HomeMy WebLinkAboutLW16-039 - Original - King County Directors' Association - Washington Associate Membership Agreement: Public Agencies Intergovernmental Cooperative Purchasing/Procurement Agreement - 02/04/2016 go
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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: King County Director's Association
Vendor Number:
JD Edwards Number
Contract Number: L-V\i i U — C)2)0p
This is assigned by City Clerk's Office
Project Name: Interlocal Agreement for Cooperative Purchasing
Description: ® Interlocal Agreement ❑ Change Order ❑ Amendment ❑ Contract
❑ Other:
Contract Effective Date: Termination Date: 30 Days Notice
Contract Renewal Notice (Days): 30
Number of days required notice for termination or renewal or amendment
Contract Manager: Tammy White Department: Law Department
Contract Amount:
Approval Authority: ❑ Department Director ❑ Mayor ® City Council
Detail: (i.e. address, location, parcel number, tax id, etc.):
As of: 08/27/14
i
WASHINGTON ASSOCIATE MEMBERSHIP
AGREEMENT—PUBLIC AGENCIES -
(Intergovernmental CooperativeI
Purchasing/Procurement Agreement)
PURSUANT TO CHAPTER 39.34 RCW and to other provisions of law, they King County,Dlrectpis' Assoclatlon, herolnafter called
"KCDA",and the following named public agency of the Stale of Washington, `%(' ` ` Ref: hereinafter called"the public
agency",hereby agree to cooperative Governmental purchasing and procurement u on the following terms and conditions:
1. KCDA,in contracting for the purchase of merchandise,supplies and equipment(hereinafter referred to as"goods)and procurement of
service for the member public school districts,agrees to contract also on behalf of the public agency,to the extent permitted bylaw and
agreed upon by the parties.
2. KCDA will contract for Iho purchase of goods and services according to the laws and regulations governing purchases by and on behalf
of the public school system of the State of Washington. The public agency accepts responsibility for compliance with any additional or
varying lavrs and regulations governing purchases or procurement by or on behalf of the public agency in question.
3. The public agency reserves the right(o contract Independently for the purchase of any particular class of goods or services, vrith or
Wthoul notice to KCDA
4. KCDA reserves the right to exclude the undersigned public agency,or any class containing the undersigned public agency, from any
particular purchasing contract,with orvfithout notice to the public agency.
5. The public agency agrees to pay for goods and services as billed by KCDA upon completion of transfer of goods or performance of
services per normal terms as established by KCDA,unless otherwise provided In the contract governing such purchase or service.Any
additional expense Incurred by KCDA In regard to any transaction for the public agency shall be paid by the public agency.
A. Charier Schools. For purchase orders(hat exceed 570,000,charter schools,as defined In the State of Washington
RCWs,must either pay for the purchase/procurement In advance,or provide a cash/sum(y bond bene0lting KCDA,prior !,
to the completion of transfer of goods or performance of services.
6. This agreemen(vAl be filed Will the county auditor or listed by subject on a public agency's website prior to its entry Into force. Following
such filing andfor posting, It shall continue in force In perpetuity,except(haf either party may cancel this agreement on thirty(30)days j
written notice.
7. Contacts: 3
A. Public Agency: 4'-i"�`-� £,'' " f.F%N
Name of Individual: I hti. 0 ri5 f,-- -- `(
Phone: (&Kr1 F, SPrC` +:Fax(2 ,4) AlSt '�Ijd 7 E-Mall
t
a. KCDA (425)251-8116
10639 80"Ave.S.(98032) 1-800 4225019
P.O.Box 5550 Fax(253)395-5402
Kent,WA 98064-5550 E-Mail%wnv.kcda ora
Date: }:' I...`-` tua Lon Code Tax: -_._______
tt.. S.
Agency Name: i /'�� t& +�c
Physical Address: 2.`f w,4- fbe)ti-A ._ tu-vt:h
Printed Name: ,'.l$r,��
Signature: . --6
Title:
Telephone lumber._--"'"
E-Mail Address: >���,�1-`'<° G'> (,t) (i
:T.
KCpA Date
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J`r fJ
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C PURCHASING COOPERATIVE
10639-801h Ave,S.o B0.Box 5550 a Kent,WA 98064.5550 o Phone 425.251-0115 a Fax 263-395-5402 o wlvvtkcda.org
Member Profile
Member/Agency
Mailing Address ", 'JrJP k "r >- =- county u
City t; State Zip
y 0
Phone Number e $' Cr if 4 WebsiteAddress I wi`
(For different,or mulrple ship to addresses please attach a separate list) 1
Shipping Address
City State Zip
Do orders placed by your Agency personnel require a purchase order number? P'Yes ®No
If no,what Is the maximum purchase amount that does not require a PO? $
How did you hear about KCDA? l.
What prompted you to become a KCDA Member?
Add Contact Information on Applicable Agency Personnel:
Supe7rinlepdentrExfecuhve Director/CE0 Phone Number Maintenance Supervisor Phone Number
�^, t U, '�: }t,�{) ' ee,, � /q� r t_`� 1 .1 . . ...r C v`t{ -. 'd leis= alb. Wti -)
�r�tailAddJess ,r FaXNum er a-mail Address Fax Number
' �i k V' h - r ' ,@}(I : a 1 F r;P't
'C.tA Ft Or. -th A.fEt �. t4�6,' /t, °,JL ( ,�{ 01 60bdf. t�;� i, y,,•,t {, r� - ijl¢. ,,
Business Manager/City Managed FO { Phone Number Transportatlgn S�qervisor Phone Number
( r''.r`
- Yc. S t t `"1 rt t.'--' ��J' ar i,,j y• t_ }, U:/
e-mail Andres Fax Number mail Idr �s a_Number
F X� ts, Ur ,- ,. i aX F x
"v4'f (�� ,itgl. �r•�jrf "� 1 � i 'f( t2 Yt ii {��P'k (�'14rr 7(<4 b� .T t i'�1; }
Purchasing Manager Phone Number Athletic Direct r/Parks Department Phone_Number
'
��� .5liy) T)
(Q-mail Address - '' , Fax.,NUmbef -mail Address } Fax Numbe
1,li� �j'i' +•i;� U 14 ri`tv%��
Buyer/City Clerk Phone Number Fadlllies/Pupbli orks Manager r Phone Number
"774 0t-i
Address
tls J." ress
r , rrrA , r FaxN mbeeplall d
x Number
(,i AI L LllrJCt,bIfY
Accounts Payable Phone Num er IT Manager Phone Number
{1}ilr`� �;.r}art �tr„`` t r. ir.c S, l�f ,.t {
e-rpall Address Fax Number e-mail Add_ress F Number
d 'C� ,i ti �ait� �lir ,la . ' kr ,t"Uww -!''l4" t€�, 'J.k.2 .`"0i, :gib` �� �� t ''}�D
Food SeryicAdminlstrator ��f. 7 PhonelN7umber (tVyarnhouse Meager 0
�,} 1 Phone Number
/-`
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t �t a)�("..it/Xlt �,rY;,(fr,� i,:�h 'n ��i ,i,( (' t. 4 t 4` i? i% iJN
Operation/Cusfqcli,al Supervisor, Ph0 e,Number Print Sho Manager Phone Number
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g-ma{�ilAddress Fax Number a-marl Adtlress Fax Number
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YourName� Fr€',L � " Phone Date
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WASHINGTON ASSOCIATE MEMBERSHIP 1,
AGREEMENT-PUBLIC AGENCIES
(Intergovernmental Cooperative
Purchasing/Procurement Agreement)
PURSUANT TO CHAPTER 39.34 RCW and to other provisions of law, tht.I ing County Directgrs' Association, hereinafter called
"KCDA",and the following named public agency of the State of Washington, 6 •G hereinafter called"the public
agency",hereby agree to cooperative Governmental purchasing and procurement ullon the following terms and conditions:
1. KCDA, in contracting for the purchase of merchandise,supplies and equipment(hereinafter referred to as"goods')and procurement of
service for the member public school districts,agrees to contract also on behalf of the public agency,to the extent permitted by law and
agreed upon by the parties.
2. KCDA will contract for the purchase of goods and services according to the laws and regulations governing purchases by and on behalf
of the public school system of the State of Washington. The public agency accepts responsibility for compliance with any additional or
varying laws and regulations governing purchases or procurement by or on behalf of the public agency in question.
3. The public agency reserves the right to contract independently for the purchase of any particular class of goods or services,with or
without notice to KCDA.
4. KCDA reserves the right to exclude the undersigned public agency, or any class containing the undersigned public agency,from any
particular purchasing contract,with or without notice to the public agency.
5. The public agency agrees to pay for goods and services as billed by KCDA upon completion of transfer of goods or performance of
services per normal terms as established by KCDA,unless otherwise provided in the contract governing such purchase or service.Any
additional expense incurred by KCDA in regard to any transaction for the public agency shall be paid by the public agency.
A. Charter Schools. For purchase orders that exceed$10,000,charter schools,as defined in the State of Washington
RCWs,must either pay for the purchase/procurement In advance,or provide a cash/surety band benefiting KCDA,prior
to the completion of transfer of goods or performance of services.
6. This agreement will be filed with the county auditor or listed by subject on a public agency's website prior to its entry into force. Following
such fling and/or posting,it shall continue in force in perpetuity,except that either party may cancel this agreement on thirty(30)days
written notice.
7. Contacts:
A. Public Agency:
Name of Individual:
Phone: (YS218le S'1 Fax(2 E-Mail er �L IW�.a9✓
B. KCDA (425)251-8115
18639 80'Ave.S.(98032) 1-800-422-5019
P.O.Box 5550 Fax(253)395-5402
Kent,WA 98064-5550 E-Mall wwvv.kcda.oro
Date: o2
w/ Loc.Code Tax:
Agency Name: C1 yayV�-
PhysicalAddress: �i Tboa—� S
WA �
Printed Na4umberu
Signature,.
Title:
Telephone •Fax NumbeE-Mail Addi."l l,U r�.�o
KCDA Executive Director Date
i
KCDAPURCHASING COOPERATIVE
18639-80th Ave.S.® P.O.Box 5550 a Kent,WA 98064-5550 c Phone 425-251-8115 ® Fax 253.395.5402 s www,koda.org
Member Profile
Member/Agency
Mailing Address County- 1,41
City \ State A- Zip
Phone Number �,�/S�y �yt�' v a`l/ Website Address [A) �t�•.`�V
(For different,or multiple ship to addresses please attach a separate list)
Shipping Address
City State Zip
Do orders placed by yourAgency personnel require a purchase order number? Wes ❑No
If no,what is the maximum purchase amount that does not require a PO? $
How did you hear about KCDA?
What prompted you to become a KCDA Member?
Add Contact Information on Applicable Agency Personnel:
Superinte dentlExecutive Director/CEO Phone Number Maintenance Supervisor Phon Number
30a
ail Add ass Nu Der e-m it Address Fax N mbe
C D w�, v - 66
Business Manager/City Manage WO Phone Number Transpo ati n S e visor Phone Number
mail Addreqs ine, L F x Number� � brR$S e) ' nn �/ F fl0 LLILLer
ft
Purchasing Manager Phone Num er thl tic Direct dParks Department V Phone Number
GI�v 1 �' - W(% tiS 8 'VI oo
mailAddre s a Number mail Address Fax Nu be
BE
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Buyer/City Clerk Pho, Number FadlitieSIPUbg Works Manager Phone Number
o t22' 3 gsl� s1�SWQ tmallw
mail Address F Fax Number e-mail tl ress x Numb
Accounts Pa yab e Phone Number IT Manager Phone Number
i N, e v`�G� �2S - ML4 Iwo- lT(\ 3 6
e- ail Address Fax Number e-mail Address Number
QFA
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Food Se IceAdminislrator Phone Number ar house ager / Phone Number
;s 174 -5� t q
e- at Address Fax umb r m IlAddress 4, ' ' Fax ber
'�Yu7M
0 era'onlCu ial Superviso Pho Number Who Manager Phone umber
E boo
mailAddres Fax u ber e-mail Address Fax Num er
E y D f7 bb l�C �I��• V ('2 3 �S�o Db
Your Name I�JNI,t,I � ACJL Phone Date
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