CONTRACT 5738 One Page Service Agreement CLOSEDo
t tlt"iServices 1,
CONTRACTOR: _United Site Services of California, Inc.
Agreement No. 5738
DATE MAILED: 612512019
Below you will find a checklist relating to Insurance and other requirements that are required for doing business with the City of EI
Segundo. Only those items checked -off are MANDATORY, however if your standard policies exceed the minimum requirements please
include. Commercial general liability insurance must meet or exceed the requirements of ISO -CGL Form No. CG 00 01 11 85 or
88, The amount of insurance set forth below will be a combined single limit per occurrence for bodily injury, personal injury, and property
damage for the policy coverage. Liability policies will be endorsed to name the City, its officials, and employees as "additional
insured's" under said insurance coverage and to state that such insurance will be deemed "primary" such that any other
insurance that may be carried by the City will be excess thereto. Such insurance must be on an "occurrence," not a "claims
made," basis and will not be cancelable or subject to reduction except upon thirty (30) days prior written notice to the City.
Please find additional Terms and Conditions on the reverse side of this Services Agreement. This is not a purchase order or an
authorization to begin work.
® Comprehensive General Liability, including coverage for premises, products and completed operations, independent contractors,
personal injury and contractual obligations with combined single limits of coverage of at least $1.000,000 per occurrence.
® Auto Liabilitv, including owned, non -owned and hired vehicles with at least:
® $1,000,000 per occurrence.
❑ $100,000.3'00,000 per occurrence.
❑ As required by State Statutes, A copy of your current policy must be submitted naming yourself and or your company,
® Workers" Compensation Insurance: as required by State Statutes. (Not needed if Self-employed with no employees and
CONTRACTOR signs statement to this effect.)
® Business License: The CONTRACTOR shall agree to have a current City of EI Segundo license on file at City Hall or purchase
said license (at no cost to the City),
❑ Permits: Plans must be approved and permit(s) issued (no fee) by the Planning and Building Safety if appropriate. Call the
Planning Manager @ (310) 524-2340 if you have questions.
❑ Coov of valid picture I,D, (Drivers license etc.)
PLEASE NOTE: ALL APPLICABLE INFORMATION LISTED ABOVE MUST BE OBTAINED AND ON FILE, PRIOR TO THE ISSUANCE OF A CITY
PURCHASE ORDER BEING SENT TO YOU (VIA FAX OR HARD COPY) BY THE RISK MANAGERIPURCHASING AGENT, THUS AUTHORIZING
COMMENCEMENT OF WORK FOR THE CITY.
Submitted by (complete all blanks): COLOR COPY REQUIRED BACK TO THE CITY
Company Name: By (Print name & title):
United Site Services of California, Inc. .5,Ei�, N VJ Jt b ,Q.eL
Company Street Address: Vendor's Authprlaed Slgaturerequirgri:
4511 North Rowland Ave.
City, State, Zip: Date signed:`
EI Monte, CA 91731
Phone: FAX:
(208) 906-0253
Vendor's Email address: Vendor's Web site -
Samantha. t)almer(@
ite:Samantha.palmer(Za unitedsiteservices.com
Mail original agreement and insurance to: City of EI Segundo — City Clerk 350 Main Street, Room 5, Ei Segundo, CA 90245-3813
OriginatodDeparlment Contact: 400tzen
Department Head Approval:
Insurance Approval;
City Attorney City Manager
Date initialed:
Date Approved: - 'l
._.._��.. Dale Approved -
United Site Services 6/25/19
Agreement No. 5738
;.GENERALLY„ The materials, supplies, or services (collectively, "Purchase") officials, and employees. It is expressly understood and agreed that the
covered by this services agreement and purchase order ("order") must be foregoing will survive termination this The
provisions of order. requirements as
furnished by Seller subject to all the terms and conditions contained in this order
to the types and limits of insurance coverage to be maintained by Seller, and any
which Seller, in accepting this order,, agrees to be bound by and comply with in
approval of such insurance by City, are not intended to and will not in any
all particulars. No other terms or conditions are binding upon the parties unless
manner limit or qualify the liabilities and obligations otherwise assumed by Seller
subsequently agreed to in writing. Written acceptance or shipment of all or any
pursuant to this order, including, without limitation, to the provisions concerning
portion of the Purchase covered by this order constitutes unqualified acceptance
indemnification,
of all terms and conditions in this order. The terms of any proposal referred to in
16.WARRANTY. Seller agrees that the Purchase is covered by the most
this order are included and made a part of the order only to the extent it specified
favorable commercial warranties the Seller gives to any customer for the same
the Purchase ordered, the price, and the delivery, and then only to the extent
or substanllally similar supplies or services, or such other more favorable
that such terms are consistent with the terms and conditions of this order,
warranties as is specified in this order. Warranties will be effective
2.INSPECTION. The Purchase furnished must be exactly as specified in this
notwithstanding any inspection or acceptance of the Purchase by City.
order, free from all defects in Seller's performance, design, workmanship, and
11.ASSIGNMENT. City may assign this order, Except as to any payment due
nnaterials, and.,except asotherwise provided, is subject to inspection and test by
under this order„ Seller may not assign or subcontract the order without City's
City at all times and places, It, before final acceptance, any any Purchase is
found to be incomplete, or not as specified, City, may reject it, require Seller to
written approval, Should City give consent, it will not relieve Seller from any
obligations under this order and any transferee or subcontractor will be
correct It without charge, or requi
Agreement No. 5738
United Site Services of California. Inc. Saieaoer on Contact
4511 North Rowland Avenue Samantha Palmer
EI Monte, CA 91731Mobile:
q Office: +1 626-698-3022 x83022
SP- ri " Fax:
SITE SERVICES _ Samantha.Palmer@unitedsiteservices.com
Site Service Quotation
Quote No.: 414-1658941
Quote Date: 06/25/19
Quote Expires: 07/25/19
Sell To: CITY OF EL SEGUNDO
Ship To:
CITY OF EL SEGUNDO
150 ILLINOIS ST
401 SHELDON ST
EL SEGUNDO, CA 90245-4311
EL SEGUNDO, CA 90245
CUSt. #: USS -845886
Attn:
CHRISTOPHER HENTZEN
Phone: 310-524-2716
Phone:
(310) 524-2716
Terms:
Due Upon Receipt
Comments & Special Instructions
— — -- -
*""PREVAtLING WAGES ARE ESTIMATE ONLY. WAGES ARE BASED ON AN 8 HOUR DAY, HOURS WORKED ABOVE ARE
SUBJECT OVERTIME CHARGES. ACTUALL HOURS WILL BE BILLED.
ALL FENCE ORDERS ARE A $450.00 MIN_ (3 28 -DAY BILLING CYCLES).
** ALL FENCE PRICING IS ESTIMATED AND SUBJECT TO CHANGE ONCE INSTALL IS COMPLETE"
RATE INCLUDES INSTALL, ONE TIME REMOVAL, AND 3 28 -DAY BILLING CYCLES. AFTER RATE WILL BE 14% OF INSTALL
PLUS TAX EVERY 28 DAY BILLING CYCLE.
$450 MINIMUM 6' AND 8' FENCE FOR 6 BILLING CYCLES.
-ONSITE MOVES ARE $1 PLF,
-ROCKY GROUND AND HAND CARRY WILL BE AN ADDITIONAL 60 CENT PLF.
-STAND BY AFTER FIRST �/2 HOUR WILL BE $75 EACH ADDITIONAL IA HOUR.
-DRY RUN FEES OF $225 WILLAPPLY IF A CREW SHOWS AND WE ARE NOTABLE TO INSTALLAS SCHEDULED.
-PARTIAL PICK UPS AND ADDITIONAL DELIVERIES NOT MEETING THE $450 MINIMUM WILL INCUR A$225 TRIP
CHARGE PLUS MATERIALS OR DAMAGES.
By accepting this proposal customer warrants that this is not a PLA, PRA„ or CRA contract. Customer further acknowledges that
USS is not authorized to work under these agreements and will agree to pay for any provided services without encumbrance.
INITIAL
PREVAILING WAGE IS ESTIMATE OF INSTALL / PICK UP - ONLY ACTUAL TIME WILL BE CHARGED.
Prevailing wage prelim request must be completed.
a. Will prevailing wages be required for this job? Yes No
b. WIII this project have different phases or locations? Yes No
c. Does this project have a PLA or PSA in place? Yes No
Payroll Contact for Project?
Contact Number.
Lem Unit Quantity From Thru Unit Price Total Price]
Fence - 6x10 T -Stand Panel FT 800 07/01/19 08/29/19 1.55 1,240.00 one time
Environment/Energy/Compliance 184.76 one time
Fence - 6x10 T -Stand Panel Subtotal:... ....... „ .... ..... 1,424.76
Continued..
Agreement No. 5738
United Site Services of California, Inc. SalesDerson Contact
4511 North Rowland Avenue Samantha Palmer
EI Monte, CA 91731Mobile;
Office: +1 626-698-3022 x83022
Fax:
Samantha. Palmer@unitedsiteservices,com
SITE SERVICES11111111111111111111
Site Service Quotation
Quote No.: 414-1658941 Quote Date: 06/25/19 Quote Expires: 07/25/19
Sell To: CITY OF EL SEGUNDO Ship To: CITY OF EL SEGUNDO
150 ILLINOIS ST 401 SHELDON ST
EL SEGUNDO, CA 90245-4311 EL SEGUNDO, CA 90245
Cust. #: USS -845886 Attn: CHRISTOPHER HENTZEN
Phone: 310-524-2716 Phone: (310) 524-2716
Terms: Due Upon Receipt
Item Unit Quantity From Thru Unit Price
Fence - T -Stand EA 82 07/01/19 08/29/19 0.00
Environment/Energy/Compliance
Fence - T -Stand Subtotal: . . . . . . . . . . . . . . ........ ...... . .
Prevailing Wage - Fence ESTIMATE ONLY EA 16 07/01/19 08/29/19 57.00
Environment/Energy/Compliance
Prevailing Wage - Fence ESTIMATE ONLY Subtotal:.... .... ..... .. .. . „ .. .
Total Price
0.00 one time
0.00 one time
0.00
912.00 one time
135.89 one time
1,047.89
.� Total: 2,472.65
Accepted: � Gate: "
Remit To: U tied Services, Po 26 oeaix, AZ 65072.9267
NOTE: Tota es have been calculated for 1 billing period only. Damage Waiver Is optional. Please read the
terms and conditions on the last page of this document for more information.