HomeMy WebLinkAbout2014-078 Contract - So OR Transportation Engineering
Contract for PERSONAL SERVICES less than $35,000
CITY OF CONSULTANT: Southern Oregon Transportation Engineering
ASHLAND LLC
20 East Main Street CONTACT: Kim Parducci
Ashland, Oregon 97520
Telephone: 541/488-6002 ADDRESS: 112 Monterey Dr. Medford Or 97504
Fax: 541/488-5311
TELEPHONE: (541) 941-4148
DATE AGREEMENT PREPARED: FAX:
BEGINNING DATE: 12/28/2013 COMPLETION DATE: 12/28/2014
COMPENSATION: Not to exceed $11,150.00
SERVICES TO BE PROVIDED: Quarterly Traffic Impact Analysis of the North Main road diet as per the
attached exhibit C.
ADDITIONAL TERMS: N/A
FINDINGS:
Pursuant to AMC 2.50.120, after reasonable inquiry and evaluation, the undersigned Department Head finds and
determines that: (1) the services to be acquired are personal services; (2) the City does not have adequate personnel nor
resources to perform the services; (3) the statement of work represents the department's plan for utilization of such
personal services; (4) the undersigned consultant has specialized experience, education, training and capability sufficient
to perform the quality, quantity and type of work requested in the scope of work within the time and financial constraints
provided; (5) the consultant's proposal will best serve the needs of the City, and (6) the compensation negotiated herein
is fair and reasonable.
NOW THEREFORE, in consideration of the mutual covenants contained herein the CITY AND CONSULTANT AGREE as
follows:
1. Findings / Recitations. The findings and recitations set forth above are true and correct and are incorporated herein
by this reference.
2. All Costs by Consultant: Consultant shall, at its own risk and expense, perform the personal services described
above and, unless otherwise specified, furnish all labor, equipment and materials required for the proper performance
of such service.
3. Qualified Work: Consultant has represented, and by entering into this contract now represents, that all personnel
assigned to the work required under this contract are fully qualified to perform the service to which they will be
assigned in a skilled and worker-like manner and, if required to be registered, licensed or bonded by the State of
Oregon, are so registered, licensed and bonded.
4. Completion Date: Consultant shall start performing the service under this contract by the beginning date indicated
above and complete the service by the completion date indicated above.
5. Compensation: City shall pay Consultant for service performed, including costs and expenses, the sum specified
above. Payments shall be made within 30 days of the date of the invoice. Should the contract be prematurely
terminated, payments will be made for work completed and accepted to date of termination.
6. Ownership of Documents: All documents prepared by Consultant pursuant to this contract shall be the property of
City.
7. Statutory Requirements: ORS 279C.505, 279C.515, 279C.520 and 279C.530 are made part of this contract.
8. Living Wage Requirements: If the amount of this contract is $19,825 or more, Consultant is required to comply with
chapter 3.12 of the Ashland Municipal Code by paying a living wage, as defined in this chapter, to all employees
performing work under this contract and to any Subcontractor who performs 50% or more of the service work under
this contract. Consultant is also required to post the notice attached hereto as Exhibit B predominantly in areas where
it will be seen by all employees.
9. Indemnification: Consultant agrees to defend, indemnify and save City, its officers, employees and agents harmless
from any and all losses, claims, actions, casts, expenses, judgments, subrogations, or other damages resulting from
injury to any person (including injury resulting in death), or damage (including loss or destruction) to property, of
whatsoever nature arising out of or incident to the performance of this contract by Consultant (including but not
limited to, Consultant's employees, agents, and others designated by Consultant to perform work or services
attendant to this contract)- Consultant shall not be held responsible for an losses, expenses, claims, subro ations,
Contract for Personal Services, Revised 06/30/2013, Page 1 of 5
actions, costs, judgments, or other damages, directly, solely, and proximately caused by the negligence of City.
10. Termination:
a. Mutual Consent. This contract may be terminated at any time by mutual consent of both parties.
b. City's Convenience. This contract may be terminated at 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 Consultant, 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 Consultant 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 Consultant 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 Consultant's performance of each and every obligation and duty under
this contract. City by written notice to Consultant of default or breach may at any time terminate
the whole or any part of this contract if Consultant fails to provide services called for by this
contract within the time specified herein or in any extension thereof.
iii. The rights and remedies of City provided in this subsection (d) are not exclusive and are in
addition to any other rights and remedies provided by law or under this contract.
e. Obligation/Liability of Parties. Termination or modification of this contract pursuant to subsections a, b, or
c above shall be without prejudice to any obligations or liabilities of either party already accrued prior to such
termination or modification. However, upon receiving a notice of termination (regardless whether such notice is
given pursuant to subsections a, b, c or d of this section, Consultant shall immediately cease all activities under
this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination,
Consultant shall deliver to City all contract documents, information, works-in-progress and other property that are
or would be deliverables had the contract been completed. City shall pay Consultant for work performed prior to
the termination date if such work was performed in accordance with the Contract.
11. Independent Contractor Status: Consultant is an independent contractor and not an employee of the City.
Consultant shall have the complete responsibility for the performance of this contract. Consultant shall provide .
workers' compensation coverage as required in ORS Ch 656 for all persons employed to perform work pursuant to
this contract. Consultant is a subject employer that will comply with ORS 656.017.
12. Assignment and Subcontracts: Consultant shall not assign this contract or subcontract any portion of the work
without the written consent of City. Any attempted assignment or subcontract without written consent of City shall be
void. Consultant shall be fully responsible for the acts or omissions of any assigns or Subcontractors and of all
persons employed by them, and the approval by City of any assignment or subcontract shall not create any
contractual relation between the assignee or subcontractor and City.
13. Default. The Consultant shall be in default of this agreement if Consultant: commits any material breach or default
of any covenant, warranty, certification, or obligation it owes under the Contract; its QRF status pursuant to the QRF
Rules or loses any license, certificate or certification that is required to perform the Services or to qualify as a QRF if
consultant has qualified as a QRF for this agreement, institutes an action for relief in bankruptcy or has instituted
against it an action for insolvency; makes a general assignment for the benefit of creditors; or ceases doing business
on a regular basis of the type identified in its obligations under the Contract; or attempts to assign rights in, or
delegate duties under, the Contract.
14. Insurance. Consultant shall at its own expense provide the following insurance:
a. Worker's Compensation insurance in compliance with ORS 656.017, which requires subject employers to
provide Oregon workers' compensation coverage for all their subject workers
b. Professional 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 claim, incident or occurrence. This is to
cover damages caused by error, omission or negligent acts related to the professional services to be provided
under this contract.
C. 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.
d. Automobile Liabilit insurance with a combined single limit, or the equivalent, of not less than Enter one:
Contract for Personal Services, Revised 06/30/2013, Page 2 of 5
$200,000, $500,000, $1.000,000, $2,000,000 or Not Applicable for each accident for Bodily Injury and Property
Damage, including coverage for owned, hired or non-owned vehicles, as applicable.
e. Notice of cancellation or change. There shall be no cancellation, material change, reduction of limits or
intent not to renew the insurance coverage(s) without 30 days' written notice from the Consultant or its insurer(s) to
the City.
f. Additional Insured/Certificates of Insurance. Consultant shall name The City of Ashland, Oregon, and its
elected officials, officers and employees as Additional Insureds on any insurance policies required herein but only
with respect to Consultant's services to be provided under this Contract. The consultant's insurance is primary and
non-contributory. As evidence of the insurance coverages required by this Contract, the Consultant shall furnish
acceptable insurance certificates prior to commencing work under this contract. The certificate will specify all of
the parties who are Additional Insureds. Insuring companies or entities are subject to the City's acceptance. If
requested, complete copies of insurance policies, trust agreements, etc. shall be provided to the City. The
Consultant shall be financially responsible for all pertinent deductibles, self-insured retentions and/or self-
insurance.
15. Governing Law; Jurisdiction; Venue: This contract shall be governed and construed in accordance with the laws
of the State of Oregon without resort to any jurisdiction's conflict of laws, rules or doctrines. Any claim, action, suit or
proceeding (collectively, "the claim") between the City (and/or any other or department of the State of Oregon) and
the Consultant that arises from or relates to this contract shall be brought and conducted solely and exclusively within
the Circuit Court of Jackson County for the State of Oregon. If, however, the claim must be brought in a federal
forum, then it shall be brought and conducted solely and exclusively within the United States District Court for the
District of Oregon filed in Jackson County, Oregon. Consultant, by the signature herein of its authorized
representative, hereby consents to the in personam jurisdiction of said courts. In no event shall this section be
construed as a waiver by City of any form of defense or immunity, based on the Eleventh Amendment to the United
States Constitution, or otherwise, from any claim or from the jurisdiction.
16. THIS CONTRACT AND ATTACHED EXHIBITS CONSTITUTE THE ENTIRE AGREEMENT BETWEEN THE
PARTIES. NO WAIVER, CONSENT, MODIFICATION OR CHANGE OF TERMS OF THIS CONTRACT SHALL
BIND EITHER PARTY UNLESS IN WRITING AND SIGNED BY BOTH PARTIES. SUCH WAIVER, CONSENT,
MODIFICATION OR CHANGE, IF MADE, SHALL BE EFFECTIVE ONLY IN THE SPECIFIC INSTANCE AND FOR
THE SPECIFIC PURPOSE GIVEN. THERE ARE NO UNDERSTANDINGS, AGREEMENTS, OR
REPRESENTATIONS, ORAL OR WRITTEN, NOT SPECIFIED HEREIN REGARDING THIS CONTRACT.
CONSULTANT, BY SIGNATURE OF ITS AUTHORIZED REPRESENTATIVE, HEREBY ACKNOWLEDGES THAT
HE/SHE HAS READ THIS CONTRACT, UNDERSTANDS IT, AND AGREES TO BE BOUND BY ITS TERMS AND
CONDITIONS.
17. Nonappropriations Clause. Funds Available and Authorized: City has sufficient funds currently available and
authorized for expenditure to finance the costs of this contract within the City's fiscal year budget. Consultant
understands and agrees that City's payment of amounts under this contract attributable to work performed after the
last day of the current fiscal year is contingent on City appropriations, or other expenditure authority sufficient to allow
City in the exercise of its reasonable administrative discretion, to continue to make payments under this contract. In
the event City has insufficient appropriations, limitations or other expenditure authority, City may terminate this
contract without penalty or liability to City, effective upon the delivery of written notice to Consultant, with no further
liability to Consultant.
Certification. Consultant shall sign the certification attached hereto as Exhibit A and herein incorporated b reference.
onsultant City of Ashland
By By -\i - al,
JSignature Department HeacT_
VArtisee-LY &(LDVMC VyA,Lkq-,2.f 2 tg J~k~
Print Name Print Name
-F%R-M PRINCIPAL Iq la-5 J/ y
Title Date
W-9 One copy of a W-9 is to be submitted with / 52 ~2_ 6
the signed contract. Purchase Order No.
Contract for Personal Services, Revised 06/30/2013, Page 3 of 5
EXHIBIT A
CERTIFICATIONS/REPRESENTATIONS: Contractor, under penalty of perjury, certifies that (a) the
number shown on the attached W-9 form is its correct taxpayer ID (or is waiting for the number to be
issued to it and (b) Contractor is not subject to backup withholding because (i) it is exempt from
backup withholding or (ii) it has not been notified by the Internal Revenue Service (IRS) that it is
subject to backup withholding as a result of a failure to report all interest or dividends, or (iii) the IRS
has notified it that it is no longer subject to backup withholding. Contractor further represents and
warrants to City that (a) it has the power and authority to enter into and perform the work, (b) the
Contract, when executed and delivered, shall be a valid and binding obligation of Contractor
enforceable in accordance with its terms, (c) the work under the Contract shall be performed in
accordance with the highest professional standards, and (d) Contractor is qualified, professionally
competent and duly licensed to perform the work. Contractor also certifies under penalty of perjury
that its business is not in violation of any Oregon tax laws, and it is a corporation authorized to act on
behalf of the entity designated above and authorized to do business in Oregon or is an independent
Contractor as defined in the contract documents, and has checked four or more of the following
criteria:
(1) 1 carry out the labor or services at a location separate from my residence or is in a
specific portion of my residence, set aside as the location of the business.
(2) Commercial advertising or business cards or a trade association membership are
purchased for the business.
(3) Telephone listing is used for the business separate from the personal residence listing.
Vl~ (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.
ILK=- 1 1-- ~1z3/~y
Contractor (Date)
Contract for Personal Services, Revised 06/30/2013, Page 4 of 5
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SOUTH03 OP ID: SAW
ACORO° DA E(Mwomnv
CERTIFICATE OF LIABILITY INSURANCE. 0411712014
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 pOlICY08s) must tie. endorsed. N SUBROGATION 16 WANED, subject. to
the terms and conditions of the policy, certain policies may iequlm an endorsement. A statement on Ibis certificate does not confer rights to the
certificateholder in lleu. of.such endorsement s .
PRODUCER- Phone: 541-773.5358 NAa Sheryl Wrts
Protectors Insurance, LLG
Pilot Rock Ins Agency LLC (CA) Fax: 541-772-1906 PNC Nn E :541-842-2968 No: 341-772-9906
PO Box 4669 AoDRBSS: shreIW rotectorsins.com
Medford, OR 97501
Karol M. Igou INSURER(S) AFFOMNG COYERAOE NAIC!
INSURERAICNA Continental Casual Co-
NsuRED Southern Oregon: Transportation INSURER B: Valle Forge Insurance Co
Engineering LLC
112 Monterey Dr INeuRERc:American Casualty Company
Medford, OR 97504. - vieDRERO:
INSiiRER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 2
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 REOUIREMENr,' TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT -TOWHICH 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 SEEN REDUCED BY PAID CLAIMS-
INSR LTR. TYPE OFINSURMlCE POLICYNUMBER ~ONVYII D -LwrTS INSR GENERAL UABILrTY EPOI OCCURRENCE b 2,000,00
C ,coMMERaAL CEHERU LwBIUTY X 'X 84018108107 03M512014 .031152015 PREMISES Ee OOCerence i 300,00
C!-AI rWDE ❑X OCCUR MEDEXP(Anyoneperew) b 10,00
X Busineae Owners PERSONAL a ADV INARY b
GE~ERr1LA6GRECATE S 4,000,00
GFNL AGGREGATE UMITAPPUI PER: PROCUCTS. COWIOP AGO i
POLICY' PRO- LOC i
AUrOMOBREUABILIIY 50y R~ S)I G L
cldenl 1,000,00
B X ANY AUTO X X B4018108110 0311512014 031152015 BCOILY IKWY(Per Penn). b
ALL OrmEp SCIEDULED
'AUTOS AUTOS ECOILEEYRRTr1Y.IlIRY (Per rcadenl $
HIRED AlR05_ SOS Peracddek GE i
S
UMBRELLAUAB OCCUR' EACH OCCURRENCE S
IXCEe9 UAB. CLAIMBMADE AGGREGATE 4
CED RETENTION f
WORKERS COMPENSATION WC SrAIiI ETM ,TS AND EMPLOYERS' U BLITY Y/ N
IM"
ANYPA=IXARTLI{UDWEEDXIE' CUTNE ELEPLTIACCIDENT t
OFFG NIA
(Mandatory in NH) EL.bISFlSF-EAEN OV $
"9yes deecnbe under
DES C`t2IPRON DF'OPETtATIONS belay, El. DIBEPSE • POLICY LIMIT i
A Professional Llab CH288283850 032212013 03222017 Occu'r. 2,000,00
Agg. 4,000;00
DESCRFTON OF OPERATIONS I LOCATIONS I VEHICLES (Af ech _ACORO 101, Addlwnsl RamukF S,hedUla, x mm epmc la requlnd)
The City of Ashland G it's elected officials, offioers,,.employees are
Additional Insureds for GENERAL LIABILITY-Waiver of Subrogation G: Products
Completed Ops- SS300176BO108. Cancel per schedule SBI47052 c SB174024C.
ALTO- City of Ashland: Cancel per G300660A Primary per CAOOD1031O.Waiver of
Subrogation per CA04440310
CERTIFICATE HOLDER CANCELLATION
CITYAS2
SHOULD ANY OF THE ABOVE DESCRISED.POLICIES BE CANCELLED BEFORE
City of Ashland THE EXPIRATION DATE THEREOF, NOTICE- VOLL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
20 E Main Street
Ashland, OR 97520 AUTHORUEDREPRESENTATIYS
-OO 1988-2010 ACORD CORPORATION-All righte raso"ed.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
NOTEPAD SOUTH03 Rnce 2
INSUREDS MM Southern Oregon Transportation OR Ib- SAW once- 04117114
Professional Liability limits changed to $2;000,000'' Occurrence, $3;0001000
agate effective 04/17/14.
General Liability limits changed to 2,000,000 Occurrence, 4,000,000
Aggregate effective 04/16/14.
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POLICY NUMBHR INSURED NAME AND ADDRESS
B 4018100107 Southern Oregon Transportation Engineering LLC
112 MONTEREY DR !
MEDFORD OR 97504 _
_ 1 N
ADDITIONAL INTEREST SCHEDULE
LOCATION 1 BUILDING 1
i
Types Notice of Cancellation or Material Coverage Change
Additional Interest [lama and Addreees
CITY OF ASHLAND
20''E Main St
ASHLAND OR 97520
Types Notice of Cancellation or Material Coverage Change
Additional Interest Name and Addresses
CITY OF MEDFORD
411 W STH ST
MEDFORD , OR 97501
Types Notice of Cancellation or:Material Coverage Change
Additional Interest Name and Addreass
THE CITY OF COOS BAY, OREGON
500 CENTRAL AVE
COOS BAY OR 97420
Types Notice of Cancellation or:Material Coverage Change
Additional Interest Name and Address&
CITY OF EAGLE-POINT
P.0 BOX 779
EAGLE POINT OR 97524
$ LOSS PAYEE SCHEDULE
8 All loss payees as their interests may appear in the.Covered Property.
The following provisions apply in accordance with the insurable interest of the loss
payee: Loss Payee
Description of Property: Any Covered Property in which a loss payee, creditor or lender
holds an interest, including any person or organization you have entered a contract with
for the sale of Covered Property.
AGENT Page 5 of 7
SB-147024•C
(Ed. 04/10)
.change in risk known to .the B. The Businessownere Liability Coverage Form is
mortgageholder. amended as follows:
All the terms of the affected insurance will 1., The term 'spouse' Is replaced by the following:
then apply directly to the mortgageholder.
Spouse or individual who is in a domestic
f: If we cancel this policy, we will give partnership recognized under Oregon law.
written notice to the mortgageholder: 2. Paragraph E.3.s. Financial Responsibility Laws
.(1) in accordance with Paragraph a6usfnessowners General Liability Conditions is
or replaced by the following:
.(2) At least a. When this policy Is certified: as proof of
rosponsibility for the future under the
(e) t0 days before the effective date provisions, of any. motor vehicle financial
the oancellnrf- if. we cancel
Jo r responsibility law, the Insurance provided. by
r your hor%payment of
premium; or the policy for 'bodily Injury' liability and
'property damage' liability will comply with the
(b) 30 days before the effective date provisions of the law to the extent of the.
of the cancellation If we cancel coverage and the following limits of insurance
for any other reason other than required by the Oregon financial responsibility
provided for in Paragraph a.(1). laws:
g. If we elect not to renew this policy, we will (1) $25,000, because of bodily injury to or
give written notice to the mortgageholder death of one person in any one accident;
at least 10 days before tfie expiration date (2) Subject to that limit for one person,
oithspolicy. $60,p0D because of bodily injury to or
4. Paragraph F. Commerical Property Conditions, death of two or more persons in any one
item 1. Concealment, Misrepresentation or accident; and
Fraud is replaced by the following; (3) $20,000 because of injury to or
1. Concealment, Misrepresentation Or Fraud destruction of the property of others in
any one accident,
a. Subject. to Paragraphs b. and c. below,
this entire policy will be void If, whether If a financial responsibility law should be
before or after a loss; you have willfully. amended to put in force different minimum
concealed or misrepresented any material limits of coverage than those stated above
fact or circumstance concerning this before or at the time of an accident, this policy
insurance or the subject of it, or your shall provide the.limits specified in the law as
Interest In It, or In case of any fraud or amended,
false swearing by you relating to it. C. The Busfnessowners Common Policy Conditions
b. All statements made by you or on your are amended as fgllows;
behalf, in the absence of fraud, will be 1. Paragraph A: Cancellation is amended as
deemed representations and not follows:
warranties. No such statements that arise
from an error in the application will be s. Paragraph 2. Is replaced by the following:
used in defense of a claim under this 2. If this policy has been in offoctfor:
Coverage Form unless: cy
1. The statements are contained In a. a. Fewer than 60 days and Js not a
written application; and renewal policy, we may cancel for
any reason.
2. A copy the application this endorsed b. 60 days or more or is a renewal
upon or r attached hed t to this Coverage age
Form when issued. policy, wa.may cancel. only for one or
c. In order to use any representation made more of the following reasons:
by you or on your behalf in defense of a (1) Nonpayment of premium;
claim under the Coverage Form, we must (2) Fraud or material
shoji that the representations are misrepresentation made by you
material and that we relied on them. or with your knowledge in
obtaining the policy, continuing
SB-147024-C copyright Ita'O Properties. Inc., goof Page 2 of 3
(Ed. 04/10)
SB-147024-C
(Ed. 04/10)
the policy or in preseniing a interest in it, or in case of any fraud or
claim under the policy; false swearing by you relating to it.
(3) Substantial increase in the risk of 2. All statements made by you or on your
loss after Insurance coverage behalf. In the absence of fraud, will be
has been Issued or renewed, deemed representations and not .
including but not limited to an warranties. No•such statements that arise
Increase in exposure due to from an error in the application will be
rules, legislation or court used in defense of a claim under this
decision; Coverage Form unless:
(4) Substantial breach of Contractual a. The statements are contained In a_
duties, conditions or warranties; written application; and
(5) Determination by the b. A copy of the application Is endorsed
.commissioner that the upon or attached' to this Coverage
continuation of a line of Form when issued.
insurance or class of business to
which the policy belongs will g. In order to use any representation made
jeopardize our solvency or will by you or on your behalf in defense of a
place us In violation of the claim under the Coverage Form, we must
insurance laws of Oregon or any show that the representations are
other state; or material and that we relied on them.
(6) Loss or decrease in reinsurance .3. The following paragraphs are added , and
covering the risk, supersede any provision to the contrary:
c. .60 days or more or is a renewal M. Nonronewal
policy, we may cancel for any other We may elect not to renew this policy by
reason approved by the mailing or delivering. to the first Named
commissioner by rule. Insured, at the last mailing address known to
$
b. Paragraph 3. Is amended by the addition of us, written notice of nonrenewal before the:
the following: a. Expiration data of the policy; or
3. We will mail or deliver to. the first. Named b. Anniversary date of the policy If the policy
Insured written notice of cancellation, is written for a term of more than one year
stating the reason for cancellation. or without a fixed expiration date.
c. Paragraph 6. Cancellation does not apply: However, if this policy is issued for a term of
d. The following paragraph Is addedi more than one year and for additional
consideration the premium is guaranteed, we
7: Number of Days' Notice of Cancellation: may not refuse to renew the policy at its
a. Cancellation will not be effective until anniversary date.
at least 10 working days after the first Nonrenewal will not be effective until at least
Named Insured receives our notice. 45 days after the first Named Insured receives
2. Paragraph C. Concealment, Misrepresentation our notice.
Or Fraud Is replaced by the following: N. Mailing Of Notices
C. Concealment, Misrepresentation Or Fraud If notice of cancellation or nonrenewal is
1. Subject to Paragraphs 2. and 3. below, mailed, a post office certificate of mailing will
this entire policy will be void if, whether be conclusive proof that the first Named
before or after a loss, you have will Insured received the notice on the third
concealed or nilsrepresented_any material calendar day. after the date ofthe certificate of
fact or circumstance concerning this mailing.
Insurance or the subject of it, or your
c
c
SB-147024-C Cupftht, I90 Propenles, Inc.; toot Page 3 of 3
(Ed. 04110)
ANA se-147052-a
(Ed. 06/11).
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE REAWT CAREFULLY.
CHANGES - NOTICE OF CANCELLATION
OR MATERIAL COVERAGE CHANGE,
This endorsement modifies insurance, provided under the following:
BUSINESSOWNERSCOMMON POLICY CONDITIONS
In the event,of cancellation or material change that reduces or restricts the insurance afforded by this Coverage Part (other
than the reduction of aggregate limits through payment of claims), we agree to,mail prior written notlce,ot cancellation or
material change to:
SCHEDULE
Name of Designated Entity:
Address/Coritact Information of Designated Entity:
•Informailon requinxt to complete Ods Sohedule, if not shown above, will be shown in the Dedara9ons.
The following conddions are added: 3. If we cancel or elect not to renew this policy for
nonpayment of premium, we will give written
I 1. If the policy H cancelled or not renewed, we will
give written notice of such cancellation or notice to the Designated Entity shown in the
nonrenewal to the Designated Entity shown M .m the Schedule above, or In 'the Declarations. Such
Schedule above, or In the Declarations. notice may he provided before or after the
notice may be delivered or sent by any means of effective date of cancellation of nonrenewal.
8 our choosing, the notice to the Designated Entity 4. Failure to give. notice in accordance with the terms
will state the effective date of cancellation or of this endorsement does not
nonrenewal. However, such notice of.cancellation
i nonrenewal is solely for the purpose of a. Alter the effective date of polity cancellation,
In
E nforming the Designated Entity of the effective nonrenewal or expiration;
8 date of cancellation or nonrenewal and does not b. Render such cancellation or nonrenewal
grant, alter, or extend any rights or obligations ineffective;
under this policy.
c- Grant
2. It we cancel or elect not to. renew the for , alter, or extend any rights or
l policy obligations under this policy; or
any reason other than nonpayment of premium,
we will give written notice to the Designated Entity d. Extend the insurance beyond the effective
shown In the Schedule above, or In the date of cancellation or policy expiration,
Declarations at the same time,notlce Is given to whichever comes first
the first Named Insured.
i
~ e
f C
SB-1470527B Page 1 of 1
(Ed. 06/11)
CNA
POLICY NUMBER: COMMERCIAL AUTO
CA 20 48 02 99
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by
this endorsement.
This endorsement identifies person(s) or organization(s) who are 'insureds' under the Who Is An insured Provision of the
Coverage Form. This endorsement does riot alter coverage provided In the Coverage Form.
This endorsement changes the policy effective on the Inception date of the policy unless another date is indicated below.
Endorsement Effective: Countersigned By:
Named Insured:
Authorized Re resentative
SCHEDULE
m
8 Name of Person(s) or Organization I:
OREGON COAST COMMUNITY ACTION
CITY OF ASHLAND
The City of Medford and its.officeis, employees and
agents while acting within the scope of the
duties as such are additional insureds.
(If no entry appears above, Information required to complete this endorsement will be shown in, the DeolaraUons as
applicable to the endorsement:)
0
Each person or organization shown Inihe'Schedule is an .'insured' for Liability Coverage, but only to the extent that
person or organization qualifies as an 'Insured' under the Who Is An, Insured Provision contained In Section II of the
Coverage Form.
CA 20 48 02 99 Copyright, Insurance Services Office, Inc:, 1998 Page 1 oil
i
G-300880=A 'i
CAM (Ed. 06/08)
1
l
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CHANGES -NOTICE OF CANCELLATION OR MATERIAL CHANGE
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GARAGE bOVERAGE FORM
TRUCKERS COVERAGE FORM
This endorsement changes the policy effective on the Inception date of the policy unless another date is indicated below.
Endorsement-EffectNe_ Policy Number
Named Insured Courrterslgned by
(Authorized Representative)
In the event of cancellation or material change that reduces or restricts the Insurance afforded by this Coverage Part; we
agree to mall prior written notice of cencellAtlon or material change to:
SCHEDULE
1. Number of days advance notice:
30
2. Name:
CITY OF ASHLAND
3. Address:
20 E. MAIN ST.
ASHLAND, OR M20
i=
0
c
G-300860-A Page i of 1.
(Ed. 66108)
B. General Conditions d. When this coverage form and any. other
1. Bankruptcy coverage form or policy covers on the same
will pay
Bankruptcy insolvency the "insured" or the basisonly, our either share. Our excess or share is primary, the Proportion
insured's"estate will not relieve us of any obli- that the Limit of Insurance of our coverage
gations under this coverage form. form bears to the total of the limits of all the
2. Concealment, Misrepresentation Or Fraud coverage forms and policies covering .on
This coverage form is void in any case of fraud the same basis.
by you. at any time as it relates to this coverage 6. Premium Audit
form. It is also void if you or any other "in- a. The estimated premium for this coverage.
sured", at any time, intentionally conceal or form is based on the exposures you told us
misrepresent a material fact concerning: you would have when this policy began. W.e
a. This coverage form; will compute the final premium due when
b. The covered "auto"we determine your actual exposures.. The
c. Your interest in the covered "auto or estimated total premium will be credited
against the final premium due and the first
d: A claim under this coverage form. Named Insured will be billed for the bal-
3. Liberalization ante, if any. The due date for the final pie-
If we revise this coverage form to provide more rtiium or retrospective premium is the date
shown as the due date on the bill. If the es-
coverage without additional premium charge, timated total premium exceeds the final
your policy will automatically provide the addi- premium due, the first Named Insured will
tional coverage as of the day the revision is ef- get a refund,
fective in your state. b. If "this policy is issued for more than one
4. No Benefit To Bailee - Physical Damage year, the premium for this coverage form
Coverages will be computed annually based on our
We will not recognize any assignment or grant rates or premiums in effect at the beginning
any coverage for the benefit of any person' or of each year of the policy.
organization holding, storing or transporting 7. Policy Period, Coverage Territory
property for a fee regardless of any other pro- Under this'coverage form, we cover "accidents"
vision of this coverage form. and "losses" occurring:
5. Other Insurance a. During the policy period shown in the Dec-
a. For any covered "auto" you own, this cov- larations; and
erage form provides primary insurance. For
any covered "auto" you don't.•own; the in- b. Within the coverage territory.
surance provided by this coverage form is The coverage territory is:
excess over any other collectible insurance. (1) The United States of America;
However, while a covered "auto" which is a
"trailer" is connected to another vehicle, the (2) The territories and possessions of the Unit-
Liability Coverage this coverage form pro- ed States of America;
vides for the "trailer'is: (3) Puerto Rico; .
(1) Excess while it is connected to a motor (4) Canada; and
vehicle you do not own. (5) Anywhere in the world 1:
(2) Primary while it is connected to a cov- (a) A covered "auto" of the private passen-
ered"auto" you own. tier type is leased, hired, rented or bor=
b. For Hired Auto Physical Damage Coverage, rowed without.a driver for a period of 30.
any, covered "auto" you lease, hire, rent or days or less; and
borrow is deemed to be a covered "auto" (b) The insured e' responsibility to pay
you own However, any "auto" that is damages is determined in a'suit" on the
leased hired, rented or borrowed with a merits, in the United States of America,
driver is not a covered "auto". the territories and possessions of the
c. Regardless of the provisions of Paragraph United States of America, Puerto 'Rico
a. above, this coverage fomi's Liability or :Canada or in a settlement we agree.
Coverage is primary for any liability as- to.
sumed under an "insured contract".
CA 00 0103 10 p Insurance Services Office, Inc., 2009 Page 9 of 12 O
POLICY NUMBER: COMMERCIAL AUTO
CA 04 440910
THIS:ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US.(WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With. respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by
the endorsement.
This. endorsement changes the policy effective on the inception date of the policy unless another date is.indicated
below.
Nemed Insured:
Endorsement Effective Date:
SCHEDULE
S
o. Name(s) Of Person(s)-Or organiiatlon(s):
CITY OF MEDFORD
CITY OF Wrg POINT
THE CITY OF COOS BAY, OREGON
City off-Ashland
Information required to complete this Schedule, if.not shown above will be shown in the Declarations.
The Transfer Of Rights. Of Recovery Against Others
To Us Condition does not apply to the person(s) or
organization(s) shown in the Schedule, but only to the
extent that subrodafiofi is waived prior to the 'accldent'
or the 'loss' under a contract with that person or
° organization,
0
i~
O
CA 04 44 0310 Copyright, Insurance Services Office, Inc., 2009 Page 1 of 1
Kari Olson
From: Tami DeMille-Campos [campost@ashland.or.us]
Sent: Tuesday, April 29, 2014.12:22 PM
To: 'Karl Olson'
Subject: FW: Workers Comp insurance certificate
From: Kim Parducci [mailto:kwkplCplq.coml
Sent: Tuesday, April 29, 2014 12:06 PM
To: Tami DeMille-Campos
Subject: Re: Workers Comp insurance certificate
Hi Tami
I don't have any employees so I don't think that applies, right? Let me know if I'm mistaken though.
Kim
Sent from my iPhone
On Apr 29, 2014, at 12:02 PM, "Tami DeMille-Campos" <campost@ashland.or.us> wrote:
Hi Kim,
Do you have the certificate of Workers Comp insurance?
Thank you,
gami
Tami De Mille-Campos, Administrative Assistant
City of Ashland/Public Works Department
51 Winburn Way, Ashland, OR 97520
S41-552-2427 direct, 7TY 800-735-2900
S41-488-6006 fax
<imagc001.jpg>
This email transmission is official business of the City of Ashland and it is subject to Oregon Public Records law
for disclosure and retention. If you have received this message in error, please contact me at (541) 552-2427. Thank
you!
1
CITY RECORDER Page 1 /I
CITY OF
ASHLAND DATE PO NUMBER:, .
20 E MAIN ST. 4/28/2014 12226
ASHLAND, OR 97520
(541) 488-5300
VENDOR: 013519 SHIP TO: Ashland Public Works
SOUTHERN OREGON TRANSPORTATION, ENGIN (541) 488-5587
112 MONTEREY DRIVE 51 WINBURN WAY
MEDFORD, OR 97504 ASHLAND, OR 97520
FOB Point: Req. No.:
Terms: Net 30 days Dept:
Req. Del. Date: Contact: Mike Fauqht
Special Inst: Confirming? No
Quanti-Unit .
' - --Descti bon `:`.`Unit Price's=--~~Ext Price
Quarterly Traffic ImpactAnalvsisof 1Price 00
the North Main Road Diet
Contract for Personal Services
Beqinninq date: 12/28/2014
Completion date: 12/28/2014
BILL To: Account Payable SUBTOTAL 11150.00
TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2010 TOTAL 11,150.00
ASHLAND, OR 97520
Account Number . Project Number Amount !Account'Number a ':Project Number - Amount
E 260.08.12.00.70420 E 201124.999 11 150.00
Autho ed Signat re VENDORCOPY
F"1VI#3 CITY OF
A request for a Purchase Order ASHLAND
REQUISITION Date of request: ~i'~a4 f 14,'`=
Required date for delivery: u'; 3
Vendor Name Ann}hem Oregon TcanSp rt r Engineednq
g
Address, City, State, Zip 112 Monterey Dr. Medford OR 7504
Contact Name & Telephone Number
Fax Number Kimberly Parducci P.E. PTOE 541/608-9923
SOURCING METHOD
❑ Exempt from Competitive Bidding
❑ Emergency
❑ Reason for exemption: El 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 uote or ro sal attached
❑ Small Procurement Cooperative Procurement
Less than $5,000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon
❑ Direct Award Date approved by Council: Contract #
❑ VerbalMritten quote(s) or proposal(s) ❑ State of Washington
Intermediate Procurement ❑ Sole Source Contract #
GOODS & SERVICES ❑ Applicable Form (#5,6, 7 or 8) ❑ Other government agency contract
$5.000 to $100.000 ❑ Written quote or proposal attached Agency
❑ (3) Written quotes and solicitation attached ❑ Form #4, Personal Services $5K to $75K Contract #
PERSONAL SERVICES Intergovernmental Agreement
$5.000 to $75,000 ❑ Special Procurement
❑ 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 proposalstwritten solicitation Date approved by Council: (Date)
❑ Forte #4, Personal Services $5K to $75K Valid until: Date
Description of SERVICES Total Cost
M ' .
Quarterly Traffic Impact Analysis of the North Main road diet' i,a, , ruMa
zb.-?.Sw Mtk(1;5 k~+'r_6: t'4v- rX~l2~'_~.x~G:. ~:r?C
Item # Quantity Unit Description of MATERIALS Unit Price Total Cost
❑ Per attached quotelproposalTUTALeCOST
511,150 tj~ ~f~
Project Number 2011.24 Account Number 111-11
Account Number 260.08.12.00.704200 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 requisitions form, l certify that the City's public contracting requirements have been satisfied.
Employee: t ~C)` ,V AZ R-Q-at Y li{ ,I/ A - 1 epartment Head: s- L. L/
(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. / NO 4;Z~- `
Finance Director- (Equal to or greater than $5,000) Date
Comments:
Form #3 - RequMon