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AG 09-235RETURN TO: THO KRAUS CITY OF FEDERAL WAY LAW DEPARTMENT REQUEST FOR CONTRACT PREPARATION/DOCUMENT REVIEW/SIGNATURE ROUTING SLIP l. ORIGINATING DEPT./DIV: FINANCE 2. ORIGINATING STAFF PERSON: THO KRAUS EXT: 2520 3. DAT'E REQ. BY: NOVEMBER 13, 2009 TYPE OF DOCUMENT REQUESTED (CHECK ONE) CONTRACTOR SELECTION DOCUMENT (E.Cx, RFB, RFP, RFQ) 0 PUBLIC WORKS CONTRACT SMALL PUBLIC WORKS CONTRACT PROFESSIONAL SERVICE AGREEMENT MAINTENANCE AGREEMENT GOODS AND SERVICE AGREEMENT HUMAN SERVICES CDBG REAL ESTATE DOCUMENT SECURITY DOCLTMENT (E.G. soxn �i.a�n nocvMErrTS) ORDINANCE RESOLUTION CONTRACT AMENDMENT (AG#): OTHER 5. PROIECT NAME: KING COUNTY DIItECTORS' ASSOCIATION INTERGOVERNMENTAL COOPERATIVE PROCUREMENT AGREEMENT 6. NAME OF CONTRACTOR: ADDRESS: SIGNATURE NAME: _TELEPHONE TITLE 7. EXHIBITS AND ATTACHMENTS: SCOPE WORK OR SERVICES COMPENSATION INSURANCE REQUIItEMENTS/CERTIFICATE 0 ALL OTHER REFERENCED EXHIBITS PROOF OF AUTHORTI'Y TO SIGN REQUIRED LICENSES PRIOR CONTRACT/AMENDMENTS 8. TERM: COMNIENCEMENT DATE: COMPLETION DATE: 9. -TOTAL COMPENSATION (INCLUDE EXPENSES AND SALES TAX IF' nNY) (IF CALCULATED ON HOURLY LABOR CHARGE ATTACH SCHEDULES OF EMPLOYEES TTI'LES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: O�s No g' �S MAXIMUM DOLLAR AMOUNT: IS SALES TAX OWED YES NO IF YES, PAID BY: O CONTRACTOR CTTY PURCHASING: PLEASE CHARGE TO: 1� 10. CONTRACT REVIEW INITIAL DATE REVIEWED II�TITIAL DATE APPROVBI2 PROJECT MANAGER DIRECTOR RISK MANAGEMENT (IF �PL�C.e,BLE) LAW 11. CONTRACT SIGNATURE ROUTING SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D: ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS INITIAL DATE SIGNE J J ��¢JIAMC.�, LAW DEPARTMENT Q� I I S� O`� I L 1�1 Y- SIGNATORY (C1vt ox D1xEEC1'ox) T t I V� CITY CLERK SSIGNED AG# AG# Z IGNED COPY RETURNED��I� DATE SENT: K�7TIrI ��Y 1�C� 4/9 WASHINGTON ASSOCIATE MEMBERSHIP AGREEMENT PUBLIC AGENCIES (Intergovernmental Cooperative Purchasing/Procurement Agreement) PURSUANT TO CHAPTER 39.34 RCW and to other provisions of law, the King County Directors' Association Purchasing Department, hereinafter called "KCDA", and the following named public agency of the State of Washington, City of Federal Way, hereinafter called "the public agency", hereby agree to cooperative governmental purchasing and procurement upon the following terms and conditions: 1. KCDA, in contracting for the purchase of inerchandise, supplies and equipment (hereinafter referred to as "goods") and procurement of services 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 procurement of 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 or procurement of any �articular dass of gc�ods or services, with �r w�thout notice ta KCDA. 4. KCDA reserves the right to exclude the undersigned public agency, or any dass containing the undersigned public agency, from any particular purchasing or service 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 othervvise 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. 6. This agreement shall continue in force in perpetuity, except that either party may cancel this agreement on thirty (30) day written notice. 7. Contacts: A. Public Agency: City of Federal Wav Name of Individual: Tho Kraus Phone: (253) 835-2520 Fax l253) 835-2509 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-Mail www.kcda.orq Date: Loc. Code Tax: 1732 Agency Name: City of Federal Way Physical Address: 33325 8� ve South PO Box 9718 Federal Way. WA 98063-9718 Printed Name: Signature: Title: Telephone Number: Fax Number: E-Mail Address: Brian Wilson L""" U'f In m City Manager (253) 835-2401 (253) 835-2409 brian.wilson@cityoffederalway.com y �a o} K A Executive Director Date'