Loading...
HomeMy WebLinkAbout2013-076 Contract - Curtius Huntley Plumbing Contract for GOODS AND SERVICES Less than $25,000 CITY OF CONTRACTOR: Curtius Huntley Plumbing, Inc. ASHLAND CONTACT: Gary Huntley 20 East Main Street Ashland, Oregon 97520 ADDRESS: 1896 Delta Waters Road, Medford, OR 97504 Telephone: 541/488-6002 Fax: 541/488-5311 TELEPHONE: 541-857-8988 DATE AGREEMENT PREPARED: March 26, 2013 FAX: 541-857-5920 BEGINNING DATE: April 1, 2013 COMPLETION DATE: April 12, 2013 COMPENSATION: $450.00 GOODS AND SERVICES TO BE PROVIDED: Contractor to supply portable Vactor to clean sludge and debris from water holding tank, pressure wash tank and haul off water and debris, includes disposal. Per proposal attached as Exhibit C. 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, furnish all labor, equipment and materials required for the proper performance of such work. 2. Qualified Work: Contractor has represented, and by entering into this contract now represents, that any personnel assigned to the work required under this contract are fully qualified to perform the work to which they will be assigned in a skilled and worker-like manner and, if required to be registered; licensed or bonded by the State of Oregon, are so registered, licensed and bonded. Contractor must also maintain a current City business license. 3. Completion Date: Contractor shall provide all goods in accordance with the standards and specifications, no later than the date indicated above and start performing the work under this contract by the 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, 2798.225, 27913.230, 27913.235, 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: Contract for Goods and Services Less than $25,000, Revised 0613012012, Page 1 of 5 1. 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 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 Liabilitv 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 Contract for Goods and Services Less than $25,000, Revised 06/30/2012, Page 2 of 5 intent not to renew the insurance coverage(s) without 30 days' written notice from the Contractor or its insurer(s) to the City. e. Additional Insured/Certificates of Insurance. Contractor shall name The City of Ashland, Oregon, and its elected officials, officers and employees as Additional Insureds on any insurance policies required herein but only with respect to Contractor's services to be provided under this Contract. As evidence of the insurance coverages required by this Contract, the Contractor shall furnish acceptable insurance certificates prior to commencing work under this contract. The contractor's insurance is primary and non-contributory. The certificate will specify all of the parties who are Additional Insureds. Insuring companies or entities are subject to the City's acceptance. If requested, complete copies of insurance policies, trust agreements, etc. shall be provided to the City. The Contractor shall be financially responsible for all pertinent deductibles, self-insured retentions and/or self- insurance. 17. Governing Law; Jurisdiction; Venue: This contract shall be governed and construed in accordance with the laws of the State of Oregon without resort to any jurisdiction's conflict of laws, rules or doctrines. Any claim, action, suit or proceeding (collectively, "the claim") between the City (and/or any other or department of the State of Oregon) and the Contractor that arises from or relates to this contract shall be brought and conducted solely and exclusively within the Circuit Court of Jackson County for the State of Oregon. If, however, the claim must be brought in a federal forum, then it shall be brought and conducted solely and exclusively within the United States District Court for the District of Oregon filed in Jackson County, Oregon. Contractor, by the signature herein of its authorized representative, hereby consents to the in personam jurisdiction of said courts. In no event shall this section be construed as a waiver by City of any form of defense or immunity, based on the Eleventh Amendment to the United States Constitution, or otherwise, from any claim or from the jurisdiction. 18. THIS CONTRACT AND ATTACHED EXHIBITS CONSTITUTE THE ENTIRE AGREEMENT BETWEEN THE PARTIES. NO WAIVER, CONSENT, MODIFICATION OR CHANGE OF TERMS OF THIS CONTRACT SHALL BIND EITHER PARTY UNLESS IN WRITING AND SIGNED BY BOTH PARTIES. SUCH WAIVER, CONSENT, MODIFICATION OR CHANGE, IF MADE, SHALL BE EFFECTIVE ONLY IN THE SPECIFIC INSTANCE AND FOR THE SPECIFIC PURPOSE GIVEN. THERE ARE NO UNDERSTANDINGS, AGREEMENTS, OR REPRESENTATIONS, ORAL OR WRITTEN, NOT SPECIFIED HEREIN REGARDING THIS CONTRACT. CONTRACTOR, BY SIGNATURE OF ITS AUTHORIZED REPRESENTATIVE, HEREBY ACKNOWLEDGES THAT HE/SHE HAS READ THIS CONTRACT, UNDERSTANDS IT, AND AGREES TO BE BOUND BY ITS TERMS AND CONDITIONS. 19. Nonapproprlations 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. If) Contractor: City of Ashl id By . r By /v K~l A 011, &14 Siq ature Department Head [6'h]bPdq 6n Prin 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 Goods and Services Less than $25,000, Revised 06/30/2012, Page 3 of 6 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. Contractor (Date) Contract for Goods and Services Less than $25,000, Revised 06/30/2012, Page 4 of 5 March 26, 2013 Curtius-Huntley Plumbing Inc. 1896 Delta Waters Rd. Medford Or. 97504 Ph.. 541-857-8988 Fax 541-857-5920 CCB 134304 Quote for Ashland Parks & Rec. Garfield Park Scope of work We will supply the labor and materials to complete the plumbing as described below: 1) Use Vactor to clean sludge and debris from water holding tank. Pressure wash tank. 2) Haul off of water and debris and disposal. $450.00 I Thank you, Gary Huntley Please sign, date, and return one copy of this quote to schedule the above described work. Date Beecher Carlson 3/28/2013 1:33:11 PM PAGE 2/006 Fax Server a OATS 145MTDIYwv1`,~©!?~ CERTIFICATE OF LIABILITY INSURANCE 31ze/2oia: THIS -CERTIFICATE IS ISSUED. AS:A .MATTER. OF.UJFORNIA7ION ONLY ANDCONFERS NO RIGHTS UPON THE CERTIFICATE'HOLOER. THIS. CERTIFICATE. DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OF, ALTER THE COVERAGE AFFORDED By THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE. A' CONTRACT' BETWEEN; THE ISSUINGINSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, ANDTHE CERTIFICATE HOLDER. IMPORTANT: If the tartltlca~e hDidei is an.AODI TIONAL IN5URED; tie policy(tes) must he'endorsud: It SUBROGATION 15 WAIVED, su9ject to the terms and:condltions;BfYhe.pdficy, Main polities mdg require an endo sement. A statement dnthis''ceitllicate doss not confer rights to,the. certificate holder inAieu of such endorsement is) PRODUCER NQMEAOi Thompson Beecher Carlson Insurance Agency LLC PHONEE x (541) 772-113.1 Fi1c Nol: I5911172'_370 707 -.Murphy Rd -Eb5 ..Zany: thompsdri@]ieebhe'roarlson:com INSURE S'AFFORDINGCOVERAGE: NAtC:#. Medford. OR -97$04, INSURERAAmerican Hal'lmar'k Ins. Cc of ''M 3494 INSURED INSURERBAraerlCEl11 States 'IRSUranCO CO 9704 CtLrtlus Huntley Plumbing :Inc IrSURERc:SAXY Corporation 2412 1e96 Delta waters Rri INSURERD:. INSURER E : Medford. OR 97504. INSLIRSR. COVERAGES CER7I FIGATE PdUM BER 20i2'23 GL, Auto, WC Otnbz: REVISION NUMBER: THIS :IS 70 L'ERTIEY THAT THE'POLWIES OF 1NSU RANGE' LIS-fELI BELOtN AVE APEEN ISSUED TO THE INSUREDN/IMED. ABOVE FOR THE POLIEY' PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER' DOCUMENT WITH RESPECT TO'IWICH THIS: CERIIFICAT€ MAY BE ISSUED OR MAY PERTAIN.. TNE:INSURA NCF-AFFORDED BY THE POLICIES DESCRIBED' HEREIN 15 SUBJECTTO ALL THE TERMS;.; EXCLUSIONS. AND CONDITIONS OF SUCH POLICIEStUMtfS SHOW4f,1AYHAVE BEEN REDUCEDRY PAIDCLAIMS: INSR TYPE-OF. INSUy,NEE ALIDE S POLICY NLM HEk M~OLJYI'iP' MU DDrvYW lllNTS TH GE4ERALLIABILf1Y EADH OCWRPENCF_ $ 1, OOO,C09 4 'r FrS1-- III r x: cOL;MPPCV; CsuFAal. PIU:I:ItY n - .100,.000 A 'CL'NfA?%NAD=:,OC0.1P: 4C4II1d614 /15/2012 /15/2013 MCD.'XPIMY __I.z3i~ti T 5,009 .PERSSxAAL S.y3'iiN4U r L 1,000,000 U31F:RY :1,041UHATE 4 2,000,000 x "DL", . WC 0EN"L.:AGGRE0MEC4Un A~f JES.PEP PROMICTSwCO!dPNPAGG. L 2 1000 ,000 $ L II< .IN MI( AUTOMOBILE LWeILT' 'Lt LL B WJVRUTO. &~OILY NJURY'rPel. yuugO $ PLORNED SCHEDL LED: IC1356'5230 /15/2011 /i5/2013 BCDU( WNRY!Fae~Mml) $ .AUTOS 'QTO.fr NOrzoa-PED H REDAUTOS N;4 TOS ~oaP Stlanl 3 X UMBRELLA LIAR' UVCL`E E>(:hl:•000RRENCE $ 2,000,000 A EACESS LIAa - ' CLAIMSSMd.Dr ACIPE AT_ $ 2,000,000 UEL Fe EvIIUNI :0 404676615 /1:5/2032 -(Yai2M3 y C WORKERS COMPENSATION R ,VC TFTJ-. OtfP- ANDEMPLOY RS'LIASILITY R JT. YIN E 1. E~ 4 AOCTEENT $ 50(1 000 OFF F:CFR;IAEJJFF p&FR Eh Ri'AR ~B9rEJ4:Cl:1'vE El N'A FF tANr 09113 0/,1/2012: 10/1/201 3 EL_UISEAb t.: EMF'llil ~r 8 500 0'00 ,Ikontlettlry In lJNl ' III" 4«IPTION r.mo a OF „nd>.PERAr1OP$ bdnw EL. DISE^.x: FOaCy IIIAO- ; 500,000 E DE ~'C DF.9CRiPTIONGfOPERgTION41 I6N9.(j£H-JES(ts CORAIOJ.AglllIste. eO b rrl y~' t i pn3j General liakii.li.ty nl.i.dy 1nr_lYides &d Addl Ei;onB7 Yr`.>11rec Cnvfl¢a-,1'a rye on a a primary nnhroOtY,lkSUtory oasis per. endoscement. NIP97673.01C ('attachedjr '21is form is 'subject to p.lioy terms', ..ndll'ioris, and oaclsssi:orCS, CERTIFICATE HOLDER CANCELLATION (541) 4 0 D -5320' SHOULD'. ANY OE THE ABOVE DESCRIBED POUCIES.BE CANCELLEOBEFORE. THE EXPIRATION 0A'rE THEREOF, NOTICE' WILL BE. DELIVERED IN. gCCOROAtICIEWITH THE POLICY; PROVISIONS: City of 'Ashland, ~ ~ 20 East. Main Street' A Atrr[nrp[EO RerResENrn,?'rve shland, OR 97520 Larry' THompPop./I 1RRY .000RD 5)., ©1888-2010 ACORDCgRPO,(Z5 (201010 ATION, AH rights, reserved. INS025 (GIO 5104 The ACORD name and logo a[e registered marks of ACORD. Beecher Carlson 3/28/2013 1:33:11 PM PAGE 3/006 Fax Server POLICY NUMBER, COMMERCIAL GENERAL LIABILITY GC 1101,26 07.09 THIS ENDORSEMENT CHANGES THE POLICY; PLEASE READ. IT CAREFULLY. OREGON BLANKET ADDITIONALINSURED COMPLETED OPERATIONS This endorsement modifies insuran.c.e provided imccrthe fol!oyek COMMERCIAL GENERAL..LIABILITY'COVERAGE PERT A. 3ectiori II.- I/Uho, Isi An Insured is aniended.t i din Rude as<en adr'itirlriat :nsureciany. p :rsan--nr vrt7anizat nn for whonl you are. performing operations when;you and such person;orolganizatlon have agreed in writing 'in: a contract or agreement that such. person or organization pe added as an additional insured for completed operations: Such person or.organication is an:additionai insured only to.the extent'Chat the iiabll'Ity `or todily niiiriy' or "pippedy daniage' Is caused!. in: whole oI in.pait. by "yctii wvth" perfoimed ldr that add:tiunai in- tirf?r and inc[tided in the ";iroduG4s-c rnoleled;rf eratiods.haEard s B. With respect to the lnSnranceaffoided to these add icnal insureds the following iimitations;apply: 1,. Ttrls adjignnal Insured 5;auas is prantetl~only'aY the locations fisted in ne wrltten contract, 2. Coverage is limited to `your work"that Is cie$cribed in the c assifications or schedule of hazards shown In. .the General LlabM.ty Declarations of this policy.. C: With aspect q the rnsucance afforded 'ty these additional ins de s; the follovyirip exclusion appiies: ThisJ nsurance;does not,atiply toy. "Bodii0niury or 'property damage which. occurs: prior to the execution of themnUen contract.octhe effec tive date of' llis:endmf rient. GC 10 26:07:00: -1ncludos copyngftLd;mteilaj pf_ Paged;.ofi 1 C]. : nsuranne. SWvices:Office; Inc.. with its perm rsion r Beecher Carlson 3/28/2013 1:33:11 PM PAGE 4/006 Fax Server i~ E . Valiiatiort of tbQ BUILDING AND PERSONAL PROPERTY .COVERRGE. FORM.1s.QaloYefJ apd:rKp'acad.liytiie following: 7. Valuation We willsdeterinihe the valuex:ofroovered:propertyin the event.of loss or darneige as foliovis_ a: At actual cash va;ua at the time of the foss:(with a deduction far depreciation) axcept:as provided in Paragrap5s b. and C. following. .b-, Pair or Set; The value:of a.lost or damatied article which is part of a:pair or sells based on a masonabie: proportion ofthe vaiue.of the enure pair or set. Ttie loss ls.not considered a total loss of the pair or set. c. Loss to Parts. The value of e lost or damaged part of art Item that eonsists of several parts whenitis eomplate is based:on .the value of only the: lost ot damaged par or tMe cost lu repsir or replace:i . 2.. Rental Reimbursement in .f : oven: of loss by!a. cuvered.palril to cuv9red contra tors' equipment that yott own weiwill. re mbursa<you for your expense to renlsimilar ego1ornent whiie your equipment:is inoperable. The most we will reimburse. you for renal eimburserrent expenses.fs 51,000, We will coname to reimburse yotl:tor the rental:of:equipmeht after the o9pir8fion: dalo:'of this coverage provided the loss occurred, efore the explratior:date. Wo will not reimhursa you: a!: If you can continue or resume:youropetations with sirnilar•equipment i# at is availableto you at no add^.ionatexpense. to you; or ii. For ttic rental exfase:of any:equiprraric:ur'JOss you maB.o evcry'reas.cn~.,ble;:;ifoq td [epwir. ac.piacw tirrebw d t.Fie: indpFrable egeipriientaftor the covered loss occurs. 3. With nnpect to this Additiona! Covararge,:Contractors Equipment Coverage Section D. Deductible of the BUILDING: AND PERSONAL PROPERTY COVERAGE FORM ls, delaled:and replaced by' the.followind'i D.: Deductible WevAl not pay:for loss: or damage in any, one occurrence'until the amount of loss:ordamaae:exceeds S506.1Ne.wiil then pay the amount ofloss or damage in excess of3$ 00 up to.lhe applicable limit.of insurance. We vythnot eimburseyoufor:th!e[entalofequipmenttintil:after72hourshaveBassed~„ncethecovered:propertywao rendered irioiaerable. After 72 hours have passed, we wil.l:only feuritiurse you fo the rental sxtiense tTatyou actually in:CUr. The dedurgp1e-of.$500:600snot @:?Piyto rental reimQursement.expenses, General Liability Additional:Go terages Theloilowfig Additioral Coverages are added. to COMMERCIAL GENERAL LIABILITY COVERAGE FORM:. A, Blanket Add Riona:IInsirod.:Coverage 1. SECTION jf. , WHO 15 AN WSURFD:of the COMMERCIAL: GENERAL LIAMUTY COVERAGE FORM is amended to: Include as ar.insured ar ype,rson or organfza0on (ieterred to as Addillonal Insured whom you are requif.edao add as an. Addiljonat Ins,gced Uri this, policy uriders at. F written caritract or agrooment; ord. k. Where a. certifica e:of insurance show.nq that person or organizauen<as an additional insured.has been issued: and. INh n he written contract or agreement arA certificate of insurance:aro currently live ffector bocorning rn effect' dWrngf.`e._fercnoftl!epalrcyandexecu[odpriorlathe bodilyurlwy.""l:;ioperiydarrtage"cr"'petsonaland:adver6siog: lnjirry;'~ Z, The ns::rance provideq:to. tits Addrticnal insured is limited as:fo!iows: a. The Additional Insutad is only amadditional insured for: ('I) ' Bodily injury," "Property caniago," or 'personal And advenJsing injury' caused in whola or in part tiyrtegligent acts of ornisslons ofa'to Named Insured:or arryone:directiy or lriairaetivemployed bylhe Narned.ln$Ured or for whoso:acts a Narnec! Iirsurod may be liable. (2) Liability arising out of your ongoing opera+3ons for'the; Additional Irsured. by or for you A person's or organliatlon's. status as an Insured under this coverage ends hvnen your operations for that. insured are: completed. b. The UrTitts:of insurance appilcable to:the Addj6onal instired are thcsespecrfied'iA the written contrdet:oraxreement bull mot::torv than. the Limits vFlnsuf6nce.speaifie+:l.i r :ire DBirai'atians for ltu~ policy,.Tho Limits of:litsiir0cc1: Page4QuIf2~ inoluclo*o oyrighred:in*,rialoflnsufmooSe..rO O MM Inc::and PAP;476111)-f0 amercen2ssodatlon?f Insura:ce;5e noes !rr:,tQidtttielr~mrdsslnn Beegher.(rarlson 3/28/2013 1:33:11 PM PAGE 5/006 Fax Server applicable to the A,dditibnal- Insured am inclusive of wind :not iii; addition TsF tiie :Limits :of ltisursnce shown- in. tho De larationsfottheNatnedlnWred`. 5. In addition to the other a)edusions:applicable:to Section.i-, Coverages A.; B'.. and:C. of ttia COMMERCIAL GENERAL LIA61LITY COVERAGE FORM, tho.iniJuea nce providad.to tho.AddlUorial:trismod: doos. notapply!o: a "Pro pri ty damage" to" (1) Property owned'. used;;occupied by, loanad or ranted to tho.Addilirinal insured; (2) Property .nthecars, custody orconfroloflheAdcritionallnsured:OrovervhichtheAdditional insurerfare.forany purpose exefels rg physical control; or (a) 'Your work' performed for the Additional:Insur.ed.. "Bodily 1•rjpry," "property darnage,!' of parsonal and adverUSing irrjlinf' arising out of an irrhltect's engirieer's or sun;syoPs rendering or failure, to render any profess riot services for, you, for the,Additional Insured or for others; nciud ug,)ut no4litnited to:; (7 ) 'The: preparing, approving or,failwo.to prepare or approve-malts, drawings, opinions:, reports, surveys, change: :pRlers; design-31orspeCifeat!ons; or (2) Supervisory, inspecion. or engineering services. c. -ScdAyre;riry nr prrpFiriydarnagfr"n rurihd_afler (1) AN work, including rratenals; parts or aytiiprnent furriishetf in corihP,ciion wilti:su. h work, on the:project (othe( than seiv.ice,.maintenarice or repairs)ao lie. performed by prop behalf of the addaionat.insured at'the~site.of the: coVoredoperationsh sboon'compleed;br - (2) That:portion of `yrr)ur work" r tit ofwhich the irjuty:©rdamage:arises has been put to,its.intended use by any pe'scin or wganlzaton otherthal another contractor on'sulowntrActor engaged in performing onefations fora: r•r+rncipal as a part'of the same: project. 4. SECTION N= COMMERCIALGENERALLIABILITY CONDIMNS,Patm9raph4.OthecIneuranco,isatrehded:to.add the fb ilowing sabpa rag tapht d. Additioilailnsured'5other.inwUranceAsEkcesslnsuranee etheeaterdrequired Syan.`irsu=edconlract,"this.insurahceisprimaryon'behalf."of theAdd Znailnsure ;aadany otherinsurartce maintained bythe;AdeiGenal Insured is excess and not eonttibutoryw:th thisinsuranw. ifthe-insured: contract does not requ)re (hisp-ovision; then Paragraph a. above will. apply.; 8. Mobile: EquipmantBroadened..COverege. V 12.f;(I: of the COMMERCIAL GENERAL 4A51L(TY'COVER4GE FORM is roplaced by the'follow!ing_; 11) Epuipmerltdesigned prmas!lVfor: (a Show:RemOVal; (4) Road rriaintenar.ce, but notconstruction or msurfacing;.or (c). Stteetcleaning Kzpept the, above prov)s ors do not.apply to sAlf-propelled vehelos of tests ii,an 1;0110 pounds gross aehiclaruvs ghtwhicJi: are not'nt"ad' for use on :a highway, C. Aggregate LimitPer Project The General Aggregate omit under. SECTION IIP LIMITS OF -INSURANCE of tf:e COMMERCIAL GENERAL LIABILITY COVERAGE FORM applies:saparatayto each of your polects away from premises;owr.od by or ranted toyotr. D. Blanket:WaiverOf Transfer Of Rights Of Recovery 7Against Others T&Us The Transfer Of Rights W Recovery Agamst:01hers To Us Condition (SECTIONI IV - COMMERCIAL GENERAL LIApiLI`FY CONU'i" ms) s.amended by:iho addNon of the following" vVe Waive, any right of recovery:v e may have agairstany oe san:cr otgarl2at en to wh in you byvaritten contsact orwritten: agtcerne, tbavr~;wgive~+yourawn rghl or.recovely foP-Loss t,au5edby that petson oror ganriaUon tie:iauso of paytnentswe make- for injury. pr damage arising out of your ongoing oparat ions or -your work" done 'und er a wdtion pne!aCt:ar ryiittaii agreement with that person or orgarl2ation and fnclud'ed rr the' products-completed operations hazard." Thisprovisiondoesnotapplymriless,tnewrittercontractorwritten agreement iasbesnkabuted.OnDrtothe"occurrance":o.r; offense giving rise to the `bodilyanlury":sir ".property damage:" E. Voluntary Propetty Damage C¢verage 1. VV'ewill, Ayour;equest,paybutnotdofendanyclaimfor"property damage' to the propertyofothers otheFmise:ezclud6d: under A 2j44),. 0)) and:(6) of the COMMERCIAL GENERAL.UABILITYCOVE RAGE.FOR[M prdvided that: r, lud. c6pYr15f)fecll-rateridkotln5Utanee Serb r)f iee„Irc:,arld Page-21 or 25. MP 9167/010 -Amr. icsn2ssoclat!ono;.Ittsurance:5ernces; ~:.-wr~staeJi yerrtission Beecher, Carlson 3/28/2013 1:33:11 PM PAGE 6/006 Fax Server a. Such "property damage" ake5 place wnitesuch Or~perty is in yqut.oar.e, custody or col ol: oc is Property of theis over which you Ar, any purpose, aro exeras ng cr have exercised physical control; and b. Such "property darr>_ago:' takes place away`from,any prernises yo!i own, rent or lease; And c. su&i'propertydamage" takes place Within the "coverage t riftory' and d,ning!the'policy- term, and d: Such "property:damage'ttakes:piaea only during your operations that are known to us, are scheduled onfe policy andfur'which aPremium has. been charged. 2 The insnranceunderthis Additional coverage. does notApply to `pro.pei#yitamage",to property:. . a. HerdbY'yfln for servir.ipg repair.-storage or _sa'te at prerri~ses mvned by, rented or leased tpyat; b: While being ga isportecity or caused by the ownership. maintenance, operation, use 'loading or unloading" of any "auto,",Watercr'ift or'AirCraft;: or r, owned or oci upied ny.or rentad"to yoti. Deducti[ile' Tnis:add idPrial po✓0i age will, ap pry. o rily to: that amounttit::^a ny hiss iy eav;i r"eccurrenpe trial axut;ee~,$500. The terms of the Policy with 'respect toy ur didies.in the ever t of occunegcclaim or 11 suit arid the Company's e.gr!tw investigate., negollatoaand.s'ettle anydaim or "suit" apply irrespective of the'Application of tho deductlbls arno:mt of $500.. We may payanypal t or an of the deduct bleamotint of 5b00 [o effoet sa tlament ofarly glom or "suit"Upon'nouric:adon: of the: action;token you trust promptly reimburse us forsu h.part of theif:odu4 ble'amount s has been paid byus. Q. Units of Liat il'rly The Limit of Liabilityfortthis additionatco•,erage shall nol exceed $2!,500 for each''luccurtehce" and is the limit of `,he: Company's liability for ali:darnages on,accoubl of each ciaim or "suit'` covered, herein. The annual aggregate Limit of Liabilityis $2;500 and 'Sr s ib)ect to the aboveproAsions respecting each claim, thelotal:liniit of the Company's l!ablllty for alt.ddrnogos: 5. Settlement Inidie:event ,of loss covered by:this: additional: coverage, you.shall, fflrea.uesled by:us; replace:theproperty or famish the: labor.and.rnatedais necessary for repairs thereto at actual costio you: excluding prospective profit or overhead charges of any.nature. Any property sopaid.forormplaced:shad;et:ouroption, :becomethe.property ofthe, Cornpany. Payment: heieundershall riotconstitute an admission of.liabilityof.you.or;.except as stated herein, of the Company. /Additional Conditions A. Insurance Under Two Or!Aore.Coverages The. following is added to Paragraph C• Insurance under Two or More:Coverages'of the COMMERCIAL. PROPERTY CONDITIONS: lf.a Coverage For mis attached to this policy that Provides -9 limn for any coverage provided by: this endorsarnenh thedimit: shown in the SCHEDULF_ a ndtne coverage provided bythis endorsem erit'a ra deleted and replaced by:the iimita nd cover age provided by thr Coverage Foi.m. 8. Limits Of insurance. Reg aid Wss.bf the number of buildings Ata lx.-:tion covered hyahis endci rsement, the mbst we wil['pay under this -Coverage Enhancoment endorsementin;anv arr:oeciirroncel sthe applicable Limits of lnsurariceshown in the $C1iEDULE on park 1 ,of this endofsernerlL C. Deductibles TheDeduONedP,scribed;insection D.ofthe, BUILDING AND~PERSONAL;PROF5ERTYCOVEM EFORM~appliestoaach: of thsGoverage Enhance.mentsexcepf as;strcwnbelow: _ We will not payfor, loss or damage m any one or cttrrence u9fil tie amount of less ordAmago eaceeds$^00. We-Will then pay the amount of loss or carnage tin: excess of 5500 ip to th0 applicable Limit of Insomnoe for tNe following enbancoments:: 1.. Peeonal;Effects and:Propertyofotttrrs 2 vmlia,bl6 Papers and Records. (Othei'.tinar% Electronic Data) 3. Property Off Promises {lncts:.ding Laptops grid O,thor Ereclronic Equipm@no 4. Outdoor Piopady (Nafned Perils) 5. Accouhts Receivable 6,. Property in Transit (Including Laptops aria Ut"ler,Ejectronic.tgwptTp6t) 7. Fine:Aifs Page 22 ot: 5 innlutlee copyd9i7tcXrrlatenztof lnsutarioe $?r`Aa'o 01 ice,.lnc;ano PAP V7,67 1t) 19 . AmricanA? .datio.nof.Insurance.Umms;!rc:, With. their permisslnn CITY RECCca t DER 1 / 1 Ashland Park Commission DATE PO NUMBER 20 E MAIN ST. 4/5/2013 00210 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 004090 SHIP TO: CURTIUS-HUNTLEY PLUMBING INC 1896 DELTA WATERS ROAD MEDFORD, OR 97504-4705 FOB Point: Req. No.: Terms: net Dept.: Req. Del. Date: Contact: Bruce Dickens / Dave Lockwood Special Inst: Confirming? No Quantity Unit Description Unit Price. Ext. Price Vactor sludge and debris from holding 450.00 tank at Garfield Park Contract for Goods and Services Beginning date: April 1, 2013 Completion date: April 12, 2013 SUBTOTAL 450.00 LL TO: TAX 0.00 FREIGHT 0.00 TOTAL 450.00 Account Number Project Number Amount' Account Number Project Number _ Amount 211.12.02.06.60211 450.00 I i A , Authorized Signature VENDOR COPY P FORM#3 CITY OF request for a Purchase rde ASHLAND REQUISITION Date of request: Required date for delivery: Vendor Name Y~rl`~' ((~1 E ~,L~ (a l11 Address, City, State, Zip ] ~l L 7--e.1-14- of k.S Qd - "Df6rn, Or. 12/7`_ -pt-1 Contact Name & Telephone Number _ Fax Number 5~'l~{5~~7_rQ1 CJ SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergent: ❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Form 913, Written findings and Authorization ❑ AMC 2.50 Date approved by Council: ❑ Written quote or proposal attached ❑ Written quote or proposal attached ❑ Small Procurement Cooperative Procurement Less than $5,000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon ❑ Direct Award Date approved by Council: Contract # ❑ Verbalfwritlen quote(s) or proposal(s) ❑ State of Washington' Intermediate Procurement] Sole Source Contract# GOODS & SERVICES El Applicable Form (#5,6, 7 or 8) El Other government agency contract $5,000 to $100,000 P Written quote or proposal attached Agency ❑ (3) Written quotes attached ❑ Form #4, Personal Service's $5K to $75K Contract # PERSONAL SERVICES ❑ Special Procurement Intergovernmental Agreement $5.000 to $75,000 ❑ Form #g, 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 t, i9T (~t`~ G' r f r~ ~lI P $ Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST_ ❑ Per attached quote/proposal $ Project Number Account Number 1-GZ-C6.4-OLII0 Account Number-__-__- Account Number~il_-L '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 Support-Yes/No By signing this requisition form, t certify that the City's public contracting requirements have been satisfied. Employee Signature`': tPJ,J,eJ &OAA Department Head Signature: (Equal to or greater 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 .