HomeMy WebLinkAboutXylem Water SolutionsAGREEMENT
THIS AGREEMENT is made and entered into on the OAday of 2014 by
and between the TOWN OF LOS ALTOS HILLS (hereinafter referred to as "TOWN")
and Xylem Water Solutions USA, Inc. Flygt Products (hereinafter referred to as
"CONTRACTOR"). In consideration of their mutual covenants, the parties hereto agree
as follows:
1. CONTRACTOR. Shall provide or furnish the following specified services and/or
materials:
1) Repair Flygt pump for the Purissima Lift Station
2. EXHIBITS. The following attached exhibits are hereby incorporated into and made
a part of this Agreement:
Proposal from CONTRACTOR dated August 29, 2014
3. TERMS. Theervices and/or materials furnished under this Agreement shall
commence �'��t and shall be completed by i unless terminated
pursuant to Section 5(
4. COMPENSATION. For the full performance of this Agreement:
a. TOWN shall pay CONTRACTOR an amount not to exceed Four thousand nine
hundred -fourteen dollars and zero cents ($4,914.00) within thirty (30) days
following receipt of invoice and completion/delivery of services/goods as detailed
in Sections 1, 2, and 3 of this Agreement and only upon satisfactory
delivery/completion of goods/services in a manner consistent with
professional/industry standards for the area in which CONTRACTOR operates.
TOWN is not responsible for paying for any work done by CONTRACTOR or any
subcontractor above and beyond the not to exceed amount.
b. Town shall not reimburse for any of CONTRACTOR's costs or expenses to
deliver any services/goods. Town shall not be responsible for any interest or late
charges on any payments from Town to CONTRACTOR.
c. CONTRACTOR is responsible for monitoring its own forces/employees/agents/
subcontractors to ensure delivery of goods/services within the terms of this
Agreement. TOWN will not accept or compensate CONTRACTOR for
incomplete goods/services.
Town of Los Altos Hills Page 1 of 4
Short form
Updated 4/23/10
5. GENERAL TERMS AND CONDITIONS.
a. HOLD HARMLESS. CONTRACTOR agrees to indemnify, defend and -hold
harmless the TOWN, its officers, agents and employees from any and all
demands, claims or liability of personal injury (including death) and property
damage of any nature, caused by or arising out of the performance of
CONTRACTOR under this Agreement. With regard to CONTRACTOR'S work
product, CONTRACTOR agrees to indemnify, defend and hold harmless the
TOWN, its officers, agents and employees from any and all demands, claims or
liability of any nature to the extent caused by the negligent performance of
CONTRACTOR under this Agreement.
b. INSURANCE. CONTRACTOR shall file with the TOWN a certificate of
. insurance before commencing any services under this Agreement as follows:
i. WORKERS COMPENSATION INSURANCE: Minimum statutory
limits.
ii. COMMERCIAL GENERAL LIABILITY AND PROPERTY DAMAGE
INSURANCE: General Liability and Property Damage Combined.
$1,000,000.00 per occurrence including comprehensive form,'
personal injury, broad form personal damage, contractual and
premises/operation, all on an occurrence basis. If an aggregate limit
exists, it shall apply separately or be no less than two (2) times the
occurrence limit.
iii. AUTOMOBILE INSURANCE: $1,000,000.00 per occurrence.
iv. ERRORS AND OMISSIONS INSURANCE: $1,000,000.00 aggregate.
v. NOTICE OF CANCELLATION: The City requires 30 days written
notice of cancellation. Additionally, the notice statement on the
certificate should not include the wording "endeavor to" or "but failure
to mail such notice shall impose no obligation or liability of any kind
upon the company, its agents or representatives."
vi. CERTIFICATE OF INSURANCE: Prior to commencement of services,
evidence of insurance coverage must be shown by a properly
executed certificate of insurance and it shall name "The Town of Los
Altos Hills, its elective and appointed officers, employees, and
volunteers" as additional insureds.
vii. To prevent delay and ensure compliance with this Agreement, the
insurance certificates and endorsements must be submitted to:
Town of Los Altos Hills
26379 Fremont Road
Los Altos Hills, CA 94022
Town of Los Altos Hills Page 2 of 4
Short form
Updated 4/23/10
c. NON-DISCRIMINATION. No discrimination shall be made in the employment of
persons under this Agreement because of the race, color, national origin, age,
ancestry, religion or sex of such person.
d. INTEREST OF CONTRACTOR. It is understood and agreed that this
Agreement is not a contract of employment and does not create an employer-
employee relationship between the TOWN and CONTRACTOR. At all times
CONTRACTOR shall be an independent contractor and CONTRACTOR is not
authorized to bind the TOWN to any contracts or other obligations without the
express written consent of the TOWN. In executing this Agreement,
CONTRACTOR certifies that no one who has or will have any financial interest
under this Agreement is an officer or employee of TOWN.
e. CHANGES. This Agreement shall not be assigned or transferred without
advance written consent of the TOWN. No changes or variations of any kind are
authorized without the written consent of the City Manager. This Agreement may
only be amended by a written instrument signed by both parties.
f. TERMINATION. This Agreement may be terminated by TOWN upon seven (7)
days written notice to CONTRACTOR. Monies owed for work satisfactorily
completed shall be paid to CONTRACTOR within 14 days of termination.
g. RECORDS. All reports, data, maps, models, charts, studies, surveys,
calculations, photographs, memoranda, plans, studies, specifications, records,
files, or any other documents or materials, in electronic or any other form, that
are prepared or obtained pursuant to this Agreement and that relate to the
matters covered hereunder shall be the property of the TOWN. CONTRACTOR
hereby agrees to deliver those documents to the TOWN at any time upon
demand of the TOWN. It is understood and agreed that the documents and
other materials, including but not limited to those described above, prepared
pursuant to this Agreement are prepared specifically for the TOWN and are not
necessarily suitable for any future or other use. Failure by CONTRACTOR to
deliver these documents to the TOWN within a reasonable time period or as
specified by the TOWN shall be a material breach of this Agreement. TOWN
and CONTRACTOR agree that until final approval by TOWN, all data, plans,
specifications, reports and other documents are preliminary drafts not kept by
the TOWN in the ordinary course of business and will not be disclosed to third
parties without prior written consent of both parties. All work products submitted
to the TOWN pursuant to this Agreement shall be deemed a "work for hire."
Upon submission of any work for hire pursuant to this Agreement, and
acceptance by the TOWN as complete, non-exclusive title to copyright of said
work for hire shall transfer to the TOWN. The compensation recited in Section 4
shall be deemed to be sufficient consideration for said transfer of copyright.
CONTRACTOR retains the right to use any project records, documents and
materials for marketing of their professional services.
Town of Los Altos Hills Page 3 of 4
Short form
Updated 4/23/10
h. ENTIRE AGREEMENT. This Agreement represents the entire agreement
between the Parties. Any ambiguities or disputed terms between this Agreement
and any attached Exhibits shall be interpreted according to the language in this
Agreement and not the Exhibits.
This Agreement shall become effective upon its approval and execution by TOWN. In
witness whereof, the parties have executed this Agreement 'the day and year first
written above.
CONTRACT COORDINATOR and
representative for TOWN: CONTRACTOR:
Richard Chiu
Public Works Director 9/26/14
Town of Los Altos Hills By:
26379 Fremont Road Signature Date
Los Altos Hills, CA 94022
Graham A. Hackett, Branch Manager
Print name, Title
TOWN OF LOS ALTOS HILLS:
By:
Carl Cahill, City Manager Date
Town of Los Altos Hills Page 4 of 4
Short form
Updated 4123/10
iem
Estimate #: R2014-FFB-0101
Tag #: 02 78
JobName:
Xylem Water Solutions USA, Inc.
Flygt Products
PRODUCT REPAIR /SERVICE ESTIMATE
Date: 8/29/2014
Company Name: TOWN OF LOS ALTOS HILLS Contact: Richard Chiu
Address 26379 FREMONT RD Telephone: 650-947-2516
Telephone:
Fax: 650-941-3160
LOS ALTOS CA94022 Email:
Following is an estimate prepared for you regarding the repair of your Flygt pump.
Page I of 5
Product Number: Serial Number: 3152.091-0140031
Model:
Impeller Code:
H P.-- 0
Volts: 0
Phases: 0
Inspected By: Marie, Buckmann
Motor Data: Wire Configuration: U1:Red V1 :White W1 .-Black
Megger to ground: R 0.1 Mohms B 0.1 Mohms
W 0.1 Mohms Sensors:
Resistance through cable: RB 0.8 ohms RW 0.8
ohms BW 0.8.ohms F-1 FLS
Stator Condition: Fair El CLS
Shaft Condition: Good KLIX
Oil Condition: Unusable ❑ Bearing
Inspection Plugs:
❑ Cable
Hydraulic: Impeller/Propeller Condition: Unusable Cable Condition: Good
Flygt Products
790-A Chadbourne Rd Fairfield CA 94534 IF, :IV
'00"0111
PH: (707) 422-9894
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FX: (707) 422-9808 a xylembrand
Estimate #: R2014-FFB-0101
Tag #: 0278
JobName:
Xylem Water Solutions USA, Inc.
Flygt Products
PRODUCT REPAIR /SERVICE ESTIMATE
Date: 8/29/2014 Page 2 of 5
Volute Condition: Good
Hydraulic Type: C
Installation
Type: P
Discharge Size: 4
Primary Requirement: Main bearing failure
Cable Length: 10'
F-1 control
Thermals resistance 0.2 ohms.
FIMFV
Found volute discharge seal torn,impeller and wear ring worn,impeller bolt head stripped,stator wet and megs
low. Baked stator -now stator meg reading infinity.
Parts:
Qty PartNo
Description
Sell Price
Total Price
1 601 89 21
KITREPAIR BASIC+ NI 315 2.0911181
$1,836.00
$1,836.00
1 493 39 06
IMPELLER,C SH CODE 269 Cl
$1,476.00
$1,476.00
1 82 13 90
SCREW,ALLEN M 12 X 60 SS
$43.00
$43.00
1 398 92 02
RING,WEAR STATIONARY BRASS
$91.00
$91.00
1 518 89 02
DETECTOR, LEAKAG E UNIT FLS
$198.00
$198.00
1 504 78 09
CABLE UNIT
$107.00
$107.00
Total Price
$3,751.00
Labor and Other Charges:
Qty PartNo Description Sell Price Total Price
11 14-69 00 02A LABOR,SVC FLYGT,NO TAX Z3 -TP MODELS: $97.00 $1,067.00
3000,7000,8000
1 14-69 00 21 C ENV FEE I I -50HP NO TAX TP ENVIRONMENTAL $55.00 $55.00
FEE
1 14-69 00 24A MISC ITEMS,MEDIUM PUMPS TP $41.00 $41.00
Flygt Products
790-A Chadbourne Rd Fairfield CA 94534 V
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PH: (707) 422-9894
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f t a xytem brand
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Esdmate#, R2014-FFB-0101
Tag#: 0278
]obName:
Product Number:
Cost ofNew Unit:
Xylem Water Solutions USA. Inc.
FlygLPrOdUct5
PRODUCT REPAIR / SERVICE ESTIMATE
Date: 8/29/2014
MATERIALS, LUBES 'SOLVENTS, ETC
Total Price
Total Price:
Estimated Delivery: Weeks
Page 3 of 5
$1,163.00
$4'9l4.O0
Please note: If additional repair requirements are identified during service, the total cost of your repair may
change. Should this occur, wewill contact you for approval before proceeding.
A signed Purchase Order or approval below must be received before any repair work can begin.
If repaired unit is not picked up or delivered within 5 days of completion, the repair will be invoiced.
Taxes: The prices quoted above do not include any state, federal, or local sales tax or use taxes. Any such taxes
as applicable must be added to the quoted prices.
Terms of delivery: Freight PP/Add Actual
Validity: This Quote is valid for thirty (30) days.
Terms of payment: Net 30 Standard
Warranty: Parts used for this repair carry a lZ month warranty.
This Quote does not include freight charges.
If this product is not repaired' a fee of $388 will be changed for labor required for the inspection performed. We
will require a purchase order from you for these charges.
PLEASE NOTE: IF WE D(} NOT HAVE A RESPONSE FROM YOU BY: (INPUT DATE APPROX. 2 WEEKS OUT) WE WILL
INVOICE YOU FOR $388FOR THE TIME & LABOR HOURS OUR SERVICE DEPARTMENT HAS ALREADY SPENT |N
PERFORMING THE TEARDDVVN & INSPECTION OF YOUR PRODUCT. YOUR PROMPT ATTENTION & RESPONSE IS
GREATLY APPRECIATED.
Flygt Products
7eo-AChadbourne nu. Fairfield CA 94534
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JobName:
(closing text)
Phone:
Fax:
Xylem Water Solutions USA, Inc.
Flygt Products
PRODUCT REPAIR /SERVICE ESTIMATE
Date: 8/29/2014
Flygt Products
790-A Chadbourne Rd , Fairfield CA 94534
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PH: (707) 422-9894
FX: (707) 422-9808
Page 4 of 5
a xytem brand
Estimate #: R2014-FFB-0101
Tag #: 0278
JobName:
Xylem Water Solutions USA, Inc.
Flygt Products
PRODUCT REPAIR /SERVICE ESTIMATE
Date: 8/29/2014 Page 5 of 5
Complete and sign this Approval and return to Xylem Water Solutions USA, Inc with, or in place of, your Purchase
Order
I authorize Xylem Water Solutions USA, Inc to proceed for the amount shown 0 0
above. Repair Replacement
Customer Name:
Customer Signature:
Ship To:
Ship/Delivery Address:
Bill To:
❑ Will Pick Up ❑Deliver
Date:
PO #:
❑ Ship To
Taxable: ❑Yes ❑ No
Tax Exemption Certificate must be on file or tax will be applied to the invoice.
Flygt Products
790-A Chadbourne Rd Fairfield CA 94534 IF 3W GIV.
A PH: (707) 422-9894
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Form iii
(Rev. August 2013)
Department of the Treasury
Internal Revenue Service
I Name (as shown on your
Ci
a)
0
0
CO
Request for Taxpayer Give Form to the
Identification Number and Certificationwequester. Do not send to the IRS.
tax retum)
Kylem Water Solutions USA, Inc
Bu;slness name/disregarded entity name, if
different from above
Check appropriate box for federal tax classification:
0 Individual/sole proprietor R] c corporation El S corporation Partnership Trustlestate
Limited liability company. Enter the tax classification (C=G corporation, S=S corporation, P=partnership) 0-
U Other (see Instructions) Oo-
Address (number, street, and apt. or suite no.)
14125 South Bridge Circle
City, state, and ZIP -oode
Charlotte, NC 28273
List account number(s) here
Exemptions (see Instructions):
Exempt payee code (If any) '
Exemption from FATCA reporting
code (if any)
Requester's name and address (optional)
LX Identification Number
Enter your TIN In the appropriate b' Social security number
ox. The TIN provided must match the name given on the "Name" tin
to avoid backup withholding. For Individuals, this Is your social security number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page S. For other
entities, it Is your employer identification number (EIN). It you do not have a number, see How to get a
TIN on page 3.
Note. If the account Is In more than one name, see the chart on page 4 for guidelines on whose Employer identification number
number to enter. M46 1 2 r7O 1 0 1 017 1 4' 1
ertification
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer Identification number (or I am waiting for a number to be issued to me), and
2. 1 am not subject to backup Withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
Service {IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am
no longer subject to backup withholding, and
3. 1 am a U.S. citizen or other U.S. person (defined below), and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification instructions. You must cross out item 2 above If you have been notified by the IRS that you are currently subjeot to backup withholding
because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage
interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and
generally, payments other than Interest and divid+endd ou are not required to sign the certification., but you must provide your correct TIN, See the
Instructions on page 3.
sign Signature of
Here U.S. person ► Date 0 -
General Instructions
Section references aro to the Internal Revenue Code unless otherwise noted.
Future developments. The IRS has created a page on IRS.gov for information
about Form W-9, at wwwJrs.gov1w9. Information about any future developments
affecting Form W-9 (such as legislation enacted after we release it) will be posted
on that page.
Purpose of Form
A person who is required to file an information return with the IRS must obtain your
correct taxpayer Identification number (TIN) to report, for example, income paid to
you, payments made to you In settlement of payment card and third party network
transactions, real estate transactions, mortgage Interest you paid, acquisition or
abandonment of secured property, cancellation of debt, or contributions you made
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Use Form W-9 only If you are a U.S. person (including a resident alien), to
provide your correct TIN to the person requesting It (the requester) and, when
applicable, to:
1. Certify that the TIN you are giving Is correct (or you are waiting for a number
to be Issued),
2. Certify that you are not subject to backup withholding, or
3. Claim exemption from backup withholding If you are a U.S. exempt payee. If
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exempt from the FATCA reporting, Is correct,
Note. If you are a U.S. person and a requester gives you a form other then Form
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Definition of a U.S. person. For federal tax purposes, you are considered a U.S.
person If you are:
• An individual who Is a U.S. citizen or U.S. rosident alien,
• A partnership, corporation, company, or association created or organized In the
United States or under the laws of the United States,
• An estate (other than a foreign estate), or
• A domestic trust (as defined In Regulations section 301.7701-7).
Special rules for partnerships. Partnerships that conduct a trade or business in
the United States are generally required to pay a withholding tax under section
1446 on any foreign partners' share of effectively connected taxable Income from
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the rules under section 1446 require a partnership to presume that a partner Is a
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U.S. person that is a partner In a partnership conducting a trade or business In the
United States, provide Form W-9 to the partnership to establish your U.S. status
and avoid section 1446 withholding on your share of partnership Income.
Cat. No. 10231X Form W- (Rev. 8-2013)