a document from an
authorized SOU representative consenting to the extension under the same terms and
conditions"
This Jetter serves as the City's written request to extend the current Agreement to June
30,2011. 1 look forward to receiving a letter from SOU agreeing to the extension.
Thanks to SOU and the RVTV stafffor their excellent work for the City of Ashland.
Si":;t I~
M rtha BelUlett, City Administrator
cc: Paul Steinle, SOU Associate Provost
Nena Heinz, RVTV Administrative Manager
Ann Seltzer, City of Ashland Management Analyst
CITY RECORDER
Page 1/1
~~,
CITY OF
ASHLAND
20 E MAIN ST,
ASHLAND, OR 97520
(541) 488-5300
I' 7/::ZTOE1'1" I
,PO NUMBER.. ,
10274
VENDOR: 001245
SOUTHERN OREGON UNIVERSITY
1250 SISKIYOU BLVD
ASHLAND, OR 97520
SHIP TO: City of Ashland
(541) 488-6002
20 E MAIN STREET
ASHLAND, OR 97520
FOB Point:
Terms: Net
Req. Del. Date:
Speciallnst:
Req. No.:
Depl.:
Contact: Ann Seltzer
Confirming? No
Quantiiv ' Unit, ' " ".,'. "Description ' UnitPrh:e' , . .:'Exl. Price' : ',,':
RVTV Services - Public Television 54,090.45
FY 2011-2012
.
,
.
SUBTOTAL 54 090.45
BILL TO: Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2028 TOTAL 54,090.45
ASHLAND, OR 97520
;, _ .:- Accou'ntlNumber . . , proje'ct Number , 'Amount Account Number. - Project Number' 'Amount'j~. ~~...;
E 110.01.02.19.60416 54 090.45
,th(.
.A'~~ ?7h
Au orized'Signature
VENDOR COPY
I FO~1 #3
1-\ !'€." , .. I:
,-.'"
. 't.
CITY OF
ASHLAND
REQUISITION
Date of request:
Required date for delivery:
Vendor Name
Address, City, State, Zip
Contact Name & Telephone Number
Fax Number
~ ~!;;('}tJ:;i~~Q()AetULJ}!J
-/J::J.tIliJIA..v , D ( ~
J.APTJ
,~ ;; 1./II,Jpiif ) < C"" f1rlA
.
SOLICITATION PROCESS
D Exemot from Comoetitive BiddinQ D EmerQencv
D Wrillen Findings (Form attached) D Invitation to Bid (Copies on file) D Wrillen findings attached
D Quote or Pro nasal allached Date annroved bv Council: D Quote or Prooosal attached
D Small Procurement CooDerative Procurement
Less than $5.000 D Reauest for ProDosal (Copies on file) D State of Oregon
Note: Total contract amount, including any Date approved by Council: Contract #
amendments may not exceed $6.000 D State of Washington
Intermediate Procurement ~Sole Source Contract #
GOODS & SERVICES D Written Findings (Form allached) D Other government agency contract
$5,000 to $100,000 D Quale or Proposal allached Agency
D (3) Wrillen quotes attached Contracl #
PERSONAL SERVICES D SDecial Procurement D Intergovemmental Agreement
$5.000 to $75,000 D Written Findings (Form attached) Agency
D ~s,s than $35,000. by direct appointment D Quote or Proposal allached Contract #
D 3 Written nronosals attached Date annroved bv Council: Date approved by Council:
Description of SERVICES
I t~TIl ~ / f""le- ~"~1
Total Cost
II S'I, oqo, Vj'
Item #
Quantity
Unit
Description of MATERIALS
Unit Price
Total Cost
TOTAL COST
D Per attached QUOTE r Y ;LtJ t' e::z.. $
J~) 090, 'is
Project Number ____h - n~ Account NumberLW, IJl-u:Ll1- -1Jf)IfJ),f) Account Number _n. n. __. __. _n_n
Account Number ___. __ - __ - __. ______ Account Number ___. __. __' __. ______
'Expenditure must be charged to the appropriate account numbers for the financials to reflect the actuat expenditures accurately, ANach extra pages if needed,
By signing this requisition form. I certify that the information provided above meets the City's public contracting requirements, end the documentation can be provided
upon request. (J ~/
Employee Signature:~ A,.J ~ J~ 'Department Head Signature: I(j'~:/
Additional signatures (If applicable):
Funds appropriated for current fiscal year: @ / NO
~$- ~~
Finance Director
717 ;;/
Date
Comments:
G: Finance\Procedure\AP\Forms\Form #3 - Requisition (2).doc
Updated on: 512312011