Contract (PO) Number: 5382

Release Number: 103

Specification Number: 17058

Name of Contractor: PACIFIC CONSTRUCTION SERVICES

City Department: DEPT OF GENERAL SERVICES

Title of Contract: JOB ORDER CONTRACT REHABILITATION OF CITY FACnmES -TARGET MARKEY

Dollar Amount of Release: $102,153.01

GENERAL CONSTRUCTION - PUBLIC WORKS RELATEDRelease Description:

Procurement Services Contact Person: BYRON WHl1TAKER

Vendor Number: 1042543

Submission Date:

, ...

CITY OF CHICAGOBLANKET RELEASE Original (Department)

Furnish the supplies and/or services described below in conformance with conditions set forth herein and in your offer

SITENAME

A

DELIVERYDATE

PAGENUMBER

PURCHASEORDER

RELEASENUMBER

SPECIFICATIONNUMBER

17058

VENDORNUMBER

1042543 1

RELEASEDATE

07/07/2005 5382 103

ORDERED FROM:DELIVER TO: 38-038

DELIVERY CHARGES to be PREPAIDTITLE TO PASS ON DELIVERY

Staci Rae Bixler 744-1636JOB ORDER CONTRACT REHABILITATION OF CITY FACILITIES - TARGET MARKEY

I CONTA~~_-I PO DESCRIPTION:

BLANKET RELEASE

THIS SIGNED RELEASE IS YOUR AUTHORITY TO FURNISH THE SPECIFIED SUPPLIES AND lOR SERVICES IN ACCORDANCEWITH THE TERMS AND CONDITIONS OF THE BLANKET AGREEMENT NUMBER: 5382

38 - DEPT OF GENERAL SERVICESTHIS PURCHASE IS FOR DEPARTMENT:

SUBMIT THE ORIGINAL INVOICE TO:

UNITCOST

1.00

PO ShipLine Line

1 1UOMUSD

TOTAL COST

102,153.01COMMODITY INFORMATION QUANTITY

96842 102,153.01GENERAL CONSTRUCTION - PUBLIC WORKS RELATED

JTP580.D; INSTALL PLUMBING & FENCING; M-4-o17; HANSEN; NO CIP

Dist BFY FUND COST CTR APPR ACCNT ACTV PROJECT RPT CAT

1 002 0497 0382005 4061 220540 0000 90030151 00000o

2 003 0497 0382005 4237 220540 0000 90139151 00000o

3 004 0435 0382005 1345 220540 0000 41183151 00000o

GENRL FUTR000000000

00000 0000

00000 0000

SHIPMENT TOTAl..:

38,303.52

18,849.49

45,000.00

102,153.01

RELEASE TOTAL: 102,153.01

,.

i~~.l2~~.- -

Payment on this order will be made upon receipt of an original vendor Invoice form referencing this order.Submit the original invoice to the department referenced above.

Mark all packages and papers with the purchase number.Any deliveries containing overshlpments will be reflected unless otherwise authorized In thi$ purchase.

This purchase is subject to the City of Chicago General Conditions for Supplies. Work, or Professional Consulting Services; Special Conditions, DisclosureOwnership, Acceptan<:e Page, as applicable, which are attached hereto or incorporated herein by reference.

City of ChicagoDepartment of General Services30 North laSalle StreetChicago,ll60602

A. Definjtk)na 800 Di8ck)BUf8 R8au-.nenls1 .As used herein, the term "Contr8ctaf8 meens a perIOn or entity who h88 any ~ lee.. wIOI the City of C'*8DO.2. PIn8nt to ~ 0nIer 87 -1.-V dty Q)f1If8ct end ~ be ~ by e ~ ~ ft

~ ~ .-:..."~, ~ 8IDneya. ~. ~ ~. ~ ~..8Cb. .and oller ~\f-'M)In .. CX)I1tf8Cb' ... retailed or ~ m r8t8kI will I8Iped b) .. Q)f1If8ct or 118M. ~ P8ItcuI.-. lie ~-'-*Irmust dilclOle the name of 88dlsuch ~. his or her bulNlI eddrell. .. nature of the relationlh".8nd ..8IIDd of fees paid or eItmM8d m be p8id.

3. The ~ illQ ~ m ciIcIoI8 ~ ~ ere paid IdeIy Ivough" Cc.-;v-""~SI8gl8~..'~ ~ any peI8On (e) ~ for axnpenuIkIn or ~ ~ of 8'Y perIOn ~ "'-' IWInIeIf ~ m

inftuence any ieglliltlve or edmlnlstr8tion action, Of (b) any pert or whoee duti81 .. an emp~ of anotherInduc* undert8kkIO m ~ any IegiII8Iive or 8dn*-~wv 8dIon.

B. Certifatk»n

Cor*8cD' her8by ~ .. ~

1. This ~ m 118 ~ng nn88cIon:

PIoject IWM: JTP58OO Lower W-*- ~ PuN

SpecMIc8b.8I or oIh8r identlt;tng ~ 5382/17068

2. N8ne of ~ Pedk ~ s.vk-. kIC.

3. EACH AND EVERY 8t!omey, IobbytIt, ~nWIt,~rt, ~, or oe. PIr8On .-.led Of MtIaP8t8d10 be I8IaiI8d by .. Ccx1Ir8ctor wtUlrelped m or In ~ wtfIthe CX)nVact Of '-Ie 18 Hated below(~~-.~..~:

MBEWBE

or Non

RelationShip(attorney, lobbyist,subcontractor ,etc.)

FEE(lndlcatewhether paidor estimated)

BUSINESSADDRESSName $

IFence Masters Inc, 20400 S Cottage GloveAve

Non S ubcontrador $15,935.00 E8l

McDonagh Demolition Non Subcontractor $81,000.00 Est.

I TO!. TEC PUnbing Contractora I 4366 W Ogden Ave IChicago, IL, 60623

;33 W. Mon~ SlSuIe

2100

MBE Subcontrador $15,304.00 Est.

Pacific Construdlon Services. Inc. MBE Suboontrador $9,914.01 Eat.-

CHECK HERE IF NO SUCH PERSONS HAVE BEEN RETAINED OR ARE ANTICIPATED TO BE RETAItED

4. The Ca1Irac:kIr Under8I8ndI and au"" that the dty may rely on the Inbm8uon provId8d herein and that P'OYk*'Oany ..,;;u.~ « ~ ~N"18IIon ~ ax ~ the ~ n In8Y ... .,~dlle~«...5. The ~ ~ end 8Qf8I8 that in any ca.. In which the Contr8Qor II UfQrt8In wf*h8r . ~ II ~ ~ the EX8aJti¥8 0Id8r. lie Cc.*-*Ir mwt either

uk the cIy wtIe'- ~ II r8qt*8d « make the ~.1'/

,8rldll8tno

~j i\ I~"D88

_. . p (" ¥.i:(~!~~~ \..tileJoh(\ ~ :.soaJZJl.

Na~(Type«Prk1t)

Subscribed and sworn to before me

Disclosure Statement

Disclosure Statement

~

June 27 2005

City of ChicagoRichard M. Daley, Mayor

Ms. Mary A. DempseyInterim Chief Procurement OfficerDepartment of Procurement ServicesCity Hall, Room 403121 North LaSalle StreetChicago, II 60602Department of General Senices

Michi E. PeftaCommissioner Attn: Catherine Mellon

JOC ManagerSuite 370030 North ~e StreetChicago, Dlinois 60602-2586(312) 742-3124(312) 744-9883 (FAX)

bttp://www.cityofchicago.org

Re: JOC Project Number:

Project Title:

Address:

JTP580.D I M-4-Q17

Central Auto Pound - Reconfiguration

400 E. Lower Level Wack

102,153.01

17058

04-435-38-2005-1345-0540-41183-151,02-497-38-2005-4061-0540-90030-151,03-497-38-2005-4237-0540-90139-151

Estimated Cost:

Specification Number:

Funding Source:

Dear Ms. Dempsey:

We request that the above referenced project be contracted under the JobOrder Contracting (JOC) Method. Attachment A describes the scope of workand the appropriateness for using JOC for this project.

Please direct all technical inquiries to Project Manager Ivan Hansen at (312)742-1336 and all other inquiries to Staci-Rae Bixler at 744-1636.

If you concur with our recommendation, please sign below and return a copy forour files.

Sincerely,

M~~!na d & Commissioner

APPROVED: ~/JMs. Mary A DempseInterim Chief Procurement Officer

Approved :

The Department of General Services

JOC Approval LetterUtilizinG JOC For City Construction Proiects

Central Auto Pound/Landscaping400 E. Lower Level Wack

Project No: JTP580.D

For all Proposed JOC Projects, Please complete Items 1 and 2 below. As appropriate, Complete items 3,4 and 5. Attachto MOA (JOC Approval Letter)

1. Please describe the major features of this project.

Consolidate auto pound per Mayor's office and Planning Dept request

2. Please explain why this project could not be bid using the city's traditional bid process and the need to useJOC Procurement system.

Due to time constraints and facility can never be closed.

3. If the project is a one trade project, please provide additional explanation of why it would not be in the city'sbest interest to do the project under JOC.

Mutitrade - Carpenters, plumbers, laborers, painters, iron workers

4. If it is anticipated that over 25% of the project will consist of Non-prepriced items, please provide anexplanation on why JOC should be used.

None at this time

5. If some elements of the proposed JOC Project scope of work are covered by city term agreements, theseelements should be removed from the JOC Project.

no

1

DEPARTMENT OF GENERAL SERVICESBureau of Architecture, Engineering & Construction Management

JOB ORDER CONTRACT (JOC)PRE-CONSTRUCTION FUNDING APPROVAL

Date:User Dept: Streets and sanitation June 27,2005

Phone: (312) 742-1336Ivan HansenOriginator:

Project Number: JTP580.D I M-4..017

Central Auto Pound - ReconfigurationProject Name:

Project Scope: Install all plumbing, and fencing for trailer

400 E. Lower Level WackLocation/Address:

Justification: Must consolidate pound for development

$102,153.01Est. Project Budget:

CIP#:

Funding Strips: 04-435-38-2005-1345-0540-41183-15102-497-38-2005-4061-0540-90030-15103-497-38-2005-4237-0540-90139-151

Funding Verified By: Date:

Can this request be completed by one of the following:

123 ~

YesYesYes

NoNoNo

In-House TradesTerm ContractCompetitive Bid

If No, for any of the above please explain:

APPROVED:

~-~--sr-Date

John J. PIezberI. FiIsI Deputy Commisskmsr ~ Date