HomeMy WebLinkAbout2013-004 Contract - Liquivision Technology Diving
Contract for PERSONAL SERVICES less than $35,000
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CITY OF CONSULTANT: Liquivision Technology
ASHLAND CONTACT: Brandon McGraw
20 East Main Street
Ashland, Oregon 97520 ADDRESS: 711 Market St.
Telephone: 541/488-6002 Klamath Falls OR 97601
Fax: 541/488-5311
TELEPHONE: 541-883-6473
DATE AGREEMENT PREPARED: 12/4/2012 FAX: 541-883-1361
BEGINNING DATE: 1/2/2013 COMPLETION DATE: 6/30/2013
COMPENSATION: Reference Exhibit C: Cost of Services NTE $7,300
SERVICES TO BE PROVIDED: Reference Exhibit D: Scope of Services
ADDITIONAL TERMS: None
FINDINGS:
Pursuant to AMC 2.50.120, after reasonable inquiry and evaluation, the undersigned Department Head finds and
determines that: (1) the services to be acquired are personal services; (2) the City does not have adequate personnel nor
resources to perform the services; (3) the statement of work represents the department's plan for utilization of such
personal services; (4) the undersigned consultant has specialized experience, education, training and capability sufficient
to perform the quality, quantity and type of work requested in the scope of work within the time and financial constraints
provided; (5) the consultant's proposal will best serve the needs of the City; and (6) the compensation negotiated herein
is fair and reasonable.
NOW THEREFORE, in consideration of the mutual covenants contained herein the CITY AND CONSULTANT AGREE as
follows:
1. Findings / Recitations. The findings and recitations set forth above are true and correct and are incorporated herein
by this reference.
2. All Costs by Consultant: Consultant shall, at its own risk and expense, perform the personal services described
above and, unless otherwise specified, furnish all labor, equipment and materials required for the proper performance
of such service.
3. Qualified Work: Consultant has represented, and by entering into this contract now represents, that all personnel
assigned to the work required under this contract are fully qualified to perform the service 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.
4. Completion Date: Consultant shall start performing the service under this contract by the beginning date indicated
above and complete the service by the completion date indicated above.
5. Compensation: City shall pay Consultant for service performed, including costs and expenses, the sum specified
above. Payments shall be made within 30 days of the date of the invoice. Should the contract be prematurely
terminated, payments will be made for work completed and accepted to date of termination.
6. Ownership of Documents: All documents prepared by Consultant pursuant to this contract shall be the property of
City.
7. Statutory Requirements: ORS 279C.505, 279C.515, 279C.520 and 279C.530 are made part of this contract.
8. Living Wage Requirements: If the amount of this contract is $19,494 or more, Consultant 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 service work under
this contract. Consultant is also required to post the notice attached hereto as Exhibit B predominantly in areas where
it will be seen by all employees.
9. Indemnification: Consultant 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 Consultant (including but not
limited to, Consultant's employees, agents, and others designated by Consultant to perform work or services
attendant to this contract). Consultant 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.
10. Termination:
a. Mutual Consent. This contract may be terminated at an time b mutual consent of both parties.
Contract for Personal Services, Revised 06/30/2012, Page 1 of 5
b. City's Convenience. This contract may be terminated at any time by City upon 30.days' notice in writing
w 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 Consultant, 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
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 Consultant 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 Consultant 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 Consultant's performance of each and every obligation and duty under
this contract. City by written notice to Consultant of default or breach may at any time terminate
the whole or any part of this contract if Consultant 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, Consultant shall immediately cease all activities under
this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination,
Consultant 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 Consultant for work performed prior to
the termination date if such work was performed in accordance with the Contract.
11. Independent Contractor Status: Consultant is an independent contractor and not an employee of the City.
Consultant shall have the complete responsibility for the performance of this contract. Consultant shall provide
workers' compensation coverage as required in ORS Ch 656 for all persons employed to perform work pursuant to
this contract. Consultant is a subject employer that will comply with ORS 656.017.
12. Assignment and Subcontracts: Consultant 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. Consultant 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.
13: Default. The Consultant shall be in default of this agreement if Consultant: commits any material breach or default
of any covenant, warranty, certification, or obligation it owes under the Contract, its QRF status pursuant to the QRF .
Rules or loses any license, certificate or certification that is required to perform the Services or to qualify as a QRF if
consultant 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.
14. Insurance. Consultant shall at its own expense provide the following insurance:
a. Workers Compensation insurance in compliance with ORS 656.017, which requires subject employers to
provide Oregon workers' compensation coverage for all their subject workers
b. Professional 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 claim, incident or occurrence. This is to
cover damages caused by error, omission or negligent acts related to the professional services to be provided
under this contract.
C. 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.
d. 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.
e. Notice of cancellation or change. There shall be no cancellation, material change, reduction of limits or
Contract for Personal Services, Revised 06130/2012, Page 2 of 5
intent not to renew the insurance coverage(s) without 30 days' written notice from the Consultant or its insurer(s) to
the City.
f. Additional Insured/Certificates of Insurance. Consultant 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 Consultant's services to be provided under this Contract. The consultant's insurance is primary and
non-contributory. As evidence of the insurance coverages required by this Contract, the Consultant shall furnish
acceptable insurance certificates prior to commencing work under this contract. 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
Consultant shall be financially responsible for all pertinent deductibles, self-insured retentions and/or self-
insurance.
15. 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 Consultant 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. Consultant, 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.
16. 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.
CONSULTANT, 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.
17. 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. Consultant
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 Consultant, with no further
liability to Consultant.
Certification. Consultant shall sign the certification attached hereto as Exhibit A and herein incorporated b reference.
onsult~ City of Ashland
By Yyv~ By m lac 41L
Signature Department 146ad
Rralioll^ M C"6;-44/ /n (074-e / ge. ~ Ij'H'r
Print Name Print Name
Title Date
W-9 One copy of a W-9 is to be submitted with
the signed contract. Purchase Order No.
Contract for Personal Services, Revised 06/30/2012, 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:
V (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.
k V / f ! /1!!Ii /t /O
Contractor (Date)
Contract for Personal Services, Revised 06/30/2012, Page 4 of 5
EXHIBIT C
711 Market Street
F{ Klamath Falls, OR 97601
LiquiVision Technology Phone: (541)883-6473
Fax: (541),883-1361
Billing/Change Order/Estimate Form
Steve Walker 12/3/2012
Ashland, City of Phone: Wk: 541-552-2326
90 N. Mountain Ave. FAX / Email: Fx:
Ashland, OR 97520 LVT Ref. 'OR3131512R1-2T
Team Leader: Diver #1:
Diver #2: Diver #3:
Reservoir Type Dia. Hgt. Maximum Surface Cubic Price for Price for Date
or (Feet) Calculated Area -Yards Diver Diver Work
LxW Capacity IS. F.) Sediment Wall Cleaning & Done
(Feet) (Gallons 1" dee Cleaning Inspection
Mobilization Charge - Flat charge to mobilize and demobilize to your location. $450
1. Alsing BG Concrete 110 31 2,200,000 9,499 29.32 $1,800 $2,400
2. Crowson -BG Concrete 145x115 22 2,500,000 16,675 51.47 $2,620 $3,200
Filter bags are charged at $200 per bag. We estimate 4 bags. $800
Dechlorination is charged at $15 per hour. We estimate 30 hours of total pumping time. $450
Subtotal $4,420 $7,300
Total 'Plus sales tax if applicable $4,420 $7,300
Itemize work: Time or Quantity: Extended:
Sales Tax if any:
Total
Authorization Signature:
Estimation of cost for recommendations that LVT can perform.
Recommendations: Estimated Labor Estimated Material Total Estimate
Total
` EXHIBIT D
IuQui isioN TECHNOLOGY
fr DIVING SERVICES
~r Cffi~.+l lsilird Acdr~s Phcne: X800':2323°9 Fa<, (541' 8837381 Wzstarn Q
/ ~ f~& r" 1 ,rations
Tit I l5r t S' EEt nmgxrvi ~.pm 835 hta. _t sleet
r
!J Klamath Falls, CR57A01 v::rv.d.dioi rgservioes.¢m Klamath FaIL=, OR 97601
Steve Walker 12/3/2012
Ashland, City of Wk: 541-552-2326
90 N. Mountain Ave. Fx:
Ashland, OR 97520 •OR3131512R1-2T
We are pleased to provide you the following firm quotation and outline of the conditions of our services.
Reservoir Type Dia. Hgt. Maximum Surface Cubic Price for Price for Price for
or (Feet) Calculated Area Yards Diver Diver Additional
LxW Capacity (S.F.) Sediment Wall Cleaning & Sediment
(Feet (Gallons) 1" deep Cleaning Inspection Per inch
Mobilization Charge - Flat charge to mobilize and demobilize to your location. $450
1. Alsing BG Concrete 110 31 2,200,000 9,499 29.32 $1,800 $2,400 $1,026
2. Crowson BG Concrete 145x115 22 2,500,000 16,675 51.47 $2,620 $3,200 $1,801
Filter bags are charged at $200 per bag. We estimate 4 bags. $800
Dechlorination is charged at $15 per hour. We estimate 30 hours of total pumping time. $450
Subtotal $4,420 $7,300
Total `Plus sales tax if applicable $4,420 $7,300
Scope of Work:
Removal of accumulated sediment from the floor of the reservoir. The effluent will be disposed of at the districts direction. A final
and comprehensive inspection will be performed documenting the condition of the entire structure and recorded on DVD. Written
documentation with digital pictures, descriptions of the images and any recommendations will be provided to the district on a USB
flash drive.
Our bids are based on a variety of factors that pertain to the length of time it takes to accomplish our work. The main
consideration is the amount of sediment that has to be removed, 2" of normal sediment is included in this bid.
Initials Please initial the line items below to verify that you have reviewed them.
Entry hatch on top of the reservoir is at least 18" diameter.
The water level is kept within ten (10) feet of the top of the tank.
Tank dimensions are correct.
Scope of work is correct.
1. Placement and disposal of effluent removed from the reservoir is done at the direction of the Customer. -
2. Quotes for cleaning assume that the sediment is normal material (such as silt, flocculated material, insects, manganese, rust,
etc.) found in potable water reservoirs that is easily removed by our vacuum system. If the sediment is difficult to remove such
as large amounts of concrete chips, gravel, sand, rocks, detached coating debris, etc., then our hourly rate shall apply for each
hour (over the first hour) for removing this material.
711 Market Street,
*,~Jt; Klamath Falls, OR 97601
LiquiVision Technology Phone (541)883 473
Fax: (541) 883-1361
3. Unless specified in quote detail we clean all submerged horizontal and angled berms or sloped surfaces 35 degrees or less.
Surfaces exceeding this angle such as the walls ran be cleaned but must be listed separately in the quote detail or estimated
by the divers upon inspection. We do not clean surfaces that are out of the water.
4. If any information provided to us is incorrect or if any problems exist that inhibit our ability to complete the job on a timely
schedule, then we will notify you of the problem and reserve the right to add on to the quote based on our estimate of the
additional time it will take to complete the work. Charges for time delays are $200 per hour. This paragraph only applies to any
problems that are your responsibility (i.e. rescheduling with less than 2 business days notice, set up and start of work before
cancelation, etc.)
5. For coating repair in steel tanks we use a two part underwater epoxy. Each rust nodule or area of coating defect is wire
brushed to bare metal and epoxy is applied over the area. The epoxy chemically bonds to the steel, displaces water, and
remains intact with a greater bond than the original coating. All of our repair, sealing and coating materials meet or exceed
NSF 60 & 61 standards. Repairs are done at the districts direction for the rate of $375 per hour and $35 per tube of Manus or
epoxy.
6. If dechlorination is required it will be charged at $15.00 per hour. If filtration is required then the filter bags will be charged at
$200.00 per bag. Unless specified LVT does not remove the bags they become the districts responsibility to dispose of.
7. If payment is not made within sixty days of the date of the invoice, an interest charge of 3% shall begin to accrue each month on
the unpaid balance. This interest will continue to accrue each month until the balance is paid in full. To avoid any interest
charges, payment must be received or postmarked within the sixty days following the date of the invoice. Statements will be
sent each month to reflect the new balance. '
Our cleaning procedure is accomplished utilizing our proprietary vacuum cleaner, the "LiquiVacTm"(Patented). The LiquiVacTM
pumps an average of 200 gallons per minute. It has a rotating soft bristle brush that scrubs the floor clean and removes all sediment
without creating turbidity in your reservoir. This is the only way to ensure that all biofilm is removed from the interior surfaces without
getting any of it mixed into the water column. This system also enables us to clean walls.
In a conscious effort to preserve our nations natural resources LVT will provide our reports to the district on USB flash drives. If
you require a printed and bound copy of the reports please notify our office staff. There will be an additional fee of $125 per copy.
In over 20 years of providing diving services we continue to treat every customer as if they were our only customer. We are
dedicated to accomplishing every job with the utmost professionalism, safety and efficiency.
Please sign this quote and FAX both pages back to us with an approximate time frame of when you would like the work done. If
you have any questions please give us a call. We look forward to working with you.
Quote is valid for 90 days. Upon signature the work shall be accomplished at a mutually acceptable date within one year.
Sincerely, I find the above and preceding page of contingencies and procedures
r acceptable.
Accepted by: Date:
Brandon McGraw
V.P. Marketing Signature: Title:
UQU14 OP ID: JS
CERTIFICATE OF LIABILITY INSURANCE 121Yet
12/11112
2
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: H the certificate holder Is an ADDITIONAL INSURED, the poliey(les) must be endorsed. N SUBROGATION IS WAIVED, Subject to
the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not corder rights to the
eer0fleate holder In lieu of such endorseme e
PRODUCE 541.882 Janice She
BSMaaiinStreeett reNlee 541-884-008 FNONE 641-882-5507 Ne
PO Box 69 anlce sha r8basimcom
Klamath Falls, OR 97601
Matt Huday AFFORDING COVERAGE NAC0
INSURER A:American States Insurance Co. 19704
INSURED Llquivision Technology Inc. Immma: Lib" Mutual Insurance Co.
Arrow Manufacturing Ine. m uREae: Evanston Insurance Company
PO Box 5277
Klamath Fall", OR 97601 INSURER D:
INSURER E:
F•
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSIR AVOL HUM POLICY am POLICY EXP
TYPE OF INSURANCE FOLIf. rNU1mER Lum
GENERALLABOJTY EACH OCCURRENCE i 1,000,0 -PRW9WM=M1UMM8~n0-- -I A X comuB nm GENERAL LIABILITY X C037112300 08101112 08101115 i 200,00
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PERSONAL aADV INJURY i 1,000,00(
GENERAL AGGREGATE i 2,000A
GEMLAGGREGATE UMrtAPPLIES PER, PRODUCTS -COMPIOP AGO i 2,000
POLICY X PROJECT
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AUTOMOBILE LL481M EEO $INGLE LO 1,000A0
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ALL OWNED H SWEWLED SODBYBLNRY(PmeoUMNA) i
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AUTOS UULM. A LUm X OCCUR EACH OCCURRENCE i 2,000,00
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the City of Ashland is an Additional Insured per policy endorszm t for
C TIFICATE HOLDER CANCELLATION
ASHLAND
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
20 East Main St ACCORDANCE WITH THE POLICY PROVISIONS,
Ashland, OR 97520 AMOROUS) REPRESENTATIVE
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0 19BB-2010 ACORD CORPORATION. AI rights reserved.
ACORD 25 (2010106) The ACORD name and logo are registered marks of ACORD
Insurance rOMmtCmL °ENERALLUUM
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Policy #O1CG37112300
THE EMRMW CRAM 7HE POLICY. PLEASE READ R CAREFULLY.
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oft =I m ems em ®Ream seatw dodo mreom
as is at OR a re., t 014 rep
-nharmoahhhwva-rot This hmwarm does not apply to TMs madhmbn applies aver t Ure 010b m
of
y 44haY° or 9PapsA+ mm. a any trmhaea stags
ape° arising out of the ode rwg& oar ~Mv in the stwerimmb Wis.
I g or manfloft of Rd
! of stash person or by mup"
that hmed. the ^ooaunenae° %tclh
aomball0n; caused the ,bodily bW or Vropsrry
(4) Peruft Wand by anV r n wllh to _ aperatlordre rye, use W&Ud wd to ofto of any
perforated by you or on you behet, afnm A ,trhdo° or wel ro dt that to owned
subject m do tatowIng additional pro- rated by or rented or loared to any lo-
Tfhis 6reurarm does not apply to %ody TMs =*mlon does not apply to
IMAW. VOhertY or (1) A watermet while adhere on premises
Vremai and aduarftV Mpay° adshhg you cam or rent
out of oPere I F 1, ' d fm the alm
or munloipaty. M A watroreRyou do not own that Im
a The Insurance v ft respect to any aeddbA (a) Less that 62 feet bang and
arMtrim. or mum4eyor added as an hummed (b) Not bft used to carry pan= or
by this andorsernard does not apply to Pmpmvf" am'; g,
sond and advehUM hh(uhy° wbhpl~ out of (s) Pialft an -auto° on, or on the wave
the rerdrhhg of or the fhrtue to rrhdm any rand t0. Paorilae you awn or read, Pro-
Pam m%foes by or for ym badnn4 vhled the °ardo° Is not owned by or
hv yarded or baited to you or the hhsured:
to e under ammasM any p, mVand
(1) The Pte. fit, or f m (4) UebcontrfBy act° amused
alyde-
Pa or reports. sinveys, a dnmvk Hence or use of ahoraft car vre0areft or
~ or spedlicallarm, and (t) qb* b or '91OPQdY d °
(Z) 1hpavisM. Inspection or e
senvices. (a) the gmaton of mad*tw y or
d. This hnrsaroe does not apply to ,bodily eqtdpnmt
of, a lard tut MeOattached to, or that kW or 'P~hly damage' hhduded wbln qualPquality oy tester thoM r wood
he datrdtlon of ,
the gmadmm bee- vmbib swipmew t It were not
sic. subted to a canphdeory or tnardai
reeponeMW low or other motor A person's or m~hdited. status as an In u ed her- hide ia m= law In t am
twrmed or pthhoyaty
that Ithis endorsement nsured am cormpleted. garaged; ands when your operatmm for where It Is or
d
No oamrage w® be pmvklsd t. M the absence of this (b) On or equipehpa►prnmen old the stpap -
f
mtQwenmrl no ~ly world be imposed by Mw an e or or L(b) of fB to ted N P w daPodton agrap of
yea. Ooamags did be Bmtad to the mderd of you yrpbgs eghhipmmd°.
~ (8) An ahmas you do rrot wn provided a M
rwt operated by why bhhared.
NON-0WNED WATERCRAFT AND M N -OWNED
AIRCRAFF LIABLLRY TENANTS DAMAGE LIABILITY
Backislon 0. of C011BtA( A (Srtimh M replaced To Mnlses Rented To YOU Wd Is
shown In
by&o Dedamtmm, BmWm 1. of Oowemp
A. Beaton 1 M replaced by the folb *a
theeowneddp maintenance. use or J. Damage TO Properly,
eentrustment to o-1 got any e1 0 ost oo° 1449" dm=W Inc
orweI I , ; R oarned m operated by m rented
or loaned to wry hheured. Use lockdes open (1) ft"* you own. ram or coctipy. Inckullm
aeon ad'badhg or unlosAW. anY costs or mW Incurred by yo% or
Rpe 2d{
-aEFIW=raeataenCateUW%Uff-
any
ther o. replacernen ~ WHO IS AN p~BUR®- MANAGERS restow
ban or mwrtenmroe of such prey for aro The Mae" Is added to Paragraph 2a. at WHO W
reson, kakdq pnnrargan- d INwy to a AN WRJRED (fin BY
Paton or damage to mroatera pmperb.
(2) Pm nbes you 84 give away or ebendM D Paragraph M does not apply to exem" oetowe, or
so 'property dwlege` adses out of any part to managem at the aup of my teed or abo^
of Bum pvembea: SUPPLEMENTARY PAYMENTS - COVERAGES A
(S) Pq" leered to yaw AND B - SAL BONDS - TUBE OFF FROM
(4) Peammud ppro min to Care, mratodll or WORK
f+aragraph 1 L d SUPPLEMENTARY PAYMENTS -
(S) Thw peraubr part of raw pmpwv an whbh CoVsmB A AND E Is relaxed by do mowbpy
you or any erntraatas or subomrbadom 0. Up to $3 sea for seal of baB bounds requited
p Ny because of accidents or trafBo MW vW&M
rop
dmrrege° aches out of those opemtlmrs, or addV out d the use of any vetWe to wtdoh
the SocWy b" Lbbdtgr Coverage apARea
(a) That paefillfiar pert d ew Pwb set nerd We do not have to pawsh Von bards.
be neatest r P. I or mpboed because
yea vmrk" rose broo"* pedamed on It Paragraph 1.d. of SUPPLE19dTARY PAYMBITS -
pamoao (1).q(~3) a~n,~d. (4) d this =kwon do WMIAM A AND S b reptaoad by Sm tolbwbrg
not eppiy to m"•9 ' (off do d. A9 masmable wpmvm hunved by 2m tn-
damage by t m) to pmaabes, brduding the aver- awed at our request to aswd us In the In.
taws of such pvemisee, rented to Yea A separate veer or defense of the Chun or °aWr,
Rah d bmrmrroe sppbe to Damage To Pmn. btu -kw Was of eamhWe up to SWO
hoes Rented To You as deaodbed in Soodon IS a day because at time ap from work
- Lbnt of kwasme.
Paragraph (2) of ft mmIudon does not eppyr R EMPLOYEES AS MUMS - HEALTH CARE
dw premises are your woW and wave never SERMEs
oca q bd. rented or hdd tom mnW by you. Provision 2&"Xd) of WHO 68 AN MURED (Sedon
Pamgveple (4 (4J, (5) and (e) of dds eztmbn m b d uwess mtudad by eeparwa endorse-
do nd apply to RehRby aasur ed under a dds- nuot
track
Paragraph M of this wAudo u dose w to EXTENDED COVERAGE FOR NEM.Y ACS
'1 4n dam W bmkdsd In ae Voducts- ORSMIZATIONS
0200VAd operaRmm hazu&. Prevbbn 3& of WHO IS AN MWIEO (Seeder i) la
Paragraph L of LWFS OF DOBUpAUR2_ pecdon M) by ae fo®orr W
b replaced by ae WwAI a a. Coverage under this provider b afforded
& SwM to e. above, the Damage To Pvendeee owy unity the and d are poftq period
Rented To You Unit to eve mod we wAl pay ter EXTENDED „PROPHt7Y E„
der Coverage A for damages boomme of
ren to M or In to am of dmw by 0% Bcclusbn a. of COVERAGE A (Sedlon Q la mpboed
wtrfb mabd to you or bmporat* odd by by de blowbw
you vAh pemdadon of ae owner. a. Saft kW or Vqm* damaW impeded
jD of To Premises Reread To YCU IMR le are or blended from the sbndpobd of am banned.
e► d am Fsah oaaamnroa Wak drown in are ~ eaoduabn does nd,,~,~~ lb abaft kW
et are amount abate in are DadaveRmre or fib' danmw from to an of
as usage To Prendsea Ranted To You LimIL reasonable force to I persons or per.
mtessm Pep 3d4 m
-aar~aerm0e.-
EXTENDED DEFINITION OF BODILY INJURY Interrupted a* by a street, madwW. waWrwW. or
of a reuro"
Paragraph A of OEFfHROHS (Section V) Is replaced
by Ste Ooh INCREASED MEDICAL EXPENSE LIMIT
L 910* WW means bodgy hft. dclotess or The Medical E5pum Moll to amwtded to 810=
dleovse sumadred by a person bwkdq souls!
angNeh or death resulting from any of these at NOT WL WW OF OCCURRENCE
MW VM06
TRANSFER OF RItiHT8 OF RECOVERY
Brad Of Ocparence, Offense, palm r0 Suh of
COMMERCIAL LIABMI
SAL E CONDITIONS
The (allowing 18 added to Paragraph S. Transfer Of (
section p*
Rights Of Recovery Agebret Others To Us of CLAN.
MERCK GENERAL LIAR M COWMNS (800' Knowledge of an ^ooamer" aletm or rtdt° by
am pix yon agerd, servant or employee shell not in beU
We wave arWrlghte of recovery we may have against cotmebrte krow~e of the rovrmd frmurad unless an
P or became of we officer of the named Imamed has rod such notice
any orgentmellon Payments the agent, pkpj
make for k" or damage arleft out of your ango6ry from servant or err ee
operations or yon wodt° dote tudre a contract va UNINTENTIONAL FALU To DISCLOSE ALL
tied perserr or mgatdmtiml and kuhrdsd In the HAZARDS
Vroduaboon Vlated operations luc ard°. TMs waver
applies c* to a person or orgerftetlon lor whon Yet;
by wetlterl t no tagovdrtg is added to aillm 8 teserde-
coftruA agreemen or Parat dons of COMMERCIAL
me required to wave these rights of recovery. OBILRY CONDh
All U, OF INSURANCE - PER g you u rag to ftclose arty hatatde e*
LOCATION vgng st tier trmeI " date of your policy, we will net
For all t leerily the insured becomes leerily ow ~ fellins. N ~ ~ rot mied
r COVBtASE 119, caused by for cu ° eer right to cogent addMam! poemkon or o odes our an rosad er~ermee caused by aocdertte WWer COVBiAOE C right of oerroe➢atloh or
rromerhearal
(Saodwr p, which can be attributed only to operations LIBERALIZATION
at a aingle 9coaCwf°; CLAUSE
Paragrapfm Its. arW 2 b of Lknite of Irhetoaras 010- FERAL LIABRW COWTIONS (section IVk
tiom apply to each of your m°
ft= n
lccdo
or rented to you.
10. I a revisor to this Coverage Part Wdah would
provift mom coverage with no PW
9.001111ien° means Premises kwdit the same or m
Ium. becomes elleagve during to po paw
oaseaohg lok or promises whose connection is In the stets shown M On Deceratlono, your p&
toy wM auto r provkfe this addlilonal cov-
erage on the emotive date of the mvW n.
Pope 4014
I
-REPFWaWFRWTNRARCW4L 7Nfi0RW"TRANSWWNMY7/Q.=A00n10NN.i0 Wi
COMMERCIAL AUTO
Policy #01CG37112300 CA 71100307
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
AUTO PLUS ENDORSEMENT
This emlorsement modifies Insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by the endorsement.
EXTENDED CANCELLATION CONDITION BLANKET ADDITIONAL INSURED
Paragraph 2.b. of the CANCELLATION Common SECTION 11 - LIABILITY COVERAGE - A.I. WHO
Policy Condition is replaced by the following: IS AN INSURED provision Is amended by the addition
of the fo1 wlrng:
f3. 80 days before the effective date of cancellation 0 we cancel for any other reason. e. Any person or organization for whom you are re-
quired by an Insured contract' to provide bnsur-
TEMPORARY SUBSTITUTE AUTO - PHYSICAL ante is an insured", subject to the following
DAMAGE COVERAGE additional provisions: contract" must be In Under paragraph C. - CERTAIN TRAILERS, MO. (1) The Insured the policy period shown the effect
BILE EQUIPMENT AND TEMPORARY SUBSTITUTE radons, and must have been executed prior
AUTOS of SECTION 1 - COVERED AUTOS, the to the Inodiy injury" or "property, damage.
following is added:
(2) This person or organization Is an insured"
If Physical Damage coverage is provided by this Cov- only to the extent you are liable due to your
erage Form, then you haw coverage for ongoing operations for OW insured, whether
the work is performed by you or for you, and
Any 'auto" you do not own while used with the per- only to the ex1eM you are held liable for an
mission of is owner as a temporary erbstlWte for a 'scolded" occurring while a covered "auto"
covered "sub" you own that is out of service be- is being driven by you or one of your am-
cam of ft breakdown, repair, servictng. 9oss" or ployets.
destruction. (3) There is no coverage provided to this person
or organization for `bodtly injury" to Its em-
BROAD FORM NAMED INSURED ployees. nor for property damage* to Its
SECTION B - LIABILITY COVERAGE - A.1. WHO properly.
IS AN INSURED provision is amended by the addition (4) Coverage for this person or organization
of the following: shall be limbed to the extent of your negli-
gence or suit according to fie applicable
d. Any business a" newly acquired or formed by principles of comparative negligence or au1L
you during o the of policy pedod pro business v id amend wn (5) The defense of ary calm or 'soil" must be
as
tendered by We business entity Is not separately insured for person or organization then insurers
Business Aub Coverage. Coverage Is extended soon as practicable up to a maximum of 180 days following acquisl- width potentially provide to all Insurance nsurance
for such
lion or formation of the business entity. Coverage claim or 'suit.
under this provision Is afforded only until the and
of the policy, period.
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
Copyright, Insurance Services Office, Inc., 1997
CA 71 10 03 07 pap t d 6 Sp
- FRMIMA AML nEORW"TRAIm/CnMMAYO&CW ADWK "FORM!
(B) The coverage provided will not exceed the PERSONAL EFFECTS COVERAGE
lesser ol: A. SECTION IS - PHYSICAL DAMAGE COVER-
(a) The coverage and/or limb of this policy: AGE, AA. COVERAGE EXTENSIONS, Is
or amended by adding the following:
(b) The coverage and/or limits requlred by c. Personal Effects Coverage
the 'nsthred Contract". For any Owned 'auto' that is Involved In a
(7) A person's or organizations stahre as an covered 'foss", we will pay up to 85011 for
5naored' under this subparagraph d ends mpersonal effects' that are lost or damaged
when your operations for that 'insurad• are as a result of the covered foss', without
completed. applying a deductible.
EMPLOYEE AS INSURED EXTRA EXPENSE - BROADENED COVERAGE
Under Paragraph A. of Section II - LIABILITY COV- Paragraph A. - COVERAGE of SECTION III -
ERAGE kern I. Is added as follows: PHYSICAL DAMAGE COVERAGE Is amended to
add:
You "employee' while using his owned 'auto or an
°atido- owned by a member of his or her household, S. We will pay for the expense of returning a stolen
in your business or you personal affairs, provided you covered 'auto" to you.
do not own, hire or borrow that 'auto'. This coverage
Is excess to any other coltecllole insurance coverage. AIRBAG COVERAGE
FELLOW EMPLOYEE COVERAGE Under Paragraph B. - EXCLUSIONS of SECTION III
- PHYSICAL DAMAGE COVERAGE, the following is
Exclusion S. FELLOW EMPLOYEE of SECTION B - added:
LIABILITY COVERAGE - S. EXCLUSIONS is
amended by the addition of the following: The exduslon relating to Mechanhol breakdown does
not apply to the accidental discharge of an airbag.
However. this ercduslon does not apply ff the -bodily Bgtay results from the use of a covered 'auto" you NEW VEHICLE REPLACEMENT COST
own or hire. and provided that any coverage under
this provision only applies in excess over any other Under Paragraph C - LIMIT OF INSURANCE of
collectible breurance, Section IS - PHYSICAL DAMAGE COVERAGE sex-
ton 2 is amended as follows:
BLANKET WAIVER OF SUBROGATION 2 An o4usknent for depredation and physical oon-
We wave ire right ol recovery we may have for pay- dFdon will be made In determining actual cash
manta made for 'bodily Infury" or -property damage' value in the event of a total loss. However, in the
on behalf of the persona or organizations added as event of a total loss to your 'new vehicle- to
frmureds• under Section II - LIABILITY COVERAGE which this coverage applies, as shown In the
- A.I.D. BROAD FORM NAMED INSURED and declarations, we will pay at your option:
A.1.e. BLANKET ADDITIONAL INSURED. a. The verifiable lnew vehicle' purchase price
you paid for your damaged vehicle, not in-
PHYSICAL DAMAGE - ADDITIONAL TRANS' dueling any Insurance or warranties pur-
PORTATION EXPENSE COVERAGE chased:
The that sentence of paragraph AA. of SECTION 111 b. The purchase price, as negotiated by us. of
- PHYSICAL DAMAGE COVERAGE is amended as a new vehicle of the same make, modal and
parts or equipment ~ ure furnishings. ~
f
We will pay up to 850 per day to a maximum of manufacturer or manufacturer's dealership.
81,500 for temporary transportation expertise incurred If the some model is not available pay the
by you because of the total that of a covered 'auto' purchase price of the most similar model
of the pMate passenger type. available:
Papa 2 d 6
-REPF M ODFROMTIEACMVE TIEORRiYM TRANSACMMWYWMAWA 01110N FCM
c. The market value of your damaged vehicle. a. Actual cash value of the damaged or stolen
not including any furnishings, pads or equip- property as of the time of the loss-. less an
ment not 6nsts ad by the manufacturer or adjustment for depredation and physical
manufacturer's dealership. condition; or
This coverage applies only to a covered -auto- b. Balance due under the terms of the loan or
of the private passenger, light truck or medium lease that the damaged covered -auto- Is
muck type (20A00 Ibs or less gross vehicle subject to at the time of the loss-, less any
weight) and does not apply to Initiation or set up one or all of the following adjustments:
costs associated with loans or leases. (1) Overdue payment and financial
TWO OR MORE DEDUCTIBLES penalties associated with those
payments as of the date of fine
loss'.
Under SECTION III - PHYSICAL DAMAGE COV-
under a
ERAGE, N two or more 'company' policies or cover- (2) Financial lease due to penalties high imposed mileage, under a
age forms apply to the same accident, the following
applies to paragraph D. Deductible: slue use or abnormal wear and tear.
a. If the applicable Business Auto deduct- (8) Coals for extended warranties, Cre-
ible is the smaller (or smallest) deduct- din Life Insurance, Health. Accident
Ibis it will be waived; or or Disability Insurance purchased
b. If the applicable Business Auto deduct- with the loan or lease.
Ibis is not the smeller (or smallest) do- (4) Transfer or rollover balances from
duabble it w01 be reduced by the amount previous loans or leases.
of the smaller (or smallest) deducible: (5) final payment due under a dBagoon
or
Loan'%
c. N the lose involves two or more Busi-
ness Auto coverage forma or policies (8) The dollar that t of
the smaller (or smallest) deductible will prior to the total loss- of a covered
be waited. -auto-.
For the purpose of this endorsement (7) Security dept not refunded by a
may- mearne lessor.
a. Sateco Insurance Company of America (8) All refunds payable or paid to you
b. Amerloen States Insurance Company as a result of the early termination
c. General Insurance Company of America of a lease agreement or any war
randy or extended service agree-
d. American Economy Insurance Company ment on a covered -auto-.
e. First National Insurance Company of (8) Any amount representing taxes.
America (10) Loan or lease termination fees
L American States Insurance Company of
Texas GLASS REPAIR - WAIVER OF DEDUCTIBLE
g. American States Preferred Insurance Under paragraph D. - DEDUCTIBLE of SECTION III
Company - PHYSICAL DAMAGE COVERAGE, the following is
h. Safeco Insurance Company of Illinois added:
LOANILEASE GAP COVERAGE No deductible applies to glass damage if the glass is
repaired rather than replaced.
Under Paragraph C - LIMIT OF INSURANCE of
SECTION III - PHYSICAL DAMAGE COVERAGE, AMENDED DUTIES IN THE EVENT OF ACCI-
the following Is added: DENT, CLAIM, SUIT OR LOSS
4. The most we will pay for a total lose- In any one The requirement in LOSS CONDITION 2.a. -
lacddent• Is the greater of the following, subject DUTIES IN THE EVENT OF ACCIDENT, CLAIM,
to a 81,600 maximum limit SUIT OR LOSS - of SECTION N - BUSINESS
AUTO CONDITIONS that you must notify ua Of an
a 71 10 03 07 Pape 3d$ to
--r OMMEDFROU THEARC 9M 7HB ORCOM IRMBRCr=MAY PYIUGEAODnM"X FCMO
acctdeM° applies only when the -accident- is known d le~ excess
broads one rage applicabMle
tcr coverage
to any covered 'auto' you own.
(1) You. g you are an fidividuei;
(2) A partner, if you are a partnership: or HIRED AUTO PHYSICAL DAMAGE COVERAGE -
LOSS OF USE
(3) An execuM officer or insurance manager, 0 You SECTION III -PHYSICAL DAMAGE AAb. Form
are a corporation. does not apply.
UNINTENTIONAL FAILURE TO DISCLOSE Subject to a maximum of $1.000 per aernt we will
HAZARDS cower loss of use of a hired 'auto' 0 it results from
SECTION IV - BUSINESS AUTO CONDITIONS - an accident, You are tegeily gable and the lessor In-
B2. Is amended by the addition of the following: are an actual financial loss.
If you uMntentloratly fail to disclose any hazards ex- RENTAL REIMBURSEMENT COVERAGE
Isting at the kcepffon date of your poticy, we will not A. We will pay for rental reimbursement expenses
deny coverage under this Coverage Form because of Incurred by you for are rental of an 'auto' be-
such failure. However. this provision does not affect cause of a covered toss' to a covered 'solo'.
our t of f orcancellacancellation collect ation o or r non-renewal. premium or exercise our Payment applies In addition to the otherwise W
right pllcable amount of each coverage you have on a
HIRED AUTO - LIMITED WORLD WIDE COVER- covered "auto". No deductibles apply to this
AGE coverage.
S. We wig pay only for those expenses incurred
Under Section IV - Business Conditions, Paragraph during the policy period beginning 24 hours after
6.7.b.e(1) Is replaced by the following: the'loas" and ending. regardless of the poky's
(1) The acddenri• or 'loes• results expiration. with the lesser of the following number
from the use of an 'auto' hired for of days:
30 days or less. 1. The number of days reasonably required to
repair or replace the covered 'auto". it
RESULTANT MENTAL ANGUISH COVERAGE 'loss' Is caused by theft, this number of
days is added to the number of days it takes
SECTION V - DEFINITIONS - C. is replaced by the to locate the covered 'auto" and relum it to
following-. YOU.
lkxly Injury" means bodily Injury. sickness or dis- 2. 30 days.
ease sustained by a person Including mental anguish C. Our payment Is gmffad to the lesser of the toe
or death resulting from any of these. pig amounts:
HIRED AUTO PHYSICAL DAMAGE COVERAGE I. Necessary and actual expenses Incurre&
ff hired daubs' are covered 'autos' for Uabigty cow 2. 850 per day.
erage and If Comprehensive, Specified Causes of D. This coverage does not apply while there are
Loss or Collision coverages are provided under this spare or reserve "autos" availsbleto you for your
Coverage Form for any 'auto' you own, than the operations-
Physical Damage Coverages provided are extended
to autos" you hire or borrow. E. If 'losa" results from the total theft of a covered
auto" of the private passenger type, we will pay
The nest ws will pay for loss to arty hired la to' is under this coverage only that amount of your
860.000 or AcWW Cash Value or cost of Repair, rental reimbursement expenses which is not a4
whichever Is smallest, minus a deductible. The de- ready Provided for under the PHYSICAL. DAM.
ducdbfe will be equal to the largest deductible appg- AGE COVERAGE Coverage Extension.
cable to any owned auto" of the private passenger
or fight tuck type for that coverage. Hired Auto Phy- F. The Rental Reimbursemment Coverage described
sical Damage coverage te excess over arty otter ool- above does not apply to a covered auto" that is
lectibte Insurance. Subject to the above gmh. described or designated as a covered daub' on
papa 4d6
-RMWVIEDFROM1 ARGIOVF. TMGCRMW TRANSWnONMAVOCU fiADD1 W1 FOMO
Rental Reimbursement Coverage Form the manufacturer for the installation of a
CA 99 23. radio.
AUDIO. VISUAL AND DATA ELECTRONIC C. Limit of Insurance
EQUIPMENT COVERAGE With respect to this coverage, the LIMIT OF IN-
SURANCE provision of PHYSICAL DAMAGE
A Coverage COVERAGE is replaced by the fdbwing:
1. We will pay with rasped to a covered 'auto' 1. The most we will pay for 'loss' to audio, vl-
for 'loss' to any electronic equipment that g~ or data electronic equipment and any
receives and transmits audio. visual or data accessones used with this equipment as a
applthees result of any one 'accident' Is the lesser of:
reprodsreproduction reproduction andon of that soIs not und. This designed coversotely, age rage for
only fi the equipment is permanently Installed a. The actual cash value of the damaged
in the covered 'auto' at the time of the or stolen property as of the time of the
foss- or the equipment Is removable from a foss'; or
housing unit which is permanently installed b. The cost of repairing or replacing the
fpM the covered mautcr equipment atthe i designed time of the damaged or stolen property with other
property of like kind and quality.
be s solely and each operated by use of the power from m
the 'auto's- electrical system, in or upon the c. $1,000.
covered 'au to•. 2. An adjustment for depredation and physical
2. We will pay with respect to a covered -auto- condition will be made In detemdning actual
for foss' to any accessories used with the cash value at the time of the foss'.
electronic equipment described in paragraph g If a repair or replacement results in better
A1. above. than tike kind or quality, we win not pay for
However, this does not Include tapes, the amount of the betterment.
records or discs. D. Deductible
3 If Audio, Visual and Data Electronic Equip
ment Coverage form CA 99 6D or CA 99 94 1. It foss- to the audio, visual or data elec.
Is attached to this policy, then the Audio, VI- tronlo equipment or accessories used with
sual and Data Electronic Equipment Cover- this equipment is the result of a foss' to the
age described above does not apply. covered 'auto' under the Business Auto
Coverage Form's Comprehensive or CoD-
B. Excursions sion Coverage. Men for each covered 'auto-
The exclusions that apply to PHYSICAL DAM- our obligation to pay for. repair. return or re-
AGE COVERAGE, exospt for the exclusion relat- piece damaged or stolen property wm be re-
Ing to Audio. Visual and Data Electronic duosd by the applicable deductible shown In
Equipment. also apply to this coverage. In adds- the Declarations. Any Comprehensive Cov-
tion, the following exclusions apply: erage deductible shown in the Dedaretions
does not apply to foss- to audio, visual or
We will not pay for either any electronic equip- data electronic equipment caused by fire or
ment or accessories used with such electronic lightning.
equipment that is.
2. If foss" to the audio, visual or data also.
1. Necessary for the normal operation of the trordc equipment or accessories used with
covered 'auto" for the monitoring of the this equipment is the result of a foss- to the
covered 'auto's" operating system; or covered maulo" under the Business Auto
2. Both: Coverage Form's Specified Causes of Lose
Coverage, then for each covered -auto' our
a. an integral part of the same unit housing obligation to Pay for, repair, return or replace
any sound reproducing equipment de- damaged or stolen property will be reduced
signed solely for the reproduction of by a $100 deductible.
sand g the sound reproducing 3. If foss' o= rs solely to the audio, visual or
equipment is permanently installed In data electronic equipment or accessories
the covered -auto': and used with fits egldpment, Man for each cow-
b. permanently installed in the opening of Bred "auto" our obligation to pay for, repair,
the dash or console normally used by
G 71 tO ro 07 Pope 5d8 EP
-RUMMUMFROYTHEARCHM THE0RWLLTRULWf10U IYPW=ADDMDALFORM-
return or replace damaged or stolen property SECTION V - DEFINITIONS Is amended by adding
will be reduced by a $100 deductible. the following:
4. In the event that there Is more than one ap- Q. -Personal effects- means your tengtbfe
apdeductible. ply. In no event the will more thadeduct- property that Is worn or carried by n one cept for tools, wry, money, or serR you.
role will plicable
deductible apply. R. 'New vehicle- means arty 'autos of which
you are the original owner and the "auto'
has not been previously tilled and Is less
than 365 days past the purchase date.
Papa 6 do
/
CITY OF Page 1 / 1
A CITY REC011C E -i
. ASHLAND DII ems:
DATE PO'NUMBER
OW +s: i
20 E MAIN ST. 1/4/2013 11380 _
ASHLAND, OR 97520
(541) 488-5300
VENDOR: 003671 SHIP TO: Ashland Water Department
LIQUIVISION TECHNOLOGY, DIVING SERVICES (541) 488-5354
PO BOX 5277 90 N MOUNTAIN
KLAMATH FALLS, OR 97601 ASHLAND, OR 97520
FOB Point: Req. No.:
Terms: Net Dept:
Req. Del. Date: Contact: Steve Walker
Special Inst: Confirming? No
.:>Quand clUnd , e, ? , . ?d ~descn tion ; ; :''r . x
:Unit Pnce:x"'. ,ExtiPace,
Clean and inspect Alsinq and Crowson 7,300.00
Reservoirs
Contract for Personal Services
Beginning date: 01/02/2013
Completion date: 06/3012013
SUBTOTAL 7 300.00
BILL TO: Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2010 TOTAL 7,300.00
ASHLAND, OR 97520
u
'ACCOUntNumber, , , rojecfNumber s ' Amouoh ccount Number =1 P,rojecENumber) „ 'Amount , '
E 670.08.18.00.60240 E 201221.999 7,300.00
i
Authori d Signature VENDOR COPY
FORM #3 CITY OF
ASHLAND
:,~a f 1 h r f( i f r.
REQUISITION Date of request: 12-20-12
Required date for delivery:
Vendor Name Llgnivicinn Tprhnolnny
Address, City, State, Zip 711 Market Street Klamath Falls. Oregon 97601
Contact Name & Telephone Number Brandon McGraw 541-883-6473
Fax Number
SOLICITATION PROCESS
❑ Exempt from Competitive Bidding ❑ Emergency
❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Written findings attached
❑ Quote or Proposal attached Dale a roved b Council: ❑ Quote or Proposal attached
❑ Small Procurement Cooperative Procurement
Less than $5.000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon
Note: Total contract amount, including any . Date approved by Council: Contract #
amendments may not exceed $6,000 ❑ State of Washington
Intermediate Procurement ❑ Sole Source Contract #
GOODS & SERVICES ❑ Written Findings (Form attached) ❑ Other government agency contract
$5,000 to $100,000 ❑ Quote or Proposal attached Agency
❑ (3) Written quotes attached Contract #
PERSONAL SERVICES ❑ Special Procurement ❑ Intergovernmental Agreement
$5,000 to $75,000 ❑ Written Findings (Form attached) Agency
X Less than $35,000, by direct appointment ❑ Quote or Proposal attached Contract #
❑ (3 Written proposals attached Date approved b Council: Date approved by Council:
Description of SERVICES Total Cost
Clean and inspect Alsin and Crowson reservoirs $1,300.00
Item # Quantity Unit Description of MATERIALS Unit Price, Total Cost
TOTAL=COST
X Per attached quote/proposal $ ,
S
Project Number 2012.21 Account Number 670.08.18.00.602400
Account Number. - 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:
IT Director Date
By signing this requisition form, 1 certify that the information provided above satisfies the City's public contracting requirements, and the documentation can be
provided upon request.
Employee Signature: X15, (t e ~'ZrC~ Department Head Signature: C" _e i2
Additional signatures (if applicable):
Funds appropriated for current fiscal year: 6ESNO ~,1~6=
Finance Director Date
G: FlnanceTrocedure)APTormsTorm 43 - Requisison.docxReservoirs.doo Updated on:
12/21/2012