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2014-175 Contract - Chown Inc
:w Contract for GOODS AND SERVICES Less than $25,0@6 CITY OF CONTRACTOR: Chown Hardware ASHLAND CONTACT: Jason McCauley 20 East Main Street Ashland, Oregon 97520 ADDRESS: 333 NW 16th Ave, Portland, OR 97209 Telephone: 541/488-6002 Fax: 541/488-5311 TELEPHONE: 800-547-1930 DATE AGREEMENT PREPARED: June 11, 2014 FAX: 503-243-6519 BEGINNING DATE: June 23, 2014 COMPLETION DATE: Jul 31, 2014 COMPENSATION: $26,649.53 GOODS AND SERVICES TO BE PROVIDED: Parks restroom door and security lock replacement project for select restrooms at various arks throughout the City per attached quotation attached as Exhibit C. 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, fumish 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 contracture 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 $2&;0e0-D0-,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, 2798.235, 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: i. If City funding from federal, state county or other sources is not obtained and continued at levels Contract for Goods and Services Less than X60' Revised 06/13/2013, Page 1 of 5 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 intent not to renew the insurance coverage(s) without 30 da s' written notice from the Contractor or its insurers to Contract for Goods and Services Less than Revised 06/13/2013, Page 2 of 5 the City. e. Additional Insured/Certificates of Insurance. Contractor shall name The City of Ashland, Oregon, and its elected officials, officers and employees as Additional Insureds on any insurance policies required herein but only with respect to Contractor's services to be provided under this Contract. As evidence of the insurance coverages required by this Contract, the Contractor shall furnish acceptable insurance certificates prior to commencing work under this contract. The contractor's insurance is primary and non-contributory. The certificate will specify all of the parties who are Additional Insureds. Insuring companies or entities are subject to the City's acceptance. If requested, complete copies of insurance policies, trust agreements, etc. shall be provided to the City. The Contractor shall be financially responsible for all pertinent deductibles, self-insured retentions and/or self- insurance. 17. Governing Law; Jurisdiction; Venue: This contract shall be governed and construed in accordance with the laws of the State of Oregon without resort to any jurisdiction's conflict of laws, rules or doctrines. Any claim, action, suit or proceeding (collectively, "the claim") between the City (and/or any other or department of the State of Oregon) and the Contractor that arises from or relates to this contract shall be brought and conducted solely and exclusively within the Circuit Court of Jackson County for the State of Oregon. If, however, the claim must be brought in a federal forum, then it shall be brought and conducted solely and exclusively within the United States District Court for the District of Oregon filed in Jackson County, Oregon. Contractor, by the signature herein of its authorized representative, hereby consents to the in personam jurisdiction of said courts. In no event shall this section be construed as a waiver by City of any form of defense or immunity, based on the Eleventh Amendment to the United States Constitution, or otherwise, from any claim or from the jurisdiction. 18. THIS CONTRACT AND ATTACHED EXHIBITS CONSTITUTE THE ENTIRE AGREEMENT BETWEEN THE PARTIES. NO WAIVER, CONSENT, MODIFICATION OR CHANGE OF TERMS OF THIS CONTRACT SHALL BIND EITHER PARTY UNLESS IN WRITING AND SIGNED BY BOTH PARTIES. SUCH WAIVER, CONSENT, MODIFICATION OR CHANGE, IF MADE, SHALL BE EFFECTIVE ONLY IN THE SPECIFIC INSTANCE AND FOR THE SPECIFIC PURPOSE GIVEN. THERE ARE NO UNDERSTANDINGS, AGREEMENTS, OR REPRESENTATIONS, ORAL OR WRITTEN, NOT SPECIFIED HEREIN REGARDING THIS CONTRACT. CONTRACTOR, BY SIGNATURE OF ITS AUTHORIZED REPRESENTATIVE, HEREBY ACKNOWLEDGES THAT HE/SHE HAS READ THIS CONTRACT, UNDERSTANDS IT, AND AGREES TO BE BOUND BY ITS TERMS AND CONDITIONS. 19. Nonappropriations Clause. Funds Available and Authorized: City has sufficient funds currently available and authorized for expenditure to finance the costs of this contract within the City's fiscal year budget. Contractor understands and agrees that City's payment of amounts under this contract attributable to work performed after the last day of the current fiscal year is contingent on City appropriations, or other expenditure authority sufficient to allow City in the exercise of its reasonable administrative discretion, to continue to make payments under this contract. In the event City has insufficient appropriations, limitations or other expenditure authority, City may terminate this contract without penalty or liability to City, effective upon the delivery of written notice to Contractor, with no further liability to Contractor. 20. Prior Approval Required Provision. Approval by the City of Ashland Council or the Public Contracting Officer is required before any work may begin under this contract. 21. Certification. Contractor shall sign the certification attached hereto as Exhibit A and herein incorporated by reference. Contractor: Bity ~ hlan C~ Signature Department Head ~~chel D~UIS ~AJS K~aa>sR Print Name Print Name Diu P(c\.. 1311-4 Title Date W-9 One copy of a W-9 is to be submitted with t;7 O 2 the signed contract. Purchase Order No. Contract for Goods and Services Less than5;00Revised 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: (1) 1 carry out the labor or services at a location separate from my residence or is in a specific portion of my residence, set aside as the location of the business. (2) Commercial advertising or business cards or a trade association membership are purchased for the business. (3) Telephone listing is used for the business separate from the personal residence listing. (4) Labor or services are performed only pursuant to written contracts. (5) Labor or services are performed for two or more different persons within a period of one year. (6) 1 assume financial responsibility for defective workmanship or for service not provided as evidenced by the ownership of performance bonds, warranties, errors and omission insurance or liability insurance relating to the labor or services to be provided. Contractor (Date) Contract for Goods and Services Less than Revised 06/13/2013, Page 4 of 5 frbm QHownjfiardware www.chown.com 1L ^ since 1879 Portland Showroom 333 NW 16th Ave Portland, OR 97209 Toll Free (US & Can) (800) 547-1930 Fax: (800) 758-7654 Local Telephone (503) 243-6500 Fax: (503) 243-6519 QTE ID: 461614 QUOTATION Page 1 of 6 To: DALE PETERS PO: CITY OF ASHLAND Job: PARK RESTROOMS 90 N MOUNTAIN AVE FAX No.: 541-552-2304 ASHLAND, OR 97520 Phone No.: 541-552-2292 •USA We are pleased to present the following quotation for your consideration. Ship To: Date: 5/30/14 11:09 AM Salesperson No.: - 210 Kris Lake Line Item # Qty U/M Description Price Extended FOR DOG PARK WOMENS RR 1 N19000* 1 EA STILES HM DOOR 3/0X6/8 LH 404.47 404.47 18GA A60 345X161/DB 141IX14" CUTOUT FOR LOUVER 2 N18000* 1 EA ANEMO AFDL 141IX14" BRZ LOUVER 52.71 52.71 3 N75729* 1 EA SCHEL CO-200-CY-70-PR-RHO-626 520.02 520.02 -PD-E-LH-4B-13-049-10-025-134 "E" KEYWAY 4 000011 1 EA INHOUSE MASTER KEY CHARGES 20.00 20.00 5 019963 1' EA SCH B571 626 OCCUPANCY INDICATO 27.56 27.56 6 013096 3 EA IVES 5BB1 4.5X4.5 652 HINGE 5.55 16.65 7 010930 1 EA LCN 4040XP REG AL CLOSER 1-6 230.26 230.26 FOR DOG PARK MENS RR 8 N19000* 1 EA STILES HM DOOR 3/0X6/8 RH 404.47 404.47 18GA A60 345X161/DB 14"X14" CUTOUT FOR LOUVER 9 N18000* 1 EA ANEMO AFDL 141IX14" BRZ LOUVER 52.71 52.71 10 N75729* 1 EA SCHEL CO-200-CY-70-PR-RHO-626 520.02 520.02 -PD-E-RH-4B-13-049-10-025-134 "E" KEYWAY 11 000011 1 EA INHOUSE MASTER KEY CHARGES 20.00 20.00 from Chown Hardware www.chown.com since 1879 QTE ID: 461614 QUOTATION Page 3 of 6 Date: 5/30/14 11:09 AM Salesperson No.: 210 Kris Lake Line Item # Qty U/M Description Price Extended 35 000011 1 EA INHOUSE MASTER KEY CHARGES 20.00 20.00 36 013096 3 EA IVES 5BB1 4.5X4-5 652 HINGE 5.55 16.65 37 010930 1 EA LCN 4040XP REG AL CLOSER 1-6 230.26 230.26 FOR COTTON MENS RR 38 N19000* 1 EA STILES HM DOOR 3/0X6/8 RH 404.47 404.47 18GA A60 345X161 141IX14" CUTOUT FOR LOUVER 39 N18000* 1 EA ANEMO AFDL 141IX14" BRZ LOUVER 52.71 52.71 40 N75729* 1 EA SCHEL CO-200-CY-70-PR-RHO-626 520.02 520.02 -PD-E-RH-4B-13-049-107025-134 "E" KEYWAY 41 000011 1 EA INHOUSE MASTER KEY CHARGES 20.00 20.00 42 013096 3 EA IVES 5BB1 4.5X4.5 652 HINGE 5.55 16.65 43 010930 1 EA LCN 4040XP REG AL CLOSER 1-6 230.26 230.26 FOR TENNIS COURT MENS RR 44 N75729* 1 EA SCHEL CO-200-CY-70-PR-RHO-626 520.02 520.02 -PD-E-LH-4B-13-049-10-025-134 "E" KEYWAY FOR TENNIS COURT WOMENS RR 45 N75729* 1 EA SCHEL CO-200-CY-70-PR-RHO-626 520.02 520.02 -PD-E-RH-4B-13-049-10-025-134 "E" KEYWAY FOR LITHIA BAND SHELL WOMENS RR 46 N19000* 1 EA STILES HM DOOR 3/0X6/8 LH 404.47 404.47 18GA A60 345X161 141IX14" CUTOUT FOR LOUVER 47 N18000* 1 EA ANEMO AFDL 141IX14" BRZ LOUVER 52.71 52-71 48 N75729* 1 EA SCHEL CO-200-CY-70-PR-RHO-626 520.02 520.02 -PD-E-LH-4B-13-049-10-025-134 "E" KEYWAY 49 000011 1 EA INHOUSE MASTER KEY CHARGES - 20.00 20.00 50 013096 3 EA IVES 5BB1 4.5X4.5 652 HINGE 5.55 16.65 51 010930 1 EA LCN 4040XP REG AL CLOSER 1-6 230.26 230.26 FOR LITHIA BAND SHELL MENS RR 52 N19000* 1 EA STILES HM DOOR 3/0X6/8 LHR 404.47 404.47 18GA A60 345X161 1411X14" CUTOUT FOR LOUVER 53 N18000* 1 EA ANEMO AFDL 1411X14" BRZ LOUVER 52.71 52.71 54 N75729* 1, EA SCHEL CO-200-CY-70-PR-RHO-626 520.02 520.02 -PD-E-LHR-4B-13-049-10-025-134 "E" KEYWAY from Ch-o T4 Hardware www.chown.com since 1879 QTE ID: 461614 QUOTATION Page 5 of 6 Date: 5/30/14 11:09 AM Salesperson No.: 210 Kris Lake Line Item # Qty U/M Description Price Extended FOR GUANAJUATO WAY RCWOMENS RR 74 N19000* 1 EA STILES HM DOOR 3/0X7/0 RH 404.47 404.47 18GA A60 345X161 241IX14" CUTOUT FOR LOUVER 75 N18000* 1 EA ANEMO'AFDL 241IX14" BRZ LOUVER 57.40 57.40 76 N75729* 1 EA SCHEL CO-200-CY-70-PR-RHO-626 520.02 520.02 -PD-E-RH-4B-13-049-10-025-134 "E" KEYWAY 77 000016 1 EA KEY ALIKE CHARGES 5.00 5.00 78 013096 3 EA IVES 5BB1 4.5X4.5 652 HINGE 5.55 16.65 79 010930 1 EA LCN 4040XP REG AL CLOSER 1-6 230.26 230.26 FOR GUANAJUATO WAY RC MENS RR 80 N19000* 1 EA STILES HM DOOR 3/0X7/0 RH 404.47 404.47 18GA A60 345X161 241IX14" CUTOUT FOR LOUVER 81 N18000* 1 EA ANEMO AFDL 241IX14" BRZ LOUVER 57.40 57.40 82 N75729* 1 EA SCHEL CO-200-CY-70-PR-RHO-626 520.02 520.02 -PD-E-RH-4B-13-049-10-025-134 "E" KEYWAY 83 000016 1 EA KEY ALIKE CHARGES 5.00 5.00 84 013096 3 EA IVES 5BB1 4.5X4.5 652 HINGE 5.55 16.65 85 010930 1 EA LCN 4040XP REG AL CLOSER 1-6 230.26 230.26 FOR SKATEBOARD PARK MENS RR 86 N19000* 1 EA STILES HM DOOR 3/0X6/8 RH 404.47 404.47 18GA A60 345X161/DB 241IX14" CUTOUT FOR LOUVER 87 N18000* 1 EA ANEMO AFDL 241IX14" BRZ LOUVER 57.40 57.40 88 N75729* 1 EA SCHEL CO-200-CY-70-PR-RHO-626 520.02 520.02 PD-E-RH-4B-13-049-10-025-134 "E" KEYWAY 89 000016 1 EA KEY ALIKE CHARGES 5.00 5.00 90 019963 1 EA SCH B571 626 OCCUPANCY INDICATO 27.56 27.56 91 013096 3 EA IVES 5BB1 4.5X4.5 652 HINGE 5.55 16.65 92 010930 1 EA LCN 4040XP REG AL CLOSER 1-6 230.26 230.26 FOR SKATEBOARD PARK WOMENS RR 93 N19000* 1 EA STILES HM DOOR 3/0X6/8 LH 404.47 404.47 18GA A60 345X161/DB 241IX14" CUTOUT FOR LOUVER 94 N18000* 1 EA ANEMO AFDL 241IX14" BRZ LOUVER 57.40 57.40 95 N75729* 1 EA SCHEL CO-200-CY-70-PR-RHO-626 520.02 520.02 -PD-E-LH-4B-13-049-10-025-134 "E" KEYWAY WwW.saifxom Oregon Workers Compensation + sail Certificate Of Insurance 1J corporation Certificate holder: CITY OF ASHLAND 20 EAST MAIN STREET ASHLAND, OR 97520 The policy of insurance listed below has been issued to the insured named below for the policy period indicated. The insurance afforded by this policy is subject to all the terms, exclusions and conditions of such policy; this policy is subject to change or cancellation at any time. Insured Producer/contact Xen 1 Inc USI Northwest 7401 SW Washo Ct Ste 200 Chris Brisbee Tualatin, OR 97062-8343 503.224.8390 chris.brisbee@usi.biz Issued 06/24/2014 Limits of liability Policy 949996 Bodily Injury by Accident $1,000,000 each accident Period 01/01/2014 to 01/01/2015 Bodily Injury by Disease $1,000,000 each employee Body Injury by Disease $1,000,000 policy limit Description of operations/locations/special items All employees of Chown Hardware, Policy 950928 Important This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies above. This certificate does not constitute a contract between the issuing insurer, authorized representative or producer and the certificate holder. Authorized representative John D. Gilkey Interim President and CEO 400 High Street SE Satem. OR 97312 P: 800.285.8525 F: 503.584.9812 Pol icy_0LCA_Cert1ficate0n nsu ra nce Client#: 325772 CHOWNINC DAT ACORDm CERTIFICATE OF LIABILITY INSURANCE 06/2412014 /24/2014 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 an this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ICON NAME: Bambl Brawn, CIC, CRM USI Northwest CL1 PHONE ANC No E,rll; 503.295.8312 aFAX c No): 610.362.8189 700 NE Multnomah, Suite 1300 ADDRESS: bambi.brown@usi.biz Portland, OR 97232 INSURERS AFFORDING COVERAGE NAIC d 503 224-8390 INSURER A: Massachusetts Bay Insurance Corn 22306 INSURED INSURER B: Hanover Insurance Company 31534 Chown, Inc. INSURER C: Allmerlca Financial Benefit 41840 P O Box 2888 Portland, OR 97208 INSURER D: 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 CONTRACTOR 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 ADDL SUB POLICY EFF POLICY EXP LIMBS LTR INSR WVD POLICY NUMBER (MMIDDIYYM (MMIDDNYYY) A GENERAL LIABILITY ZDF2904844003 3/01/2014 03/01/2015 EACH ~~OCCURRENCE $1 000000 X COMMERCIAL GENERAL LIABILITY PREMISESOEaBONaTUErtarke $100,000 CLAIMS-MADE O OCCUR MED EXP (Any one person) s5,000 X WA Stop Gap Included PERSONAL SADVINJURY $1,000000 GENERALAGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $2,000,000 X POLICY PRO 171 LOC $ ECT C AUTOMOBILE LIABILITY AW2904849803 3/0112014 03/01/2015 EaaBBINEDI,SINGLE LIMIT 1,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALLOWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per.cad.,d E B UMBRELLA LIAB X OCCUR UH2900898603 3/01/2014 03/01/2015 EACH OCCURRENCE $5.000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $5,000,000 DEC) X RETENTION $0 $ WORKERS COMPENSATION WCSTATU- OTH, To Y LS ER AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNEWEXECUTIVE❑ E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If mom space is reRulred) Re: Parks restroom door and security lock replacement project for select restrooms at various parks throughout the City. The General Liability and Automobile Liability policies include an automatic Additional Insured endorsement (42100800103 and CA2048) that provides Additional Insured status to the Certificate Holder, Oregon and its elected officials, officers and employees, only when there is a written contract that requires such status, (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION ELLED City of Ashland THEU EXPIRATIONANY DATE VTHEREOF, DESCRIBED NOTTICEIEWS BE ILL CBE CDELIVERED INE 20 East Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 2 The ACORD name and logo are registered marks of ACORD #Sl27574331M11795203 ADVZP DESCRIPTIONS (Continued from Page 1) and dnly with regard to work performed on behalf of the named insured. The General Liability policy contains a special endorsement (42104520607) with Primary and Noncontributory wording. A 30 day notice of cancellation applies ( 10 days for non-payment of premium) to the Named Insured. SAGITTA 25.3 (2010/05) 2 of 2 #S12757433IM11795203 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY SPECIAL BROADENING ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SUMMARY OF COVERAGES 1. Additional Insured by Contract, Agreement or Permit Included 2. Additional Insured - Broad Form Vendors Included 3. Aggregate Limit per Location Included 4. Alienated Premises Included 5. Bodily Injury Redefined Included 6. Broad Form Property Damage - Borrowed Equipment, Customers Goods & Included Use of Elevators 7. Extended Property Damage Included 8. Incidental Malpractice (Employed nurses, EMT's & paramedics) Included 9. Knowledge of Occurrence Included 10. Liberalization Clause Included 11. Medical Payments - Increased Limit $ 10,000 12. Mobile Equipment Redefined Included 13. Newly Acquired or Formed Organizations - Covered until end or policy period Included 14. Non-owned Watercraft 51 ft. 15. Personal Injury - Broad Form Included 16. Product Recall Expense - Each Occurrence Limit $ 25,000 - Aggregate Limit $ 50,000 17. Property Damage Legal Liability (Fire, Lighting, Explosion, Smoke or Leakage Damage) $500,000 18. Supplementary Payments Increased Limits - Bail Bonds $ 2,500 - Loss of Earnings $ 300 19. Unintentional Failure to Disclose Hazards Included 20. Unintentional Failure to Notify Included This endorsement amends coverages provided under the Commercial General Liability Coverage Form through new coverages, higher limits and broader coverage grants. 1. Additional Insured by Contract, Agreement or (2) Premises you own, rent, lease or occupy. Permit This insurance applies on a primary basis if Under Section II - Who Is An insured, Paragraph 5. that is required by the written contract, written is added as follows: agreement or permit. 5. a. Any person or organization with whom you b. This provision does not apply: agreed, because of a written contract, written (1) Unless the written contract or written agreement or permit to provide insurance, is agreement has been executed or permit an insured, but only with respect to: has been issued prior to the "bodily injury', (1) "Your work" for the additional insured(s) "property damage", "personal injury" or at the location designated in the contract, "advertising injury'. agreement or permit; or Includes copyrighted material of Insurance Services Office, Inc. with its permission. Copyright, Insurance Service Office, Inc. 1998 421-0080 (01103) Page 1 of 6 (2) To any person or organization included as (4) Repackaging, unless unpacked solely for an insured by an endorsement issued by the purpose of inspection, demonstration, us and made part of this Coverage Part. testing, or the substitution of parts under (3) To any person or organization included instruction from the manufacturer, and as an insured under item 2 of this then repackaged in the original container; endorsement. (5) Any failure to make such inspection, ad- (4) To any lessor of equipment: justments, tests or servicing as the vendor has agreed to make or normally (a) After the equipment lease expires; or undertakes to make in the usual course (b) If the "bodily injury", "property dam- of business in connection with the sale of age", "personal injury' or "advertising the product; injury" arises out of sole negligence (6) Demonstration, installation, servicing or of the lessor. repair operations, except such operations (5) To any: performed at the vendor's premises in (a) Owners or other interests from whom connection with the sale of the product; land has been leased which takes (7) Products which, after distribution or sale place after the lease for the land ex- by you, have been labeled or relabeled or pires; or used as a container, part or ingredient of (b) Managers or lessors of premises if: any thing or substance by or for the vendor. (i) The occurrence takes place after c. This insurance does not apply to any insured you cease to be a tenant in that person or organization, from whom you have premises; or acquired such products, or any ingredient, (ii) The "bodily injury", "property part or container, entering into, accompany- damage", "personal injury" or ing or containing such products. "advertising injury" arises out of structural alterations, new con- struction or demolition operations performed by or on behalf of the (1) Under Section III - Limits of Insurance the manager or lessor. General Aggregate Limit applies separately to each of your "locations" owned by or rented to 2. Additional Insured - Broad Form Vendors you. Under Section II - Who Is An Insured, Paragraph 6. (2) Under Section V - Definitions, definition 23. is is added as follows: added as follows: 6. a. Any person or organization with whom you 22. "Location" means premises involving the agreed, because of a written contract or same or connecting lots, or premises whose written agreement to provide insurance, but connection is interrupted only by a street, only with respect to "bodily injury" or "property roadway, waterway or right-of-way of a rail- damage" arising out of "your products" which road. are distributed or sold in the regular course of the vendor's business, subject . to the 4. Alienated Premises following additional exclusions: Under Section I - Coverage A, paragraph 2. Exclu- b. The insurance afforded the vendor does not sions, j. (2) is replaced in its entirety with the apply to: following: (1) "Bodily injury" or "property damage" for (2) Premises you sell, give away or abandon, if the which the vendor is obligated, to pay dam- "property damage" arises out of any part of those ages by reasons of the assumption of li- premises and occurred from hazards that were ability in a contract or agreement. This known by you, or should have reasonably been exclusion does not apply to liability for known by you, at the time the property was damages that the insured would have in transferred or abandoned. the absence of the contract or agreement; (2) Any express warranty unauthorized by 5. Bodily Injury Redefined you; Under Section V - Definitions, definition 3. "bodily (3) Any physical or chemical change in the injury' is replaced in its entirety with the following: product made intentionally by the vendor; Includes copyrighted material of Insurance Services Office, Inc. with its permission. Copyright, Insurance Service Office, Inc. 1998 421-0080 (01/03) Page 2 of 6 3. "Bodily injury" means bodily injury, sickness or 9. Knowledge of Occurrence disease sustained by a person. This includes Under Section IV - Commercial General Liability mental anguish, mental injury, shock, fright or Conditions, Condition 2 - Duties in the Event of death resulting from "bodily injury", sickness or Occurrence, Offense, Claim or Suit, paragraph e. is disease. added as follows: e. Notice of an "occurrence", offense, claim or "suit" 6. Broad Form Property Damage - Borrowed will Equipment, Customers Goods, Use of Elevators considered knowledge of the insured if reported to an individual named insured, partner, (1) Under Section I - Coverage A, paragraph 2. executive officer or an "employee" designated by Exclusion j. is amended as follows: you to give us such a notice. Paragraph (4) does not apply to "property dam- age" to borrowed equipment while at a jobsite 10. Liberalization Clause and not being used to perform operations. Under Section IV - Commercial General Liability Paragraphs (3), (4) and (6) do not apply to Conditions, condition 10. is added as follows: "property damage" to "customers goods" while on 10. Liberalization Clause your premises nor do they apply to the use of elevators at premises you own, rent, lease or If we adopt any revision that would broaden the occupy. coverage under this Coverage Form without additional premium, within 45 days prior to or (2) Under Section V - Definitions, definition 24. is during the policy period, the broadened added as follows: coverage will immediately apply to this 23. "Customers goods" means property of your Coverage Part. customer on your premises for the purpose of being: 11. Medical Payments - Increased Limits a. worked on; or (1) Under Section I - Coverage C, paragraph a. b. used in your manufacturing process. (2) is replaced in its entirety by the following: (3) The insurance afforded under this provision is (2) The expenses are incurred and reported to excess over any other valid and collectible prop- us within three years of the date of the erty insurance (including deductible) available to accident; and the insured whether primary, excess, contingent (2) Under Section III - Limits of Insurance, or on any other basis. paragraph 7. is replaced in its entirety by the following: 7. Extended Property Damage 7. Subject to 5. above, the higher of: Under Section I - Coverage A, paragraph 2. a. $10,000; or Exclusions, Exclusion a. is replaced in its entirety with the following: b. The amount shown in the Declarations a. "Bodily injury" or "property damage" expected or for Medical Expense Limit is the most intended from the standpoint of the insured. This we will pay under Coverage for all exclusion does not apply to "bodily injury" or medical expenses because of f "bodily "property damage" resulting from the use of injury' sustained by one person. reasonable force to protect persons or property. (3) This coverage does not apply if Coverage C - Medical Payments is excluded either by the 8. Incidental Malpractice - Employed Nurses, EMT's provisions of the Coverage Part or by and Paramedics endorsement. Under Section II - Who Is An Insured, paragraph 12. Mobile Equipment Redefined 2.a.(1)(d) does not apply to a nurse, emergency medical technician or paramedic employed by you if Under Section V - Definitions, definition 12, you are not engaged in the business or occupation of Mobile Equipment, paragraph f.(1)(a)(b)(c) does providing medical, paramedical, surgical, dental, x-ray not apply to self-propelled vehicles of less than or nursing services. 1,000 pounds gross vehicle weight. 13. Newly Acquired Or Formed Organizations Under Section II - Who Is An Insured, paragraph 4.a. is replaced in its entirety by the following: Includes copyrighted material of Insurance Services Office, Inc. with its permission. Copyright, Insurance Service Office, Inc. 1998 421-0080 ' (01/03) Page 3 of 6 a. Coverage under this provision is afforded only repair, replacement, adjustment, removal until the end of the policy period. or disposal of: 14. Non-Owned Watercraft (1) "Your product"; (2) "Your work"; or Under Section I -Coverage paragraph 2 (3) "Impaired property"; Exclusions, g.(2) is replaced in its ts entirety by the following: if such product, work, or property is (2) A watercraft you do not own that is: withdrawn or recalled from the market or (a) Less than 51 feet long; and from use by any person or organization because of a known or suspected defect, (b) Not being used to carry persons or deficiency, inadequacy or dangerous property for a charge; condition in it, but this exclusion does not This provision applies to any person, who apply to "product recall expenses" that you with your consent, either uses or is incur for the "covered recall" of "your responsible for the use of a watercraft. product". The exception to the exclusion does not apply to "Product recall expenses" 15. Personal Injury - Broad Form resulting from: (1) Under Section I - Coverage B, paragraph 2.e. (1) Failure of any products to accomplish is deleted in its entirety. their intended purpose; (2) Under Section V - Definitions, definition 14, (2) Breach of warranties of fitness, quality, paragraph b. is replaced in its entirety by the durability or performance; following: (3) Loss of customer approval, or any cost b. Malicious prosecution or abuse of process. incurred to regain customer approval; (3) Under Section V - Definitions, definition 14, (4) Redistribution or replacement of "your paragraph h. is added as follows: product" which has been recalled by h. Discrimination or humiliation (unless like products or substitutes; insurance thereof is prohibited by law) that (5) Caprice or whim of the insured; results in injury to the feelings or reputation (6) A condition likely to cause loss of which of a natural person, but only if such any insured knew or had reason to discrimination or humiliation is: know at the inception of this insurance; (1) Not done intentionally by or at the (7) Asbestos, including loss, damage or direction of: clean up resulting from asbestos or (a) The insured; asbestos containing materials; (b) Any officer of the corporation, (8) Recall of "your products" that have no director, stockholder, partner or known or suspected defect solely member of the insured; and because a known or suspected defect (2) Not directly or indirectly related to an in another of "your products" has been found. "employee", not to the employment, prospective employment or termination (2) Under Section II - Who Is An Insured, of any person or persons by an paragraph 4.d. is added as follows: insured. d. Coverage A does not apply to "product (4) This coverage does not apply if Coverage B - recall expense" arising out of any Personal and Advertising Injury Liability is withdrawal or recall that occurred before excluded either by the provisions of the you acquired or formed the organization. Coverage Part of by endorsement. (3) Under Section III - Limits of Insurance, paragraph 8. is added as follows: 16. Product Recall Expense 8. The Limits of Insurance and rules stated (1) Under Section I - Coverage A, paragraph 2 below fix the most we will pay under this Exclusions, n. is replaced in its entirety by the coverage part. following: (1) The Aggregate Limit is the most we will n. Recall of Products, Work or Impaired reimburse you for the sum of all "product Property recall expenses" incurred for all "product Damages claimed for any loss, cost or recall expenses" initiated during the policy expense incurred by you or others for the period. loss of use, withdrawal, recall, inspection, Includes copyrighted material of Insurance Services Office, Inc. with its permission. Copyright, Insurance Service Office, Inc. 1998 421-0080 (01/03) Page 4 of 6 (2) The Each Occurrence Limit shown in the such products are free from defects Summary of Coverages Declaration is the that could be a cause of loss under this most we will pay in connection with any one insurance. defect or deficiency. (5) Under Section V - Definitions, the following (a) All "product recall expenses" in definitions are added: connection with substantially the same 25. "Covered recall," means a recall made general harmful condition will be necessary because you or a government deemed to arise out of the same defect body has determined that a known or or deficiency and considered one suspected defect, deficiency, inadequacy, occurrence. or dangerous condition in "your product" (b) Any amount reimbursed for "product has resulted or will result in "bodily injury" recall expenses" in connection with any or "property damage". one occurrence will reduce the amount 26. "Product recall expense" means: of the Aggregate Limit available for a. Necessary and reasonable expenses reimbursement of "product recall for: expenses" in connection with any other defect or deficiency. (1) Communications, including radio or television announcements or (c) If the Aggregate Limit has been printed advertisements including reduced by reimbursement of "product ' stationery, envelopes and postage; recall expenses' to an amount that is (2) Shipping the recalled products less than the Each Occurrence Limit, from any purchaser, distributor or the remaining Aggregate Limit is the user to the place or places most that will be available for designated by you; reimbursement of "product recall expenses" in connection with any other (3) Remuneration paid to your regular defect or deficiency. "employees" for necessary over- time; The Limits of Insurance of Product Recall Expense apply separately to each (4) Hiring additional persons, other consecutive annual period and to any than your regular "employees"; remaining period of less than 12 months, (5) Expenses incurred by "employees" starting with the beginning of the policy including transportation and ac- period shown in the Declarations, unless commodations; the policy period is extended after issuance (6) Expenses to rent additional ware- for an additional period of less than 12 house or storage space; months. In that case, the additional period will be deemed part of the last preceding (7) Disposal of "your product", but only period for the purposes of determining the to the extent that specific methods Limits of Insurance. of destruction other than those (3) A Deductible of $500 applies for Each employed for trash discarding or disposal are required to avoid Occurrence. "bodily injury" or "property damage" (4) Under Section IV - Commercial General as a result of such disposal; Liability Conditions, Condition 2 - Duties in You incur exclusively for the purpose of the Event of Occurrence, Offense, Claim or recalling "your product"; and Suit, paragraph f. is added as follows: b. Your lost profit resulting from such f. You must see to it that the following are "covered recall". done in the event of an actual or anticipated "covered recall" that may result in "product recall expense": 17. Property Damage Legal Liability (Fire, Lightning, Explosion, Smoke or Leakage from (1) Give us prompt notice of any discovery Fire Protective Systems Damage) or notification that "your product".must be withdrawn or recalled. Include a (1) The word fire is changed to fire, lightning, description. of "your product" and the explosion, smoke and leakage from fire pro- reason for the withdrawal or recall; tective systems where it appears in the Limits of Insurance section of the Declarations for the (2) Cease any further release, shipment, Commercial General Liability Coverage Part. consignment or any other method of distribution of like or similar products until it has been determined that all Includes copyrighted material of Insurance Services Office, Inc. with its permission. Copyright, Insurance Service Office, Inc. 1998 421-0080 (01/03) Page 5 of 6 (2) Under Section I - Coverage A, the last para- 18. Supplementary Payments Increased Limits graph (after the exclusions) is replaced in its Under Section I - Supplementary Payments, entirety by the following: Coverages A and B, paragraphs 1.b. and 1.d. are Exclusions c. through n. do not apply to dam- replaced in their entirety as follows: age by fire, lightning, explosion, smoke or leak- 1.b. Up to $2,500 for cost of bail bonds required age from fire protective systems to premises because of accidents or traffic law violations while rented to you or temporarily occupied by arising out of the use of any vehicle to which you with the permission of the owner. A sepa- the Bodily Injury Liability Coverage applies. rate limit of insurance applies to this coverage We do not have to furnish these bonds. as described in LIMITS OF INSURANCE (SEC- TION III). This limit will apply to all damage 1.d. All reasonable expenses incurred by the proximately caused by the same event, whether insured at our request to assist us in the such damage results from fire, lightning, ex- investigation or defense of the claim or "suit", plosion, smoke or leakage from fire protective including actual loss of earnings up to $300 a systems or any combination of the five. day because of time off from work. (3) Under Section III - Limits Of Insurance, para- graph 6. is replaced in its entirety by the follow- 19. Unintentional Failure to Disclose Hazards ing: Under Section IV - Commercial General Liability 6. Subject to 5. above, the higher of: Conditions, Condition 6. - Representations, a. $500,000; or paragraph d. is added as follows: b. The Fire, Lightning, Explosion, Smoke d. We will not disclaim coverage under this Leakage from Fire Protective Sys- Coverage Part if you fail to disclose all hazards or terns Damage Limit shown the Dec- existing as of the inception date of the policy provided such failure is not intentional. larations is the most we will pay under Coverage A for damages because of "property damage" from fire, lightning, 20. Unintentional Failure to Notify explosion, smoke and leakage from fire Under Section IV - Commercial General Liability protective systems to premises, while Conditions, Condition 2. - Duties in the Event of rented to you or temporarily occupied Occurrence, Offense, Claim or Suit, paragraph g. by you with permission of the owner. is added as follows: (4) Under Section IV - Commercial General f. Your rights afforded under this policy shall not Liability Conditions, Condition 4. Other be prejudiced if you fail to give us notice of an Insurance, paragraph b.(2) is replaced by the "occurrence", offense, claim or "suit", solely due following: to your reasonable and documented belief that b.(2) That is fire, lightning, explosion, smoke the "bodily injury" or "property damage" is not or leakage from fire protective systems covered under this policy. insurance for premises rented to you or temporarily occupied by you with per- mission of the owner; or (5) Under Section V - Definitions, definition 9. "Insured contract", a. is replaced in its entirety by the following: a. A contract for a lease of premises. How- ever, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire, lightning, explosion, smoke or leakage from fire pro- tective systems to premises while rented to you or temporarily occupied by you with permission of the owner is not an "insured contract". (6) This coverage does not apply if Fire Damage Legal Liability of Coverage A is excluded either by the provisions of the Coverage Part or by endorsement. Includes copyrighted material of Insurance Services Office, Inc. with its permission. Copyright, Insurance Service Office, Inc. 1998 421-0080 (01/03) Page 6 of 6 POLICY NUMBER: AW2904849803 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does 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 indicated below. Endorsement Effective: Countersigned By: Named Insured: Chown, Inc. Authorized Representative) SCHEDULE Name of Person(s) or Organization(s) : City of Ashland, Oregon and its elected officials, officers and employees, (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement. ) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. CA 20 48 02 99 © Insurance Services Office, Inc., 1998 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Other Insurance - Primary and Non-Contributory (Additional Insured) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to Section IV - Commercial General Liability Conditions 4. Other Insurance a. Additional Insureds (a) That is Fire, Extended If you agree in a written contract, written Coverage, Builder's agreement or permit that the insurance Risk, Installation Risk or provided to any person or organization similar coverage for included as an Additional Insured under your work"; Section II - Who is An Insured, is (b) That is Fire insurance primary and non-contributory, the for premises rented to following applies: the Additional Insured or temporarily occupied If other valid and collectible insurance is by the Additional Insured with permission available to the Additional Insured for a of the owner; loss we cover under Coverages A or B of this Coverage Part, our obligations (c) That is insurance are limited as follows: purchased by the Additional Insured to 1.Primary Insurance cover the Additional This insurance is primary to other Insured's liability as a insurance that is available to the tenant for "property Additional Insured which covers the damage" to premises Additional Insured as a Named rented to the Additional Insured. We will not seek Insured or temporarily contribution from any other occupied by the insurance available to the Additional Additional with Insured except: permission of the L For the sole negligence of the owner; or Additional Insured; (d) If the loss arises out of ii. when the Additional Insured is the maintenance or use an Additional Insured under of aircraft, "autos" or another primary liability policy; watercraft to the extent or not subject to Exclusion g. of Section I - III. when 2. below applies. Coverage A - Bodily If this insurance is primary, our Injury And Property obligations are not affected unless Damage Liability. any of the other insurance is also When this insurance is excess, we will have primary. Then, we will share with all no duty under Coverages A or B to defend the that other insurance by the method insured against any "suit" if any other insurer described in 3. below. has a duty to defend the insured against that 2. Excess Insurance "suit". If no other insurer defends, we will This insurance is excess over undertake to do so, but we will be entitled to the insured's rights against all those other (1) Any of the other insurance, insurers. whether primary, excess, When this insurance is excess over other contingent or on any other insurance, we will pay only our share of the basis: amount of the loss, if any, that exceeds the sum of: Page 1 of 2 421-0452 06 07 Includes copyrighted material of Insurance services Offices, Inc., with its permission (1) The total amount that all such other 3. Method Of Sharing insurance would pay for the loss in the If all of the other insurance permits absence of this insurance; and contribution by equal shares, we will (2) The total of all deductible and self- follow this method also. Under this insured amounts under all that other approach each insurer contributes equal insurance. amounts until it has paid its applicable We will share the remaining loss, if any, limit of insurance or none of the loss with any other insurance that is not remains, whichever comes first. described in this Excess Insurance If any of the other insurance does not provision and was not bought specifically permit contribution by equal shares, we to apply in excess of the Limits of will contribute by limits. Under this Insurance shown in the Declarations of method, each insurer's share is based on this Coverage Part. the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. Page 2 of 2 421-0452 06 07 Includes copyrighted material of Insurance Services Offices, Inc., with its permission CITY RECORDER Page 1 ASHLAND PARK COMMISSION r 20 E MAIN ST. - DATE - PO NUMBER ASHLAND, OR 97520 7/11/2014 00362 (541) 488-5300 VENDOR: 004492 SHIP TO: CHOWN INC PO BOX 2888 PORTLAND, OR 97208 FOB Point: Req. No.: Terms: net Dept: Req. Del. Date: Contact: Dale Peters Special Inst: Confirming? No Quanti ,,Unit . - Description Unit Price 'Ext. Price Parks restroom door and security lock 26,648.53 replacement prolect for select restrooms at various parks throughout the City per attached quotation attached as Exhibit C. Contract for Goods and Services Beginninp date: June 23, 2014 Completion date: Julv 31, 2014 SUBTOTAL 26648 53 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 26,648.53 Account Number's Project Number.',,.', Amount 'Account'Number r'.' ProjectNumber.:. Amount E 411.12.00.00.70420 E 000048.999 2664853 Authori Signature ~4 VENDOR COPY FORM# k"S CITY OF - ASHLAND o,,.c'f 1'€? M Ease oBC9ca REQUISITION Date of request: tonJrrla Required date for delivery: Vendor Name CHOWN HARnWARF Address, City, State, Zip 333 NW 1At) AVE Contact Name & Telephone Number Fax Number Portland OR 97209 Jason Mc.CA11lPV A00547 1930 FAX 503 743 6519 SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergency ❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Form #13, Written findings and Authorization ❑ AMC 2.50 Date approved by Council: ❑ Written quote or proposal attached ❑ Written quote or proposal attached ❑ Small Procurement Cooperative Procurement Less than $5.000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon ❑ Direct Award Date approved by Council: Contract # ❑ VerbaOWritten 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 ❑ Wdtten 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 #g, Request for Approval ❑ Agency ❑ Less than $35,000, by direct appointment ❑ 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 WAE~U9 C'-M FJZJ T ~Z figplD (2[nfi5~2S X95 LIS7-JG-["7. 2'f 6,9 Sehh9rfC- C02C0cocks') /72)cO2S, /~Cl15S~K~~ ~y '-7*19rtey /aa1d $ 26648.53 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST ❑ Per attached quotelproposal Project Number 0 8' 99 ~ Account Number411 -1'2 6D.C6 70Y,~2ao 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 requisition fo i that the City's public contracting requirements have been satisfied. Employee:.- Department Head: GC`` ~L ~`-A/ 1 (Equal t6 or-greater than $5,000) Department Manager/Supervisor: City Administrator: av4 ~ - ' (Equal to~or greater than $25,000) Funds appropriated for current fiscal year.. (5 1 NO .k r--1 ~ -7/ Finance Director- (Equal too reater than $5,ooo) Date Comments: Form #3 - Requisition