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Home My WebLink AboutContract #: 1155 - From: 02-27-2018 To: 02-27-2020 - Power Washer Sales, LLC - DPW _ Charles O.Baker,Governor "!7 OT Karyn E. Polito, Lieutenant Governor Stephanie Pollack, Secretary&CEO Jonathan L. Gulliver, Highway Administrator 4f ghway Division CONTRACT AMENDMENT NOTICE February 14, 2018 Power Washer Sales, LLC. 168 Ayer Road Littleton, MA 01460-1103 Contract Number: 60544 Action Item Date: February 7, 2018 Action Item Number: 7 Dear Mark Casey, Enclosed is a signed copy of your contract amendment with the Massachusetts Department of Transportation, Highway Division. This amendment is regarding an extension of the completion date to February 27, 2020. This amendment is relative to the statewide purchase and service of small equipment as needed by MassDOT. Please insert this amendment into the original contract. T ,,,,w you, e James E. Costello Director of Contracts & Records JEC/rc cc: Fiscal Contracts&Records E-Mail: Max li ialdpausch Ten Park Plaza,Suite 5510,Boston,MA 02116 Leading the Nation in transportation Excellence Tel:857-368-9537,Fax:857-368-0623 www.mass.gov/massdot Charles D. Baker,Governor Karyn E. Polito, lieutenant Govemor Stephanie Pollack,Secretary&CEO ssDOT Jonathan L. Gulliver, Highway Administrator4f AHIgMhway DIvIsIon February 14, 2018 Contract#: 60544 Location: statewide Power Washer Sales, LLC. 168 Ayer Road Littleton, MA 01460-1103 Dear Mark Casey, Enclosed is a Certificate of Exemption Form ST-2 along with a Purchaser's Sales Tax Exempt Form (ST-5) for Power Washer Sales, LLC., which substantiates the Tax Exempt status of this Department under the provisions of Chapter 64H, s6 (d), (e), (f) or (tt). The duration of the tax forms are from February 28, 2018 until February 27, 2020. All purchases of tangible personal property or services by this Department are exempt from taxation to the extent that such property or services are used in the conduct of the business of the purchaser. If your contract is extended beyond the completion date on the Purchaser's Sales Tax Exempt Form(ST-5), please notify the Director of Contracts &Records for issuance of a new certificate. V truly y s W,Y Y W"r YYr James E. Costello Director of Contracts & Records JEC/rc Enc. Contact: MassDOT - Planning & Enterprise Services Ten Park Plaza— Suite 5510 Boston, MA 02116-3973 857-368-9537 Ten Park Plaza,Suite 5510,Boston,MA 02116 Leading the Nation in Transportation Excellence Tel:857-368-9537,Fax:857-368-0623 www.mass.gov/massdot �77assD Charles D.Baker,Governor Karyn E. Polito, Lieutenant Governor Stephanie Pollack,Secretary&CEO PO7- OT Jonathan L. GulliverHighway Administrator4f Highway a nspmudon ST-2 MASSACHUSETTS DEPARTMENT OF REVENUE CERTIFICATE OF EXEMPTION Certification is hereby made that the organization herein named is an exempt purchaser under General Laws, Chapter 64H, § 6 (d) and (e) . All purchases of tangible personal property by this organization are exempt from taxation under said chapter to the extent that such property is used in the conduct of the business of the purchaser. Any abuse or misuse of this certificate by any tax-exempt organization of any unauthorized use of this certificate by any individual constitutes a serious violation and will lead to revocation. Willful misuse of this Certificate of Exemption is subject to criminal sanctions of up to 1 year in prison and $10, 000 ($50, 000 for corporations) in fines . COMMONWEALTH OF MASSACHUSETTS EXEMPTION NUMBER MASSACHUSETTS DEPARTMENT OF 046-002-284 TRANSPORTATION ISSUE DATE HIGHWAY DIVISION February 28, 2018 TEN PARK PLAZA, SUITE 5510 CERTIFICATE EXPIRES ON BOSTON, MA 02116 February 27, 2020 NOT ASSIGNABLE OR TRANSFERABLE COMMISSIONER OF REVENUE MIKE HEFFERNAN CONTRACTOR NAME & ADDRESS : Power Washer Sales, LLC. 168 Ayer Road Littleton, MA 01460-1103 CONTRACT NUMBER: 60544 PROJECT: statewide - Purchase and service of small equipment as needed by MassDOT Ten Park Plaza,Suite 5510,Boston,MA 02116 Leading the Nation in Transportation Excellence Tel:857-368-9537,Fax:857-368-0623 www.mass.gov/massdot Form ST-5 Rev.6109 Massachusetts Sales Tax Exempt Department of CertificatePurchaser Revenue Part 1. Exempt taxpayer information. To be completed by exempt government or 501(c)(3)organization. Name Massachusetts Department of Transportation-Planning &Enterprise Services Address 10 Park Plaza City State Zip Boston, MA 02116 Exemption number 04-6002284 Issue date Date of expiration of certificate February 28,2018 February 27, 2020 Certification is hereby made that the organization named above is an exempt purchaser under Massachusetts General Laws,Chapter 64H,sections 6(d) or 6(e).All purchases of tangible personal property or services by this organization are exempt from taxation under said chapter to the extent that such property or services are u he conduct of the business of the purchaser.Any abuse or misuse of this certificate by any tax-exempt organization or tfti any unauzed use this c b nstitutes a serious violation and will lead to revocation. ZSign ,, Title pate Director of Contracts&Records February 14,2018 arning:Willful misuse of this certificate may result in criminal tax evasion sanctions of up to one year in prison and$10,000($50,000 for corporations)in fines. '/ Part 2. Agent information. To be completed by agent of exempt government or 501(c)(3)organization. Name of agent's organization Power Washer Sales, LLC. (MassDOT Contract#60544) Address 168 Ayer Road city State Zip Littleton, MA 01460-1103 Agent's name Address City State Zip certify that in making this purchase,I am acting as an agent for the exempt organization named above(select one): 2 Government organization(local public school,city/town government,state agency,etc.). Attach Form ST-2,if available.If Forrn ST-2 is not available,enter exemption number,if known: ❑ 501(c)(3)organization(parochial school,Scout troop,etc.).Form ST-2 must be attached. Signature Title Date Part 3. Vendor information Vendor's name Check applicable box: ❑Single purchase certificate(attach detailed receipts or complete Part 4,on reverse) ❑+ Blanket certificate a M This form is approved by the Commissioner of Revenue and may be reproduced. Part 4. Description of property purchased Date Description Quantity Cost $ $ $ $ Total cost $ informationGeneral An exempt 501(c)(3)organization must have obtained a Certificate of Ex- 1 of Form ST5 should be filled out by the exempt government organiza- emption(Form ST-2)from the Commissioner of Revenue certifying that it is tion.if Part 1 is not completed by the exempt government organization,the entitled to exemption under G.L. c.641-1, §6(s).The 501(c)(3)organization agent must enter the name,address,and,if available,the exemption num- must submit to the vendor a properly completed Sales Tax Exempt Pur- ber of the government organization on whose behalf the purchases are be- chaser Certificate(Form ST-5)signed by the 501(c)(3)organization with a ing made.Also enter a description of the property purchased into Part 4. copy of its Form ST-2 attached. The agent must complete Part 2 when acting on behalf of the exempt gov- Any person,group or organization purchasing as an agent on behalf of a emment organization.The purchaser must attach to the Form ST-5 a copy 501(c)(3)organization must certify that it is doing so by presenting to the of the exempt government organization's Form ST-2 if available. If it is not vendor a property completed Form ST-5 signed by the 501(c)(3)organiza- available,the purchaser must enter the exemption number of the exempt tion.It must also present a copy of the 501(c)(3)organization's Form ST-2. government organization. The agent of the exempt 501(c)(3) organization must complete Part 2 of Other information for vendors Form ST-5. Vendors should verify the validity of the certificate presented to them by Any government organization is encouraged to obtain a Certificate of Ex- checking the expiration date on the certificate.Vendors must not honor a emption(Form 5T-2)from the Commissioner of Revenue,certifying that it Certificate of Exemption that has expired. is entitled to exemption under G.L. c.64, §6(d).The exempt government Government organization maintain Form ST-2.Certificates of Exemption that organization is encouraged to submit to the vendor a properly completed have an expiration date of"None." Sales Tax Exempt Purchaser Certificate (Form ST-5) with a copy of its Form ST 2 attached.If the government organization does not present Form Vendors should call the Customer Service Bureau at(617)887-6367 if they ST-5,the vendor must maintain adequate documentation(generally,a copy have any questions regarding a Certificate of Exemption which is presented of the government check)verifying that the purchaser is an exempt gov- to them. ernment agency. If you have any questions about completing this certificate,please contact: Any person,group or organization purchasing on behalf of exempt govem- Massachusetts Department of Revenue, Customer Service Bureau, ment organizations must certify that they are doing so by presenting to the 200 Arlington Street,Chelsea,MA 02150;(617)6$7-6367. vendor a properly executed Form ST-5 when making such purchases. Part MASSDOT STANDARD CONTRACT FORM This form is issued and published by the Massachusetts Department of Transportation(MassDOT or Department). Any changes to the official printed language of this form shall be void. Additional non-conflicting terms may be added by Attachment.Contractors may not require any additional agreements,engagement letters,contract forms or other additional terms as part of this Contract without prior Department approval. Click on hyperlinks for definitions,instructions and legal requirements that are incorporated by reference into this Contract COT CTOR LE L A E: SeLea L DEPART ENT NAME: Massachusetts Department of Transportation (and dlbfa): MMARt2liggirtment Code: DOT aI Add s:('W-0,WATW: 1-1 Bpslness !limn Add s: 10 Park Plaza,Boston,MA 02116 Con l; naner: lllin Address(it different): "All: f�l Con of anao r: Max Foldpausch Phone: Fax: Ern il: MaXJaIdkaUachMotstam.Ma.UJ Contractor Vendor Code: Phone: 857.3684139 Fax: Vendor Code Address I (e.g."AD001"): AD 001. ARS Doc I f 1:JNTF0000k03c00060544 (Note:The Address Id Must be set up for EFT payments.) RFPJProcurement or Other ID umber: mdotweston061 CONTRACTNEW X COT T PROCUR M T OR EXCEPTION TYPE:(Check one option only) Enter Current Contract End Date Prlorto Amendment 2QZ 20jL. ° e Contract(OSD or an OSD-designated Department) Enter Amendment Amount:$ .(or"no change") Colle ° e Purchase(Attach OSD approval,scope,budget) A_END ENT TYPE:(Check one option only.Attach details of Amendment changes.) _D a rnent Procurement(includes State or Federal grants 815 CMR 2.00) 2L Arendment to 0 or Budget(Attach updated scope and budget) (Attach RFR and Response or other procurement supporting documentation) Interim Co act(Attach justification for Interim Contract and updated scope/budget) _ me envy Contract(Attach justification for emergency,scope,budget) — _Con ct mplov (Attach Employment Status Fo scope,budget) _Co ci Employ (Attach any updates to scope or budget) _LeplslativelLo aI or her:(Attach authorizing language/justification,scope and _L Isla elLega!or her:(Attach authorizing languagerlustification and updated budget) I scope and budget) The following MassDOT-TERMS D CONDITIONS('f8C)has been executed,Tiled with CTR and is incorporated by reference into this Contract. 2L MassDOT Terms and Conditions COMPENSATION:(Check ONE option):The Department certifies that payments for authorized performance accepted in accordance with the terms of this Contract will be suppoded in the state accounting system by sufficient appropriations or other non-appropriated funds,subject to intercept for MassDOT/Commonwealth owed debts under 815 CMR 9.00. 2L Rate Contract(No Maximum Obligation, Attach details of all rates,units,calculations,conditions or terms and any changes if rates or terms are being amended.) __aximum Obilgation Conract Enter Total Maximum Obligation for total duration of this Contract(or new Total if Contract is being amended).$ PR PAY ENT DISCOUNTS P Commonwealth payments are issued through EFT 45 days from invoice receipt Contractors requesting accelerated payments must identify a PPD as follows: Payment issued within 10 days_%PPD;Payment issued within 15 days_%PPD;Payment issued within 20 days_%PPD;Payment iss in L30 days_%PPD. If PPD percentages are left blank,identify reason: agree to standard 45 day cycle_statutorydegal or Ready Payments(G..L.c,29,623A1;_only initial payment(subsequent payments scheduled to support standard EFT 45 day ment cycle.See Pram P Dis n Poli BRIEF DESCRIPTION OF CONT CT PERFOR ANCE or R SON FORA EN ENT:(Enter the Contract title,purpose,fiscal year(s)and a detailed description of the scope of performance orwhat is being amended for a Contract Amendment. Attach all supporting documentation and justifications.)Exercising final year renewal for the purchase Service of Small equipment for use throughout MassDOT.All equipment and services will be ordered on an as needed basis. ANTICIPATED START DATE: (Complete ONE option only)The Department and Contractor certify for this Contract,or Contract Amendment,that Contract obligations: _1.may be incurred as of the ctive Date(latest signature date below)and no obligations have been incurred prior to the Effective Date. 2L 2.may be incurred as of._20 ,20 18 ,a date LATER than the Effective Date below and no obligations have been incurred prior to the Effective Date. _3.were incurred as of .20 ,a data PRIOR to the Eftive Date below,and the parties agree that payments for any obligations incurred prior to the Effective Da &are authorized to be made either as settlement payments or as authorized reimbursement payments,and that the details and circumstances of all obligations under this Contract are attached and incorporated into this Contract. Accapitanoe of Wents forever releases the Commonwealth and MassDOT from further claims related to these obligations,. COT CT END DATE: Contract performance shall terminate as of 2127 .20 20 with no new obligations being incurred after this date unless the Contract is properly amended,provided that the terms of this Contract and performance expectations and obligations shall survive its termination for the purpose of resolving any claim or dispute,for completing any negotiated terms and warranties,to allow any close out or transition performance,reporting,invoicing or final payments,or during any lapse between amendments. CERTIFICATIONS: Notwithstanding verbal or other representations by the parties,the"Effective Date"of this Contract or Amendment shall be the latest date that this Contract or Amendment has been executed by an authorized signatory of the Contractor,the Department,or a later Contract or Amendment Start Date specified above,subject to any required approvals, The Contractor makes all certifications required under the attached Contractor Certifications(incorporated by reference if not attached hereto)under the pains and penalties of perjury,agrees to provide any required documentation upon request to support compliance,and agrees that all terms governing performance of this Contract and doing business in Massachusetts are attached or incorporated by reference herein according to the following hierarchy of document precedence,the MassDOT Terms and Conditions http:l nsnetidocslComAo ass DOTTermsandCondltl ns doc this Standard Contract Form including the Instructions and Contractor Certifications, the Request for Response (RFR)or other solicitation,the Contractor's Response,and additional negotiated terms,provided that additional negotiated terms will take precedence over the relevant terms in the RFR and the Contractor's Response only if made using the process outlined in $01 CMR 21.07,incorporated herein,provided that any amended RFR or Response terms result In best value,lower costs,or a more cost effective Contract. AUTHORIZING SIGNATURE FOR THE CONTRACTOR: A [ZING I ATURE'FOR Ma55D ;.� X: Date: X: Date: l (Signature and at Be Handwritten At Time of Signature) V m( na and Date Must Be Handwritten At Time of Signature) Print Name: Print Name: Jonathan Gulliver _ Print Title: Print Title: Highway Administrator _ . ,... ........ (Updated 3121/2014) Page 1 of 5 Issued May Massachusetts Department of Transportation 2004 CONTRACTOR AUTHORIZED SIGNATORY LISTING CONTRACTOR LEGAL NAME: Poww U"kar Sk CONTRACTOR VENDOR/CUSTOMER CODE: vc 0000310W UT PROOF OF AUTHENTICATION OF SIGNATURE It is a requirement of MassDOT to obtain authentication of signatures for all signatories listed on the attached Contractor Authorized Listing This Section MUST be completed by the Contractor Authorized Signatory in presence of notary. Signatory's ftill legal inaine(print or type): V'Vj,(AAC_ St Title: X =77c>Signature as it will appear on contra r oth)r document(Complete only in presence of notary): AUTHENTICATED BY NOTARY OR CORPORATE CLERK(PICK ONLY ONE)AS FOLLOWS: 1 7—, Ifom AS X, &Wmo (NOTARY)as a notary public certify that I witnessed the signature of the aforementioned signatory above and I verified the individual's identity on this date: 74-a"AA IV 3 20/9 C'. My commission expires on: nL7reqL, i 2.t 19 AFFIX NOTARY SEAL (CORPORATE CLERK)certify that I witnessed the signature of the aforementioned signatory above,that I verified the individual's identity and confirm the individual's authority as an authorized signatory for the Contractor on this date: 20 AFHX CORPORATE SEAL MassDOT May 2014 Issued May Massachusetts Department of Transportation 2004 CONTRACTOR AUTHORIZED SIGNATLISTING CONTRACTOR LEGAL NAME: QbAl- WWt-__ .54145 L.LC CONTRACTOR VENDORICUSTOMER CODE: VC C)p00 390,b j INSTRUCTIONS: Any Contractor (other than a sole-proprietor or an individual contractor) must provide a listing of individuals who are authorized as legal representatives of the Contractor who can sign contracts and other legally binding documents related to the contract on the Contractor's behalf. In addition to this listing, any state department may require additional proof of authority to sign contracts on behalf of the Contractor, or proof of authenticity of signature (a notarized signature that the Department can use to verify that the signature and date that appear on the Contract or other legal document was actually made by the Contractor's authorized signatory,and not by a representative, designee or other individual.) NOTICE: Acceptance of any payment under a Contract or Grant shall operate as a waiver of any defense by the Contractor challenging the existence of a valid Contract due to an alleged lack of actual authority to execute the document by the signatory. For privacy purposes DO NOT ATTACH any documentation containing personal information, such as bank account numbers, social security numbers, driver's licenses, home addresses, social security cards or any other personally identifiable information that you do not want released as part of a public record. The Commonwealth reserves the right to publish the names and titles of authorized signatories of contractors. AUTHORIZED SIGNATORY NAME TITLE t certify that I am the President, Chief Executive Officer, Chief Fiscal Officer, Corporate Clerk or Legal Counsel for the Contractor and as an authorized officer of the Contractor I certify that the names of the individuals identified on this listing are current as of the date of execution below and that these individuals are authorized to sign contracts and other legally binding documents related to contracts with the Commonwealth of Massachusetts on behalf of the Contractor. I understand and agree that the Contractor has a duty to ensure that this listing is immediately updated and communicated to any state department with which the Contractor does business whenever the authorized signatories above retire, are otherwise terminated from the Contractor's employ, have their responsibilities changed resulting in their no longer being authorized to sign contracts with the Commonwealth or whenever new signatories are designated. w Date: Signature Title: Telephone: Fax: 617S- YSrG 3!3a Email: Y1141,14 e f- wti` L vaj ez Sc be S , CC s-1-1 [Listing can not be accepted without all of this information completed.] A copy of this listing must be attached to the "record copy" of a contract filed with the department. MassDOT May 2014 COMMONWEALTH OF MASSACHUSETTS Prompt Pay Discount Form (Znvoice discounts Revised 3/9/07 Bidder r' Lic tt Sc�,rs LC.L Vendor Code (VCUST): G i;d :1g0 INZ'1 of avrnei P All contractors/vendorsdoing business with the Commonwealth provide ro pt Payment Discount ( P ) for receiving earlyn unless the Contractor/vendor can provide compelling o that providing a prompt pay discount would be unduly burdensome. Contractors ene t from y Increased, usable cash flow as a result of fast and efficient payments for commodities or services rendered. ont e agree to accept Electronic Funds Transfer ( ) Increase the prompt pay benefit by ensuring that funs are paiddirectly to their designated bankaccounts, thus eliminating the delayof check clearance policl s and traditional mail lead time, Payments processed through the state accounting s ) can be tracked n verified ro o troll is Yend r._ eh system using h nor/Cu o r Code assignedto you by a Commonwealthdepartment. The Commonwealthbenefits because contractors reduce the cost of products and services through the applieddiscount® While Bidders/Contractorshave xf ili In determining the actualdiscount(s) offered to the Commonwealth, the discount(s) must be Identified for 10, 1 , 20 and/or 30 daysfor payment issuance In the column nil " o Discount Off ProposedPrice" I . The Commonwealthy use the prompt paydiscounts submitted I for selection and may negotiate i c n s deemed in the best Interest f the Commonwealth. The requirement to offer PPD discountsy be waived Commonwealthn a case-by-case basI If participation In the program ! unduly burdensome, provided the specific reason for the hardshipIs tlinbelow. II discounts offered will be taken In cases where the payment Issue t Is i i specified u r of s listed belown ce r ee with the Commonwealth'sill Paying Policy. Payment days wIll be measured f[M the dater ci cc / performance was completed n Invoice Is receivedy the Commonwealth, Ic y r11 1=L2 the datepayment Is Issued (preferred met ) or mailedy the StateTreasurer, The datey "Issuiew Is t payment is considered I "not the date a payment Is"received"by a Contractor. f internal Bidder/Contractor systems requireI tmeasuring payment Issue dates, the Bidder/Contractor t note the Issues Iow or on an attached page If necessary to be considered the PMT. In cases wherethe Bidder/Contractor considers that offeri rompt Payment Discount would hardship,be a the Biddert clearly Issues and reasonsfor said hardship. Providing volume discountsr other discounts on prices Is not considered a hardship, since the PPD providesi o 1 beneft of early cash Contractor. Enter the Prompt Payment Discount ) off the Invoice y nt, for each of the payment Issue listed, If the payment Is issued withinc!fied Pay nt Issue days. For example: If no discount Is offered n r Prompt Payment Discount i�% Pavirrient Issue Date w/In 30 Days ontractor Is fde a prompt paymentI II ! f r Contractor/Siddor Authorized Signatureto