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2015-051 Contract - Southern Oregon Transportation
Contract for PERSONAL SERVICES less than $35,000 CITY OF CONSULTANT: Southern Oregon Transportation Engineering -AS H LAND LLC. 20 East Main Street CONTACT: Kimberly Parducci P.E. P.T.O.E. Ashland, Oregon 97520 Telephone: 541/488-6002 ADDRESS: 112 Monterey Drive Fax: 541/488-5311 Medford OR 97504 TELEPHONE: 541-608-9923 DATE AGREEMENT PREPARED: 1/28/2015 FAX: 541-535-6873 BEGINNING DATE: 2/1/2015 COMPLETION DATE: 6/30/2016 COMPENSATION: Not to Exceed NTE : $21,975.00 SERVICES TO BE PROVIDED: Downtown Plan Analysis and Review per exhibit C ADDITIONAL TERMS: None FINDINGS: Pursuant to AMC 2.50.120, after reasonable inquiry and evaluation, the undersigned Department Head finds and determines that: (1) the services to be acquired are personal services; (2) the City does not have adequate personnel nor resources to perform the services; (3) the statement of work represents the department's plan for utilization of such personal services; (4) the undersigned consultant has specialized experience, education, training and capability sufficient to perform the quality, quantity and type of work requested in the scope of work within the time and financial constraints provided; (5) the consultant's proposal will best serve the needs of the City; and (6) the compensation negotiated herein is fair and reasonable. NOW THEREFORE, in consideration of the mutual covenants contained herein the CITY AND CONSULTANT AGREE as follows: 1. Findings / Recitations. The findings and recitations set forth above are true and correct and are incorporated herein by this reference. 2. All Costs by Consultant: Consultant shall, at its own risk and expense, perform the personal services described above and, unless otherwise specified, furnish all labor, equipment and materials required for the proper performance of such service. 3. Qualified Work: Consultant has represented, and by entering into this contract now represents, that all personnel assigned to the work required under this contract are fully qualified to perform the service to which they will be assigned in a skilled and worker-like manner and, if required to be registered, licensed or bonded by the State of Oregon, are so registered, licensed and bonded. 4. Completion Date: Consultant shall start performing the service under this contract by the beginning date indicated above and complete the service by the completion date indicated above. 5. Compensation: City shall pay Consultant for service performed, including costs and expenses, the sum specified above. Payments shall be made within 30 days of the date of the invoice. Should the contract be prematurely terminated, payments will be made for work completed and accepted to date of termination. 6. Ownership of Documents: All documents prepared by Consultant pursuant to this contract shall be the property of City. 7. Statutory Requirements: ORS 279C.505, 279C.515, 279C.520 and 279C.530 are made part of this contract. 8. Living Wage Requirements: If the amount of this contract is $19,494 or more, Consultant is required to comply with chapter 3.12 of the Ashland Municipal Code by paying a living wage, as defined in this chapter, to all employees performing work under this contract and to any Subcontractor who performs 50% or more of the service work under this contract. Consultant is also required to post the notice attached hereto as Exhibit B predominantly in areas where it will be seen by all employees. 9. Indemnification: Consultant agrees to indemnify and save City, its officers, employees and agents harmless from losses, claims, actions, costs, expenses, judgments, subrogations, or other damages resulting from injury (including injury resulting in death), or damage (including loss or destruction) to property, of whatsoever nature to the extent the harm caused arises out of or is incident to the negligent acts, or errors or omissions in performance of this contract by Consultant (including but not limited to, Consultants' employees, agents, and others designated by Consultant to perform work or services attendant to this contract). Consultant shall not be held responsible for any losses, expenses, claims, subrogations, actions, costs, judgments, or other damages, directly, solely, and proximately caused by the negligence of City. 10. Termination: Contract for Personal Services, Revised 0613012012, Page 1 of 5 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 Consultant, 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 Consultant to provide the services required by this contract is for any reason denied, revoked, suspended, or not renewed. d. For Default or Breach. i. Either City or Consultant may terminate this contract in the event of a breach of the contract by the other. Prior to such termination the party seeking termination shall give to the other party written notice of the breach and intent to terminate. If the party committing the breach has not entirely cured the breach within 15 days of the date of the notice, or within such other period as the party giving the notice may authorize or require, then the contract may be terminated at any time thereafter by a written notice of termination by the party giving notice. ii. Time is of the essence for Consultant's performance of each and every obligation and duty under this contract. City by written notice to Consultant of default or breach may at any time terminate the whole or any part of this contract if Consultant fails to provide services called for by this contract within the time specified herein or in any extension thereof. iii. The rights and remedies of City provided in this subsection (d) are not exclusive and are in addition to any other rights and remedies provided by law or under this contract. e. Obligation/Liability of Parties. Termination or modification of this contract pursuant to subsections a, b, or c above shall be without prejudice to any obligations or liabilities of either party already accrued prior to such termination or modification. However, upon receiving a notice of termination (regardless whether such notice is given pursuant to subsections a, b, c or d of this section, Consultant shall immediately cease all activities under this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination, Consultant shall deliver to City all contract documents, information, works-in-progress and other property that are or would be deliverables had the contract been completed. City shall pay Consultant for work performed prior to the termination date if such work was performed in accordance with the Contract. 11. Independent Contractor Status: Consultant is an independent contractor and not an employee of the City. Consultant shall have the complete responsibility for the performance of this contract. Consultant shall provide workers' compensation coverage as required in ORS Ch 656 for all persons employed to perform work pursuant to this contract. Consultant is a subject employer that will comply with ORS 656.017. 12. Assignment and Subcontracts: Consultant shall not assign this contract or subcontract any portion of the work without the written consent of City. Any attempted assignment or subcontract without written consent of City shall be void. Consultant shall be fully responsible for the acts or omissions of any assigns or Subcontractors and of all persons employed by them, and the approval by City of any assignment or subcontract shall not create any contractual relation between the assignee or subcontractor and City. 13. Default. The Consultant shall be in default of this agreement if Consultant: commits any material breach or default of any covenant, warranty, certification, or obligation it owes under the Contract; its QRF status pursuant to the QRF Rules or loses any license, certificate or certification that is required to perform the Services or to qualify as a QRF if consultant has qualified as a QRF for this agreement; institutes an action for relief in bankruptcy or has instituted against it an action for insolvency; makes a general assignment for the benefit of creditors; or ceases doing business on a regular basis of the type identified in its obligations under the Contract; or attempts to assign rights in, or delegate duties under, the Contract. 14. Insurance. Consultant shall at its own expense provide the following insurance: a. Worker's Compensation insurance in compliance with ORS 656.017, which requires subject employers to provide Oregon workers' compensation coverage for all their subject workers b. Professional Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $200,000, $500,000, $1,000,000, $2,000,000 or Not Applicable for each claim, incident or occurrence. This is to cover damages caused by error, omission or negligent acts related to the professional services to be provided under this contract. C. General Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $200,000, $500,000, $1,000,000, $2,000.000 or Not Applicable for each occurrence for Bodily Injury and Property Damage. It shall include contractual liability coverage for the indemnity provided under this contract. d. Automobile Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $200,000, $500,000, $1,000.000, or Not Applicable for each accident for Bodily Injury and Property Damage, including coverage for owned, hired or non-owned vehicles, as applicable. Contract for Personal Services, Revised 06/3012012, Page 2 of 5 e. 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 Consultant or its insurer(s) to the City. f. Additional Insured/Certificates of Insurance. Consultant shall name The City of Ashland, Oregon, and its elected officials, officers and employees as Additional Insureds on any insurance policies required herein but only with respect to Consultant's services to be provided under this Contract. The consultant's insurance is primary and non-contributory. As evidence of the insurance coverages required by this Contract, the Consultant shall furnish acceptable insurance certificates prior to commencing work under this contract. The certificate will specify all of the parties who are Additional Insureds. Insuring companies or entities are subject to the City's acceptance. If requested, complete copies of insurance policies; trust agreements, etc, shall be provided to the City. The Consultant shall be financially responsible for all pertinent deductibles, self-insured retentions and/or self- insurance. 15. Governing Law; Jurisdiction; Venue: This contract shall be governed and construed in accordance with the laws of the State of Oregon without resort to any jurisdiction's conflict of laws, rules or doctrines. Any claim, action, suit or proceeding (collectively, "the claim") between the City (and/or any other or department of the State of Oregon) and the Consultant that arises from or relates to this contract shall be brought and conducted solely and exclusively within the Circuit Court of Jackson County for the State of Oregon. If, however, the claim must be brought in a federal forum, then it shall be brought and conducted solely and exclusively within the United States District Court for the District of Oregon filed in Jackson County, Oregon. Consultant, by the signature herein of its authorized representative, hereby consents to the in personam jurisdiction of said courts. In no event shall this section be construed as a waiver by City of any form of defense or immunity, based on the Eleventh Amendment to the United States Constitution, or otherwise, from any claim or from the jurisdiction. 16. THIS CONTRACT AND ATTACHED EXHIBITS CONSTITUTE THE ENTIRE AGREEMENT BETWEEN THE PARTIES. NO WAIVER, CONSENT, MODIFICATION OR CHANGE OF TERMS OF THIS CONTRACT SHALL BIND EITHER PARTY UNLESS IN WRITING AND SIGNED BY BOTH PARTIES. SUCH WAIVER, CONSENT, MODIFICATION OR CHANGE, IF MADE, SHALL BE EFFECTIVE ONLY IN THE SPECIFIC INSTANCE AND FOR THE SPECIFIC PURPOSE GIVEN. THERE ARE NO UNDERSTANDINGS, AGREEMENTS, OR REPRESENTATIONS, ORAL OR WRITTEN, NOT SPECIFIED HEREIN REGARDING THIS CONTRACT. CONSULTANT, BY SIGNATURE OF ITS AUTHORIZED REPRESENTATIVE, HEREBY ACKNOWLEDGES THAT HE/SHE HAS READ THIS CONTRACT, UNDERSTANDS IT, AND AGREES TO BE BOUND BY ITS TERMS AND CONDITIONS. 17. Nonappropriations Clause. Funds Available and Authorized: City has sufficient funds currently available and authorized for expenditure to finance the costs of this contract within the City's fiscal year budget. Consultant understands and agrees that City's payment of amounts under this contract attributable to work performed after the last day of the current fiscal year is contingent on City appropriations, or other expenditure authority sufficient to allow City in the exercise of its reasonable administrative discretion, to continue to make payments under this contract. In the event City has insufficient appropriations, limitations or other expenditure authority, City may terminate this contract without penalty or liability to City, effective upon the delivery of written notice to Consultant, with no further liability to Consultant. Certification. Consultant shall sign the certification attached hereto as Exhibit A and herein incorporated b reference. onsultant: City of Ashland By ~u By eAr- ,Ignature Department He 4m664_ .Y PARR "cc. ~ t A►~ - Print Name Print Name F19-M ?94WC-1 10A1_ J ~)_5 11,5,- Title Date W-9 One copy of a W-9 is to be submitted with the signed contract. Purchase Order No. L ! ` Contract for Personal Services, Revised 0613012012, 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 Personal Services, Revised 06/30/2012, Page 4 of 5 r ~I { O OO q O O O O O p O _ O O O O LO O O O O O O O O O ° O In r- 0 0 l0 i° O 0 0 p 0 U H ~k ~ u7 N h 0 O O O 0 0 " O o L^r li L L rr^^ Q Q vl O O O O O i O O = O O O O O O O b 0 6 p 0 O U N Sb4 p 0 0 O 0 0 0 0 O 00 O O O 69 U i r~ W V 0 a O . U G ti LU 2 Q. O v o 0 0 0 0 0 O O O O r, co ui 6 r~.~ •U 'O LO CO (7) N N O N C-i -4 W O O p O U 19 r ~ d U = U k ) c a U V 4 E m Ywr 0 0 0 0 0 .c Q n s H. _ U) in U) Cl) ® O W U U a~ m o > m c _ o ® 3 ° CD w u U E y m u rr F~~ m -a t ' ~ ° E V d' m a> CY N N U N E L m. N o T R L O"~ O m O! O c cUN~ is c c o J d m cm c N ° FL ni ED 'o ° a aim in of 3j N 4 O fi r E m N VOl p ® ❑ O g U O ul O N V M_ h U co vMUN Z-'° ~ v m c c L ~ m v m Q E ~ a 4 3. c 9 N 3 4`iC c 3 Q m cC700 a E cDa Q N N w F O) p 0) iV -,R 0) W Fj a N p N f0 yO, C x ❑c Y V c c 12 N Y m x N N N N F- p¢ y 7 O fyp N C N N G O O m W N O U m a Q U 4 m U ❑0.Q I-a I-U SOUTH03 OP ID: SAW COr1~ b" uAAre IUwOfHY" CERTIFICATE OF LIABILITY MURANCE. F04/1712014 T} IS;GERTIFlCATE IS ISSUO AS A MATTER OF tNFORMATfON ONLY AND CONFERS NQ RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE: DOES NOT AFFIRMATII/ELY OR NEGA•TIVELY•;AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED' AY THE FOUC15S SEL.OW: THIS' CERTINCATE. OF INSURANCE DOES NdT CON5TlTUTE A. CONTRACT BETWEEN THE ISSUING:114SURER(S} AUYHORITED REPRESENTATIVE OR P[t6666.ER, AND TkF- CER71Ft6ATi k6LDEP. IMPORTANT: If the ce(tlllcate holder is an ADDITIONAL INSURED, the p0f{cy0es) must Ue.endursed. If SUBROGATION -IS -WAIVED, subjodjo ffie torrns:Md copdtllons of the poAcy, certaln peileles may i'ei(illre an endorsement. A staterilent oii ails eerpocate doe's eat confer dghts'td 141e certlBcafe•heiider kT Ileu,ofilich•endvrsement s . PoODUCFA Phone: 5A1-77853 8 8 •NAW She ( WI13S PrdteKock Insurance, LLC Fax: -MI-4.7'.2-1906 •FAi°,N*E : 541-842-2968 Ha: 94t 772=18Q6 Plldt Rock Iris Ageney LLC (CA) PO BOX 4569 • AGDflss: Shre iW rotectorsins.Dom Medford, OR'•97601 Karol M. Igou INSURERIs AFFORDING COVERAGE NAICf dNSURERA:'CNA CdAtlnentaf Casual Co- Southern Oregorf Transpari.atian' INSURERS:Valle forge Insurance Co Engineering LLC INsul(eae:American Casual Company 112 Monterey Dr Medford, OR 87504, !i+sLafeao: IiisuraEteE: INSURERF: • COVERAGES CERTIFICATE NUMBER: REVISION NUM13t-ki 2' THIS IS TO'CERTIFY THAT THE POLICIES 'OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTW THSTANDING' AW RE4UIREMENT; TERM'OR CONOrrION OF MY CbNTRACT OR OTHER DOCUMENT WrrA RESPECT•TO'Mic-H THIS CERTIFICATE MAY BE ISSUEO OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OFSUCH POLICIES: LIMITS SHOWN MAY HAVE•BEEN-'REDUCED BY PA10;CLAtMS_ LTR' T1'PB OF INSURANf PCLICYNUNBER D 'LW.f1S GENER& LIABILITY EAQiOCCLIWNCE ; 2;000,00 C COMMERCIAL Ca$RN.LVBpJrY X 'X' 64018108107 oam5=4 .p5/1$129iS P Eaacouren g 30%00 CLPIMS•MADE I A j OCCUR MED vp (xv oao parsmi. i 1(1,00 X EuslnoesOwners PERSONAL EADV WJURY S oeeRALAGGREGATE 4,OOQDo GENI.AOGIIECATELWTAPPLESPEW PRCUUCT5-COWIOPAOG i POLICY' P& LOC C IPED AUTOMOBiLELIABILnY coma Ee aao 4w, .1,000,00 8 X ANV nUrO X X 64018108110 0311512014 01/15=5 'SCOILY INJURY (Per pnsaril• S Ljo CEq- PiSaf~UCD lTOS oDkLY IN: tY (Per ewddalil f NON-OWN IM OP~R[~-f E HIFLD AUl05; AUTOS .Par aeddent S S LR~6Rf;~l.ALNe OCCUR' EACH OCdhiREFiCE ECCEds LIAR. CLAIMa-mAoa AGGREGATE ICED 10 s WORIO?"-CONPEWATION lam 0TH. AND I5WLgitRS• I.IABf .ITY DIE MIA YIN a • @ . ANY PPt30RETUW,ARr[f1IEAICURVE - L-EACHACCIDEN' T E, OFFIL"~WAigTO .E-W' 9• a Ihhndatory (n NFq EL.b1SEASE-EAEMROY t Ryyas danadbauTldar QESCRIPTIONOF'OPFRATIONSbeloly E.L.OISc%SE=POLICY LIOT i A Proresslonal Llab CH2882M50 0371212013 -03f22/2d17 Ogcu"r. 2,000;00 _ Am 4,000;OD OESCRIPTiON OF OPERATIONS I LOCAMNS1VENICLES [A"h 4ACORD 101,Addk1.rW kamaks Sehsdula;tr lnorospsca Ism qulroEJ The City of Ashland 6 it's elected officials, of£ioers,, employees :are a iiiti.onal Insureds for GENERAL LIABILITY Waiver of Sulirogatlori 1;. Produots Cop[pleted Ops- S13300176B0108. Cantle! per schedule SB147052• sBti74024C_ 1J20- City.of• Ashland: Cancel Per G3;00660A Primary par CA00010310.-Wa3.ver of Subrogation per.CA044403fo CERTIFICATE HOLDER -CANCELLATION. CITYAS2 HOULD.,4NY OFTHE ABOVE OEBCRIBEQ.POLICIES BE GANCELLFA BEFORE CI of Ashland THE EXPU1ATION DATE TIiEREDF, NOTICE. wLL BE DELNERED IN ACCORDANCE WITH T KE POLICY PROVISIONS. 20 E Main Street Ashlanjd, OR 97520 AOT1toRIZro'REriLESEnT[AriVE '01988.2010 ACORD CORPORATION. ;Ali ft t8 reserved. ACORD 25 (2010105) The ACORU name and logo era regiatered marks of ACORD f1lC)TEPAD SOUTH03 PAGE z (NSURMSNAMB Sou#hem Oregon Transportation OF. 16.,§AW ciATE. •04H 7114 Professional Liability 1X_ is cb4nged to $2';000,00b"0aourrenoo, $3;000,000 egate e£feoti:ve ;OQlS7/14. - Geneiral Liability limits changed to 2,000,000'Geourre..-, 4,000;000• ggregate effective 04/16/14. i rr ^6 ANN Ilk" Vol qv g, Q A a o , 6 A (y Y ~g ~ 91 NNN . 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E ``0 ~3~1✓ 4~~$, •S~~S E~~~~S$ 9y W ~8J E ctInL' o ' ~ a. $ ~ IRV. ~ uWi~'~E~.~P6Y~$~S~Ra•~$8s ~n3'~a ~'bf"+R.~~~`aSTx'Y • Y. fit •.o~~~ ~ ~~pLNf>.i Yj`~A g1 a ~.'ky 111 e7p24tf yy~~,,(cCtr 1t8 q3d jb,q' .~Qy~ •fp 13-~1 1 +C S ggS5~ 113p3. lull, u~l9~G g~tl¢ •,~~•_W Si iF•yy,$^ L'i .,}xdl j~p~ b g ii y $ q~+ n•la L •oE $ n °~~c a Y s~' ~ a b °E. $ N Est POLICY N HR INSDRED-NAME AND AAbRs98 B 401$108107 Southern Otegcn T=anspoi•tat;on Engineering LLC 19:2 .MONTEREY' DR ME:DFORD, OR 97564 i S.cf :;C~ ~•I-^~-: ik4 - r•-. . _CF'-a 9~' • - - ' - ::\i,f• .n:r,.F. ~ ~ v;~•itil1 1:+~.. ~'Si'? :.:a~:r.:r'- :.~s.Y.t'• v~ya}a,;.~4.1.!•~rai %it> ,':i:~. ;:r.~' ,kt~ -r%'~h:~- ; . -.i. 4''. t,.- :ice - .:S .:SM: "-3`:i~i.H F'1:7 ~~.`~4.v 7.N:1:. :.1.. ,4•~f'.^(,.• ~~7' - '.:l i~': .'Yv ~'1 . T :SS.; ~t[47?:v. «5:" .ifii~.- :;l?~i. . ~.y..n t..y^. `c"-?.... , ..:n. ~ yy •L~Z+ Ci:~ 7.. i i .i4:;" ~ 1:'":;:.{!s,-r,... i j = ETIONAL iNTkRWT SCREDME i LOCATION 1 :BVILDIHa 1 .Res Notice of Cancellation or Material Coverage Change toy Additional. Interest Hama and Addressr CITY OF` ASHLAND 20,''E Main St ASHLMD OR 975.20 Tat Notice ;of Canoellatf•.bn or Material, Coverage Change Actditionai IbtereAt Nana aad Address: CITY OF MEDF6RT3 4'11 W • ST1 ST MEDFORD OR 97561 'T'ype: Notice of Cancellation orrMatexial Coverage Change Additional. Interest Kama and Addr9pss THE. CITY OF COOS BAIL, 'OR'EGON i' 500 CENTRAL AVE CQOS• BAY , OR 974426 Type.i Notice of Cancellation or:Material C-overage Change- A$ditional =ntaxadt Naive aaQ Ad!lzeanI C=TY•-OF EAGLE-POINT P':O BOX' 779 EAGLE POINT , OR' 97524 $ LGEG PAY88 SaHED07,8 g All loss payees as Chair interests may aj?pear in the.•Covsted Property. The folldwing provisions apply -in accordance with the insurakile interest of the loss payee: Lbss Payee• Description of Property: Any Covered Property in which a loss payee, creditor or lender hoXds an interest,-including any person ok.otganizatiop, you have: entered a contract with fox the 641~ of Covered Property. i WENT Page 5 of 7 38-147024-C (Elf, 44110) .dhangs', in risk. Moevri to .the B: The Bi Wnaisownera Liability. Coverage- Form Is rnpttgagehotday. amended as follows: AN tlie.terms of the difdctedinsuransa will 1,. The term `spousb' Is replaced bytfibe fblibwing; then apply'dlraotly tq the mortgagtihoider. Spouse or Individudl who is frl• a domestic t: fl .we cancel this policy, wo will giva parinerspip re6ogfted under Oregbn favv, written not~og iplhe mortgagehoider: Paragraph E,B.a. Financ(at ties1?0mall taws (1) In accotdance vritfl Paragraph a411, Buslne6howners Generai Liability Oorid&rta Is or replacad by the following: .(2) At least: 'a. When this policy Is •certltlett es proof of ays before re the he effective Gale ffnanoial:responsfliilfty for the future under the. (e) pf -16 d #s scanca t tf 6c s -data Provfsloh$, U any. motor •vetilate financial #or your •nori-pay' nl• of responsibility' law, the insurance provided. by' the pdflcy for `bodily InJUV liability af►d prernipm; or 'p!opqrly damage' liability will comply with the (li) 30 days before the eifacilve• date provisions of the law to the extent of .the; of the cancellailon if we; cancel coverage and the following fimits of lnsurance: for any other. -reason 'other than required by the Oregafi ifhancial responsibility proolded fCrln Paragraph a.(1). laws: Q. Ifwa-0ledt•nbttorer%w,thls,poitdy, we•wiil t1) $2ra,00•D, boadose• of bodily injury to or ~Na written notice to the. mortgageholdar ; death otone person in dny•one accident; at 1east:l0 days before the expiration date of this policy. (2) Sgb(ed} to ihat limit for oh person, $5U 4 0Q because of bodily Injury to or 4. Paragraph r Commerical Pa"rly•ContfItinns, death of two or. more parsons !ra any one item 1. Concealment,, Mierepresentaffbn at accident; and Fraud it replaced by-the following: (3) $20,000 because of- injury to or 1 Coricealmettt,• Mlerepresdntattori'Or Fraud dasfructlori 0 'the Property of others in a. Subject, to Paragraph's: U. and c. below, any one d&cfdent. this entire polity will be vold if, whether If a ffppncIgI. rospansibAIt'y law should be before or after a foss; you have wfilfullY, amended to put (n torte. diferent Minimum conmied or misrepresented any materlaf ftmits •of coverage than those. -stated above fact or circumstance concsrning; .this before. ikvihstime at an accident, this•palipy Insurance or the subject of •11, or your :.dhaii•'pravfde the.limlts specified In the law as Interest In It, or in case of any fraud or drnaridsd, false swearing by you relating to it, I C. The BtlStnegagWnqrs : Cdwri;ton Pallcy 'Cohditlons b. Aft -statements made by ygu or on your are amended as follows; behalf, in the ehsence of fraud, .wGl be 1. Paragraph A. Cancellation 'is amena as do'emad rapmsentations and not WOWS; watianties. No such Oatamerits'that arise from .fin error, 'In the application will be a. Paragraph 2:is replaced by the following: used iri defense of a'ctaim under th(s Coverage lrotm unless: 2. It this policy has been In.eflectior. a, Fewer than 60 days and Js not a T. The statements are contained trt a. renewal policy, we may canon for written.applicatton,:and any reason. 2. A copy of -the application Is endorsed b. 60 days or more or is a renewal upon or attached to this Coverage Porin when issued, policy, we -may canoei.dniy for boor more of the following reasons: •c. In• order to use any representation frtade by you or on your. behalf in defuse of a (1) Nonpayment or premlum;, clalnt under iho'Goverage Form, w8 must (2) Fraud or material snbii ffiat 1h9 representations are tnlsrapre'sentatidn made .by you material afid'thatwe rolled on them. or with your kndWledge In oblaining fhe policy, 'continuing 58-147024-C Copyright, 150 properties, IM, goat Rage 2 of 3 (Ed, 04!10) ' i SB-147024-6 (Ed. 04ii G) the policy or fn presenilltg a interest in it, or in case-of-any fraud oi• ciafm under the policy; false swearing by you raiating to It. (3) Substantial increase in the dsk of 2. All statements made by :you or on .ybur foss 4 8 irtsurance coverage bafialf, In the absence 9f fraud, will be has been issued or renewed, deemed 'representations and no1 . including' but not 'limited to an Wariarrtles. No,W6h statements that arisa Increase In expdsure due to from An error 4h the application will be rules, legislation or court used in dofensa of a claim under this decision; Coverage Form unless: (4) Srtbstahfial breach of contractual a. The statements are contained In a duties, condltlpns or warranties; -written applicaton; and M Determination by the b. A. copy of-the.-application is endorsed .commissioner that the .uVbfi .oi attached' to- this Coverage sontiriuation of a line of :Form when Issued: insurance or class of btislrfdss to .g, to order !o use an which the' policy belongs will any representation made jeopardlza our solvency or will by you or on-your behalf in defense of a plane us 1n violation of the cIA1 under'the Coverage Form, we must insurands laWs bf Oregon or any show ihdi the representations are oth&'state; or matdrial Arid that vVe'relied on thditt, '(6) Loss or decrease in reinsurance .3. The following paragraphs are added and ooGdring the risk. supersede any provision io the cbntraryt c. .60 days or more or Is a rehawal Nl. Nonrenewel policy,'wa may Banc it for any -other We may eleot' not to renew this po fry by reason approved by the malllrig or ddlivering t4 !file first N'dmed commissloner by'iblle. Insured, at the last milling address known to g b. Paragraph 3. Is amended by the addition of us, written notice of nonrattewal beibre the: :th'e folloivirig a_ Expiration date of the policy; at 3': 'We iNi[I:nlail •br deliver to, the first' Ntttrrted b. Anniversary date of the policy if the policy lnsuied written notice of cahcajlation, is wilften fo'r a term of inore" than one')rear a stating'the reason•for cancella'tion'. orVithout a fired expiradon date. c. 17aragraph,6:Cencellation does not apply.. However, if this policy is lssued for 'a term:bf d. The tollowing paragraph is eddo& more than one year and far additional oonsideratton the premium is guaranteed, we 7: Number of Days' Notice of Cancellatigp: may nat refuse to, renew the policy at 'iis a. Cancellation will not be adpotive until anniversary dais. at least 10 woWng days after the first Wonrenewal will'not be effective until at least Named Insured rocdlves aur••hotice. 45 days after the,first'Narited Insured receives 2. Paragraph C. Concealment, Mlarepresentatlon our notice. Ur gaud is replaced by the toiloWing: • N_ 'Mailing Of Notices m 0. Concealment, Misreprbsentallon Oi Fraud If' n4tloe of cancellation or nonreneWal Is rnailed, a post o~ca•certilicato of mailing will y. Subject to Paragraphs 2. and 3. below, Q be concfusivs prool that the first Named this antire policy will be void if, whether Insured received the notice on the third before or after a loss, you have willfully calenddf.day.after the date of-the certlftcai6 of concealed or rrilsrepresented.any material mailing. foist or • circumstance conoerhIng this Insurance :or the subject of it, or` your r~ i SR-147024-G Copy+rtght, 190 Properties, lam; 2001 Page 3 of 3 (Ed. '64/1b) p' SBA 470ZB fir (ESE. a6/i t}, THIS ENDORSEMENT CHANGES THE POLICY: P.L•EASF READTF CAREFULLY: CHANGES NOTICE OF CANCELLATION OR MATERIAL COVERAO CHANGE; This endorsement mda1116es lnsurance•previded undet the following: 10WESSIDWS1EFIS COMMON PCLIGY•CONDITIONS In the; evani;dt certcellation or material change that reduces or restriots the insurahde aiiortisci by this Coverage Part (other than the raducdori.tifaggregate limps through payment of claims), we agree to',mafl Arlo"r written notlca•of cdhWatfon or .material-change to: ' Name-of Designated i=ntily: 1 AddresslC9r4d 10fort.mdon of Pasignated Entity.- 'In(armatbn tequirsd to Canrplete this Sahcdula; If notit6WR Ohara, will ba ehowct Irru vaclara8Ona. The tollowing.conditionsare added: '3. If we cancel or elect not to renew this policy •for 1. It the policy is cancelled or'notsenewed, we wilt ndriiiaymant of preml0m, we :will 0nid Written' give writteh notice of such •cahcefiatfori ot` n°~ to the D.asfgnatad E( QW'-.sh§ m in 'tie nonren®►val to the Designated Entity sho4vir In fie Schedule above; or iri -the Dectarallons, 'Such Schedule above, or in the Declaratlons..Suoh notice may ps provided before or after the notice may be de1'nrerad or sent by any means,of• effective date 4canoelldon.or nomenowal. g out choosing. the notice to the Dep.ignaied Entity' 4. Faflur.a to Ove.natlcaln accordance;Wlth the terms will state the effective date of -cancellation or .01INs endoisernerit does not: 's nonrenewal. Howeyer, such ndtlce dLaanceilatfrin i dr nbnrenewal Is solely fer the purpose' cf a Alter tfie effective date•of-poWy..' cancellation, 'kiforrning the Designated Frilit'y of the dectfye nonrf3tae"vral or Wiratiorr; date,; dt; cancellation or nonrpnewal, and does. not b.. Render such bancelfation or. nonrenewal grant, a6r, or extend any rights or obilgations inaffectiva underthle-polley, e: OMM, after, Or extend any fights or 2. (f we cah%i or •aiset not' tb. renew the policy for otii(gatbrrs under this policy; or any reason other their ndnpayrnent of premium, We will. gfirawtit*-dlfge.to the Designated Entity d. [tend iha insurance beyond the effective shown. (n. the- -Schedule above, or to the crate of canceffatfon or policy expiration; 6 Asratfons A the same 'time ,notice Is given to -whichever comes tlrsL itie-brit Named irisured. t ~ 58=947052-B page 1 01 t (Ed. 08111) 1 OFA PO>! ICY NUMBER: COMMERCIAL AUTO ? CA 20 48 02 99 THIS ENbORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED Thfs endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTO" CAR1110 06VERAGE FARM' TRUCK< RS'COVERAGE FORA? With respect td cbvarags provided'by this endorsement, the provlslons of thwCoverage Form apply unless modified by this endorsemeant. Thl5 endorsemeni;•identiffes person(s) or•organlzalion(s) who ere "lnsurd s' under the Who Is An-'Insured Provision of the Coverage Form. This endorsement does r{ot alter covarage providsd'M the Coverage Fom1. This endorsement changes the policy dffebtlve on the int:eptlbn date bf the policy unless another date is indicated below. Endorsement Effedtive: Countersigned By: Named Insured: Authorized Re resentafive SCHEDULE Name of Persori(s) or Organlzatles*): OREGON COAST COMMITY ACTION CITY OF ASHL)WD The City of Medford and its .Off;icej;4 , employees in4 agents Wbi-ie acting within the scope of the duties an such are additional insureds: (If.no entry appears above, Information required to complete ,this a4dors6rfWit, will tia shown in, itle: beolaidvcns as appifcabie to the enclorsKenic) i~ Each person-or organization shown In'ths'Schedule is •ari 'Insured` fd -Liability Coverage, but only •to the extent .that •perspn or organizatlon yualifU as an 'Instird'd' under the Who, Is An, insured Provision confamed•In `Sectiomit of the Coverage ForK CA 20 48 02 99 Copyright, Insurance Services Office, Inc.-, 1998 Page I of 1 ' is ' i CNA (Ed. 06W) • .E THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. •CHA IIIES -'NOTICE OF 'CANCELLATIPN OR MATERIAL•CHANGE -This entldrsement fnbdiftes.in'surance.provided under 11heldilowing, BUSINESS AUTO Ob'VERAQE FOAM 8AAA6E.C0VtP:AGlE FORM .TA6c;kC as COVERAGE t dAm 76. enddcsement dhanges the poiEcy affacliva an 1lre lncep;Ian data of the pn)!cy iiriless another date Is.fndtcatadbelow Endors6rrient-Effec7nre. Policy t+~tiinbar' Named insured Countbralgned by . ' "(Aathorized,f~spresentativa} , Irv the avant of concelWon or matenai change that reduces -air restricts the Insurance afforded by We Coverage PaO we agras• to mall prior wtitteii notice of aarioallbtEon br-material change lo. SCHEDIJL£ i. Nurriber of days advance notice: 34 a 2. Name: cns z OF ASHLAIM 3:-Address; 20 Be MAIN ST. ASHLAND, OR 97520 rr=-+ cam. 0,-3048@Q-A I?age i. Of 1. (Ea. O61©8} B. Ger►eral Conditions d. When this coverage form and any. other 1. Bankruptcy coverage form or policy covers on the same basis, either excess or primary, vre will pay Bankruptcy or insolvency of the "Fnsdred" or the only our share. Our share is the proportion "instr7ed's"-estate will not relieve us of any dbli- that the Limit of Insurance 'of our coverage g4ians under This coverage form, form bears. fa the total of the fllnits of all the' 2. Concealrrferit, Mtsrepresentation'Or Fraud coverage forms and policies. covering .on This Coverage farm is void in any case of fraud the same basis. by you, at,ariy time•as It relates,tp thls coverage 6. Premium Audit farm. it is also void if you •or any other "in- a. The estimated premium for this coverage. sured`', at any time, intentionally conceal or form is based on tha eitposures'.you told 'us, misrepresent a material fact concerning: you,would have when this policy bggan. W1 a. This coverage form; -will ctimptlte 'the final. premium due.-when b.• T.he covered "auto";' We detef hire your Actuaf exposures. The estimated sofa. premium wi1i, be credited c. Your irildrest in the covered "auto"; or against the final premium due .and the-first d. A claim under this coverage form. Named Insured will be billed for the bal- '3. Liberatfiation ance, :if•any. The d'ue date for the final pie= . rrydini or retrospective premiufn is the date If'we revise this•coverage €orn'to provide mare shown as the due'dee on the bill. If the es- coverage without additional premfum -charge, timated total premium 'exceeds the final your-policy will autorhatfcally provide the addl- premium due, ,the first Named'Insured will tibnal'coverage as of•the day the'revisibn Is ef- geta refund: feptIve in your state. b, tf 'this policy is issued for more than one 4. No Benefit 7b Bailee - Physical Damage year, the premium for this coverage form Coverage$ Will be -computed annually based on our We will not recognize any assignment or grant rate's or premiums 16 effect at the beginning any coverage for the benefit of any person' or of each year of the policy. organizatlon holding, staring or transporting 7. P4rlicy Period, Coverage Territory property. for a fee regardless of any other pro- Under this;coverage fo►fn, we cover "accidi§n#s' vision of this cdv'erage farm. 'pnd "losses" occurring: 5. Other Insurance a. During the policy period shown in the Dec- a. For any covered "auto" you own, this •cov- larations; and arage form provides primary Insurance: For b, Wittiih the coverage-territory. My covered "auto" y6u •don't.,own; thi: ih- 'sutance provided by this coverage form is The coverage territory Is: excess over any othdr'ggilectible iAurarice. (1) "The United States of America; Hgwever, while a coyered hai fp" which'is• a "trailer" is connected taanother v6*ie, fhe (2j'Th~terr(tghos anti possessions of the Unit- Llabltity Coverage this coverage farm pro- ed Sta#esofAmeriq; vides for the "frailer"- 6. (3) Puerto Rico; (1) Excess while it is connected -to a motor Canada; and vehicle you do rids oven. (s) Anywhere in the world if. {2f Primary while it is connected to. a cov- (a) A covered "auto" of the private passes: ered $utd",ydu own. ger type is leased, hired, rented. or bores b. For Hired Auto Physical Damage Coverage, rowed without.a driver for a period•of 30. any covered ''auto" ,you lease, hire, rent or days or less; and borrow •fs deemed to be a covered "auto" (b) Thi? "irisuredV' re'sponsibifity to pay you own. ' However., any "auto" that is damages is determirjed•in a "suit" pn th'e leased, hired, anted or borrowed with a merits, in the .United States of. America. -driver is'npt a covered "auto". the territories apd• -.possessions of the c. Regardless bf the piovisions of Paragraph United States of America, Puerto :ttl'oD a. above, this, coverage forrri's Liability or;Canada or In a Wt,Idmerlt'We agrea• Coverage Is primary for any liability as- to. sumed under 6h "insured contract'. CAW 0103 10 insurance 6ervlces Office, Inc., 2009 Page.9 of 12 ❑ PC)LICY NUMBER: COMMERCIAL AUTO CA 04 44'0310 T11I5;ENOQRSki1f NT CHANGES THE POLICY. PL;•EASEAEAD IT CAAEFULLY. WAIVER OF TRANSFER OF R#~~H1CS. OF.RECOVERY AGAINST OTHERS TO US.(WAIV5R OF SUBROGATION) This endor$ament"modifles]nstiranca Pro'V€ded'under the following: BUSINESS AUTO COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM GARAGE COVERAGE FARM 't bYOR CARRIER-GQIIEi GE FORM 1-RUCKEng'06VERA6E FORM Wlth.respect tq.coverage provided by this end4rsament, the prosla€ons of the Coverage Form apply unless modified by the andorsernsO. This. endofsari'tent change$ the_' policy effect€ve on the incaption date: of the policy unless another date Is.€nd€cated below. Nairied lno#red• Endorsement E fa %ve Dace: SCHEDULE v 0 o, Neitie(sr' gi.~Persori{sl.ar prgenfiatfonts): . CITY OF MEDFdAD CTTy' Q1•'- FAGT$ Pd1Ny THE CIT- it OP COOq AA1, *REGOLS C.i.ty •a 1c..As}rland iMormAtion tequired,1o complets thIs•Sohedute, it,not shown abgtre; tatil be,'showh in'Op Vaclaralidns. The Tranater'01 R€ghta;Of Reccivery' Agglnst Otheia Td Us Condition dotes not.appfy to the peisggq) or orgsn¢ailon(s) shown In .fhs Scfletfule, but ortty to the eirtent that subrogation is waived prior to the "accltierd ' or the 'toss' itndar s contract with 'that 'petson or: orgariizat€oh. ` GA 04 440310 Copyright, Insurance Services Office, Inc., 20P9 Page 1 of 9 a Page 1 / 1 ® CITY OF -AC i_i i AND DATE < PO NUMBER 20 E MAIN 2/2612015 12746 ST. ASHLAND, OR 97520 (541) 488-5300 VENDOR: 013519 SHIP To: Ashland Public Works SOUTHERN OREGON TRANSPORTATION, ENGIN (541) 488-5587 112 MONTEREY DRIVE 51 WINBURN WAY MEDFORD, OR 97504 ASHLAND, OR 97520 FOB Point: Ashland, Oreqon Req. No.: Terms: Net 30 days Dept: Req. Del. Date: contact: Scott Fleury Special Inst: Confirming? No Quantity Unit Description Unit Price Ext. Price Downtown Plan Analysis and Review 21,975.00 Contract for Personal Services Beginninq date 02/01/2015 Completion date: 06/30/2016 SUBTOTAL 21975.00 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 21, 975.00 ASHLAND, OR 97520 Account Number Project Number Amount Account Number Project Number Amount E 260.08.12.00.60410 21 975.00 7-1 / i Authori d Signature VENDOR COPY LFo" #3 C Y~c~f C< CITY OF ASHLAND REQUISITION Date of request: z zs ,s Required date for delivery: 4 Vendor Name sc~~s-c zu oz~rxr~ i¢~rc~sp~c;o.-t~a~c f-=rAcotK€E~Kc - Address,City,State,Zip~vH~uc~~ S4t/t~8-~ft2~ Contact Name & Telephone Number IiZ Me.~ 2c~ CDO- Fax Number Szt l - S35 - 4-8~ 3 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 # PERSONAL SERVICES El Special Procurement Intergovernmental Agreement $5.000 to $75.000 ❑ Agency ❑ Form #9, Request for Approval ® 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 ~~~c nt cati Q~,:`t czE~t EEc..~ Item # Quantity Unit Description of MATERIALS Unit Price Total Cost © Per attached quotelproposal $ TOTAL COST Project Number Account Number - - - - Account Number 2'00 -v'E-(Z - ~4k0Z) 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 been satisfied. Employee: Department Head: (Equal to or greater than $5,000) Department Manager/Supervi City Administrator: (Equal to or greater than $25,000) Funds appropriated for current fiscal year: E / NO Finance Director- (Equal to or greater than $5,000) Date Comments: Form #3 - Requisition