HomeMy WebLinkAbout2013-390 Contract - Hadley Roofing
y Contract for GOODS AND SERVICES Less than $25,000
C I T Y OF CONTRACTOR: Hadley Roofing, Inc.
-1S H LAND CONTACT: Rick Hadley
20 East Main Street
Ashland, Oregon 97520 ADDRESS: 1995 Fairland Dr. Medford, OR 97501
Telephone: 541/488-6002
Fax: 541/488-5311 TELEPHONE: 541-779-9545
DATE AGREEMENT PREPARED: FAX: 541-772-2068
BEGINNING DATE: November 15,2013 COMPLETION DATE: November 29, 2013
COMPENSATION: $1,278.00
GOODS AND SERVICES TO BE PROVIDED: Repair tree damaged storage building roof at Lithia Park.
Remove and dispose of existing roof. Replace roof as per quote with hi-rib metal roofing.
ADDITIONAL TERMS: N/A
NOW THEREFORE, pursuant to AMC 2.50.090 and after consideration of the mutual covenants contained herein the
CITY AND CONTRACTOR AGREE as follows:
1. All Costs by Contractor: Contractor shall, provide all goods as specified above and shall at its own risk and
expense, perform any work described above and, unless otherwise specified, furnish all labor, equipment and
materials required for the proper performance of such work.
2. Qualified Work: Contractor has represented, and by entering into this contract now represents, that any personnel
assigned to the work required under this contract are fully qualified to perform the work to which they will be assigned
in a skilled and worker-like manner and, if required to be registered, licensed or bonded by the State of Oregon, are
so registered, licensed and bonded. Contractor must also maintain a current City business license.
3. Completion Date: Contractor shall provide all goods in accordance with the standards and specifications, no later
than the date indicated above and start performing the work under this contract by the beginning date indicated
above and complete the work by the completion date indicated above.
4. Compensation: City shall pay Contractor for the specified goods and for any work performed, including costs and
expenses, the sum specified above. Payments shall be made within 30 days of the date of the invoice. Should the
contract be prematurely terminated, payments will be made for work completed and accepted to date of termination.
Compensation under this contract, including all costs and expenses of Contractor, is limited to $25,000.00, unless a
separate written contract is entered into by the City.
5. Ownership of Documents: All documents prepared by Contractor pursuant to this contract shall be the property of
City.
6. Statutory Requirements: ORS 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:
Contract for Goods and Services Less than $25,000, Revised 06/13/2013, Page 1 of 6
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.
l 11. Non-discrimination Certification: The undersigned certifies that the undersigned Contractor has not discriminated
against minority, women or emerging small businesses enterprises in obtaining any required subcontracts.
[ Contractor further certifies that it shall not discriminate in the award of such subcontracts, if any. The Contractor
understands and acknowledges that it may be disqualified from bidding on this contract, including but not limited to
City discovery of a misrepresentation or sham regarding a subcontract or that the Bidder has violated any
requirement of ORS 279A.110 or the administrative rules implementing the Statute.
12. Asbestos Abatement License: If required under ORS 468A.710, Contractor or Subcontractor shall possess an ,
asbestos abatement license.
13. Assignment and Subcontracts: Contractor shall not assign this contract or subcontract any portion of the work
without the written consent of City. Any attempted assignment or subcontract without written consent of City shall be
void. Contractor shall be fully responsible for the acts or omissions of any assigns or subcontractors and of all
persons employed by them, and the approval by City of any assignment or subcontract shall not create any
contractual relation between the assignee or subcontractor and City.
14. Use of Recyclable Products: Contractor shall use recyclable products to the maximum extent economically feasible
in the performance of the contract work set forth in this document.
15. Default. The Contractor shall be in default of this agreement if Contractor: commits any material breach or default of
any covenant, warranty, certification, or obligation it owes under the Contract; if it loses its QRF status pursuant to
the QRF Rules or loses any license, certificate or certification that is required to perform the work or to qualify as a
QRF if Contractor has qualified as a QRF for this agreement; institutes an action for relief in bankruptcy or has
instituted against it an action for insolvency; makes a general assignment for the benefit of creditors; or ceases doing
business on a regular basis of the type identified in its obligations under the Contract; or attempts to assign rights in,
or delegate duties under, the Contract.
16. Insurance. Contractor shall at its own expense provide the following insurance:
a. Worker's Compensation insurance in compliance with ORS 656.017, which requires subject employers to
provide Oregon workers' compensation-coverage for all their subject workers
b. General Liab' - - ce 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 inclu contractual liability coverage for the indemnity provided under this contract.
C. Automobile Liabil' i~urance with a combined single limit, or the equivalent, of not less than Enter one:
$200,000, $500,000 00,00 , or Not Applicable for each accident for Bodily Injury and Property Damage,
including coverage for , hired or non-owned vehicles, as applicable.
d. Notice of cancellation or change. There shall be no cancellation, material change, reduction of limits or
Contract for Goods and Services Less than $25,000, Revised 06113/2013, Page 2 of 6
L If City funding from federal, state, county or other sources is not obtained and continued at levels
sufficient to allow for the purchase of the indicated quantity of services;
ii. If federal or state regulations or guidelines are modified, changed, or interpreted in such a way
that the services are no longer allowable or appropriate for purchase under this contract or are
no longer eligible for the funding proposed for payments authorized by this contract, or
iii. If any license or certificate required by law or regulation to be held by Contractor to provide the
services required by this contract is for any reason denied, revoked, suspended, or not renewed.
d. For Default or Breach.
i. Either City or Contractor may terminate this contract in the event of a breach of the contract by
the other. Prior to such termination the party seeking termination shall give to the other party
written notice of the breach and intent to terminate. If the party committing the breach has not
entirely cured the breach within 15 days of the date of the notice, or within such other period as
the party giving the notice may authorize or require, then the contract may be terminated at any
time thereafter by a written notice of termination by the party giving notice.
ii. Time is of the essence for Contractor's performance of each and every obligation and duty under
this contract. City by written notice to Contractor of default or breach, may at any time terminate
the whole or any part of this contract if Contractor fails to provide services called for by this
contract within the time specified herein or in any extension thereof.
iii. The rights and remedies of City provided in this subsection (d) are not exclusive and are in .
addition to any other rights and remedies provided by law or under this contract.
e. Obligation/Liability of Parties. Termination or modification of this contract pursuant to subsections a, b, or
c above shall be without prejudice to any obligations or liabilities of either party already accrued prior to such
termination or modification. However, upon receiving a notice of termination (regardless whether such notice is
given pursuant to subsections a, b, c or d of this section, Contractor shall immediately cease all activities under
this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination,
Contractor shall deliver to City all contract documents, information, works-in-progress and other property that are
or would be deliverables had the contract been completed. City shall pay Contractor for work performed prior to
the termination date if such work was performed in accordance with the Contract.
10. Independent Contractor Status: Contractor is an independent Contractor and not an employee of the City.
Contractor shall have the complete responsibility for the performance of this contract.
11. Non-discrimination Certification: The undersigned certifies that the undersigned Contractor has not discriminated
against minority, women or emerging small businesses enterprises in obtaining any required subcontracts.
Contractor further certifies that it shall not discriminate in the award of such subcontracts, if any. The Contractor
understands and acknowledges that it may be disqualified from bidding on this contract, including but not limited to
City discovery of a misrepresentation or sham regarding a subcontract or that the Bidder has violated any
requirement of ORS 279A.110 or the administrative rules implementing the Statute.
12. Asbestos Abatement License: If required under ORS 468A.710, Contractor or Subcontractor shall possess an
asbestos abatement license.
13. Assignment and Subcontracts: Contractor shall not assign this contract or subcontract any portion of the work
without the written consent of City. Any attempted assignment or subcontract without written consent of City shall be
void. Contractor shall be fully responsible for the acts or omissions of any assigns or subcontractors and of all
persons employed by them, and the approval by City of any assignment or subcontract shall not create any
contractual relation between the assignee or subcontractor and City.
14. Use of Recyclable Products: Contractor shall use recyclable products to the maximum extent economically feasible
in the performance of the contract work set forth in this document.
15. Default. The Contractor shall be in default of this agreement if Contractor: commits any material breach or default of
any covenant, warranty, certification, or obligation it owes under the Contract; if it loses its QRF status pursuant to
the QRF Rules or loses any license, certificate or certification that is required to perform the work or to qualify as a
QRF if Contractor has qualified as a QRF for this agreement, institutes an action for relief in bankruptcy or has
instituted against it an action for insolvency; makes a general assignment for the benefit of creditors; or ceases doing
business on a regular basis of the type identified in its obligations under the Contract; or attempts to assign rights in,
or delegate duties under, the Contract.
16. Insurance. Contractor shall at its own expense provide the following insurance:
a. Worker's Compensation insurance in compliance with ORS 656.017, which requires subject employers to
provide Oregon workers' compensation coverage for all their subject workers
b. General Liab'lit nsurance with a combined single limit, or the equivalent, of not less than Enter one:
$200,000, $500,00 1,000,000, $2,000,000 or Not Applicable for each occurrence for Bodily Injury and Property
Damage. It shall inclu a contractual liability coverage for the indemnity provided under this contract.
C. Automobile Liabilit _iniurance with a combined single limit, or the equivalent, of not less than Enter one:
$200,000, $500,000 000,00; or Not Applicable for each accident for Bodily Injury and Property Damage,
i Q. ncluding coverage for ow' ned, hired or non-owned vehicles, as applicable.
d. Notice of cancellation or change. There shall be no cancellation material change, reduction of limits or
Contract for Goods and Services Less than $25,000, Revised 06/13/2013, Page 2 of 6
intent not to renew the insurance coverage(s) without 30 days' written notice from the Contractor or its insurer(s) to
u 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. I /1 0, f
Contra r: ~t tC_i City of Ashla
~ V
By Byi
Signature I Department Head
Print Name ~ r Print Name
~ ze, i d' -e ht tti / &3
Title Date
W-9 One copy of a W-9 is to be submitted with 17
the signed contract. Purchase Order No.
Contract for Goods and Services Less than $25,000, Revised 06/13/2013, Page 3 of 6
EXHIBIT A
CERTIFICATIONS/REPRESENTATIONS: Contractor, under penalty of perjury, certifies that (a) the
number shown on the attached W-9 form is its correct taxpayer ID (or is waiting for the number to be
issued to it and (b) Contractor is not subject to backup withholding because (i) it is exempt from
backup withholding or (ii) it has not been notified by the Internal Revenue Service (IRS) that it is
subject to backup withholding as a result of a failure to report all interest or dividends, or (iii) the IRS
has notified it that it is no longer subject to backup withholding. Contractor further represents and
warrants to City that (a) it has the power and authority to enter into and perform the work, (b) the
Contract, when executed and delivered, shall be a valid and binding obligation of Contractor
enforceable in accordance with its terms, (c) the work under the Contract shall be performed in
accordance with the highest professional standards, and (d) Contractor is qualified, professionally
competent and duly licensed to perform the work. Contractor also certifies under penalty of perjury
that its business is not in violation of any Oregon tax laws, and it is a corporation authorized to act on
behalf of the entity designated above and authorized to do business in Oregon or is an independent
Contractor as defined in the contract documents, and has checked four or more of the following
criteria:
(1) 1 carry out the labor or services at a location separate from my residence or is in a
specific portion of my residence, set aside as the location of the business.
(2) Commercial advertising or business cards or a trade association membership are
purchased for the business.
(3) Telephone listing is used for the business separate from the personal residence listing.
(4) Labor or services are perfdrmed 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.
Q6Al VI r l`~e rbl 3 C3
Contractor ( at )
Contract for Goods and Services Less than $25,000, Revised 06113/2013, Page 4 of 6
EXHIBIT A
CERTIFICATIONS/REPRESENTATIONS: Contractor, under penalty of perjury, certifies that (a) the
number shown on the attached W-9 form is its correct taxpayer ID (or is waiting for the number to be
issued to it and (b) Contractor is not subject to backup withholding because (i) it is exempt from
backup withholding or (ii) it has not been notified by the Internal Revenue Service (IRS) that it is
subject to backup withholding as a result of a failure to report all interest or dividends, or (iii) the IRS
has notified it that it is no longer subject to backup withholding. Contractor further represents and
warrants to City that (a) it has the power and authority to enter into and perform the work, (b) the
Contract, when executed and delivered, shall be a valid and binding obligation of Contractor
enforceable in accordance with its terms, (c) the work under the Contract shall be performed in
accordance with the highest professional standards, and (d) Contractor is qualified, professionally
competent and duly licensed to perform the work. Contractor also certifies under penalty of perjury
that its business is not in violation of any Oregon tax laws, and it is a corporation authorized to act on
behalf of the entity designated above and authorized to do business in Oregon or is an independent
Contractor as defined in the contract documents, and has checked four or more of the following
criteria:
(1) 1 carryout 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.
-J 'i
Contractor ( at )
Contract for Goods and Services Less than $25,000, Revised 06/13/2013, Page 4 of 6
CITY OF ASHLAND, OREGON
EXHIBIT B
City of Ashland cribed . LIVING
comply ALL employers des below must of Ashland laws regulating
payment of a living wage.
per hour effective June 30;2013
(Increases annually every June 30-by-the
'
Consumer Price Index)
portion of business of their cafeteria plans (including
employer, if the employer has childcare) benefits to the
ten or more employees, and amount of wages received by
has received financial the employee.
assistance for the project or
For all hours worked under a business from the City of ➢ Note: "Employee" does not
service contract between their Ashland in excess of $19,825. include temporary or part-time
employer and the City of employees hired for less than
Ashland if the contract ➢ If their employer is the City of 1040 hours in any twelve-
exceeds $19,825 or more. Ashland including the Parks month period. For more
and Recreation Department. details on applicability of this
➢ For all hours worked in a
policy, please see Ashland
month if the employee spends ➢ In calculating the living wage, Municipal Code Section
50% or more of the employers may add the value 3.12.020.
employee's time in that month of health care, retirement,
working on a project or 401 K and IRS eligible
For additional information:
Call the Ashland City Administrator's office at 541-488-6002 or write to the City Administrator, City Hall,
20 East Main Street, Ashland, OR 97520 or visit the city's website at www.ashland.or.us.
Notice to Employers: This notice must be posted predominantly in areas where it can be seen by all
employees.
CITY OF
ASHLAND
Contract for Goods and Services Less than $25,000, Revised 06/13/2013, Page 5 of 6
i ~
0
Contract for Goods and Services Less than $25,000, Revised 06/13/2013, Page 6 of 6
Hadley Roofing, Inc.
1995 Fairlane Drive
Medford, OR 97501
Phone: (541) 779-9545 Fax: (541) 772-2068
License No. 44133
Proposal Submitted To Ashland Parks & Recreation Date: 10116/13
Street: Unknown Job Name: Storage Bldg., Lithia Park
City, State and Zip Code: Unknown Job Location: Ashland, OR
Attention: Brace Dickens Tenant: None
Phone: 552-2252 Fax: 488-5314
Email: bruce.dickens@ashland.ocus Proposal Submitted By: Richard E. Hadley
We hereby submit specifications and estimates for repairing the tree damaged storage building at the above job
address as follows:
We will remove the existing roofing and dispose of the debris. We will replace the two 2"x4" barge rafters and
the I"x2" trim. We will replace the damaged sheeting (in three areas) with two layers of 3/4" CDX plywood.
We will install 30 pound felt paper and three foot wide hi-rib metal roofing, and all matching colored eve,
gable, and ridge flashings.
All work will be done complete as per manufacturer's recommendations.
There will be a ten year workmanship guarantee on the work that we do; starting the day the job is complete.
Upon acceptance, please sign and return a copy so we may schedule your work to be done.
We Propose hereby to furnish material and labor-complete in accordance with above specifications, for the sum of:
One Thousand Two Hundred Seventy Eight And No/100---------------------------------------------------------------------------------------------dollars ($1,278.00).
Payment to be made as Follows: Payment in full upon completion of the job.
All material is guaranteed to be as specified. All work to be completed in a workman like manner
according to standard practices. Any alteration or deviation from above specifications involving
extra costs will be executed only upon orders, and will become an extra charge over and above the r 9
estimate. All agreerrcnt contingent upon strikes, accidents, or delays beyond our control. Owner Authorized Signature: /C/O L. A4[fi¢H Hadley Roofing, Inc.
to tarty fire. tornado and other necessary insurance. Our workers arc fully coveted by workmen's
Compensation Insurance. Hadley Roofing is trot responsible for debris or dust filuation when
removing existing roofs. After 30 days a late fee of 2Y per month is charged on all past due Note: no%propo.ml may be wuldmwa by us if not wcepted within 30 days.
accounts.
ACCEPTANCE OF PROPOSAL - The above prices, specifications and
conditions are satisfactory and are hereby accepted. You are authorized to do
the work as specified. Payment will be made as outlined above. In the event
this agreement is not paid as agreed, then reasonable attorney's fees and Date of acceptance
collection costs even though no suit or action is filed will be paid, however,
if a suit or action is filed, the amount of such reasonable attorney's fees shall Signature
be fixed by the Court or Courts in which the suit or action, including any
appeals therein, is tried, heard, or decided.
P.1
www.saj F. com
OREGON WORKERS COMPENSATION i Saif
CERTIFICATE OF INSURANCE 140 corporation
CERTIFICATE HOLDER:
CITY OF ASHLAND
20 EAST MAIN STREET
ASHLAND, OR 97520
The policy 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
439370 10/01/2013 to 10/01/2014 11/15/2013
INSURED: BROKER OF RECORD:
HADLEY ROOFING INC o
1995 FAIRLANE DR .
MEDFORD, OR 97501-4124
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.
AUTHORIZED REPRESENTATIVE .
Drgr~ ) r
President and CEO
600 High Street SE
Salem, OR 97312
P: 800.285.8525
F: 503.373.8020
Po hcy_Certlficates_CemflcateOn nsura nce
10:40 AUG 20, 2013 FAX NO: 772-8235 #100076 PAGE: 2i4
CERTIFICATE OF LIABILITY INSURANCE or in Lin DATE(MINDDITYYY)
08/0/13
V
THIS CERTIFIC E LY AND WNFliKS NU KIUHIS UYUN I HC CCKI IH IGAIC KUwCK. IKIO
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 BETWFFN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
unrunlw~I. I ulo wnl waw uv cI ann. o,T,onnulmuraco, u,.. H..n..Tp_..)..._.-a va.,onow.r,o., ,o w.... e,-.rJ..a a_
th. temae and a.nditiono of tho polio,, oortDf,1 ponol.. ,nay roquiro an endoroelrenl. Actvtom.nt on this cortificete dooc not c nfor riBhw I. tho
certlflcate holder in lieu of such endoreement(6). 6UNIAVI
PHODUCE0. NAME: _
~aC, No
Tmu~ Inournncc Marketplace, Ina. ~NCL Ex1): f l
.A7
1998 Skypark Dr Suite 100 ADDRESS:
Medford OR 97504 cuamur.Rlnx. ELADLE-1
'Phone: 541-779-0177 Fax;VAX 772-8235 INSURER(S) AFFORDING COVERAGE NmCa
INSURED INSURERA: Starr
Hadley Roofing Inc INSURERS: Allied insurance Group 26093
Richard,xadley
1995 Falrlane Drive INSURERC:
Medford OR 97501. INSURER D:
INSURER E:
INSUHtK F;
GOVCRAl9CD CERTIFICATE NUMDCR. nrvmoN Nummen:
THIS IS TO cmmrV THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE DEEN ISSUED '1'01 HE INSURRD NAMED ABOVE FOR THE PUL CY I't U
INDICATED. NOTWI'nf5rANUINEIANY REQUIREMENT, TERM OR CONDITION or ANY CON] HACT OROTI¢R DOCUMENT WITH RESPEaf TO WHICH THIS
CERTIFICATE MAY Or LR60121) OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUOJDCT TO ALL THE TERMS,
F.XCI U$IONS AND CONDITIONS OF SUCH 1'ULICIES. UMfI'S SHOWN MAY hIAVr BEEN REDUCED BY PAID CLAIM,,.
QTR TYPE OF INSURANCE INSR MD POLICY NUMOM MMlobIYYYY MIANdrrY•rY) calls
GENERAL LIABILITY PACII MCI IRRFNPF S l . Din, n D n
' 'EfU'ht t
A X COMMF.RCIALGrNERALLIABILITY OLPGGLO143101 a4/02/22 04102/14 PRFMISPS (r- L;arn7~p;) $ Excluded
OLAIMS-MADE ❑X OCCUR MFD FXP Ww.Rn nm+:uN $ 51000
I
X PLIMW I- AUV INJUI lY s1,000,000
000, 000
GOfL AOOItLOATCTIMIT APP1.1r.D rrnl Pw.anLlr,.TR_ MMPI 0Anl: s 2, 000, 00D
.a
) taus I•I .Pit~7i Les
COMBINED SINGLE I.IMIT
AUTOMOBILE LIABILITY - (Es'acaldenl) $1,000'000
B JjANYAUTD t.u AOH. A ACP7506025030 0a/o2/11 04/01n4 DOnpYINdURV(Purpnlvanj $
ALL UWNEUAUTOS BODILY INJURY (Pei auldeni) $
.
PROPCRTY DAMAGE
$
HIRFDAIrrOS, (p"ToWdied)
NON-OWNEIAUTOS .
K
UMBRELLA LIAR UCCUK' EACH OCCURRENCE i
txutss UAO r'.I aIMCMAIIF AVUREUAI lt
UEDUCI:BLE S
S
RETENTION S
WORRERSCOMPENSAI'ION
AND EMPLOYERS' LIABILITY 7npYl!MITS rR
YIN - -
ANYpINCI'Nlh'I'01'uPARTNEPoEXFCUT r.L. EACI I ACCIDENT S _
OFFICCRINIEMBER EXCLUDED'! NIA
(Mandatory in Nil, EL. DISEASE-EA EMPLOYE $
IFycsl dcecnb, llndet
UESLHIH I IUN OF OrMA I IUN:i mlow L.L. Ull';CACC-f`OLICV LIMIT fi
DESCRU'TIONOPOPWTIONSILOCAUONSIVEHICLES (Alfaolt ACORO 701, Ad onn ometkf Snc~BulO, iFmore apace is regvlrnC)
additional D.ned
CERTIFICATE HOLDER CANCELLATION '
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES DE CANCDLLED BEFORE
CTTvOWA THE EXPIRATION DATCTNGRDOR, NOTICE WILL BE DELIVERED IN
City of Ashland AGCOHUANCL• WI I H I nt YOLIOY HKOVISIONS.
541-488-5314
nxuuo Di nkcna nu...e.~o R=..=~~n+Arrvr.
20 E Main SIC
Ashland OR 86520 R. Scott Weaver, CIC
d 9988.2009 ACORD CORPORATION. All rights reserved.
ACORD £S (Cooo/Oo) The ACORD nom. mad I.e. oro r.gictorad m kl of ACCRID
1040 RUG 20" 2013 FAX NO; 772-8235 #100076 PRGE; 3i4
COMMERCIAL
GENERAL LIABILITY
CG 201010 01
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL. INSURED - OWNERS, LESSEES OR
CONTRACTORS -SCHEDULED PERSON OR
ORGANIZATION
This anrlorsorrent m9d1fies Inahence nrnrdr ed under !he fpbw!ng
COMMERCIAL GENERAL LIABILITY COVERAGE PART
_ SCHEDULE _
Name of Person or Organization;
ldlonkot ac rogalrod by wl•Itton contract on a primary & nun-contributorybavic. .
(If no ontry appears ahovo, Infornadoo required to complote this endorsoment will be shown in tho
Dedaratlons as applicable ictthls endorsement,)
A. APntlon II -Who Is An insured Is amendad to indude as an Insured tha poiscn cr o-anizatlon
arlRWn In the SuhaJulu, Wd ul dy whl I nrupaut Lu Liability 91In61g uul of yuur unyuing u(Jm ntlun~
performod for, that insured.
' 0. With roapuatto the Insuranpe afforded to these addklonal Ihsurcdo, tho following oxcluedon Is .
added:
7, Exclusions
TI I. lusuranco does not apply tP "hndlly Injnry" or I'pmp~dy dr,rna`Jo" anal Irdng aftal-
' (~)ral....l.. i„d..dl,.a .,,emdete. oa."a m. ~d„„e„tf „-Imh~d l.e anu~n'..leh =.el.,
nr
)unrL, nn tho prljonl /nthnr Flinn enrvho, ma l nfonar . nr ronoinr) Fri hn n.rfnl•rmml hl,
on behalf ofthe additional Insured(s) at the silo of the covered operations ties been
completed; or
(2) That portion of your work" out of which the Injury or damage 6rlses has been put to
Its IrlTnnrtetl ll%H I)y Hlly pHimlll l ll' 1.1lwallllmllon I1111Hr IIIHnH l"Olm 1:1 im, whir lif
"
snhnnntractor enpaped In performin0 operadons for a orlnolpal as apart of the same
projecL
GO 20 10 10 01
10:41 AUG 20, 2013 FAX N0: 772-8235 #100076 PAGE: 414
GOMMERGIAL
GENERAL LIABILITY
CG20371001
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTURS COMPLETED OPERATIUNS
Thlg ondorgomont Inodltlaa Insuronco provided undortho following;
COMMERCIAL O6MGRAL LIABILITY COVSRACG PART
SCHEDULE
eme of Person or Organization;
DlanhuLaa LeyuiLed Ly vI,Lue uL wtiLLeu uvudauL.
ocation And Description of Completod Operations;
(If nn PntLy ppppAm Phrerq infnrmptinn mrinlrarl in anmriatp thla nnnAmomanl•wlll bo rhown in the
Declaretlons as applicable to this endorsement.)
Section 0-Who Is An Insured Is mriendod to include as an Insured tho person ororganlzatlon
shown N, the 3,1-iedub, butnh, with r.,p..t b. IWAIKy arlcloy cut or"yuw yL Nrv lauutiop
aeslglateo ano oescrloeo in inn scneanle or mis enUOrsenem performoo format Insured and
Included In the "products-rnmp.eted operations hazard".
CG 20 37 to 01
~1 Page 1 / 1
` CITY OF CITY ® Y`YECORD _
ASHLAND DATE PO NUMBER
20 E MAIN ST. 11/19/2013 11977
ASHLAND, OR 97520
(541) 488-5300 -
VENDOR: 018310 SHIP TO: Ashland Parks
HADLEY ROOFING INC C/O 90 N. MOUNTAIN
1995 FAIRLANE DRIVE (541) 488-5354
MEDFORD, OR 97501 ASHLAND, OR 97520
FOB Point: Req. No.:
Terms: Net Dept.:
Req. Del. Date: Contact: Bruce Dickens
Special Inst: Confirming? No
Quantity Unit Description Unit Price - Ext. Price
Repair tree damaged storage building 1,278.00
roof at Lithia Park per proposal dated
10/16/2013.
Contract for Goods and Services
Beginning date: November 15, 2013
Completion date: November 29, 2013
SUBTOTAL 1,278.00
BILL TO: Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2010 TOTAL 1,278.00
ASHLAND, OR 97520
Account Number - Project Number - -Amount Account Number Project Number Amount
E 720.03.00.00.60713 1,278.00
Autho ed Signa ~re I VENDOR COPY
FORM #3 CITY of
A request for a Purchase Order ASHLAND
REQUISITION Date of request: II~13 j~
;rr.tt Required date for delivery: .
Vendor Name
Address, City, State, Zip jQ9 5 ED 14,yty rig, a'weiyog):R cle- 1 75
Contact Name & Telephone Number
Fax Number /
SLft-- 7'72- - 206'
SOURCING METHOD
❑ Exempt from Competitive Bidding ❑ Emergency
❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Form 413, 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 #
❑ Verbal/Written quote(s) or proposal(s) ❑ State of Washington
Intermediate Procurement ❑ Sale Source Contract #
GOODS & SERVICES ❑ Applicable Form (#5,6, 7 or 8) ❑ Other government agency contract
$5,000 to $100,000 ❑ Wdtten quote or proposal attached Agency
❑ (3) Wdtten quotes and solicitation attached ❑ Form #4, Personal Services $5K to $75K Contract #
PERSONAL SERVICES ❑ Special Procurement Intergovernmental Agreement
$5,000 to $75.000 ❑ Form #g, Request for Approval ❑ Agency
❑ Less than $35,000, by direct appointment ❑ Wdtten quote or proposal attached Date original contract approved by Council:
❑ (3) Wdtten proposals/written solicitation Dale approved by Council: (Date)
❑ Form #4, Personal Services $5K to $75K Valid until: Date
Description of SERVICES Total Cost
P~,mov(-o- l ccr ~2an" 5v-a per LI-t6 ra P/V1z-k--
tiEe f~1~~. c.e.- W L P✓. n~cs:~-cal p.~~~ t • '
$ 1,2~Pj
Item # Quantity Unit Description of MATERIALS Unit Price Total Cost
TOTAL COST
❑ Per attached quote/proposal $
Project Number _--_77____-___ Account Number
Account Number120.0- 0LDI /aa AccountNumber___-__-_
'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, I certify that the City's public contracting requirements have been satisfied.
EmpIoyaa:'IGI,,1~~ tr~bt/) Department Head:
(Equal to or greater than $5,000)
Department Manager/Supervisor: City Administrator:
(Equal to or greater than $25,000)
Funds appropriated for current fiscal year. YES / NO
Finance Director- (Equal to or greater than $5,000) Date
Comments:
Form #3 - Requisition