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HomeMy WebLinkAbout2014-100 Contract - Green Meadows Building Contract for GOODS AND SERVICES Less than $25,000 CITY OF CONTRACTOR: Green Meadows Building Co. ASHLAND - CONTACT: Jim Green 20 East Main Street Ashland, Oregon 97520 ADDRESS:. 5313 Highway 66, Ashland, OR 97520 Telephone: 541/488-6002 Fax: 541/488-5311 TELEPHONE: ®L~ ~JCe 5~/-8~D-585t8 Syis0/-o0 915- DATE AGREEMENT PREPARED: April 7, 2014 FAX: BEGINNING DATE: April 14, 2014 COMPLETION DATE: June 30, 2014 COMPENSATION: $2,208.00, per Estimate #195 attached as Exhibit C. GOODS AND SERVICES TO BE PROVIDED: Remove 26 lineal feet of cabinets, repair flooring, repair drywall at rear of Utility Billing office. In the lobby, remove cabinet, counter and firing wall. Prep all newly exposed walls for paint. Remove all debris except drywall. Location: City Hall 15r Floor 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 $25,000.00, unless a separate written contract is entered into by the City. 5. Ownership of Documents: All documents prepared by Contractor pursuant to this contract shall be the property of City. 6. Statutory Requirements: ORS 279B.220, 27913.225, 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 06113/2013, 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 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 sglely 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 refe nce. Contract r: City of Ashland By By Signature Department H T I ~n ,v W~.c hoafr ie_ F7 Print Name Print Name Ll 1-7 Title Date W-9 One copy of a W-9 is to be submitted with the signed contract. Purchase Order No. AP ..VEDAS TO FORM Ashland Asst I Attorney Date 7 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) I 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. K/ (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. Vv~ CQ a~ le Contractor (Date) Contract for Goods and Services Less than $25,000, Revised 06/13/2013, Page 4 of 5 Green Meadows Building Co. 5313 Highway 66 Estimate Ashland, OR 97520 Office:541-201-009 0095 Cell:541-840-5848 F&x:541-482-8914 Date Estimate# Green Mead ows Email:greenmeadows@gwestoffice.net CCB# 132551 3/11/2014 195 a Name /Address City of Ashland- 90 N, Mountain Street Ashland, OR 97520 Project City Hall Description Qty Rate Total Labor to remove existing cabinet, counter top and back wall at east end of utility lobby in City Hall; then 2,208.00 2,208.00 repair drywall as needed and clean brick to be ready for paint. Also remove 26 lineal feet of existing cabinets at back entrance hallway, then patch wood floor with plywood to bring level with existing floor. Repair & drywall ceiling as needed to be ready for paint. Includes sandblasting bricks to be ready for sealing or paint, paint by others. Price includes hauling debris to landfill except drywall. Sandblast brick wall 8'X26'with lead paint. (estimate pendingjob site visit by subcontractor) 2,000 .00 u9 f' r• , 1. Total Z Z~~ ~COR~ CERTIFICATE OF LIABILITY INSURANCE OP ID DR DATE (MMDDnYYY) 04 09 14 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: the certificate holder is an ADDITION 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 NAME: Insurance Marketplace, Inc. AIC,NO, Ezt: (A/C, No: 1998 Skypark Dr Suite 100 ADDRESS: Medford OR 97504 CInnJUUUCK USTOMER ID l: GREEN-7 Phone:541-779-0177 Fax:FA% 772-8235 INSURER(S) AFFORDING COVERAGE NAICC INSURED INSURER A: Saif Corporation Green Meadows Building Co INSURERS: Jim Green 5313 Hwy 66 wsuRERC: p,•"' (YI-A tBn Ashland OR 97520 ,a„ a 6, ra INSURERD: y a' INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 REOUIREMENT. 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 INS= WVD POLICY NUMBER MMIDDIYYY'n (MMIDD/YYYY) LIMITS GENERAL LIABILT' EACH OCCURRENCE Is COMMERCIAL GENERAL LIABILITY PREMISES (Ea Occurrence $ CLAIMS-MADE OOCCUR MED EXP(Any one peman) $ PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ POLICY JEo- LOC - $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) E ANY AUTO BODILY INJURY (Per parson) 8 ALL OWNED AUTOS 'BODILY INJURY (Per accident) E SCHEOULEDAUTOS HIRED AUTOS PROPERTY DAMAGE $ (Per accident) Ni AUTOS $ - $ UMBRELLA UAB OCCUR EACH OCCURRENCE E EXCESS UAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ Is A WORKERS COMPENSATION 947188 01/01/14 01/01/15 TORY LTA- ER AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTI E.L. EACH ACCIDENT $500000 OFFICER/MEMBER EXCLUDED? IA (Mandatory In NH) E.L. DISEASE - EAEMPLOYE $500000 If yes, describe under DESCRIPTION OF OPERATIONSbelm E.L. DISEASE -POLICY LIMR $ 500000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, N more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITYOPA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland B 541-552-2304 AUTHORIZED REPRESENTATIVE 20 B Main St Ashland OR 86520 R. Scott Weaver, CIC ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD '.State Farm Mutual Automobile Insurance Company+ PO Box 5000 DuPont, WA.98327-5000 CT 4130008 H-215 A AUTO RENEWAL BUILDING CO PREMIUM PAID: $378.37 NO 0-9780 Your premium is billed through the State Farm Payment Plan State Farm Payment Plan Number: 0215165315 Your State Farm Agent BRIAN CONRAD Policy Number: 158 3944-E01-37 Office: 541-482-8470 Policy Period: November 01, 2013 to May 01, 2014 Address: 1806 ASHLAND ST Vehicle: ASHLAND, OR 97520-2331 2003 CHEVROLET EXPRESS It you have a new ordillerent car, have added anydrivars, orhave moved, please contactyour agent When you provide a check as payment, you authorize us transfer, funds may be withdrawn from your account as soon either to use information from your check to make a as the same day we receive your payment, and you will not one-time electronic fund transfer from your account or to receive your check back from your financial institution. process the payment as a check transaction. When we use information from your check to make an electronic fund Policy Number: 158 3944-E01-37 Page number 1 of 3 Prepared September 12, 2013 1004563 143562 200 09-072012 v GET THE DISCOUNTS ' YOU DESERVE. Talk to your State Farm® agent about a FREE Discount Double Check* and save. Get to a better State". TP11 AStateFarm- I VEHICLE INFORMATION Review your policy information carefully. If anything is incorrect, or if there are any changes, please let us know right away. Vehicle Identification How is this vehicle normally used? Vehicle Description Number (VIN) Who principally drives this vehicle? National average: 12,000 miss driven annually per vehicle 2003 CHEVROLET EXPRESS iGCFH25T531151965 For this commercial vehicle, contact your agent for a full review of drivers. Vehicle Body Type: Sport/Passenger Van, Vehicle Use., Servica/Contractors, Business Description: Carpentry - ConstructiorUremodeling-residential, Radius of Operation., 50 miles, Annual Distance Driven: 4000 miles, Number of Trailers Charged for 1, Manufacturer's Suggested Retail Price Premium Adjustment annually to determine which makes and models have Each year, we review our medical payments and personal earned decreases or increases from State Farm's standard injury protection coverages claim experience to determine rates. If any changes result from our reviews, adjustments the vehicle safety discount that is applied to each make and are reflected in the rates shown on this renewal notice. model. In addition, we review the comprehensive, collision, bodily injury and property damage claim experience COVERAGE AND LIMITS See your policy loran explanation of these coverages. A Liability Bodily Injury 250,000/500,000 Property Damage 100,000 P4 Personal Injury Protection Includes Medical 100,000 Income Loss 3000/motyr $211.70 D Comprehensive $6014 G 500 Deductible Collision Ui $71.44 Uninsured Motor Vehicle Bodily Injury 250,000/500,000 Property Damage 20,000 $35.09 Total Premium $378.37 If any coverage you carry is changed to give broader you the broader protection without issuing a new policy, protection with no additional premium charge, we will give starting on the date we adopt the broader protection. I SURCHARGES'AND DISCOUNTS AUTOMOBILE RATING PLAN.- Applies to private Good Driving Discount - Newer policyholders who do not passenger cars only. yet qualify for our Accident-Free Discount (available after Accident-Free Discount,; Once youf policy has been in three years with no chargeable accidents) may already be force for at least three years with no chargeable accidents,receiving a Good Driving Discount. This discount continues you may qualify for our Accident-Free Discount. Once you to apply until your policy qualifies for the Accident-Free qualify, this discount applies as long as there are no Discount as long as there are no chargeable accidents and chargeable accidents, and may even increase over time. (continued on next page) Policy Number: 158 3944-E01-37 Prepared September 12, 2013 ! Page numbs 2 of 3 U ®StateFari- SURCHARGES AND DISCOUNTS continued no new drivers. If you add new drivers, they must also Discount will continue and no surcharge will apply. The qualify in order for your Good Driving Discount to continue. surcharge for each accident depends upon the number and Chargeable Accidents - For new business rating, an timing of the accidents, and each accident surcharge will accident is chargeable if it results in $750 or more of remain in effect up to three years. damage to any property. For renewal business, an accident Surcharges will be removed if the company is given is chargeable as of the date State Farm pays at least $750 satisfactory evidence that the. driver involved is no longer a y (for accidents occurring on or after April 1, 1999) under member of the household or will not be driving the car in the N o property damage liability and collision coverages for an future. If that driver is insured on another State Farm policy, at-fault accident. his or her driving record will be considered in the rating of Surcharges - If there are chargeable accidents, you may the other policy. lose your Good Driving Discount or Accident-Free Discount These discounts and surcharges do not apply to all and receive accident surcharges. But if the accident is the coverages. For complete details, see your State Farm agent. first to become chargeable in nine years and this policy has been in force for at least that long, the Accident-Free ADDITIONAL INFORMATION If the above information is incomplete or inaccurate, or if you want to confirm the information we have in our records please contact your agent. Rates adjusted for auto insurance in Oregon Auto insurance rates for Oregon customers have been adjusted to better reflect changing claim costs. Overall, most customers will see an increase in their premium. The amount your premium may have changed depends on many factors, including: • the coverages you have - - ' • where you live • the kind of car you drive • how the car is used • who drives the car Any premium adjustment is reflected on your enclosed billing notice. If you have any questions, please contact your agent. Your renewal notice has a new look We've redesigned your renewal notice to make it easier to read, reduce paper usage, and make it consistent with other State Farm communications you receive. Here are the major changes: • We've standardized the paper size to 8 % x 11 This will make it easier for you to print the notice if you choose paperless billing when it is implemented in the future. It will also reduce our environmental footprint. This change alone will save 5 million sheets of wasted paper each year. • We've eliminated the News & Notes newsletter, which was previously included with your renewal notice. The most relevant messages are now shown on your renewal notice, thus reducing the amount of paper in your billing envelope. • Rating information articles that were previously included in the newsletter are now shown at the end of your renewal notice. These articles include information such as available discounts and rate changes. Other important messages, such as those related to laws or regulations, will be displayed prominently on your renewal notice, usually on the first page. • We've replaced class code information with descriptive driver and vehicle information used to rate your policy. For example, we now show age, miles driven, marital status, and discounts to help you understand the factors taken into account to determine your rates. Factors used to determine a rate vary by state. We continue to look for ways to provide you with the best customer service. If you have any questions about your renewal notice, your State Farm agent or policy service office can help. Policy Number: 158 3944-E01-37 Page number 3 of 3 Prepared September 12, 2013 003180 DATC(MNDDMYVY) Acdx/~® CERTIFICATE OF LIABILITY INSURANCE 4/9/2014 THIS CERTIFICATE IS ISSUED AS A HATTER OF INFORMATION ONLY AND COWERS NO RNiM9 UPON THE CERTIFICATE HOLDER. THIS CERTIFICNIE DOEB'NOT AFFIRMATIVELY OR NSGATIVELY AMEND, WEND OR ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW- THIS CERTIFICATE OF IISILWANL'E DOES NOT CONSTITUTE A CONTRACT BEINEEN THE ISSUING INSURER(SI, AUIIHORRED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER ISPORTANT: If ft ceranGOe ti~ N an ADDITIONAL INSURED, OW Polky(le1i) met be endorsed. If SUMMATION IS WAIVED, wef eu to the Mme end CDnd0vas of Be Peary, eerloln Pekin$ 014 NegUb an enderseRL+rL A SO NNN OO IDS eerUllolte does net COMpr MM to ON Fertbkato holder In Deu of emdl andersomeeI PRODUCER NAME Matt Minahan Compass Insurance Services IW Ae 503-5 1644 A C NP 03-980 886E 1363 Commercial St SE ADDRESS mattmocompasSUlsluaTH~llaco m Salem, OR 91302 eA covtnAOE NAlax xmnoeal APtaRN 14306603 INSURER A; Developers Surety & Indemnity - INSURED Green Meadows Building Company USURER B : COB# 132SS 1 INS ReN C : 531SHWT66 _ DdImERO: Alandsh, OR 97520 INSURER E 5412010095 INSURER F ; COVERAGES CERTIFICATE NUMBER: 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. NOTWITHSTANONG 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 PAM CLAIMS. ON TYPE OF DISUIVNCE apt PoLdT• NUAMER LASTS texearaAL eRelaAl,A n EACH OCa~Ke S1.000,000 CLANS-MADE ® OCCUR PREBDSES Ee muronco S 100,000 BE00017834-01 1/6/2014 1/6/2015 MEDFJO WVaaaFan) S 6,000 A PERSONALSADVINAMY $1,000,000 CENL AGGREGATE LINK APPI.IES PER: GENERA. AOGRBGATa s 2,000,000 X POLICY Q LOC Pnm cm-coITU0PA00 &2,000,000 OTHER' S AUTOMOBILE LIABILITY OUEUNIII S ANYAUTO 6pn0.Y eMURY (PerPweaS i ALL OWNED H S*0DIAED fg00.Y elAe,Y (Pd asMM) S AUTOS AUTOS HIRED AIMS AIMS (Per Godden!) S UMBREl1A LAB OCQIR EACH OCCURRENCE i E1fCESS LAD CUPA&MADE AGGREGATE S DED RETENTIONS S - WORIe31i COMPENSATION 9TA ER AND EMPLOYERS' L/ABLrrY Y/x -W PROPMEIORNAR,IERR11MC ❑N/A EL EACH ACCIDENT f Of}lfPgM96" DQAnREeI or MVxM,mM, INIwder - EL Onr"E. EA S eYee dx OESCRPTION OF OPERATIONS eelee EL DISEASE -POLICY LeAR S 77 DESCRmTRJN, OF OPERAnONS I LOCATIONS I VEHICLES (ACORD 101. AdRJ&* Rm - SdedLe. may ce dk *,d Bread spree a rapaed) Certificate holder is listed as an additional insured in respect to the general liability policy. CERTIFICATE HOLDER - CANCELLATION City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 2O East Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Ashland, OR 97520 ACCORDANCE WITH THE POLICY PROVISIONS AUTHORIZED REPRESENTATIVE p~ ,clrem fax: 541-55Z-2304 e 1988.2014 ACORD CORPORATION. All rights Tesen ed. - ACORD25(2014/01) The ACORD name and logo are registered marks of ACORD Page 1 / 1 1W® CITY OF CITY RECOR PR ASHLAND DATE- PO NUMBER ,JM 20 E MAIN ST. 4/18/2014 12202 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 005955 SHIP TO: Ashland Building Maintenance GREEN MEADOWS BUILDING CO. (541) 488-5358 5313 HIGHWAY 66 90 N MOUNTAIN AVENUE ASHLAND, OR 97520 ASHLAND, OR 97520 FOB Point: Req. No.: Terms: Net Dept: Req. Del. Date: Contact: Dale Peters Special Inst: Confirming? NO QuantityUnit _ Descri lion Unit Price, Ext. Price Utility Billinq Remodel - Remove 26 2,208.00 lineal feet of cabinets, repair flooring, repair drywall at rear of Utility Billinq office. In the lobby, remove cabinet, counter and firinq wall. Prep all newly exposed walls for paint. Remove all debris except drywall. Location: City Hall (1st Floor) Contract for Goods and Services Beginning date: April 14, 2014 Completion date: June 30, 2014 SUBTOTAL 2,208.00 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 2,208.00 ASHLAND, OR 97520 Account Number . r, :Project Number-. : ::.Amount:; '.e: Account Number Project Number Amount E 410.08.24.00.70420 E 000385.999 2,208.00 Authorized Signature VENDOR COPY FORM#3 CITY OF .e,,'._, _ ASHLAND REQUISITION Date of request: 24 MAR14 Required date for delivery: n Vendor Name GREEN MEADOWS RI III nlNr rn Address, City, State, Zip 5313 HIGHWAY 65 Contact Name & Telephone Number Fax Number ASHLAND OR 97520 541 701 0095 FAX 541 482 5914 JIM GRFFN 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 no osal attached Procurement Cooperative Procurement Less"than 500 El 0 Request for Proposal (Copies on file) ❑ State of Orego an ❑ Direct Award Date approved by Council: Contract # ❑ Verbal/Wdtten 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 Interoovemmental Agreement $5.000 to $75.000 ❑ Special Procurement ❑ A enc El Form #9, Request for Approval 9 y ❑ Less than $35,000, by direct appointment ❑ Written quote or proposal attached Date original contract approved by Council: ❑ (3) Written proposalshvritten solicitation Date approved by Council: (Date) ❑ Form #4, Personal Services $5K to $75K Valid until: Date Description of SERVICES Total Cost u4T`TNf-D F~~ 7LSC~t 10 s w m s?~ r Item # Quantity Unit Description of MATERIALS Unit Pric~ st A" LG[C ~G Ate, -LtiC 2~~ Q ~Lf ISOr/ ~/-r- f c ac oh Gs r` Cow, y!~~~ „TOTAL COST ❑ Per attached quote/proposal Project Number 000385.999 !{ccou nfNumber 4 d ~6 10.08.2 00.70 4200 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 re uisition form, I a e City's public contracting requirements have been satisfied. Employee: Department Head: ( T<p,~ Q `tJn\1`s y~ t"1 ! (Equal to or greater than $5,000) Department Manager/Supervisor: City Administrator: (Equal to or greater than $25,000) Funds appropriated for current fiscal year YES NO Finance Director-(Equal to or greater than $5,000) Date Comments: Farm#3-Requisition -