HomeMy WebLinkAboutIT11-350 - Original - Trebron Company, Inc. - Sophos Security Suite & Data Protection - 12/20/2011 4051ow.. Records Managemen !ft,
KENT � Document
W ASMINGTON
CONTRACT COVER SHEET
This is to be completed by the Contract Manager prior to submission
to City Clerks Office. All portions are to be completed.
If you have questions, please contact City Clerk's Office.
Vendor Name: —"[rp 'or nn
Vendor Number: 359 '--111Cl to
)D Edwards Number
Contract Number: ST/1-,
This is assigned by City Clerk's Office
Project Name: SanhoS SQ u r.�,�u J12 �n-��. t'c e-�A�T�a t1 'MA-t -
Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ❑ Contract
JStOther: (7- nmas S
Contract Effective Date:tit !\'a Termination Date: 1 Z 13 ► 1 ILL
Contract Renewal Notice (Days): n & T��
Number of days required notice for termination or renewal or amendment
:
Contract Manager: Department:
Detail: (i.e. address, location, parcel number, tax id, etc.):
a
S:Publlc\RecordsManagement\Forms\ContractCover\adcc7832 11/08
KENT
WASHINOTON
GOODS & SERVICES AGREEMENT
between the City of Kent and
Trebron Company Inc.
THIS AGREEMENT is made by and between the City of Kent, a Washington municipal
corporation (hereinafter the "City"), and Trebron Company Inc. organized under the laws of the
State of WA, located and doing business at [5506 35`h Ave NE, Seattle, WA 98105 Address,
(206) 527-3477, and Eric Peters] (hereinafter the "Vendor").
AGREEMENT
I. DESCRIPTION OF WORK.
Vendor shall provide the following goods and materials and/or perform the following
services for the City:
Sophos Security and Data Protection and Sophos Mobile Security Control Licenses
for 36 months. These products provide antivirus and intrusion protection software
licenses. See Quote# 11022011-EP dated November 2, 2011, as attached Exhibit A.
Vendor acknowledges and understands that it is not the City's exclusive provider of these
goods, materials, or services and that the City maintains its unqualified right to obtain these
goods, materials, and services through other sources.
II. TIME OF COMPLETION. Upon the effective date of this Agreement, Vendor shall
complete the work and provide all goods, materials, and services from January 3, 2012.
III. COMPENSATION. The City shall pay the Vendor an amount not to exceed
$72,116.25, including applicable Washington State Sales Tax, for the goods, materials, and
services contemplated in this Agreement. The City shall pay the Vendor the following amounts
according to the following schedule:
January 2012 - $24,038.75
January 2013 - $24,038.75
January 2014 - $24,038.75
GOODS & SERVICES AGREEMENT - 1
(Over$10,000.00, including WSST)
If the City objects to all or any portion of an invoice, it shall notify Vendor and reserves
the option to only pay that portion of the invoice not in dispute. In that event, the parties will
immediately make every effort to settle the disputed portion.
A. Defective or Unauthorized Work. The City reserves its right to withhold payment
from Vendor for any defective or unauthorized goods, materials or services. If
Vendor is unable, for any reason, to complete any part of this Agreement, the City
may obtain the goods, materials or services from other sources, and Vendor shall
be liable to the City for any additional costs incurred by the City. "Additional costs"
shall mean all reasonable costs, including legal costs and attorney fees, incurred by
the City beyond the maximum Agreement price specified above. The City further
reserves its right to deduct these additional costs incurred to complete this
Agreement with other sources, from any and all amounts due or to become due the
Vendor.
B. Final Payment: Waiver of Claims. VENDOR'S ACCEPTANCE OF FINAL PAYMENT
SHALL CONSTITUTE A WAIVER OF CLAIMS, EXCEPT THOSE PREVIOUSLY AND
PROPERLY MADE AND IDENTIFIED BY VENDOR AS UNSETTLED AT THE TIME
REQUEST FOR FINAL PAYMENT IS MADE.
IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent
Contractor-Employer Relationship will be created by this Agreement. By their execution of this
Agreement, and in accordance with Ch. 51.08 RCW, the parties make the following
representations:
A. The Vendor has the ability to control and direct the performance and details
of its work, the City being interested only in the results obtained under this
Agreement.
B. The Vendor maintains and pays for its own place of business from which
Vendor's services under this Agreement will be performed.
C. The Vendor has an established and independent business that is eligible for a
business deduction for federal income tax purposes that existed before the
City retained Vendor's services, or the Vendor is engaged in an
independently established trade, occupation, profession, or business of the
same nature as that involved under this Agreement
D. The Vendor is responsible for filing as they become due all necessary tax
documents with appropriate federal and state agencies, including the Internal
Revenue Service and the state Department of Revenue.
GOODS & SERVICES AGREEMENT - 2
(Over$10,000.00, including WSST)
E. The Vendor has registered its business and established an account with the
state Department of Revenue and other state agencies as may be required
by Vendor's business, and has obtained a Unified Business Identifier (UBI)
number from the State of Washington.
F. The Vendor maintains a set of books dedicated to the expenses and earnings
of its business.
V. NON APPROPRIATION CLAUSE. City covenants and represents to Vendor that:
(a) Buyer has budgeted and has available for the current fiscal year sufficient
funds to comply with its obligations under this agreement;
(b) There are no present circumstances with City that could reasonably be
expected to adversely affect City's ability to budget funds for the payment of all sums due under
this agreement;
(c) City believes that funds can be obtained in amounts sufficient to make all
payments during the term of the agreement and intends to make all required payments for the
full term of the contract;
(d) City covenants that it will do all things within its power to obtain, maintain
and properly request and pursue funds from which payments may be made, specifically including
in its annual budget requests amount sufficient to may payments for the full term of this
agreement; and
(e) City will not give priority in the appropriation of funds for the acquisition or
use of additional property performing functions similar to the Product(s).
Notwithstanding the foregoing, City will, in good faith, use its best efforts to fulfill the following:
(a) that it will undertake all reasonable efforts to obtain appropriations of funds for all fiscal
periods during which this Agreement is scheduled to remain in effect; (b) that if this Agreement
is terminated in accordance with the preceding paragraph, City will not purchase, lease, rent,
receive for free, subscribe or use any equipment or services which perform the same or similar
functions as, or functions taking the place of, those performed by the equipment, software and
services provided by Vendor under this agreement, and shall not permit such functions to be
performed by its own employees or by any agency or entity affiliated with or hired by City for
the balance of the fiscal period in which such termination occurs or the next succeeding fiscal
period(s) thereafter; and (c) that City will not, during the term of this agreement, give priority in
the application of funds to any other functionally similar equipment or services. Vendor has the
legal right to perform or have performed an audit of City's systems to insure that City in fact has
not installed any product or services on its computer(s). If City has in fact installed any
software or hardware products that perform similar or the same functions of these products then
City is both liable to fulfill the original contract in full and pay for the reasonable cost of such an
audit.
City agrees to provide Vendor with an opinion of its counsel relating to the circumstances of non-
appropriation.
VI. CHANGES. The City may issue a written amendment for any change in the goods,
materials or services to be provided during the performance of this Agreement. If the Vendor
determines, for any reason, that an amendment is necessary, Vendor must submit a written
amendment request to the person listed in the notice provision section of this Agreement,
GOODS & SERVICES AGREEMENT - 3
(Over$10,000.00, including WSST)
section XIV(D), within fourteen (14) calendar days of the date Vendor knew or should have
known of the facts and events giving rise to the requested change. If the City determines that
the change increases or decreases the Vendor's costs or time for performance, the City will
make an equitable adjustment. The City will attempt, in good faith, to reach agreement with the
Vendor on all equitable adjustments. However, if the parties are unable to agree, the City will
determine the equitable adjustment as it deems appropriate. The Vendor shall proceed with the
amended work upon receiving either a written amendment from the City or an oral order from
the City before actually receiving the written amendment. If the Vendor fails to require an
amendment within the time allowed, the Vendor waives its right to make any claim or submit
subsequent amendment requests for that portion of the contract work. If the Vendor disagrees
with the equitable adjustment, the Vendor must complete the amended work; however, the
Vendor may elect to protest the adjustment as provided in subsections A through E of Section
VII, Claims, below.
The Vendor accepts all requirements of an amendment by: (1) endorsing it, (2) writing a
separate acceptance, or (3) not protesting in the way this section provides. An amendment that
is accepted by Vendor as provided in this section shall constitute full payment and final
settlement of all claims for contract time and for direct, indirect and consequential costs,
including costs of delays related to any work, either covered or affected by the change.
VII. CLAIMS. If the Vendor disagrees with anything required by an amendment,
another written order, or an oral order from the City, including any direction, instruction,
interpretation, or determination by the City, the Vendor may file a claim as provided in this
section. The Vendor shall give written notice to the City of all claims within fourteen (14)
calendar days of the occurrence of the events giving rise to the claims, or within fourteen (14)
calendar days of the date the Vendor knew or should have known of the facts or events giving
rise to the claim, whichever occurs first. Any claim for damages, additional payment for any
reason, or extension of time, whether under this Agreement or otherwise, shall be conclusively
deemed to have been waived by the Vendor unless a timely written claim is made in strict
accordance with the applicable provisions of this Agreement.
At a minimum, a Vendor's written claim shall include the information set forth in
subsections A, items 1 through 5 below.
FAILURE TO PROVIDE A COMPLETE, WRITTEN NOTIFICATION OF CLAIM
WITHIN THE TIME ALLOWED SHALL BE AN ABSOLUTE WAIVER OF ANY
CLAIMS ARISING IN ANY WAY FROM THE FACTS OR EVENTS
SURROUNDING THAT CLAIM OR CAUSED BY THAT DELAY.
A. Notice of Claim. Provide a signed written notice of claim that provides the following
information:
1. The date of the Vendor's claim;
2. The nature and circumstances that caused the claim;
3. The provisions in this Agreement that support the claim;
4. The estimated dollar cost, if any, of the claimed work and how that
estimate was determined; and
5. An analysis of the progress schedule showing the schedule change or
disruption if the Vendor is asserting a schedule change or disruption.
GOODS & SERVICES AGREEMENT - 4
(Over$10,000.00, including WSST)
B. Records. The Vendor shall keep complete records of extra costs and time incurred
as a result of the asserted events giving rise to the claim. The City shall have
access to any of the Vendor's records needed for evaluating the protest.
The City will evaluate all claims, provided the procedures in this section are
followed. If the City determines that a claim is valid, the City will adjust payment
for work or time by an equitable adjustment. No adjustment will be made for an
invalid protest.
C. Vendor's Duty to Complete Protested Work. In spite of any claim, the Vendor shall
proceed promptly to provide the goods, materials and services required by the City
under this Agreement.
D. Failure to Protest Constitutes Waiver. By not protesting as this section provides,
the Vendor also waives any additional entitlement and accepts from the City any
written or oral order (including directions, instructions, interpretations, and
determination).
E. Failure to Follow Procedures Constitutes Waiver. By failing to follow the procedures
of this section, the Vendor completely waives any claims for protested work and
accepts from the City any written or oral order (including directions, instructions,
interpretations, and determination).
VIII. LIMITATION OF ACTIONS. VENDOR MUST, IN ANY EVENT, FILE ANY LAWSUIT
ARISING FROM OR CONNECTED WITH THIS AGREEMENT WITHIN 120 CALENDAR DAYS FROM
THE DATE THE CONTRACT WORK IS COMPLETE OR VENDOR'S ABILITY TO FILE THAT SUIT
SHALL BE FOREVER BARRED. THIS SECTION FURTHER LIMITS ANY APPLICABLE STATUTORY
LIMITATIONS PERIOD.
IX. WARRANTY. This Agreement is subject to all warranty provisions established
under the Uniform Commercial Code, Title 62A, Revised Code of Washington. Vendor warrants
goods are merchantable, are fit for the particular purpose for which they were obtained, and will
perform in accordance with their specifications and Vendor's representations to City. The Vendor
shall correct all defects in workmanship and materials within one (1) year from the date of the
City's acceptance of the Contract work. In the event any part of the goods are repaired, only
original replacement parts shall be used—rebuilt or used parts will not be acceptable. When
defects are corrected, the warranty for that portion of the work shall extend for one (1) year
from the date such correction is completed and accepted by the City. The Vendor shall begin to
correct any defects within seven (7) calendar days of its receipt of notice from the City of the
defect. If the Vendor does not accomplish the corrections within a reasonable time as
determined by the City, the City may complete the corrections and the Vendor shall pay all costs
incurred by the City in order to accomplish the correction.
X. DISCRIMINATION. In the hiring of employees for the performance of work under
this Agreement or any sub-contract, the Vendor, its sub-contractors, or any person acting on
behalf of the Vendor or sub-contractor shall not, by reason of race, religion, color, sex, age,
sexual orientation, national origin, or the presence of any sensory, mental, or physical disability,
discriminate against any person who is qualified and available to perform the work to which the
employment relates.
,I
GOODS & SERVICES AGREEMENT - 5
(Over$10,000.00, induding WSST)
Vendor shall execute the attached City of Kent Equal Employment Opportunity Policy
Declaration, Comply with City Administrative Policy 1.2, and upon completion of the contract
work, file the attached Compliance Statement.
XI. INDEMNIFICATION. Vendor shall defend, indemnify and hold the City, its
officers, officials, employees, agents and volunteers harmless from any and all claims, injuries,
damages, losses or suits, including all legal costs and attorney fees, arising out of or in
connection with the Vendor's performance of this Agreement, except for that portion of the
injuries and damages caused by the City's negligence.
The City's inspection or acceptance of any of Vendor's work when completed shall not be
grounds to avoid any of these covenants of indemnification.
IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE
INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE VENDOR'S WAIVER OF IMMUNITY
UNDER INDUSTRIAL INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF THIS i
INDEMNIFICATION. THE PARTIES FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY
NEGOTIATED THIS WAIVER.
In the event Vendor refuses tender of defense in any suit or any claim, if that tender was
made pursuant to this indemnification clause, and if that refusal is subsequently determined by a
court having jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the
Vendor's part, then Vendor shall pay all the City's costs for defense, including all reasonable
expert witness fees and reasonable attorneys' fees, plus the City's legal costs and fees incurred
because there was a wrongful refusal on the Vendor's part.
The provisions of this section shall survive the expiration or termination of this
Agreement.
XII. INSURANCE. The Vendor shall procure and maintain for the duration of the
Agreement, insurance of the types and in the amounts described in Exhibit [Not Applicable]
attached and incorporated by this reference.
XIII. WORK PERFORMED AT VENDOR'S RISK. Vendor shall take all necessary
precautions and shall be responsible for the safety of its employees, agents, and subcontractors
in the performance of the contract work and shall utilize all protection necessary for that
purpose. All work shall be done at Vendor's own risk, and Vendor shall be responsible for any
loss of or damage to materials, tools, or other articles used or held for use in connection with the
work.
XIV. MISCELLANEOUS PROVISIONS.
A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City
requires its contractors and consultants to use recycled and recyclable products whenever
practicable. A price preference may be available for any designated recycled product.
B. Non-Waiver of Breach. The failure of the City to insist upon strict performance of
any of the covenants and agreements contained in this Agreement, or to exercise any option
conferred by this Agreement in one or more instances shall not be construed to be a waiver or
relinquishment of those covenants, agreements or options, and the same shall be and remain in
full force and effect.
GOODS & SERVICES AGREEMENT - 6
(Over$10,000.00, including WSST)
C. Resolution of Disputes and Governing Law. This Agreement shall be governed by
and construed in accordance with the laws of the State of Washington. If the parties are unable
to settle any dispute, difference or claim arising from the parties' performance of this
Agreement, the exclusive means of resolving that dispute, difference or claim, shall only be by
filing suit exclusively under the venue, rules and jurisdiction of the King County Superior Court,
King County, Washington, unless the parties agree in writing to an alternative dispute resolution
process. In any claim or lawsuit for damages arising from the parties' performance of this +
Agreement, each party shall pay all its legal costs and attorney's fees incurred in defending or
bringing such claim or lawsuit, including all appeals, in addition to any other recovery or award
provided by law; provided, however, nothing in this paragraph shall be construed to limit the
City's right to indemnification under Section XI of this Agreement.
D. Written Notice. All communications regarding this Agreement shall be sent to the
parties at the addresses listed on the signature page of the Agreement, unless notified to the
contrary. Any written notice hereunder shall become effective three (3) business days after the
date of mailing by registered or certified mail, and shall be deemed sufficiently given if sent to
the addressee at the address stated in this Agreement or such other address as may be
hereafter specified in writing.
E. Assignment. Any assignment of this Agreement by either party without the written
consent of the non-assigning party shall be void. If the non-assigning party gives its consent to
any assignment, the terms of this Agreement shall continue in full force and effect and no
further assignment shall be made without additional written consent.
F. Modification. No waiver, alteration, or modification of any of the provisions of this
Agreement shall be binding unless in writing and signed by a duly authorized representative of
the City and Vendor.
G. Entire Agreement. The written provisions and terms of this Agreement, together
with any Exhibits attached hereto, shall supersede all prior verbal statements of any officer or
other representative of the City, and such statements shall not be effective or be construed as
entering into or forming a part of or altering in any manner this Agreement. All of the above
documents are hereby made a part of this Agreement. However, should any language in any of
the Exhibits to this Agreement conflict with any language contained in this Agreement, the terms
of this Agreement shall prevail.
H. Compliance with Laws. The Vendor agrees to comply with all federal, state, and
municipal laws, rules, and regulations that are now effective or in the future become applicable
to Vendor's business, equipment, and personnel engaged in operations covered by this
Agreement or accruing out of the performance of those operations.
I. Counterparts. This Agreement may be executed in any number of counterparts,
each of which shall constitute an original, and all of which will together constitute this one
Agreement.
1
GOODS & SERVICES AGREEMENT - 7
(Over$10,000.00, including WSST)
IN WITNESS, the parties below execute this Agreement, which shall become
effective on the last date entered below.
VENDOR: CITY OF KENT:
��
By:_ � � By:
(Sig tire) (signature)
Print Name: ( , Jo r' �'�'' Pr Nam S zette Cooke a
Its Tiee-s AZT I a or
(title)
DATE: 12 I ) / DATE: /
NOTICES TO BE SENT TO: NOTICES TO BE SENT TO:
VENDOR: CITY OF KENT:
Eric Peters Mike Carrington
Trebron Company Inc. City of Kent
5506 35`h Ave NE 220 Fourth Avenue South
[Seattle, WA 98105 Kent, WA 98032
(206) 527-3477 (telephone) (253) 856-4600 (telephone)
(206) 527-4288 (facsimile) (253) 856-4700 (facsimile)
APPROVED AS TO FORM:
'yM& I!a& G,
Kdrit Law Department
P\Clvil\Files\Open Files\0073-2011 Information Technology General\Sophos doc
GOODS & SERVICES AGREEMENT - 8
(Over$10,000.00, including WSST)
DECLARATION
CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY
The City of Kent is committed to conform to Federal and State laws regarding equal opportunity.
As such all contractors, subcontractors and suppliers who perform work with relation to this
Agreement shall comply with the regulations of the City's equal employment opportunity
policies.
The following questions specifically identify the requirements the City deems necessary for any fi
contractor, subcontractor or supplier on this specific Agreement to adhere to. An affirmative
response is required on all of the following questions for this Agreement to be valid and binding.
If any contractor, subcontractor or supplier willfully misrepresents themselves with regard to the 1
directives outlines, it will be considered a breach of contract and it will be at the City's sole
determination regarding suspension or termination for all or part of the Agreement;
The questions are as follows:
1. I have read the attached City of Kent administrative policy number 1.2.
2. During the time of this Agreement I will not discriminate in employment on the basis of
sex, race, color, national origin, age, or the presence of all sensory, mental or physical
disability.
3. During the time of this Agreement the prime contractor will provide a written statement to
all new employees and subcontractors indicating commitment as an equal opportunity
employer.
4. During the time of the Agreement I, the prime contractor, will actively consider hiring and
promotion of women and minorities.
S. Before acceptance of this Agreement, an adherence statement will be signed by me, the
Prime Contractor, that the Prime Contractor complied with the requirements as set forth
above.
By signing below, I agree to fulfill the five requirements referenced above.
Dated this —�— day of 0-2 c p-'m Lei' , 20-U.
By: 1 .1
For: ��� V ycn ary\
Title:
Date:
EEO COMPLIANCE DOCUMENTS - 1 of 3
CITY OF KENT
ADMINISTRATIVE POLICY
NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998
SUBJECT: MINORITY AND WOMEN SUPERSEDES: April 1, 1996
CONTRACTORS APPROVED BY Jim White, Mayor
POLICY:
Equal employment opportunity requirements for the City of Kent will conform to federal and
state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee
equal employment opportunity within their organization and, if holding Agreements with the City
amounting to $10,000 or more within any given year, must take the following affirmative steps:
1. Provide a written statement to all new employees and subcontractors indicating
commitment as an equal opportunity employer.
2. Actively consider for promotion and advancement available minorities and women.
Any contractor, subcontractor, consultant or supplier who willfully disregards the City's
nondiscrimination and equal opportunity requirements shall be considered in breach of contract
and subject to suspension or termination for all or part of the Agreement.
Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public
Works Departments to assume the following duties for their respective departments.
1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these
regulations are familiar with the regulations and the City's equal employment opportunity
policy.
2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines.
i
EEO COMPLIANCE DOCUMENTS - 2 of 3
CITY OF KENT
EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT
This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the
Agreement.
I, the undersigned, a duly represented agent of
Company, hereby acknowledge and declare that the before-mentioned company was the prime
contractor for the Agreement known as that was entered into on
the (date), between the firm I represent and the City of
Kent.
I declare that I complied fully with all of the requirements and obligations as outlined in the City
of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity
Policy that was part of the before-mentioned Agreement.
Dated this day of , 20
By:
For:
Title:
Date:
EEO COMPLIANCE DOCUMENTS - 3 of 3
kx
Treb on soPHos
www trebron com Gold Par-ner
COMPANY INC.
November 2, 2011 QUOTE M 11022011-EP
Billed to: City of Kent
220 Fourth Avenue South
Kent, WA 98032
Attn W James Hettrick 253-856-4610
Jhettrick(o)ci kent wa us
Account Executive Quote Valid Until Payment Terms
Eric Peters 12-31-2011 Special Trebron Payment Plan /Net 30
3 Year Pricin
Qty Included Components Term Total Price
Users Months $USD
1,000 Sophos Security and Data Protection 36 $65,859 60
30 Sophos Mobile Security Control 36 Included
Subtotal $65,859 60
Total (Excluding tax & shipping as applicable) $65,859 60
Special Trebron Payment Plan
❑ Payment 1 Due January 1, 2012 $21,953 20
❑ Payment 2 Due January 1, 2013 $21,953 20
❑ Payment 3 Due January 1, 2014 $21,953 20
Notes:
Licenses-granted pursuant to the terms of the Sophos End User License Agreement(EULA)
Order Confirmation Please sign and fax to(206-527-4288)or email to your Trebron Sales Rep:
I understand that by signing this Purchase Order/Quote confirmation I agree to the following
• 1 am authorized by the"billed to"party to purchase the item listed above
• All information is accurate with regard to price, description,quantity and address
• The"billed to" party agrees to pay the invoice in accordance with terms of net 30
• Late Charges will be billed after 30 days at 18% rate of interest including, but not limited to legal fees to collect
• Product licenses provide rights to utilize the subject software to a maximum of the quoted quantity
• Nothing in this quote shall be construed as creating an obligation on the part of Sophos rather than a right to enter into an
agreement with the"billed to"party described above
• To take advantage of the Trebron Payment Plan a "Trebron Purchase Agreement"will also need to be signed.
a
1
Authorized Signature L Date t n
Print name �X Z-P� CoO & Title 1 •t Or —_//
Purchase Order# q� �3� Ship to address s�as Billed to? 201es ❑No
Ship to Address :;Lao Lk-� S�aa t111_d SUA;� \ )�Q T W A,
Seattle,WA(Corporate) 5506 35t°Ave NE,Seattle,WA 98105 1 Office(206)527-3477 1 Fax(206)527-4288
Spokane,WA Office(509)926-6529 1 Fax(206)527-4288
Springfield,MO Office(417)473-9199 1 Fax(206)527-4288
REQUEST FOR MAY®R`S SIGNATURE
,,,40 a
KENT Please Fill in All Applicable Boxes
WRSHINGTON
Routing Information (ALL REQUESTS MUST FIRST REROUTED THROUGH THE LAW DEPARTMENT)
Originator. Phone (Originator):
Date Sent: Date Required: �a_
Return Signed Document to: CONTRACT TERMINATION DATE:
VENDOR NAME: DATE OF COUNCIL APPROVAL:
Brief Explanation of Document: �-ro ;1 �}
-
3 �eac Co��YCLL� rec�4tJ4` t�J'��� oL 1;,��CL P�rnan�5
T'h',s So;4Warc PrtAmcA-5 our t\jt.kwork mom VkrtxS25 0.�Nd
All Contracts Must Be Routed Through the Law Department
(This Aiea tIbIC,,ompieted 6y the Law Department)
Received:
f
Approval of Law Dept.: AIE
Law Dept. Comments:
DEC 19 2011
KEN
Date Forwarded to Mayor 12 2-0
Shaded Areas to Be Completed by Administration Staff ; Tic n f fit iif:
Received:
Recommendations & Comments:
Disposition- ,,BCD 7�1J
CjT ntn;
Date Returned•
hge5870 • 3/05