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2013-285 Contract - Marquess & Associates
Contract for PERSONAL SERVICES less than $35,000 CITY OF CONSULTANT: P&qu thsouak5 ASHLAND CONTACT: ~i tive" 20 East Main Street Ashland, Oregon 97520 ADDRESS:?.(). 60X 4440 ►kWFo OIJIO 115D) Telephone: 541/488-6002 Fax: 5411488-5311 TELEPHONE: (S,i~)n2_~~~5 DATE AGREEMENT PREPARED: FAX: N 7~q ^ ~{t71~1 BEGINNING DATE: COMPLETION DATE: COMPENSATION: qww as U41-t - _I Cy) S UWL, 1177DU 5014_S r% SERVICES TO BE PROVIDED: a It V rcL lC ADDITIONAL TERMS: FINDINGS: Pursuant to AMC 2.50.120, after reasonable inquiry and evaluation, the undersigned Department Head finds and determines that: (1) the services to be acquired are personal services; (2) the City does not have adequate personnel nor resources to perform the services; (3) the statement of work represents the department's plan for utilization of such personal services; (4) the undersigned consultant has specialized experience, education, training and capability sufficient to perform the quality, quantity and type of work requested in the scope of work within the time and financial constraints provided; (5) the consultant's proposal will best serve the needs of the City; and (6) the compensation negotiated herein is fair and reasonable. NOW THEREFORE, in consideration of the mutual covenants contained herein the CITY AND CONSULTANT AGREE as follows: 1. Findings I Recitations. The findings and recitations set forth above are true and correct and are incorporated herein by this reference. 2. All Costs by Consultant: Consultant shall, at its own risk and expense, perform the personal services described above and, unless otherwise specified, furnish all labor, equipment and materials required for the proper performance of such service. , 3. Qualified Work: Consultant has represented, and by entering into this contract now represents, that all personnel assigned to the work required under this contract are fully qualified to perform the service to which they will be assigned in a skilled and worker-like manner and, if required to be registered, licensed or bonded by the State of Oregon, are so registered, licensed and bonded. 4. Completion Date: Consultant shall start performing the service under this contract by the beginning date indicated above and complete the service by the completion date indicated above. 5. Compensation: City shall pay Consultant for service performed, including costs and expenses, the sum specified above. Payments shall be made within 30 days of the date of the invoice. Should the contract be prematurely terminated, payments will be made for work completed and accepted to date of termination. 6. Ownership of Documents: All documents prepared by Consultant pursuant to this contract shall be the property of City. 7. Statutory Requirements: ORS 279C.505, 279C.515, 279C.520 and 279C.530 are made part of this contract. 8. Living Wage Requirements: If the amount of this contract is $19,825 or more, Consultant is required to comply with chapter 3.12 of the Ashland Municipal Code by paying a living wage, as defined in this chapter, to all employees performing work under this contract and to any Subcontractor who performs 50% or more of the service work under this contract. Consultant is also required to post the notice attached hereto as Exhibit.B predominantly in areas where it will be seen by all employees. 9. Indemnification: Consultant agrees to defend, indemnify and save City, its officers; employees and agents harmless from any and all losses, claims, actions, costs, expenses, judgments, subrogations, or other damages resulting from injury to any person (including injury resulting in death), or damage (including.loss or_destruction) to property, of whatsoever nature arising out of or incident to the performance of this contract by Consultant (including but not limited to, Consultant's employees, agents, and others designated by Consultant to-perform work or services attendant to this contract). Consultant shall not be held responsible for any losses,-expenses, claims, subrogations, actions, costs, judgments, or other damages, directly, solely, and proximately caused by the negligence of City. 10. Termination: a. Mutual Consent. This contract may be terminated at any time by mutual consent of both parties. b. City's Convenience. This contract may be terminated at an time b City upon 30 days' notice in writing Contract for Personal Services, Revised 06/13/2013, Page 1 of 5 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 noti~jty1( u(t h yo tsu~i later date as may be established by City under any of the following conditions: ' i. If City ~~~~d~~iQ~9gIomtfederal;,state, county or other sources is not obtained and continued at levels sufficl`en'Ptb a1 gwfdf &e`% 61`chase of the indicated quantity of services; YKCi~ erq(,orftate r@@gulati(s or guidelines are modified, changed, or interpreted in such a way t a the seivicetaf4A a6130ger 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 ar#;llop.nsegrtcdrjple required bylaw or regulation to be held by Consultant to provide the services required by his contract is for any reason denied, revoked, suspended, or not renewed. d. For Default or BreA' 1 P ll 'r ( Iw) - i. Either City or Consultant may terminate this contracton the`event of a,breach of the contract by the other. Prior to such termination the party seek(pgta[piipationjgl aNigive to the other party written notice of the, leach and intent to terminate. If the party{Shitting the breach has not entirely cuggr~~e Zhs•tireacN,WJ!tWr%15 dais 66thdld :ref ),h'@ npfj%,oI. ithin such other period as 5'r >IJ~`; ,Nm'e th6r~aftie by a w"itterG7tdt+cetof4err`0af a2~6 qrd party giving nom ay be terminated at any ii. Time is of the essence for Consultant's performance'of each and every obligation and duty under this contract. City by written notice to Consultant of default or breach may at any time terminate the whole or any part of this contract if Consultant fails to provide services called for by this contract within the time specified herein or in any extension thereof. iii. The rights and remedies of City provided in this subsection (d) are not exclusive and are in addition to any other rights and remedies provided by law or under this contract. e. Obligation/Liability of Parties. Termination or modification of this contract pursuant to subsections a, b, or c above shall be without prejudice to any obligations or liabilities of either party already accrued prior to such termination or modification. However, upon receiving a notice of termination (regardless whether such notice is given pursuant to subsections a, b, c or d of this section, Consultant shall immediately cease all activities under this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination, Consultant shall deliver to City all contract documents, information, works-in-progress and other property that are or would be deliverables had the contract been completed. City shall pay Consultant for work performed prior to the termination date if such work was performed in accordance with the Contract. 11. Independent Contractor Status: Consultant is an independent contractor and not an employee of the City. Consultant shall have the complete responsibility for the performance of this contract. Consultant shall provide workers' compensation coverage as required in ORS Ch 656 for all persons employed to perform work pursuant to this contract. Consultant is a subject employer that will comply with. ORS 656.017. 12. Assignment and Subcontracts: Consultant shall not assign this contract or subcontract any portion of the work without the written consent of City. Any attempted assignment or subcontract without written consent of City shall be void. Consultant shall be fully responsible for the acts or omissions of any assigns or Subcontractors and of all persons employed by them, and the approval by City of any assignment or subcontract shall not create any contractual relation between the assignee or subcontractor and City. 13. Default. The Consultant shall be in default of this agreement if Consultant: commits any material breach or default of any covenant, warranty, certification, or obligation it owes under the Contract; its QRF status pursuant to the QRF Rules or loses any license, certificate or certification that is required to perform the Services or to qualify as a QRF if consultant has qualified as a QRF for this agreement; institutes an action for relief in bankruptcy or has instituted against it an action for insolvency; makes a general assignment for the benefit of creditors; or ceases doing business on a regular basis of the type identified in its obligations under the Contract; or attempts to assign rights in, or delegate duties under, the Contract. 14. Insurance. Consultant shall at its own expense provide the following insurance: a. 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. Professions iabilit i surance with a combined single limit, or the equivalent, of not less than Enter one: $200,000, $500,000 1 000 000 $2,000,000 or Not Applicable for each claim, incident or occurrence. This is to cover damages caus , omission or negligent acts related to the professional services to be provided under this contract. C. General Liab" 1 nce 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 incl ctual liability coverage for the indemnity provided under this contract. d. Automobile i{{ r-i urance 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 , fired or.non-owned vehicles, as applicable. e. 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 Consultant or its insurers to Contract for Personal Services, Revised 06/13/2013, Page 2 of 5 the City. f. , Additional Insured/Certificates of Insurance. Consultant shall name The City of Ashland, Oregon, and its elected officials, officers and employees as Additional Insureds on any insurance policies required herein but only with respect to Consultant's services to be provided under this Contract. The consultant's insurance is primary and non-contributory. As evidence of the insurance coverages required by this Contract, the Consultant shall furnish acceptable insurance certificates prior to commencing work under this contract. The certificate will specify all of the parties who are Additional Insureds. Insuring companies or entities are,subject to the City's acceptance: If requested, complete copies of insurance policies, trust agreements,~etc. shall be provided to the City. The Consultant shall be financially responsible for all pertinent deductibles, self-insured retentions and/or self- insurance. 15. Governing Law; Jurisdiction; Venue: This contract shall be governed and construed in accordance with the laws of the State of Oregon without resort to any jurisdiction's conflict of laws, rules or doctrines. Any claim, action, suit or proceeding (collectively, "the claim") between the City (and/or any other or department of the State of Oregon) and the Consultant that arises from or relates to this contract shall be brought and conducted solely and exclusively within the Circuit Court of Jackson County for the State of Oregon. If, however, the claim must be brought in a federal forum, then it shall be brought and conducted solely and exclusively within the United States District Court for the District of Oregon filed in Jackson County, Qregon. Consultant, by the signature herein of its authorized representative, hereby consents to the in personam jurisdiction of said courts. In no event shall this section be construed as a waiver by City of any form of defense or immunity, based on the Eleventh Amendment to the United States Constitution, or otherwise, from any claim or from the jurisdiction. 16. THIS CONTRACT AND ATTACHED EXHIBITS CONSTITUTE THE ENTIRE AGREEMENT BETWEEN THE PARTIES. NO WAIVER, CONSENT, MODIFICATION OR CHANGE OF TERMS OF THIS CONTRACT SHALL BIND EITHER PARTY UNLESS IN WRITING AND SIGNED BY BOTH PARTIES. SUCH WAIVER, CONSENT, MODIFICATION OR CHANGE, IF MADE, SHALL BE EFFECTIVE ONLY IN THE SPECIFIC INSTANCE AND FOR THE SPECIFIC PURPOSE GIVEN. THERE ARE NO UNDERSTANDINGS, AGREEMENTS, OR REPRESENTATIONS, ORAL OR WRITTEN, NOT SPECIFIED HEREIN REGARDING THIS CONTRACT. CONSULTANT, BY SIGNATURE OF ITS AUTHORIZED REPRESENTATIVE, HEREBY ACKNOWLEDGES THAT HE/SHE HAS READ THIS CONTRACT, UNDERSTANDS IT, AND AGREES TO BE BOUND BY ITS TERMS AND CONDITIONS. 17. Nonappropriations Clause. Funds Available and Authorized: City has sufficient funds currently available and authorized for expenditure to finance the costs of this contract within the City's fiscal year budget. Consultant understands and agrees that City's payment of amounts under this contract attributable to work performed after the last day of the current fiscal year is contingent on City appropriations, or other expenditure authority sufficient to allow City in the exercise of its reasonable administrative discretion, to continue to make payments under this contract. In the event City has insufficient appropriations, limitations or other expenditure authority, City may terminate this contract without penalty or liability to City, effective upon the delivery of written notice to Consultant, with no further liability to Consultant. Certification. Consultant shall sign the certification attached hereto a xhibit A and herein incorporated b reference. onsultant: City of Ash n By By Signature lepartment Head y cnez / _ ~ Print Name Print Name ESi.DE~i ID3113 Title Date W-9 One copy of a W-9 is to be submitted with the signed contract. Purchase Order No. CCCIYY~//' ved as to form Contract for Personal Services, Revised 06/13/2013, 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 or ors a be provided. Contractor (Da Contract for Personal Services, Revised 06/13/2013, Page 4 of 5 r MAR E S S P541-772-711YOUR 5 F541-779-4079O 541,799-4079.120 EAST JACKSON PO 80X490 MEDFORD.OR97501 & ASSOCIATES INC EMAIL: info@marquess.com WEB: www.marquess.com July 24, 2013 Rachel Dials, Recreation Superintendent Ashland Parks and Recreation 340 South Pioneer Street Ashland, Oregon 97520 RE: Structural Foundation Engineering Proposal (Amended) Ashland Ice Rink Cover, Lithia Park Ashland, Oregon MAI Job Number: P13-9110 Dear Rachel: Thank you for requesting that Marquess & Associates, Inc. (MAI) submit a structural and geotechnical engineering services proposal for the proposed Ice Rink Fabric Structure foundation design and details. DESCRIPTION OF PROJECT The project consists of a new Fabric Structure to cover the existing outdoor Ice Rink located in Lithia Park in Ashland, Oregon. The structure will be 80 feet wide by 120 feet in length with a maximum height of approximately 31 feet at the ridge. Three walls will be partially covered with fabric and the north end being fully open to the exterior. It is our understanding that Steve Ennis, Architect, will provide the Project Manager and Project Architect's services. STRUCTURAL SCOPE OF WORK 1. Engineering and drafting services are to be provided by our office, resulting in plans and specifications to be incorporated into the contract documents. Deliverables to include one progress drawing check set at the 75% completion level and final construction plans stamped by a registered engineer. Drawings will be prepared in AutoQAD 2012 using the base site plan, elevations, and sections provided by the Architect. 2. Fees include consultation meetings necessary with Architect and Owner's representative to prepare the contract documents. 3. Fees include furnishing of complete structural general note specifications on the drawings. Preparation of or editing of project manual specifications are not included in our budget. 4. Construction-phase services include clarifications, response and revisions in conjunction with Code agency review, review of shop drawings and submittals, review and response to requests for information (RFI), and review of requests for approval to substitute products. Two structural construction observations are included. Construction observation trips to be scheduled by Architect. Rachel Dials, Recreation Superintendent July 24, 2013 Page 2 5. Design will be performed in accordance with the 2009 edition of the International Building Code with 2010 Oregon Structural Specialty Code amendments. i. Seismic Design - site specific ii. Wind Load= 95 mph (3-second gust), Exposure B iii. Snow Load = 20 psf 6. Note: Ice Rink Fabric Structure Manufacturer will provide the pre-engineered fabric building which will include the superstructure framing plans and associated details. The fabric structure manufacturer shall provide us with building foundation reactions for our foundation design. It is our understanding that the Architect will provide all communications and coordination regarding the Pre-engineered Fabric Building system. 7. Foundation engineering services will be provided by our office based on the pre-engineered foundation interface loads provided by the fabric structure manufacturer. Our office will provide structural foundation design, footing plan, and associated details as required for permit and construction purposes to be included with the architectural documents. Without adequate subsurface information, the foundation design will be based on building code presumptive load- bearing soil values. Geotechnical engineering services is not part of this proposal. 8. Fees include responses and revisions in connection with review by Code agencies. Work available as additional services is as follows: a. Value engineering after 100% CD's, review of changes for the contractors' convenience, and correction of construction deficiencies. b. Preparation of record drawings. C. Additional site visits. GEOTECHNICAL SCOPE OF WORK 1. Subsurface investigation under the guidance of our principal geotechnical engineer who would log and sample 4 or 5 exploratory borings. The borings would be drilled with a boom-mounted auger drilling rig to depths of 7 or 8 feet, or until refusal, whichever is encountered first. The borings would be located in the areas of the proposed cover foundations. Upon completion of work, we would backfill the holes with the excavated spoils and cap the surface, if in pavement areas, with AC cold patch. 2. Preparation of a geotechnical investigation report that would summarize all of our observations of the site conditions and subsurface soil conditions, and all soil and foundation engineering design criteria needed for the cover foundation design. 3. Post-report consultation with the Structural Engineer to aid design of foundations. Work available as additional services is as follows: a. Soil engineering observations of the foundation installation work during construction. Rachel Dials, Recreation Superintendent July 24, 2013 Page 3 b. Provide soils engineering design criteria for modifications of foundation design to accommodate actual subsurface conditions. FEES We propose the following lump-sum fee for the above structural engineering services: Structural Foundation Engineering Services $ 5,800 Reimbursables 200 Total $ 6,000 We propose the following not-to-exceed fee for the above geotechnical engineering services: Geotechnical Engineering Services $4,700 The total fee for all of the above services would be: $J~ Additional services can be provided on a time.and material bases in addition to the above noted fee. TERMS AND CONDITIONS The above fee includes reimbursable expenses for printing, mileage, telephone calls, fax, etc. All additional work which is outside the scope of services as described shall be paid for at the hourly rate schedule enclosed as Exhibit A which is valid until December 31, 2013. As compensation for services rendered, a billing will be sent by the twenty-fifth day of each month showing percentage of work completed on the project. Payments of the billings must be made by the 20°i of the following month. Late payments will be subject to a service charge of 1.5% per month on the unpaid balance. In the event work is stopped on this project, the hourly rate shall determine the engineering fee. The above fee is for a single design developed from a set of base drawings approved for design from the Architect. If the Owner, Contractor, Architect or governing municipality or agency makes a change, which for its proper execution involves additional services and/or expenses, changes to the drawings/specifications or causes changes in methods or procedures of handling the work, or, in the event the Owner, Architect, or Contractor delays the work causing additional hours or becomes delinquent or insolvent, then the Engineer shall be equitably paid for such additional services and expenses. All changes shall be documented and approved in writing. Work will commence upon receipt of a signed contract and approved base drawings. In the event suit or action is instituted to enforce this agreement or any terms hereof, or in the event of any appeal from suit, action or proceeding, the prevailing party shall be entitled to such sums as the court may adjudge reasonable as attorney's fees in such suit, action or appeal. This letter is written as an Engineering Proposal and Agreement. An acceptance line is provided for your signature. Please return one signed copy for our files. This proposal, if not signed and returned within 60 days of the above date, will become invalid and must be renegotiated. Rachel Dials, Recreation Superintendent July 24, 2013 Page 4 Please call if you have any questions regarding this proposal. Sincerely, MARQUESS & ASSOCIATES, INC. Rick Swanson, P.E., G.E. RS/RCC/ler Enclosure: Engineering Fee Schedule S:/Amended P13-9110 Ashland Ice Rink Cover Eng Proposal.doc CC: Steve Ennis, Architect AUTHORIZATION Approved By t/ Date / /Z3 MAR E S S P 541-772-7119 F 541,779-4079 , 120 EAST JACKSON PO BOX 490 MEDFORD, OR 97501 & ASSOCIATES 1 N C EMAIL: infogmarquess.com WEB: www.marquess.com EXHIBIT "A" January 1, 2013 ENGINEERING FEE SCHEDULE Executive Engineer $155.00 per hour Principal Engineer $145.00 per hour Geotechnical Engineer $145.00 per hour Senior Engineer $110.00 - $120.00 per hour Project Engineer $ 96.00 - $112.00 per hour Design Engineer $ 82.00-$ 95.00 per hour Designer II $ 72.00-$ 86.00 per hour Designer I $ 63.00-$ 73.00 per hour Drafter II $ 58.00-$ 68.00 per hour Soils Technician $ 52.00-$ 62.00 per hour Special Inspector $ 52.00-$ 60.00 per hour Drafter I $ 50.00-$ 60.00 per hour Word Processor $ 50.00 per hour Mileage $ 0.65 per mile Out-of-Pocket Expenses Actual Cost Material Testing Services Schedule Provided On Request PAYMENT: Payment on the billings must be made on or before the 20th day of each month. A CHARGE OF 1.5% PER MONTH (18% ANNUAL PERCENTAGE RATE) WILL BE ADDED AFTER 30 DAYS UNLESS PRIOR ARRANGEMENTS ARE MADE. This Fee Schedule is subject to periodic changes. MARQU-1 OP ID: SAW 2013 Y) CERTIFICATE OF LIABILITY INSURANCE 0 D7/22/ /2013 07/22 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 Phone: 541-773-5358 NAME: Sheryl Wirts Protectors Insurance, LLC Fax: 541-772-1906 PHONENo 541-842-29l FC Pilot Rock Ins Agency LLC (CA) ac Ext: ac No); 541-772-1906 Box , 4669 OR 97501 ADDRE Medford, OR SS: sherylw@protectorsins.com Me Karol M.Igou INSURERS AFFORDING COVERAGE NAICp INSURERA:SAIF Corporation INSURED Marquess & Associates Inc INSURER B: PO BOX 490 Medford, OR 97501 INSURER C 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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR rypE OF INSURANCE ADDL UB POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYYY MM/DD/1'YYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY AMA E T PREMISES Ea occurrence $ CLAIMS-MADE F-IOCCUR MED EXP (Any one person) $ PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ 1-1 POLICY PRO LOC $ AUTOMOBILE LIABILITY EOe aBINEDISINGLE LIMIT $ ANY AUTO BODILY INJURY (Per person) $ A OWNED SCHEDULED AUTOS S AUTOS BODILY INJURY (Per accident) $ $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accident g UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X WC STATU- OTH. AND EMPLOYERS' LUIBILITY T RY LIMIT A ANY PROPRIETOR/PARTNERIEXECUTIVE YIN 913785 0110112013 0110112014 E.L. EACH ACCIDENT $ 1,000,00 OFFICERIMEMBER EXCLUDED? F-1 NIA (Mandatory in NH) E.L. DISEASE-EA EMPLOYEE $ 1,000,00 U yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) Cancellation notice per attached. CERTIFICATE HOLDER CANCELLATION CITYAS2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 E Main Street Ashland, OR 97520 AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD . w .saifxom OREGON WORKERS COMPENSATION ♦ SaIF CERTIFICATE OF INSURANCE corporation CERTIFICATE HOLDER: CITY OF ASHLAND 20 E MAIN STREET ASHLAND, OR 97502 The polity of insurance listed below has been issued to the insured named below for the policy period indicated. The insurance afforded by the policy described herein is subject to all the terms, exclusions and conditions of such policy. POLICY NO. POLICY PERIOD ISSUE DATE 913785 01/01/2013 to 01/01/2014 07/22/2013 INSURED: BROKER OF RECORD: MARQUESS & ASSOCIATES INC PROTECTORS INSURANCE LLC PO BOX 490 PO BOX 4669 MEDFORD, OR 97501-0033 MEDFORD, OR 97501 LIMITS OF LIABILITY: Bodily Injury by Accident $1,000,000 each accident Bodily Injury by Disease $1,000,000 each employee Body Injury by Disease $1,000,000 policy limit DESCRIPTION OF OPERATIONS/LOCATIONS/SPECIAL ITEMS: IMPORTANT: The coverage described above is in effect as of the issue date of this certificate. It is subject to change at any time in the future. This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies above. This certificate does not constitute a contract between the issuing insurer, authorized representative or producer and the certificate holder. CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED TO THE POLICYHOLDER AND CERTIFICATE HOLDER IN ACCORDANCE WITH THE POLICY PROVISIONS AND OREGON LAW. SAIF WILL ENDEAVOR TO PROVIDE WRITTEN NOTICE WITHIN 30 DAYS WHENEVER POSSIBLE. AUTHORIZED REPRESENTATIVE Ir I . President and CE 400 High Street SE Salem, OR 97312 P: 800.285.8525 F: 503.373.8020 Polls _Certlncates_Centtateorlnsumnce ,acoR°® CERTIFICATE OF LIABILITY INSURANCE DATE (MMDD/YYYY) 7 /2 212 0 1 3 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 NT NAME: Michael J Hall & Company PHONE FAX ac No: 3700 19660 10th Ave NE wc; No Ern 36 -598- E-MAIL Poulsbo WA 98370 ADDRESS: INSURERS AFFORDING COVERAGE NAIC N INSURER A INSURED 2738 INSURER B: he Travelers Indemnity Company 25658 Marquess & Associates Inc INSURERC: P.O. BOX 490 - INSURER D: Medford OR 97504 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 1439513471 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DDIYYYY MMIDD/YYYY LIMITS A GENERAL LIABILITY 806146N63A 129/2013 /29/2014 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED EMISES Ea occurrence $300,000 CLAIMS-MADE rx-1 OCCUR MED EXP (Any one person) $5,000 X OCP/XCU/BFPD PERSONAL S ADV INJURY $1,000,000 X Cross Liability GENERALAGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGO $2,000,000 POLICY PRO- LOC $ ECT B AUTOMOBILE LIABILITY BA6148N401 /29/2013 /29/2014 IN D IN GLE LIMIT • Ee accident $1,000,000 X ANYAUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BOOILV INJURY (Per accident) $ AUTOS AUTOS X Ix NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Per accident B X UMBRELLA LIAB OCCUR CUP3196T698 /29/2013 129/2014 EACH OCCURRENCE $$5,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $$5,000,000 DED X RETENTION s 1 0,000 $ WORKERS COMPENSATION VJC STATU- OTH- AND EM PLOVERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUOVE E.L. EACH ACCIDENT $ OFFICEWMEMBER EXCLUDED? F N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ Use, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ C Professional Liab: Claims Made ~DPOO07656 /26/2012 126/2013 $1,000,000 Per Claim Ratio Date: $1,000,000 Aggregate Jan. 01, 1957 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Rachel Dials 20 East Main Street AUTHORIZED REPRESENTATIVE Ashland OR 97520 z 7'4t 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Page 1 / 1 Ashland Park Commission DATE PD NUMBER 20 E MAIN ST. 8/16/2013 00252 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 004022 SHIP TO: / MARQUESS & ASSOCIATES INC 1120 E JACKSON PO BOX 490 MEDFORD, OR 97501 FOB Point: Req. No.: Terms: net Dept.: Req. Del. Date: Contact: Rachel Dials Special Inst: Confirming? No Quantity unit - Description - Unit Price Ext Price Enqineerinq and Draftinq Services . 10,700.00 Ice Rink Cover and Soils Investiqations Contract for Personal Services Beqinninq date: ASAP 07/22/2013 SUBTOTAL 10 700.00 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 10,700.00 Account Number. Project Number Amount Account Number Project Number Amount E 411.12.00.00.70300 E 000045.999 10 700.00 Authorized Signature VENDOR COPY ' F0 RM#3 CITY OF A request tov a Purchase Order ASHLAND REQUISITION Date of request: _7 L> Required date for delivery: Vendor Name Address, City, State, Zip Contact Name & Telephone Number 7 _ 71 Fax Number (gy(1 7?G- 4 79 SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergency ❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Form #13, Written findings and Authorization ❑ AMC 2.50 Date approved by Council: ❑ Written quote or proposal attached ❑ Written quote or proposal attached ❑ Small Procurement Cooperative Procurement Less than $5.000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon ❑ Direct Award Date approved by Council: Contract # ❑ VerbalMritten quote(s) or proposal(s) ❑ State of Washington Intermediate Procurement ❑ Sole Source Contract # GOODS & SERVICES ❑ Applicable Form (#5,6,7 or B) ❑ Other government agency contract $5.000 to $100,000 ❑ Written quote or proposal attached Agency ❑ (3) Written quotes and solicitation attached ❑ Form #4, Personal Services $5K to $75K Contract # PERSONAL SERVICES ❑ Special Procurement Intergovernmental Agreement $5,000 to $75,000 ❑ Agency ❑ Form #9, Request for Approval Date original contract approved by Council: Less than $35,000, by direct appointment ❑ Written quote or proposal attached (Date) (3) Written proposals/written solicitation Date approved by Council: ❑ Form #4, Personal Services $5K to $75K Valid until: -Date) I Description of SERVICES Total Cost tm)lv~b t bAN) SWt L~ Fin ( Pao sFtn,rud►hv~~ wa/s $ 10000 Rtttn►~ytu.i c Sotl,sT~btCl Item # Quantity Unit Description of MATERIALS Unit Price Total Cost swill rak r r. ~v cj gas ~~b0 So It s ~.t~c~t' 97D 0 Mt~1VKA L)l v~ 0 TOTAL. COST $ X Per attached quotelproposal m o ~s IF y y 174711 1'~2 42,51 62-e -7~95 Project Number Account Number $=$5 Account Number Account Number 'Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures. - IT Director in collaboration with department to approve all hardware and software purchases: IT Director Date Support -Yes/No signing If re~~quiisitiio~on form, I certify that the City's public contracting requirements have been satisfied. Employee Signature~~,N. 6t4LJ Department Head Sign e: (Yc^ / at to or greatey an 5,000) City Administrator: ~ ~ = tk KiE~ In4t o✓ (Equal to or grea rthan $25,000) Funds appropriated for current fiscal year: ES / NO c 41 Finance Di, ctor- (Equal to orgreaterthan $5,00 Date Comments: Form #3 - Requisloon _