Loading...
HomeMy WebLinkAbout2014-087 Contract - Beresford Company Contract for GOODS AND SERVICES Less than $25,000 CITY OF CONTRACTOR: Beresford Company ASHLAND CONTACT: Jason Beam 20 East Main Street Ashland, Oregon 97520 ADDRESS: 9220 SW Barbur Blvd. Suite 119-352 Portland Telephone: 541/488-6002 OR 97219 Fax: 5411488-5311 TELEPHONE: (503) 319-2208 DATE AGREEMENT PREPARED: May 7, 2014 FAX: BEGINNING DATE: May 12, 2014 COMPLETION DATE: June 6, 2014 COMPENSATION: Not to exceed $23,248.00 GOODS AND SERVICES TO BE PROVIDED: Furnish and Install Mondo Rubber Flooring as listed in proposal Exhibit C 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 27913.220, 2796.225, 279B.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 by City under any of the following conditions: Contract for Goods and Services Less than $25,000, Revised 06/13/2013, Page 1 of 5 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. 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 5 intent not to renew the insurance coverage(s) without 30 days' written notice from the Contractor or its insurer(s) to 4he 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 incorporat d by reference. Contractor: City of Ashla d By By t ~n e ignature D rtment Head (-1(Y OQW-5 11E-6 y)s--- BjA✓c Kh~i~cC Print Name Print Name pa ovil,Ar 5 (1 V// ~ Title Date / W-9 One copy of a W-9 is to be submitted with /y q the signed contract. Purchase Order No. 'e? eq ! i APF FORM Ashland t C N7 Contract for Goods and Services Less than $25,000, Revised 06/13/2013, Page 3 of 5 EXHIBIT A CERTIFICATIONS/REPRESENTATIONS: Contractor, under penalty of perjury, certifies that (a) the number shown on the attached W-9 form is its correct taxpayer ID (or is waiting for the number to be issued to it and (b) Contractor is not subject to backup withholding because (i) it is exempt from backup withholding or (ii) it has not been notified by the Internal Revenue Service (IRS) that it is subject to backup withholding as a result of a failure to report all interest or dividends, or (iii) the IRS has notified it that it is no longer subject to backup withholding. Contractor further represents and warrants to City that (a) it has the power and authority to enter into and perform the work, (b) the Contract, when executed and delivered, shall be a valid and binding obligation of Contractor enforceable in accordance with its terms, (c) the work under the Contract shall be performed in accordance with the highest professional standards, and (d) Contractor is qualified, professionally competent and duly licensed to perform the work. Contractor also certifies under penalty of perjury that its business is not in violation of any Oregon tax laws, and it is a corporation authorized to act on behalf of the entity designated above and authorized to do business in Oregon or is an independent Contractor as defined in the contract documents, and has checked four or more of the following criteria: V (1) 1 carry out the labor or services at a location separate from my residence or is in a J 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 J 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. y~~ Imo( Contractor WC (Date) Contract for Goods and Services Less than $25,000, Revised 06/13/2013, Page 4 of 5 Beresford ssCompan s y - April 30, 2014 Lonny Flora Ashland Parks & Recreation 340 S Pioneer St Ashland, OR 97520 Dear Lonny, Thank you for the opportunity to quote pricing for Ashland Parks & Recreation. We propose to furnish and install Mondo rubber flooring as listed below.' Entry. Offices and Staff Shower-Room: 890S/f Mondo Natura 3mm Rolls Installed $9.00 $8,010.00 240 Uf 4" Rubber Base $2.00 $480.00 24Uf Reducer $2.65 $63.60 201-/f 6" Cove Labor $12.00 $240.00 4Ea Inside Corners. $15.00 $60.00 2 Ea Outside Corners $25.00 $50.00 1 Ea Estimated Floor Prep & Materials $600.00 Subtotal: $9,503.60 2 Locker Rooms: 1,400S/f Mondo Natura 3mm Rolls Installed $9.00 $12,600:00 I 240 Uf 4" Rubber Base $2.00 $480.00 12 Uf Reducer $2.65 $63.60 1 Ea Estimated Floor Prep & Materials $600.00 Subtotal: $13,743.60 i 9220 SW Barb~ Blvd, Suite 119-352 I Portland, Phone S03.319.2208 FaxS03.246.1405 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODYYYY) 5/15/2014 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: The Unity Group PHONE FAX. 110 Unity Street A/C No EMAIL Bellingham WA 98225 ADDRESS, INSURERS AFFORDING COVERAGE NAIC P INSURER A;Security National Ins Co. 19879 INSURED CHARL-1 INSURER B Charles H Beresford Cc Inc INSURER C: 1829 10th Ave W INSURER D : Seattle WA 98119-2947 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 402669952 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 NSR WVD POLICY NUMBER WNUDDIYYYY) MMNDYE%P LIMITS A GENERAL LIABILITY Y Y PP1002047 0/31/2013 0/31/2014 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAM PREMI E E. occunence $100,000 CLAIMS-MADE FTIOCCUR MED EXP Anyone Person) 55,000 PERSONAL &ADV INJURY $1,000000 GENERAL AGGREGATE $2,000000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $2,000,000 POLICY X PRO- LOG $ A AUTOMOBILE LIABILITY Y SPP1002047 0/31/2013 0/31/2014 UMUItlent 1000000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED f-I SCHEDULED BODILY INJURY(Per accident) E AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Petaccidenl $ A X UMBRELLA UAB X OCCUR SMB1002050 0/31/2013 0/31/2014 EACH OCCURRENCE $5,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $5,000,000 DELI X RETENTION $10,000 $ A WORKERS COMPENSATION PPI002047 0/31/2013 0/3112014 NCSTATU- X O7H- Stop Gap AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE❑ NIA E.L. EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE -EA EMPLOYE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT $1,000,000 DESCRIPTIONOFOPEMMONS/LOCATIONS/VEHICLES (Attach ACORD 101, Addilonal Romance Schedule, It more space is required) Per forms and conditions. Blanket Additional Insured - Primary & Non-contributory form #33-0861 1106: Blanket Waiver of Subrogation form #33-0712 01 05; Designated Construction Project Aggregate form #CG 25 03 05 09. Blanket Auto Additional Insured farm CA 20 48 02 99. Blanket Auto Waiver of Subrogation form 32-1454 (06/10). RE: Installation of floor covering at Hunter Park Pool. Certificate holder is included per fortes and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Ashland Parks & Recreation ACCORDANCE WITH THE POLICY PROVISIONS. 340 S Pioneer St. Ashland OR 97520 AUTHORIZED REPRESENTATIVE y ttn ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY 33-0712 01 06 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKET WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM Paragraph 8. Transfer Of Rights Of Recovery We waive our right of recovery against any prin- Against Others To Us of SECTION IV. COMMER• cipal for whom the insured is operating under a CIAL GENERAL LIABILITY CONDITIONS is re- written contract when such contract requires a placed with the following: waiver of subrogation. It is further agreed, that work commenced under a letter of intent or work 8. Transfer Of Rights Of Recovery Against Oth• order, subject to subsequent reduction to writing ers To Us with customers, whose customary contracts would require a waiver, would also be included in If the insured has rights to recover all or part of this blanket waiver provision. any payment we have made under this Coverage Form, those rights are transferred to us. The in- sured must do nothing after loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. 33-0712 01 05 (rev) Includes Copyrighted Material of Insurance Services Offices, Inc. Page 1 of 1 Used with permission COMMERCIAL GENERAL LIABILITY FORM 33-0861 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PRIMARY & NON-CONTRIBUTORY COVERAGE - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II - Who Is An Insured is amended to include as an additional insured any person or or- ganization for whom you are performing operations 2. "Bodily injury" or "property damage" when you and such person or organization have agreed in writing in a contract or agreement that occurring after: such person or organization be added as an addi- tional insured on your policy. Such person or organ- a. All work, including materials, parts or ization is an additional insured only with respect to equipment furnished in connection with liability for "bodily injury", "property damage" or such work, on the project (other than "personal and advertising injury" caused, in whole service, maintenance or repairs) to be or in part, by: performed by or on behalf of the addi- tional insured(s) at the location of the 1. Your acts or omissions; or covered operations has been completed; or 2. The acts or omissions of those acting on your b. That portion of "your work" out of which behalf; the injury or damage arises has been put in the performance of your ongoing operations for to its intended use by any person or or- the additional insured. ganization other than another contractor A person's or organization's status as an additional or subcontractor engaged in performing insured under this endorsement ends when your operations for a principal as a part of the operations for that additional insured are complet- same project. ed. C. With respect to the insurance afforded the addi- B. With respect to the insurance afforded to these tional insured, paragraph 4. of SECTION IV - additional insureds, the following additional exclusions COMMERCIAL GENERAL LIABILITY apply CONDITIONS is replaced by the following: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal 4. Other Insurance and advertising injury" arising out of the rendering of, or the failure to render, any professional archi- tectural, engineering or surveying services, includ- a. This insurance is primary and noncontrib- ing: utory, as respects any other insurance. The additional insured must notify us as soon as practicable of a claim or an "oc- a. The preparing, approving, or failing to pre- currence" which may result in a claim. pare or approve, maps, shop drawings, opin- ions, reports, surveys, field orders, change orders or drawings and specifications, or tional insureds and the coverage provid- ed by this endorsement. b. Supervisory, inspection, architectural or engineering activities. - 33-0861 11 06 Includes Copyrighted Material of Insurance Services Office, Inc., Page 1 of 1 Used with its permission s , POLICY NUMBER: SPPI002047 03 COMMERCIAL GENERAL LIABILITY CG 25 03 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Designated Construction Project(s): ANY PROJECT WHEN REQUIRED IN WRITTEN CONSTRUCTION AGREEMENT WITH YOU -1 - ii hilonnationiegulied to complete this Sch A. For all sums which the insured becomes legally 3. Any payments made under Coverage A for obligated to pay as damages caused by "occur- damages or under Coverage C for medical renoes" under Section 1- Coverage A, and for all expenses shall reduce the Designated Con- medical expenses caused by aocidents under stnxtion Project General Aggregate Limit for Section I Goverage C, which can ba --f-Uted !hat designated construction project. Such only to ongoing operations at a single designated payments shelf not reduce the General Ag- construction project shown in the Schedule gregate Limit shown in the Declarations nor above: shall they reduce any other Designated Con- 1. A separate Designated Construction Project struclion Project General Aggregate Limit for General Aggregate Limit applies to each des- any other designated construction project i nated construction project, and that limit is shown in the Schedule above. equal to the amount of the General Aggregate 4. The Emits shown in the Declarations or c Limit shown in the Declarations. Occurrence, Damage To Premises Rented To 2. The Designated Construction Project General You and Medical Expense continue to apply. Aggregate Limit is the most we will pay for the However, instead of being subject to the sum of an damages under Coverage A, ex- General Aggregate Limit shown in the Decla- cept damages because of 'bodily injury' or rations, such limits will be subject to the appli- cable Designated Construction Prolact Gen- "property damage* ineluded4w1he-Vreducts completed operations hazard', and for med- era] Aggregate Limit. cal expenses under Coverage C regardless of B. For all sums which the insured becomes legally the number of: obligated to pay as damages caused by -occur- a. Insureds; renoes" under Sectton I - Coverage A, and for all medical expenses caused by accidents under b. Claims made or "suits" brought; or Section I - Coverage C, which cannot be attri- bringing "suits'. ignated construction project shown in the Sche- dule above: CG 25 03 05 09 ® Insurance Services Office, ft., 2008 Page 1 of 2 O 1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate Limit or the ProducUmcoinplefecl Operations Aggregate Limit, whichever is applicable; and 2- Such payments shawl not reduce any Desig- nated Construction Project General Aggre- gate Limit. C. When coverage for liability arising out of the vided, any payments for damages because of "bodily injury' or 'property damage' included In the "products-completed operations hazard' will reduce the Products-completed Operations Ag- gregate Limit, and not reduce the General Ag- gregate Limit nor the Designated Construction D. N the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or ff the authorized contract- ing parties deviate from plans, blueprints, de- signs, specifications or timetables, the project will still be deemed to be the same construction project E. The provisions of Section 11 - Limits Of Insur- ance not otherwise modified by this endorsement shall continue to apply as stipulated. Page 2 of 2 0 Insurance Services Office, Inc., 2(308 CG 2603 0509 O COMMERCIAL'AUTO THIS ENDORSEMENT CHANGES THE POLICY- PLEASE READ IT- CAREFULLY WAIVER OF SUBROGATION - AUTOMATIC STATUS WHEN REQUIRED BY WRITTEN AGREEMENT WITH YOU This endorsement modes insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM TRUCKERS COVERAGE FORM MOTOR CARRIER COVERAGE FORM This endorsement changes the pol~y effective on the in tion date of the unless another date is kKiirated below. Endorsement Effective Policy Number .10/31 /2012 SPP1002047 Named Insured Charles H. Beresford Co., Inc. Countersigned b (Authorized Representative) For accident or loss occurring after the Endorsement Effective Date the CONDITION entitled "TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US" does not apply to any person or organization for whom the named insured has agreed by written contract to furnish this waiver. This provision does not apply unless the contract is made prior to the accident or loss. 32-1454 (06/10) POLICY NUMBER: SPP1002047 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 mod- by this endo. Se"Iel it. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provi- sion of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indi- cated Endorsement Effective: 10/31/2011 Countersigned By: Named Insured: CHAS H BERESFORD COMPANY SCHEDULE Name of Person(s) or Organization(s): "As required by written contract" (If no entry appears above, information required to complete this endorsement will be shown in the Declara- tions as applicable to the endorsement.) CA 2048 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 2 17 CITY OF CITY RECD RDIE, R Page 1 / 1 ASHLAND DATE'. PO NUMBER 20 E MAIN ST. 5/16/2014 00349 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 004414 SHIP TO: CHARLES H BERESFORD COMPANY 1829 10TH AVE W SEATTLE, WA 98119 FOB Point: Req. No.: Terms: net Dept: Req. Del. Date: Contact: Bruce Dickens Special Inst: Confirming? NO QuanE -;Unit _ Deseri bon -i. - -Unit Price' ' Ext Price Mondo Floorinq - Daniel Meyer Pool 23,248.00 Buildinq Contract for Goods and Services Beqinninq date: Mav 12, 2014 Completion date: June 6, 2014 BILL TO: SUBTOTAL 2324800 TAX 0.00 FREIGHT 0.00 TOTAL 3 2,248.00 Account Number ..,'Project Number" Amount Account .Number roject Number- Amount E 411.12.00.00.70420 E 000042.999 23 248.00 Authoriz,y Signature VENDOR COPY © G(/i~G~~A SBGctic 7F4.15-rP>_ FORM#3 rL~ CITY OF A request for a Purchase Order la `ASHLAND REQUISITION Date of request: Required date for delivery: EE- Vendor Name f i Z A 06- ~JZ7~ (,rJW a'//) I L J Address, City, State, Zip qsL- t-;' S tAl l2~t R Ar jWd /5 Ul FG i f')- d ref 17FrND 69f?zx Contact Name & Telephone Number Pe/i AA ~ SO S - 220 Fax Number 54 3) )M - 2-24q' 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 uote or proposal attached ❑ Small Procurement Cooperative Procurement Less than 55.000 ❑ Reguest for Prooosal (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 $5.000 to $100.000 ❑ Written quote or proposal attached Agency © (3) Written quotes and solicitation attached ❑ Form #4, Personal Services $5K to $75K Contract # PERSONAL SERVICES ❑ Special Procurement Intergovernmental Agreement $5,000 to 875.000 ❑ Form #g, Request for Approval ❑ Agency ❑ Less than $35,000, by direct appointment El Written quote or proposal attached Date original contract approved by Council: ❑ (3) Written proposals/written solicitation Date approved by Council: (Date) ❑ Form #4, Personal Services $5K to $75K Valid until: Date Description of SERVICES Total Cost Fug"I lhU~ In~f~ll MtsNDO Fhv~~a~~~ `n~;f <xu~~rd~' ' ,~r. arses r Item # Quantity Unit Description of MATERIALS Unit Price Total Cost ❑ Per attached quotelproposal 1 TOTALtCOST S Project Number Coc&g- qq_c.~ Account Number - _ z i a Account Number 1?-M-50 -70y4IYj 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 ' ctor Date Support -Yes/No By signing this requisition form, I certify that the City's public contracting requirements have been satisfied. Ir / Employee: ac~~ Department Head: / (Egdal~avr greater than $5,000) Department Manager/Supervisor: City Administrator: aje /Equal to or greater than $25,000) Funds appropriated for current fiscal year.- / NO Finance Director- (Equal to or terthan $ ,ooo) ll Date Comments: Fonn#3-Requisition