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Home My WebLink About2014-187 CONT Addendum - Small Woodland Services ADDENDUM TO CITY OF ASHLAND CONTRACT FOR GOODS AND SERVICES Addendum made this 14th day of July. 2014, between the City of Ashland ("City") and Small Woodland Services. Inc. ("Contractor"). Recitals: A. On 09/12/2012, City and Contractor entered into a "City of Ashland Contract for Personal Services" (further referred to in this addendum as "the agreement"). B. The parties desire to amend the agreement to extend the contract effective date. City and Contractor agree to amend the agreement in the following manner: 1. The scope of services is modified to extend the expiration date to June 30th, 2015. 2. Except as modified above the terms of the agreement shall remain in full force and effect. CONTRACTOR:-54ellgve."O" g~G LO LL sTi~C CITY OF LAND: BY BY 6, ~ f Depa ^ m( ent Head Its Date DATE f Purchase Order # / Acct. No.: (For City purposes only) 1- CITY OF ASHLAND, ADDENDUM TO CONTRACT FOR GOODS AND SERVICES SMALL-2 OP ID: TF ACO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDOYYYY) ~i 0612712014 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 polley(ies) must be endorsed. H 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 NAME: Karol M.I OU CONTACT Protectors Insurance, LLC PHONE - - Pilot Rock Ins Agency LLC (CA) R., No E 541-7735358 Fac No: 541-772-1906 PO Box 4669 , I(arOll rotectorslns.COm Medford, OR 97501 Karol M. Igou INSURER(S) AFFORDING COVERAGE NAIC i WSURERA: TokiO Marine S ecial Ins Co INSURED Small Woodland Services Inc INSURER B:SAIF Corporation Martin L Main INSURERC: 2779 Camp Baker Road - - - - Medford, OR 97501 INSURERD: - INSl1RER E: ' Wal1RER P.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. . POLICYEXP PUUCYEIF~ LMR I TYPE OF INSURANCE POLICY NUMB ER MID MIDD LIMBS A X COMMERLIALGENERALLIABILTTY EACHOCCURRENCE $ 1,000,00 CLAIMS-MADE ❑ OCCUR X PGA007000 0710112014 0710112015 PREMISES (Ea occurrence E -100,000 RED EXP (Any one person) $ 5,000 X ForeStr E&O$lmil PERSONAL &ADV INJURY 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE E 1,000,00 LOC PRODUCTS-COMP/OP ASS $ . 1, 000, OD X POLICY ECT PRO- ❑ $ OTHER : AUTOMOBILE LIABILITY Ea ocold DeSINGLE LIMIT $ 1,000,00 A ANY A.Uro PGA007000 0710112013 07/0112014 BODILY INMRY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Perettitlerq E AUTOS AUTOS - NON- X HIRED AUTOS X AUTOOS ED - Per ecclI, $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ - EXCESS LIAB CLAINLS-MADE AGGREGATE $ DED RETENTION $ $ _ WORKERS COMPENSATION NTE RTM AND EMPLOYERS' LIABILITY B' A14YPROPRET9OPJPARTNEREXECUTIVE Y~N/A 33755 - 0110112014 01101/2015 E. L: EACHACOIDENT $ - 500,400 OFFICERMIEMBER EXCLUDED? 300,00 [MI In NH) G"_9 DIccEAEE SN EMPLOYEE e Il yes. desenbe under D ESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT f 500.00 DESCRIPTION OF OPERATIONS ILOCATIONSI VEHICLES (ACORD 101, Addleonal Remarks Schedule, maybe attached If more space Is required) It is agreed and understood that the certificate holder is named as additional insured but only with respect to its . liability arising out of the activities of the named insured _ CERTIFICATE HOLDER - - CANCELLATION CITYASH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. Ashland Fire $ Rescue 455 Slsklyou Blvd AUTHORIZED REPRESENTATIVE Ashland, OR 97520 Karol M. Igou (1 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD CITY RECORDER Page 1 /1 DATE " ' ?=P0 NUMBER PA& ASHLAND CITY O F 20 E MAIN ST. 7/16/2014 12378 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 001765 SHIP To: Ashland Fire Department SMALL WOODLAND SERVICES, INC. (541) 482-2770 PICK UP AT FRONT COUNTER 455 SISKIYOU BLVD 541-7784545 ASHLAND, OR 97520 FOB Point: Req. No.: Terms: Net 15 days Dept: Req. Del. Date: Contact: Chris Chambers Special Inst: Confirming? No Quanti ~ Unit ":Desch tion. c*M• 'UnitPrice""''°=EXE(Price" Consulting forester for the City in the 74,000.00 manaqement of its forestlands and as assiqned for work on adiacent federal lands. Services include land manaqement Planninq, consulting on technical forestry issues, implementing silivicultural treatments and any associated tasks as requested by the City and aqreed to by the contractor. Contract Addendum - Completion date extended to June 30, 2015 Special Procurement Approved by Council 07/17/2012 Valid until 06/30/2015 SUBTOTAL 74 000.00 BILL TO: Account Payable Tax 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 74,000.00 ASHLAND, OR 97520 ,'Account Number ,'";-,Project'Number, 'Amount , =AccountlNumber. Project Number .Amount E 670.07.29.00.60416 74,000.00 Authorized nature VENDOR COPY FORM #3 ~ e CITY OF prculi.+ A request for a Purchase Order ASHLAND REQUISITION Date of request: 7.14.14 Required date for delivery: 7.28.14 Vendor Name Small Wnnrllanrl Semirpg Inr Address, City, State, Zip 2779 Camp Baker Road Medford OR 97501 Contact Name & Telephone Number Marty Main, 541-778-4545 Fax Number Mmain3@mind.net 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 ❑ Reauest for Proposal (Copies on file) ❑ State of Oregon ❑ Direct Award Date approved by Council: Contract# ❑ VerballW6tten 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 attached ® Special Procurement Contract # PERSONAL SERVICES ® Form #9, Request for Approval IntergovernmentalAgreement $5.000 to $75,000 ® Written quote or proposal attached ❑ Agency ❑ Less than $35,000, by direct appointment Date approved by Council: 7/17/2012 Date original contract approved by Council: ❑ (3) Written proposals attached (Date) Valid until:6/30/2015 Description of SERVICES Total Cost 1'7~ 71 Small Woodland Services, Inc to provide the services of a consulting forester for the City in 'r ? a the management of its forestiands and as assigned for work on adjacent federal lands. Services " include land management planning, consulting on technical forestry issues, implementing silviculture] treatments and any associated tasks as requested by the City and agreed to by the NOtA6 Exceed $74 000 contractor. un Item # Quantity Unit Description of MATERIALS Unit Price + Total Cost a TOTAL COST ❑ Per attachedquotelproposal $741000 Project Number: NIA Account Number 670.07.29.00.604160 ro „ r 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: ITDirector Date Support-Yes/No By signing this requisition form, I certify that the City's public contracting requirements have bbe n, sp4gsfied. l ' Employee Signature: Department Head Signature: I l~A~ot- V Ul 54yal toot greater~thao,$5,000) Additional signatures (if applicable): Dl- e K ~ Funds appropriated for current fiscal year. YES NO I! 71 / J" ig. Finance Director- (Equal to o greaterthan $5,000) Date Comments: Form #3 - Requisition Kari Olson From: Karl Olson [kari.olson@ashland.or.us] Sent: Tuesday, July 15, 2014 11:44 AM To: 'Chris Chambers' Cc: 'Karl Olson' Subject: Requisition form Hello Chris, I received Small Woodlands, but it needs to be signed by Dave Kanner. I will forward it to Dave Kanner for his signature. Next time, please use most current requisition form ...the one with signature line for Dave Kanner. The form you used does not have signature line for Dave Kanner. Thank you. Kariann Olson Purchasing Representative City of Ashland 90 N. Mountain Avenue Ashland, OR 97520 Tel: 541.488.5354 Fax: 541.488.5320 TTY: 800.735.2900 kari.olsonCeDashland.or.us Visit the City's web site at: www.ashland.or.us This email transmission is official business of the City of Ashland, and it is subject to Oregon Public Records law for disclosure and retention. If you have received this message in error, please contact me at (541) 488-5354. Thank you. 1