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HomeMy WebLinkAbout2014-137 Contract - Full Circle Real Estate Contract for PERSONAL SERVICES less than $35,000 CITY OF CONSULTANT: Full Circle Real Estate _ -ASHLAND 20 East Main Street CONTACT: Eric Poole Broker/Owner Ashland, Oregon 97520 ADDRESS: 240 E. Main Street Ashland, OR 97520 Telephone: 5411488-6002 Fax: 541/488-5311 TELEPHONE: 541-4826868 DATE AGREEMENT PREPARED: Ma 13 2014 FAX: 541-482-6881 BEGINNING DATE: May 19, 2014 COMPLETION DATE: June 30, 2014 COMPENSATION: Not to exceed 114,990.00 based on $75.00 per hour. There would be no compensation for 1 any percentage of the purchase price for proper ty that the City of Ashland is successful in purchasing. l SERVICES TO BE PROVIDED: Representation for the sales, purchase and negotiations of Real Property specific to park open space and potential park properties. 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, costs, expenses, judgments, subrogations, or other damages resulting from injury to any person (including injury resulfing 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, Consultants employees, agents, and others designated by Consultant to perform work or services attendant to this contract). Consultant shall not be held responsible for any losses, expenses, claims, subrogations, actions costs judgments, or other damages, direct) solely, and proximately caused b the negligence of City. Contract for Personal Services, Revised 061302013, Page 1 of 5 10. Termination: a. Mutual Consent. This contract may be terminated at any time by mutual consent of both parties. b. Citv'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:. C 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; J. 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 ORF 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 contrail 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 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, Contract for Personal Services, Revised 06130/2013, Page 2 of 5 including coverage for owned, hired or non-owned vehicles, as applicable. e. Notice of cancellation or chance. 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 fumish 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. IT 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 Consu nt. Certi (cation. Co ul nt shall sign the certification attached hereto as k2ftit A and herein incorporated b reference. ons nt: City of Ashl 1d By By Sign toe D ent Head V4A U06 Print Name Print Name L62-1 IWL Title Date W-9 One copy of a W-9 is to be submitted with the signed contract. Purchase Order No. Contract for Personal Services, Revised 05/302013, 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 / specific portion of my residence, set aside as the location of the business. V/ (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. V (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. SZJ Contra (Date) Contract for Personal services, Revised 0613012013, Page 4 of 5 ,at~oizo°® CERTIFICATE OF LIABILITY INSURANCE eA~/onala 11912014 o5 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS.NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF, INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, sub(ect to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confor rights to the Certificate holder in lieu of such endorsement(s). - PRODUCER CONNTTAC Jan Snowden NAME. Jon Snowden State Farm vNDNH 541-482-2461 FAX WC. Ha EnF (u x L541-4a2.4ss7 Sfatefarm 420 Bridge St. Ao~SS: Jon@Jonsnowden,cDm m Ashland, OR 97520 , - INSUREf4$J AFFORDWGLDVERArae NAICA INSURER A:Stale Fenn Fire and Casualty Company 25143 INSURED FULL CIRCLE REAL ESTATE, LLC INSURER e: 240 E MAIN ST Ws J!-MFt ASHLAND OR 97520-1831 INSURER 0: - INSURERS: INSURER F, COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAhIED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR, OTHER DOCUMENT WTH RESPECT TO NMICH 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. ADDfiSUB TR TYPE OF INSURANCE f t pOUCY NUMBER ~~Y EFF NPOLJCY EV LOUIS mfourfm A X COMMERCIAL GENERAL LIABILITY ,Y EACH OCCURRENCE S 2,000,000 ' CIAMS,MADE U OCCUR TO' - F,S (FA 3 500,000 97-GAS094.1 0410 3M14 04105/2015 EXP iAY , PN:o~+l s 5.000 AW MJURY GENL AGGREGATE LOdn APPLIES VER RAL AOGRECATE { 4,000,000 POLICY a ~ LOC AGG S 4.000,000 on1F-R_ 3 AUTOMOBILE LIABILITY . (F03M IVIED SINGLE 1 3 m_ A'n ADO 000RYINJ INJVRY(PVparcn) i ALL OANEO SCHEDULED BODILY INJURY (P ncdd ) 3 AU105 AUTOS HIED AUTOS i AUTOS NEO (pa tlaYell 3 i UMBRELLA LIAa OCCUR I EACH OCCURRENCE 3 EXCESS UAB CLAIMSiA0.0E AGGREGATE S OEU RF.TFNTIONS - 3 WOR ERSCOMPENSATION ANDEMPLOYE0.SLIMI.frr YIN ~TgTVTE Ogtt AnN f+YLOPMfTORfPARRIERIEXECUDVE a CERRIFMBF-R EXCLULYDI ❑NIA E. L EACH ACCIDENT _ S (MM aay M MID EL DISEASE -EA EATPLOYE 3 If1~m. dd=emo,..w OESLRIPTION OF OPERATIONS Wp F 1,. DISEASE • POLICY LIMIT IT OESCWPTIONOFOPIBtgMI SILOCATIONSIYEHICLES(ACORD1dt.Addidow RyRlatklSNemae, RNY Oe ANACtsdNmoc3 eprtt le 1.91drrdl CERTIFICATE HOLDER CANCELLATION City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE and its elected officials, Officers and employees THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 East Main St ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 Audi DREPRESENranvE e 1 q 1988.2014 ACORD C RPORATION. All rights reserved. ACORD 25 (20141`01) The ACORD name and logo are registered marks of ACORD 1001486 132849.9 024)4-2014 A~ CERTIFICATE OF LIABILITY INSURANCE DATE I 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: U the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WANED, 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: Pearl & Associates, Ltd. PHONE TAX EWAIL DDRESS: 1200 East Glen Avenue A Peoria Heights, IL 61616 INSURERS AFFORDING COVERAGE NAICO INSURER A: Greenwich Insurance Company 22322 INSURED INSURER B Full Circle Real Estate, LLC INSURER C 240 E Main St INSURER D: Ashland, OR 97520-1831 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 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. INSR TYPE OF INSURANCE ADDLSUBR POUCYEFF POLICY UP LIMBS LTR POLICY NUMBER MWDDIYYYY MMIDDIYYYY - GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY AMA O PREMISES Ea occurrence $ CLAIMS MADE 1-1 OCCUR MED EXP (My me Person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS -COMPIOP AGO $ POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acddenn ANY AUTO BODILY INJURY Doer person) $ ALLOWNED SCHEDULED AUTOS BODILY INJURY (Per eccidenl) E A HIREDAUTOS ANOj TNpUTOSgMED PROPERTY (DAMAGE $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERJEXECUTIVE ❑ E.L. EACH ACCIDENT b OFFICERJ.EMBER EXCLUDED? NIA (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ If yes, desard a under DE SCRIPTION OF OPERATIONS be. E.L. DISEASE - POLICY LIMIT $ Other: Real Estate Agents PEG - 9160604 04/0412014 04/04/2015 $ 1,000,000 PER CLAIM Errors & Omissions Liability s 1,000,000 AGGREGATE $ 5,000 DEDUCTIBLE DESCRIPTION OF OPERATIONS I LOCATIONSI VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more spare is required) Real Estate Office CERTIFICATE HOLDER CANCELLATION City Of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 East Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD STACY L POOLE 186 OHIO ST ASHLAND OR 97520-1119 capoolcll@grnail.com USAA 751 31 30 May 23, 2014 Dear Mrs. Poole, Please use this as confirmation of auto insurance; however, this does not take the place of an insurance identification card. Registered owner. ERIC A POOLE Address: 186 OHIO ST ASHLAND OR 97520-1119 Policy CIC 00751 31 30C 71010 Policy effective: January 18, 2014 Policy expiration: July 18, 2014 Vehicle: 2014 SUBARU OUTBACK VIN: 4S4BRBLC4E3226253 Comprehensive deductible: $100 Collision deductible: 5500 Lienholder: WELLS FARGO DEALER SERVICES PO BOX 5075 CORAOPOLIS PA 15108 Additional insured: City of Ashland, Oregon 20 Main St Ashland, Or 97520 Meets Oregon mbdmum statutory liability requirements This confumation of coverage neither affirmatively nor negatively amends, extends or alters the coverage given by the policy issued by USAA Casualty Insurance Company. Thank you for choosing us for your auto insurance needs. If you have questions, please call us at 210-531-USAA (8722), our mobile shortcut ##8722 or 800-531-8722. Thank you, USAA Casualty Insurance Company USAA u 751 31 3059638J497&A0.A0318 93127-0414 9900 Fredericksburg Road San Ardonio,Texac 7828B 1 q USAW 1. This electronic communication is considered an original document and will be part of your record at USAA. 2. No other method of delivery or communication of the attached communication will be utilized or attempted by USAA unless you specifically request an additional delivery method. If you wish to receive this communication by an additional delivery method, please call 1-800-531-USAA(8722). 11SAA # 751 31 304i9&96d497&AOA0318 99127-0414 CERTIFICATE OF LIABILITY INSURANCE 1DAM(MWDDIYY)Y) 05/2012014 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 United Insurance Agencies, LLC PRONE 541 242-6464 FAX 541 242-6462 I&C PO Box 2589 E-MAIL uia@cleamire.net ESE. Eugene OR 97402 c CNA Insurance Companies INSURED INS Full Circle Real Estate INSURER C 240 East Main Street N Ashland OR 97520 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 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. NSR rypE OF INSURANCE DOL SUBR POLICY POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CINMSHMDE ❑ OCCUR DAMAGE TO RENTED MED EXP (AM ane Isan PERSONAL S ADV INJURY S GENL AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE POLICY ❑ JEOT El LOC PRODUCTS-COMPIOPAGG OTHER S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANYAUTO BODILY INJURY (P. Person) $ ALL OWNED SCHEDULED BODILY INJURY (P. ardden) S AUTOS NON-OWNED PROPERTYDAMAGE S HIRED AUTOS AUTOS 'P, I S UMBRELLA LIAR OCCUR EACH OCCURRENCE E EXCESS LAB CIAIMSJMDE AGGREGATE $ WORKERS COMPENSATION x PER OTH- AND EMPLOYERS' LIABILITY A My PRO/MEIMBER BXGLUOE°iXECUTIVE Y NIA 4017769363 10I02I2013 10102/2014 ELEACHACCIDENT $500000 OFFICER (Mandatory In NH) E.L.DISEASE-EAEMPLOYE 2500080 tt s, Oesrrba viler 0 S RIPTION F OPERATIONS heloe E. L. DISEASE POLICY LIMIT $500000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101, Additional Remarks Schedule, may he aftch" If more space Is required) fax: 541488-5311 CERTIFICATE HOLDER CANCELLATION City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 E Main Street Ashland, OR 97520 AUTHOR ESENTATIVE, ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD CITY REVLii DER Page 1 ASHLAND PARK COMMISSION 20 E MAIN ST. PO'NUMBER' ` ASHLAND, OR 97520 6/12/2014 00354 (541) 488-5300 VENDOR: 004486 SHIP TO: FULL CIRCLE REAL ESTATE LLC 240 EAST MAIN STREET ASHLAND, OR 97520 FOB Point: Req. No.: Terms: net Dept: Req. Del. Date: Contact: Don Robertson / Susan Dvsseqar Special Inst: Confirming? NO Desert on = UmYPncez'~.. Ext:"Price Seek out land acquisition' opportunities 4.999.99 for Ashland Parks Commission toward completion of qoal established bV City of Ashland Open Space Plan. Contract for Personal Services Beqinninq date: Mav 19, 2014 Completion date: June 30, 2014 SUBTOTAL 4,999-99 BILLTO: TAX 0.00 FREIGHT 0.00 TOTAL 4.999.99 SAccountNumber - • Project Number . ^ ; Amount k , Account Number„,' Project .Number- Amount - E 411.12.00.00.60410 E 000058.999 4,999.99 Authors 2p u Signet/~/~ VENDOR COPY CITY #3i~ O F ASHLAND A request for a Purchase Order REQUISITION Date of request: 52s/2ot4 Required date for delivery: Vendor Name F II Qrrlp PPA Fetatp Address, City, State, Zip 240 F Man Street Ashland OR 97520 541-951-5711 (direct) Ieaooolellogmail com Contact Name & Telephone Number Fax Number SOURCING METHOD ❑ Exemot from Competitive Bidding - ❑ Ememencv ❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Form #13, Written findings and Authorization ❑ AMC 2.50 Date approved by Council: ❑ Written quote or proposal attached ❑ Written quote or proposal attached ❑ Small Procurement Cooperative Procurement Less than $5.000 ❑ Request for Proposal (Copies on file) ❑ Slate of Oregon ® Direct Award Date approved by Council: Contract # ❑ VerballWritten 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 $75.000 ❑ 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) ❑ Form #4, Personal Services $5K to $75K Valid until: Date Description of SERVICES Total Cost Seek out land acquisition opportunities for Ashland Parks and Recreation Commission- IN $4;999`99r;4 toward completion of goal established b City of Ashland Open Space Plan. Item # Quantity Unit Description of MATERIALS Unit Price Total Cost _ "~~TOTAC~COST#` ❑ Per attached quotelproposal $td999 99 Project Number 000058 -999_ Account Number Account Number 411 - 12 - 00 - 00 - 604100 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 req isition to 1 ceiti that the City's public contracting requirements have been satisfied. : Employee: -X Department Heal - (Equal to or greaterthan $5,000) Department ManagerlSupervisor: City Administrator: (Equal to or greater than $25,000) Funds appropriated for current fiscal year.., YES / NO Finance Director- (Equal to orgreater than $5,000) Date Comments: Form #3-Requisition