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HomeMy WebLinkAbout2013-238 Contract - Quality Fence Company CITY OF CONTRACTOR: Quality Fence Company ASHLAND CONTACT: Brad Rietmann 20 East Main Street Ashland, Oregon 97520 ADDRESS: 114 W. Pine St., PO Box 3985 Telephone: 541/488-6002 Central Point, OR. 97502 Fax: 541/488-5311 TELEPHONE: (541) 664-2281 DATE AGREEMENT PREPARED: Jul 31, 2013 FAX: 541 664-2949 BEGINNING DATE: August 1, 2013 COMPLETION DATE: September 30,2013 COMPENSATION: Field: $9,997.00; Enclosure: $1,597.00; Total = $11.594.00 GOODS AND SERVICES TO BE PROVIDED: Hunter Park Fence Project 1. Hunter Park Field #2: Remove and haul off 797' of existing chain link fencing; Install 150' of 6' high 9 gauge chain link fencing, 10 terminal posts, 2 - 8' wide single drive gates, 647' of 4' high 9 gauge chain link fencing, 7 - terminal posts and 1 -10' wide single drive gate. 2. Hunter Park Fence Enclosure by Garage: Install 36' of 6' high 9 gauge chain link fencing, 4 terminal posts, 1 -10' wide double swing gate and 40' of 6' high brown vertical vinyl inserts. ADDITIONAL TERMS: Quality Fence agrees to coordinate the different phases of work on this project with Ashland Parks Dept. and Parks Dept. subbed concrete-contractor to accomplish the project. Parks Dept. will pull out old fence posts with mini-excavator after fabric, top-rail, old gates, etc. are removed by Quality Fence. Quality Fence will install new fence posts after Parks digs footing channels for new concrete curbing installation. Quality Fence will install remainder of new fencing and gates when concrete curbing is completed. 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, 2798.225, 2796.230, 279B.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 $19,825 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 b Contractor to perform work or services attendant to this Contract for Goods and Services Less than $25,000, Revised 06/13/2013, Page 1 of 7 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 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: Contract for Goods and Services Less than $25,000, Revised 06/13/2013, Page 2 of 7 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 ido/ 0vo b. General Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $200,000, $500,000, 000,00 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, 00,000, r Not Applicable for each accident for Bodily Injury and Property Damage, including coverage for owned, fired or nonowned 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 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. 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. Contract for Goods and Services Less than $25,000, Revised 06/13/2013, Page 3 of 7 Contractor: City of Ash/la By By Signature / e artment Head Print Name Print Name J12G~4-S', Sl~l ~rS Title Date W-9 One copy of a W-9 is to be submitted with the signed contract. Purchase Order No. / vv as to form Contract for Goods and Services Less than $25,000, Revised 06/13/2013, Page 4 of 7 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. 811/3 Contractor (Date) Contract for Goods and Services Less than $25,000, Revised 06/13/2013, Page 5 of 7 - PROPOSAL QUALITY FENCE COMPANY CCB # 8936 Find us also at 114 W. Pine Street 497 sw Unon Av (541) 664-2281 Orals Pass. OR G7527 -_NO106T00 UNCE PO Box 3985 1-800-451-8883 _.MOlO8T005M1t11 Central Point, OR 97502 Fax: 6642949 2a77NEOmnondLakeBNQ (541) Ron", OR 97M PROPOSAL SUBMITTED TO PHONE DATE City of Ashland Parks & Recreation 541.488-5340 Jul 26, 2013 TR JOB NAME 340 S. Pioneer Street Hunter Park Field #2 6ffV1TXTffMUZ11s CODE J LOCATION Ashland, OR 97520 Corner of Holmes Ave. and Normal Ave. N ION EMAIL CELL Jeffre McFarland ieffrev.mcfadand(&ashland.or.us 541-951-1311 We hereby submit specifications and estimate for Field Remove 797' of existing chain link fencing. Install 150' of 6' high 9 gauge chain link fencing, 10 terminal posts, 2 - 8' wide single drive gates, 647' of 4' high 9 gauge chain link fencing, 7 - terminal posts and 1 - 10' wide single drive gate. Total: $9,997.00 Enclosure Install 36' of 6' high 9 gauge chain link fencing, 4 terminal posts, 1 -10' wide double swing gate and 40' of 6' high brown vertical vinyl inserts, Total: $1,597.00 We Propose hereby to famish materials end labor-complde in saordmce.4 above speafintions, for the sum of. yamt to eu o wr MmaedtllspuraaeaamMUDpaciaaa. Nlwasmea umpMMm4xaanMOe mamaswampmsbMaa Authorized Wadlr+a. My maa6maratlaam Pan asora ualArreiwlmdWp Wnemisxi/MUUadM ley ipmwltlen SI ature aavR 4M W OeraaO n eNa lama Drs W amva cola tlW W. N ap~eanrY eanAr9aa Wen W11; gn e knua aatlari seNtl mmraa. Ownrm eanY be. mmaW cone oaa mauaY nmm our+vrkm ae saY a,wM q wwmmnY naroDratlmn Inwarw. TNa wDPDatl b tlae aua}a m Y lamb aWm,dGau Brad Rietmann ch conlasuO miM aarw tlNnenml. Note: This propostil be withdrawn us ifnot eccepted within 14 days Acceptance of Proposal-An prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the vwrk as Si®tature specified. Payment will be made as outlined above. I have read the entire contract and agree to its content. Note: Quality Fence Co. not responsible for any damage to anything in or sipature below the ground or concrete. This Includes private water line, electrical line, sprinkler systems, etc. Your signature indicates that you fully understand the limits of Quality Fence Co. responsibility. Date of acceptance: OTHER TERMS AND CONDITIONS OF PROPOSAL: INTEREST: Interest shall accrue upon all monies due to Quality Fence Company at the rate of 18 percent per annum from the due date of such monies until paid. ATTORNEY'S FEES: In case any suit, action or proceeding is brought to enforce any of the terms or provisions of this proposal or any of the parties' rights hereunder, the losing party in such suit, action, proceeding or any appeal there from agrees to pay such sum as the court may adjudge reasonable as attorney's fees, in addition to costs and disbursements. The reasonable costs of title reports required for any legal action contemplated shall be paid by the customer. In addition, if this matter is referred to an attorney for collection, customer agrees to pay Quality Fence Company's reasonable attorney's fees' incurred in any such proceeding prior to litigation being filed. 9QUALFE OP ID: KD CERTIFICATE OF LIABILITY INSURANCE (/81/0211 02/13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER 541-779-4232 CONTACT Hart Insurance NAME 1123 Royal Ave. 541-7723963 PNONN Ea: N No: Medford, OR 97604 E4MAIL Hart Insurance I Medford ADDRESS: INSURERS AFFORDING COVERAGE NAICO INSURER A : SAW Corp 36198 INSURED Quality Fence Co. INSURER B: dba: Reliable Electric P.O. Box 3985 INSURER C: Central Point OR 975023985 INSURER D: INSURER E : INSURER 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 OONDITIONS OF SUCH POLICES. LIMITS SHOWN MAY HAVE BEEN REDIX:ED BY PAID CLAIMS. INTR TYPE OF INSURANCE AS)DL SUM POLICY POLICY NUMBER M DO EW MWDDNYY LIMITS GENERAL LIABILITY EACH OCCURRENCE E COMMERCIAL GENERAL LIABILITY PREMISES o ,rerlca f CLAIMS-MADE F-IOCCUR MEO EXP (M one person) f PERSONALSAOVIN.A.RY $ GENERAL AGGREGATE E GENL AGGREGATE LINT APPLIES PER: PRODUCTS -COMPIOPAGG $ POLICY PRO- LOC E AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Fa ...dent f ANY AUTO BODILY INJURY (Per person) S ALLOVJNED H SCHEDULED BODILY INJURY (Per acd&nt) E AUTOS AUTOS NONOWNED PROPERTY DAMAGE S HIREDAUTOS AUTOS (Perecodeft f UMBRELLA LNB OCCUR EACH OCCURRENCE f EXCESS LIAR CLAIMS-MADE AGGREGATE S DED RETENTION E WORKERS COMPENSATION X VJC STATU- OTH- AND EMPLOYERS' LIABILITY A ANYPROPRIETOR,PARTNER/ ECUTNE YIN NIA 738638 10101112 10101113 E.L. EACH ACCIDENT E 600,000 OFFICERMEMSER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOY E 500,00 If y98 describe urder DE SCRIPTIONOFOPERATIONSG . E. L. DISEASE. POLICY LINT E 600,00 1 7 DESCRIPTON OF OPERATIONS I Lo TIONS I VEHICLES (Attaeh ACORD 101, Addit rml Remarfs Sehedule, If mom spme M r ulred) email go mcfarlajilashland.or.us CERTIFICATE HOLDER CANCELLATION CITYOFA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland Parks Dept ACCORDANCE WITH THE POLICY PROVISIONS. 340 S Pioneer St Ashland, OR 97520 HAUTHORIZED art Insurance ce I Medford Hart ford ®1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD r QUALFEN-01 ATHOMPSON CERTIFICATE OF LIABILITY INSURANCE 8 °"'1 112013""' 1/2013 8/ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: McMinnville Office PHONE FAX PayneWest Insurance, Inc. ac NO,rat):(503)472-2121 AIC,NO)(503)4345872 P.O. Box 269 ADDRESS: McMinnville, OR 97128 INSURER(S) AFFORDING COVERAGE NAICA INSURER A: Hallmark Insurance Group 43494 INSURED INSURER B: Quality Fence Co Reliable Electric Western Vinyl Products INSURERC: Steve Reitmann INSURER D : PO Box 3985 INSURER E: Central Point, OR 97602 INSURER 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. INSR DL SU POUCY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WYD POLICYNUMBER (MEND MNm UNRS DrYYYY]I GENERAL LMBILFFY EACHOCCURRENCE S 1,000,000 A X COMMERCIAL GENERAL LIABILITY 44CL466835 11/19/2012 11119/2013 PREMISES( aEocwnaKe S 100,000 CLAIMS-MADE I-XI OCCUR MEDEXP(Arryonepanw) $ 5,000, PERSONAL B ADV INJURY S 1,()00,008 GENERAL AGGREGATE S 2,000,000 GEN'LAGGREGATE LIMIT APPLIESPER: PRODUCTS - COMP/OP AGG S 2,000,000 POLICY LOC $ JECT AUTOMOBILE UABIUTY Ee B.iEEED11SINGLE UNIT f 1,000,000 A X ANY AUTO 44CL466835 11/19/2012 11119/2013 BODILY INJURY (Par pereon) f ALL OWNED SCHEDULED BODILY INJURY (Per adtldent) f AUTOS NON~OWNED PROFERTT DAMAG HIREDAUTOS AUTOS PER ACCIDENT] f f X UMBRELLALUIB OCCUR EACH OCCURRENCE $ 3,000,000 A EXCESS UA6 X .CLAIMS-MADE 44CU466836 11/19/2012 11/19/2013 AGGREGATE S DED X RETENTIONS 10,000 3,000,000 f WORKERS COMPENSATION WC STATU- OTH- ANDEMPLOYERS'LULBILRY YIN ORyyIMITS ER ANY PROPRIETOR/PARTNERIEXECl1TNE❑ N/A E.L EACH ACCIDENT f OFFICERIMEMBER EXCLUDED? (Mandatory in NN) E.L. DISEASE - EA EMPLOYE f If yM, desalbe under DESCRIPTION OF OPERATIONS Wow E.L. DISEASE-POLICY LIMIT f A Commercial Property 44CL466835 11/19/2012 11/19/2013 leased eq 25,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES lAtlaeh AOORO 101, AddidanM Rerrorlra Schedule, If more apsu Is re ulredl City of Ashland is additional insured as respects liability arising out of the activities by and on behalf of the named insured per attached CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE DATE City of Ashland CTHE CORDAN E WION ITH THE PO CYRPROVISI NS. E WILL BE DELIVERED IN 340 S Pioneer St Ashland, OR 97520 AUTHORMED REPRESENTATIVE ®1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD + POLCY rwheER: OQMMERRIAL GEN91RAL••ylASILMY - • QC 1045'._07 be - I THIS FNDOIR#159 NTkTHAN09S THE~•RD41PY.:PL-EASE•R.A. rf'0,({REFUL4Y:', _ r. This endorsement modlnes Imuranoe puooldsd Linder. ,the following:. ; . rOMMENDIAL GENEWpIUABIJ.*G©NERAOE RAFF`, A • Setition 11 --Who WArflnsuled'Is;amandedto Include ason•additlonal Insured. any, person grnrgantzgtion •,.•r . r forwhom you are:patfo mingoperadgnswhan you apdsyotrpe san or,organtradgn havaagreed 1n wrlfing Al e writreo[ or eg*menfl otilich'psmon or..mganization•ba•added, as an atldttlongl lnaured•fQr:oomPleted opetafl00e: 8uah parednor•6rgenl9db;116•an-addldopal Insured onlyto.the mdentthdt.the OabOltyfor°bodlly- INury" or "property 8 e" 1e paused, In whole or In.idark by "your work' paiformed for that addftianal•In. • ourad slid Inoluded in the ductrrhorhpleted operations hazhrd.". . S. Withreappottothelnsurerosafforded-tothasseddiflonal4naureds,the follmOngllmltatlonsapply, 1. This addlBonal irrm0a istatus'ts granted only at thp locations hated In the wMan cordreaL• 2 Coverage Islhnltedto.Wur vVW that Is described in the olassillodons prschadule of hezanis shown to , the General Llahllfly DedwArms; of thls pogcy. 'C. With mspeattothe hm mae afimdadir+ttiesa additional. tnsuredsthefollowing wwAuslon applies This Insurenoo does nd spy to: °Bodlty INury or "property damage which oxurepdorto fhezaoutlon of the written corrbaot or the Offeo- . . Ova this ofttds endorsement • I • I GC 1 g 0 07 0a - Indudee aopyltghted matMal at Page R of 1 .-.E3 . . • . anouranoe S"Oes Me, Ina,, wmi Its permission ARTISANS ADVANTA 9 ENHANCED COVERAGE ENDORSEMENT THIS ENDDR5EMENT ORANGES THE POLICY, PLEASE READ R CAREFULLY. This endorsement modlfleahismance provided under the fDOovhng: SULONG AND PE RSIjNAL PROP,l M COVERAGE FORM CAUSES OF LOSS- SPECUU• FORM COMMEACL4t. PROPERTY CopraONS r.,. COMMERCIAL QENERAL' LIA8II:RY COVERAGE FORM ; • , When thla.eadoreemt Is atiadred fb•tha ; gwuranoe under the Building and Personal'P. • ~SBnoy roperty:Cdverags'Farm,.ths. Causes of Loss- Special Form, the OW W ROrDlel Property Conditions and the Comm er0W Dens*UabiptyCoverage Fpnn Is. enhanced to provide the coverages desorlbed.ln this er doreement. All other Donditlons of thd poPay oon8ri4p to Apply. • This.ooverage is subjesttc the MVJabnS applloabWe t0,the BUjidbg.and P.etsonel Pmperty.CDVerage.Eorm, Cgusesot.L•ose Special Form, the Commercial Property CondlBohs and the Gisharal Liability Coverage Form.,. - ' SCHEDULE Coverage Enhanoemerrte Limits of ineuranoe Each Location Prooerhr royemas Extermions Newly Acquired or Oonstruoted Property ' Bulkiinge $250,000. at Each Suncling:. Business persona[ Poopety ' $100,000. at Each BunclIng • Persons[ E4aats'end Property of Others $ 10,000. at Replaosmerit Coat Valuable Papers and Records (Olherthan Eecbonb Data) $ 25,000. Property.Off-Premises (Ihoiudirlg laptops and Other E[eocardo Equipmend) . $ 10,000. Outdoor Property (Named Perils) $ 1,000. perhes/ehrirb, max. limitV6,000. Non-Owned Oetwhod Trailers $ 10,000. Accoutda Recalvable $ 2`;,000. Property in Transit (including Laptops and Other Eboburk Equipmsn§ $10,000. Pro oertt Addttlonal Coverages Fleokonlo Data $ 16,000. Arson Reward $ 54000. Water Baok-Up and Sump Overflow $ 751000. I I Business Income Including Extra Expense $ 25,000. I Inventory or Appraisal Cost $ 6,000. Money and Securities I I x Inside $ 10,000. i Outside $ 61000. Ordnance or Law Coverage I Coverage A Included Within Building Limit Coverages B and C Can6ined 259'0 of Bldg. Lima, $160,000. maximum ' Outdoor Signs $ 5,000. Recharging of Fire F:)*gulehwa $ 6,000. Inland Marine Covaroclan . hrstallatbn Coverage $ 10,000. - ~ COntta0tDrs Equipment Coverages Small Tools $ 2,5DO. (Meximwn nmlt per Item $5DO) . i Employee Small Tools - $ 1,000.(MwdmumjmItperltem$$60).- Lowed and Rented Equ4merd $ 6 ODO. Rental Relmbursemenl $ 1,000. asneral Liability Addhlonal Coveraes BlanketAdditlonel Insured onolumrpPrlmaryNon-Conbibuling CoWrage) Included In Each OOprs W=.,UmB . Motile Equipment Broadened Coverage Included In EaO Ooptdfenoe Limit. - Aggregate Lima Per Project Included In Each occurrence Limit Blanket Weiver Includedin Farah Ooqunenoe Limit MP 97 67 04 D8 heaslee oopyrmhtedmaWgi of ISO Properties, Ina end Page 1 of 18 • AmedcenA000MM at lnmanse trams, ino, used warthetpamiseloo I c. The following Is added to A,S Property Not Covered of the BUILDING AND PERSONAL PROPERTY COVERAGE FORM: r. Property while stored or operated underground In commotion with any mining operations. • d. The foiloWing Is added to Paragraph 2 of S. Exclusions of the CAUSES OF LOSS SPECIAL FORM; i a Wew0lnotpayforloss ordamagecaused bypunature,blowoutandroad damagetothree andtubesMounted an. vehicles. However,-we do pqy for puncture, bldryout or road damage caused by a speolfled pedl. o. We will not pay for loss caused by humidity, dampness, dryness or changes, In or extremes of temperature. • p. We will notpsyforlosscaused bytheweight ofa)opdwhich, under theoperating condldonpatthellmeofaloep,. exceeds the registered (fhlnq.capsclgt of any sggipment or, machine. q..We.willnot payforJose dueto4hegor mysterious disappearance tromany vehideor ettaohed.gontelnen We• will pay for•Iogs due to burglary when there are signs of forcible entry to a looked vehlde or pontalner. .s. B.7.ValustlonoffheBUILDINGANOPERSONALPROPEITYCOVERAGE FORMIsdelefecagdrBpIgcedbythe Following; 7. Valuation We will determine the value of covered property In the event of loss or damage as follows: . . a, At actual dash Gelue of the tine of the loss (whh a daduo0on for depreclatlon) except as provided In. ' . paragraphs b. and c. following. b. Pair or Sat The value of a lost ordamaged article which Is pan of apalror set Is.based on a reasonable proportion of the value of the entire pair or at The loss Is not considered a total loss of the pet or aet. 'a Loas to Parts: The value of a lost or damaged part at an Item that consists at several parts when it is complete Is based on the value at only the 1981 or damaged part or the cost to repair or replace IL 2 Randal' Raimbureprnent ' In the event of loss by a covered peril to covered contractors' equipment that you own, we will reimburse y6u.for your expense to rent similar equipment while your equipment Is Inoperable.. The most we will reimburse you fbr'rental _ rebnbtbserrent expenses Is $1,O00; We will oontirm to reimburse youlbrtharental of aclutpmentafter the exphation dote of ft coverage provided the loss occurred before the eXPlretion date. We will not reimburse you: a. If you oan continue or resume your operation with similar equipmern that Is avalfahle to you at no additional Wanes to you; or b. Forthe rental expensa of arty squlpment unless you make every reasonable dcd tD repair; replace or rebuhd the inoperable eg0lpmem after the covered loss occurs, & Whhm8pedtothisAddfefCovwage,ConhwtomEgrdpmerArAwamASetdlonD.De+noftteofBmBUtLUPiG AND PERSONAL PROPERTY COVERAGE FORM Is dsWd and replaced by the following; D, Deductible We will not payforloss or damage in any one ooamenos until the amount dJose or damage ameeds$500. We w01 then pay the amount of loan or. damage In excess pf $600 up to the applicable Omit of Insurance. We will not reIrnburas you for the rental of equipment until after 72 hours have passed shoe the covered property . was rendered Inoperable. After 72 hours have passed, we v40 only reimburse you forthe rental expense that you actually bnour. The deduadbie of $6DD does not apply to rental relmbursemartt expenses, I General Liability Additional Coverages Tne topowing Addtional Coverages are added to tie COMMERCIAL GENERAL LIABILITY DOVE RAW FORM. A. BfankstAddhiouallnsuradCovaregs 1, SECTTONB-WHOISANIN9UREDoftheCOMMERCIAL GEMERALLIABILMOOVERAGEFORM isemandadto' Include as an Insured any person or organization (refenedto as Additional insured) whom you are requlredto add as an Additional Insured on tie policy under. L A written confrad or agreemerlq and b,'Whereacartilicateotinsurenceshowingthalparsonororgantzetionasanadditlonal Insured hasbesnissued; and I . Page l'4 of t e M Wes mpydghled ma rbl mien Pmpw5m inc, end MP 97 67 04 08 AmerkesAeesdelbn of Inrasana asNCes, Na; ueedwllh Isar pmadeaon a. When the wd tan contractor agreement and oeftlate of Insurancs are currerdly In effect or becoming In effect during the tens of the policy and executed prior to the bodlly Injury,' 'property dannage,' or 'personal: end advertising Injury,' 2. The insurance provided to the Additional Insured Is grnHad as follows: . a The Additional InaLmd is onlyan additional Insured for. (1) 'Borll(ylnjury,"property damage; or °personal and advertising injury° caused In whole or In pat by negligent ads or omhrslons of the Named Insured or anyone directly or Indtrectly employed bythe Named Insured orfor whose eats a Named Insured maybe liable. (2) LlabNty arising out of your origoing operations for the Additional Insured by or for you. A. person's or organlzatoh's status as an Insured under this coverage ends when your operations for that Inatsed are completed: b> The Umltnofinsuranas appifoebleiDIheAdditfonarinaursaam#=espeoffledlnthewrgtencnrfiraotoragresmeM- &d riot more than the Limits of insurence':spedged•In•th&0eolareNons for.this policy. T'he Limits.of.insuranoe applicable to the Additional Insured are Inclusive of and hot In addition to the Wmlts of Insurance shown In the Oeclaratlons forthe Named Insured, . S. In addition to the other exclusions applloable to Seo6on.1,.Cavereges A, S. and C. of fhe CQAAMERCIAL GENERAL . LIABILITY COVERAGE FORM, the Insurance provided to the Additonal Insured does not applytp . a, 'Propertydemage'to: (i) Pmpety owned, used, occupied by, loaned or rented to the Additional Insured; (2) Property Inthecars, custody orcontrol oftheAdrBtbrrelInsured oraw.whlohtheAddttlonal.lnsurpdereforany . purposo axercisho physical control; or (a) Wour woe performed for the Additional Insured.' b. "Bodily hthay,"'property damage," or "personal and Advertising Injury' aristrsg out of ananuhliects, engineer's or surveyor's rendering ertallureto tender any pmieesionalservoes foryou, forthe Addrdonal Insured or for-others, Including, but not Itrnged In: (1) The preparing, approving orfallure to prepare or approve maps, drawings, oplhton s, reports, agi veys, change . orders, designs or spedficafions; or (2) Supervisory, Inspection or engineering services. c, "Bodily Nury" or 'property damage' occurring after, (1) All work Including materials, parts or equipment furnished In connection w th such wort, on the project (other than sarvbe, matrdsnertoe or repairs) to be performed by or on behadof the additional Insured at the site of the covered operations has been completed; or (2) That portion of "your work' out of which the Injury or damage arises has been put by Its handed use by any person oroWbadon otherthan another contractor orsuboontredorengaged In performing operations fora principal as a part of the same project 4. sEC110NN-COMMERCIALGENERALLIABILM.CONDMONS,paregr*4,Otherinsu=oe,•ismnerdadfoacW i . the following eubparegraph: d. Addrdansl Insureds Other Insurance As Exoess iosuranoe To the waantrequbadby an'7nsured oontre49hie Intutrenoe Is primaryon behalf of the Add illonal Insured; and any other insurance maintained by the Additional Insured is exam and not contributory with this Insurance. If the: 9neurad contrecr doer not require this provfson, then paragraph s, above will apply, S. Moblfe Equlpment Broaden ad Coveragb i V.12,t(1) of the COMMERCIAL GENERAL L.IABILR'Y COVERAGE FORM Is replaced by the following: i (1) Equipment designadprhnadiyfor. . (a) Snow Removal; , (b) Road maintenance, but not construction or resurfacing; or . (a) Street cleaning. n Excepttheabovdprovisors'dond9ppiybeelf-propegedvehiQlesoflesethan 1,00Dpoundegrossvehicle weightwh1oh . ; • ads not intended for use on a highway. 'C. Aggregate Limit Per project The General AggregatsUmlttnder SECTIONIg= L WMOF.INSURANCE of the COMMERCIAL GENERAL LIABILITY COVERAGE FORM appites separately to each of Your projects ewaYfrom premises owned by or rented to.you.. MP 97 67 04 DB 6cWdas wWdeMed anaWal of 180 Properties, Ira, and Page is of 18• AmedcemMsooldw of bmrarw eerAm, Inc„ used xfat lhet Perntltdm D, Blanket Waiver Of Transfer Of Rights Of RacoveryAgalnst Others To Us The Transfer of Rights Of Recovery Against Others To Us Condflion (SEC71ON IV - COURMCIAL GENERAL LIABILITY CONDITIOWN amended by the addition of the following: War waive any dghtof recovery we may have agalnat any. person or organbwIII to whom you by written contract or agreement have waivedyourownright orrecovery forfoes caueed.bythatperaonororganization because ?tpaymentswe . make for Injury or damage arbthg out of your ongoing operations dr. "your vrodc done under a oordrsotwdtit that person or- organization and Included In the "products-compleled operations hazard." , Additional Condklone A. Insurance Under.Two or More Coverages TheidBowing Is added topatagraph'C. Insurance under Two•or•lMone Coverages of the COM14 ERCUkL PROPERTY CONDITIONS; " ' If a Coverage Form-Is attached to this pol oythat prWides a IlmlrYor any coverage provided bythis endorsement; the limn shown In the SCHEDULE and the coverage provided by.thle endorsement are deleted and replaced by ths'8md and coverage provided by the Coverage Form. 3. LhntisafInsurance Regardlessoftfre'numt rcf6ilidingsetalooattonooveredbythteendoreement,themostwa09payundetthlsCoverage Enhancement endorsement lnanyone wour enbe is 8re epplloable Lhnb of lramnoe &rown lnthe'SOHEDULE on page l of this endorsement, .11 Deductibles The Deductible describedIn section D. of the BWLDINQ AND PERSONAL PROPERTY COVERAGE FORM appliestD . . each of the Coverage Enhanaemems except as shaven below. l. We will not pay forloss or dmgp in any one occurrence until ft amount of loss ordemage exceeds $50D_ Wsgdil then paythe amount of loss ordwmge In excess of $SDO uptothe appDmbie LkTg of lmmnnceforihefoNowhV erihwme nwrW. 1, Personal Effects and Property of Others 2 Valuable Papers and Records (Otherihan Electronic Data) 3. Accounts ReceNable 4. Property Off-Premlaes (Including Laptops and Other Electronic, Equ#nernll 6. Outdoor Property (Named Polls), 6. Money and Securities 7. Water Book Up and Sump Overflow 8. Electronic Date 9. Property in Transit Qfwludng Laptops and Other Sa*onlc Equipment) No deductible provlelons appdyto the folio yIng enhancements 1. Amon Reward 2 Recharging of Are Extinguishes 3. Inventory or Appraisal Cost 4. Rental Reimbursemetd 0. Additional DeBnftioho The following Additional DellniUons applytc this erakxsement only 1. "BankingPremiaes"meensthe lrrtdriproft)Iatporbpnof arrybulic8ngobcupled.byabanMgglnaftonorelmllaraale depository. 2 "Business lnooma"meals tia; a. Ne).tpoome (Net ProB orl oss before Inoolne taxes) that would have been earned hgd no loss occurred; and b. CgrfUnuing nolmaloperating orpenses lnotrredr induciing payroll For manufacturing delve, Net Income Includes the net sales value otproduofbn. Page 16 of 18 In des acpyrhlod material of too Propmtlm, hrc. anal MP 97 67 04 08 AmmkmMwddon of kwrmws awdcoe, Ina, used Mm amlr dm, CITY RECORDER Page 1 / 1 Ashland Park Commission DATE PO'NUMBER 20 E MAIN ST. 8/6/2013 00248 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 000661 SHIP TO: . QUALITY FENCE COMPANY PO BOX 3985 CENTRAL POINT, OR 97502 FOB Point: Req. No.: Terms: net Dept.: Req. Del. Date: Contact: Bruce Dickens - Jeff McFarland Special Inst: Confirming? NO Quantit Unit Descrip tion Unit Price Ext. Price THIS IS A REVISED PURCHASE ORDER Hunter Park Field #2 9,997.00 Remove and haul off 797' of existinq fencing, install 150' of 6' hiqh 9 quaqe chain link fencing, posts and 2 - 8' single drive gates, and 647' of 4' high 9 quage chain link fencing, posts and 1 - 10' single drive gate. Hunter Park Fence Enclosure by Garaqe 1,597.00 Install 36' of 6' hiqh 9 quaqe chain link fencinq, posts, 1- 10'.double swing gate and 40' of 6' hiqh brown vertical inserts. Contract for Goods and Services Beginninq date: Auqust 1, 2013 Completion date: September 30, 2013 SUBTOTAL 11 594.00 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 11,594.00 Account Number Project Number. Amount Account NumberProject Number Amount E 211.12.02.06.70400 E 000044.999 11 594.00 Authorized signature VENDOR COPY CITY OF sGqu~sdfior Purchase t;fdet ASHLAND REQUISITION Date of request: a-6-2o13 Required date for delivery. Vendor Name Quality Fpnro Cmmpanu Address, City, State, Zip 114 W. Pine St.. P) box 3985 Contact Name & Telephone Number Central Point., Oregon 97502 Fax Number (541)664-2949 SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emeroencv ❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Form #13, Written findings and Authorization ❑ AMC 2.50 Date approved by Council: ❑ Written quote or proposal attached ❑ Written quote or proposal attached ❑ Small Procurement Cooperative Procurement Less than $5.000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon ❑ DirectAward Date approved by Council: Contract # ❑ VerballWritten quote(s) or proposal(s). \ ❑ State of Washington Intermediate Procurement ❑ Sole Source Contract It GOODS & SERVICES ❑ Applicable Form (#5,6, 7 or 8) ❑ Other government agency contract $5,000 to $100,000 ❑ Written quote or proposal attached Agency X® (3) Written quotes attached ❑ Form #4, Personal Services $5K to $75K Contract # PERSONAL SERVICES ❑ Special Procurement Intergovernmental Agreement $5,000 to $75,000 ❑ Form #9, Request for Approval ❑ Agency ❑ 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 1. Hunter Park Field #2 - Remove 797' of existing chain link fencing. Install 150' of 6' high 9 gauge chain link fencing, 10 terminal posts, 2-8' wide single drive gates, 647' of 4' high 9 gauge chain link fencing, 7 - terminal posts and 1-10' wide $11,594.00 single drive gate. Total = $9,997.00 2. Hunter Park Fence Enclosure by Garage - Install 36' of 6' high 9 gauge chain link fencing, 4 terminal posts, 1-10' wide double swing gate and 40' of 6' high brown vertical vinyl inserts. Total = $1,597.00 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST ❑ Per attached quotelproposal $ Project NumberOr qQ q` -JqJ Account Numberxl1_-JZ DZ Ob.70r}~'0[ AccountNumber___-__-__- 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 Support -Yes No By signing this requis 'ion form, l certify that the City's public contracting requirements have be satisfied. Employee Signatur • 7 Department Head Signature: qual to or greater than $5,000) City Administrator: ''II,, I (Equal to or greater than $25,000) Funds appropriated for current fiscal year. YES) / NO V4 G: a 1Vt 11.6 Ay : Financ Director-(Equal to or greater than $5, 000) DatfeT- Form #3 - Requisition