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HomeMy WebLinkAbout2013-294 Contract - Roxy Ann Rock CITY OF CONTRACTOR: Wes Norton - Roxy Ann Rock ASHLAND CONTACT: Wes Norton 20 East Main Street Ashland, Oregon 97520 ADDRESS: PO 4488 Telephone: 541/488-6002 Medford, Oregon 97501 Fax: 541/488-5311 TELEPHONE: (541) 601-7451. DATE AGREEMENT PREPARED: 8-7-2013 FAX: 541 535-6051 COMPLETION DATE: (1)Hunter Field #2 Concrete Mow Curb Project: 9-30-2013 BEGINNING DATE: 8-7-2013 2 Triangle Park Sidewalk Replacement Project: 10-31-2013 COMPENSATION: (1) Hunter Field #2 Concrete Mow Curb Project: $9,746.00 (2) Triangle Park Sidewalk Replacement Project: $18,060.00 Total = $27,806.00 GOODS AND SERVICES TO BE PROVIDED: (1) Hunter Park Field #2 Concrete Mow Curb Project: Concrete contractor will form up, pour, and finish approximately 800 linear ft. of 5" deep x 18" wide, 3500 psi concrete curbing along the base of newly installed metal fence posts following new posts installation by fencing contractor and rough in digging of footing trenches by Parks Dept. Areas of new curbing include 2 bull pen areas, outfield perimeter, and along both sides of field #2. Curbs will require 2 lengths of tied #3 rebar cross pieces, installed in place every 4 ft. and on all ends within V of curb ends. Rebar will be overlapped 12" along runs in curbing. Contractor will not build curbs near the 2 existing trees/under their drip zones to protect and not disturb mature tree roots along the back fence run (approximately 30' long combined length of outfield perimeter). Following completion of concrete curbing, form stripping, and cleanup of excess concrete/materials by contractor, the Parks Dept. will be responsible to complete backfilling of soil and reseeding along outer edges of the new curbing. *Contractor will provide all required work permits, materials, labor, and locates, to perform their parts of this curbing project. (2) Triangle Park sidewalk replacement project: Contractor will saw cut, break, remove, haul off old sidewalks. Contractor will excavate as needed, and install 3" - 4" of % minus base rock as needed. Contractor will grade, compact, and install forms; form up and pourtfinish approximately 417" of 5' wide x 4 inch deep sidewalk, and 24' of 6' wide x 3.5" deep sidewalk at Triangle Park using 3300 psi concrete mix. Control joints will be installed every 5' max, except every 6" where root protection measures are required near mature trees (these areas have been marked with white paint). Approximate square footage total for concrete sidewalk replacement is 2000' sq. Contractor will be responsible to strip forms and cleanup any excess concrete/materials at the site. * Contractor will follow provided special instructions (see attached list and diagram) for replacing sidewalks around mature trees. * Park's horticulture specialist, and Parks Central Division Manager will monitor tree protection and work with contractor to ensure protection guidelines are followed during project. ADDITIONAL TERMS: * Contractor is requested to send separate invoices for the 2 projects in this contract upon completion of work for City of Ashland Parks payment /processing purposes. 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 279B.220, 279B.225, 279B.230, 2798.235, 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 by Contractor to perform work or services attendant to this contract). Contractor shall not be held responsible for any losses, expenses, claims, subrogations, actions, costs, judgments, or other damages, directly, solely, and proximately caused by the negligence of City. 9. Termination: a. Mutual Consent. This contract may be terminated at any time by mutual consent of both parties. b. City's Convenience. This contract may be terminated at any time by City upon 30 days' notice in writing and delivered by certified mail or in person. C. For Cause. City may terminate or modify this contract, in whole or in part, effective upon delivery of written notice to Contractor, or at such later date as may be established by City under any of the following conditions: i. If City funding from federal, state, county or other sources is not obtained and continued at levels 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 5oor 0oo b. General Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $200,000, $500,000, $1 000,000, 2,000,000 or Not Applicable for each occurrence for Bodily Injury and Property Damage. It shall include contractual liability coverage for the indemnity provided under this contract. C. Automobile Li rance with a combined single limit, or the equivalent, of not less than Enter one: $200,000,$500,000,f$ 1 000,00 r Not Applicable for each accident for Bodily Injury and Property Damage, including coverage for owned, hired or non-owned vehicles, as applicable. d. Notice of cancellation or change. There shall be no cancellation, material change, reduction of limits or intent not to renew the insurance coverage(s) without 30 days' written notice from the Contractor or its 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. Nona ro riations Clause. Funds Available and Authorized: City has sufficient funds current) available and authorized for expenditure to finance the costs of this contract within the City's fiscal year budget. Contractor understands and agrees that City's payment of amounts under this contract attributable to work performed after the last day of the current fiscal year is contingent on City appropriations, or other expenditure authority sufficient to allow City in the exercise of its reasonable administrative discretion, to continue to make payments under this contract. In the event City has insufficient appropriations, limitations or other expenditure authority, City may terminate this contract without penalty or liability to City, effective upon the delivery of written notice to Contractor, with no further liability to Contractor. 20. Prior Approval Required Provision. Approval by the City of Ashland Council or the Public Contracting Officer is required before any work may begin under this contract. 21. Certification. Contractor shall sign the certification attached hereto as Exhibit A and herein incorporated by reference. Contractor: City of Ashla By By Signature Department Head L41 c° ~-a1ameo , J ~ 1~4i~4 D stV~ Ida s a c Print Na Print Name 0 w c t2 r `a 1 203 gjz3 13 Title Date W-9 One copy of a W-9 is to be submitted with ~Q O the signed contract. Purchase Order No. ed ae tI'M 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. w~ (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. Ll Contractor (Date) Detail for reolacina sidewalks around mature trees i k M 1 I 9 GU~r~ a ~tiYP~JST t t •i w 1( A J ~V.iI`~.1 a i F 31I ' 'AllDi',EBA~IZ k T2E~ IT T l IYPJ l,I ~ ~ LINES DOW5L9FD ` 111 ~T t i 1 l ' YP) FNTo S~oPG N~ To 1 51 DE \NAcK. I _ fill I \~JC15TIrl[~ SUB cj(?p~p~ ~ GOI`4PAcG-/E.~ ~pcSE ASS Pnt,KED SPtwD~s-r ~-~L~E N t7 MQ r LOM1'/tiL7EA ?!Ass a iuAfGT 0661§011 EX1571NLj SU6L~D~ r~rc L~aip7 PAC4KPD 5A<W DUST xe«ar fce4,jGA «N rGL(15T~gTiO,y zy /~c-QQy /VGA/~j~/ it 006 1169 Detail Notes for Replacing sidewalks around Mature Trees developed by Rick Landt with credit to Tom Meyers, Kerry Kencairn and the late Peter Giffen for their contributing concepts 02011 1) Carefully remove damaged sidewalk, avoiding damage to tree roots in the removal process. 2) By hand, remove loose soil and debris around the top and sides of all roots 2 inches or larger. If intact soil is found around the sides and/or top of roots, leave undisturbed. 3) Avoid damaging or cutting roots, but if unavoidable, make clean surgical cuts (90 degrees to the length of the root with a sharp hand saw) and immediately pack saturated soil around cut end of all roots one inch or larger in diameter. 4) Before the new sidewalk is poured, there should be at least 2 inches of aged sawdust or intact soil adjacent to the sides and top of the protected roots. 5) Peat moss or fine bark mulch may be substituted for aged sawdust 6) Scoring lines, perpendicular to the sidewalk shall be six inches apart. 7) Detail note for sidewalk slope not to exceed 5% assumes level or near level ground. For most Ashland sites, this guideline will have to be modified based on existing slopes of the site. See "Detail for replacing sidewalks around mature trees" for plan details. Wes Norton DBA: Roxy Ann Rock PO Box 4488 Medford, Or. 97501 Ph: 541-601-7451 Fax: 541-535-6051 www. wesnorton@aol.com OR Lic. #104966 CA Lic. #426558 August 2, 2013 Jeffrey McFarland Ashland Parks Department-Central Division Mgr. RE: (1) Hunter Park Ballfield #2 at the corner of Holmes Ave. and Normal, Ashland, OR. (2) Triangle Park at corner of Liberty St. and Siskiyou Blvd., Ashland, OR. Hunter Park: Includes concrete (3500 psi - 3/8 pump) - rebar - labor and pumping. Total $9,746.00 Triangle Park: Includes concrete sidewalk removal - haul away to disposal site - compacted % minus rock - regrade for new sidewalk and all concrete, labor and rebar to replace sidewalk. Total $18,060.00 August 8, 2013 Hunter Park and Triangle Park Bid Tabulation Form - Documentation of Bid Solicitation Process and Results of Mandatory Pre Bid Walkthrough and Bids: Projects: (1) Hunter Park Mow Curb Project and (2) Triangle Park Sidewalk Replacement Project Conducting: Jeffrey McFarland, Central Division Manager, Ashland Parks Dept. Monday, July 22, 2013, contacted six local concrete contractors ( Cut N Break, Roxy Ann Rock, Quality Concrete, William Thomas Concrete, Southern Oregon Concrete, and Advanced Concrete ) by phone, announcing the upcoming Ashland Parks Concrete Work Projects with invitations to respond and provide email address or fax no. to be sent invitation to bid forms, bid specs for projects, and mandatory walkthrough time/date. Received emails back from three contractors (William Thomas Concrete, Cut N Break & Roxy Ann Rock) and sent each of them invitation to bid forms, bid specs, and mandatory walk through date/time/location (scheduled for Tuesday, July 300', 2013 at 9AM at Hunter Park Field #2 at corner of Homes Ave. and Normal Ave. in Ashland). Followed up by calling each of the three contractors and confirmed that they had successfully received the project/bid/walkthrough information that was sent out to them. Mandatory Pre - Bid Walk Through at 9AM, Tuesday, July 30, 2013: Started mandatory pre-bid walk-through with Wes Norton from Roxy Ann Rock at 9:OOAM beginning at Hunter Park in Ashland. No other contractors showed up for the mandatory walkthrough. Performed walk through and (1) Went over Field #2 mow curb project at Hunter Park, and then went to Triangle Park, continuing walk-through and went over sidewalk replacement project and mature tree protection specs. Bids Due by 10:00AM, Tuesday, August 6, 2013 *Wes Norton - Roxy Anne Rock was the only contractor that showed up and went on the mandatory walk through at 9AM on Tuesday, July 30, 2013. Name of Bidder: Bid Amount: Comments: Roxy Ann Rock (1) $9,746 (2) $18,060 1. Bid Combined (1) + (2) _ $27,806 • Note: Jeffrey McFarland and Jason Minica met with asst. city attorney Doug McGeary on Tuesday, August 6, 2013, after receiving one bid submitted on time before bid deadline from Wes Norton - Roxy Ann Rock. Doug went over the intermediate procurement rules with us from his legal manual and confirmed that it is ok to accept and award a project when a reasonable bid has been received, even if less than three bids were received, as long as an effort was made to solicit multiple bids for the project work, and a written record is kept of the procedure and results. A" 1.. CCOROP CERTIFICATE OF LIABILITY INSURANCE 6/14/2013 (MMUDDNYYY) 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 Kim Schnetzk NAME: 1 Ward Insurance Agency PHONE (541) 687-1117 q/C Not, ($41)342-8280 PO Box 10167 E-MAIE .kim@wardinsurance. net INSURERS AFFORDING COVERAGE NAIC of Eugene OR 97440 INSURER A:American States Insurance Co 19704 INSURED INSURER B: Wesley Reed Norton INSURERC: DBA: Roxy Ann Rock INSURER D: PO BOX 4488 INSURER E: Medford OR 97501 INSURER F: COVERAGES CERTIFICATE NUMBER:13/14 GL/IM-SCHED EQUIP 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 SURR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/TfYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE RENTED 200,000 -1 O PREMISES Eaocwrrence $ A CLAIMS-MADE OCCUR X 1CT97779230 6/1/2013 6/1/2014 MED EXP(Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000 17 POLICY X PRO LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT EaacCdent $ 1,000,000 A ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED X ICI47779230 6/1/2013 6/1/2014 BODILY INJURY (Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident) S UM BRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ OED RETENTIONS $ WORKERS COMPENSATION WC STATU- OTH-TORY I IMITq FIR AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETORIPARTNER/EXECUTIVE ❑ N / A E.L. EACH ACCIDENT $ OFFICER/MEMBER EXDLDDED7 (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ U yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A SCHEDULED EQUIPMENT 01CI47779230 6/1/2013. 6/1/2014 LIMIT: $73,000 DEDUCTIBLE: $500 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Roma rm Schedule, if more space is required) Re: Enders Memorial Shelter City of Ashland and its agents, officers and employees are named as additional insureds, but only with respects to contractor's services to be provided under this contract and per attached CG8674. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. Ashland Park & Recreation 340 S. Pioneer St. AUTHORIZED REPRESENTATIVE Ashland, OR 97520 Darrin Godfrey/TRACES ACORD 25 (2010105) © 1988-2010 ACORD CORPORATION. All rights reserved. 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W e c =EumQY _ Nao;W~ u Fi G,3 a'$.&o$?'F~ a'OA a's nE°„ go. 6" = 1O a `m E `o m"cac c'$_ >do - $d ° rn `o `O-9ysgui = t°s o - 2030'_'-°oc E z.6 °ycm~o ?O . t $o owmPE"_ k t m a @ rE m $ z J2.2 mt~ESn ~c~9 - Oo E m rlo ~Jms cc `°~-orb o0 0 °°o5 i0~;$ n m a dm ~'e-OAB g$ ~`~w ~pO= FiW ° sy~~~s `o?° ABf g rg- 7 -6 m c a°P° co o,m o n _QEq mcm sc`on a cVn ~ Jm 'm m"E `m my -2E -6 r- o 3a AEA sm~g_= _ 4044$~g as a v A a n~ E.~rvoP qua y ooo m-c`m i!6a ~ gE .T a. o 3r° _ m `og ~~`°5$ r °:o J ion s9E np w ° E~mc 3 m mCE m o a os" D ; J aE'A 53''$gmb$a m a°. ¢ 8 n"~- X82d a gom ° m ° _ _ a m$s E `oA ~ gs mn'oac`'m 5~ IE- - Z' ~ N ~cm O O d - r ~h< „m IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII~IIIIIIIIIIII `'li CERTIFICATE OF LIABILITY INSURANCE 6/DAM 14/2013 ) 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 pollcy(les) 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 Bobbie Watts NAME: Ward Insurance Agency AnCON a Eat. (541) 687-1117 AIC No: (541)342-8280 PO Box 10167 'bm~AL,~,.bobbiew@wardins=ance.net INSURERS AFFORDING COVERAGE NAIL C Eugene OR 97440 INSURERA:Travelers-WC (ARP) INSURED INSURERS: Wesley Reed Norton INSURER C: PO BOX 4488 INSURER D: INSURER E: Medford OR 97501 INSURER F: COVERAGES CERTIFICATE NUMBER:13/14 Work Comp 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 MIAYHAVE BEEN REDUCED BY PAID CLAIMS. INSR DDL SUBS POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE It PM COMMERCIAL GENERAL LIABILITY N PREMISES (Ea oocumnce It CLAIMS-MADE F-IOCCUR MED EXP (Any one person) $ PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ POLICY PRO LOC S AUTOMOBILE LIABILITY COMBINED IN LMI Ea..identANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS HIREDAUTOS NON -OWNED PROPERTY DAMAGE $ AUTOS Per ecatlenl UMBRELLA LIAR OCCUR EACH OCCURRENCE It EXCESS LIAB CLAIMSMPDE AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION WC STATU- CER AND EMPLOYERS' LIABILITY Y/N X ER ANY PROPRIETORIPARTNERIEY.ECUTIVE E. L. EACH ACCIDENT $ 500,000 OPPICERYMEMBER EXCLUDEDt N/A (Mandatory in NH) JUB4453PO63 6/12/2013 6/12/2014 EL. DISEASE - EA EMPLOYE $ 500,000 1! s. tleSC ribe under DESCRIPTION OF OPERATIONS below ELDISEASE -POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONSI LOCATIONS )VEHICLES (Attach ACORD 101, Additional Remarks Schedule, IT more space Is recut rod) RE: Enders Memorial Shelter 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. Ashland Parks & Recreation 340 S. Pioneer Street AUTHORIZED REPRESENTATIVE Ashland, OR 97520 C Christensen/BOBBIE CP--~-'--- ACORD 25 (2010105) © 1988-2010 ACORD CORPORATION. All rights reserved. INS025 (201005).01 The ACORD name and logo are registered marks of ACORD z~° Zo m$ t c~i~ 3omo$m NJ Y~ 9 .a ~ °m J m ; ; c >y A w~3~e mm og D gET m `m V N w = 8 o m m o mo m' a `oE°E>m ~,a S ma °v m~`a8 o a - w adz ran&°.~>' . oc m i02 o` F a A¢ o'gNq 6 ° N mz p `w o J .0 N3$` p H ,~g oE$ g ° w s ~ r m o~'a 0 0~ ~ 0 aUH pm IZ n2 LL 3eF ~.o dm nZ m` z «o2 mm o -Fo $c~x° ~UU m ~°LQ§ za ;M~ ct `N5 ZQ O`OJ Nye m _ in Z~ m Q _ o x J 2 f 4 _ a x IIIIIII~IIIIIIII~IIIIIIIIIIIIIIRill IIWHIR Page 1 / 1 S f~ECO D Ashland Park CommiSS~o DATE PO NUMBER 20 E MAIN ST. 8/23/2013 00260 ASHLAND, OR 97520 . (541) 488-5300 VENDOR: 004105 - SHIP TO: ROXY ANN ROCK PO BOX 4488 MEDFORD, OR 97501 FOB Point: Req. No.: Terms: net Dept.: Req. Del. Date: contact: Bruce Dickens - Jeff McFarland Special Inst: Confirming? No . Quantity Unit Description Unit Price - Ext. Price Parks Concrete Projects 27,806.00 (1) Hunter Park Field #2 Concrete Mow-curb Project $9,746.00 (2) Trianqle Park Sidewalk Replacement Project $18,060.00 Contract for Goods and Services Beqinninq date: 08/07/2013 Completion date: 10/31/2013 SUBTOTAL 27 806.00 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 27,806.00 j Account Number Project Number' ' i Amount Account Number Project Number Amount E 211.12.02.06.70400 E 000044.999 9,746.00 E 411.12.00.00.70420 E 000036.999 18 060.00 Authorized Signature - VENDOR COPY CITY OF A request for a Purchase Order ASHLAND REQUISITION Date of request: s-19-2ot3 Required date for delivery: Vendor Name Roxy Ann Rnr4 - Woc Nnrtnn Address, City, State, Zip PO Box 4488 Contact Name a Telephone Number Fax Number Medford. Oregon 97501 (541) 601-7451 SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Ememencv ❑ 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 # ❑ Verbaliftiten quote(s) or proposal(s) ❑ State of Washington Intermediate Procurement ❑ Sole Source Contract # GOODS a 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 K Personal Services $5K to $75K Contract # PERSONAL SERVICES ❑ Special Procurement Inter-governmental 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) I Description of SERVICES Total Cost T _a a r_ ^7 i.1i -«sr (1) Hunter Park Field #2 Concrete Mow-curb Project: •(,1) $9,746.00 . Concrete contractor will form up, pour, and finish approximately 800 linear ft of 5" deep x 18" wide 3500 psi concrete curbing along the base of newly installed metal fence posts following new posts f ,4 f x installation by fencing contractor, and rough-in digging of footing trenches by Ashland Parks Dept. The areas of new curbing to be installed include 2 bull pen areas, outfield perimeter, and both f sides of field #2. Curbs will require 2 lengths of tied #3 rebar and cross pieces, installed in place every 4 ft., and cross pieces on all ends within l' of curb ends. Reber will be overlapped 12" along runs in curbing. Contractor will not build curbs near the 2 existing trees/under their drip zones to protect and not_' t r z disturb mature tree roots along the back fence run (approximately 30' long combined length of t y, ; outfield perimeter passes two existing trees). Following construction of concrete curbing, completion of form stripping, and cleanup of excess concrete/materials by contractor, Ashland Parks Dept. will be responsible to complete backfilling of ? soil and perform grass reseeding along outer edges of the new curbing. Y R 'Contractor will provide all required work permits, materials, labor, and locates, to (2) " $18,060.00 perform their parts of this curbing project. (2) Triangle Park Sidewalk Replacement Project: s" Contractor will saw cut, break, remove, and haul off old sidewalks. Contractor will excavate as needed, and install 3"-4" of % minus base rock as needed. Contractor will grade, compact, install forms, and pour/finish approximately 417' of 5' wide x 4" deep sidewalk, and 24' of 6' wide x 3.5 tz deep sidewalk at Triangle Park using 3300 psi concrete mix. Control joints will be installed every 5 maximum spacing, except every 6" where root protection measures are required near mature trees y* (these areas have been marked with white paint and shown to contractor). Approximate square footage total for concrete sidewalk replacement is 2000' square. Contractor will be responsible to strip forms and clean up any excess concretelmaterials at the site. 'Contractor will follow provided special instructions (see attached list and diagram). for replacing sidewalks around mature trees, in root zones of mature trees. 'Parks Horticulture Specialist, and Parks Central Division Manager will monitor tree s4 protection work with contractor to ensure protection guidelines are followed during the 5 project ?q x ADDITIONAL TERMS: Contractor is requested to send separate invoices for the two projects in t 4i Y § 'fr9 this contract upon completion of work for City of Ashland Parks payment/processing purposes. r, ~•..T fi"r..::FUt Item # Quantity Unit Description of MATERIALS Unit Price Total Cost Form #3 - Requisition TOTAL COST X❑ Per attached quote/proposal $27,806.00 rd Project Number o%oly -ill ( 1) Account NumberJJ/ • ~ • ~ . nLJ. A~I q/ ~rojt:r NumberO60036#979.__~2~AccountNumber • /L_.JD,(JU, OYo '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, l certify that the City's public contracting requirements have be s tisfied. Employee Signature: Department Head Si r.7 *(Ro or greater than$5,000) rl qua] City Administrator: G` c~u-lt•T( too er than/E25,000 Funds appropriated for current fiscal year. YE / NO u (Sr~` r Finan a LDirctor- (Equal to org2ater than Es,o00) oo) _~Dhte D9 to Comments: Form0-Requisifion