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HomeMy WebLinkAbout2013-015 Contract - Beaver Tree Service Contract for GOODS AND SERVICES Less than $25,000 CITY OF CONTRACTOR: Beaver Tree Service ASHLAND CONTACT: Clarence Wangle 20 East Main Street Ashland, Oregon 97520 ADDRESS: 270 Wilson Road, Central Point, OR 97502 Telephone: 541/488-6002 Fax: 541/488-5311 TELEPHONE: 541-664-1614 DATE AGREEMENT PREPARED: January 15, 2013 FAX: 541-664-9138 BEGINNING DATE: January 15, 2013 COMPLETION DATE: January 23, 2013 COMPENSATION: $1,400.00 per proposal attached as Exhibit C. GOODS AND SERVICES TO BE PROVIDED: Emergency - Oak Tree Removal - Location: Butler Playground, Lithia Park. ADDITIONAL TERMS: 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, fumish 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 beginning date indicated above and complete the work by the completion date indicated above. 4. Compensation: City shall pay Contractor for the specified goods and for any work 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. 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 2796.220, 279B.225, 27913.230, 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 Goods and Services Less than $25,000, Revised 06/30/2012, Page 1 of 5 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 Goods and Services Less than $25,000, Revised 06/3012012, 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 noncontributory. 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. Contractor: Ci of Ashland By i By 0--e Sig ure epartment Head jbscipra- saopkV ~qJ3 i-Doj-6R Print Name Print Name ~ e*+naN [ic~ralr c-,rz i/Lfe 6 ' I' 3 Title Date W-9 One copy of a W-9 is to be submitted with the signed contract. Purchase Order No. / Contract for Goods and Services Less than $25,000, 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: (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. raj -J-A/v16H-.2LV S Contractor (Date) Contract for Goods and Services Less than $25,000, Revised 06/30/2012, Page 4 of 5 'afREE ESIIbtATE3'. 24HOUR EMERGENCYBERVICE HAZARDOUS TREE REMOVAL SHAPING S RUNING IR SUPPRESSION STORM DAMAGE CLEAN UP,.4' 0 B EAV E R` ~ PROFESS ONAL e 1 ~~ry TREE CARE la: (1. i SINCE x41 1k TREE SERVICE VOICE OF TREE CARE 1984 m o ~.o ~ma,,-• Inc. ;o PHONE: 541-779-7072 • WWW.BE"ERTREEMET W ,3 0 SPRAYING 4 FERTILIZING. SUMP GRINDING. 5' BUCKET R CK MEMBER OF TCIA LICENSED 8 BONDED UL Y NS ED CCB 797614 g` JOB PROPOSAL Customer: ASH/-.4fv~l PO}RK5 Rrv.D Q6C6ZC-A-r1Or\l Date: O4tV/SX-2D/3 Address: ~H~~ Po9RK Phone: 3Q WC -S 788 Job Locations (if Different): Services 7 Price Pruning, Pest Control, Fertilization: Removal: OAK ~~~/~,eot~t/✓D L'L00 L C-/-WC= 'TK r cNK X47- Mil11V Folelc Clean-Up Details: ❑ Haul Away All Debris >(Cut Wood to Firewood Lengths ~Qlaul Away Brush Only ❑ Leave All Debris Stump-Grinding: ❑ Rake Grindings Back into Hole ❑ Haul Away Excess Grindings Other Remarks: E3 Total UGKE? ?e~UGK AC«S.S 270 Wilson Road, Central Point, OR 97502 • CCB Number: 173614 • Tax 10 Number: 20-5639553 or, Information Notice To Owner About Consumer Protection Notice Construction Liens Actions to help make your project successful lORS9M"Lls (ORS 87.093) 0"1 law rwlmwfPdradorsv, Provide the homeowner with this mbcreanhetlmaolwdrn emract, for This is notalien. Your contractor is raqulmd by law to provide this notice to inform you work on a reekempi Structure. Thin notice model licensing. poi ab imunnes rmuirmwnw. am steps appal construction lien laws. This notice explains the wnstm"on lien law, and gives steps Met cenwewrs an take to Iwlp P.. ask kterests. you can take to protect your properly from a valid lien. As an owner, you should read this START OUT YOUR PROJECT RMW Infomvlbn notice wraluly. This information notice IB Required So be given 11 you contract 1. stake mm your contractor l¢pmpdy localism before you me, a contract. VNn wxw ore for residential construction or remodeling. 11 you am buying a new NO ,or at any time and clock on Me link, Check on a ConWmaM1 Uransi or ran our.Xlms.1firs sn'. 621nTOCe m the contract price exC x$2,000. IlcoZdIn Oregon, dwMwdmm must now shome, add Mn aUN On p neaeWeNwseM4w.Lkens- 'vy b MI a guarantee of IM Con word,. • Under Oregon law, Your commercial am bidders who provide labor, malers]s, B uip nt, of • A 1. resul.. the a0nuecta, t0 minWn • wryly awed .M lb "Inwnnc. Tee Me wary wutl 1. • . services to your protect may Its ads to Beim payment from your poperty it they have rot been ewm N fvumal seamyd de mNanw u waned re pay eemaJm n diepnea. a brut i to be A.1 nn for don-1 damages paid. That Ydrum our is sect a Constructor, Lien. . Consumers *in large Popes may wish to look trip wMmaaw bonds Cobb inammwe It your contractor does not pay subcontractors, employees, rental equipment stealers, re tetlais winarefter obvious for propeM demepe and b do Imourr cursed by the wm2Mr. X does ar r or. mwut... innrider Poor ww..no- suppliers, or does nor make Omer legally required payments, those who are owed money may • nywremtrector 1. wpuc.nwd-use ace mwere m+pee reawuspn esNkms wetrma place a lien against your property tar payment N Is In your beat Interest to verity that all averbh m pus, Nils MMW to your Contract era pa W. men R you have paid your contractor in hism 2. WW you $M ld know abpW bids warrant ON CMu omwa: • If you GCW or will prod o ply ev your Mme, permits who supply ealii labor eqMpMi put ro pthin propartY BmBr Povnuality ma rialrMbwmrdtlrAbur"they makeXnecesaerybr Ne coot or eeNlhe her by Your contractor ht to by y taw dw to file dlien nt against this transom er use ae lower quaky materiels em b cut warrant in Your Po t only If they y have sent you a limey Notice of Right to Lien (which cost e • Oomncb and CNnge Oman - Always par It N wMbt Your machi b armsed to banker Information Notice), before Or during wnsorvcfwn. R you enter into a a contract to buy a newly e mer, co mnvw a me wool Pte m norm Or Saudi This cCR ewaemmedo Met an mm vacmee n weXk9. built, pwheiy-built, newly-ramMeba Mme, alien maybe claimed men mough et you MYo you do rot occupy the building, a Notice of Right C.. N b• as dw pvalew Some inns Or indua en stew MI ei ho It required al Right to at la lien, pemml, M. etw aten and d .mpumb rtes, it.. remora, and ai M dau Wore M to flan n is rot required prior to fling a lien. d vn uwnore name, cce numbs, and thin i ftmatbn a demand i in n o the e Contract, are the m . State wit it a l hr, mued Into fo sgning Your This notice Is not Intended to be a Complete analysis of the law. You should consult an attorney • Recd and ar.w year a contr.d cent Or throe signing ur - poor N to you MW09 edqugh for Tigafte deWlB IOC re fllOfmatlOn. to=wNtlN wWdp me lime e b me c n iffldarEUgau uneew Your NakO vim POperly . } Addlt mlnlomutlonywb anWW W kapw: A Payment 'm aidwweemm. mmt. D. adew «n.nm densrawer p.y Common Ouestlons and Answers About Construction Liens In Ipull for a on reform woM1I¢ mmplele. xPect ' Special NOto ofeoO tims Me me Subcontractors and maerklees suppliers that w ors oner may blea been Cansomeone rds, me construction lien or even pay coolnr Yes pophie not pep by me gerry wnt m c it II a aeranl contractor a lava W m p ar the camoree a Ike been mid for labs, material equipment. , or wNtes on your ur project and has s provided d you with with . a valid es. on par propeM For i o on avawcrn Sam. vas and CCB 's Conwmer fe hmay N el{, Pegs at Notice of Right to lien ban the right b recoM a comlrlaMn per. emw.g~almkm. w canon m emdmY rucioprojes. t It pro your bnswM have w•.m+ny anew ems bat ceemamon cmeedwamam m.kemeoam wMn whet isaNation Rl9Mto Lien?ANOoRight suodg a new mvdenaal seunwm. Consumers may ewP or refuse thwe warms, y prmitletl labbor, materials, or equipment to Your construction prole It protxts their construction lien 4. If you Should have a problem with your contractor ~ you vin file a complaint with Me OCR egamtl rights against Your propery, a licensed compares within one Year of the substantial completion of work on Your paiect Contact What MCI I do when l receive A Notice of Right to Lien? Iignore it. Find out what ok CCU off At 5013T!-4631 for do arangemenb Your contractor has =do to pay Me supper of IM1e Notice of Right to Liar,. cosh Umccew IW 9for mks intro on on MAN s successful pmlecl. Wharf do mnMmcllonllens nest to W seemed? In wao construction liens generally need ww.owgon.govrccb to be deco within 95 stays from Me data the project was subslan0aly compieled, a 95 days from the state Mal the lien claimant slopped providing labor, material, equipment or services, whichever CONTRACTOR: CC": PROPERTY OWNER: M1appanetl had. TO enforce a Ilan, the lien hostler must file d lawsuit in a proper coca within 120 stays of 1M data the lien was filed. . as Connector: This row mm be CeFeeM pramelry, or maid q regiaWed mek, uMed ma e. w by NR2fass Se.N a.' 5ynabre Der. see went au ..1 meeidg. AY MAY Kee, an to p.R you inn an brg-, or any is rMmin your YW rMUlo ..on 11 bl d&irery of thin nobw tor no lesel Iwo yeero. NanAel (OVeI) Notice of Procedure Steps That Consumers Can Take to Protect Themselves • Contact the Construction Contraction Board (CCB) and Confirm that your contractor Is 9 Regarding Residential Construction leo . The law requires all construction crosUl m ape licensed win the CCS. Checka Arbitrations and Lawsuits mntraMr a license online at Me GCB=Mumer webrete: www.weoon dwvtoob or you cep call 503-378-0621. l01119791.33M • Review the Consumer Protection Notice logs 701.330191, while Your contractor must provide to you at the time of contmot on a reaidendal structure. Oregon law Contains important reQUlremeflLS that fwmeowllers must Idbw bB}or0 • Consider Being Me services of an awrow agent 1o protect Your intamsb. Convert Your m omey to fiM our whelhn Your e9wOw agent will protein You against liens OMn making pwmenm. starting an 8minanon or Court action against say contractor, subcontractor. • Contact A nude company ahead obtaining a title policy Mat Win protect You from ponstmcaon or supplier (materials or equipment) for Construction defects. Ilan claims. Before tart an arbitration or court action, moat do the following: Find out what pwautlons, If any, will W taken by your contractor, lending institution, and you s You chaect W Protect your project from construction lens. _ DeliverewriliBa aOnCe of any madNOn3 onat you believes are defeClNe to that • Ask the =nhector to pe111m wally or lien rWaves from every su1gdWredor materials 1 pm r, equlpmmi provider, anp anyone el%man contractor is respwlyde for paying Do Me contractor, subcontractor, or supplier that you believe is responsible for the Before you give Your Contractor a progress payment. alleged defect. Have a wrNtan contract with your contractor. Awritten contract is rpulred for projects greater 2. Allow Me Contractor, subcontractor, supplier, or its agent, to visually inspect the • than $2,001 An original contractor that falls to provide a written contract as required by law, may possible defects and also slow the contractor, subContractor, or supplier to do rat piece a conwuc do lien against Me Owners property. N you rac.lse A Nonce of Right to user,, Risk for a M..t of has pesson.NA Yalw of the reasonable tesnrg. matadele, labor, equipmeM, or em ation is net provided year project hen everyone wM se MS You 3. ae the centractim. po 6uerial. oia agent, thac to N tine o Right to en may Ma tnbable to ik not providwf in a nmaty manner, the sander make an an oiler er to to repair air or or pay for r the the dBfecis You are re not not obligated ated to to accept Notice of Right o Lien may still de able to ills a wnsiruction fiery but will not be enoitlep to to attorney eas. any aHer masts. • When you pay your wMmVor, write checks made jointly payable to the contractor, There are strict procedures and deallinres Mat must be flowed under Oregon taw. s^a MmC , mebriais, puipmant der MMG prwld . The C1KKks name MM the tractor and doe submnVemM, materials or equipment pro w That Chews Can only be Cashed Failure t0 follow throe, procedures or Meet those deadlines will affect your right to start if both Mr, contractor and the submntrac s. materials or equipment Producer endorses it, Tons an arbitration or court action, ensures that the sub nhactor am other providers will be paid by Your contractor, and can eliminate the risk of a lien on Your property. You should contact an aROrney for information on Me procedures and deadlines • Should you have a dispute with your contractor, YOU may te ape to file a Complaint with IN required under Oregon law. CCB end be reimbursed In wMle or in pan train Me mnnacmr's MM. For come details about Mlp available through IM1e aged write m Me CCB at PO Box 1414U, Salem, OR 97309-5052 or Call 503-3984621. • Consult an attorney. If You M not have an Monday, consider contacting the Oregon State Bar Yourcontwtm is supplying this nations to you es naulnd by Oregon low, Referral Service at 503-684.3983 or 1-800-052-9838. St," roe Info,m.rlm xom V.nlw any inn Your nrvnt reeNw n Your apmmn doe. cep Yon new mmnwww mod cow pmHde nuM6l.bar. pulPnnu or wnlwa..1 it. ngnbto time M Your Pmprly. CONTRACTOR'. CCU HOMEOWNER: Job Site Mdre«'. CONTRACTOR: CCU PROPERTY OWNER: Men Cart Note (as It ep on mWectl Phn IYnm,ncd NYM (.asgeen m(pWecrl Print mama lass aneam on contract) Print Name twat opyan on mnlrM) SlgreWre of AUllgmM RprewnsWe Date SpaMe Due 6gnsErn D.le SgnNn o4 onew-umcea"readvoo 1"4441 tlnimmaam_nodm km-coun r moo OP ID D9 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/OD YYYI } s 10 15 12 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. IlVieORIANT; if the certificate o er 1s an ADDITIONAL , the po Icy 1es must be endorsed. , subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In Ilau of such andarsement(s). PRODUCER / NAME: PHONE Insurance Marketplace, Inc. IaMCAILo, EXt): (A/C, Ne): 1998 skypark Dr Suite 100, ADDRESS: Medford OR 97504 CuaTOMER ID 0, SFAVE-1 Phone: 541-779-0177 rax:rAX 772-8235 INSURER(S) AFFORDING COVERAGE NAICA INSURED INSURERA: Sai£ Corporation Heaver Tree Service, Inc. INSURERS: Clarence Wangle 270 Wilson Road INSURER C: Central Point OR 97502 INSURERD: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THI., IS TOCERTIF THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICYPERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. p1 ) LIMITS LTfR' TYPE OF INSURANCE INSR SVDUVB POLICYNUMBER (MM/DI~y M'1'Y) (MM/DOYMNY GENERAL UABILRY cKv OCGUAVt K-h $ rwAvir TO RrNTrn M S Ita Oaar?xal 'S MCrI ROIN rrNrRN IIMII ITY NM: mArr Uw.a IR MI'ItEn r P (Poly nun Vrn::nn) S ' I'tN`.'{RJN.SPUVIIJJUIY $ Grix-RN AcoRrwr e (:k&ACC'd&MF LIMIT AIVLIhSI'hIL PI ZrX.)UGIS-COMI'/01'AC* $ POI ICY(OJI IOC. $ AUTOMOBILEUABILITY COBINhUSiNOLIcLIMIT $ (Ea amdant) ANYAUIQ 1197,11 Y IN.R 9-Y (Pe, I".=') 5 NI C)wNfON rror nn,I1 Y INJURY (Pm :n:::iduul) 6 ;'d 11101 A rD Al lrne PROFfRTY rvumr $ HIMZUAUIUS (P:a n:a:hhad) t rloN nWmdrn nd rtD;: ' $ UMBRELLA LIAR OL:C:UI! E,4[:H VGUalIthNGh $ ' EXCESS LIPS ni NM. MAr1r Ar.(,RrCATr 5 nrnuralrn r Ith hNIIO1J $ $ WORKERS COMPENSATION 33691 07/01/12 07/01/13 U AND EMPLOYERS'LIABILRY IUIlY LIMITS hl! ANY I'ItUI'ItIhIUIUI'AItINEIUhXL4U11Vh ~ /A rl FACIIACCID-Nr $1000000 (Mandale/ryinNHR r)fCl IN1'rM rl ninrmi- rA rwi oYrr '51000000 If YYnn. Jcrnaibu ivnhX .L. VIShA;Ih - VOLIGY LIMIT $1000000 E jiDI~::CRIPTIOrI (Y OPrRATIfRf.; Ix:4re fax P488 FOP ATIONS/LOCATIONS/VEHICLES (Attach A..- tot, Atltlltl,nal....RV Schedule, Irmore apace le required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ABHLAND THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland its officers ACCORDANCE WITH THE POLICY PROVISIONS. and Employees " Carl Olson AUTHORIZED REPRESENTATIVE 20 E Main Ave Ashland OR 97520 " 51988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD UG1'(l5/ZU1Z/MUIV 01:41 rM rxA IlU. r, UUI/UUI 10115/201MMIDDIVYM ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE PRODUCER. RKI INC. Cert# 55014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. BOX 157 . HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR LEBANON, OR 97355 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ' (541) 451-1313 ' FAX:(541)259-1092 INSURERS AFFORDING COVERAGE NAIC# INSURED BEAVER TREE SERVICE, INC. INSURERA: OHIO SECURITY INS. CO. (NPP) INSURERS: OHIO SECURITY INS. CO. (NPP) WSURERC 270 WILSON RD INSURER a. CENTRAL POINT, OR 97502 INSURERS COVERAGES . 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 NMICH 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD'L POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR Ns TYPE O INSURANCE POLICYNUMBER OAT MIOD DATE MIOO GENERAL LIABILITY EACHOCCURRENCE $ 1.000.000 X COMMERCIALGENERALLIABMY BKS(13)54779670 MAY 2612 MAY 26 13 REMISES Eao u w $ mn) A CLAIMS MADE® OCCUR MEDEXPMyonsperson) $ 15,000 PERSONAL& ADV INJURY 8 GENERALAGGREGATE f ' GEN'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMP/OP AGG $ z,uuu,uuu POLICY PR0. LOC AUTOMOBILE LIABILITY 354779670 MAY 2612 52613 COMBINED SINGLE LIMIT $ 1000,000 ANY AUTO BAS(1) (Ea accident) ALL OWNED AUTOS BODLYNANRY f SCHEDULED AUTOS (Parpmon) B HIREDAUTOS BODILYNJURY N040VOED AUTOS (Peraccidenp $ PROPERTY DAMAGE $ (Per accident) ' GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHERTHAN EAACC S . AUTO ONI.N AGG $ EXCESSIUMBRELLA LIABILITY - EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE $ S DEDUCTIBLE $ RETENTION $ $ C STATLL WORKERS COMPENSATION AND VJ T OTH EMPLOYERS' LIABLITY ANY PROPRIETOPoPPRTNERrEXECUTNE E.L. EACH ACCIDENT Y OFFICER/MEMBER EXCWDEOT EL. DISEASE-EA EMPLOYEE $ Ryyes descdbe antler SPECIAL PROVISIONS below E1. DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS - ' REF: FOR CERTIFICATE HOLDER'S INSURANCE FILE. CERTIFICATE HOLDER CANCELLATION iv~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BORE THE EXPIRATIo ATTEN. KARI OLSON DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN 20 EAST MAIN STREET NOTICE TOTHE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL ASHLAND, OREGON 97520 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS DR REPRESENTATIVES. F# 541-488-5320 Al6~~~~__ ! ACORD 25 (2001108) ©ACORD CORPORATION 1988 ~ 'i T Y REC01 LER Page 1 / 1 Ashland Park Commission DATE PO'NUMBER.~ ;Jr 20 E MAIN ST. 1/25/2013 00194 'd ASHLAND, OR 97520 (541) 488-5300 VENDOR: 001167 SHIP TO: n'i BEAVER TREE SERVICE 270 WILSON RD MEDFORD, OR 97502 FOB Point: Req. No.: Terms: Net 30 days Dept.: Req. Del. Date: Contact: Anne Thaver Special Inst: Confirming? No M •:Ouanti !`,Unit `Descri °tion ".Unit Pride: Price Black Oak Tree Removal 1,400.00 Location: Lithia Plavqround Leave remaining trunk at Main Fork Contract for Goods & Services Beqinninq date: 01/15/2013 rn Completion date: 01/23/2013 Insurance required/On file i SUBTOTAL 1400.00 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 1,400.00 Account Numter, . ; -,ProjectNumtier ;Amount, r 'AocourifNumner ProJect'N'umber Amount; E 211.12.02.06.60410 1,400.00 Authorized Signature VENDOR COPY d FORM#3 CITY OF ASHLAND REQUISITION Date of request: ! -J5 p Required date for delivery: Vendor Name -t7s~tCry V-eL c'~.Kklk o Address, City, State, Zip . O W i'l 0,M PA Contact Name & Telephone Number CALAV--pAr e fr i M 0 . ~q --f)-I-a a J Fax Number 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 uote or proposal attached 21 Small Procurement Cooperative Procurement Less than $5,000 ❑ Request for Proposal (Copies on file) ❑ State 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 $51K to $75K Contract # PERSONAL SERVICES E] Special Procurement Intergovernmental Agreement $5,000 to $75,000 ❑ Form #9, Request for Approval - ❑ Agency ❑ Less than $35,000, by direct appointment ❑ Written quote or proposal attached Date original contract approved by Council: ❑ (3) Written proposals attached Date approved by Council: (Date) ❑ Form #4, Personal Services $5K to $75K Valid until: Date Description of SERVICES Total Cost blc>„*'06LV_ ~eYVtovAQ ~l pct P1 . Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST ❑ Per attached quotelproposal $ Project Number______•___ Account NumbeP_" 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: ITDirector Date Support -Yes/No By signing this requisition form, I certify that the City's public contracting requirements have been satisfi d. Employee Signature: f1 U1D l'. ~'~/~I~Y Department Head Signature: (Equal to or reater than $5,000) City Administrator: (Equal to or greater than $25,000) Funds appropriated for current fiscal year YES / NO Finance Director- (Equal to or greater than $5.000) Date Comments: Form #3 - Requisition