HomeMy WebLinkAbout2012-003 CONT Addendum - Severson Custom Fabricating Dec 22 2011 5: 30PM C3GM / panaviseonline. com 541 -734-8835 p. l
ADDENDUM TO CITY OF ASHLAND
CONTRACT FOR GOODS AND SERVICES LESS THAN $25,000
Addendum made this 19th day of December, 2011, between the City of Ashland ("City")
and Severson Custom Fabricating ("Contractor.
Recitals:
A. On October 74h. 2011 City and Contractor entered into a "City of Ashland Contract
for Goods and Services Less than $25,000" (further referred to in this addendum as 'the
agreement').
B. The parties desire to amend the agreement to modify the aroiect to include additional
services.
City and Contractor agree to amend the agreement in the following manner:
1. The'goods and services provided by the contractor to additionally include
fabrication of 1 new metal sign, the repair of bullet holes on the posts of 1 sign,
and painting/powder-coating of 3 signs, fora total additional cost of$535.00.
2. Except as modified above, the terms of the agreement shall remain in full force
and effect.
CONTRACT CITY OF ASHLAND:
BY BY BY
DepartmbntHead
Its Date I -2 -.Z
DATE
Purchase Order# 10 4 g I
Acct. No.:63() n 52 74' 60 t fl g I
(For City purposes only)
1-CITY OF ASHLAND,ADDENDUM TO CONTRACT FOR GOODS AND SERVICES
QITY RECORDER Page 1 / 1
�.
ASHLAND CITY O F
DATE .�'. � P.O NUMBER'.
,� A 20 E MAINS 75 10/7/2011 10491
ASHLAND, OR 97520
(541)488-5300.
VENDOR: 016473 SHIP TO: Ashland Fire Department
SEVERSON CUSTOM FABRICATING (541)482-2770
6243 VENTURA LANE 455 SISKIYOU BLVD
CENTRAL POINT, OR 97502 ASHLAND, OR 97520
FOB Point: - Req.No.:
Terms: Net Dept.:
Req.Del.Date: contact: Chris Chambers
Special Inst: Confirming? No
'description - Unit Price,. Ext.Price".
THIS IS A REVISED PURCHASE ORDER
Contractor to modify nine (9) existinq 4,005.00
trailhead signs. Contractor to pickup
and deliver signs. Parks will be
removing and reinstalling signs.
Contract for Goods& Services
Beginning date: October 5, 2011
Completion date: June 1, 2012
Processed change order 01/10/2012 595.00
to include additional services per the
attached Contract Addendum dated
December 19, 2011. Additional services
to include the fabrication of 1 new
metal sign, the repair of bullet holes
on the posts of 1 sign and
paintinq/powder-coating of 3 signs, for '
a total additional cost of$535.00.
SUBTOTAL 4,600.00
BILL TO:Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2028 TOTAL 41600.00
ASHLAND, OR 97520
'ACcourit Number , '"[.,:Project Number `•; ' "':Amount:-� ' Account Number.: Project Number Amount.
E 670.08.29.00.604160 E 000199.400 4,600.00
Authorized Signature VENDOR COPY
FORM#10 CITY OF
CONTRACT AMENDMENT APPROVAL REQUEST FORM �S H LAN D
Request for a Change Order
Name of Supplier 1 Contractor/Consultant:Severson Custom Fabricating. Total amount of this
contract amendment:
Purchase Order Number:10491
Title I Description:AFR Interpretive Sign Metal Fabrication $ 595.00
❑ Per attached contract amendment
Contract Amendment
Original contract amount $ 4.005.00 100 %of original contract
Total amount of rem vious contract amendments %of original contract
Amount of this contract amendment 595.00 %of original contract
TOTAL AMOUNT OF CONTRACT $ 4600.00 115 %of original contract
In accordance with OAR 137-047-0800:1)The amendment is within the scope of procurement as described in the solicitation documents,Sole Source notice or approval of Special
Procurement.2)The amendment is necessary to comply with a change in law that affects performance of the contract 3)The amendment results from renegotiation of the terms and
conditions,including the contract price,of a contract and the amendment is advantageous to the City of Ashland,subject to all of the following conditions:a)goods and services to be
provided under the amended contract am the same as the goods and services to be provided under the unamended contract;b)The City determines that,with all things considered,the
amended contract is at least as favorable to the City as the unamended contract;c)The amended contract does not have a total tern greater than allowed in the solicitation document,
contract or approval of a Special Procurement An amendment is not with in the scope of the procurement if the City determines that if it had described the changes to be made by the
amendment in the procurement documents,it would likely have increased competition or affected award of contract.
Contract amendment is within the scope of procurement: YES NO` (If"NO",Council approval is required)
Sourcing Method:
SMALL PROCUREMENT-Less than$5.000 INVITATION TO BID or COOPERATIVE PROCUREMENT,QRF or
®Total amount of contract and cumulative REQUEST FOR PROPOSAL EXEMPTION PURSUANT TO AMC 2.50
amendments<_$6,000. YES 1 NO ❑ Total amount of cumulative amendments ❑Total amount of original contract and cumulative
❑If'NO',amount exceeding authority requires <—25%of original contract amount or$250,000 amendments s $100K for Goods&Services,
Council approval.Attach copy of Council whichever is less.YES 1 NO <—$75K for Personal Services,<$50K for Attorney
Communication. ❑If'NO',amount exceeding authority requires Fees. YES I NO
❑ Exempt—Reason: Council approval.Attach copy of Council ❑If'NO',amount exceeding authority requires
Communication. Council approval.Attach copy of Council
❑ Exempt—Reason: Communication.
❑ Exempt—Reason:
INTERMEDIATE PROCUREMENT SOLESOURCE EMERGENCYPROCUREMENT
Goods&Services-$5.000 to$100.000 ❑ Total amount of cumulative amendments ❑ Written Findings:Document the nature of the
Personal Services -$5.000 to$75.000 <—25%of original contract amount or$250,000 emergency,including necessity and circumstances
❑ Total amount of cumulative amendments whichever is less.YES I NO requiring the contract amendment
s 25%of original contract amount.YES I NO ❑If'NO",amount exceeding authority requires ❑ Obtain direction and written approval from City
❑If'NO',amount exceeding authority requires Council approval.Attach,copy of Council Administrator
Council approval.Attach copy of Council Communication. ❑ If applicable,attach copy of Council
Communication. ❑ Exempt—Reason: Communication
❑ Exempt—Reason: ❑ Exempt—Reasorv.
SPECIAL PROCUREMENT INTERGOVERNMENTAL AGREEMENT
❑Total amount of original contract and cumulative amendments are ❑Odainal contract approved by City Council. YES I NO
within the amount and terms initially approved by Council as a Special Provide date approved by City Council: (Date)
Procurement. YES 1 NO If'NO',Council approval is required.Attach copy of Council Communication.
❑ If'NO',amount exceeding authority requires Council approval. ❑ Contract amendment approved and signed by City Administrator.
Attach copy of Council Communication.
Project Number 000199.400 Account Number 670.08.29.00.604160
'Expenditure must be charged to the appropriate account numbers for the financials to reflect the actual expenditures accurately. Attach extra pages if, eeded.
Employee Signature/ �i �Department Head Signature:
Funds appropriated for current fiscal year YES / NO
Finance Director V`tl C Date
Comments:
Form#10-Contract Amendment Approval Request Form,Request for a Change Order,Page 1 of 1, 1212112011