HomeMy WebLinkAbout2012-245 Contract - Benyon Sports Surfaces Contract for Resurfacing Tennis Courts sp S 2012
CITY o F CONTRACTOR: e- non Spo Y�-S Sur(-aces ;rnc..._
ASHLAND CONTACT: Tennis Court Resurfacing '
20 East Main Street
Ashland, Oregon 97520 ADDRESS: 19495 SW Teton Ave. Tualatin, Oregon 97062
Telephone: 541/488-6002
Fax: 541/488-5311 TELEPHONE: 503-691-2484
DATE AGREEMENT PREPARED: FAX: 503-692-0491
BEGINNING DATE: September 21, 2012 COMPLETION DATE: October 5, 2012
COMPENSATION: $54,444.00
GOODS AND SERVICES TO BE PROVIDED: Resurfacing ten tennis courts in Ashland Oregon. See Exhibit C
ADDITIONAL TERMS: Contract is,subject to BOLI Prevailing Wages.
NOW THEREFORE, pursuant to AMC 2.50.090 and after consideration of the mutual covenants contained herein the
CITY AND CONTRACTOR AGREE as follows:
1. All Costs by Contractor: Contractor shall, provide all goods as specified above and shall at its own risk and
expense, perform any work described above and, unless otherwise specified, furnish all labor, equipment and
materials required for the proper performance of such work.
2. Qualified Work: Contractor has represented, and by entering into this contract now represents, that any personnel
assigned to the work required under this contract are fully qualified to perform the work to which they will be assigned
in a skilled and worker-like manner and, if required to be registered, licensed or bonded by the State of Oregon, are
so registered, licensed and bonded. Contractor must also maintain a current City business license.
3. Completion Date: Contractor shall provide all goods in accordance with the standards and specifications, no later
than the date indicated above and start performing the work under this contract by the be�yippning date icated
above and complete the work by the completion date indicated above. WQCt�Y Q*V-VAIW
4. Compensation: City shall pay Contractor for the specified goods and for any work performed, lfic g sts and
expenses, the sum specified above. Payments shall be made within 30 days of the date of the invoice. host d the
contract be prematurely terminated, payments will be made for work completed and accepted to date of termination.
Compensation under this contract, including all costs and expenses of Contractor, is limited to $25,000.00, unless a
separate written contract is entered into by the City.
5. Ownership of Documents: All documents prepared by Contractor pursuant to this contract shall be the property of
City.
6. Statutory Requirements: ORS 279B.220, 2796.225, 2796.230, 2796.235, ORS Chapter 244 and ORS 670.600 are
made part of this contract.
7. Living Wage Requirements: If contractor is providing services under this contract and the amount of this contract
is $19,494 or more, Contractor is required to comply with chapter 3.12 of the Ashland Municipal Code by paying a
living wage, as defined in this chapter, to all employees performing work under this contract and to any subcontractor
who performs 50% or more of the work under this contract. Contractor is also required to post the notice attached
hereto as Exhibit B predominantly in areas where it will be seen by all employees.
8. Indemnification: Contractor agrees to defend, indemnify and save City, its officers, employees and agents harmless
from any and all losses, claims, actions, costs, expenses, judgments, subrogations, or other damages resulting from
injury to any person (including injury resulting in death), or damage (including loss or destruction) to property, of
whatsoever nature arising out of or incident to the performance of this contract by Contractor(including but not limited
to, Contractor's employees, agents, and others designated by Contractor to perform work or services attendant to this
contract). Contractor shall not be held responsible for any losses, expenses, claims, subrogations, actions, costs,
judgments, or other damages, directly, solely, and proximately caused by the negligence of City.
9. Termination:
a. Mutual Consent. This contract may be terminated at any time by mutual consent of both parties.
b. City's Convenience. This contract may be terminated at any time by City upon 30 days' notice in writing
and delivered by certified mail or in person.
C. For Cause. City may terminate or modify this contract, in whole or in part, effective upon delivery of
written notice to Contractor, or at such later date as may be established by City under any of the following
conditions:
i. If City funding from federal, state, county or other sources is not obtained and continued at levels
Contract for Resurfacing Tennis Courts, Page 1 of 5
J'
sufficient to allow for the purchase of the indicated quantity of services;
ii. If federal or state regulations or guidelines are modified, changed, or interpreted in such a way
that the services are no longer allowable or appropriate for purchase under this contract or are
no longer eligible for the funding proposed for payments authorized by this contract; or
iii. If any license or certificate required by law or regulation to be held by Contractor to provide the
services required by this contract is for any reason denied, revoked, suspended, or not renewed.
d. For Default or Breach.
i. , Either City or Contractor may terminate this contract in the event of a breach of the contract by
the other. Prior to such termination the party seeking termination shall give to the other party
written notice of the breach and intent to terminate. If the party committing the breach has not
entirely cured the breach within 15 days of the date of the notice, or within such other period as
the party giving the notice may authorize or require, then the contract may be terminated at any
time thereafter by a written notice of termination by the party giving notice.
ii. Time is of the essence for Contractor's performance of each and every obligation and duty under
this contract. City by written notice to Contractor of default or breach, may at any time terminate
the whole or any part of this contract if Contractor fails to provide services called for by this
contract within the time specified herein or in any extension thereof.
iii. The rights and remedies of City provided in this subsection (d) are not exclusive and are in
addition to any other rights and remedies provided by law or under this contract.
e. Obligation/Liability of Parties. Termination or modification of this contract pursuant to subsections a, b, or
c above shall be without prejudice to any obligations or liabilities of either party already accrued prior to such
termination or modification. However, upon receiving a notice of termination (regardless whether such notice is
given pursuant to subsections a, b, c or d of this section, Contractor shall immediately cease all activities under
this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination,
Contractor shall deliver to City all contract documents, information, works-in-progress and other property that are
or would be deliverables had the contract been completed. City shall pay Contractor for work performed prior to
the termination date if such work was performed in accordance with the Contract.
10. Independent Contractor Status: Contractor is an independent Contractor and not an employee of the City.
Contractor shall have the complete responsibility for the performance of this contract.
11. Non-discrimination Certification: The undersigned certifies that the undersigned Contractor has not discriminated
against minority, women or emerging small businesses enterprises in obtaining any required subcontracts.
Contractor further certifies that it shall not discriminate in the award of such subcontracts, if any. The Contractor
understands and acknowledges that it may be disqualified from bidding on this contract, including but not limited to
City discovery of a misrepresentation or sham regarding a subcontract or that the Bidder has violated any
requirement of ORS 279A.110 or the administrative rules implementing the Statute.
12. Asbestos Abatement License: If required under ORS 468A.710, Contractor or Subcontractor shall possess an
asbestos abatement license.
13. Assignment and Subcontracts: Contractor shall not assign this contract or subcontract any portion of the work
without the written consent of City. Any attempted assignment or subcontract without written consent of City shall be
void. Contractor shall be fully responsible for the acts or omissions of any assigns or subcontractors and of all
persons employed by them, and the approval by City of any assignment or subcontract shall not create any
contractual relation between the assignee or subcontractor and City.
14. Use of Recyclable Products: Contractor shall use recyclable products to the maximum extent economically feasible
in the performance of the contract work set forth in this document.
15. Default. The Contractor shall be in default of this agreement if Contractor: commits any material breach or default of
any covenant, warranty, certification, or obligation it owes under the Contract; if it loses its QRF status pursuant to
the QRF Rules or loses any license, certificate or certification that is required to perform the work or to qualify as a
QRF if Contractor has qualified as a QRF for this agreement, institutes an action for relief in bankruptcy or has
instituted against it an action for insolvency; makes a general assignment for the benefit of creditors; or ceases doing
business on a regular basis of the type identified in its obligations under the Contract; or attempts to assign rights in,
or delegate duties under, the Contract.
16. Insurance. Contractor shall at its own expense provide the following insurance:
a. Worker's Compensation insurance in compliance with ORS 656.017, which requires subject employers to
provide Oregon workers' compensation coverage for all their subject workers
b. General Liability insurance with a combined single limit, or the equivalent, of not less than Enter one:
$200,000, $500,000, $1,000,000, $2,000,000 or Not Applicable for each occurrence for Bodily Injury and Property
Damage. It shall include contractual liability coverage for the indemnity provided under this contract.
C. Automobile Liability insurance with a combined single limit, or the equivalent, of not less than Enter one:
$200,000, $500,000, $1,000,000, or Not Applicable for each accident for Bodily Injury and Property Damage,
including coverage for owned, hired or non-owned vehicles, as applicable.
d. Notice of cancellation or change. There shall be no cancellation, material change, reduction of limits or
intent not to renew the insurance coverage(s)without 30 days' written notice from the Contractor or its insurers to
Contract for Resurfacing Tennis Courts, Page 2 of 5
the City.
e. Additional Insured/Certificates of Insurance. Contractor shall name The City of Ashland, Oregon, and its
elected officials, officers and employees as Additional Insureds on any insurance policies required herein but only
with respect to Contractor's services to be provided under this Contract. As evidence of the insurance coverages
required by this Contract, the Contractor shall furnish acceptable insurance certificates prior to commencing work
under this contract. The contractor's insurance is primary and non-contributory. The certificate will specify all of the
parties who are Additional Insureds. Insuring companies or entities are subject to the City's acceptance. If
requested, complete copies of insurance policies, trust agreements, etc. shall be provided to the City. The
Contractor shall be financially responsible for all pertinent deductibles, self-insured retentions and/or self-
insurance.
17. Governing Law; Jurisdiction; Venue: This contract shall be governed and construed in accordance with the laws
of the State of Oregon without resort to any jurisdiction's conflict of laws, rules or doctrines. Any claim, action, suit or
proceeding (collectively, "the claim") between the City (and/or any other or department of the State of Oregon) and
the Contractor that arises from or relates to this contract shall be brought and conducted solely and exclusively within
the Circuit Court of Jackson County for the State of Oregon. If, however, the claim must be brought in a federal
forum, then it shall be brought and conducted solely and exclusively within the United States District Court for the
District of Oregon filed in Jackson County, Oregon. Contractor, by the signature herein of its authorized
representative, hereby consents to the in personam jurisdiction of said courts. In no event shall this section be
construed as a waiver by City of any form of defense or immunity, based on the Eleventh Amendment to the United
States Constitution, or otherwise, from any claim or from the jurisdiction.
18. THIS CONTRACT AND ATTACHED EXHIBITS CONSTITUTE THE ENTIRE AGREEMENT BETWEEN THE
PARTIES. NO WAIVER, CONSENT, MODIFICATION OR CHANGE OF TERMS OF THIS CONTRACT SHALL
BIND EITHER PARTY UNLESS IN WRITING AND SIGNED BY BOTH PARTIES. SUCH WAIVER, CONSENT,
MODIFICATION OR CHANGE, IF MADE, SHALL BE EFFECTIVE ONLY IN THE SPECIFIC INSTANCE AND FOR
THE SPECIFIC PURPOSE GIVEN. THERE ARE NO UNDERSTANDINGS, AGREEMENTS, OR
REPRESENTATIONS, ORAL OR WRITTEN, NOT SPECIFIED HEREIN REGARDING THIS CONTRACT.
CONTRACTOR, BY SIGNATURE OF ITS AUTHORIZED REPRESENTATIVE, HEREBY ACKNOWLEDGES THAT
HE/SHE HAS READ THIS CONTRACT, UNDERSTANDS IT, AND AGREES TO BE BOUND BY ITS TERMS AND
CONDITIONS.
19. Nonappropriations Clause. Funds Available and Authorized: City has sufficient funds currently available and
authorized for expenditure to finance the costs of this contract within the City's fiscal year budget. Contractor
understands and agrees that City's payment of amounts under this contract attributable to work performed after the
last day of the current fiscal year is contingent on City appropriations, or other expenditure authority sufficient to allow
City in the exercise of its reasonable administrative discretion, to continue to make payments under this contract. In
the event City has insufficient appropriations, limitations or other expenditure authority, City may terminate this
contract without penalty or liability to City, effective upon the delivery of written notice to Contractor, with no further
liability to Contractor.
20. Prior Approval Required Provision. Approval by the City of Ashland Council or the Public Contracting Officer is
required before any work may begin under this contract.
21. Certification. Contractor shall sign the certification attached hereto as Exhibit A and herein incorporated by
reference. �po.�
Contractor: ()On I 1av ce$,rnC. City of Ash i
�j�,�1 n
By 1 nature ' By Department Head
R6QP_ - 1ui�6(oiZEi
Print Name Print Name
Title Date
W-9 One copy of a W-9 is to be submitted with �� s
the signed contract. Purchase Order No.
„r r VE K �iVl
`� - 1
..ova
Contract for Resurfacing Tennis Courts, Page 3 of 5
EXHIBIT A
CERTIFICATIONS/REPRESENTATIONS: Contractor, under penalty of perjury, certifies that (a) the
number shown on the attached W-9 form is its correct taxpayer ID (or is waiting for the number to be
issued to it and (b) Contractor is not subject to backup withholding because (i) it is exempt from
backup withholding or (ii) it has not been notified by the Internal Revenue Service (IRS) that it is
subject to backup withholding as a result of a failure to report all interest or dividends, or (iii) the IRS
has notified it that it is no longer subject to backup withholding. Contractor further represents and
warrants to City that (a) it has the power and authority to enter into and perform the work, (b) the
Contract, when executed and delivered, shall be a valid and binding obligation of Contractor
enforceable in accordance with its terms, (c) the work under the Contract shall be performed in
accordance with the highest professional standards, and (d) Contractor is qualified, professionally
competent and duly licensed to perform the work. Contractor also certifies under penalty of perjury
that its business is not in violation of any Oregon tax laws, and it is a corporation authorized to act on
behalf of the entity designated above and authorized to do business in Oregon or is an independent
Contractor as defined in the contract documents, and has checked four or more of the following
criteria:
(1) 1 carry out the labor or services at a location separate from my residence or is in a
specific portion of my residence, set aside as the location of the business.
(2) Commercial advertising or business cards or a trade association membership are
purchased for the business.
(3) Telephone listing is used for the business separate from the personal residence listing.
(4) Labor or services are performed only pursuant to written contracts.
(5) Labor or services are performed for two or more different persons within a period of one
year.
(6) 1 assume financial responsibility for defective workmanship or for service not provided
as evidenced by the ownership of performance bonds, warranties, errors and omission
insurance or liability insurance relating to the labor or services to be provided.
v
Contractor J (Date)
Contract for Resurfacing Tennis Courts, Page 4 of 5
From: 08/2712012 11 :04 #064 P.001 /002
' Z lulu-S
BE Y NO
A Tarkett Sports Company
DATE: August 20, 2012
TO: Bruce Dickens
Ashland Parks and Recreation Department
FAX: (541) 488-5314
FROM: R.L. (Bob) Lundgren
Vice President Tennis
PHONE: (800) 423-5875 or(503) 691-2484 ext. 236
FAX: (503) 692-0491
RE: Ashland Court Resurfacing Project
COURT SURFACING:
Beynon Sports Surfaces, Inc. is pleased to present this bid for the resurfacing of ten (10)
tennis courts per plans and specifications.
TERMS: $54,444.00
If you have any questions, please call me at 1-800-423-5875, ext. 236.
Sincerely,
Beynon Sp Surfacing, Inc.
I aundgr -
R. . (Bob
Vice President Tennis
19495 SW TETON AVENUE,TUALATM,OREGON 97062 0 503.691.2484 0 FAX503.692.0491 0 WWW.BEYNONSPORTS.COM
FORM #10 CITY OF
CONTRACT AMENDMENT APPROVAL REQUEST FORMS H LAN D
Request for a Change Order
Name of Supplier I Contractor I Consultant: �� Total amount of this
contract amendment:
Purchase Order Number:
`r (etd 1.•->> (4._n ne C1e^ G• r `j $
h<� .�s<,rU ✓ ly/fie �?rT'C%e, n-�•,
Title lDescription: „ F.> «<.• G,c-;Kr.•r'<.'cc ` 5 (1
Jl [.
Offer attached contract amendment (. J
Contract Amendment
Original contract amount $ ` f/ n ' 0 %of original contract
Total amount of reg vious contract amendments Y' %of original contract
• Amount of this contract amendment 1 `r ' n`l el> %of original contract
TOTAL AMOUNT OF CONTRACT $ k of original contact
In accordance with OAR 137-0474800:1)The amendment is Albin to scope of procurement as described in the solicitation documents,Sole Source notice or approval of Special
Procurement 2)The amendment is necessary to complyvAlh a change In law that affects performance of the oontracL 3)The amendment results from renegotiation of to terms and
conditions,Including the contract price,of acontract and the amendment is advantageous to the City of Ashland,subject to all of the following conditions:a)goods and services to be
provided under the amended contract are the same as to goods and services to be provided under to unamended contract b)The City determines that,wit all things considered,the
amended contract is at least as favorable to to City as to unamended contract;c)The amended contract does not have a total term greater than allowed in to solcitatbn document,
contract or approval of a Special Procurement An amendment is not within to scope of to procurement 9 to City determines tat If it had described the changes to be made by to
amendment in to procurement documents,it would likely have increased competition or affected award of contract ;
/ U l«�� ru-✓,Cute.y �?�rrr-a_-t_EYr
Contract amendment is within the scope of procurement: YES ✓ NO' (II"NO",requires Council approval l Attach coov of CC.)
Sourcing Method:
SMALL PROCUREMENT-Less than 15,000 INVITATION TO BID or COOPERATIVE PROCUREMENT QRFor
El'YES',the total amount of contract and REQUEST FOR PROPOSAL EXEMPTION PURSUANT TO AMC 2.50
cumulative amendments!;$6,000. ❑ 'YES',the total amount of cumulative Li'YES',the total amount of original contract and
❑If*NO*,amount exceeding authority requires amendments s 25%of original contract amount or cumulative amendments 15$1DOK for Goods&
Council approval.Attach copy of Council $25%000 whichever Is less. Services,s$75K for Personal Services,<$50K for
Communication. ❑If'NO',amount exceeding authority requires Attorney Fees.
❑ Exempt—Reason: Council approval.Attach copy of Council ❑If'NO',amount exceeding authority requires
PERSONAL SERVICES Communication. Council approval.Attach copy of Council
❑ 'YES',Direct appoinlments$35,000 ❑ Exempt—Reason: Communication.
❑ If'NO' requires a roval. ❑ Exempt—Reason:
INTERMEDIATE PROCUREMENT SOLESOURCE EMERGENCY PROCUREMENT
Goods&Services-$5,000 to$100.000 ❑ 'YES',the total amount of cumulative ❑ Written Findings:Document the nature of the
Personal Services -55000 to$75,000 amendments s 25%of original contract amount or emergency,Including necessity and circumstances
'YES',the total amount of cumulative $250,000 whichever is less. requiring the contract amendment
amendments s 25%of original contract amount. ❑If'NO',amount exceeding authority requires ❑ Obtain direction and written approval from City
❑If'NO',amount exceeding authority requires Council approval.Attach copy of Council Administrator
Council approval.Attach copy of Council Communication. ❑ If applicable,attach copy of Council
Communication. ❑ Exempt—Reason: Communication
Exempt—Reason: I ❑ Exempt—Reason:
SPECIALPROCUREMENi INTERGOVERNMENTAL AGREEMENT I
❑'YES',the total amount of original contract and cumulative El'YES',the original contract was approved by City Council.
amendments are within the amount and terms initially approved by Provide dale approved by City Council: (Date)
Council as a Special Procurement. If'NO',Council approval is required.Attach cop v of Council Communication.
❑ If'NO',amount exceeding authority requires Council approval. ❑ Contract amendment approved and signed by City Administrator.
Attach copy of Council Communication.
ProjectNumbe07e,1"�?`—/'�rIAccountNumber/ �!•� _��'�'_�_�� �' Ac untNumber---•--•_—• -
-- ------
'Expenditure must be charged to the a'ppp opd/aJ/e account numbers for the financials to reflect the actual expenditures accu e . Attach extra pages if needed.
Employee Signature•(/�t l.(jY/I�if.�/ 1 Department Head Signature: % �--
(Equaltoor greater than$5, 00) y
Funds appropriated for current fiscal year.' 0/ NO 1%A Zd/
Finance Director(Equal to org4dier than$5,000) Dale
Comments:
Form#10—Contract Amendment Approval Request Form,Request fora Change Order,Page 1 of 1,101112012
ADDENDUM TO CITY OF ASHLAND
CONTRACT FOR RESURFACING TENNIS COURTS
Addendum made this 1st day of October, 2012, between the City of Ashland ("City")
and Benvon Sports Surfaces. Inc. ("Contractor").
Recitals:
A. On September 21, 2012, City and Contractor entered into a "City of Ashland
Contract for Resurfacing Tennis Courts" (further referred to in this addendum as "the
agreement").
B. The parties desire to amend the agreement to modify the project".
City and Contractor agree to amend the agreement in the following manner:
1. The scope of services is modified to add the resurfacing of two (2) basketball courts
at a cost of$7,000_.00 and the painting of four(4) sets of pickle ball lines at a cost of
$1,200.00
2. Except as modified above the terms of the agreement shall remain in full force and
effect.
CONTRACTOR: CITY OF LAND:
BY BY
Department Head
Its .Date 12
DATE I U - -t- J L 2—
Purchase Order# 57
Acct.No.:
(For City purposes only)
1-CITY OF ASHLAND,ADDENDUM TO CONTRACT FOR RESURFACING TENNIS COURTS
From: ��T �T09/26/2012 12:03 #162 P.001 1001
BE 1lolO
A Tarkett Sports Company
DATE: September 26, 2012
TO: Bruce Dickens
Ashland Parks and Recreation Department
FAX: (541)488.5314
FROM: R.L. (Bob) Lundgren
Vice President Tennis
PHONE: (800)423-5875 or(503)691-2484 ext. 236
FAX: (503) 692-0491
RE: Additional Surfacing and Pickle ball line striping
Beynon Sports Surfaces, Inc. is pleased to present this bid to you for the resurfacing of the two
(2)basketball courts and the Installation of four(4)sets of pickle ball lines.
Resurfacing two (2)Basketball courts
TERMS: $7,000,00
Painting four(4) sets of Pickle ball lines
TERMS: $1,200.00
I
If you have any questions, please call me at 1-800-423-5875, ext. 236.
Sincerely,
Beynon Sport urfacing, Inc.
�. (BO ndgr
Vice President Tennis
Ashland Parks and Rec.
If you agree with the terms and conditions of
this proposal, please sign below and fax/mail back.
u
Print Name:
11
• ii
Signature:
Phone: Billing Address:
City: Slate: Zip Code:
Option: Pickle ball lines
19495 SW TETON AVENUB,TUALATIN,OREGON 97062 0 503.691.2404 0 FAX503.692,0491 0 WWW.BEYNONSPORTS.COM
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Sep 13.s4012 17:36:16 CDT 16150726498 MSGO 70339574-807-1 Page 002 Of 002
CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 o9/1112 Z
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement.A stalemen t on this certificate does not confer rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER ; CONTACT
Willis of Snd. I..NAME:....... ......................................................... .PX .......................................................................
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIS'T'ED BELOW HAVE OEEN ISSUED TO THE INSURED NAMCU ABOVE FIOIR T'Hl:POLICY PERIOD
INDICATED. NOTWI'T'HSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WI'T'H RESPECT-To WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
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WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY
• ANY PROPRIETOaff•ARTNEwrzscunvE NN NIA •• TROUB823K311811 3/28/2011 9/28/2012 E.L.EACH $ 1,000,000
L... ... .. .
endnm In NN
CI DI FA FMPLOVEE g ],OD O,OOD
IMynx.daa nnnnbR, EASE _,.. ..
bESCRIPITON OPDPERA'rlOry3 Mkx E.L.DIBF.ARE-POLICY LIMIT I$ 1.,000,000 00
DESCRIPTION OF OPERATIONaI LOCATONS!VEHICLES(gtlxeh Aeotd 101,Addirorkll RbInW kH 9ehNdule,H niniN xpeex Ix rNAUbbd)
**covert AZ, MA, OR, WI only
Projects Resurface 10 Tennia Courts in Aahland, Oregon - Runer Park (a TC) & Dithia Park (2 TC) .
City of Ambland is included am Additional Insured on the General Liability policy, no respect& to
the liability arising out of ongoing and completed operations performed on the project apecified in
the construction contract for the period of time required within the contract.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Ashland AUTHORLMORePRESENTArIVE
Parke 6: Recreation Depar tmenc �T
20 ]asst Main Street
Ashland, OR 97570
Coll:3854812 Tp1:1437895 Cert:18467878 091986-2010ACORD CORPORATION.All rights reserved.
ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD
�ep .11 2812 17:36:06 CDT 16158726498 MSG# 78339574-007-1 Page 001 Of 002
(.See attacheci fiie: Re.mfcyee ill Tennis Gvwts in Ashland peffi
For information pertaining to Willis' entail confidentiality and monitoring policy, usage restrictions, or for
specific company registration and regulatory status information, please visit
littp://www.willi,q.coiii/eiiiail-trailer-aspx
We are now able to other our clients an encrypted email capability for secure communication purposes. If you
wieli to take advantage of this service or learn more about it, please let me know or contact your Client
Advocate for full details. -W67897
CITY RECO.i' 'S�1�" ' Page 1 I 1
Ashland Park Commission I. _ DATE. PO NUMBER
20 E MAIN ST. 1013/2012 00158
ASHLAND, OR 97520
(541)488-5300
VENDOR: 004063 SHIP TO:
BENYON SPORTS SURFACES INC
19495 SW TETON AVENUE
TUALATIN, OR 97062
FOB Point: Req.No.:
Terms: net Dept:
Req.Del. Date: contact: Bruce Dickens
Special Inst: Confirming? No
Quantity Unit i Description Unit Price Ext.Price
Resurface (10)Tennis Courts 54,440.00
Contract for Resurfacing Tennis Courts
Beginning date: 09/21/2012
Completion date: 10/05/2012
Insurance required/On file
Processed change order 10/03/2012 8,200.00
Scope of work was modified to include
the resurfacing of two basketball -
courts and the painting of pickle ball
lines per attached contract addendum.
SUBTOTAL 62 640.00
BILL TO: TAX 0.00
FREIGHT 0.00
TOTAL 62,640.00
Account Number ` - Project Number Amount Account Number ' Project Number Amount
E 411.12.00.00.704200 E 000027.999 62 640.00
./ P
Auth zed Sign lure 'VENDOR COPY
YyRM #3 CITY OF
r,
mt iestfor a Purc:haso; Order ASHLAND
REQUISITION Date of request: 16 1 ) Z
Required date for delivery: ( 2
Vendor Name
Address,City,State,zip q S G(J �F r;Z
Contact Name&Telephone Number _ 0-2- -5 rS 7< UL 1362
Fax Numbers
SOURCING METHOD
❑ Exempt from Competitive Bidding ❑ Emergency
❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Form#13,Written findings and Authorization
❑ AMC 2.50 Date approved by Council: ❑ Written quote or proposal attached
❑ Written quote or proposal attached
❑ Small Procurement Cooperative Procurement
Less than$5,000 ❑ Request for Proposal (Copies on file) ❑ Stale of Oregon
❑ Direct Award Date approved by Council: Contract#
❑ Verbal/Written quote(s)or proposal(s) ❑ State of Washington
Intermediate Procurement ❑ Sole Source Contract#
GOODS&SERVICES ❑ Applicable Form(#5,6,7 or 8) ❑ Other government agency contract
$5,000 to$100.000 ❑ Written quote or proposal attached Agency
❑ (3)Written quotes attached ❑ Form#4, Personal Services$5K to$75K Contract#
PERSONAL SERVICES ❑ Special Procurement Intergovernmental Agreement
$5,000 to$75.000 ❑ Form#9,Request for Approval ❑ Agency
Date original contract approved by Council:
❑ Less than$35,000,by direct appointment ❑ Witten quote or proposal attached (Date)
(3)Written proposals attached Date approved by Council:
❑ Form#4, Personal Services$5K to$75K Valid until: Date
Description of SERVICES Total Cost
►fie sc..c,(z�/+c� "i�Lr�1Ni5 C-iS•
Item # Quantity Unit Description of MATERIALS Unit Price Total Cost
:TOTAL COST--
❑ Per attached quotelproposal $'
Project Number Account Number
___•__•__•__-______
AccountNumbergl! Account Number •__-__-__-______
'Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures.
IT Director in collaboration with department to approve all hardware and software purchases:
ITDirector Date Support-Yes/No
By signing this requisition form,.I certify that the City's public contracting requirements have b e satisfied.
Employee Signature:�(� e eC���-� Department Head Signature:
( qual to or greater than$5,000)
Additional signatures(if applicable): e�
Funds appropriated for current fiscal year, / NO �-
FinanceDirector-(Equal tofdr greater than$5,000) Date
Comments:
Form#3-Requisition