HomeMy WebLinkAbout2014-040 Contract - Superior Fencing
Contract for GOODS AND SERVICES
CITY OF CONTRACTOR: Superior Fencing LLC
ASHLAND CONTACT: Kevin Bernhardt
20 East Main Street
Ashland, Oregon 97520 ADDRESS: 2232 Ridge Way, Medford, OR
Telephone: 5411488-6002
Fax: 541/488-5311 TELEPHONE: 541-890-6266
DATE AGREEMENT PREPARED: March 13, 2014 FAX: 541-878-9404
COMPLETION DATE: Section #2 -April 18, 2014
BEGINNING DATE: March 17, 2014 Section #1 - May 9, 2014
COMPENSATION: $28,125.00 ($27,725.00 fencing repair and replacement project per bid attached as
Exhibit C and $400.00 for removal of old wire fencing per bid attached as Exhibit D.
GOODS AND SERVICES TO BE PROVIDED: Ashland Gun Club Fence Repair and Replacement Project
per ITB and bid submitted by Superior Fencing. Fencing project to be completed in two sections. Section #2
must be completed only during the week (M-F), March 31-April 18, 2014, when the gun club is CLOSED - NO
weekend work is allowed on Section #2. Section #1 will be completed b May 9, 2014.
ADDITIONAL TERMS:
NOW THEREFORE, pursuant to AMC 2.50.090 and after consideration of the mutual covenants contained herein the
CITY AND CONTRACTOR AGREE as follows:
1.- All Costs by Contractor: Contractor shall, provide all goods as specified above and shall at its own risk and
expense, perform any work described above and, unless otherwise specified, furnish all labor, equipment and
materials required for the proper performance of such work.
2. Qualified Work: Contractor has represented, and by entering into this contract now represents, that any personnel
assigned to the work required under this contract are fully qualified to perform the work to which they will be assigned
in a skilled and worker-like manner and, if required to be registered, licensed or bonded by the State of Oregon, are
so registered, licensed and bonded. Contractor must also maintain a current City business license.
3. Completion Date: Contractor shall provide all goods in accordance with the standards and specifications, no later
than the date indicated above and start performing the work under this contract by the beginning date indicated
above and complete the work by the completion date indicated above.
4. Compensation: City shall pay Contractor for the specified goods and for any work performed, including costs and
expenses, the sum specified above. Payments shall be made within 30 days of the date of the invoice. Should the
contract be prematurely terminated, payments will be made for work completed and accepted to date of termination.
Compensation under this contract, including all costs and expenses of Contractor, is limited to sum specified above.
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, 27913.225, 27913.230, 279B.235, ORS Chapter 244 and ORS 670.600 are
made part of this contract.
7. Living Wage Requirements: If contractor is providing services under this contract and the amount of this contract
is $19,825 or more, Contractor is required to comply with chapter 3.12 of the Ashland Municipal Code by paying a
living wage, as defined in this chapter, to all employees performing work under this contract and to any subcontractor
who performs 50% or more of the work under this contract. Contractor is also required to post the notice attached
hereto as Exhibit B predominantly in areas where it will be seen by all employees.
8. Indemnification: Contractor agrees to defend, indemnify and save City, its officers, employees and agents harmless
from any and all losses, claims, actions, costs, expenses, judgments, subrogations, or other damages resulting from
injury to any person (including injury resulting in death), or damage (including loss or destruction) to property, of
whatsoever nature arising out of or incident to the performance of this contract by Contractor (including but not limited
to, Contractor's employees, agents, and others designated 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 b City under an of the following
Contract for Goods and Services, Revised 06/1312013, Page 1 of 5
1
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
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 Liability insurance with a combined single limit, or the equivalent, of not less than Enter one:
$200,000, $500,000, $1,000,000, or Not Applicable for each accident for Bodily Injury and Property Damage,
including coverage for owned hired or non-owned vehicles, as applicable.
Contract for Goods and Services, Revised 06/13/2013, Page 2 of 5
d. Notice of cancellation or change. There shall be no cancellation, material change, reduction of limits or
intent not to renew the insurance coverage(s) without 30 days' written notice from the Contractor or its insurer(s) to
the City.
e. Additional Insured/Certificates of Insurance. Contractor shall name The City of Ashland, Oregon, and its
elected officials, officers and employees as Additional Insureds on any insurance policies required herein but only
with respect to Contractor's services to be provided under this Contract. As evidence of the insurance coverages
required by this Contract, the Contractor shall furnish acceptable insurance certificates prior to commencing work
under this contract. The contractor's insurance is primary and non-contributory. The certificate will specify all of the
parties who are Additional Insureds. Insuring companies or entities are subject to the City's acceptance. If
requested, complete copies of insurance policies, trust agreements, etc. shall be provided to the City. The
Contractor shall be financially responsible for all pertinent deductibles, self-insured retentions and/or self-
insurance.
17. Governing Law; Jurisdiction; Venue: This contract shall be governed and construed in accordance with the laws
of the State of Oregon without resort to any jurisdiction's conflict of laws, rules or doctrines. Any claim, action, suit or
proceeding (collectively, "the claim") between the City (and/or any other or department of the State of Oregon) and
the Contractor that arises from or relates to this contract shall be brought and conducted solely and exclusively within
the Circuit Court of Jackson County for the State of Oregon. If, however, the claim must be brought in a federal
forum, then it shall be brought and conducted solely and exclusively within the United States District Court for the
District of Oregon filed in Jackson County, Oregon. Contractor, by the signature herein of its authorized
representative, hereby consents to the in personam jurisdiction of said courts. In no event shall this section be
construed as a waiver by City of any form of defense or immunity, based on the Eleventh Amendment to the United
States Constitution, or otherwise, from any claim or from the jurisdiction.
18. THIS CONTRACT AND ATTACHED EXHIBITS CONSTITUTE THE ENTIRE AGREEMENT BETWEEN THE
PARTIES. NO WAIVER, CONSENT, MODIFICATION OR CHANGE OF TERMS OF THIS CONTRACT SHALL
BIND EITHER PARTY UNLESS IN WRITING AND SIGNED BY BOTH PARTIES. SUCH WAIVER, CONSENT,
MODIFICATION OR CHANGE, IF MADE, SHALL BE EFFECTIVE ONLY IN THE SPECIFIC INSTANCE AND FOR
THE SPECIFIC PURPOSE GIVEN. THERE ARE NO UNDERSTANDINGS, AGREEMENTS, OR
REPRESENTATIONS, ORAL OR WRITTEN, NOT SPECIFIED HEREIN REGARDING THIS CONTRACT.
CONTRACTOR, BY SIGNATURE OF ITS AUTHORIZED REPRESENTATIVE, HEREBY ACKNOWLEDGES THAT
HE/SHE HAS READ THIS CONTRACT, UNDERSTANDS IT, AND AGREES TO BE BOUND BY ITS TERMS AND
CONDITIONS.
19. Nonappropriations Clause. Funds Available and Authorized: City has sufficient funds currently available and
authorized for expenditure to finance the costs of this contract within the City's fiscal year budget. Contractor
understands and agrees that City's payment of amounts under this contract attributable to work performed after the
last day of the current fiscal year is contingent on City appropriations, or other expenditure authority sufficient to allow
City in the exercise of its reasonable administrative discretion, to continue to make payments under this contract. In
the event City has insufficient appropriations, limitations or other expenditure authority, City may terminate this
contract without penalty or liability to City, effective upon the delivery of written notice to Contractor, with no further
liability to Contractor.
20. Prior Approval Required Provision. Approval by the City of Ashland Council or the Public Contracting Officer is
required before any work may begin under this contract.
21. Certification. Contractor shall sign the certification attached hereto as Exhibit A and herein incorporated by
reference.
Contracto : City of Ashland
BY By
g ature Department He n
r~ch.vte t Le. tH~cbd
Pri t Name Print Name
//Y eAberr lyl /Y
Title Date n
W-9 One copy of a W-9 is to be submitted with
the signed contract. Purchase Order No.
Contract for Goods and 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
crit'eria/:
v (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.
c/ (6) 1 assume financial responsibility for defective workmanship or for service not provided
as evidenced by the ownership of performance bonds, warranties, errors and omission
insurance or liability insurance relating to the labor or services to be provided.
Contractor (Date)
Contract for Goods and Services, Revised 06/13/2013, Page 4 of 5
Proposal & Invoice
S- UPERIOR FENCING LLC
2232 Ridge Way a Medford • CCB # 165012
Craig Robinson Kevin Bernhardt
541-951-2500 541-890-6266
Fax: 541-734-9778 Fax: 541-878-9404
City of Ashland 541-552-3255 2/10/2014
PROPOSAL SUBMITTED TO PHONE DATE
STREET CITY STATE ZIP FAX
Ashland Gun Club 555 Emigrate Creek Rd
JOB LOCATION
We herby submit specifications and estimate for :
3726' of 4 strand Red brand 4 point barbwire. All pull points and comers will be 3 post pulls using #1 railroad
ties and set in concrete. Cross braces will be 8 X 8 pt with wire and winches. We will set single Railroad ties at
all property pins and as needed in fence line. 6' heavy t-post will be used between pull points on 10' spacing or
as needed. We will set 3" round steel post with caps if needed for pull points and grade changes. We will install
2- 12' wide Powder River heavy wall gates and 2 new water gates per location on map and repair 1 water gate.
Section 2 start date will be on or before March 3, 2014 with completion by March 14, 2014.
Section 1 start date will be March 17, 2014 with completion by April 4, 2014.
We propose herby to furnish material and labor-complete in accordance with above specifications, for the sum of:
Twenty seven thousand seven hundred twenty five dollars & no/100 Dollars $27725.00
Payment to be made as follows:
'/2 to be paid at start of project/Remaining balance due upon completion.
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 cost will be executed only upon written orders, and will become an extra charge over and above
the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary
insurance. Our workers are fully covered by Workman's Compensation Insurance. This proposal is also subject to all terms and conditions contained
on the reverse side/ second page hereof. Superior Fencing LLC is not responsible for any damage to unlocatable utilities including water lines
sprinkler pipes, etc. x Acceptance of Proposal: All 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. I have read the
entire contract and agree to its content.
Authorized Signature: lNZp41il4t Gtif/~
Note: This proposal may be withdrawn by us if not received within 30 days.
Signature: Date of Acceptance:
Proposal & Invoice
SUPERIOR FENCING LLC
2232 Ridge Way • Medford • CCB # 165012
Craig Robinson Kevin Bernhardt
541-951-2500 541-890-6266
Fax: 541-734-9778 Fax: 541-878-9404
City of Ashland 541-552-3255 2/10/2014
PROPOSAL SUBMITTED TO PHONE DATE
STREET CITY STATE ZIP FAX
Ashland Gun Club 555 Emigrate Creek Rd
JOB LOCATION
We herby submit specifications and estimate for :
Removal of old wire fence to be done in Section 1 of job site. .
We propose herby to furnish material and labor-complete in accordance with above specifications, for the sum of.
Four hundred and no/100 Dollars $400.00
Payment to be made as follows:
'/3 to be paid at start of project/Remaining balance due upon completion.
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 cost will be executed only upon written orders, and will become an extra charge over and above
the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary
insurance. Our workers are fully covered by Workman's Compensation Insurance. This proposal is also subject to all terms and conditions contained
on the reverse side/ second page hereof. Superior Fencing LLC is not responsible for any damage to unlocatable utilities including water lines
sprinkler pipes, etc. xAcceptance of Proposal: All 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. I have read the
entire contract and agree to its content.
Authorized Signature: j,&
Note: This proposal may tre withdrawn by us if out received within 30 days.
Signature: Date of Acceptance:
AUTO INSURANCE DECLARATIONS
COUNTRY Preferred Insurance Company.
P.O. Box 14151, Salem, Oregon 97309-5069
Preferred Plan POLICY NUMBER POLICY TERM PAYMENT PLAN INS. OFFICE / AGEN
P36A4488598 I 6 MONTHS I MTHLY DIRECT I 36003 SOREG 115637
To report a claim or for roadside assistance any T
time day or night, call 1-866-COUNTRY(1-866-268-6879) ACCOUNT NUMBER 9493849-001-00001
Policy period beginning Oct 23, 2013
INSURED 12:01 a.m. standard time at your address
ending Apr 23, 2014 12:00 a.m.
BERNHARDT KEVIN & MICHELLE R
PO BOX 492 Declarations reason:
EAGLE POINT OR 97524-0492 POLICY RENEWAL
Effective Oct 23, 2013 12:01 a.m. standard time
at your address.
Your policy consists of the policy booklet,
applications, declarations pages and any
endorsements. Please keep them together.
0000 0000
TOTAL PREMIUM $1,563.46
DO NOT PAY THIS AMOUNT. ANY BALANCE DUE WILL BE LISTED ON A SEPARATE INVOICE.
VERICUL UWMD DRN MFORM Ml
2013 CHEVR 149114 TRUCK 1 TON AND UNDER, BUSINESS, MALE, 30-64
2002 CHEVR 247025 AUTOMOBILE, WORK 10 OR OVER, FEMALE, 30-64
1992 TOYOT 070770 AUTOMOBILE, PLEASURE, SINGLE FEMALE UNDER 21
POLICY COVERAGE LIMITS EACH PERSON EACH OCCURRENCE
LIABILITY-BODILY INJURY 100,000 300,000
PROPERTY DAMAGE 100,000
UNINSURED MOTORISTS 100,000 300,000
UNDERINSURED MOTORISTS 100,000 300,000
2013 CHEVR I 2002 CHEVR 1992 TOYOT I Intentionally Left Blank
Terr 029 Terr 029 - Ten 029
VEHICLE COVERAGE LIMITS
PERSONAL INJURY PROTECT '
EACH PERSON 100,000 100,000 100,000
COLLISION - ACTUAL CASH
VALUE LESS DED 500 500
COMPREHENSIVE-ACTUAL
CASH VALUE LESS DED 500 500 _
ROAD SERVICE YES YES YES
ENDORSEMENTS
THE KEEPER YES
UNINSURED MOTORISTS
PROPERTY DAMAGE COV YES YES YES
AMENDATORY END-OR YES YES YES
SAFETY GLASS FULL COV YES YES
PREMIUMS
LIABILITY-BODILY INJURY 145.79 170.51 386.05
PROPERTY DAMAGE included included included
.UNINSURED MOTORISTS 24.59 24.59 24.59
FOR SERVICE CALL YOUR FINANCIAL REPRESENTATIVE HANK RADEMACHER AT (5411R26-89nn.
2013 CHEVR 2002 CHEVR 1992 TOYOT Intentionally Left Blank
Ten 029 Ten 029 Terr 029
PREMIUMS
UNDERINSURED MOTORISTS included included included
PERSONAL INJURY PROTECT 60.10 56.23 198.95
COLLISION 212.13 82.20
COMPREHENSIVE 81.78 40.90
ROAD SERVICE 3.24 5.40 8,10
THE KEEPER 18.87
UNINSURED MOTORISTS
PROPERTY DAMAGE COV 6.48 648 648
AMENDATORY END-OR included included included
SAFETY GLASS FULL COV ind w/comp Ind w/comp
_L_
VEHICLE PREMIUM $552.98 $386.31 $624.17
The VEHICLE PREMIUM has
already been changed by
the following:
DISCOUNTS
SIMPLY DRIVE included
GOOD DRIVER included included included
MULTICAR induced included included
MULTI-POLICY DISCOUNT included included included
NEW VEHICLE included
TOTAL DISCOUNT -428.40 -281.01 -357.06
• Not applicable to this vehicle.
- Not applicable to this policy.
OTHER INTERESTS - LIENHOLDER
2013 CHEVR ROGUE FEDERAL CREDIT UNION
2002 CHEVR ROGUE FEDERAL CREDIT UNION 1479295-46
V Sep 19, 2013
ah
FOR SERVICE CALL YOUR FINANCIAL REPRESENTATIVE HANK RADEMACHER AT l541182F.R900.
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OREGON INSURANCE CARD
:OUNTRY PREFERRED INSURANCE COMPANY 21008 NAIC
1.0. Box 14151, Salem, OR 97309-5069
'503) 581-1730
insured: Policy Number Effective Date Expiration Date
3ERNHARDT KEVIN & MICHELLE R P36A4908594 AUG 19, 2013 AUG 19, 2014
Year Make/Model VIN
2008 KAWAS TERYX JKARFDA188B502253
kgent name and phone: Coverage
TANK RADEMACHER BODILY INJURY LIABILITY
;541) 826-8900 PROPERTY DAMAGE LIABILITY
FHIS CARD MUST BE CARRIED IN THE INSURED VEHICLE FOR PRODUCTION UPON DEMAND.
FHE COVERAGES PROVIDED BY THIS POLICY MEETS THE MINIMUM LIABILITY INSURANCE
_IMITS PRESCRIBED BY LAW.
_XAMINE YOUR EXCLUSIONS CAREFULLY. THIS FORM DOES NOT CONSTITUTE ANY PART OF
(OUR INSURANCE POLICY.
(Cut along this line to detach your new card.)
:OUNTRY Financial Oregon Proof of Insurance Card
:OUNTRY PREFERRED INSURANCE COMPANY
1.0. Box 14151, Salem, OR 97309-5069
303) 581-1730
kugust 21, 2013
3ERNHARDT KEVIN & MICHELLE R
10 BOX 492
=AGLE POINT OR 97524-0492
)ear Policyholder:
'our Proof of-Insurance Card is attached at the top of this page.
'LEASE DETACH IT AND CARRY IT IN YOUR VEHICLE AT ALL TIMES AS PROOF
)F AUTO LIABILITY INSURANCE.
:f you have any questions or would like to review your policy, please
:ontact me.
sincerely,
TANK RADEMACHER BILLING NUMBER 9957872
A~~ °O® CERTIFICATE OF LIABILITY INSURANCE 3%5%2014
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 NAMEpCT Marten Forney
Ashland Insurance Inc FHONE .(541)857-0679 FAX
AIC Nei- (5411857-9883
801 O'Hare Parkway, Ste 101 E-MAIL
ADDRESS:marcenef@ashlandinsurance. coal
INSURERS AFFORDING COVERAGE NAIL Y
Medford OR 97504 INSURERA:Ohio Security Insurance Co. 4082
INSURED INSURER B:
SUPERIOR FENCING, LLC INSURER C:
2232 RIDGE WAY INSURER D:
INSURER E:
MEDFORD OR 97504 INSURER F:
COVERAGES CERTIFICATE NUMBER.CL141304575 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-
ILTR TYPE OF INSURANCE JM.WA ADDL SUER POLICY NUMBER MM CnY EFF uuflnn EXP LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY PREMISES Ea oc n nce $ 100,000
A CLAIMS-MADE rX OCCUR X KS53740625 6/9/2013 6/9/2014 MED EXP(Any one person) $ 15,000
PERSONAL E ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000
X POLICY PRO- LOC $
IPCT
R OMOBILE LIABILITY COMBINED SINGLE LIMIT
Ea accident
ANY AUTO BODILY INJURY (Per person) S
ALL AUTOS OWNED AUTOOSULED BODILY INJURY (Per accident) $
PROPERTY DAMAGE
HIRED AUTOS NON-OWNED
AUTOS Per accident §
E
UMBRELIA LIAR OCCUR EACH OCCURRENCE $
EXCESS LIAR CLAIMS-MADE AGGREGATE $
DED RETENTION$ §
WORKERS COMPENSATION WC STATIC OTH-
ANDEMPLOYERS' LMUfIL1TY YIN TORY I WITR FR
ANY PROPRIETOR/PARTNERIEXECUTIVE E.L EACH ACCIDENT E
OFFICER/MEMBER EXCLUDED? ❑ N/A
(Mandatory In NH) E.L. DISEASE - EA EMPLOYE $
If yes, describe under
DESCRIPTION OF OPERATIONS Ice]. E.L. DISIYtSE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additanal Remarks Schedule, if more space is required)
CERTIFICATE HOLDER CANCELLATION
(541)552-2304 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.
Public Works Dept
Attn Stu Wilkie AUTHORIZED REPRESENTATIVE
90 N. Mountain Ave Ashland, OR 97520 Thomas Wilson/TOM-....._a, L~es
ACORD 25 (2010/05) 01988-2010 ACORD CORPORATION. All rights reserved.
INS17125 onlnns) m Th. Annon namn and inns mn .nnic4nrnd mor4c of acnion
ac R CERTIFICATE OF LIABILITY INSURANCE D DDfIYYY(
3//5/2 5/2014
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 NcoAME:
~Acr Thomas Wilson
Ashland Insurance Inc PHONE (S41)BS7-0679 aC No: (5a1)85T-9883
801 OT Hare Parkway, Ste 101 E s. twilson@ashlandinsurance.com
INSURER(S) AFFORDING COVERAGE NAIC 0
Medford OR 97504 INSURERA:SAIF Corporation
INSURED
INSURERS:
Superior Fencing, LLC INSURER C:
2232 Ridge Way INSURER D:
INSURER E:
Medford OR 97504 INSURER F:
COVERAGES CERTIFICATE NUMBERCL143504677 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.
LTR TYPE OF INSURANCE
POLICY NUMBER WI)D EY PMIDU E%P LIMITS
GENERAL LUIBILRY
EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY PREMISES Es amerenm $
CLAIMS-MADE❑ OCCUR MED EXPAny one"re,m) $
PERSONALSADVINJURY I
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPUES PER: PRODUCTS -COMP/OPAGG $
POLICY PRO- LOG $
ECT -J
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
Ea eatldent
ANY AUTO BODILY INJURY (Per person) $
ALLOWNED SCHEDULED
AUTOS AUTOS BODILY INJURY (Per arddent) $
-OWNED
HIRED AUTOS AUTOS PROPERTY DAMAGE $
Per acdtlent
S
UMBRELLA LIAR OCCUR EACH OCCURRENCE S
EXCESS LIAB CLAIMS#1FDE
AGGREGATE $
DED RETENTIONS $
A WORKERS COMPENSATION WC STATU- OT
AND EMPLOYERS' LIABILITY YIN
ORY ONMPROPRIEERIXCLmRIPARTNUDEDiERIF7(ECUnVE NIA EL EACH ACCIDENT $ 500,000
(Mandatory in
(Mandatory in NH) 54062 /1/2013 /1/2016 EL DISEASE - EA EMPLO $ 500 000
If vas. tlesui0e uMer
DESCRIPTIONOFOPERATIONS.. EL DISEASE - POLICYLIMIT $ 500 000.
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Anna ACORD 101, Additional Remsrlo, SChedula, N more span Is required)
CERTIFICATE HOLDER CANCELLATION
(541)552-2304 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS.
Public Works Dept
Attn Stu Wilkie AUTHORIZED REPRESENTATIVE
90 N. Mountain Ave
Ashland, OR 97520
Thomas Wilson/TOM
ACORD 25 (2010/05) O 1988-2010 ACORD CORPORATION. All rights reserved.
INS025 rmmnRnm Th. Arnon ..~...e onni I-- ..n .on;oh,. nnoa o: Arnan
PROGRHOYE`
Policy number: 2303305-0
Underwritten by:
Artisan and Truckers Casualty Co.
03!052014
Certificate of Insurance
Certificate Holder Insured Agent
Additional Insured '
CITY OF ASHLAND SUPERIOR FENCING, LLC ASHLAND INS INC
PUBLIC WORKS DEPARTMENT 2232 RIDGE WAY 801 OHARE PKWY #101
90 NORTH MOUNTAIN AVE MEDFORD OR 97504 MEDFORD OR97504
ASHLAND, OREGON 97520
This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above
for the period(s) indicated. This certificate is issued for information purposes only. It confers no rights upon the certificate
holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages
afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and conditions of these policies.
Policy Effective Date: Policy Expiration Date:
07/12/2013 0711212014
Insurance coveraae(sl Limits
BODILY INJURY/PROPERTY DAMAGE $2,000,000 CSL
NON OWNED $2,000,000 CSL
Description of Location/Vehicles/Special Items
Scheduled autos only
Certificate number
064143LX305
Please be advised that additional insureds and lienholders will be notified in the event of a
mid-term cancellation.
d fy~
1
7
Form CCFAI
ASHLAND INS INC Pl 96REJJYT
807 OHARE PKWY #101
MEDFORD, OR 97504
896221228;8 1 AT 0.406 PPACSOIS 087 022828
Policy number. 02303305-0
Underwritten by:
Artisan and Truckers Casualty Co
Insured: SUPERIOR FENCING, LLC
CITY OF ASHLAND
90 N MTN AVE March 6, 2014
ASHLAND, OR 97520 Policy Period: Jul 12, 2013 - Jul 12, 2014
6L111r~IIIIrhrIl~Ihhl4drdr111lPllhlhll7llllllllll'~r Mailing Address
Artisan and Truckers Casualty Cc
PO Box 94739
Additional insured endorsement Cleveland, OH 44101
1-900-444-4487
Name of Person or Organization For customer service, 24 hours a day,
7 days a week
CITY OF ASHLAND
90 N MTN AVE
ASHLAND, OR 97520
The person or organization named above is an insured with respect to such liabil 4 coverage as is
afforded by the policy, but this insurance applies to said insured only as a person liable for the as
of
another insured and then only to the extent of that liability. We also agree with you that insurance
provided by this endorsement will be primary for any power unit specifically described on the
Declarations Page.
Limit of Liability
Bodily Injury Not applicable
Property Damage Not applicable
Combined Liability $2,000,000 each accident
All other terms, limits and provisions of this policy remain unchanged.
This endorsement applies to Policy Number: 02303305-0
Issued to (Name of Insured): SUPERIOR FENCING, LLC
Effective date of endorsement: 03/05/2014 Policy expiration date: 07/12/2014
Form 1198(01/04)
Page 1 / 1
CITY OF CITY RECORDER
DATE a PO NUMBER
ASHLAND
20 E MAIN ST. 3/20/2014 12154
ASHLAND, OR 97520
(541) 488-5300
VENDOR: 018542 SHIP To: Ashland Fleet Maintenance
SUPERIOR FENCING LLC (541) 488-5358
2232 RIDGE WAY 90 N MOUNTAIN
MEDFORD, OR 97504 ASHLAND, OR 97520
FOB Point: - Req. No.:
Terms: Net - Dept.:
Req. Del. Date: Contact: Stu Wilkie
Special Inst: Confirming? No
Quanti '.'Unit .Descri tiom. `,zsUnit Priee "r ExLPrice
Fence Repair and Replacement Project 28,125.00
Location: Ashland Gun Club
Contract for Goods and Services
Beqinninq date: March 17, 2014
Completion date: May 9, 2014
SUBTOTAL 28125.00
BILL TO: Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2010 TOTAL 28,125.00
ASHLAND, OR 97520
Account Number Project Number --'rAmount 4 Account Number, Project Number Amount
E 410.08.24.00.60240 28125.00
2
Authorized S ~i
i nature ~ VENDOR COPY
FORM #3 CITY of
A rect_ n-St f t ASHLAND
REQUISITION Date of request: 3i1a/ta
Required date for delivery:
Vendor Name Superior Fencing LLC
Address, City, State, Zip 2232 Ridge Way
Contact Name & Telephone Number a or , Or vibu
Fax Number
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
Lesft an $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 ❑ Sole Source Contract #
GOODS & SERVICES ❑ Applicable Form (#5,6, 7 or 8) ❑ Other government agency contract
5000 to 100 000 ❑ Witten quote or proposal attached Agency
) Wntten n 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) Written proposalshvdtten solicitation Date approved by Council: (Date)
❑ Form #4, Personal Services $5K to $75K Valid until: Date
Description of SERVICES Total Cost
Fence Repair and Replacement Project Ashland Gun Club $28,125 00 r' x4 `
t 4 ~ Vf 4.r Ni .l
Item # Quantity Unit Description of MATERIALS Unit Price Total CostA '
TOTAL""'CdST
❑ Per attached quotelproposal r:•.
Project Number Account Number 410.08.24.00.602400
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
By signing this s#ion form, l certify that the City's public contracting requirements have been satisfied.
Employee: gym„ f Department Head: 1~ i cZ 3 ~ry II
(Equal to greater than $5,000)
Department Manager/Supervisor: City Administrator:
(Equal to or greater than $25,000)
Funds appropriated for current fiscal year.., F-" / NO ,t3 z%f
Finance Director- (equal to reaterthan s5,ooo) Date
Comments:
Form #3 - Requisition