HomeMy WebLinkAbout2014-264 Contract - Gutt-R-Done
Contract for GOODS AND SERVICES Less than $25,000
CITY OF CONTRACTOR: Gutt-R-Done, LLC
ASHLAND CONTACT: Ron Osborne
20 East Main Street
Ashland, Oregon 97520 ADDRESS: 2882 Beebe Road, Central Point, OR 97502
Telephone: 541/488-6002
Fax: 541/488-5311 TELEPHONE: 541-941-1068
DATE AGREEMENT PREPARED: September 25, 2014 FAX: 541-826-1797
BEGINNING DATE: October 1, 2014 COMPLETION DATE: October 31, 2014
COMPENSATION: $2,681.15 per proposal attached as Exhibit D.
GOODS AND SERVICES TO BE PROVIDED: Contractor to provide all materials, labor and equipment to
install new 5" K style gutters in Bruce & Dana steel on Hunter Park and Garfield Park restroom buildings per
ITB attached as Exhibit C and proposal attached as Exhibit D.
ADDITIONAL TERMS:
In the event of conflicts or discrepancies among the contract documents, the City of Ashland Contract for Goods and Services will be primary and take
precedence, and any exhibits or ancillary contracts or agreements having redundant or contrary provisions will be subordinate to and interpreted in a
manner that will not conflict with the said rims City of Ashland Contract.
NOW THEREFORE, pursuant to AMC 2.50.090 and after consideration of the mutual covenants contained herein the
CITY AND CONTRACTOR AGREE as follows:
1. All Costs by Contractor: Contractor shall, provide all goods as specified above and shall at its own risk and
expense, perform any work described above and, unless otherwise specified, furnish all labor, equipment and
materials required for the proper performance of such work.
2. Qualified Work: Contractor has represented, and by entering into this contract now represents, that any personnel
assigned to the work required under this contract are fully qualified to perform the work to which they will be assigned
in a skilled and worker-like manner and, if required to be registered, licensed or bonded by the State of Oregon, are
so registered, licensed and bonded. Contractor must also maintain a current City business license.
3. Completion Date: Contractor shall provide all goods in accordance with the standards and specifications, no later
than the date indicated above and start performing the work under this contract by the beginning date indicated
above and complete the work by the completion date indicated above.
4. Compensation: City shall pay Contractor for the specified goods and for any work performed, including costs and
expenses, the sum specified above. Payments shall be made within 30 days of the date of the invoice. Should the
contract be prematurely terminated, payments will be made for work completed and accepted to date of termination.
Compensation under this contract, including all costs and expenses of Contractor, is limited to $25,000.00, unless a
separate written contract is entered into by the City.
5. Ownership of Documents: All documents prepared by Contractor pursuant to this contract shall be the property of
City.
6. Statutory Requirements: ORS 2796.220, 27913.225, 2796.230, 279B.235, ORS Chapter 244 and ORS 670.600 are
made part of this contract.
7. Living Wage Requirements: If contractor is providing services under this contract and the amount of this contract
is $20,142.20 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 art, effective upon deliver of
Contract for Goods and Services Less than $25,000, Revised 07/08/2014, Page 1 of 5
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
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 e,
Contract for Goods and Services Less than $25,000, Revised 07/08/2014, Page 2 of 5
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 days' written notice from the Contractor or its insurer(s) to
the City.
e. Additional Insured/Certificates of Insurance. Contractor shall name The City of Ashland, Oregon, and its
elected officials, officers and employees as Additional Insureds on any insurance policies required herein but only
with respect to Contractor's services to be provided under this Contract. As evidence of the insurance coverages
required by this Contract, the Contractor shall furnish acceptable insurance certificates prior to commencing work
under this contract. The contractor's insurance is primary and non-contributory. The certificate will specify all of the
parties who are Additional Insureds. Insuring companies or entities are subject to the City's acceptance. If
requested, complete copies of insurance policies, trust agreements, etc. shall be provided to the City. The
Contractor shall be financially responsible for all pertinent deductibles, self-insured retentions and/or self-
insurance.
17. Governing Law; Jurisdiction; Venue: This contract shall be governed and construed in accordance with the laws
of the State of Oregon without resort to any jurisdiction's conflict of laws, rules or doctrines. Any claim, action, suit or
proceeding (collectively, "the claim") between the City (and/or any other or department of the State of Oregon) and
the Contractor that arises from or relates to this contract shall be brought and conducted 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 b fore any work may begin under this contract.
21. Certific n. Contractor shall sign the certification attached hereto as Exhibit A and herein incorporated by
refere
Contract City of Ashland
BY /~~z BY
Signature Department Head
Cfe vc~ o r. RVV (A P.J
Print Name Print Name
Title Date
W-9 One copy of a W-9 is to be submitted with
the signed contract. Purchase Order No. C /
Contract for Goods and Services Less than $25,000, Revised 07/08/2014, 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.
14o4l I /.,?,o
Contractor (Date)
Contract for Goods and Services Less than $25,000, Revised 07/08/2014, Page 4 of 5
CITY OF ASHLAND, OREGON
EXHIBIT B
City of Ashland
LIVING
WAGE
per hour effective June 30, 2014
(Increases annually every June 30 by the
r~
~ ".Consumer Price Index)
portion of business of their 401 K and IRS eligible
employer, if the employer has cafeteria plans (including
ten or more employees, and childcare) benefits to the
has received financial amount of wages received by
assistance for the project or the employee.
)o- For all hours worked under a business from the City of
service contract between their Ashland in excess of ➢ Note: "Employee" does not
employer and the City of $20,142.20. include temporary or part-time
Ashland if the contract employees hired for less than
exceeds $20,142.20 or more. ➢ If their employer is the City of 1040 hours in any twelve-
Ashland including the Parks month period. For more
➢ For all hours worked in a and Recreation Department. details on applicability of this
month if the employee spends policy, please see Ashland
employee's or more of the ➢ In calculating the living wage, Municipal Code Section
employee's time in that month employers may add the value 3.12.020.
working on a project or of health care, retirement,
For additional information:
Call the Ashland City Administrator's office at 541-488-6002 or write to the City Administrator, City Hall,
20 East Main Street, Ashland, OR 97520 or visit the city's website at www.ashland.or.us.
Notice to Employers: This notice must be posted predominantly in areas where it can be seen by all
employees.
CITY OF
ASHLAND
Contract for Goods and Services Less than $25,000, Revised 07/08/2014, Page 5 of 5
CITY OF FORM #2 ASHLAND
INVITATION TO BID - GOODS AND SERVICES
INTERMEDIATE PROCUREMENT
Release date: 8-25-14
Requested by: Jason Minica
Central Division Tech II
City of Ashland Parks and Recreation
Tel: (541) 324-4112
Fax: (541) 488-6099
Email: minica a a,ashland.or.us
Voluntary Pre-Bid Conference: 9:00 am Thursday, September 4, Hunter Park
Bids are due by: 4:30 pm, Thursday, September 16, 2014
Proiect name: Hunter Park/Garfield Park restroom gutters
Job site location: 1. 1705 Homes St, Hunter Park, Ashland, OR 97501
2.40 Garfield St, Garfield Park, Ashland, OR 97501
Project completion required by: Friday, October 31, 2014
***(All buildings must be bid and itemized separately)***
Preferred method of shipment for materials/equipment (if applicable): FOB Ashland - Freight Prepaid
Bids may be faxed, emailed or hand delivered. Contractors shall submit bid on their company letterhead. Informal email
bids and/or late bids will not be accepted. Terms or discounts which are conditioned upon payment within a certain time
will not be considered for purposes of comparison of bids.
The successful contractor will be required to enter into a contract with the City for the services and provide insurance
certificates in their own name for General Liability, Automobile and Workers' Compensation. Subcontracting will not be
permitted.
"OR EQUAL": Any brand name listed in the specifications as "or equal" or "or equivalent" shall establish the minimum requirements for quality, utility,
durability, function, purpose, etc. Other product brands may be offered that are equal to or better than the product brand name. Bidder may show cost
difference, alternates and options in the space provided in the quote. This clause is not meant to be restrictive, but to set the minimum standard. THE CITY
SHALL DETERMINE, IN ITS SOLE DISCRETION, WHETHER A PRODUCT OFFERED IS "EQUAL" When the designation is "or equal" or
-equivalent" City shall make its decision after Bid Closing.
SCOPE OF SERVICES
Form #2 - Intermediate Procurement, Invitation to Bid Trade Services Page 1 of 2 8/25/2014 IVALA,63
• Gutters and down spouts to be installed on all three buildings (Hunter Park/Garfiel
Park). o
• Gutter color will be standard brown to match Bruce and Dana's standard brown on roof.
Work at this project sites must be organized, safe and kept clear of debris for park patrons.
The restroom buildings will be kept open during the time of project.
* * * Other conditions for safely working around the public may be presented to potential bidders
at the pre-bid conference.
Please provide an official bid on your company letterhead, including the following
information•
1. Total cost for materials and labor.
2. Timeline for completing the gutter project.
3. Completion date
4. Proof of insurance for General Liability, Automobile and Workers' Compensation (No
exceptions).
5. Proof of valid contractor's license
6. Proof of valid City of Ashland business license
7. W-9
Questions/Requests for additional information:
If you have any questions and/or need additional information, Jason Minica (contact information
listed above) will be the primary point of contact for this solicitation. Please call or email your
questions directly to Jason. Jason will then provide the questions and answers to each of the
bidders.
Jeff McFarland will also be available to answer questions or provide any additional information
if needed.
Telephone: 541-601-3926
Thank you,
Jason Minica
Central Division Tech II
City of Ashland Parks and Recreation
All Pricing Must Be Held Firm For 30 Days
Method of Award: ORS 279B.070 Intermediate Procurements. (4) If a contract is awarded, the contracting agency shall
award the contract to the offeror whose quote or proposal will best serve the interests of the contracting agency, taking into
account price as well as considerations including, but not limited to, experience, expertise, product functionality, suitability
for a particular purpose and contractor responsibility under ORS 279B.110.
CAUsers\minicaj\Desktop\Form #2 - Intermediate Procurement Invitation to Bid - TRADE SERVICES.doc
2
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Proposal
Gutt-R-Done, LLC If It Be Rainin', We Be Drainin' INVOICE # 8111 D
Licensed and Bonded DATE: 9/16/14
2882 Beebe Rd. Central Point, OR 97502 Lic # 167695 GOOD FOR 60 DAYS
Phone 541-261-3998 guttrdone@hotmail.com
To Name Jason Minica Customer ID
Company Name City of Ashland Parks Et Rec. Address Garfield Et Hunter Park
City, State, Zip Ashland OR 97520
Phone 541-324-4112 / 541-488-5340
REPRESENTATIVE JOB PAYMENT TERMS INSTALLATION DATE
Ron Osborne Upon Completion TBD
QTY DESCRIPTION UNIT PRICE LINE TOTAL
Garfield bathrooms
110' 5" K style gutter in Bruce Et Dana steel $4.95 $544.40
40' 2x3 steel downspout installed / close color match $3.65 $146.00
Total $690.40
Hunter Park
325' 5" K style gutter in Bruce $ Dana steel $4.95 $1,608.75
80' 2x3 steel downspout installed / close color match $3.65 $292.00
4 Mitered corners $15.00 $60.00
2 Expansion joints $15.00 $30.00
Total $1,990.75
ALL TOTALED $2,681.15
Quotation prepared by:
This is a proposal on the services 8 goods named above, subject to the conditions noted below: All material is guaranteed to be as
specified, and the above work to be performed in accordance with the specifications submitted for above work and completed in a
substantial workmanlike manner. Any alteration or deviation from above specifications shall be noted and initialed by both the customer
and the Gutt-R-Done representative submitting proposal.
ACCEPTANCE
To accept this quotation, sign here:
Job is completed to my satisfaction:
THANK YOU FOR YOUR BUSINESS!
09/24/2014 09:33 5418261797 HOMESTEAD LOG HOMES PAGE 06107
Policy Number. Date Entered: 09/22/2014
A E® CERTIFICATE OF LIABILITY INSURANCE DATE(MWDOfYYYY)
9/22/2014
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 13ETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
1 PORT : 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 cer iFicate does not confer rEShts to the
certificate holder In lieu of such endorseme s . '
PRODUCER CONTACT
Tames A Hatton Insurance ,Agency NAMR-
PHONE _
(591) 776-7514
21 Hawthorne I - 1W , (541) 773-3413 me No
F,MAIL Jimhatt oneJimhatton . oom
Madford, Or 97504 ADDRFSrk
INSU S APFORDrtdGCOVERAGE NAIGo
INSURER A: United Specia.1ty
INSURED Gutt:-R-Done, LLC INSURER B'
Ron Osborne INSURER C : _
2882 Beebe Road INSURER D :
Central Point, OR 97502 INSURER 1=:
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 ADDL R POLICY EFF POLICY EXP
LTR TYPE OF [HSURARCE POLICY NUMBER lMMMIR/1/YYY R66rlD LIMITS
A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000
DAMA-Ze TO
CLAIMS-MADE IN OCCUR C DO0004316 EfTe/2010 6/1¢/2015 PR M E§ Ea EDn $75,000
MED EXP (Anyone Person) s5,000
PERSONAL & ADV INJURY S1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000000
POLICY ® PRO- JECT LOC PRODUCTS -COMPIOPAGG S 1, 000000
S
OTHER:
AUTOMOBILE LIABILITY CO BIND SINGLE LIMIT $
EanBWED
ANY AUTO eOOILY INJURY (Per Pennon) $
ALL OWNED SCHEDULED
AUTOS AUTOS BODILY INJURY (Per rxotdaiu) 5
NON-OWNEO PROPERTY DAMAG£ S
HtREDAUTOS AUTOS oraedden
UMBRELLA LtAB OCCUR - EACH OCCURRENCE 5
EXCESS L1AB CLAIMS-MADE AGGREGATE S
DEL) RETENTION S S
(YORKERS COMPENSATION I ST
AND EMPLOYERS' LIABILITY YIN TA LITE £R _
ANY PROPMETORMARTNER/EXECUTIYE ❑ NIA E.L. EACH ACCIDENT 5
OFFICERMIEMSER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA It S
It yes, describe under
DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT S
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 90:, Additional RemarBa Schadala, may ba Ataatlod Ir more Woo In rogakad)
Certificate Holder is an additional censured
CERTIFICATE HOLDER CANCELLATION
Cf t3r of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
20 irtisi: >n St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE VRTH THE POLICY PROVISIONS.
Ashland, Or 97520
AUTHORIZED REPRESENTATIVE
(P 1988-2014 ACORD CORPORATION. All rights reserved.
www.saif.com
Oregon Workers' Compensation ANN saiF
Certificate of Insurance P'.00 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
Gutt-R-Done LLC SAIF Corporation
2882 Beebe Rd Portland Service Center
Central Point, Or 97502-3494 971.242.5001 servic@saif.com
Issued 09/22/2014 Limits of liability
Policy 990845 Bodily Injury by Accident $500,000 each accident
Period 12/01/2013 to 12/01/2014 Bodily Injury by Disease $500,000 each employee
Body Injury by Disease $500,000 policy limit
Description of operations/locations/special items
Gutter replacement on existing building
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
.mob /147
John D. Gilkey
Interim President and CEO
400 High Street SE
Salem, OR 97312
P: 800.285.8525
F: 503.584.9812
Policy_OLCA CertificateOflnsurance
09/24/2014 09:33 5418261797 HOMESTEAD LOG HOMES
PAGE 02/07
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Agent Shannon Harris Ins Agcy Inc
3210 Hillcrest Paric Dr Ste 102
Medford OR 97504-7687
Phone: 541-779-3545
N Im ortaht.jrif'ormatiosil
We.:apprepate° the:pi!ay yoy. consisleritly:pay.your accoyrrk :
C%j e 4We Earrn®cares aoaut:the skurity;of.Vaurlriforrng4n:.fthave rerentfyenharieed.tta~f-GUSfpmers are•v~rifted. You:riray be asked
Rew question to~verifjf'yayr.)dentify vahen ynu access your. arxoiint erriine or ca(I'into fur. coritact'.eertter.
Changes and payrirents made afterAugu§f28; 2014:, ill-be•reflected.on.a,subsequent.billing notice..
m . Ifyou:haVe ariy giuestiont or %#o: t1Id lik&.1o d cuss.ofherState: Faun pradlucts, pour agent is r ady Fo assist you;
Account Summary.
Last Amount Billed $72.85
Last Amount Paid AUG 11, 2014 -72.85
Difference 0.00
Current Installment 69.85
Service Charge 3.00
Total Amount Due By 5EP 15, 2014 - $72.85
Policy Details
Policy Plumber V- Description Installment & Current Changes Amount
070 5781-E30-378 2006 CARGO 1> Monthly Installment _ $2.66
089 8483-A19-37A 2007 CARGO P Monthly Installment - $2.66
090 6496-613-37E 2000 FORD ~ Monthly Installment $64.53
09/24!2014 09:33 5418261797 HOMESTEAD LOG HOMES PAGE 07/07
CITY OF ASHLAND OFFICIAL RECEIPT
20 East Main Street
~iifillS 1::1'•:'1':'u ' i'I'. T.(1,.: A-.
s:
Ashland, Oregon 97520 1Cj
? r 00038244
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(541) 488-6004 f.i'
Receipt date 9/22/2014
Payee name GUTT-R-DONE LLC Tendertype Charge
Customer NO: 022110 Check number D
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00044645 Application 100.00
License type Business License
;a''r' 100.00
09124/2014 09:33 5418261797 HOMESTEAD LOG HOMES PAGE 04/07
www.saif.com
Oregon Workers' Compensation sa f
Certificate of Insurance
rovo*corporaltion
Mail to: Certificate holder:
GUTT-R-DONE LLC CITY OF ASHLAND
2882 BEEBE RD 20 LAST MAIN STREET
CENTRAL POINT, OR 97502-3494 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
Gutt-R-Done LLC SAIF Corporation
2882 Beebe Rd Portland Service Center
Central Point, Or 97502-3494 971.242.5001 servic@saif.com
Issued 09/22/2014 Limits of liability
Policy 990845 Bodily Injury by Accident $500,000 each accident
Period 12/01/2013 to 1210112014 Bodily Injury by Disease $500,000 each employee
Body Injury by Disease $500,000 policy limit
Description of operations/locations/special items
Gutter replacement on existing building
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
-7
V
John D. Gilkey
Interim President and CEO
400 High Street SE
Salem, OR 97312
P: 800.285.8525
F: 503.584.9812
Page 1 / 1
ASHLAND PARK COMMISSION
20 E MAIN ST. DATE PO NUMBER
ASHLAND, OR 97520 10/1/2014 00400
(541) 488-5300
VENDOR: 004530 SHIP TO:
GUTT-R-DONE LLC
2882 BEEBE ROAD
CENTRAL POINT, OR 97502
FOB Point: Req. No.:
Terms: net Dept.:
Req. Del. Date: Contact: Bruce Dickens - Jason Minica
Special Inst: Confirming? No
Quantity Unit Description Unit Price Ext. Price
Gutters to be installed on Hunter Park 2,681.15
and Garfield Park Restroom Buildinqs
Garfield restroom - $690.40
Hunter restroom - $1,990.75
Contract for Goods and Services
Beqinninq date: October 1, 2014
Completion date: October 31, 2014
SUBTOTAL 2,681.15
BILL TO: TAX 0.00
FREIGHT 0.00
TOTAL 2,681.15
Account Number Project Number Amount Account Number Project Number Amount
E 411.12.00.00.70420 E 000038.999 2,681.15
Authoriz Wd Signature VENDOR COPY
FORM43 CITY OF
A request for a Purchase Order ~SH LAN D
REQUISITION Date of request:
Required date for delivery:
Vendor Name ut !Z, n el
Address, City, State, Zip 'LIZ 2- C llj '1201 ;t4 t- "Z-
Contact Name & Telephone Number lZe'e, ~S s-~11 Z~ 394
Fax Number
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 #
❑ Verbal/Written quote(s) or proposal(s) ❑ State of Washington
Intermediate Procurement ❑ Sole Source Contract #
GOODS & SERVICES ❑ Applicable Form (#5,6, 7 or 8) ❑ Other government agency contract
$5,000 to $100.000 ❑ Written quote or proposal attached Agency
(3) Written quotes and solicitation attached ❑ Form #4, Personal Services $5K to $75K Contract #
P SONAL 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 proposals/written solicitation Date approved by Council: (Date)
❑ Form #4, Personal Services $5K to $75K Valid until: Date
Description of SERVICES Total Cost
4 Aiy's oA ew I ~U- $ 2&11 - ir
Item # Quantity Unit Description of MATERIALS Unit Price Total Cost
TOTAL COST
❑ Per attached quotelproposal $
Project Number06-- x-999 Account Number veFl• 16
Account Number4I -/Z-00 -U1'-?4Za 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 requisiti form, I certify that the City's public contracting requirements have been satisfied.
Employee-. r.... Department Head:
(Equal to or greater than $5,000)
Department anager/Supervisor: City Administrator:
(Equal to or greater than $25,000)
Funds appropriated for current fiscal year YES / NO
Finance Director- (Equaitoorgreater than $5,000) Date
Comments:
Form #3 - Requisition